• Asian Pacific Journal of Cancer Prevention
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• 제17권sup3호
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• pp.143-147
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• 2016

Breast and cervical cancers are among leading causes of morbidity and mortality in women worldwide. Regular screening is very important for early detection of these cancers, but studies indicate low rates of screening participation. In this survey we studied the rate of screening participation among women 18-64 years old referred to urban health centers in Kerman, Iran in 2015. A cross-sectional study was carried out on 240 women who were selected using a multistage sampling method. Data collected using a questionnaire covered demographics and questions about common cancer screening status in women. Analysis was by SPSS 19. The mean age of participants was $31.7{\pm}7$. Most (97.1%) were married, housewives (83.3%), had high school diploma (43.8%) and a monthly income more than ten million Rls. The frequency of the Pap test performance was higher in women who were employed and with a university degree (p<0.05). The frequency of mammography performance in women over 40 years was also higher in women with university degree (p<0.05). There was no statistically significant difference in the frequency of pelvic examination, and self and clinical breast examinations based on education, household income and employment (p>0.05). Our study found that the rate of screening participation among women is low. Investigation of the barriers, increasing the awareness of women about the importance and advantages of screening and also more incentives for health personnel especially family physicians to pay more attention to preventive programs could be effective.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2891-2896
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• 2013

Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.

• 한국심리학회지 : 문화 및 사회문제
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• 제15권1호
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• pp.241-250
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• 2009

본 연구는 스포츠를 통한 행복을 어떻게 추구해야 할 것인가에 대한 담론을 형성하는데 그 목적을 두고 있다. 이를 위하여 행복에 대한 의미, 스포츠를 통한 심리적 행복감 기전, 신체적 행복감 기전 등에 대해 살펴보았다. 즉, 본 연구에서는 스포츠가 개인의 신체적 건강은 물론 정신적 건강에도 긍정적인 영향을 미친다는 가정 하에 그렇다면 스포츠가 어떻게 정신적 건강인 행복에 영향을 미칠 수 있을 것인가에 대한 문제제기를 통해 스포츠와 행복과의 심리적 기전과 신체적 기전에 대해 살펴보고 나아가 스포츠를 통해 개인은 어떻게 행복추구를 위해 스포츠에 참여할 것인가에 대해 알아보았다. 그 결과 스포츠에서 나이는 무의미하며, 나이가 들어갈수록 스포츠에 대한 참여율이 증가하고 있음과 동시에 행복감도 증가하고 있음을 볼 때, 고령화 사회로 진입한 한국사회에서 이러한 사실에 대해 의미 있게 보아야 할 것이다. 행복에 도달하는 길은 여러 가지가 있겠지만 그러한 다양한 방법 중에서도 스포츠가 있다는 사실을 기억하면서 개인의 삶의 질 향상은 물론 건강과 행복이라는 두 마리 토끼를 모두 잡기 위해서는 스포츠 활동에의 참여를 증가시켜야 할 것이며, 스포츠를 통한 즐거움의 추구가 바로 행복을 위한 지름길이라고 할 수 있다. 행복은 삶 그 자체이며, 누구든지 행복해질 권리가 있다.

• Clinical Nutrition Research
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• 제13권1호
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• pp.8-21
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• 2024

In this study, the effects of a 12-month multidisciplinary education program on the health status, dietary quality, and eating habits of children and adolescents attending community childcare centers were investigated. A total of 88 participants aged 7 to 17 years from 7 community childcare centers in Gyeonggi-do were enrolled. The intervention consisted of 12 multidisciplinary education sessions covering topics such as nutrition, exercise, and psychological education. All participants received the same education, and the effectiveness of the program was evaluated by categorizing them into a high participation group (HPG) and a low participation group (LPG) based on their participation rates. After intervention, in physical activities, moderate-intensity exercise was significantly reduced in the LPG, and there was no significant difference in psychological parameters. However, notable differences were observed in nutritional data. After intervention, intakes of calorie, carbohydrate, protein, and fat were significantly increased in both groups, and in particular, the change was found to be greater in HPG. Additionally, dietary fiber intake compared to the 2015 Korean Dietary Reference Intakes was increased in both groups. Daily food intake also increased dietary fiber intake in HPG, and meat and fruit intake was increased in LPG. In the nutrition quotient, there was a significant difference in HPG's pre- and post-scores in the diversity category, and in nutrient adequacy ratio (NAR), the NAR of phosphorus was increased in both groups. The findings of this study suggest that multidisciplinary education implemented at community childcare centers primarily enhanced nutrition-related factors rather than physical activity or psychological aspects.

• 한국병원경영학회지
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• 제27권2호
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• pp.16-33
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• 2022

연구목적: 적절한 동선 파악과 동선 추적은 코로나19 역학조사를 위해서 매우 중요하다. 동선 추적 앱 도입을 활발히 하기 위해서는 사용자들의 앱에 대한 기대, 선호 그리고 우려하는 부분에 대한 이해가 필요하다. 본 연구는 동선 추적 앱의 사용률을 높이고, 데이터 공유를 원활히 할 수 있게 해주는 자발적 앱 서비스에 대한 기본적 특징과 적절한 서비스를 찾고자 하였다. 또한 사람들이 왜 동선 추적 앱을 사용하려고 하는지에 대한 주요요인을 확인하였다. 연구방법: 이 연구는 2020년 11월 11일부터 12월 6일까지 온라인 서베이를 실시하였고, 통 1,048명의 응답 데이터를 수집하였다. 응답 데이터 중 2020년 가장 많은 코로나19 확진자가 나온 지역의 883명의 응답자 데이터를 분석에 사용하였다. 결과: 코로나 19 관련 앱을 사용해본 경험자들은 동선 추적 앱에 대한 높은 사용의도를 가지고 있는 것으로 나타났다. 응답자들은 보건소와 같은 공공기관에서(74%), 무료(93.88%)로 앱을 제공해주기를 원했다. 동선 추적 앱 사용의도에 영향을 미치는 요인으로는 예방적 가치, 기대성과, 인지된 위험, 촉진기능, 노력기대 등으로 나타났다. 또한 개인정보 보호 및 개인정보 노출에 대한 사용자들의 우려를 해결하고 자발적 앱 사용이 필요한 것으로 분석되었다. 함의: 본 연구 결과는 동선 추적 개발에 있어, 적절한 서비스와 사용자들의 니즈를 파악하는데 유용할 것이다. 사람들의 앱 참여율과 데이터 공유를 높일 수 있는 자발적 앱 개발을 위한 기반을 제공해준다. 또한 본 연구는 역학조사에 협조가 가능한 신뢰 가능한 동선 추적 앱 개발의 근간을 마련할 수 있다.

• 경영정보학연구
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• 제26권1호
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• pp.73-91
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• 2024

최근 e-러닝 플랫폼은 다양한 IT 기술을 적용하여 교육산업을 혁신하며 빠르게 성장하고 있다. 온라인 환경에서의 학생 참여는 학습에 필요한 전제 조건으로 간주 되기 때문에 낮은 참여율은 e-러닝 플랫폼 성과를 결정하는 가장 중요한 문제 중 하나로 여겨지고 있다. 한편 게임화는 지난 수십 년 동안 급속도로 성장했으며 학습 동기를 개선할 것으로 기대되기 때문에 효용 가치가 높게 평가되고 있다. 하지만, 연구자들의 관심에도 불구하고 선행연구는 e-러닝 플랫폼의 맥락에서 게임화가 참여율에 미치는 영향에 관해 상반된 결과를 보고하였으며, 구조적 게임화를 주로 연구하였을 뿐 콘텐츠 게임화의 효과에 대해서는 충분히 다루지 않았다는 한계점이 있다. 본 연구는 이러한 맥락에서 콘텐츠 게임화가 e-러닝 플랫폼 인게이지먼트에 미치는 영향을 분석하고 이러한 효과를 조절하는 경계조건을 탐색하고자 한다. 실증분석을 위해서는 네이버 커넥트재단에서 개발하고 운영하는 엔트리(playentry.org)를 대상으로 2022년 2월 11일부터 2022년 5월 31일까지 엔트리 공유하기에 등록된 5,017개의 데이터를 분석하였다. 분석방법으로는 성향점수매칭과 다수준 포아송 회귀모형을 적용하여 분석하였다. 분석결과 콘텐츠 게임화는 인게이지먼트에 통계적으로 유의한 영향을 미쳤으며, 상호작용, 콘텐츠 난이도의 상호작용 효과는 통계적으로 유의하였다.

• 한국지형학회지
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• 제19권3호
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• pp.71-82
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• 2012

이 연구는 태안 파도리 해식애 사면을 대상으로 침식기준목을 이용하여 연간 침식 후퇴율을 산정하고, 계절적 변화의 특성과 원인을 파악하고자 하였다. 연구결과, 해식애는 봄철에서 여름철까지 침식 후퇴율이 증가하였고, 다시 8~10월 사이에 급격히 증가하였는데, 이는 집중호우 및 태풍 등과 같은 극한기후사상의 영향으로 판단된다. 그 후 해식애의 침식 후퇴율은 점차 감소하다가 겨울철에 다시 증가하는데, 이것은 겨울철 폭풍해일과 기반암이 동결 해빙작용을 반복하면서 기계적 풍화가 활발히 진행된 결과이다. 해식애의 침식 후퇴율에 영향을 미치는 요소는 선행강수일수 및 일최대파고이다. 특히, 태풍 및 폭풍해일시 강한 파랑에너지에 의해 침식이 가속화되는 것으로 나타났다. 연구지역의 지난 2년간(2010년 5월~2012년 5월) 연간 침식 후퇴율은 각 지점마다 지형 지질학적 특성이 다르지만, 대략 44~60cm/yr 정도이다. 이러한 침식 후퇴율은 기존 연구결과보다 증가하였는데, 그 원인은 극한기후사상에 의한 해안 침식력이 강화되었기 때문으로 판단된다. 연구지역의 해식애 침식 후퇴과정의 특징은 해성작용(파랑에너지) 이외에도 육상의 삭박작용이 함께 작용하여 침식이 진행되고 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권7호
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• pp.3105-3112
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• 2014

Purpose: To examine breast cancer (BC) incidence trends in relation to mammographic screening and risk factor prevalence in South Australia (SA). Materials and Methods: Trends in annual BC incidence rates were calculated using direct standardisation and compared with projected incidence derived from Poisson regression analysis of pre-screening rates. Annual percentage change and change time points were estimated using Joinpoint software. Biennial mammography screening participation rates were calculated using data from BreastScreen SA. Trends in overweight/obesity, alcohol use and hormone replacement therapy (HRT) use were examined using 1991-2009 Health Omnibus Survey data. Trends in total fertility were examined using data from the Australian Bureau of Statistics. Results: BC incidence increased around the time BreastScreen commenced and then stabilised in the mid-1990s. However rates have remained higher than projected, even though the proportion and age distribution of first time screening attendees stabilised around 1998. A decrease in BC incidence was observed among women aged 50-59yrs from the late-1990's but not among older women. Obesity and alcohol use have increased steadily in all age groups, while HRT use declined sharply from the late-1990s. Conclusions: BC incidence has remained higher than projected since mammography screening began. The sustained elevation is likely to be due to lead time effects, though over-diagnosis cannot be excluded. Declining HRT use has also impacted incidence trends. Implications: Studies using individual level data, which can account for changes in risk factor prevalence and lead time effects, are required to evaluate 'over-diagnosis' due to screening.

• 산업경영시스템학회지
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• 제47권1호
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• pp.41-50
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• 2024

Korea is facing a significant problem with historically low fertility rates, which is becoming a major social issue affecting the economy, labor force, and national security. This study analyzes the factors contributing to the regional gap in fertility rates and derives policy implications. The government and local authorities are implementing a range of policies to address the issue of low fertility. To establish an effective strategy, it is essential to identify the primary factors that contribute to regional disparities. This study identifies these factors and explores policy implications through machine learning and explainable artificial intelligence. The study also examines the influence of media and public opinion on childbirth in Korea by incorporating news and online community sentiment, as well as sentiment fear indices, as independent variables. To establish the relationship between regional fertility rates and factors, the study employs four machine learning models: multiple linear regression, XGBoost, Random Forest, and Support Vector Regression. Support Vector Regression, XGBoost, and Random Forest significantly outperform linear regression, highlighting the importance of machine learning models in explaining non-linear relationships with numerous variables. A factor analysis using SHAP is then conducted. The unemployment rate, Regional Gross Domestic Product per Capita, Women's Participation in Economic Activities, Number of Crimes Committed, Average Age of First Marriage, and Private Education Expenses significantly impact regional fertility rates. However, the degree of impact of the factors affecting fertility may vary by region, suggesting the need for policies tailored to the characteristics of each region, not just an overall ranking of factors.

• 보건행정학회지
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• 제31권4호
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• pp.462-471
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• 2021

Background: The purpose of this study was to identify the association between participation in social activities and mortality rates for those aged 45 aged and older in Korea. Methods: In this study, the 1st to 6th Korea Longitude Study of Aging was used to analyze 10,217 people excluding missing values among middle and old age groups aged 45 or older. The scope of social activities was classified into "religious gatherings," "religious gatherings," "leisure/cultural/sports-related organizations," and "clubs/hometowns/religious associations," and analyzed using a chi-square test and Cox proportional risk model. Results: In the case of non-participating groups in religious activities, the mortality rate was 1.24 times higher (hazard ratio [HR], 1.24; p=0.000) than those of the participating group. The non-participating group of social gatherings had a 1.27 times higher mortality rate (HR, 1.27; p<0.0001) than the participating group. In addition, the mortality rate of non-participating groups related to leisure/cultural/sports was 1.79 times higher (HR, 1.79; p=0.000). The mortality rate of the group that did not participate in the alumni association/festival/folklore society was 1.51 times higher than that of the participating group (HR, 1.51; p<0.0001). As a result of correcting the control variable to analyze the relationship between the number of participants in social activities and the mortality rate, the mortality rate of the group participating in one or less social activities was 2.26 times higher (HR, 2.26; p<0.0001) compared to the four or more social activity participating groups, and the mortality rate of the 1-3 social activities was 1.64 times higher (HR, 1.64; p<0.0001). Conclusion: As a result of the study, it was found that participation in social activities of the middle-aged and elderly groups was effective in reducing mortality, and in particular, it was found that there was a strong relationship with mortality in less than one social activity group. Therefore, it is intended to provide an academic basis for lowering the mortality rate of the group in line with the continuous improvement of domestic social activity participation conditions, and through this, this study can be expected to serve as a policy and institutional basis for lowering the mortality rate of the group.