• Asian Pacific Journal of Cancer Prevention
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• 제14권7호
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• pp.4025-4032
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• 2013

Objectives: Colorectal cancer (CRC) is the most commonly diagnosed cancer for all US populations including Asian Americans. CRC screening has considerable benefits to prevent CRC and reduce mortality. The purpose of this article was to review the published literature on rates of colorectal cancer screening and factors associated with colorectal cancer screening practice among Asian Americans. Methods: Through searching electronic reference databases from 2000 to 2013, 30 articles were found on Chinese, Filipino, Japanese, Korean, and Vietnamese Americans. Findings: Asian Americans had significantly low ratesfor CRC screening; Korean Americans reported the lowest rates, while higher screening rates were found among Japanese Americans. Older age, longer length of stay in the US, and having a physician's recommendation were the most common facilitators to receiving screening. The common inhibiting factors were financial issues, employment status, and worries/fears about the procedure. Conclusions: Despite a number of Asian Americans being vulnerable to CRC, individual Asian subgroups were underserved with CRC screening and intervention. Further studies should focus on each individual Asian subgroup and culturally proficient CRC screening intervention programs should be developed for each.

• 보건행정학회지
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• 제31권3호
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• pp.272-279
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• 2021

Background: Korea's health screening program has been faced the need for changes as the population and diseases structure are changing. In addition to Korea, many countries operate state-led health check-up programs to improve the health level of the people, and the operating methods of the program appear in various forms according to each country's health insurance system. This study examines other state-led health screening programs and proposes a direction for the development of Korea's health screening program. Methods: The study was conducted using the literature review method, and the "country" was set as a unit for the case analysis. The operating method of the health screening programs and the financial resources were compared according to the health insurance system. Five countries were selected as Korea, the United States, the United Kingdom, Japan, and Taiwan. Results: The analyzed countries mainly operate the health screening program as a management method for chronic diseases, but there were differences in the operating method, financing, and targeted subjects and examination items. In most countries, a risk assessment was performed prior to the examination (screening), and the subjects who needed the examination were first selected, and a follow-up management service was provided in accordance with the risk each individual exposed. Conclusion: Rather than applying the same screening method to populations with different risk levels, a health screening program will be constructed in consideration of the individual's health level and exposure risk, and the healthcare delivery system will be reorganized so that screening and treatment services can be linked.

• 스트레스연구
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• 제26권4호
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• pp.277-289
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• 2018

본 연구는 일반인이 경험하는 일상우울 상태를 손쉽게 판단할 수 있는 개인선별용 검사를 제작하고 신뢰도와 타당도를 조사하는데 목적이 있다. 이를 위해 원척도인 일상우울 집단연구용 척도(17문항)를 바탕으로 5문항으로 된 단축형 척도를 개발하였다. 연구 결과, 집단연구용 척도와 단축형 척도 간 상관은 .94로 높았으며, 검사-재검사 신뢰도(60일 이내 .73) 또한 양호한 수준이었다. 검사의 내적 구조는 1요인으로 확인되었다. 끝으로 기준점수를 구하였는데, 단축형 5개 문항의 총점이 18점 이상이면 일상우울 수준을 넘어 역기능우울의 가능성이 있으므로 역기능우울척도를 실시하는 것을 권고한다.

• 식품과학과 산업
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• 제51권4호
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• pp.325-333
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• 2018

If private discipline replace the strict administrative regulation, fundamental rights of protective essence can be relativized while if may be beneficial for the individual freedom. Assigning the state power to the private organization is equivalent to giving up the practice of individual liberty to the organized authority. It is important to make use of public law mechanism, particularly under the imperfect juristic system. Regarding the prohibition of prior censorship, it is necessary to consider whether it is desirable to prioritize the freedom of speech over the rest of the legal benefit. Apart from this necessity, new advertisement screening mechanism was irreversibly - and controversially - introduced for the health functional food since the unconstitutional verdict of the prior screening of advertisements. With this, the state must secure the broad order through legal regulations and norms in order to freedom of speech and other legal benefit can be harmoniously and practically guaranteed.

• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10101-10106
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• 2015

The purpose of this study was to identify factors of intrinsic motivation that affect regular breast cancer screening and contribute to development of a program for strategies to improve effective breast cancer screening. Subjects were residing in South Korea Gangwon-Province and were female over 40 and under 69 years of age. For the investigation, the Intrinsic Motivation Inventory (IMI) was modified to the situation of cancer screening and was used to survey 905 inhabitants. Multinominal logistic regression analyses were conducted for regular breast cancer screening (RS), one-time breast cancer screening (OS) and non-breast cancer screening (NS). For statistical analysis, IBM SPSS 20.0 was utilized. The determinant factors between RS and NS were "perceived effort and choice" and "stress and strain" - internal motivations related to regular breast cancer screening. Also, determinant factors between RS and OS are "age" and "perceived effort and choice" for internal motivation related to cancer screening. To increase regular screening, strategies that address individual perceived effort and choice are recommended.

• 대한간호학회지
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• 제33권2호
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• pp.236-245
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• 2003

Purpose: This study was to develop a screening model for identifying a high risk group of dementia and to develop and evaluate the web-based prevention program. Method: It was conducted in 5 phases. 1) Data were collected from dementia patients and non-dementia patients in a community. 2) A screening model of the high risk population was constructed. 3) The validity test was performed and the model was confirmed. 4) Four weeks-prevention program was developed. 5) The program was administered, and evaluated the effects. Result: The model consisted of age, illiteracy, history of stroke and hypercholesterolemia. The program was designed with 12 sessions, group health education using web-based individual instruction program, and 12 sessions of low-intensity physical exercise program. After the completion, their self-efficacy, and health behaviors in experimental group were significantly improved over those in the control group. The perceived barrier in the treatment group is significantly decreased. Conclusion: The screening model developed is very simple and can be utilized in diverse community settings. And the web based prevention program will encourage individual learning and timely feedback, therefore it can facilitate their active participation and promote health management behaviors at home.

• 대한간호학회지
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• 제45권1호
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• pp.129-138
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• 2015

Purpose: The purpose of this study was to report the instrument modification and validation processes to make existing health belief model scales culturally appropriate for Korean Americans (KAs) regarding colorectal cancer (CRC) screening utilization. Methods: Instrument translation, individual interviews using cognitive interviewing, and expert reviews were conducted during the instrument modification phase, and a pilot test and a cross-sectional survey were conducted during the instrument validation phase. Data analyses of the cross-sectional survey included internal consistency and construct validity using exploratory and confirmatory factor analysis. Results: The main issues identified during the instrument modification phase were (a) cultural and linguistic translation issues and (b) newly developed items reflecting Korean cultural barriers. Cross-sectional survey analyses during the instrument validation phase revealed that all scales demonstrate good internal consistency reliability (Cronbach's alpha=.72~.88). Exploratory factor analysis showed that susceptibility and severity loaded on the same factor, which may indicate a threat variable. Items with low factor loadings in the confirmatory factor analysis may relate to (a) lack of knowledge about fecal occult blood testing and (b) multiple dimensions of the subscales. Conclusion: Methodological, sequential processes of instrument modification and validation, including translation, individual interviews, expert reviews, pilot testing and a cross-sectional survey, were provided in this study. The findings indicate that existing instruments need to be examined for CRC screening research involving KAs.

• 디지털융복합연구
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• 제12권11호
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• pp.437-449
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• 2014

본 연구는 국민건강영양조사 제 4기를 중심으로 다수준 분석을 이용해 지역 환경적 요인이 유방암 수검률에 미치는 영향을 분석하고자 수행되었다. 총 14,338명의 대상자 중 연구목적을 충족하는 4,143명을 분석하였다. 통제변수를 포함하지 않은 기초모형의 유방암 수검률의 지역 간 분산은 0.061이고, 개인변수만을 적용했을 때 지역 간 유방암 수검률의 분산은 0.034이었다. 분산의 변화율은 44.26%였다. 또한 개인변수와 지역변수를 함께 적용했을 때 지역간 유방암 수검률의 분산은 0.023이다. 분산의 변화율은 62.30%로서, 지역변수 3가지(유방 악성 신생물로 인한 여성의 십만명당 연령표준화 사망률, 유방촬영장치, 일반회계 중 복지예산(사회보장) 비중)가 지역 간 유방암 수검률의 분산을 18.04%를 추가로 설명한다고 할 수 있다. 따라서 개인적 요인 이외에 지역 환경적 요인이 동일 지역의 특성을 공유함으로써 유방암 수검률에 영향을 미치는 것으로 나타났다. 추후 유방암 수검률에 영향을 미치는 요인을 규명하는 연구에서는 지역 환경적 요인들도 중요하므로 이에 대한 고려가 필요하다.

• 시큐리티연구
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• 제29호
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• pp.279-300
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• 2011

세계 각국이 항공테러에 대한 심각성과 우려를 공동으로 인식하고 차단에 적극 노력을 기울이고 있지만, 세계적으로 항공테러는 점점 증가하는 추세에 있다. 공항보안의 핵심은 승객과 휴대 및 위탁수하물, 화물이 검색장비를 통과하는 지점에서 이루어지는 결과에 따라 승패가 달려 있다. 공항에서 인적 및 물적 검색이 효과적으로 이루어지기 위해서는 현대화된 검색장비와 전문화된 보안요원의 확보, 그리고 이를 감독하는 공항보안감독관이 필수적이다. 본 연구에서는 공항보안감독관의 개인태도가 검색장비 운영요인에 미치는 영향을 규명 하기위한 설문조사를 하였다. 연구결과 첫째, 공항보안감독관의 직무관이 검색장비 운영요인의 전문성, 만족도, 신뢰성 및 교육훈련에 유의미한 영향을 미치는 것으로 나타났고, 국가관은 검색장비 운영요소에 모두 유의미한 영향을 미치지 않는 것으로 나타났다. 둘째, 근무환경은 교육훈련에 유의미한 영향을 미치고 이직의도에는 부의 인과관계가 있어 근무환경이 좋으면 이직이 낮아지는 것으로 나타났다. 셋째, 직무스트레스는 이직의도에 높은 유의미한 영향을 미치는 것으로 나타나, 현재 공항보안감독관이 열악한 환경에서 근무하고 있음을 알 수 있다. 따라서 공항보안감독관은 공항을 각종 테러 등 위해로부터 방호하기 위해서는 항공보안 각종 규정과 절차서 및 운영기준 등을 준수하고, 국가와 국민의 생명을 지킨다는 긍지와 자부심과 함께 인식전환이 필요하며, 올바른 처우개선을 위한 종합대책이 필요할 것으로 판단된다.

• 대한통합의학회지
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• 제7권4호
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• pp.43-52
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• 2019

Purpose: This study aimed to analyze the affecting factors related to cancer screening for persons with disabilities. Methods: We examined the factors affecting cancer screening in individual aged older than 20 years who participated in the 2017 National Survey of the Disabled. The subjects were 6031 individuals with disabilities who were aged older than 20 years. Data were analyzed using descriptive statistics, the chi-square test, and multiple logistic regression with the SPSS Win 21.0 software. Results: Cancer screening among persons with disabilities is differentiated based on age, education level, marital status, type of disability, grade of disability, subjective house economic status, health insurance, chronic disease, unmet healthcare needs, suicidal thinking, and health screening. The significant predictors of health screening were age, marital status, chronic disease, and health screening. Conclusion: Based on the results of this study, it is necessary to develop a program for young, medical care recipients to improve the participations of disabled in cancer screening.