• 대한지역사회영양학회지
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• 제28권2호
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• pp.124-140
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• 2023

Objectives: This study examined the changes in dietary habits, the prevalence of chronic diseases, and mental health problems in the regional areas of the Republic of Korea before and after the COVID-19 pandemic to provide evidence of the status of regional health inequalities. Methods: This study analyzed Korean adults aged 19 or older who participated in the Korea Community Health Survey (n = 686,708) and Consumer Behavior Survey for Foods (n = 19,109) from 2018 to 2020. The participants were classified according to their residence area (Seoul metropolitan area, Metropolitan cities, Provinces); 2018-2019 were defined as before COVID-19, and 2020 as after COVID-19. The dietary behaviors, chronic diseases, and mental health problems were measured using a self-report questionnaire. Results: After COVID-19, the eating-out usage rate in the Seoul metropolitan area and Provinces decreased compared to before COVID-19 (P < 0.001), and when responding that they eat out, the frequency of eating out with household members in the Seoul metropolitan area increased (P = 0.024). The deliveries/takeout usage rate in the Provinces decreased after COVID-19 compared to before (P < 0.001). After COVID-19, the prevalence of obesity decreased in all regions (P < 0.001), and the prevalence of hypertension increased significantly in the Provinces (P = 0.015). The prevalence of diabetes mellitus increased continuously before and after COVID-19 in all regions (P < 0.002). High-risk subjective stress levels increased significantly in the Seoul metropolitan area (P < 0.001), and sleep duration significantly increased in all regions (P < 0.001). Major depressive disorder was reduced significantly in Metropolitan cities (P = 0.042) and Provinces (P < 0.001). Conclusions: After the COVID-19 pandemic, the prevalence of chronic diseases and mental health problems showed regional differences along with changes in dietary habits. It is necessary to reflect the regional differences in dietary habits in future policies resolving regional health inequalities.

• 보건의료산업학회지
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• 제11권4호
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• pp.169-178
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• 2017

Objectives : In this study, we investigated the correlation of mental-and oral-health status with periodontal disease. Ultimately, we sought to make a positive contribution to the promotion of periodontal health and the prevention of periodontal disease. Methods : This study was analyzed using the data of KNHANES 2013-2015. The participants of this study were between 20 and 64 years old. The final selection was 1,512 adults. Results : Participants with a sleeping time of less than 6 hours and those who recognized stress showed higher periodontal disease. Number of decaying teeth, oral-health status, toothaches, and chewing problems were associated significantly with periodontal disease. To investigate the effects of general characteristics and mental and oral-health status on periodontal disease, a logistic regression analysis was conducted. Sex, age, education level, smoking status, oral-health status, and chewing problems were variables that affected periodontal disease. Conclusions : This study showed that mental-and oral-health status is closely related to periodontal disease. Therefore, it is expected that this will be used as basic data to effectively improve periodontal disease in adults.

• 한국도서관정보학회지
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• 제41권1호
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• pp.51-76
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• 2010

이 연구에서는 북미지역을 중심으로 공공도서관의 정신건강 관련 지원서비스의 경향과 특성을 살펴보았다. 이와 관련한 데이터는 문헌연구와 밴쿠버 공공도서관을 사례로 하는 관찰과 면담을 통해 수집되었다. 그 결과, 지역주민의 정신건강문제에 대한 도움요청과 이에 대한 공공도서관의 지원은 다양하게 나타나고 있었다. 공공도서관은 국가적 비극이나 자연 재난이 발생하였을 때 겪게 되는 주민들의 충격과 불안, 스트레스를 극복할 수 있도록 지원하는 한시적 서비스를 비롯하여 독자상담과 정보서비스의 일환으로 지역주민의 정신건강문제를 일상적으로 지원하고 있었다. 특히 어린이청소년의 성장과정에서 나타나는 다양한 문제(입양, 이혼, 재혼, 별거가족, 친구, 장애, 죽음, 자아존중, 정서, 왕따, 폭력, 학대, 자살, 질병, 중독, 성문제, 청소년임신 등)와 관련한 지원이 활발하였다. 또한 이러한 서비스에서 사서들의 핵심적 역할은 특정 문제를 해결하는 데 도움이 되는 적합한 책을 선정하여 추천하며, 관련 전문기관을 안내하고 연결해주는 데 있는 것으로 조사되었다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.169-176
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• 2020

Exploring the risk factors of adolescent suicide is important for effective suicide prevention. This study explored the clustering of adolescent suicides based on six risk factors: mental disorder, broken family, depression, anxiety, previous suicide attempts, and deviant behaviors. Using 173 student suicide reports obtained from the Ministry of Education, we evaluated the associations between suicide and variables related to mental disorders; dysfunctional family life; depression and anxiety; previous suicide attempts; deviant behaviors such as drinking and smoking; and school life characteristics, including attendance and discipline, problems within the past year, and incidents prior to suicide. In addition, reports of warning signs just before suicide were included in the analysis. The two-stage cluster analysis classified the students into three clusters: the silent type (cluster 1; 48.55%), in which no risk factors were observed; environmental-risk type (cluster 2: 24.28%), which featured a high frequency of broken households, deviant behaviors such as smoking/drinking and running away from home; and depressive type (cluster 3: 27.17%), which featured a high frequency of mental health problems such as depression, anxiety, and suicide attempts. Identifying the sub-types of adolescent suicide may help to inform tailored suicide prevention and intervention strategies in school.

• Journal of Preventive Medicine and Public Health
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• 제40권3호
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• pp.218-226
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• 2007

Objectives : This study examined the relationship of parent-related negative life events with mental health and delinquent behaviors among Korean adolescents. Methods : A total of 2,976 high school first-grade pupils (1,498 boys & 1,478 girls) taking part in the third wave of Korean Youth Panel Survey completed a self-administered questionnaire regarding parent-related life events, depressive feelings, suicidal ideation, delinquent behaviors, demographic characteristics, parental socioeconomic status, social support, and social capital. Data analyses were conducted using multivariate logistic regression. Results : After adjusting for all covariates, the more parent-related negative life events adolescents experienced throughout their whole life, the more likely adolescent were to have mental and behavioral problems. A significant dose-response relationship between them was more clearly observed in girls than in boys. The experience of parentrelated negative events during childhood was significantly associated with suicidal ideation and delinquent behaviors for boys, and with depressive feelings for girls during adolescence. Indeed, parental social support, social capital, and having a close friend with delinquent behaviors, especially for girls, partially mediated the relationship between parent-related negative life events and both outcomes. Conclusions : The study showed a clear dose-response relationship of frequency of parent-related negative life events with poor mental and behavioral health for both genders. The residual effect of being exposed to parent-related events during childhood on mental health and delinquent behaviors during adolescence still remained.

• Safety and Health at Work
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• 제10권3호
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• pp.384-388
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• 2019

The horse stable hand workers are one of the most important occupations in horse-racing industry. However, suicide problem of the horse stable hand workers in Korea has raised the necessity of new study on how these workers experience mental health problems such as occupational stress and depression in organizational situation. Therefore, this study investigated the occupational stress and depression level of the horse stable hand workers and identified the structural relationship in the horse-racing industry through a detailed interview. A total of 207 horse stable hand workers participated in this study, and occupational stress and depression level were surveyed using the Korean Occupational Stress Scale (KOSS) and Korean version of the Center for Epidemiologic Studies-Depression Scale (CES-D). The results of this study showed that the occupational stress level of horse stable hand workers was higher than the median of Korean population. The significant difference in occupational stress among the detail job grade was also identified. In addition, 34% of the horse stable hand workers showed high risk of depression, and job demand, organizational system, and inappropriate compensation as the subfactors of occupational stress were showed to mainly affect depression. Although there are some limitations according to the field survey, this study also has significant meaning in that it identifies the relationship between the occupational characteristics of the horse stable hand workers and the mental health. It will be necessary to study the diverse organizational situation and individual mental health for new occupations.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.185-192
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• 2020

Objectives: Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later. Methods: This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6-18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively. Results: There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association. Conclusion: Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.

• 한국재난정보학회 논문집
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• 제16권1호
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• pp.34-43
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• 2020

연구목적: 본 연구는 소방공무원 보건안전 및 복지기본계획, 그리고 매년 연도별 계획이 실질적으로 소방공무원의 보건과 복지에 기여하는지 여부를 실증검증하여 현재 계획에 근거한 정책들의 문제점과 개선방안을 도출하고자 하였다. 연구방법: 현황분석과 더불어 해당분야 전문가들로부터의 델파이분석기법에 의해 연구결과: 소방공무원 보건안전정책에서의 문제점으로 소방관 전문병원의 부재, 일선 소방서차원의 정신건강교육프로그램 미흡, 현장활동 위험평가 체계 미흡의 문제, 심신건강관리사업의 효과성 문제, 심신안정 프로그램의 내실화 부족, 정신건강관련 교육의 부재, 정신건강관련 프로그램 이용자의 은닉성 보장문제가 주요 문제점으로 도출되었으며, 소방공무원 복지정책에서의 문제점으로 부모소방관에 대한 지원부족, 퇴직소방관에 대한 노후설계대비 미흡, 여성소방관에 처우개선 미흡이 도출되었다. 결론: 개선방안으로 소방전문병원설립, 정신건강교육프로그램의 내실화 및 소방서내 CISD 리더 양성프로그램 마련, 재난현장 위험평가체계의 마련, 찾아가는 심리상담실사업등에 대한 효과성 측정등의 평가체계 도입, 수요자 만족도 조사등을 통한 프로그램 내실화, 정신건강관련 교육시스템 마련, 인사시스템 개선을 통한 은닉성 보장 방안, 육아 휴직제도 장려 및 소방서내 육아시설 도입, 퇴직소방관 활용 방안 수립 및 사업 활성화, 여성소방공무원을 위한 정책마련 방안이 도출되었다.

• 대한불안의학회지
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• 제8권2호
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• pp.71-78
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• 2012

The mass social trauma, such as organized violence, wars, oppression by dictatorships and massive terrorist attacks, exposes thousands of people to trauma in a short period of time. Therefore, the mass social trauma is distinguished from individualized trauma, such as a violent attack, rape or a traffic accident in that it results in multiple and extended consequences beyond the individual. During the Khmer Rouge regime, one quarter of the Cambodian population was killed as a result of malnutrition, forced labor and mass killings. Until now, its evil continues to affect Cambodian's physical and mental health problems. Although there is ongoing debate, to date, no consensus has been reached supporting a clear set of recommendations for the intervention and longitudinal study regarding the influence of killing field massacre being too little. And comparative cultural studies, such as comparing the East to West or other Asian cultures are also lacking. This article gives an overview of previous study results about the mental health of Cambodians, and suggests a possible research issue and therapeutic interventions to determine the impact of mass trauma to the members of society and post-traumatic recovery factors.

• 가정∙방문간호학회지
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• 제26권1호
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• pp.72-80
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• 2019

Purpose: This study aimed to measure health-related quality of life (HRQoL) and investigate the relevant factors for middle aged women using the 2014 Korea Health Panel data. Methods: The Korea Health Panel data 2014 were collected from February to August 2014 by the Korea Institute for Health and Social Affairs and the National Health Insurance Corporation and included 2,075 people who responded to the questionnaire. Using SPSS WIN program, the data were analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: Limited activity was the most influential factor for the health-related quality of life of middle-aged women. For health behavior, the factors affecting HRQoL were drinking, sleeping time, and physical activity. For physical health, factors affecting HRQoL were vision problems, eating problems, and hearing problems. For mental health, the factors affecting HRQoL were suicidal impulse, stress, and frustration. Conclusion: These results indicated that to improve HRQoL for middle-aged women, limited activity and suicidal impulses should be addressed.