• 제목/요약/키워드: Illness behavior

검색결과 222건 처리시간 0.029초

Measuring Trends in the Socioeconomic Burden of Disease in Korea, 2007-2015

  • Kim, Tae Eung;Lee, Ru-Gyeom;Park, So-Youn;Oh, In-Hwan
    • Journal of Preventive Medicine and Public Health
    • /
    • 제55권1호
    • /
    • pp.19-27
    • /
    • 2022
  • This study estimated the direct and indirect socioeconomic costs of 238 diseases and 22 injuries from a social perspective in Korea from 2007 to 2015. The socioeconomic cost of each disease group was calculated based on the Korean Standard Disease Classification System. Direct costs were estimated using health insurance claims data provided by the National Health Insurance Service. The numbers of outpatients and inpatients with the main diagnostic codes for each disease were selected as a proxy indicator for estimating patients' medical use behavior by disease. The economic burden of disease from 2007 to 2015 showed an approximately 20% increase in total costs. From 2007 to 2015, communicable diseases (including infectious, maternal, pediatric, and nutritional diseases) accounted for 8.9-12.2% of the socioeconomic burden, while non-infectious diseases accounted for 65.7-70.7% and injuries accounted for 19.1-22.8%. The top 5 diseases in terms of the socioeconomic burden were self-harm (which took the top spot for 8 years), followed by cirrhosis of the liver, liver cancer, ischemic heart disease, and upper respiratory infections in 2007. Since 2010, the economic burden of conditions such as low back pain, falls, and acute bronchitis has been included in this ranking. This study expanded the scope of calculating the burden of disease at the national level by calculating the burden of disease in Koreans by gender and disease. These findings can be used as indicators of health equality and as useful data for establishing community-centered (or customized) health promotion policies, projects, and national health policy goals.

조현병 환자의 범죄에 대한 대중의 관심과 조현병 환자의 정신의료서비스 이용과의 상관관계 (Public Attention to Crime of Schizophrenia and Its Correlation with Use of Mental Health Services in Patients with Schizophrenia)

  • 박현우;이유상;이상엽;이승연;홍경수;;권준수
    • 대한조현병학회지
    • /
    • 제22권2호
    • /
    • pp.34-41
    • /
    • 2019
  • Objectives: This study was performed to examine the effects of the public attention to 'crime of schizophrenia' on the use of mental health services in patients with schizophrenia using big data analysis. Methods: Data on the frequency of internet searches for 'crime of schizophrenia' and the patterns of mental health service utilization by patients with schizophrenia spectrum disorders by month were collected from Naver big data and the Health Insurance Review and Assessment Services in Korea, respectively. Their correlations in the same and following month for lagged effect were examined. Results: The number of outpatients correlated negatively with public attention to 'crime of schizophrenia' in the same month. The lagged relationship between public attention and the number of admissions in psychiatric wards was also found. In terms of sex differences, the use of outpatient services among female patients correlated negatively with public attention in the same month while the number of male patients' admissions in both same and following month correlated positively with public attention. Conclusion: These findings suggested that public attention to 'crime of schizophrenia' could negatively affect illness behavior in patients with schizophrenia.

특정의약품의 자가투약행위에 관한 연구 (A Study on Self-medication Beharior of Four Cautious Drugs.)

  • 황미숙
    • 보건교육건강증진학회지
    • /
    • 제4권2호
    • /
    • pp.46-70
    • /
    • 1987
  • The survey with questionnaire were conducted to grasp the actual condition of four cautious drugs-antibiotics, sedative hypnctics, mincr tranquilizer, analeptics-self -medication behavior through drugstore use and to analyze the primary factors connected with it. The following six objectives were established. 1) To catch the reason why the man who medicate himself buy four cautious drugs at a drugstore, and to know the choice motive of each drug purchased. 2) To grasp the distribution of four cautious drug taken by the man who medicate himself and to analyse the reason of taking the drug. 3) To find out whether the buyer has taken the same drug past and to know the duration and the frequency. 4) To grasp the degree of recognition about four cautious drugs and the attitude toward continuous taking them. 5) To analyze the degree of recognition about the influence on human body and the attitude of medication behavior. 6) To know "the experience of side-effects" and to grasp the kind of the side-effects. The data were collected from 15 drugstores with 677 respondents in seoul from August 17 to september 21, 1987. The following results were obtained. 1) The reasons for drugstore use were first, "for easy access and convenience" (53.7%) second, "for the slightness of illness" (19.9%) third "for the cheap price" (13.2%). According to that result, the factor of "the easy access of drugstore" was most influential. In case of the poor, the factor "for the cheap price "was revealed second (37.3%). And "for the slightness of illness" was second reason in the medically insured (22. 9%), "for the cheap price" was second reason in the others (29%). 2) The kind of drugs purchased were antibiotics (62.8%), analeptics(17.2%), minor tranquilizer(13.3%) and sedative hypnotics (6.7%) on the whole. In teenagers, besides antibiotics the percentage of taking analepits came second (42.4%) and it was revealed that the percentage of sedative hypnotics, minor tranquilizer increase with age. But in proportion to the increase of age, the taking of analeptis decreased. 3) The choice motives of each drug purchased were all different. In case of antibiotics "recommendation of pharmacist" was 39.6%, sedative hypnotics "recommendation of pharmacist" and "my own judgement", 28.9%, respectively, minor tranquilizer "my own judgement", 35.2%. and in case of analeptics "my oun judgement" was most common with 53.5%. 4) The reasons for taking drugs were as follows. antibiotics was taken for the inflammation mitigation of a wound and a swelling (38.5%), sedative hypnotics for the removal of insomnia (97.5%), minor tranquilizer because of restlessness and qloominess(39.3%), and analeptics for the shortening of sleeping hours (35.1%). 5) Those experienced in taking four cautious drugs were 78.2% on the average. It was revealed that antibiotics use duration was "from one week to one month" (38.9%), the frequency was "rarely" (62.1%), sedative hypnotics and minor tranquilizer; "More than three years", (35.7%, 30.4%), respectively, "Somtimes", (43.8%, 35%), respectively. analeptics ; "from one year to three years", (27.6%), "Sometimes", (42.7%). 6) In regard to the source of information in taking drugs, 35.3 percent of male were relied on "recommendation of pharmacist", 32.6 percent of female "my own judgement", There was a difference between below the middle school graduates and over the high school graduates Thease were relied on "recommendation of pharmacist" first, those "my own judgement" first. And "my own judgement" was the first source of specialist(40%), labours(41.4%), salesman(43.5%), and jobless men(36.8%), "recommendation of ralatives on friends" was the first source of students (30.4%), "recommendation of pharmacist" was the first soure of teachers, administrative office workers (39%) and housewives (40.7%). 7) The degree of recognition about four cautious drugs was as follows. "know a little" was (43.0%), "don't know" (30.2%), "know" (26.8%), respectively. In regard to the attitude toward continuous taking them, it was revealed that "I will take it according to circumstamces" was first (56.2%), " I will not take it as possible" was first(56.2%), "I dont know well" (12.9%), "I will take it continuously" (8.3%). 8) About the influence on human body, "if proper, it is effect" was common attitude toward antibiotics (43.6%), "Probably bad influence on the health" was first toward the other drugs (46.2%), In terms of the degree of observance to taking-time and dose of drugs, "suitably" was first (37.3%), "relatively correctly" second (27%), "correctly" (17%). 9) The percentage of four cautious drugs side-effects was 27.5 on the average. The kind of side-effects were eruption and urticaria (28.5%), heart acceleration and so forth. (25.4%), headache and Giddiness, dyspepsia (23%), respectively.

  • PDF

부모의 애착 유형과 초등학교 고학년 아동의 정신병리와의 상관 관계 (PARENTAL ATTACHMENT STYLES AND PSYCHIATRIC MANIFESTATIONS IN THEIR $4^{th}\;TO\;6^{th}$ GRADE ELEMENTARY SCHOOL CHILDREN)

  • 유한익;황준원;김붕년;신민섭;홍강의;조수철
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제16권1호
    • /
    • pp.47-53
    • /
    • 2005
  • 이 연구는 주양육자의 불안정형 애착유형이 초등학교 고학년 아동의 행동문제와 정신과 질환의 발병에 기여하는지를 증명하기 위해 실시되었다. 경기도 김포시에 위치한 2개의 초등학교 4, 5, 6학년 학생 504명과 부모를 대상으로 연구를 실시하였다. 부모의 애착 유형을 평가하기 위해 자기보고형 관계 질문지 (Relationship Questionnaire) , 아동의 우울 증상을 평가를 위해 한국형 소아우울척도, 불안 증상의 평가를 위해 Spielberger의 상태-특성 불안 평가척도, 그리고 부모에 의한 아동의 행동 평가를 위해 한국어판 K-CBCL을 사용되었다. 연구 결과, 몰입형 애착 유형의 부모의 초등학교 자녀들이 안정형 애착 유형 부모의 자녀보다 사회성, 불안, 우울, 주의집중력, 문제 행동, 공격성 등 상당히 다양하고 포괄적인 영역의 정신과적 문제를 더 많이 보이는 것으로 나타났다. 아동의 내재화 증상은 부모가 몰입형일 때 가장 높았고, 회피형, 안정형 순이었다. 또한 부모의 애착 유형이 불안정형일 때, 안정형에 비해 임상적으로 의미 있는 심각한 수준의 문제행동을 보이는 아동이 더 많았다.

  • PDF

책임능력판단에 관한 범죄심리학적 이론과 정신장애 항변 연구 (A Study on the Responsibility Judgment and Mental Disorder of Criminal Psychology)

  • 임상곤
    • 시큐리티연구
    • /
    • 제10호
    • /
    • pp.293-322
    • /
    • 2005
  • 본 연구는 형사책임과 관련성이 있다고 생각되는 일치추론이론과 외부귀인이론 등을 통해 도의적 책임판단에 관한 범죄심리학적 이론을 연구하여 미국에서 배심원이 유무죄의 평결을 도출해 내는 판단과정에 관한 이론적 관점들을 접근하고자 한다. 정신장애(insanity)는 형사책임능력에 관한 법적인 개념이며 임상적인 혹은 정신의학적인 개념이 아니다. 따라서 법체계가 다르면 정신장애의 정의도 달라지게 마련이다. 우리나 라 법과 미국의 법은 서로 매우 다른 체계를 가지고 있어서 미국법의 개념들이 한국법의 개념들과 불일치하는 경우가 매우 많은데, 형사책임능력에 관한 법이론적 개념들이 그 대표적인 예라고 할 수 있다. 우리나라의 형법은 심신상실(형사책임무능력)과 심신미약(한정책임능력)을 구분함으로 미국이나 영국에서 이용되는 정신장애의 개념이 직접 적용되지 않는다. 그럼에도 불구하고 최근에 들어 한국에서도 미국의 법에서 사용되는 정신장애의 개념에 대한 관심이 높아지고 있고, 형사책임의 법적판단에 임상적인 자료 및 전문가 의견이 큰 비중으로 고려되고 있으므로 법학과 심리과학(학문적 글로벌 개념)과 사이에 상호간 진지한 논의와 협력이 요구된다. 한국에서의 정신장애에 대한 정의와 구체적 기준들은 한국 형법의 전반적인 이론적 맥락에서 구축되어야 함은 분명한 것으로 사료된다. 그러나 그러한 조작정의가 객관적 진실을 전혀 도외시한 것이어서는 안된다고 사료되며, 따라서 이 문제에 관하여 실증적인 경험학문을 지향하는 심리학이나 정신의학 등의 행동과학과의 적극적인 협력이 절실히 요구된다.

  • PDF

중증질환자의 민간의료보험 가입 현황 및 관련요인 (Status and related factors of private health insurance for severely ill patients)

  • 김석환
    • 한국산학기술학회논문지
    • /
    • 제19권1호
    • /
    • pp.497-505
    • /
    • 2018
  • 이 연구의 목적은 중증질환자들을 대상으로 민간의료보험 가입자와 미가입자간의 특성을 파악하고, 가입 요인을 분석하기 위함이다. 연구도구는 2015년도 국민건강영양조사 자료를 이용하였으며, SPSS ver 23.0을 사용하였고, 연구 대상자는 19세 이상 중증질환자(암, 심장질환, 뇌혈관질환) 417명을 선정하였다. 분석방법은 민간의료보험 가입 현황과 차이를 파악하기 위해 교차분석을 실시하였고, 민간의료보험 가입에 미치는 요인을 분석하기 위해 이항 로지스틱 회귀분석을 실시하였다. 분석 결과 사회 인구학적 특성에서는 성별, 거주지, 혼인상태와 관계없이 나이가 젊을수록 높았다. 그리고, 사회 경제적 상태에서는 교육수준과 관계없이 가구소득이 높을수록, 의료급여대상자에 비하여 건강보험대상자의 가입률이 높았다. 건강행태에서는 주관적 건강 인식 및 걷기 실천과 무관하게 활동제한이 있는 집단의 민간의료보험 가입률이 낮았으며, 설명력은 51.7%이었다. 그러므로, 중증질환자 중 민간의료보험에 가입하지 못한 집단을 선별하여 생활환경 개선 및 지방자치단체의 지원을 촉구해야 할 것이다. 또한, 사회적 취약계층 및 건강행태에 제한 있는 집단을 대상으로 중증질환 예방을 위한 정부의 보건교육 또는 프로그램 제공 등 다양한 보건정책을 고려해야 할 것이다.

Evaluation of Women with Myofascial Abdominal Syndrome Based on Traditional Chinese Medicine

  • Mitidieri, Andreia;Gurian, Maria Beatriz;Silva, Ana Paula;Tawasha, Kalil;Poli-Neto, Omero;Nogueira, Antonio;Reis, Francisco;Rosa-e-Silva, Julio
    • 대한약침학회지
    • /
    • 제18권4호
    • /
    • pp.26-31
    • /
    • 2015
  • Objectives: This study used semiology based on traditional Chinese medicine (TCM) to investigate vital energy (Qi) behavior in women with abdominal myofascial pain syndrome (AMPS). Methods: Fifty women diagnosed with chronic pelvic pain (CPP) secondary to AMPS were evaluated by using a questionnaire based on the theories of "yin-yang," "zang-fu", and "five elements". We assessed the following aspects of the illness: symptomatology; specific location of myofascial trigger points (MTrPs); onset, cause, duration and frequency of symptoms; and patient and family history. The patients tongues, lips, skin colors, and tones of speech were examined. Patients were questioned on various aspects related to breathing, sweating, sleep quality, emotions, and preferences related to color, food, flavors, and weather or seasons. Thirst, gastrointestinal dysfunction, excreta (feces and urine), menstrual cycle, the five senses, and characteristic pain symptoms related to headache, musculoskeletal pain, abdomen, and chest were also investigated. Results: Patients were between 22 and 56 years old, and most were married (78%), possessed a elementary school (66%), and had one or two children (76%). The mean body mass index and body fat were 26.86 kg/cm2 (range: 17.7 - 39.0) and 32.4% (range: 10.7 - 45.7), respectively. A large majority of women (96%) exhibited alterations in the kidney meridian, and 98% had an altered gallbladder meridian. We observed major changes in the kidney and the gallbladder Qi meridians in 76% and 62% of patients, respectively. Five of the twelve meridians analyzed exhibited Qi patterns similar to pelvic innervation Qi and meridians, indicating that the paths of some of these meridians were directly related to innervation of the pelvic floor and abdominal region. Conclusion: The women in this study showed changes in the behavior of the energy meridians, and the paths of some of the meridians were directly related to innervation of the pelvic floor and abdominal region.

일개 군지역의 가정간호 요구조사 (A Survey on Home Health Care Needs in Youn-Cheon County in Korea)

  • 한경자;박성애;하양숙;윤순녕;송미순
    • 대한간호학회지
    • /
    • 제24권3호
    • /
    • pp.484-498
    • /
    • 1994
  • The purpose of this study was to investigate the home care needs in a rural county as a basic study to develop a Korean home care model. A stratified cluster sampling method was used to select 1, 352 household which accounted for 8.8% of Youn Cheon County population. A Standard criterias for home care subject were delineated by five nursing professors representing five different areas of nursing specialty. The developed criteria for home care subjects were as below, 1) Patients who had been discharged from hospital during the previous week. 2) Patients with special medical devices 3) Newborns and the mothers. 4) The chronically ill with poor recovery or control of disease. 5) Subjects with poor health care behavior or ability 6) Subjects with poor social support and / or family resources. 7) Subjects with health related educational needs. Three types of questionnaires were developed to screen home care subjects, one for adults, one for infants and one for the elderly. Also different questionnaire items were developed to evaluate the control and self care ability of chronically ill subjects. After training in interview methods for 2 days, 39 interviewers visited individual households for interviews. As the results of the study showed that 14.1% of adult subjects and 76.5% of infants and child were judged as having at least one criterion related to home care need, 15.69% of adults and 53% of elderly had at least one chronic illness. The most prevalent chronic illnesses were hypertension, skeletal-neurological disease and diabetes. The prevalence of subjects with home care needs were, those with poor health care behavior(8.89%), with health-re-lated educational needs(8.71%), with poor recovery or control of disease (3.52%), and with poor social support and inadequate family resources(3.19%). There were only 0.3%, 0.37%, 0.11% who were discharged patients, patients with medical devices, or newborns respectively. Thus, the largest home care client group were those who need direct health care and health education. Seventy five percent of the subjects responded that they were willing to use and pay for home care service if it is offered in the future. It is suggested that recently discharged patients and patients with special medical devices can be cared for by hospital based home care nurses, but other home care clients can be cared for by com-munity based home care nurses.

  • PDF

초.중학생을 위한 보건교육의 영역 및 주요개념 선정을 위한 일 연구 (A Study on the Selection of Health topic areas and major concepts for Health Education in Primary and Junior High Schools)

  • 이경자
    • 보건교육건강증진학회지
    • /
    • 제7권1호
    • /
    • pp.10-26
    • /
    • 1990
  • In Korean education, the health contents are scattered in various course subjects throughtout the primary and junior high school curriculum. So it is very difficult to provide systematic health education. The purpose of this study was to provide a guide for health education using health topic areas and major concepts that represent the scope of material that should be covered in health instruction. The steps used in selecting these health topic areas and major concepts were as follows: 1. A review of the literature related to health and health education was done to develop the rationale underlying this study. 2. Health topic areas basic to the growth and development characteristics of children, to human needs and to societal needs for healthful living were indentified. 3. The major concepts for each health topic area based on health sciences and children's growth and development levels were selected. 4. The major concepts selected were organized in sequence to guide health education from grade one to grade nine. The results of this study were as follows: 1. The identification of eleven health topic areas essential for health education. These include: personal habits and health healthy growth and development nutrition and health prevention of disease and disorders drugs and health mental health family life and health sex education accident prevention consumer health community health 2. The identification of the major concepts(generalizations) for each health topic area: 33 major concepts were identified as a guide in determining the health content of health education programs. These are 1) body cleaniness, 2) health of the sensory organs, 3) dental health, 4) exercise and rest, 5) growth and development, 6) body structure and function, 7) developmental tasks, 8) balanced nutrition, 9) eating habits, 10) food preparation and food storage, 11) sources of disease and disorders, 12) disease preventive behavior, 13) care during illness, 14) drug use and misuse, 15) drug addiction, 16) emotional responses, 17) human relationship, 18) self concept, 19) social adjustment, 20) health habits of the family, 21) interdependence of family members, 22) origin of life, 23) characteristics of man and woman, 24) sexual instinct, 25) safety behavior, 26) emergency measures, 27) criteria for selection of health products, 28) proper use of health information, 29) utilization of health and medical services, 30) environmental conservation, 31) environmental pollution, 32) population control, 33) function of public health services. 3. The organization of the concepts(generalizations) in sequence and for continuity in health instruction at the primary and junior high school level.

  • PDF

일부 농촌주민에서 사회적 지지가 스트레스에 미치는 영향 (The Impact of Social Support on Stress among Residents in a Rural Area)

  • 최정규;김윤아;김소희;김성한;박종구;고상백;김춘배
    • 보건교육건강증진학회지
    • /
    • 제28권1호
    • /
    • pp.103-113
    • /
    • 2011
  • Objective: This study was conducted to investigate the relationship between the degree of stress and social support among residents in a rural area. Methods: We used the baseline data of the Korean Genomic Rural Cohort (KGRC), a sub-cohort of the Korean Genome Epidemiology Study (KOGES) that collected data about relationships among environmental, genetic risk factors, and chronic illness in Korean adults since November 2005. The cases chosen for the study included 1737 men and women, aged 40 to 70, living in a rural area of Wonju-city, South Korea. A questionnaire interviewing method was addressed in 2006. The final participants consisted of 1349 participants, of which 589 were male (43.7%) and 760 were female (56.3%). We applied the hierarchical multiple regression analysis with three stages. The first and second stages include socio-demographic and health-related behaviour factors and the third stage includes more social support factors. Results: The main findings revealed that the amount of social support and health-related behaviour significantly influenced the level of stress the subjects reported. The degree of stress was shown to be significantly higher for the following individuals: females, those who were divorced, the bereaved, participants who suffer from chronic disease, and non-exercisers. Low social support was shown to be negatively associated with stress. Conclusion: Social support factors along with socio-demographic and health-related behavior had an influence on stress levels in Korean rural adults. It is necessary to relieve residents from stress through diverse social support programs and healthy living initiatives.