• Journal of Preventive Medicine and Public Health
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• 제48권6호
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• pp.287-300
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• 2015

Objectives: Self-rated health is a measure of perceived health widely used in epidemiological studies. Our study investigated the determinants of poor self-rated health in middle-aged Korean adults with diabetes. Methods: A cross-sectional study was conducted based on the Health Examinees Study. A total of 9759 adults aged 40 to 69 years who reported having physician-diagnosed diabetes were analyzed with regard to a range of health determinants, including sociodemographic, lifestyle, psychosocial, and physical variables, in association with self-rated health status using multivariate logistic regression models. A p-value <0.05 was considered to indicate statistical significance. Results: We found that negative psychosocial conditions, including frequent stress events and severe distress according to the psychosocial well-being index, were most strongly associated with poor self-rated health (odds ratio $[OR]_{\text{Frequent stress events}}$, 5.40; 95% confidence interval [CI], 4.63 to 6.29; $OR_{\text{Severe distress}}$, 11.08; 95% CI, 8.77 to 14.00). Moreover, younger age and being underweight or obese were shown to be associated with poor self-rated health. Physical factors relating to participants' medical history of diabetes, such as a younger age at diagnosis, a longer duration of diabetes, insulin therapy, hemoglobin A1c levels of 6.5% or more, and comorbidities, were other correlates of poor reported health. Conclusions: Our findings suggest that, in addition to medical variables, unfavorable socioeconomic factors, and adverse lifestyle behaviors, younger age, being underweight or obese, and psychosocial stress could be distinc factors in predicting negative perceived health status in Korean adults with diabetes.

• 대한영양사협회학술지
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• 제19권3호
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• pp.223-235
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• 2013

The purpose of this study was to identify the association between health-related behaviors including smoking, alcohol intake, and the practice of a low-salt diet using data from a Community Health Survey conducted in 2008. The study subjects were 129,151 persons (19 years and older) without cardiovascular diseases or diabetes mellitus diagnosis history. An index for evaluating low salinity was created by summing three low salinity-related questions (range: 0~3), and a low-salt diet was defined if the index of low salinity was 3. We examined the levels of smoking and alcohol intake according to the index of low salinity, and conducted multiple logistic regression analysis to examine the odds ratios of low-salt diet practice in relation to smoking and drinking behavior, adjusting for general characteristics. The smoking and drinking status significantly improved as the level of low salinity index increase. Adjusting for general characteristics, those with smoking, alcohol intake, or a combined habit of the two behaviors had significantly lower odds ratios for practice of a low-salt diet. In conclusion, smoking and drinking behavior were negatively associated with the practice of a low-salt diet. Based on these findings, it may be necessary to have comprehensive nutritional education programs that consider the multiple effects of smoking, drinking, and a low-salt diet.

• Journal of Preventive Medicine and Public Health
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• 제26권4호
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• pp.508-533
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• 1993

지금까지 우리나라의 국민들의 예방행태와 질병행태, 그리고 환자역할에 대하여 기존에 발표된 자료를 중심으로 재해석을 기하여 보았다. 물론 이 발표에서 사용된 자료들이 정확하며 타당한 자료인가에 대해서는 반드시 그렇다라고 답변할 수는 없다. 다만 우리나라에서의 건강관련행태를 설명하기 위해서는 자료의 한계라는 현실을 감안하지 않을 수 없다는 사실을 이해해주기 바란다. 우리나라국민들의 건강행태는 과거에 비해 상당히 변화하고 있으나 계층간의 행태의 차이, 변화의 원인 등에 대해서는 아직 연구가 미흡하다. 지금까지 이루어진 행태연구들이 정합적인 모형을 사용하고 있다고 보기 어려운 것이 그 원인의 하나 일 것이다. 새로이 개발된 모형들을 적용하기 위한 노력이 필요하며, 사용되는 변수의 타당성에 대한 연구도 필요하다. 행태와 관련된 연구에서 사용되는 변수들이 사회문화의 산물이라는 사실을 생각하면 우리나름대로의 변수정의가 있어야 한다는 것은 지극히 당연하다 하겠다. 끝으로 행태를 연구함에 있어 인간의 의식은 사회구조의 산물이라는 사실을 명심할 필요가 있다. 루카치는 자본주의 사회에서는 노동자의 계급의식 역시 자본주의 구조의 산물일 수 있다 하였다. 이런 의미에서 지식, 태도, 행태 등에 대한 연구는 사회구조의 총체성에 대한 인식을 요구한다. 만일 그렇지 않은 경우에는 행태연구를 통한 결과가 희생자비난의 논리로 악순환할 가능성이 높기 때문이다.

• Journal of Preventive Medicine and Public Health
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• 제50권4호
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• pp.240-250
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• 2017

Objectives: Subjective life expectancy (SLE) has been found to show a significant association with mortality. In this study, we aimed to investigate the major factors affecting SLE. We also examined whether any differences existed between SLE and actuarial life expectancy (LE) in Korea. Methods: A cross-sectional survey of 1000 individuals in Korea aged 20-59 was conducted. Participants were asked about SLE via a self-reported questionnaire. LE from the National Health Insurance database in Korea was used to evaluate differences between SLE and actuarial LE. Age-adjusted least-squares means, correlations, and regression analyses were used to test the relationship of SLE with four categories of predictors: demographic factors, socioeconomic factors, health behaviors, and psychosocial factors. Results: Among the 1000 participants, women (mean SLE, 83.43 years; 95% confidence interval, 82.41 to 84.46 years; 48% of the total sample) had an expected LE 1.59 years longer than that of men. The socioeconomic factors of household income and housing arrangements were related to SLE. Among the health behaviors, smoking status, alcohol status, and physical activity were associated with SLE. Among the psychosocial factors, stress, self-rated health, and social connectedness were related to SLE. SLE had a positive correlation with actuarial estimates (r=0.61, p<0.001). Gender, household income, history of smoking, and distress were related to the presence of a gap between SLE and actuarial LE. Conclusions: Demographic factors, socioeconomic factors, health behaviors, and psychosocial factors showed significant associations with SLE, in the expected directions. Further studies are needed to determine the reasons for these results.

• 한국융합학회논문지
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• 제10권5호
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• pp.63-70
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• 2019

구강질환인 치주질환은 학령기 후반에 치은염으로 시작되어 청소년기에 점차 증가 하면서 청장년기에 이르기까지 유병률은 계속 증가되어 결국 치아상실에 이르는 만성질환으로 전 생애 예방관리가 매우 중요하다. 치주질환은 구강건강행위를 통해 예방하고 관리될 수 있기 때문에 성인의 구강건강행위와 치주질환간의 관련성을 연구하고 이에 대한 중요성을 강조하고자 한다. 국민건강영양조사 제6기 3차(2015년)년도 자료를 활용하여 연구대상자의 구강건강행위에 따른 치주질환 유병률 비교결과 잇몸병 치료, 잇솔질 시기, 치실, 치간칫솔 사용, 주관적 구강건강상태에서 통계적 의미가 있었다. 구강건강행위 습관이 치주질환과 관련이 있음을 고려할 때 올바른 구강위생관리를 위한 구강보건교육 프로그램의 개발과 실천을 위한 체계적인 추가 연구를 제안한다.

• 보건교육건강증진학회지
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• 제28권5호
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• pp.35-49
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• 2011

Objectives: This article reviewed research on smoking behaviors and smoking-related health problems among university students to suggest evidences for developing smoking control strategies for them. Methods: Domestic research papers were screened through Research Information Sharing Service (RISS), Koreanstudies Information Service System (KISS), Medical Library Information System (MEDLIS), Korean Medical Database (KMbase), and digital national assembly library. International papers were searched mainly via PubMed. Results: Smoking prevalence among male college students were found to be over 50% in majority of Korean studies. While studies on smoking-related health problems were scant in Korea, several recent studies overseas showed possible effects of smoking on health among young adults, including decreased lung function, respiratory symptoms, cardiovascular problems, glucose intolerance, buccal disease, depressive symptoms, and so forth. Besides, smoking behaviors were closely related with other risk behaviors including drinking, and several psychosocial factors. Conclusions: To explore the smoking problem among college students, the first step should be a national representative survey with scientific methods. More research should be focused on the smoking-related problems among college students. To prevent smoking among college students, smoking prevention education, and smoking cessation counseling, and the initiatives of smoke free campus are needed.

• 한국산학기술학회논문지
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• 제14권7호
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• pp.3326-3337
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• 2013

이 연구는 한국 성인남녀의 나트륨 과다섭취와 관련된 건강관련 식이행태와 생활양식의 특이점을 알아보기 위해 이루어졌다. 이는 2010년 국민건강영양조사의 30~69세 성인을 대상으로 세계보건기구에서 권장하는 1일 나트륨 섭취량(2,000mg/day)을 기준으로 나트륨 섭취군을 권장섭취군과 과다섭취군으로 구분하고, 남녀별 과다 섭취군과 연관된 인구사회학적 특성 및 식행동, 건강관련 요인들을 비교, 분석하였다. 이 연구에서 로지스틱회귀분석에 의한 나트륨 과다섭취군의 위험요인들로는 인구사회학적 특성에서는 독신이거나 가구원수가 적은 여자 계층에서 식행동과 건강관련 행동에서는 아침, 점심, 저녁식사여부와 영양표시 이용이 관련있는 것으로 나타났다. 그리고 남자의 경우는 점심, 저녁 등의 식사여부와 주관적 체형인식의 식이행동만이 관련이 있고 여자의 경우에서는 인구사회학적 특성의 가구원수와 아침, 점심, 저녁 식사여부의 식이행동만이 관련있는 것으로 나타났다. 연구결과에서 남녀의 나트륨 과다섭취 행태가 다른 양상을 보이고 있으므로, 이를 기초로 한국 성인의 고혈압 예방을 위한 지속적인 나트륨 저감운동의 전개시, 나트륨 과다섭취 억제를 위한 성별 적정 영양소 섭취기준 및 나트륨 관련 영양표시 이용이 마련되어 효과적인 나트륨 저감 식생활 개선이 되도록 제언한다.

• 여성건강간호학회지
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• 제12권1호
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• pp.29-36
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• 2006

Purpose: The purpose of this study was to investigate postmenopausal women's risk factors and subjective symptoms of coronary artery disease, their knowledge about the risk factors and their performance of health behaviors. Method: The subjects were 285 women aged between 50~60 who had naturally reached menopause. We interviewed them using a questionnaire on the subjects' risk factors of coronary artery disease, their knowledge about the risk factors and their performance of preventive health behaviors. Collected data was analyzed through t-test, ANOVA & Duncan test. Results: Risk factors of coronary artery disease observed in the subjects were diabetes (10.9%), hypertension (22.8%) and hyperlipidemia (14.7%). Symptoms of coronary artery disease were experienced more by those who had diabetes, smoked, had a history of coronary artery disease, and thought that they might have coronary artery disease. With regard to the subjects' knowledge about the risk factors of coronary artery disease, the average score was 13.88 out of 20 points. Conclusion: The results of this study suggest that postmenopausal women have several risk factors of coronary arterial disease but they did not have sufficient knowledge about the risk factors and did not manage the factors appropriately.

• Journal of Preventive Medicine and Public Health
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• 제55권6호
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• pp.595-603
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• 2022

Objectives: Poor menstrual health may lead to school absenteeism and adverse health outcomes for adolescents. The purpose of this study was to determine the effect of pubertal and menstrual health education on health and preventive behaviors among Iranian secondary school girls. Methods: A quasi-experimental study was conducted to evaluate the effectiveness of a health intervention program. A total of 578 students (including intervention and control participants) in 12 schools in Tehran Province, Iran were included by multistage random sampling. The program comprised seven 2-hour educational sessions. After confirming the reliability and validity of a researcher-made questionnaire, that questionnaire was used to collect the required data, and the groups were followed up with after 6 months. Results: After the educational intervention, the mean scores of menstrual health-related knowledge and constructs of the theory of planned behavior were significantly higher in the intervention group than in the control group (p<0.001 for all dimensions). Conclusions: The results of this study emphasize the effectiveness of menstrual health interventions in schools. These findings should also encourage health policy-makers to take committed action to improve performance in schools.

• 한국대기환경학회지
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• 제25권1호
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• pp.26-37
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• 2009

Recently rapid environmental changes due to desertification and industrialization in China make a threat to Korea, especially during Asian Dust Event (ADE). This study was aimed to compare symptoms and behaviors related to ADE between Korea and China. We conducted questionnaires on self-reported symptoms and behaviors before and during ADE. Korean and Chinese subjects were grouped into children, adults, and elderly by nation (n=791). Statistical analyses were performed by $X^2$-test, Fisher's exact test, t-test and chow's test for comparing differences between Korean and Chinese. We estimated the odds ratio for perceived symptoms during ADE by preventive behavior, using Generalized Estimation Equation (GEE). The study indicated that there were significant differences between symptoms in Korea and those in China such as cold, cough, and sore throat, especially in elderly. Preventive behaviors such as avoiding outdoor activity and wearing sunglasses were more often performed in China than Korea. However wearing mask was more often performed in Korea than China. After adjusting for age, sex, educational level, and smoking status, the odds ratio (OR) of dry cough symptom in Korea was significantly decreased by closing the windows and wearing a mask during ADE. In China, the OR of dry cough symptom was decreased by wearing a mask and avoiding outdoor activity. We found that China which had higher performance of preventive behavior showed lower prevalence of symptoms during ADE than Korea. Also preventive behaviors could affects prevalence of symptoms during ADE. This results suggest that preventive behavior. could reduce symptoms during ADE and there are needed for. more attentions to reduce a threat of ADE.