• 한국보건간호학회지
• /
• 제29권3호
• /
• pp.488-502
• /
• 2015

Purpose: This study was conducted to determine the neighborhood environmental factors associated with physical activity among adults living in rural communities. Methods: A cross-sectional descriptive survey was conducted with a convenience sample of 201 adults living in three Ri in Y-city, Gyeonggi-do. Data were collected from face-to-face interview by trained interviewers and were analyzed using a zero-inflated negative binominal regression model. Results: Participants reported engaged in moderate or vigorous physical activity was 76.1%; 10.5% of participants reported that they met moderate physical activity recommendations and 14.5% of participants reported that they met vigorous physical activity recommendations. Zero-inflated negative binominal regression analysis showed association of increasing days of physical activity with social cohesion (${\beta}=.130$, p=.005), social network (${\beta}=-.096$, p=.003), and safety for crime (${\beta}=-.151$, p=.036), and no days of physical activity was associated with no attainment of education and marginally associated with increasing BMI. Conclusion: Neighborhood environmental factors including social cohesion, social network, and crime for safety were significantly associated with physical activity of rural adults. Community health nurses should expand an approach for individual behavior change to incorporate rural adults' specific neighborhood environmental factors into physical activity interventions.

• 한국융합학회논문지
• /
• 제8권1호
• /
• pp.195-201
• /
• 2017

사회적기업은 영리성을 추구함에도 불구하고 사회적미션 지향의 조직이다. 미션 지향(mission attachment)은 근로자를 동기화할 수 있고 근로를 유지할 수 있게 하는 강력한 인적자원관리 도구로 인식되고 있다. 본 연구는 사회적기업에 종사하는 여성근로자의 재직의도에 미치는 영향요인을 밝히고 동시에 사회적미션 지향성이 고용불안 및 직무만족과 재직의도간의 관계를 조절하는 역할을 하는지 검증하고자 한다. 이를 위해 로지스틱 회귀분석(Logistic Regression)을 적용하여 분석하였다. 분석 결과, 여성근로자의 82.3%가 사회적기업에 잔류할 의향이 있는 것으로 나타났고, 사회적 미션 지향성은 여성근로자의 고용불안이 재직의도에 미치는 관계에 있어 부(-)적인 영향으로 미쳐 완화하는 효과를 나타났다. 결국 사회적기업이 여성친화적 일자리가 되기 위해서는 외재적 고용 조건뿐만 아니라 사회적 미션과 같은 내재적 노동 조건도 고려할 필요성에 대한 함의를 제시하였다.

• 한국ITS학회 논문지
• /
• 제8권6호
• /
• pp.46-54
• /
• 2009

본 연구는 무인신호위반단속장비의 사고감소 효과를 다루고 있다. 연구의 목적은 EB (Empirical Bayes)방법을 이용하여 사고감소 효과를 분석하는데 있다. 이를 위해 무인신호위반단속장비가 설치된 28개 교차점 728건의 사고자료를 이용한다. 연구의 주요결과는 다음과 같다. 첫째, 단순사고건수 방법의 사고감소 효과는 20.74%로 분석되었다. 둘째, 포아송과 음 이항 회귀모형을 이용하여 SPF모형이 개발되었으며, 과분산계수가 0에 가까워 포아송 회귀모형이 음이항 회귀모형보다 더 적합한 것으로 평가되었다. 아울러 포아송 모형의 ${\rho}^2$값이 0.409로 나타나 통계적으로 유의한 모형으로 분석되었다. 마지막으로, EB방법을 이용한 분석 결과, 사고가 3.89%에서 29.23% 감소된 것으로 나타났다.

• 대한한의학회지
• /
• 제35권3호
• /
• pp.22-31
• /
• 2014

Objectives: The aim of this study was to identify the complementary and substitute relationships between the use of Korean medicine (KM) and that of Western medicine (WM) in the treatment of musculoskeletal disease. Methods: We analyzed the 2009 Korea Health Panel dataset. General characteristics and the medical utilization of respondents were analyzed descriptively. Logistic regression, negative binominal regression, and Tobit regression analysis were used to identify the relationships between the use of KM and the use, visit frequency, and expenses of WM, respectively. Results: In the treatment of musculoskeletal disease, KM use and non-herbal treatments with Korean medicine significantly reduced WM use. Herb medication use significantly increased WM visit frequency. There were no significant relationships between KM use and WM expenses. Conclusions: There are substitute relationships between WM use and KM use, especially non-herbal treatments in KM. Therefore we need to develop the clinical protocols of KM and WM treatments in the treatment of musculoskeletal disease for proper distribution medical resources.

• 임상간호연구
• /
• 제24권1호
• /
• pp.103-112
• /
• 2018

Purpose: This study was to investigate the factors affecting smoking behavior in patients with pulmonary tuberculosis. Methods: The participants were 130 pulmonary tuberculosis patients at a national tuberculosis hospital. Using a descriptive survey design, data were collected from January to March in 2016 and were analyzed using binominal logistic regression. Results: As a result of a correlation analysis of the data, depression had a significant positive correlation with smoking (r=.19, p=.030), stress (r=.54, p<.001), respectively. And depression had a significant negative correlation with smoking-related self-efficacy (r=-.20, p=.023). Smoking-related self-efficacy, smoking (r=-.79, p<.001), and stress (r=-.23, p=.008) had a significant negative correlation with each other, respectively. The factors affecting the smoking behavior were smoking-related self-efficacy (OR=1.46, p<.001), sex (OR=67.36, p=.001), occupation (OR=17.51, p=.014), and depression (OR=1.16, p=.024). Those factors explained 84.7% (Negelkerke's $R^2=.847$) of pulmonary tuberculosis patients' smoking behavior. Conclusion: Developing and applying a prevention eduction for reducing depression and enhancing smoking-related self-efficacy may become a venue toward good prognosis of the patients with pulmonary tuberculosis.

• 대한예방한의학회지
• /
• 제19권3호
• /
• pp.57-66
• /
• 2015

Objective : Private health insurance coverage in Korean medicine has been reduced since October 2009 for preventing unnecessary utilization. The aim of this study is to identify how private health insurance coverage reduction affects on the Korean medicine utilization. Method : We analyzed the Korea Health Panel data from 2008 to 2012. Panel negative binominal regression model was used to analyze the relationship between private health insurance coverage reduction and utilization of outpatient service. Panel tobit regression analysis was used to identify the relationship between private health insurance coverage reduction and health expenditure of outpatient service. Results : Private health insurance coverage reduction significantly dropped both utilization and health expenditure of outpatient service by 9%, 9.22% respectively. In addition, therapeutic utilization significantly decreased up to 10%. Conclusion : Private health insurance coverage reduction seems to have an effect to reduce both utilization and the health expenditure of Korean medicine outpatient service. This effect was more noticeable in the therapeutic utilization. Thus, more elaborate policy will be needed to prevent unnecessary utilization of Korean medicine.

• 디지털융복합연구
• /
• 제11권12호
• /
• pp.835-843
• /
• 2013

사회적기업은 사회적 미션에도 불구하고, 급변하는 글로벌 환경에서 경제적 성과 목표에도 응해야 한다. 이러한 상황은 인적자원관리 전략이 중요한 역할을 지님을 의미한다. 특히 경쟁력있는 효율성을 유지하기 위한 과제는 근로자 이직을 낮추는데 달려 있다. 본 연구는 사회적기업 근로자를 대상으로 재직 의도에 영향을 끼치는 직무불안, 직무만족, 고객과의 관계의 영향력을 검증하고자 한다. 조사 대상은 서울 경기 지역의 36곳의 사회적기업 여성 근로자 271명으로 삼았고, 이항로짓회귀분석(Binominal Logistic regression)을 적용하였다. 연구결과, 사회적기업 근로자의 재직 의도는 상당히 긍정적인 수준으로 높게 나타났다. 하지만 사회적기업 근로자의 직무불안정성은 재직 의도에 부정적인 영향을 끼치는 반면 직무만족과 고객와의 관계는 재직 의도에 긍정적인 요인으로 밝혀졌다. 결론적으로 사회적기업의 지속가능성을 위한 근로자의 근속 유지를 위해서는 인적자원 관리가 중요한 역할을 할 수 있음을 밝히고 직무 환경 개선을 위한 관리적 함의를 도출하였다.

• 동의생리병리학회지
• /
• 제27권6호
• /
• pp.847-852
• /
• 2013

The aim of this study was to investigate the difference of electrodermal activity between the hypertensive and non-hypertensive subjects. A total 161 subjects who visited a hospital for health check ups from August 2011 through November 2011 and from September 2012 through November 2012 were included in this study. We divided the subjects into two groups by blood pressure, hypertension group(81 patients) and non-hypertension group(180 subject). Then we compared electrodermal activity between two groups by using the autonomic bioelectric response device model CP-6000A. The data was analyzed by independent t-test and logistic regression. In this study, there was a significant difference in electrodermal activity(the mean absolute value of positive, negative pulse conductivity) between hypertensive and normotensive group in t-test and electrodermal activity showed the significant influence on the prevalence risk of hypertension with age, body mass index and dyslipidema in binominal logistic regression. In conclusion, hypertensive patients had high level of electrodermal activity compared with normotensive subjects and this finding suggests that electrodermal activity which is explained excess tendency in Korean traditional medicine could be used for diagnosis in hypertension patients at Korean traditional medical clinic.

• 한국산학기술학회논문지
• /
• 제20권9호
• /
• pp.56-65
• /
• 2019

물리적 환경이 보행에 미치는 영향에 관한 연구들은 지속적으로 이루어져 왔다. 그러나 도시공간에서의 보행량에 날씨가 미치는 영향에 대한 연구는 부족하다. 이에 본 연구는 도시공간에서 날씨가 보행량에 미치는 영향을 실증 분석하는 것을 목적으로 한다. 본 연구는 2009년 서울시 유동인구 조사자료를 활용하였으며, 지점별 보행량을 종속변수, 날씨와 물리적 환경을 독립변수로 하는 모형을 구축하였다. 날씨가 보행량에 미치는 영향을 계절별, 토지이용별, 시간대별로 파악하고자 계절-토지이용-시간대로 구분된 28개의 모형을 작성하여 결과를 비교 해석하였다. 본 연구의 종속변수가 정규성을 만족하지 못하기 때문에 음이항 회귀모형을 활용하였다. 분석결과를 정리하면 다음과 같다. 첫째, 날씨요인들은 보행량에 영향을 미친다. "비"는 대부분의 모형에서 보행량을 감소시키는 효과가 나타났으며, "눈"과 "천둥번개"는 소수의 모형에서 매우 큰 보행량 감소효과를 나타냈다. 둘째, 날씨가 보행량에 미치는 영향은 계절과 토지이용에 따라 다르게 나타났다. 예를 들어 "비"의 보행량 감소효과는 주거지역보다는 상업지역에서 크게 나타났으며, 동절기 보다는 하절기에 그 효과가 크게 나타났다. 셋째, 환경요인들의 영향도 계절에 따라 다르게 나타났다. 차로 수는 하절기에는 보행량에 정(+)의 영향을, 동절기에는 부(-)의 영향을 미치는 것으로 나타났다. 지하철역 여부 또한 하절기에는 보행량에 강한 정의 영향을 미치지만 동절기에는 그 효과가 작거나 음의 영향을 미쳤다. 본 연구의 정책적 시사점은 다음과 같다. 첫째, 보행량을 감소시키는 효과가 있는 눈이나 비에 대응할 수 있는 반옥외 도시공간의 조성이 필요하다. 둘째 계절별로 특화된 보행활성화 정책이 필요하다.

• 대한간호학회지
• /
• 제42권7호
• /
• pp.1039-1049
• /
• 2012

Purpose: From the holistic environmental perspective, individual and environmental influences on low-income children's questionable development were identified and examined as to differences in the influences according to the child's developmental stage of infancy (age 0-35 months) or early childhood (age 36-71 months). Methods: This study was a cross-sectional comparative design using negative binominal regression analysis to identify predictors of questionable development separately for each developmental stage. The sample was comprised of 952 children (357 in infancy and 495 in early childhood) from low-income families in South Korea. Predictors included individual factors: child's age and gender; proximal environmental influences: family factors (family health conditions, primary caregiver, child-caregiver relationship, depression in primary caregiver) and institution factors (daycare enrollment, days per week in daycare); and distal environmental influences: income/resources factors (family income, personal resources and social resources); and community factors (perceived child-rearing environment). The outcome variable was questionable development. Results: Significant contributors to questionable development in the infancy group were age, family health conditions, and personal resources; in the early childhood group, significant contributors were gender, family health conditions, grandparent as a primary caregiver, child-caregiver relationships, daycare enrollment, and personal resources. Conclusion: Factors influencing children's questionable development may vary by developmental stage. It is important to consider differences in individual and environmental influences when developing targeted interventions to ensure that children attain their optimal developmental goals at each developmental stage. Understanding this may lead nursing professionals to design more effective preventive interventions for low-income children.