• 보건행정학회지
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• 제27권1호
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• pp.80-83
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• 2017

The proportion of people who reported unmet healthcare needs is an important indicator to measure the access problem in healthcare service. To examine current status and trends of unmet needs in Korea, we used data from four sources: the Korea National Health and Nutrition Examination Survey (KNHNES, '2007-2015); the Community Health Survey (CHS '2008-2015); the Korea Health Panel Survey (KHP '2011-2013); the Korean Welfare Panel Study (KOWEPS '2006-2015). The proportion of individual reporting unmet healthcare needs as of 2015 was 12.6% (KNHNES), 11.7% (CHS), and 16.3% (KHP, as of 2013). Annual percent change which characterizes trend for follow-up period was -9.4%, -3.4%, and 7.6%, respectively. The proportion of individual reporting unmet healthcare needs due to cost was 2.8% (KNHNES), 1.7% (CHS), and 4.6% (KHP). The proportion of household reporting unmet healthcare needs due to cost was 1.2% (KOWEPS). Annual percent change was -9.0%, -14.9%, 9.4%, and -18.2%, respectively. Low income population reported about 5 times more unmet needs than high income population. Therefore for decreasing the unmet healthcare needs, strategies focusing on low income population were needed.

• 보건행정학회지
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• 제28권1호
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• pp.91-94
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• 2018

Unmet healthcare needs do not end with the phenomenon itself, but lead to possibilities of increased severity of illness. Missed opportunities for treatment at the right timing increase possibilities of complications, and affect prognosis of disease. To examine current status and trends of unmet needs in Korea, we used data from four sources: the Korea National Health and Nutrition Examination Survey (KNHNES, '2007-2016); the Community Health Survey (CHS '2008-2016); the Korea Health Panel Survey (KHP '2011-2014); and the Korean Welfare Panel Study (KOWEPS '2006-2016). The proportion of individual reporting unmet healthcare needs as of 2016 was 8.8% (KNHNES), 11.5% (CHS), and 12.8% (KHP, as of 2014). Annual percentage change which characterizes trend for the follow-up period was -9.9%, -3.1%, and -1.3%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost was 1.8% (KNHNES), 1.5% (CHS), and 3.0% (KHP). The proportion of households reporting unmet healthcare needs due to cost was 1.0% (KOWEPS). Annual percentage change was -10.0%, -15.2%, -5.4%, and -17.5%, respectively. Low income populations had more unmet healthcare needs than high income populations. Therefore, in order to improve unmet healthcare needs, it is necessary to focus on low income populations.

• 한국보건간호학회지
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• 제27권1호
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• pp.5-15
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• 2013

Purpose: The purpose of this study was to determine factors related to regular walking exercise in the elderly using KNHNES data. Method: The study subjects, a total of 1437 adults over age 65, were classified into two groups based on their type of walking exercise: regular walking exercise group or irregular walking exercise group. The study variables were measured using scale physiological function, mental health status, chronic disease and quality of life. Results: The data was analyzed by $x^2$-test, t-test, and logistic regression using the SPSS 18.0 program. The factors related to regular walking exercise were male (OR=0.628, 95%CI=0.503-0.783), subjective health state (OR=0.832, 95%CI=0.751-0.921), thoughts of suicide (OR=0.753, 95%CI=0.586-0.967), hypoHDL-cholesterolemia (OR=0.742, 95%CI=0.591-0.930), and stroke (OR=0.604, 95%CI=0.366-0.997). Conclusion: The findings indicate that regular walking exercise in the elderly is related to physiological function, mental health status, and chronic disease. Therefore, providing for the education and awareness of health promotion for the elderly will may improve the quality of life in old age.

• 근관절건강학회지
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• 제23권3호
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• pp.152-158
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• 2016

Purpose:The purpose of this study was to examine the degree of joint pain, limitation of daily activities, and frequency of outpatient visits. Methods: This secondary analysis study used the data from the fifth Korean National Health and Nutrition Examination Survey (KNHNES). The data about general characteristics, prevalence and treatment of osteoarthritis, limitation of activities of daily living (ADL) and frequency of outpatient visits and hospitalization in 424 osteoarthritis patients over 50 years old were derived from the database. Data were analyzed with complex samples in SPSS ver. 20.0. Results: Among people with knee joint pain, 79.3% reported they had more than 4 out of 10 points of the degree of pain. Meanwhile, 97.3% of people with hip joint pain reported that they had more than 4 out of 10 points of the degree of pain. People reporting 10 out of 10 point of pain were 21.4% of those with knee joint pain and 25% of those with hip joint pain. The mean of the degree of knee joint pain was 6.35, and the mean of the degree of hip joint pain was 6.89 out of 10 points. About 50% of people with osteoarthritis visited an outpatient clinic within the last 2 weeks, and 27% had limitation of ADL. Conclusion: It is necessary to develop an integrated intervention program to improve quality of life in patients with osteoarthritis.

• 한국치위생학회지
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• 제20권4호
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• pp.421-433
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• 2020

Objectives: The aim of this study was to examine the relationship between periodontitis, obesity, and health behavior according to sex and age in Korean adults. Methods: Data on 11,032 adults aged 19-79 years were obtained from the 7th Korea National Health and Nutrition Examination Survey (KNHNES). We used multivariate logistic regression analysis to test for associations. Results: The final model that was adjusted for demographic characteristics and health status, showed a higher risk of periodontitis with increasing body mass index (BMI), smoking, failure to use oral care products, and no dental check up. In the sub-group analysis, only smoking was significant in the 19 to 39-year-old age groups. In the 40 to 64-year-old age group, a BMI of 30 or higher, and smoking, use of oral care products, and dental check-up were significantly associated with periodontitis. In the female group, BMI, smoking, use of oral care products, and dental check-up were significantly related to periodontitis. However, in males, only smoking was significant. Conclusions: Obesity management can be helpful for periodontal health as periodontitis prevalence in adults increased as BMI increased. For periodontal health, an oral health program should include smoking cessation and the use of oral care products and dental check up as part of obesity management.

• 농촌의학ㆍ지역보건
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• 제42권2호
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• pp.79-86
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• 2017

우울증과 대사증후군은 상호 연관성이 있으며, 영양소 섭취 상태가 두 질환의 발생과 예방에 영향을 미침에도 불구하고 대사증후군 환자를 대상으로 한 우울증 환자의 영양소 섭취 상태에 대한 연구가 국내는 물론 국외에서도 적은 편이다. 이에 본 연구는 국민건강영양조사에 참여한 대사증후군 환자를 대상으로 우울증과 영양소 섭취 상태의 연관성을 알아보고자 하였다. 본 연구는 국민건강영양조사 자료 중 제 6기 2차 (2014년) 자료를 분석하였으며, 만 20세에서 60세 사이의 대사증후군 환자 1.471명 중 의사에 의한 우울증 진단여부가 확인이 되는 1,334명을 최종 대상자로 하여 이들의 영양소 섭취 상태와 우울증과의 연관성을 분석하였다. 대사증후군 환자를 남녀로 구분하여 우울증 군과 정상 군의 영양소 섭취 상태를 비교하였을 때, 니아신 섭취량이 남성에서 각각 $14.5{\pm}6.7mg$과 $17.8{\pm}9.7mg$으로 우울증 군이 유의하게(P=0.047) 낮았고, 여성에서도 각각 $11.4{\pm}5.4mg$과 $13.1{\pm}8.0mg$으로 우울증 군이 유의하게(P=0.025) 낮았다. 결론적으로 본 연구에서는 대사증후군이 있는 성인에서 우울증이 니아신 섭취량과 관련이 있음을 확인할 수 있었다. 이는 대사증후군 환자에서 우울증에 대한 영양소 섭취 상태 평가가 의미가 있음을 시사하며, 또한 영양학적 중재가 대사증후군 환자의 우울증 유병을 감소시킬 수 있을 것으로 생각된다.

• 대한임상검사과학회지
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• 제56권2호
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• pp.125-134
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• 2024

본 연구는 대한민국 성인을 대상으로 대사증후군(metabolic syndrome, MetS) 유·무에 따른 빈혈과 추정 사구체여과율(estimated glomerular filtration rate, eGFR) 및 요 미세 알부민/크레아티닌 비율(urine microalbumin/creatinine ratio, uACR)의 관련성을 평가하기 위하여 2012년 국민건강 영양조사(KNHNES V-3) 자료를 활용하여 20세 이상 성인 4,943명을 대상으로 데이터를 분석하였다. 본 연구에서 몇 가지 중요한 발견이 있었다. 첫째, 비 MetS 그룹에서는 정상군(eGFR≥60 mL/min/1.73 m² 및 uACR<30 mg/g)의 빈혈(남성, 헤모글로빈[hemoglobin, Hb]<13 g/dL; 여성, Hb<12 g/dL)의 발생률에 비하여 감소된 eGFR 그룹(eGFR<60 mL/min/1.73 m²; odds ratio [OR], 3.65; 95% confidence interval [CI], 1.90~7.00) 및 감소된 eGFR+증가된 uACR 그룹(eGFR<60 mL/min/1.73 m² 및 uACR≥30 mg/g, OR, 6.00; 95% CI, 2.61~13.80)의 빈혈 발생률이 높았다. 둘째, MetS 그룹에서는 정상군에 비하여 증가된 uACR 그룹(OR, 2.18; 95% CI, 1.11~4.27), 감소된 eGFR 그룹(OR, 3.73; 95% CI, 1.09~12.75) 및 감소된 eGFR+증가된 uACR 그룹(OR, 18.17; 95% CI, 6.16~53.63)의 빈혈 발생률이 높았다. 결론적으로, 비 MetS 그룹에서는 빈혈은 eGFR의 감소와 관련이 있었고, MetS 그룹에서는 빈혈은 eGFR 감소 및 uACR 증가와 관련이 있었다. 추가적으로, 비 MetS 그룹과 MetS 그룹 모두에서 eGFR의 감소 및 uACR의 증가가 동시에 나타날 때 빈혈의 발생률이 크게 증가하였다.

• 응용통계연구
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• 제23권5호
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• pp.923-932
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• 2010

제 5기 국민건강영양조사(2010년.2012년)를 위한 표본설계의 여건은 과거에 비해 불리한데, 무엇보다 과거와 같은 추출틀 마련이 여의치 않다는 점이 두드러진다. 제5기 조사를 위한 표본설계 시기가 인구주택총조사 주기와 맞지 않음으로 인해 과거의 총조사 자료를 그대로 추출틀로 사용한다면 어쩔 수 없이 추출틀오차의 문제가 발생하게 될 것이기 때문이다. 이를 극복하기 위한 현실적인 방안을 마련하는 것은 실용적인 면에서 매우 절실한 문제라고 할 수 있다. 본 연구의 목적은 인구주택총조사 자료가 낡아 현재의 모집단 상황을 제대로 대표할 수 없는 상황에서 이를 극복할 수 있는 효과적인 추출틀을 마련하는 데 있다. 본 연구에서는 추출틀의 포함률을 높이기 위한 방안으로 아파트 가구와 일반가구(단독주택, 연립주택, 다세대주택 등)를 분리하여 각각에 대해 서로 다른 자료를 활용하는 방안을 도입한다. 다시 말해 표본설계를 위해 여러 개의 추출틀을 사용하는 방안을 제시한다.

• 대한지역사회영양학회지
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• 제19권5호
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• pp.468-478
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• 2014

Objectives: Intake of fruits and vegetables has protective effects against stroke attack. This study intended to examine the status of consuming fruits and vegetables and to find out which factors may influence the frequency of consumption of fruits and vegetables in individuals with a history of stroke. Methods: The data of 208 subjects from 5th (2010, 2011) Korea National Health and Nutrition Examination Survey (KNHNES) who reported a stroke diagnosis was used for analysis. To identify major factors influencing the consumption of fruits and vegetables, a classification-tree analysis was carried out. Results: Among those who reported a stroke diagnosis, the frequencies of consumption of fruits and vegetables were influenced by their age, place of residence (urban or rural), economic status, educational level, occupation, number of family members, frequency of eating out, and having meals (breakfast or lunch) with family members. Two factors from fruits and three factors from vegetables were generated by exploratory factor analyses. Urban residents ate fruits and vegetables more frequently in all factors than rural residents. Eating frequencies of 'seasonal fruits (orange, apple, strawberry, melon, pear and watermelon)', 'easily-accessible fruits (persimmon, tangerine, grape, peach, banana)', and 'Western-style vegetables (cabbage, mushroom, carrot, tomato, spinach)' were influenced by the socioeconomic status. Eating frequencies of 'Korean-style vegetables (bean sprout, radish leaves, pumpkin/squash, sea weed)', 'preserved vegetables (Korean cabbage, radish, laver, cucumber)' were influenced by having breakfast with family members. Conclusions: The results of this study suggested that by eating more fruits and vegetables, more preventive effects against secondary stroke attack are expected in stroke patients who live in the rural areas and who do not eat breakfast with family members. In addition, more outreach and education programs are needed for them.

• 한국융합학회논문지
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• 제11권7호
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• pp.97-104
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• 2020

본 연구는 청각저하 노인의 건강관 관련된 삶의 질 영향 요인을 파악하고자 시도되었다. 제 7기 국민건강영양조사 자료를 (KNHANES 2018) 활용하여 청각저하 노인으로 분류하여 최종적으로 528명을 연구대상으로 하였다. 통계분석은 SPSS 25.0을 사용하여 χ²-test, t-test, ANOVA, 상관분석, 다중회귀분석방법으로 분석하였다. 성별, 나이, 교육, 결혼상태, 소득, 직업, 가족구성원의 수, 이명, 동반질환의 수, 흡연, 음주, 주관적 건강상태, 규직적인 운동, 활동 제한여부, 우울, 스트레스 경험에 따라 삶의 질에 유의한 차이가 있었다. 삶의 질은 나이, 체질량지수, 동반질환의 수에 음의 상관관계를 보였다. 또한 청력저하 노인의 삶의 질에 결혼상태, 동반질환의 수, 체질량지수, 주관적 건강상태, 규칙적인 운동, 활동 제한 여부, 스트레스 경험이 유의한 예측요인으로 나타났고, 삶의 질을 37.3% 설명하였다. 청력저하 노인의 삶의 질 향상을 위한 다학제간 노력과 교육 프로그램 개발 적용이 필요하다.