• Journal of Preventive Medicine and Public Health
• /
• v.50 no.5
• /
• pp.311-319
• /
• 2017

Objectives: This article aimed to compare alcohol consumption between the populations of Queensland in Australia and Alberta in Canada. Furthermore, the associations between greater alcohol consumption and socio-demographic characteristics were explored in each population. Methods: Data from 2500 participants of the 2013 Alberta Survey and the 2013 Queensland Social Survey were analyzed. Regression analyses were used to explore the associations between alcohol risk and socio-demographic characteristics. Results: A higher rate of hazardous alcohol use was found in Queenslanders than in Albertans. In both Albertans and Queenslanders, hazardous alcohol use was associated with being between 18 and 24 years of age. Higher income, having no religion, living alone, and being born in Canada were also associated with alcohol risk in Albertans; while in Queenslanders, hazardous alcohol use was also associated with common-law marital status. In addition, hazardous alcohol use was lower among respondents with a non-Catholic or Protestant religious affiliation. Conclusions: Younger age was associated with greater hazardous alcohol use in both populations. In addition, different socio-demographic factors were associated with hazardous alcohol use in each of the populations studied. Our results allowed us to identify the socio-demographic profiles associated with hazardous alcohol use in Alberta and Queensland. These profiles constitute valuable sources of information for local health authorities and policymakers when designing suitable preventive strategies targeting hazardous alcohol use. Overall, the present study highlights the importance of analyzing the socio-demographic factors associated with alcohol consumption in population-specific contexts.

• Nutrition Research and Practice
• /
• v.9 no.4
• /
• pp.425-432
• /
• 2015

BACKGROUND/OBJECTIVES: Food insecurity has been suggested as being negatively associated with healthy behaviors and health status. This study was performed to identify the associations between food insecurity and healthy behaviors among Korean adults. SUBJECTS/METHODS: The data used were the 2011 Community Health Survey, cross-sectional representative samples of 253 communities in Korea. Food insecurity was defined as when participants reported that their family sometimes or often did not get enough food to eat in the past year. Healthy behaviors were considered as non-smoking, non-high risk drinking, participation in physical activities, eating a regular breakfast, and maintaining a normal weight. Multiple logistic regression and multinomial logistic regression analyses were used to identify the association between food insecurity and healthy behaviors. RESULTS: The prevalence of food insecurity was 4.4% (men 3.9%, women 4.9%). Men with food insecurity had lower odds ratios (ORs) for non-smoking, 0.75 (95% CI: 0.68-0.82), participation in physical activities, 0.82 (95% CI: 0.76-0.90), and eating a regular breakfast, 0.66 (95% CI: 0.59-0.74), whereas they had a higher OR for maintaining a normal weight, 1.19 (95% CI: 1.09-1.30), than men with food security. Women with food insecurity had lower ORs for non-smoking, 0.77 (95% CI: 0.66-0.89), and eating a regular breakfast, 0.79 (95% CI: 0.72-0.88). For men, ORs for obesity were 0.78 (95% CI: 0.70-0.87) for overweight and 0.56 (95% CI: 0.39-0.82) for mild obesity. For women, the OR for moderate obesity was 2.04 (95% CI: 1.14-3.63) as compared with normal weight. CONCLUSIONS: Food insecurity has a different impact on healthy behaviors. Provision of coping strategies for food insecurity might be critical to improve healthy behaviors among the population.

• Journal of the Korean Society for Railway
• /
• v.12 no.1
• /
• pp.88-94
• /
• 2009

Life cycle costing is one of the most effective approaches for the cost analysis of long-life products such as the railroad vehicle. Life cycle costing includes the cost of concept design, development, manufacture, operation, maintenance and disposal. Especially, life cycle costing in the railroad industry has been focused on the maintenance cost. In this paper, the standard, guide and maintenance information of railroad vehicle were investigated, and the unique corrective and preventive maintenance templates of railroad vehicle were proposed. Maintenance cost of an auxiliary power supply system of EMU was predicted by using the proposed templates. The results show that the preventive maintenance, PM, cost is much higher compare to corrective maintenance, CM, cost because of daily and monthly maintenance tasks which require lots of labor work. It is expected that these templates can help railroad operators make maintenance strategies with consideration of the cost parameter.

• Korean Journal of Health Education and Promotion
• /
• v.22 no.4
• /
• pp.167-177
• /
• 2005

Objectives: This study was performed to examine the clustering of lifestyle risk factors for chronic diseases in urban poor and rural adults. Methods: As a cross-sectional study, a questionnaire survey was conducted in 2003. Data was collected from 468 urban poor adults and 385 rural adults. And 848 persons data was used for final analysis. We surveyed their smoking habit alcohol consumption, exercise habit education and disease histories. Result: In mea about 25% of the urban poor subjects and about 20% of the rural subjects had three lifestyle risk factors(Prevalence ratio was 1.29). And, in women, about 1.5% of the urban poor subjects and about 0.5% of the rural subjects had three lifestyle risk factors(Prevalence ratio was 4.00). Especially in men, clustering of smoking and excessive alcohol consumption was strongest both the urban poor and rural subjects(Observed/Expected ratio(O/E): 1.4 in the urban poor subjects, 1.3 in the rural subjects). Conclusions: These findings show that the lifestyle risk factors cluster among the urban poor and rural adults. And the clustering is stronger in the urban poor adults than the rural adults. This tendency was important for health education and health promotion. We suggest that more intensive health promotion strategies for the urban poor adults are needed.

• Journal of Technologic Dentistry
• /
• v.37 no.1
• /
• pp.33-43
• /
• 2015

Purpose: This study aimed to evaluate and compare the oral health behavior in adults and their oral health status according to their residential area. Methods: The date of 'The fifth Korea National Health and Nutrition Examination Survey 2012' was analyzed for this study. This study were adults over the age of 18 who participated in interviews with the use of a questionnaire and oral examinations. Of those, 4,273 who met all the variables necessary were selected for the final analysis. The residential areas were categorized into 'metropolitan city', 'city', and 'rural area' based on Dong, Eup and Myon as administrative districts. Results: Adjusted odds ratio of oral health behavior according to residential area, self-recognition of oral health status for subjects in rural areas was 0.75(0.59-0.96), using oral hygiene devices for those in rural areas was 0.75(0.63-0.88). Adjusted odds ratio of oral health status according to residential area, periodontal disease in rural areas was 1.97(1.62-2.41), the necessity of prosthetic treatment in subjects in rural areas was 1.27(1.01-1.60). Conclusion: It was discovered that there was a difference between the oral health behavior and oral health status of adults according to residential area. Therefore, to enhance oral health status, programs for which the characteristics of areas with such differences were considered should be developed and consistent research on strategies to reduce the gaps in the oral health status should be made.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.12
• /
• pp.5257-5264
• /
• 2016

Background: Though people of color (POC) are less likely to become afflicted with skin cancer, they are much more likely to die from it due to delay in detection or presentation. Very often, skin cancer is diagnosed at a more advanced stage in POC, making treatment difficult.The purpose of this research was to improve awareness regarding skin cancers in people of color by providing recommendations to clinicians and the general public for early detection and photo protection preventive measures. Methods: Data on different types of skin cancers were presented to POC. Due to limited research, there are few resources providing insights for evaluating darkly pigmented lesions in POC. Diagnostic features for different types of skin cancers were recorded and various possible risk factors were considered. Results: This study provided directions for the prevention and early detection of skin cancer in POC based on a comprehensive review of available data. Conclusions: The increased morbidity and mortality rate associated with skin cancer in POC is due to lack of awareness, diagnosis at a more advanced stage and socioeconomic barriers hindering access to care. Raising public health concerns for skin cancer prevention strategies for all people, regardless of ethnic background and socioeconomic status, is the key to timely diagnosis and treatment.

• Health Policy and Management
• /
• v.26 no.3
• /
• pp.207-218
• /
• 2016

Background: This study was performed to identify factors associated with the utilization of tests for diabetes complication and hemoglobin A1c (HbA1c) among diabetes patients in Jeollanam-do, Korea. Methods: The study subjects were 2,310 diabetes patients participated in 2014 community health survey in Jeollanam-do, Korea. Dependent variables were the utilizations of fundus examination, microalbuminuria test, and HbA1c test. The used statistical analysis methods were chi-square test and hierarchical regression analysis with weight in consideration of complex sample design. Results: The utilization rates of fundus examination, microalbuminuria test, and HbA1c test were 25.8%, 27.4%, and 12.3%, respectively. In the results of hierarchical regression, fundus examination was significantly related to age, education level in predisposing factors, residential area in enabling factors and recognition of blood sugar, drug therapy, and subjective health status in need factors. Microalbuminuria examination was significantly related to monthly income, residential area in predisposing and health screening, recognition of blood sugar, drug therapy, diabetic education, number of chronic disease, and subjective health status in need factors. HbA1c examination was significantly related to age, education level, marital status in predisposing factors, residential area in enabling factors and drinking, recognition of blood sugar, drug therapy, and diabetic education in need factors. Conclusion: The results of this study were shown that perception of their disease seriousness, education about diabetes management, and accessibility of tests were important to utilization of test for diabetes complication and HbA1c. It might be necessary to the develop and strength strategies for enhancing the utilization of tests for diabetes complication and management in diabetes patients.

• Journal of Preventive Medicine and Public Health
• /
• v.38 no.1
• /
• pp.16-24
• /
• 2005

Objectives : To help develop strategies to cope with the changes arising from the rapid aging process by predicting the determining factors of intention to actual use of the charged long-term care services for elderly as perceived by the middle aged who play the major role of supports. Methods : Subjects were the parents (men 177, women 507) in their 40s of the students selected from a university of Busan city. A questionnaire survey was conducted for 4 weeks in October 2003 about the knowledge for long-term care service, the intention of actual use, and the preferences about the type of service suppliers. Data analysis was performed with frequency, chi-square test, and t-test using SPSS program (ver 10.0K), along with data mining using decision tree of Enterprise Miner V8.2 by SAS. Results : About half of the subjects (53.7%) had the actual experiences of elderly supports. Intentions to use the charged services were relatively high in home visiting nursing care service (40.1%) and long-term care facilities service (40.4%), and were influenced by previous knowledge about the services. The intentions were stronger in women, those with higher education, and those with greater income levels. Actual elderly supports were mostly (80%) done by women, and the perceived burdens for the supports were bigger in women and those of lower socioeconomic level. Desired charges were about 10,000 won for the bath service, 20,000 won for the rests services per day, and about 500,000 won for the long-term care facilities service per month. From the result of decision tree analysis, the job professionalism was the most important determining factor of intention to actual use of the services with validation as $63{\sim}71%$. Health and welfare mixed type facilities were preferred, and the most important consideration was the level of professionalism. Conclusions : Intention to actual use of the charged services was largely determined by the aspects of time and cost. Polices to increase the number of service suppliers and to decrease the burdens perceived by actual supporters were strongly recommended.

• Fire Science and Engineering
• /
• v.34 no.4
• /
• pp.125-134
• /
• 2020

This paper aimed to statistically analyze the impact of fire needs not considered in previous reports based on preventive and preparedness strategies of fire administration and fire budget.. The panel data came from 16 metropolitan councils from 2008 to 2018 and was statistically analyzed based on the preventive measures of the fire administration (agreement for building permission, specific target for fire-fighting, public use facilities, and special fire inspection [SFI]), preparedness of the fire administration (fire safety education [FSE]), response of the fire administration (mobilization for fire suppression [MFS] and mobilization for ambulance service [MAS]), and fire budget. In the results, SFI, FSE, and MFS had a significant negative influence on the fire budget. Meanwhile, MAS had a significant positive effect on the fire budget (p < 0.01). These results reflect public policy in Korea; there has been a paradigm shift in fire administration: from disaster acceptance (focusing on recovery) to disaster response (focusing on field response) to disaster preparedness (focusing on preparedness).

• 대한예방의학회:학술대회논문집
• /
• 1994.02b
• /
• pp.313-319
• /
• 1994

Phase I of the Trials of Hypertension Prevention was a multicenter, randomized, controlled trial designed to determine the efficacy of seven nonpharmacologic interventions in reducing blood pressure among persons with high-normal diastolic blood pressure. the initial goal for recruitment was to enroll 2,100 participants over a nine-month period. The yield from the first screening visit to randomization was 13% overall, with clinic-specific yields ranging from 4.5% to 31.7%. After five months of recruitment, approximately 60% of the goal for that point in the recruitment timetable had been randomized. Clinical centers falling short of their goals at that time altered their recruitment strategies and intensified their efforts, and centers that had exceeded their goals recruited additional participants. As a result, 2,182 participants, or 104\% of the goal for recruitment, were randomized over a 13-month period. Those clinics using a cohort, or wave, type of enrollment were most successful in achieving their recruitment goals within the prescribed timetable.