• 제목/요약/키워드: Risk Appraisal

검색결과 85건 처리시간 0.035초

Psychological Impact of Health Risk Appraisal of Korean Women at Different Levels of Breast Cancer Risk: Neglected Aspect of the Web-based Cancer Risk Assessment Tool

  • Kye, Su-Yeon;Park, Kee-Ho;Park, Hyeong-Geun;Kim, Myung-Hyun
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권2호
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    • pp.437-441
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    • 2012
  • Objective: Health risk appraisal is often utilized to modify individual's health behavior, especially concerning disease prevention, and web-based health risk appraisal services are being provided to the general public in Korea. However, little is known about the psychological effect of the health risk appraisal even though poorly communicated information by the web-based service may result in unintended adverse health outcomes. This study was conducted to explore the psychological effect of health risk appraisal using epidemiological risk factor profile. Methods: We conducted a randomized trial comparing risk factor list type health risk appraisal and risk score type health risk appraisal. We studied 60 women aged 30 years and older who had no cancer. Anxiety level was assessed using the Spielberger State-Trait Anxiety Inventory YZ. Results: The results of multivariate analysis showed that risk status was the independent predictors of increase of state anxiety after health risk appraisal intervention when age, education, health risk appraisal type, numeracy, state anxiety, trait anxiety, and health risk appraisal type by risk status interaction was adjusted. Women who had higher risk status had an odd of having increased anxiety that was about 5 times greater than women who had lower risk status. Conclusions: Our findings indicate that communicating the risk status by individual health risk appraisal service can induce psychological sequelae, especially in women having higher risk status. Hospitals, institutes, or medical schools that are operating or planning to operate the online health risk appraisal service should take side effects such as psychological sequelae into consideration.

PTCA 시술 환자의 인지적 평가와 위험요인수정행위 (Relationship between Cognitive Appraisal and Cardiac Risk Reduction Behavior Following Coronary Angioplasty)

  • 한숙원;이명선
    • 성인간호학회지
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    • 제16권4호
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    • pp.556-565
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    • 2004
  • Purpose: According to Lazarus & Folkman (1984), appraising a stressor as a threat is associated with negative psychological and physical adjustment, whereas appraising a stressor as a challenge is positive psychological and physical adjustment. This study examined how cognitive appraisal of PTCA(heart disease threat and treatment appraisal) related to the cardiac risk reduction behaviors(smoking cessation, low salt and low cholesterol diet, regular exercise and stress management) 6 weeks following discharge. Method: Data were collected from 50 subjects with successful primary PTCA. Result: Heart disease threat was negative related to treatment appraisal (r=-0.240, p=0.046). Psychological well-being was negative related to heart disease threat (r=-0.317, p=0.012) and positive related to treatment appraisal(r=0.402, p=0.002). The cardiac risk reduction behaviors score was negative related to heart disease threat(r= -0.296, p=0.018) and positive related to treatment appraisal(r=-0.291, p=0.020). Conclusion: More negative appraisal was related to lower the cardiac risk reduction behaviors score. But more positive appraisal was related to higher the cardiac risk reduction behaviors score. So, there is a need to develop the cognitive-behavioral intevention that increase the coping strategy to replace with positive appraisal.

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유방암위험사정이 일 여성의 유방자가검진(BSE)실행에 미치는 영향 (Effects of the Breast Cancer Risk Appraisal on Breast Self-Examination Practice in Adult Women)

  • 최연희
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.281-293
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    • 1996
  • Breast cancer ranks as one of the major health problems of adult women. Studies have shown that Breast Self-Examination (BSE) is effective in detecting breast cancer in its early stages. To motivate women BSE practicing, a nonequivalent control group pretest-posttest design was conducted. Women 40 years or older who participated in the public education program for BSE from March 11 to April 6, 1996, were randomized in an experimental group(N=50) which received a letter about the Breast Cancer Risk Appraisal and in a control group(N=50) which didn't received a letter about the Breast Cancer Risk Appraisal. After 6 months, a follow-up phone survey was taken on all participants to measure the effectiveness of the intervention. Collected data was analyzed by one, two, and three-way ANOVA with an SAS program. The results are summarized as follows : 1. The level of the Breast Cancer Risk Appraisal of the subjects is high risk(17%), moderate risk(12%), boderline risk(14%), no increased risk (57%). 2. The intervention was effective in increasing the practice scores of BSE for women(F=5.12, P<.05). 3. BSE practice scores according to breast cancer risk appraisal level of the experimental group was not significantly increased after the intervention as contrasted with the control group (F=2.33, P>.05). 4. BSE practice scores according to educational level of the experimental group was significantly increased after the intervention, as contrasted with that of the control group (F=10.09, P<.001) .On the basis of this study it can be concluded that the Breast Cancer Risk Appraisal increases practice of BSE.

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보호동기이론(PMT)과 건강신념모델(HBM)을 이용한 관광객 위기대응 행동 분석: COVID-19 위기 (Examining Tourists' Behavior Using Protection Motivation Theory and Health Belief Model: Covid-19 Crisis)

  • 우은주;이상탁
    • 아태비즈니스연구
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    • 제13권1호
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    • pp.301-315
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    • 2022
  • Purpose - The main objective of this study was to investigate tourists behavior by applying protection motivation theory and health belief model during COVID-19 pandemic. Specifically, the study examined how risk perception of COVID-19 affects tourists' protection motivation and travel avoidance intention. Design/methodology/approach - The empirical data was collected by self-administered questionnaires to obtain perception and behavior regarding COVID-19 pandemic situation. A total of 486 questionnaires were used for data analysis and SEM analysis was applied in order to examine seven hypotheses. Findings-The results showed that COVID-19 risk perception is a significant antecedent of threat appraisal, coping appraisal, and cue to action (H1, H2, H6). Moreover, protection motivation is affected by threat appraisal and coping appraisal (H3, H4) and influences on travel avoidance intention (H5). However, cue to action does not affect protection motivation (H7). Research implications or Originality - This study provides insightful implications for tourism industry practitioners who will prepare the post-corona field and the results enrich knowledge of the tourist behavior during pandemic situation.

허혈성심질환 예측모형을 이용한 사회경제적 위치와 허혈성심질환 위험도의 연관성 (The Relationship Between Socioeconomic Position and the Predicted Risk of Ischemic Heart Disease with Using Health Risk Appraisal)

  • 고동희;한순실;지선하;김형렬
    • Journal of Preventive Medicine and Public Health
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    • 제39권4호
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    • pp.359-364
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    • 2006
  • Objectives: The object of this study is to assess the relationship between socioeconomic factors and the predicted 10-year risk of cardiovascular disease by using health risk appraisal of ischemic heart disease. Methods: The study population was taken from The 2001 Korea National Health and Nutrition Survey, and it consisted of 1,566 men and 1,984 women aged 30-59. We calculated 10-year risk using the risk function of ischemic heart disease as developed by Jee. The educational level and equivalized household income were dichotomized by a 12 years education period and the median income level. Occupation was dichotomized into manual/non-manual work. We stratified the population by age(10 years) and sex, and then we rated the risk differences according to socioeconomic factors by performing t-tests for each strata. Results: There were gradients of the predicted 10-year risk of ischemic heart disease with the educational level and the equivalized household income, and thet was an increasing tendency of risk differences with age. Manual workers didn't show significant risk difference from non-manual workers. Conclusions: There was definite relationship between low socioeconomic position and the predicted risk of ischemic heart disease in the future.

Delphi기법을 통한 교통수요예측 Risk Management 적용 방안 (Application of Risk Management to Forecasting Transportation Demand by Delphi Technique)

  • 정성봉
    • 대한안전경영과학회지
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    • 제13권2호
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    • pp.267-273
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    • 2011
  • Since 'The Act on Private Investment of The Infrastructure' was established in 1994, private investment as well as government's investment in transport infrastructure has been active. However investment in transport infrastructure has more risks than others' due to uncertainty both in traffic volume and in construction cost. In the current appraisal procedure of deciding transportation infrastructure investment, instead of risk management, the sensitivity analysis considering only the changes of benefit, cost and social discount rate which are main factor affecting economic feasibility is carried out. Therefore the uncertainty of various factors affecting demand, cost and benefit are not considered in feasibility study. In this study the problems in current investment appraisal system were reviewed. Using Delphi technique the major factors which have high uncertainty in feasibility study were surveyed and then improvement plan was suggested in the respective of classic 4 step demand forecasting method. The range estimation technique was also mentioned to deal with the uncertainty of the future.

유방암 위험평가 단계에 따른 통합적 유방건강관리 프로그램의 효과 (Effects of an Integrated Breast Health Program according to Stages of Breast Cancer Risk Appraisal)

  • 허혜경;김기연;김창희;박종구;고상백;박소미
    • 보건교육건강증진학회지
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    • 제26권1호
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    • pp.15-26
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    • 2009
  • Objectives: The current study evaluated the effects of an integrated breast health program according to levels of breast cancer risk appraisal on knowledge on breast cancer, early detection behaviors, and diet patterns and attitudes in Korean healthy women. Method: A nonequivalent control group pre-posttest design was used. A total of 413 women aged 40-59, registering at the Life Long Health Center in two cities, were classified into intervention groups of 179 women and control groups of 234 women. The integrated breast health program included education, counseling on breast cancer, early detection behaviors, and appropriate diet with multimedia and individual practice session using breast models, reflecting characteristics of each level according to levels of risk appraisal. The knowledge on breast cancer, early detection behaviors, and diet were investigated using questionnaires at baseline and three months after intervention. Results: In both normal and borderline-risk group, intervention groups reported significantly higher scores of knowledge on breast cancer and higher stages of BSE behaviors than control groups. Conclusion: The results showed positive effects on knowledge and early detection behaviors of breast cancer in normal and borderline-risk groups. Further studies should investigate longitudinal effects of the intervention program on dietary change.

온라인 소셜네트워크에서 개인의 위험성평가와 자기통제력이 정보보안우려감에 미치는 영향 (The Effect of Individual Risk Appraisal and Ability to Control on Information Privacy Concerns in Online Social Network)

  • 문윤지
    • 한국산학기술학회논문지
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    • 제18권5호
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    • pp.294-301
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    • 2017
  • 오늘날 온라인 소셜네트워크(OSN: Online Social Network)는 전 세계 수십억명의 사람들이 활용하는 대표적인 인터넷 서비스로, OSN은 사용자들로 하여금 다양한 정보를 공유하고 다른 사람들과 상호작용하는 것을 가능하게 함으로써 그 사용이 점점 증가하고 있다. 하지만 OSN 활용이 늘어나면서 OSN에서 사용자가 노출하는 개인정보가 악용되는 사례 역시 함께 증가하고 있다. 이 때문에 사용자들은 OSN 상에서의 정보보안에 대해 우려감을 가지게 된다. 이에 본 연구에서는 OSN에서 사용자가 가지는 정보보안우려감 개념을 중심으로 정보보안우려감에 영향을 미치는 선행요인을 보호동기이론(Protection Motivation Theory)에 기반하여 개인적 차원(개인 사용자의 위험평가와 자기통제력)을 연구모형에 포함한다. 나아가 본 연구는 개인적 특성과 정보보안우려감 간 관계가 사용자의 성별에 따라 달라질 수 있음을 조절효과로 검증하고자 한다. 이러한 본 연구의 연구모형은 OSN을 활용하는 233명을 대상으로 한 설문지를 통한 실증분석으로 검증되었다. 연구결과 사용자가 OSN 사용에 따른 위험성이 높으며 더불어 이에 대해 행사할 수 있는 자신의 자기통제력이 약하다고 인지할 경우 정보보안우려감은 높아지지만, 성별에 따른 차이는 위험평가와 정보보안우려감 간 관계에서만 유의한 것으로 입증되었다.

경기지역 일부 대학생들의 식생활 관련 심혈관대사질환 건강위험도 평가 (Diet-Related Health Risk Appraisal for Cardiometabolic Diseases of the College Students in Gyunggi-do)

  • 김형숙
    • 한국지역사회생활과학회지
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    • 제25권1호
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    • pp.89-98
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    • 2014
  • This study was conducted to assess diet-related health appraisal for cardiometabolic diseases of the college students in Gyeonggi-do. The survey data obtained by 21 questionnaire(6 general characteristics and 15 food behaviors) given to 90 students, 41 males and 49 females. The average age of the subjects was 22.2 years old for the male students and 20.9 years old for the female students(p<0.001). Among the subjects, 35 males and 47 females' height, weight and percentage of body fat were measured using bioelectrical impedance(Inbody 720). The average height, weight, Body Mass Index and percent body fat of the subjects were 175.7cm, 69.5kg, 22.4 and 16.9% for males and 162.0cm, 53.5kg, 20.4 and 27.7% for females, respectively (p<0.001). Male students had a higher prevalence of smoking compared with female students(p<0.001). Females had higher intake frequency of fruits than males(p<0.05). Males had higher intake frequency of fishes than females(p<0.05). Male students had higher number of side dishes at mealtime compared with female students. There were no difference between the sexes in intake frequency of dairy, ramyeon, rice with whole grain, 3-layered pork belly, processed meat, soft drinks, soy products and fast food. Also, there were no difference between sexes in number of vegetables per day, frequency of eating out, prevalence of eating kimchi at every meal. Cardiometabolic risks were calculated by 'Diet-related health risk appraisal'. Male students had higher cardiometabolic risks(hypertension, hyperlipidemia, diabetes, obesity, abdominal obesity) than female students(p<0.001). Appropriate nutritional education for college male students may help to prevent cardiometabolic diseases in the future.

오피스 투자의 스타일인자에 관한 연구 -평가기반 수익률을 기준으로- (A Study on the Style Factors of Office Investment -An Analysis using Appraisal-based Returns-)

  • 민성훈;이영호
    • 부동산연구
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    • 제24권1호
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    • pp.53-62
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    • 2014
  • 본 연구에서는 최근 기관투자가의 투자대상으로서 그 중요성이 커지고 있는 국내 오피스에 대해서 해외 선행연구에서 유의하게 입증된 여러 스타일인자의 유의성을 검정하였다. 검정대상이 된 설명변수에는 지역, 규모(평가금액), 가치성장성(소득자본수익격차), 임대차조건(임차인수, 평균임대차기간, 핵심임차인비중) 등이 포함되었다. 분석자료는 감정평가에 기반한 국토교통부 임대사례조사 DB 중 일부를 이용하였다. 분석결과 다음과 같은 시사점을 얻을 수 있었다. 우리나라 오피스시장의 경우 스타일인자로서 지역은 여전히 중요한 의미를 가지며, 이와 함께 규모도 유의하게 작용하였다. 단 핵심지역의 대형자산일수록 위험과 수익이 높게 나타나 일반적인 믿음과 차이가 있었는데, 이는 분석기간 동안 서울 3대권역의 대형오피스 가격이 급등했기 때문인 것으로 생각된다. 이러한 현상은 미국의 선행연구에서도 발견되고 있어 지역과 규모의 역할에 대해 신중한 접근이 필요함을 알 수 있었다. 가치성장성의 경우 가치성이 클수록 예상한대로 위험과 수익을 낮추는 것으로 나타나 국내에서도 유의한 스타일인자임이 확인되었다. 임대차조건과 관련해서는 임차인수 만이 유의하게 나타났는데, 이 역시 예상대로 임차인 분산이 잘 이루어질수록 위험과 수익이 낮은 것을 알 수 있었다.