• 제목/요약/키워드: School-public health

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건강행위가 지역간 표준화사망률 변이에 미치는 영향 (Health behavior affecting on the regional variation of standardized mortality)

  • 한진아;김수정;김세롬;전기홍;이윤환;이순영
    • 보건교육건강증진학회지
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    • 제32권3호
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    • pp.23-31
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    • 2015
  • Objectives: The contribution of health behavior is high in the mortality variation. Mortality variation can be decreased through the policies and programs for improving health behavior. We investigated that health behaviors effected with standardized mortality in community. Methods: We examined the distribution of health determinant factors and correlation analyzed between factors and performed multiple linear regression. Data were collected from 2012 Community Health Survey in 253 communities, annual regional statistics, and statistics from Statistics Korea. Results: This study defined that the variation of standardized mortality and there are exist inequality level of health determinant factors in 253 communities. This study showed that the higher standardized mortality explained through health behavior factors of the current smoking rate, walking exercise rate and diagnosis of hypertension or diabetes rate after adjusted other factors(adjusted $R^2=0.709$, p<0.001). Conclusions: Smoking, walking exercise and diagnosis chronic disease affecting on the regional variation of standardized mortality. These factors can be improved by the local residents themselves.

일부 사업장에서 나타난 배치전건강진단 제도 현황과 향후과제 (Status and Perspectives of Preplacement Health Examination (PHE) at Certain Workplaces)

  • 박혜숙;강성규;이완형;최원준;함승헌
    • 한국산업보건학회지
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    • 제31권4호
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    • pp.540-548
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    • 2021
  • Introduction: Preplacement health examination (PHE) is performed when a worker starts a certain work task which is designated as having occupational risks by the Ministry of Employment and Labor (MOEL). All data related to health examination except PHE are reported to the MOEL by the law. This study has been performed to understand the status of PHE at certain workplaces. Methods: PHE data gathered in a university hospital were analyzed and they were followed with results of the special health examination (SHE) in 2019 and 2020. Those who were evaluated as unfit to work as it was, were interviewed directly or indirectly through an occupational health manager to follow up the management status of their recognized health problems. Results: The unfit to work (unFTW) rate of PHE was 2.8%, and was not different according to the size of workplace or having occupational health service. The major cause of unfit to work was the uncontrolled life-style diseases such as hypertension and diabetes. The rate of SHE followed by PHE was 31.1%. It was not different by the unFTW rates, however, they were different according to having a full time in-house occupational health manager. Thirty-one among 71 examinees who were evaluated as unFTW underwent SHE after controlling their health condition and were finally evaluated as fit to work. Nineteen among 31 started to take medicine and eight have been placed in the work without designated risks. Conclusion: PHE can be used for new workers, who may have unknown or uncontrolled life-style diseases, to be asked to manage life-style diseases as well as work-related risks such as shift work. In order to have a better tracking system for work-related risks, the information of PHE should be analyzed together with other data from health examination.

서울지역 일부 양노시설 노인과 재가노인 인지장애정도와 건강상태에 관한 연구 (A Study on Degree of Cognitive Impairment and Health Status of the Aged in Seoul Area)

  • 탁성희;이선자;오진주
    • 한국보건간호학회지
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    • 제6권2호
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    • pp.21-49
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    • 1992
  • This study was carried out to assess the degree of cognitive impairment and health status for the aged people in seoul area. The subjects were selected 117 aged at the nursing home and 101 residents from the community. To assess the cognitive function, Mini-Mental Status Examination(MMSE-K) and the assessement tool of health status for the elderly which was developed by Lee(1989) used to check the health status. The followings are the results of the Survey Study; 1. The elderly who were assessed as a cognitive impairment status was $47.9\%$ of the nursing home people and $42.6\%$ of the ordinary community residency elderly. 2. Health status of the community residency elderly was much better condition than the status of the nursing home residency elderly. 3. There was a significant relationship between the degree of cognitive impairment and the physical health status.

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소득계층에 따른 건강생활실천 관련 요인의 영향 차이 (Difference of the Effect of Related Factors on Healthy Life_Styles by the Income level)

  • 이민행;나백주;이무식;천성아
    • 한국산학기술학회논문지
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    • 제11권2호
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    • pp.780-785
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    • 2010
  • 본 연구는 어느 중소도시의 주민을 대상으로 무작위 표본 추출하여 전화로 건강생활실천 행태를 소득계층별로 파악하고 관련요인을 분석하였다. 특히 보건소의 건강증진사업에 대한 긍정적인 인식도와 건강생활실천 행태와의 관련성을 분석하고자 하였다. 한국갤럽(주)을 통해 2006년 10월 11일에서 13일까지 3일간 일개시 19세에서 69세까지의 809명의 주민을 표본추출하여 이들을 대상으로 전화설문조사를 시행하여 자료를 분석하였다. 분석결과 소득계층이 낮은 사람들은 보건소의 건강증진사업에 대해 긍정적인 인식을 갖는 것과 건강생활실천의 관련성이 낮았으나 소득계층이 높은 사람들은 관련성이 높게 나타났다. 이는 소득계층에 따라 보건소의 건강증진사업이 미치는 영향이 다름을 시사한다.

Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea

  • Choi, Jae-Woo;Cho, Kyoung-Hee;Choi, Young;Han, Kyu-Tae;Kwon, Jeoung-A;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권6호
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    • pp.2713-2717
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    • 2014
  • Background: Cancer imposes significant economic challenges for individuals, families, and society. Households of cancer patients often experience income loss due to change in job status and/or excessive medical expenses. Thus, we examined whether changes in economic status for such households is affected by catastrophic health expenditures. Materials and Methods: We used the Korea Health Panel Survey (KHPS) Panel $1^{st}-4^{th}$ (2008-2011 subjects) data and extracted records from 211 out of 5,332 households in the database for this study. To identify factors associated with catastrophic health expenditures and, in particular, to examine the relationship between change in economic status and catastrophic health expenditures, we conducted a generalized linear model analysis. Results: Among 211 households with cancer patients, 84 (39.8%) experienced catastrophic health expenditures, while 127 (40.2%) did not show evidence of catastrophic medical costs. If a change in economic status results from a change in job status for head of household (job loss), these households are more likely to incur catastrophic health expenditure than households who have not experienced a change in job status (odds ratios (ORs)=2.17, 2.63, respectively). A comparison between households with a newly-diagnosed patient versus households with patients having lived with cancer for one or two years, showed the longer patients had cancer, the more likely their households incurred catastrophic medical costs (OR=1.78, 1.36, respectively). Conclusions: Change in economic status of households in which the cancer patient was the head of household was associated with a greater likelihood that the household would incur catastrophic health costs. It is imperative that the Korean government connect health and labor policies in order to develop economic programs to assist households with cancer patients.

Survival of Microorganisms on Antimicrobial Filters and the Removal Efficiency of Bioaerosols in an Environmental Chamber

  • Kim, Sung Yeon;Kim, Misoon;Lee, Sunghee;Lee, JungEun;Ko, GwangPyo
    • Journal of Microbiology and Biotechnology
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    • 제22권9호
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    • pp.1288-1295
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    • 2012
  • Exposure to bioaerosols causes various adverse health effects including infectious and respiratory diseases, and hypersensitivity. Controlling exposure to bioaerosols is important for disease control and prevention. In this study, we evaluated the efficacies of various functional filters coated with antimicrobial chemicals in deactivating representative microorganisms on filters or as bioaerosols. Tested functional filters were coated with different chemicals that included (i) Ginkgo and sumac, (ii) Ag-apatite and guanidine phosphate, (iii) $SiO_2$, ZnO, and $Al_2O_3$, and (iv) zeolite. To evaluate the filters, we used a model ventilation system (1) to evaluate the removal efficiency of bacteria (Escherichia coli and Legionella pneumophila), bacterial spores (Bacillus subtilis spore), and viruses (MS2 bacteriophage) on various functional filters, and (2) to characterize the removal efficiency of these bioaerosols. All experiments were performed at a constant temperature of $25^{\circ}C$ and humidity of 50%. Most bacteria (excluding B. subtilis) rapidly decreased on the functional filter. Therefore, we confirmed that functional filters have antimicrobial effects. Additionally, we evaluated the removal efficiency of various bioaerosols by these filters. We used a six-jet collision nebulizer to generate microbial aerosols and introduced it into the environmental chamber. We then measured the removal efficiency of functional filters with and without a medium-efficiency filter. Most bioaerosol concentrations did not significantly decrease by the functional filter only but decreased by a combination of functional and medium-efficiency filter. In conclusion, functional filters could facilitate biological removal of various bioaerosols, but physical removal of these by functional was minimal. Proper use of chemical-coated filter materials could reduce exposure to these agents.