• Asian Pacific Journal of Cancer Prevention
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• 제16권6호
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• pp.2347-2350
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• 2015

Childhood acute lymphoblastic leukemia (ALL) is one of the most common hematologic malignancies, accounting for one fourth of all childhood cancer cases. Exposure to environmental factors around the time of conception or pregnancy can increase the risk of ALL in the offspring.This study aimed to evaluted the role of prenatal and postnatal exposure to high voltage power lines on the incidence of childhood ALL.This cross-sectional case control study was carried out on 22 cases and 100 controls who were born and lived in low socioeconomic families in Isfahan and hospitalized for therapeutic purposes in different hospitals from 2013-2014.With regard to the underlying risk factors, familial history and parental factors were noted but in this age, socioeonomic and zonal matched case control study, prenatal and childhood exposure to high voltage power lines was considered as the most important environmental risk factors of ALL (p=0.006, OR=3.651, CI 95%, 1.692-7.878). As the population was of low socioeconomic background, use of mobiles, computers and microwave was negligible. Moreover prenatal and postnatal exposure to indoor electrically charged objects was not determined to be a significant environmental factor. Thus, pre and post natal exposure to high voltage power lines and living in pollutant regions as well as familial influence could be described as risk factors of ALL for the first time in a low socioeconomic status Iranian population.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2023년도 학술발표회
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• pp.177-177
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• 2023

The impacts of dams on transboundary flow are complex and challenging to project and manage, given the potential moderating influence of a broad range of anthropogenic and natural factors. This study presents a global meta-analysis of 168 studies that examines the effect magnitude of dams on downstream seasonal, annual flow, and hydrological extremes risk on 39 hotspot transboundary river basins. The study also evaluates the impact of 13 factors, such as climate, basin characteristics, dams' design and types, level of transboundary cooperation, and socioeconomic indicators, on the heterogeneity of outcomes. The findings reveal that moderators significantly influence the impact of dams on downstream flow, leading to considerable heterogeneity in outcomes. Transboundary cooperation emerges as the key factor that determines the severity of dams' effect on both dry and wet season's flows at a significance level of 0.01 to 0.05, respectively. Specifically, the presence of water-supply and irrigation dams has a significant (0.01) moderating effect on dry-season flow across basins with high transboundary cooperation. In contrast, for wet-season flow, the basin's vulnerability to climate extremes is associated with a large negative effect size. The various moderators have varying degrees of influence on the heterogeneity of outcomes, with the aridity index, population density, GDP, and risk level of hydro-political tension being the most significant factors for dry-season flow, and the risk level of hydro-political tension and basin vulnerability to climate extremes being the most significant for wet-season flow. The results suggest that transboundary cooperation is crucial for managing the impacts of dams on downstream flow, and that various other factors, such as climate, basin characteristics, and socioeconomic indicators, have significant moderating effects on the outcomes. Thus, context-specific approaches are necessary when predicting and managing the impacts of dams on transboundary flow.

• Journal of Hospice and Palliative Care
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• 제7권1호
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• pp.73-82
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• 2004

• 한국수자원학회논문집
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• 제52권6호
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• pp.441-449
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• 2019

가뭄은 다른 자연재해에 비해 지속기간이 길고 규모가 광범위하여 사회 경제적인 피해가 크게 발생한다. 또한 공간적, 기술적, 경제적 및 사회적 특성에 따라 같은 규모의 가뭄이 발생하더라도 피해 규모는 지역별로 상이하게 발생한다. 본 연구에서는 가뭄에 대한 사회 경제적 영향인자를 고려하여 가뭄 취약성 평가를 실시하였다. 충청도 지역을 대상으로 가뭄과 관련된 기존 사례 분석을 통해 영향인자들을 파악하고 주성분 분석을 적용하여 최종 평가인자를 선정하였다. 선정된 인자들에 대한 가중치 산정을 위해서 엔트로피 기법을 적용하였다. 그 결과 충청도에서는 농가인구수, 기초생활수급자수, 상수도요금격차지표, 산업단지면적, 지하수이용량, 1인당가용수자원량, 상수도보급률, 물재정건전성, 생활용수이용량, 농업용수이용량 및 농경지면적이 평가인자로 선정되었으며, 이 중 농업관련 인자가 큰 가중치를 가지는 것으로 나타났다. 또한, 취약성 평가를 수행한 결과 청주시와 당진시 그리고 서산시가 가뭄에 가장 취약한 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제45권1호
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• pp.29-36
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• 2012

Objectives: The purpose of this study was to identify any influence of socioeconomic status on smoking and smoking cessation in a situation where genetic factors are controlled. Methods: The sample for this study was 2502 members of the twins and families cohort who participated in the Korean Healthy Twins Study from 2005 to 2009. Groups of brothers or sisters, including twins and fraternal twins, were compared in terms of smoking and smoking cessation behaviors according to differences in socioeconomic status and gender. Results: In a situation with complete control of genetic factors, results showed that the daily smoking amount, cumulative smoking amount, and dependence on nicotine decreased with higher-status occupations, and the rate of smoking and amount of cumulative smoking decreased with higher levels of education. Regarding smoking cessation behavior, a higher level of education was associated with a lower smoking cessation rate, and no significant gender differences were found. Conclusions: Environmental factors had a stronger influence on smoking behavior than did genetic factors. Genetic factors had greater influence on smoking cessation than did environmental factors; however, this requires verification in further studies.

• 지역사회간호학회지
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• 제28권4호
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• pp.472-481
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• 2017

Purpose: The purpose of this study were to compare working condition, socioeconomic status, and health status between elderly and non-elderly workers and to examine the influencing factors of health status according to age groups. Methods: This study is a secondary analysis of data extracted from the 2014 Korean Working Conditions Survey. For the present analysis, 15,980 elderly workers over the age of 55 and 32,037 non-elderly workers under the age of 55 were selected. Results: The prevalence of subjective unhealthy status and poor mental health were significantly higher among the elderly workers than the non-elderly workers. The elderly workers were more likely to have lower level of education and income than the non-elderly workers. They also reported less support from colleagues and managers, however, have more decision authority. Among the elderly workers, long working hours, awkward posture, physical environmental risks, quantitative demand, decision authority, social support, age discrimination, education level, and income level were significant predictors of subjective health status or mental health. Conclusion: For keeping elderly workers healthy and productive, work environment needs to become more age-friendly. An age-friendly workplace may include: accommodative support, workers' participation, minimization of environment risk, etc.

• Acute and Critical Care
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• 제33권4호
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• pp.230-237
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• 2018

Background: Socioeconomic status (SES) is closely associated with health outcomes, including mortality in critically ill patients admitted to intensive care unit (ICU). However, research regarding this issue is lacking, especially in countries where the National Health Insurance System is mainly responsible for health care. This study aimed to investigate how the SES of ICU patients in South Korea is associated with mortality. Methods: This was a retrospective observational study of adult patients aged ${\geq}20$ years admitted to ICU. Associations between SES-related factors recorded at the time of ICU admission and 30-day and 1-year mortalities were analyzed using univariable and multivariable Cox regression analyses. Results: A total of 6,008 patients were included. Of these, 394 (6.6%) died within 30 days of ICU admission, and 1,125 (18.7%) died within 1 year. Multivariable Cox regression analysis found no significant associations between 30-day mortality after ICU admission and SES factors (P>0.05). However, occupation was significantly associated with 1-year mortality after ICU admission. Conclusions: Our study shows that 30-day mortality after ICU admission is not associated with SES in the National Health Insurance coverage setting. However, occupation was associated with 1-year mortality after ICU admission.

• Journal of Preventive Medicine and Public Health
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• 제52권5호
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• pp.281-291
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• 2019

Objectives: The validity of instruments measuring socioeconomic position (SEP) has been a major area of concern in research on cardiovascular health disparities. The purpose of this systematic review is to identify the current status of the methods used to measure SEP in research on cardiovascular health disparities in Korea and to provide directions for future research. Methods: Relevant articles were obtained through electronic database searches with manual searches of reference lists and no restriction on the date of publication. SEP indicators were categorized into compositional, contextual, composite, and life-course measures. Results: Forty-eight studies published from 2003 to 2018 satisfied the review criteria. Studies utilizing compositional measures mainly relied on a limited number of SEP parameters. In addition, these measures hardly addressed the time-varying and subjective features of SEP. Finding valid contextual measures at the organizational, community, and societal levels that are appropriate to Korea's context remains a challenge, and these are rarely modeled simultaneously. Studies have rarely focused on composite and life-course measures. Conclusions: Future studies should develop and utilize valid compositional and contextual measures and appraise social patterns that vary across time, place, and culture using such measures. Studies should also consider multilevel influences, adding a focus on the interactions between different levels of intertwined SEP factors to advance the design of research. More attention should be given to composite and life-course measures.

• 한국심리학회지 : 문화 및 사회문제
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• 제27권2호
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• pp.139-165
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• 2021

본 연구에서는 노인차별주의를 야기하는 사회구조적 측면에 초점을 맞추어, 자원 부족이 청년세대의 노인차별주의에 미치는 영향과 사회경제적 지위의 조절효과를 알아보았다. 이를 위하여, 20대와 30대 성인 219명을 대상으로 온라인 연구를 실시하였다. 연구참가자들은 자원 부족 점화 조건과 통제 조건으로 무선할당되어 글쓰기 과제를 수행하였고, 이후 노인차별주의와 사회경제적 지위를 측정하는 척도들에 응답하였다. 그 결과, 자원 부족의 점화가 노인차별주의에 미치는 영향은 유의하지 않은 것으로 나타났다. 그러나 개인의 사회경제적 지위가 자원 부족이 노인차별주의에 미치는 영향을 조절하는 것을 알 수 있었다. 구체적으로, 개인의 사회경제적 지위가 낮은 경우에만 자원 부족의 점화가 노인차별주의를 유의하게 감소시키는 것으로 나타났다. 이 결과는 사회경제적 지위가 낮은 사람들이 자원 부족과 같이 누군가 잠재적으로 피해를 입을 수 있는 상황에 처하게 되면, 사회적 약자에게 더 공감한다는 선행 연구들과 맥을 같이 한다. 본 연구는 노인차별주의에 영향을 미치는 상황적 요인과 개인적 요인을 함께 살펴보았다는 의의와, 실험적 접근을 통해 노인차별주의에 대한 자원 부족의 인과적 영향력을 검증하려 했다는 의의를 지닌다. 그러나 연구 결과에 대한 대안적 설명을 완전히 배제하지 못하였으므로, 추후 연구를 통한 반복검증이 필요할 것이다.

• Journal of Community Nutrition
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• 제8권1호
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• pp.38-43
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• 2006

There were numerous evidences that subjective health evaluation was a powerful indicator for morbidity and mortality in many countries. Since self-rated health (SRH) was a reasonable health measure, identifying predictors for SRH would be beneficial for assessment of overall health, monitoring health status, and development of health promotion programs. Health risks, health behavior, socioeconomic characteristics and social capital were potential indicators for SRH. We examined association. between SRH and indicators such as health risk factors, subjective living condition, income, education level and dietary variety score. Total 4,262 subjects, aged between 20 and 69 years old, were selected from KNHANES 2001; those who completed health examination, nutrition survey, and provided their socioeconomic information. Results of logistic regression showed that it was likely to have better SRH for those who were younger, male and have higher education, higher income, better living condition, no metabolic syndrome and higher dietary variety.