• 제목/요약/키워드: Health impact items

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환경영향평가서 내 건강영향 항목 추가·평가의 방법론적 현황과 개선 (Methodological Status and Improvement of Additional Evaluation of Health Impact Items in Environmental Impact Assessment)

  • 하종식
    • 환경영향평가
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    • 제29권6호
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    • pp.453-466
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    • 2020
  • 환경영향평가서 내 건강영향 항목 추가·평가는 특정 개발사업에 한하여 위생·공중보건 항목에 작성되어 검토되고 있다. 하지만 2011년 건강영향 항목 추가·평가 관련한 평가 매뉴얼이 발간된 이후에 부분적인 개선에도 불구하고 지속적인 방법론의 구체화 및 개선방안 마련을 요구하는 실정이다. 이에 본 기술논문은 평가 매뉴얼의 방법론적 개선방안을 제안하고자 위생·공중보건 항목의 협의의견을 바탕으로 세부적인 개선요구 사항을 파악하고 그간 연구내용을 고찰하여 이를 해결하기 위한 방안을 조사·제시하였다. 개선요구 사항으로는 저감방안, 사후관리, 영향예측, 평가, 현황조사 순서로 관련한 내용들이 전체 개발사업의 평가서에서 각각 93%, 85%, 80%, 74%, 67% 빈도로 제시되었다. 특히 저감방안 관련한 세부적인 개선요구 사항은 저감방안의 수립방향 설정과 금회 개발사업의 관리방안에 대한 내용이 대부분이었다. 현행 평가 매뉴얼 및 개선 요구사항의 빈도를 고려하여 위생·공중보건 항목의 구분별 주요 방법론에 대한 구체화 또는 개선방안을 제안하였다. 나아가 현행 평가 매뉴얼에는 제시되어 있지 않은 사업시행여부 관련한 종합적인 평가 방법론도 제안하였다.

건강도시로 지정된 창원시 일부 초등학교 고학년 학생의 구강보건 지식과 실천 (Oral health knowledge and practice of school children in the upper grades in a WHO healthy city, Changwon)

  • 윤현서;김진범;전진호
    • 한국치위생학회지
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    • 제10권1호
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    • pp.51-64
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    • 2010
  • Obiectives : The purpose of this study was to examine the oral health knowledge and practice of elementary school children in the upper grades in a WHO healthy city for the development of oral health education programs gearing toward improving oral health care habits and oral health. The subjects in this study were 379 sixth-grade children in an elementary school in a WHO healthy city, Changwon. Methods : The questionnaire used in the study covered general characteristics with five items, oral health knowledge with 35 items and oral health care practices with 24 items. The oral health knowledge category consisted of general oral health knowledge with 13 items, knowledge on oral hygiene management with 11 items, knowledge on fluoride use with 8 items and healthy diet knowledge with 3 items. The oral health care practice category consisted of general oral health care practice with six items, practice on oral hygiene management with 11 items, practice related to fluoride use with four items, and healthy diet practice with 3 items. Results : The surveyed school children got a mean of 46.1 and 40.8 on oral health knowledge and oral health care practices, respectively out of 100 points. In the knowledge category, they scored the lowest on healthy diet knowledge with 12.6, and in the practice category, they scores the lowest on the practices related to fluoride use with 21.4. According to the regression analysis, gender had a significant impact on their oral health knowledge. The boys lagged behind the girls in that regard. Their oral health care practices were under the significant influence of knowledge level. Conclusions : Systematic education programs should be provided to prevent dental caries and promote oral health of school children, and the type of programs that stress actual oral health care is especially important.

종합병원에 근무하는 간호인력의 감성리더십과 조직성과 간의 관계 (The relationship between emotional intelligence in leadership and organizational performance of nurses in general hospitals)

  • 이보혜;최만규;문상식;정민수;김진희
    • 보건행정학회지
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    • 제21권2호
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    • pp.309-328
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    • 2011
  • In order to effectively attain the objectives of an organization, it is important for the leader to provide an environment where members can co-exist and mutually advance, and also to have an emotional impact on them. This study examines the structural relationship among emotional intelligence in leadership, organizational commitment, job satisfaction, turnover intention, and organizational performance effects of emotional leadership in the nursing profession of a general hospital. A structured questionnaire was sent to 550 nurses in 11 general hospitals in Seoul Metropolitan City, among which 350 responses were used in the analysis. The independent variable, emotional intelligence in leadership, was measured by 18 items, including self-awareness, self-regulation, social awareness and relationship management. The dependent variable, organizational effectiveness, consisted of 46 items, including 15 items regarding organizational commitment, 20 items on job satisfaction, 3 items on turnover intention and 8 items on organizational performance. The structural equation modeling technique was used to identify the impact of emotional intelligence in leadership on organizational effectiveness. The results of the analysis show that the emotional intelligence in leadership of superior nurses has a significant impact on the nurses'organizational commitment and job satisfaction. While the direct effect on turnover intention and organizational performance was not significantly high, organizational commitment and job satisfaction were parameters in low turnover intention and high job performance. In conclusion, emotional intelligence in leadership is critical as nursing services in hospitals are based on interpersonal relationships. Therefore, by developing appropriate programs and training, hospitals can anticipate improved self-awareness, self-regulation, social awareness and relationship management of nurses, and further improve the effectiveness of the nursing profession.

지속성을 위한 보건영향평가의 국제적인 동향 고찰 및 환경영향평가와의 연계방안 연구 (Studies for International Trends in Health Impact Assessment and Linking HIA and EIA)

  • 김임순;김충곤;강선홍;한상욱
    • 환경영향평가
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    • 제14권5호
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    • pp.275-289
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    • 2005
  • In Korea, health-related items under current EIA (Environmental Impact Assessment) system can only be found in the categories of hygiene and public health. However, environment and public health are not adequately connected and also health is underestimated even though health is an important component of environmental assessments. As a result, health is not well integrated within criteria for investigating the impacts on environment. International trends in HIA (Health Impact Assessment) to strengthen the connection between environment and health were investigated in this research. Definitions, functions, circumstances, and merits of HIA in foreign countries were compared. By collecting and analyzing international organizations' and other countries' data related with HIA and EIA, preceding conditions and execution plans were suggested to link EIA and HIA from SEA (Strategic Environmental Assessment) aspects and to successfully accomplish EIA in Korea. According to this research, EHIA (Environmental Health Impact Assessment) can predict and manage the results of economical development only under the principles of inhabitants' participation, sustainability, and social justice. EHIA should be modified and improved towards increasing regional and national capabilities. For this, preparation of adequate procedure is required to connect EIA and HIA.

수용체 지향의 건강영향평가를 위한 잠재노출 인구수의 산정·활용 가능성 연구 (A Study on the Application of Potential Exposed Population for a Receptor-oriented Health Impact Assessment)

  • 하종식
    • 환경영향평가
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    • 제27권2호
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    • pp.194-202
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    • 2018
  • 국내 법적인 건강영향평가로서 환경영향평가 내 위생 공중보건 항목의 평가는 특정 개발 사업에서 배출되는 유해대기오염물질 배출량 및 주변 주요 지점의 노출농도 산정, 이를 활용한 위해성 평가로 진행되고 있다. 하지만 개발 사업부지 주변의 노출 가능한 인구집단 규모를 고려하지 못하는 등 개발 사업부지 주변의 수용체 특성은 해당 위해성 평가에서 제대로 반영되지 못하고 있다. 본 논문의 목적은 개발 사업부지 주변의 노출 가능한 인구수를 산정 반영한 위해성 평가를 위해 잠재노출 인구수의 산정 및 이를 실제 위생 공중보건 항목 작성 시 활용하는 방안을 제안하는 것이다. 개발 사업부지 주변의 인구수 산정 관련한 국내 자료 현황을 파악하고 이를 고려한 잠재노출 인구수 산정 알고리즘을 제안하였다. 나아가 산업단지 개발 시 유해대기오염물질 배출을 가정한 사례 분석을 수행하였다. 잠재노출 인구수를 활용한 위해성 평가는 인구집단 위해도 개념이 적용되어야 함을 제시하였으며, 향후 연구로 평가결과에 대한 건강영향 여부의 판단기준 설정이 요구됨을 제안하였다. 또한 본 논문의 잠재노출 인구수 산정방법을 통해 개발사업의 입지제한 도구로의 활용가능성을 제안하였다. 이번 논문은 위생 공중보건 항목 작성 시 개발 사업부지 주변의 수용체 특성을 반영한 위해성 평가를 수행하는 방안을 제시했다는 것에 의미가 있다.

A Study on the Preparation of Distribution Table for Quantitative Evaluation of Small-Scale Environmental Impact Assessment

  • Dong-Myung CHO;Ju-Yeon LEE;Woo-Taeg KWON
    • 웰빙융합연구
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    • 제6권3호
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    • pp.13-18
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    • 2023
  • Purpose: The small-scale environmental impact assessment has been in operation since its implementation in August 2000, and is a system that meets the purpose of sustainable development in consideration of the environment in areas requiring conservation. However, when preparing a small environmental impact assessment report, the contents of the reduction measures are too qualitative, or reports are prepared to simply list the compliance stipulated by individual laws, and the contents of consultations prepared by consultative agencies and review agencies are not much different. In addition, the direction of consultation on development projects for similar locations of the same project type is frequently changed by reflecting the subjective judgment of the consultative officer of the Ministry of Environment (Environment Agency). Therefore, this study attempted to improve the establishment of measures to reduce the existing simple listing of qualitative contents and the inconsistent presentation of review opinions by consultative agencies and review agencies. Research design, data and methodology: The research method extracted absolute evaluation items and relative evaluation items among small environmental impact assessment items, analyzed and presented detailed items, and prepared a distribution table for each section according to the details of the relative evaluation items, and presented them as a table. Results: This study was conducted to derive uniform results with objective indicators in the preparation and consultation process of a small-scale environmental impact assessment. Conclusions: Once a quantitative evaluation is established, the consultant can objectively determine and process the environmental impact.

한국에서 환경평가의 부분으로서 건강영향평가의 통합적 접근에 관한 연구 (Integrated Approaches of Health Impact Assessment as part of Environmental Assessment in Korea)

  • 김임순;박주현;한상욱
    • 환경영향평가
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    • 제15권5호
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    • pp.309-322
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    • 2006
  • During the last decade, Health Impact Assessment (HIA) has been discussed worldwide as being an important tool for the development of healthy public policy. HIA has been advanced as a means of bringing potential health impacts to the attention of policy makers, particularly in sectors where health impacts may not otherwise be considered. HIA, a systematic assessment of potential health impacts of proposed public polices, programs, and projects, offers a means to advance population health by bringing public health research to bear on questions of public policy. In Korea, health-related items under current EIA (Environmental Impact Assessment) system can only be found in the categories of hygiene and public health. However, environment and public health are not adequately connected and also health is underestimated even though health is an important objective component for the implementation of Environmental Assessments (EA). As a result, health is not well integrated within criteria for investigating the impacts on environment. This study examines linkages for HIA from the related and relatively well-developed field of Prior Environmental Review System (PERS) which is similar to SEA and EIA in Korea.

초등학교 학생의 근시도가 삶의 질에 미치는 영향 (The Impact of Refractive Errors on Quality of Life in Elementary School Children)

  • 김효진;김은지;김종은;이규병;이은희;박상신;박지현;이세은
    • 한국안광학회지
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    • 제15권2호
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    • pp.175-183
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    • 2010
  • 목적: 굴절이상 및 근시의 정도가 초등학생의 건강 관련 삶의 질에 미치는 영향에 대해 알아보았다. 방법: 12~13 세의 남녀 학생 92명을 대상으로 등가구면굴절력을 측정한 후 정시와 근시로 구분하였고, 근시는 저도 근시, 중등도 근시, 고도 근시로 분류하였다. 시력과 관련된 삶의 질 측정은 신체적인 건강(8문항), 정서적인 역할(4문항), 사회적인 역할(5문항) 그리고 학교생활과 관련된 항목(5문항)으로 구성된 PedsQL 4.0 설문지를 측정도구로 사용하였다. 결과: 정시안과 근시안에서 모든 항목에 대한 삶의 질은 근시안에서 조금 더 불편한 점수를 나타냈지만 통계적으로 유의한 차이는 없었다(p>0.05). 신체활동(뛰거나 운동할 때) 및 사회활동과 관련된 세부항목(친구들과 어울리거나 놀림을 받음)에서 근시 그룹은 정시 그룹 보다 낮은 점수의 삶의 질을 보였다(p<0.05). 고도 근시일수록 전체 삶의 질 총점은 차이가 없었지만 신체활동 항목은 낮은 점수를 보였다(p<0.05). 결론: 학동기 어린이의 굴절이상은 전체 건강 관련 삶의 질에 유의한 영향을 미치지는 않았으나 신체활동과 사회활동에는 불편함을 주는 것으로 나타났다.

치위생과 학생의 임상실습 스트레스 영향 요인 (Influencing Factors of stress in clinical practice in dental hygiene students)

  • 민희홍
    • 한국치위생학회지
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    • 제17권1호
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    • pp.39-47
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    • 2017
  • Objectives: Identifying influencing factors of stress in clinical practice of dental hygiene students through controlling the amount of stress in clinical practice. Methods: A self-reported questionnaire was filled out by 226 dental hygiene students in Daejeon, Cheongju and Jeolla province from March 2 to 30, 2016. The contents of the questionnaire included general characteristics (6 items), clinical practice characteristics (4 items), clinical practice stress (16 items), quality of life (24 items), health promotion behavior (20 items), OHIP (14 items), and critical thinking disposition (15 items). Data was analyzed using SPSS 19.0. for one way ANOVA, scheffe' posthoc test, Pearson correlation coefficients, and multiple regression analysis. Cronbach's alpha of clinical practice stress, quality of life, health promotion behavior, OHIP, and critical thinking disposition were 0.827, 0.913, 0.896, 0.921 and 0.778, respectively. Results: Clinical practice stress was 3.38 points, quality of life was 3.40 points, health promotion behavior was 3.21 points, OHIP was 4.21 points and critical thinking disposition was 3.17 points. Conclusions: Factors that had impact on clinical practice stress include sleeping state, satisfaction of clinical practice, practice number, and the quality of life, and they appeared statistically significant (p<0.05). This exercise showed the necessary manuals and system implementations in clinical practice, which can reduce the amount of stress in dental hygiene students.

한국어 버전 청소년의 체중 관련 삶의 질 측정도구의 신뢰도와 타당도 검증 (Reliability and Validity of The Korean Version Scale of Impact of Weight on Quality of Life in $Kids^{(C)}$)

  • 김정현;천성수;최한식
    • 한국학교ㆍ지역보건교육학회지
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    • 제15권3호
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    • pp.105-125
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    • 2014
  • Background: The purpose of this study was to evaluate reliability and validity of a 27-item Korean Version of the Impact of Weight on Quality of Life in adolescents ($IWQOL-Kids^{(C)}$: Korean Version). Methods: This instrument was administered to 872 adolescents (mean z-BMI: 2.61, mean $age{\pm}SD$: $13.9{\pm}1.2$, male: 51.9%). Reliability was tested by internal consistency method and item analysis, validity test was performed by index of content validity, exploratory factor analysis, confirmatory factor analysis and concurrent validity. Sensitivity was tested by ANOVA and t-test. Analyses were performed using SPSS and Amos 18.0. Results: By an exploratory factor analysis, 4 factors were extracted; 'Body esteem' consisted of 9 items with 35.9% of variance (social life: 6 items, 10.23%, physical comfort: 6 items, 8.21%, family relations: 6 items, 7.0%). Four factors explained 61.34% of total variance. Internal consistency coefficients ranged from .766 to .929 for scales on 27 items and equal to .920 for total score for both the 26-item and 27-item tools. A confirmatory factor analysis was conducted for the convergent validity and discriminant validity. The standardized factor loadings to test the convergent validity showed more than .5(C.R<1.965) on all paths after deletion of item PC1 (avoid stairs). The average variances extracted were more than .50 and the construct reliabilities were more than .70. The average variances extracted were stronger than the squares of correlation coefficient of inter-latent variables. Conclusions: These results support that the $IWQOL-Kids^{(C)}$: Korean Version with a 26-item is a reliable and valid tool in Korean obese adolescents.

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