• 제목/요약/키워드: Female high school students

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지하철 광고판을 활용한 업사이클링 DIY의생활소품 키트 개발 (Developing Upcycled DIY Kit Made from Subway Billboard Material)

  • 강보경;이예영
    • 한국가정과교육학회지
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    • 제32권1호
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    • pp.1-14
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    • 2020
  • 본 연구는 업사이클링 DIY 의생활소품 키트의 개발에 목적을 둔다. 이를 위해 본 연구에서는 기존의 디자인프로세스 관련 연구를 참고하여 사전조사 및 분석, DIY 의생활소품 키트의 제작 방향 설정, DIY 의생활소품 키트의 완성, DIY 의생활소품제작 실행 및 평가의 네 단계를 설계하였다. DIY 의생활소품 제작 실행 및 평가 단계에서는 본 연구를 통해 개발된 완성품인 파우치, 갑티슈 케이스, 필통 DIY 키트 중 지퍼를 다는 과정이 포함된 파우치 만들기를 선정하여, 실제 제작참여자인 서울소재의 고등학교 1학년 학생 4명과 성인 여성 4명을 대상으로 실행하고 평가하도록 하였다. 그 결과, 파우치 만들기는 1시간 이내로 완수할 수 있었고, 중상 정도의 난이도를 가지며, 제작방법 동영상의 배속 조정이나 광고판의 소재의 개선이 된다면 기존의 업사이클링 교육에서 활용되던 소재보다 생소한 지하철 광고판을 활용한 업사이클링을 통해 환경의식이 개선될 수 있음을 확인하였다. 본 연구의 결과로 개발된 지하철 광고판을 활용해 만든 DIY 키트는 중·고등학생의 친환경적 의생활 노작교육은 물론 힐링을 위한 환경친화적 성인 취미생활의 자료를 마련할 수 있으며, DIY 키트의 대량생산을 통해 상품으로도 개발이 가능하고 이러한 상품은 환경의식 개선과 함께 경제적 이익 창출에도 기여할 수 있을 것이다.

청소년 부모의 음주행태와 문제음주 관련요인 (The Alcohol Drinking Pattern and the Related Factors in Problem Drinking among Adolescent's Parents in Korea)

  • 김남초;박호란;이소영;유소영
    • Child Health Nursing Research
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    • 제10권1호
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    • pp.37-47
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    • 2004
  • Purpose: This study aimed to identify the alcohol drinking pattern of parents and to analyze drinking related factors in problem drinking among adolescent's parents. Method: This study was conducted through a structured questioning from November 5th to 22th in 2002. Those are 2,522 parents of the students of the 1st and 2nd grade who were selected randomly among 26 middle and high schools located in Socho-gu, Seoul. Data was analyzed using SAS program that included descriptive statistics, Chi-square test, and multiple logistic regression analysis. Result: 1. For frequency of drinking, 33.1% of the subjects responded to drink two-four times a month, 26.0% drink more than two times a week. 2. For the amount of drinking, 29.6% drink one or two glasses while 9.4% drink over ten glasses at a time. 3. The mean AUDIT score was 8.27 7.02(score of range: 0- 40). 4. Based on AUDIT score, drinkers with less than eight point from AUDIT(normal group) were 55.1%, from more than eight point to less than twelve point from AUDIT(problematic drinker) were 16.3%, and more than twelve point from AUDIT(alcohol abuse and dependency) were 28.6%. 5. Based on more than twelve point from AUDIT, female(mother), high school and, have religion, housekeeper were the significantly higher score than counter parts. Conclusion: Alcohol drinking pattern and level of drinking of their parents links to their children's drinking and results in family, social, and national loss. Active prevention is needed. Specially, pertinent education about drinking and public education for mothers who are housekeepers should be carried out with concentrated intervention programs for the problematic drinker so alcohol abuse and dependency can be reduced.

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패스트푸드 식당이용자의 식사행동에 관한 실태조사연구 (A Survey of Fast Food Ding out Behaviors)

  • 전미정
    • 대한가정학회지
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    • 제28권2호
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    • pp.15-29
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    • 1990
  • A survey was conducted of 1,454 customers to investigate dining out behaviors at fast food restaurants of Youido department compound, Myung-dong and Gang-nam district in Seoul, in April, 1988. The results are summarized as follows; The majority, 85% of customers, were aged 14 to 30, consisting of junior and senior high school children, college students and company employees. The reasons given by customers for patronizing fast food restaurants were the following, from most to least frequent; "convenient to dining," "the adequate place for the companionship", "the surroundings and dining equipment are pleasant and hygienic", "to be able to stay as long as I want". The fast foods purchased by the customers were mostly for a between meal snack or ice cream or drink rather than a full meal. The majority of the customers ate the purchased foods at the fast food restaurnats. However, a limited number of female customers preferred to take the packed fast foods to their homes. Tast Preference was a major factor in food selection from available food items. Ice cream, juice, French fried potatoes, salad, fried chicken, rolled rice with laver, and coke were high on the list of liked foods; in constrast, lower preference was for porridge, fish burger, doughnut, chicken burger and rice cake. Preference by food nationality was highest for Korean food, then Western food, Chinese food, Italian food and Japanse food, in that order. Customers offered suggestions for better fast food service, such as lowering the price, greater variety in the menu, increasing the propotion of vegetables and fruits on the fast food menu adn developing fast foods from traditional Korean foods. The customers, in particular, emphasized a need for the development of Korean traditional beverage of malted drink and persimmon punch, as well as mungbean pan cakes and sweet-spicy rice noodles(docbokki), as fast foods.y rice noodles(docbokki), as fast foods.

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대구지역 고등학생, 대학생의 칼슘 섭취 실태 및 기호도 조사 연구 (A Study on the Preference for Calcium Source Foods and Ca Intake of High School and College Students in Daegu Area)

  • 한재숙;이연정;최영희;송주은;권상호
    • 동아시아식생활학회지
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    • 제7권3호
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    • pp.331-340
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    • 1997
  • 대구지역 남녀 고등학생, 대학생들의 칼슘에 대한 인식, 기호도, 섭취실태 및 식행동을 조사한 결과는 다음과 같다. 1. 본 연구에 참가한 고등학생과 대학생은 남녀 각각 200명으로 가정의 월평균 소득은 101-105만원이 34.0%, 식사관리자의 교육수준은 고졸이 43.5%, 본가 거주 학생이 88.3%, 건강상태가 양호하다가 60.8%, 질병 없다가 87.5%였다. 2. 칼슘에 대한 인식도는 15점 만점에 평균 11점으로 비교적 높게 나타났으며 여학생이 11.54점으로 남학생 10.46점 보다 유의적으로(p<0.001) 높게 나타났다. 3. 칼슘 급원식품에 대한 기호도는 평균3.46점으로 보통인 것으로 나타났다. 전체적으로 요구르트, 아이스크림, 고구마, 우유를 좋아하였으나 콩조림, 깨, 치즈 등은 싫어하는 것으로 밝혀졌다. 여학생은 3.51점으로 남학생 3.40점보다 유의적으로(P<0.05) 기호도가 높았으며, 고등학생이 대학생보다 우유, 요구르트 등 서구식품을 더 좋아하였고 무, 두부, 멸치, 미역, 꽁치 등의 전통식품은 대학생이 고등학생보다 더 좋아하는 것으로 나타났다. 4. 칼슘 급원식품의 섭취빈도점수는 64점 만점에 평균 27.9점으로 아주 낮게 나타나 평소 칼슘 급원식품을 많이 섭취하지 않는 것으로 밝혀졌다. 식품군별로 보았을 때 유제품군의 섭취빈도가 높았고 달걀, 요구르트, 두부, 멸치 순으로 섭취 빈도가 많았으나 치즈, 뱅어포, 꽁치, 바나나 등은 자주 먹지 않는 것으로 조사되어 편중된 식품 섭취로 인해 칼슘 부족을 일으키는 것으로 조사되었다. 또한 달걀은 남학생이, 고구마는 여학생이 더 자주 섭취하는 것으로 조사되었고 대학생은 깨, 무를, 고등학생은 우유, 아이스크림 등을 더 자주 섭취하는 것으로 나타났다. 5. 1일 칼슘 섭취량은 평균 454.54mg으로 한국인 영양권장량의 54.1%-61.1% 정도 밖에 미치지 못하는 것으로 나타났다. 특히 남자 고등학생의 칼슘섭취량이 486.80mg(권장량의 54.1%)으로 많이 부족하였다. 6. 식 생활 행동실태는 결식하는 학생이 66.5%, 가끔 편식한다는 학생이 60.0%, 간식은 간혹 먹는다가 51.3%였으며 식사는 대체로 규칙적으로 하고 있었고, 다이어트는 13.3%만이 하고 있었다. 또한 식품섭취 시 영양가를 고려하는 가에는 80.0%가 고려 없이 습관대로 먹는다로 응답해 영양 재교육의 필요성이 대두되었다. 7. 칼슘 급원식품에 대한 인식, 기호도, 섭취실태, 식 행동간의 상관관계를 본 결과 인식은 기호도와 양의 상관관계를 보였고 기호도는 칼슘섭취 실태와 유의적인 상관관계를 나타내 섭취빈도가 낮은 칼슘 급원식품의 인식를 높이는 한편, 기호에 맞게 조리하는 조리방법의 개발이 필요하다고 생각된다.

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양호겸직교사의 배치근거 및 분포양상 (A study on the distribution basis and aspect of teachers holding additional school health)

  • 이정임
    • 한국학교보건학회지
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    • 제2권1호
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    • pp.58-90
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    • 1989
  • This study was attempted to contribute to the development of school health by providing the basic data about the distribution basis and distribution aspect of teachers holding additional school health that are in charge of school health business in parimary schools, middle schools and high schools without any nurse-teacher. This study analyzed literatures about the history, related laws, organization and professional manpower of school health. The emphasis was set on the distribution basis of theachers holding additional school health. The results of this study are as following: 1. The school health of the world dates to the late 18th century in Europe where was free supplying with food for poor children. The school health of Korea orginated from smallpox vaccination which was executed with appearance of modern schools in the late 19th century. 2. The related laws of school health began as a part of Education Law with was constituted in 1949. By the School Health Law constituted in 1967 and the enforcement ordinance of School Health made firm the legal basis of school health. 3. The administrative organs of school health are the Ministry of Education in center and each Board of Education in cities and provinces. For the first time in 1979, the department of school health was established in the organization of the Ministry of Education. And at about the same time of establishment of the department of school health, health section was established in the department of social physical-training in locality. 4. In the manpower of school health which was presented in the related statute of school health, there are the ward chief of education, the superintendent of educational affair, of cities and districts, the mayors, the governors of provinces, the school managers, the principals, the school doctors, the school pharmacists, and the nurse-teachers, including teachers holding additional school health as the practical manpower of school health. 5. In order to get some information on distribution aspect of teachers additional school health, this study made up a questionnaire from August 3 to August 11, 1988. The subjects of this study were 212 leachers who took part in the yearly training for teachers holding additional school health from Kyunggi province, Chungbuk province and Jeonbuk province. The results of the questionnaire are as following: 1. The distribution percentages of teachers holding additional school health according to each Board of Education wich schools are subject to, are as following:70.1% (Kyunggi), 76.5% (Chungbuk), and 81.4% (Jeonbuk). There was a significant difference. The distribution percentages of teachers holding additional school health according to the school levels of 3 provinces are as following: 74.1% (Primary schools), 77.8% (Middle schools), 76.7% (High schools). There were little significant differences. 2. The distribution according to the general characteristics of the subject schools: There were 64.2 percent of primary schools and 35.8 percent of middle schools among 212 schools. 91. 5 percent of schools were located in districts. Public schools formed 55.7% and then national schools were higher in percentage than private schools. 58.5 percent of schools had 1-9 classes, 64.6 percent of schools had 101-500 students, and 90 percents of schools had 1-20 teachers. In considering student sex, the coed school showed the high distribution percentage (Primary schools : 100%, Middle schools: 81.6%). 3. The distribution according to the characteristics of teachers holding additional school health: 93.3 percent of teachers were female, and more than 60 percent of teachers were 20-29 years old. As the age got higher, the percentage became lower. There were little significant differences by marital status. In considering their educational status, 86.8 percent of teachers in primary schools were from teacher's colleges, and 64.5 percent of teachers in middle schools were from education colleges. In considering teaching career, 46.7 percent of teachers had teaching career of less than 2 years. 73.6 percent of teachers had held additional school health for less than one year. More than 80 percent of teachers had participated in the training one time or twice. More than 70 percent of teachers had 1-2 additional jobs except for the school health business. The motivation to hold additional school health is most caused by mandatory order, which accounts for more than 80.0 percent. In considering interesting degree concerning school health, lukewarm answer is the highest of 62.7 percent, followed by affirmative answer of 23.6 percent. In considering their contentment degree respecting additional school health job, "discontent or very discontent"is the highest of 47.6 percent. As a descontent reason of additional school health job, overwork is the highest factor of 37.9 percent. Among addiitional school health job, the most difficult affair is nursing service to be 34.0 percent, followed by health education of 31.6 percent. It testify the need of professional. The source of knowledge about school health has been acquired from masscommunication or private health experience, which account for as much as 56.1 percent. It shows seriousness of lack of professionalism. With regard to neccessity of school health experts, 95.8 percent represents absolute need. With above consideration of study results, I propose as follows : 1. I propose that the authorities concerned unify and improve statute respecting current school health which has not been steadfastly supporting school health business by ambiguity of expression and dualization. 2. I propose that the authorities concerned give the school manager, school staffs and parents of students educational chance with which they can acknowledge the importance of school health and in which they can participate as well as set up alternative policy plan to be albe to vitalize school health committee. 3. I propose that administrative organization practicable to taking totally charge of school health business is established within the Ministry of Education. 4. I propose that the authorities concerned back up and cooperate in an attempt by make school health better and desirable toward development by way of appointing qualitied health teachers on the basis of legally regular teacher staffs.

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Serum Antioxidant Vitamins and Erythrocyte Lipid Peroxide Levels in Female Adolescent Smokers

  • Kim, Jung-Hee;Moon, Jeong-Suk;Lee, Hee-Won
    • Journal of Community Nutrition
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    • 제1권1호
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    • pp.16-24
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    • 1999
  • The purpose of this study was to investigate the association between adolescent smoking and antioxidant vitamins. Subjects were 87 non-smokers and 90 smokers. who were female high school students. Smokers were divided into tow groups by smoking status, 35 light smokers (packyear<1) and 53 heavy smokers(packyear$\geq$1). Dietary intakes were examined through questionnaires and nutrient intakes of vitamin C and A were analyzed by smoking status using Computer Aided Nutritional analysis program for professional (CAN-PRO). Serum vitamin C level was measured by 2,4-dinitrophenylhydrazine method and serum levels of vitamin A and E were measured by HPLC. Erythrocyte lipid peroxide levels was measured by thiobarbituric acid reactive substance (TBARS) method. All data were statistically analyzed by SAS PC package program. The mean vitamin C intakes of non-smokers, light smokers and heavy smokers were 58.2mg/day, 50.1 mg/day 58.1mg/day, respectively. The mean vitamin A intakes of non-smokers, light and heavy smokers were 28.1$\mu\textrm{g}$R.E./day, 278.7$\mu\textrm{g}$R.E./day and 289.6$\mu\textrm{g}$R.E./day, respectively. There was no significant difference in dietary intakes of antioxidant vitamins by smoking status. However, the serum vitamin C level, 11.40mg/l in heavy smokers was 12% lower than that of than that of 12.70mg/l in non-smokers. The serum vitamin A level was not significantly different among the groups. Vitamin E level, 8.79mg/l in heavy smokers was 8% lower than that of 9.53mg/l in non-smokers. There was no significant correlation between the dietary intakes and serum levels of vitamin A and C. The erythrocyte TBARS level, 1.90nmol/ml in light smokers was significantly lower (p<0.05) than 2.71 nmol/ml in heavy smokers or non-smokers. The correlation data showed that the cerythrocyte TBARS level had a significant positive correlation with packyear. Overall results might suggest that cigarette smokers with a longer smoking history need more dietary intakes of vitamin C and E than do non-smokers to reach the same serum level.

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가정과 교육에서 학교도서관 활용수업이 중학생의 자기주도적 학습능력에 미치는 효과 (The Effect of School Library-Assisted Instruction on Self-Directed Learning Ability in Home Economics Education)

  • 이효순;유태명
    • 한국가정과교육학회지
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    • 제19권4호
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    • pp.201-218
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    • 2007
  • 본 연구는 가정과 교육에서 학교도서관 활용수업이 중학생의 자기주도적 학습능력에 미치는 효과를 규명하는 데 목적을 두었으며, 이를 위하여 다음과 같은 연구문제를 설정하였다. 첫째, 학교도서관 활용수업은 자기주도적 학습 능력 향상에 효과가 있는가? 둘째, 학교도서관 활용수업을 받은 집단 내에서 성적에 따라 자기주도적 학습 능력에는 어떤 변화가 있는가? 셋째, 교육방법에 따라 자기주도적 학습능력에는 어떤 변화가 있는가? 이상의 연구문제를 해결하기 위하여 J시에 소재한 중학교 3학년 여학생 164명(실험반 82명, 비교반 82명)을 대상으로 도서관 활용수업과 일반 강의식 수업을 14시간 실시하였다. 교육효과를 검증하기 위하여 자기주도적 학습능력 검사를 사전과 사후에 실시한 후 SPSS 12.0을 이용하여 자료처리를 하였다. 분석방법은 신뢰도분석, 빈도분석, 카이제곱 검증, 독립표본 t-검증, 대응표본 t-검증, 반복측정분산분석, 이원변량분석을 이용하였다. 이 연구를 통해 얻어진 결과는 다음과 같다. 첫째, 학교도서관 활용수업을 받은 집단과 그렇지 않은 집단 간에 자기주도적 학습능력의 차이는 통계적으로 유의미한 차이가 나타났다. 실험반의 자기주도적 학습능력은 모든 하위 항목에서 사전보다 사후에 통계적으로 유의미한 차이가 나타났으며, 실험반의 점수 향상이 훨씬 많았다. 비교반의 자기주도적 학습능력은 하위 항목 중 창의성과 자율성에서 사전보다 사후에 유의미한 차이가 있었다. 둘째, 학교도서관 활용수업을 받은 집단 내에서 학업 성적에 따라 자기주도적 학습능력의 변화는 문제해결능력을 제외한 모든 하위 항목들에서 상호작용 효과가 없는 것으로 나타났다. 문제해결능력은 학업 성적에 따라 점수의 상승폭에 유의미한 차이가 나타났으며, 학업 성적이 낮은 집단에서 상승효과가 높은 것으로 나타났다. 셋째, 도서관활용수업을 받은 집단이 일반 강의식 수업을 받은 집단보다 자기주도적 학습능력 점수의 상승폭이 높게 나타났으며, 학습능력 점수가 낮은 집단이 학습능력 점수가 높은 집단에 비하여 점수의 상승폭이 큰 것으로 나타났다. 이상과 같은 연구 결과를 통하여 학교 도서관 활용수업은 중학생의 자기주도적 학습능력 향상에 효과가 있었으며, 학업성적이 낮고 자기주도적 학습능력 점수가 낮은 집단에서 더 큰 상승효과가 있음을 알 수 있었다. 후속 연구로는 본 연구의 제한점을 보완하여 학교도서관 활용수업중 구체적으로 어떤 점이 자기주도적 학습능력을 향상시켰는지 다양한 실험설계를 통하여 조사할 것이 요구된다.

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청소년의 건강행위와 비행의 영향 요인에 관한 모형 구축 (Model Development of Affecting Factors on Health Behavior and Juvenile Delinquency of Adolescents)

  • 김현숙;김화중
    • 한국학교보건학회지
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    • 제11권2호
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    • pp.171-187
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    • 1998
  • In recent years, adolescent issues including smoking, drinking, drug abuse, juvenile delinquency, deviant sexual behavior, mental health problems, high suicide rate, juvenile delinquency and absence without due notice, etc are emerging as serious social problems and the debate on these controversial issues is heating up. The previous studies on adolescent health behavior and social juvenile delinquency such as run-away from home and absence without due notice have been conducted mostly by cause analysis utilizing social demographic factors or biological factors. In other words, the main factors analyzed were demographic and economic factors or parent's educational level, etc, which were the fixed environmental ones that were unable to cause the change in the health behavior. Accordingly, the purpose of this study is to analyze factors which are changeable and fixable among the factors influencing the adolescent's health behavior and misconducts and, eventually influencing factors which can be used as the basis to establish health policies and health promotion program to reduce the health risk behavior and misconducts of adolescents. The study subjects were selected by dividing senior high school student in Seoul by region and through random sampling. The 890 subjects were selected from 10 schools including the preparatory school, vocational schools and institutional schools. The duration of the study was for July 1-5, 1997 for the first survey and the second one, for August 25-September 10. Regarding the analysis method, the SAS program was used. The adoptablity of theoretical model was tested through covariance structural analysis utilizing PC-LISREL 8.12 Program. The major findings of the study are as follows: As a result of establishing the model of factors influencing health behavior and juvenile delinquency, in case of male students as the health behavior self-efficacy, education level of fathers, economic level, self-control and the health interest of parent were higher, students were more likely to practice the health promoting behavior. Juvenile delinquency and health risk behavior were prevalent among those with the less shyness, the lower health behavior self-efficacy, lower self-control, lower self-assertiveness, lower economic level. The self-control was the most powerful factor. In case of female students, those with higher health behavior self-efficacy were more likely to practice the health promoting behavior whereas those with lower health behavior self-efficacy, lower self-control, lower self- assertiveness, less shyness were more likely to practice health risk behavior and juvenile delinquency. In case of prep schools, those with higher health behavior self-efficacy and better perceived health status were more likely to practice the health promoting behavior while those with less shyness, lower health behavior self-efficacy and lower academic achievement were more likely to engage in health risk behavior and juvenile delinquency. In case of vocational schools, as health behavior self-efficacy and economic level were higher, the practice rate of health promoting behavior was higher. As the self-control, shyness, self-assertiveness, health behavior self-efficacy were lower, the rate of health risk behavior and juvenile delinquency were higher. In case of social institutional schools, as, the health behavior self-efficacy, social support and economic level, health interest of parents were higher, the rate of health promoting behavior were higher. As the self-control, shyness, self-assertiveness, health behavior self-efficacy and social support were lower, the rate of health risk behavior and juvenile delinquency were higher. So the health promoting behavior was positively related to the health behavior self-efficacy, health interest of parents, social support, education level of fathers, level of perceived health status, economic level. The health risk behavior and juvenile delinquency were higher with the lower health behavior self-efficacy, self-control and self-assertiveness, lower health locus control, less shyness and loneliness, lower economic level and academic achievement. In conclusion, the health risk behavior and juvenile delinquency can be reduced by enhancing self-control, self-assertiveness, health behavior self-efficacy and social support. According to the final model drawn by connecting health behavior and juvenile delinquency, the reduction of health risk behavior can greatly contribute to decreasing social juvenile delinquency as the process of juvenile delinquency was extended from common behaviors to problem behaviors and further into juvenile delinquency.

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부산지역 일부 고등학생들의 급식서비스 품질과 고객충성과의 관계 (Relations among Foodservice Quality between Customer Loyalty of High School Students in Busan Area)

  • 김선희;김현숙;류은순
    • 한국식품영양과학회지
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    • 제38권9호
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    • pp.1271-1278
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    • 2009
  • 본 연구에서는 부산지역의 위탁급식으로 운영되는 고등학교 5개교를 선정하여 급식서비스 품질을 음식, 서비스, 위생 영역으로 분류하여 중요도와 수행도를 조사하고, 고객충성도의 관계를 분석하여, 급식서비스 품질 속성이 고객충성도에 미치는 영향을 파악함으로써, 고등학교 급식의 품질을 개선시키는데 필요한 자료를 도출하고자 하였다. 급식서비스 품질 속성에 대한 전체 총 평균 점수는 중요도 4.39/5.00점, 수행도 2.51/5.00점, 갭은 -1.85점으로 나타났다. 음식, 서비스, 위생영역 모두 중요도가 수행도보다 유의적(p<0.01)으로 높았으며, 갭 점수는 위생영역이 가장 높았고 음식영역, 서비스영역의 순으로 나타났다. 급식서비스 품질속성의 중요도와 수행도의 상관관계에서 서비스에 대한 중요도가 음식, 위생, 서비스의 모든 영역의 수행도와 유의적인(p<0.01) 음(-)의 상관관계를 나타냈다. 학교급식에 대한 고등학생의 고객충성도 평가점수는 전체평균이 1.66/5.00점이며 이는 100점으로 환산한 경우 33점으로 매우 낮은 점수를 보였다. 성별에 따른 차이에서, 여학생이 남학생보다 고객충성도 점수가 유의적(p<0.01)으로 높게 나타났으나 학년, 급식연수에 따른 유의적인 차이는 보이지 않았다. 급식서비스 품질 속성인 음식영역, 서비스영역, 위생영역 모두 고객충성도과 유의적인(p<0.01) 양의 상관관계가 보였는데 특히, 서비스 속성과 고객충성도와의 상관관계가 음식영역과 위생영역보다 높게 나타났다. 급식서비스 품질 수행도 속성을 독립변수로 하고 고객충성도를 종속변수로 한 다중회귀분석 결과, 서비스 영역이 고객 충성도에 가장 큰 영향을 주었고 다음은 음식, 위생의 순이었다. 이상을 살펴볼 때, 학교급식 관리자들은 급식 품질 항목 중학생들의 인식 차이가 큰 속성에 대한 집중적인 관리를 수행하여 중요도보다 수행도가 낮은 속성의 수준을 높여야 하겠다. 또한 학생들에게 음식과 위생에 대한 고객만족은 물론이며 서비스 요인인 종업원의 친절함, 식당환경, 배식시간의 정확함 등의 부가적인 서비스에 대해서도 만족시킴으로써 고객충성도를 높이는 총체적인 급식경영 전략을 수행하여야 할 것이다.

서울지역내 초.중.고 학생들에 실시된 3년 동안의($1995{\sim}1997$) 집단뇨검사 결과 분석 (Analysis of Urinary Mass Screening for Elementary, Middle and High School Children Over a 3-year Period(1995-1997) in Seoul)

  • 강호석;이종국
    • Childhood Kidney Diseases
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    • 제3권2호
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    • pp.161-169
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    • 1999
  • 목적 : 만성 신질환의 조기진단을 위해 서울특별시 학교보건원과 공동으로 시행한 집단뇨검사에서 단백뇨 양성을 보인 학생들을 대상으로 체계적인 검사를 통해 무증상 단백뇨의 유병률과 신질환의 유병률 등을 규명하여 집단뇨 검사가 가지는 의의를 알아보고자 하였다. 대상 및 방법 : 1995년부터 1997년까지 3년 동안 서울시내 초 중 고 학생들 중 초등학교 5학년(11세군), 중학교 2학년(14세군), 고등학교 2학년(17세군)의 3개 연령군을 선정하여, 서울시내 전체 학생들의 약 26%를 차지하는 약 46만 명을 매년 검사대상으로 하였다. 단백뇨 검사는 3단계로 이루어졌으며 1차 선별검사는 학교에서 dipstick을 가지고 무작위로 채취된 소변의 이상 유무를 확인하였고, 2차 검사는 1차 검사 양성자를 대상으로 서울특별시 학교보건원에서 시행하였으며, 3차 정밀검사는 1,2차 검사 양성자를 대상으로 병원에서 이루어졌다. 3차 검사에 응시한 학생들은 단백뇨 유형에 따라 5가지 형태로 분류하였고 이중 3, 4, 5형을 신질환 의심자로 판단하여 정밀검사를 받도록 하였다. 결과 : 1차 검사에서 무증상 단백뇨의 유병률은 평균 0.28%이었으며 11세군 0.26%, 14세군 0.34%, 17세군 0.24%로 14세군이 다른 군에 비해 다소 높은 유병률을 보였다. 무증상 단백뇨의 성별에 따른 차이는 남자0.26%, 여자 0.30%로 거의 차이가 없었다. 1차 검사 단백뇨 양성자의 25%가 2차 검사에서도 단백뇨 양성을 보였다. 3차 검사의 단백뇨 양성자는 5개의 단백뇨 유형으로 분류하였고 정상으로 생각되는 일시적 단백뇨가 25%, 기립성 단백뇨가 55%로 확인되었으며, 병적 단백뇨로 신질환을 의미하는 지속성 단백뇨가 6%, 혈뇨가 동반된 단백뇨가 12%, 혈뇨가 동반된 일시적 단백뇨가 2%로 3차 검사 응시자의 20%에서 신장염이 의심되었다. 따라서 서울시 학생들($7{\sim}18$세)의 신질환 유병률은 1만명당 1.4명이었다. 신조직 검사가 가능했던 38명의 병리 조직학적 병변은 IgA 신병증이 17명(44%)으로 가장 많았으며 초점성 분절성 사구체경화증이 5명(13%), 미세변화 4명(11%), 막증식성 사구체신염 3명(8%), 헤노흐 쉔라인 자반병 신염 3명(8%), 기타 6명(16%)순 이었다. 서울시 학생들($7{\sim}18$세)의 IgA 신병증 유병률은 1만명당 0.64명으로 추정되었다. 만성신부전증은 3차 정밀검사를 위해 내원한 학생들 중 4명에서 나타났으며 이에 근거하여 서울시 학생들($7{\sim}18$세)의 만성신부전증 유병률은 1백만명당 5.7명으로 추정되었다. 결론 : 서울시내 학생들 중 11세, 14세, 17세 3개 군에서 한 번 검사로 확인된 무증상 단백뇨의 유병률은 0.28%(약 2.8명/1,000명)이었고 이들중 약 5%만이 3차검사에서 신질환이 의심되었으며 이에 따른 신질환 유병률은 1만명당 1.4명이었다. $7{\sim}18$세 연령층에서 무증상으로 발생하는 사구체 신질환 중에는 IgA 신병증의 유병률이 가장 높아 1만명당 0.64명으로 추정되었고 만성신부전증의 유병률은 1백만명당 5.7명으로 추정되었다. 집단뇨 검사를 통해 확인되는 신질환은 대부분 사구체 질환이기 때문에 집단뇨검사의 의의는 좀더 연구가 필요할 것으로 생각되었다.

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