• 한국지역사회생활과학회지
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• 제15권2호
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• pp.137-150
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• 2004

The aged population in Korea, especially in rural areas, has been growing rapidly. The welfare for the rural elderly has become a major concern, however we don't have enough information about that population; we don't even have detailed demographics of it. The present research is aimed at; 1) investigating the tendency and changing geographical distributions of the rural elderly, and 2) introducing GIS(Geographic Information Systems) as a useful tool in analyzing geographical distributions of the aged. The General Census Data from 1960 to 2000 was used to carry out this study. The major findings are; 1) There has been a gradual decrease in the rural population over the past 40 years, but this tendency has slowed down more recently; 2) It was observed that the 'oldest-old' group aged 85 years old and over has actuality increased in rural areas faster than any other age group; 3) The changing patterns of the elderly population were different in metropolitan areas and rural areas. In brief, there are far more aged people, especially of the 'oldest-old' group and females in rural areas than those in urban areas. These population, the 'oldest-old' or females, are the most vulnerable and have the greatest need for social welfare and social services of different kinds.

• 한국지리정보학회지
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• 제23권3호
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• pp.100-119
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• 2020

최근 온도상승으로 인한 폭염 증가와 대기 풍속의 약화가 상호작용하면서 열환경과 미세먼지(PM₁₀)가 문제가 되고 있다. 도시지역 내에서 다른 지역들보다 온도와 대기오염 농도가 높은 도시열섬과 도시오염섬 현상이 나타나고 있음이 알려져 있으나, 공간데이터로 구축 가능한 미세 자료의 부족 등으로 이를 함께 살펴본 연구는 많지 않았다. 최근 위성영상과 민간통신업체의 인프라에서 측정한 빅데이터들이 생산되면서 온도와 대기오염에 대한 세밀한 공간분포 분석이 가능하게 되었다. 이에 본 연구는 부산광역시를 대상으로 도시열섬과 도시오염섬의 공간적 분포패턴을 살펴보고 두 현상의 분포 특성을 비교 분석하고자 하였다. 연구에는 Landsat 8 위성영상의 지표면온도와 민간자동관측시스템에서 도출된 대기온도, 미세먼지농도 데이터를 30m*30m 단위로 격자화하여 공간분석을 수행하였다. 분석 결과, 도시열섬과 도시오염섬이 동시에 발생하는 대표적인 지역들로 취약 주거지역과 공업지역들이 다수 포함되어 있었다. 부산시의 대표적 주거 취약지역으로 알려진 서동, 반송동 등의 주요 정책이주지가 포함되었는데 해당 지역은 소규모 필지에 건축물의 밀도가 상당히 높은 지역으로 통풍, 환기 등에 문제가 많은 주거지역이다. 이러한 지역의 주민 중 상당수는 폭염과 대기오염에 대한 대응 능력이 낮아 관련 정책 수립 시 우선적으로 이 지역들이 고려될 필요가 있다. 도시열섬과 도시오염섬의 동시발생지역에 포함된 공업지역들은 콘크리트나아스콘 기반의 불투수면의 비중이 높고, 식생이 부족할 뿐 아니라 교통량도 많은 것으로 나타났다. 도시열섬과 도시오염섬 분석에 대한 신뢰성을 살펴보기 위해 핫스팟분석을 진행한 결과, 99.96% 이상의 지역이 99% 신뢰수준의 핫스팟지역에 해당함을 확인할 수 있었다.

• 보건행정학회지
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• 제24권2호
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• pp.128-135
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• 2014

Background: With ageing and growing importance of disease management system, it is necessary to investigate the extent of regional difference in service utilization for chronic diseases among the elderly and to reflect it in designing the system. Methods: A multiple regression analysis and descriptive statistics analyses were employed using patient survey, which covers nationwide health facilities and their users. Results: While the differences in the rate of service utilization/utilization outside living area between urban and rural areas or between income levels are not large, considerable variations are observed within urban or rural areas and within income groups. Conclusion: This results suggest that it is important to subsidize economically disadvantaged segments of the population and residents of less-favored areas to be better-equipped for chronic disease management in order to prevent the development of severe ailments and the need for treatment at higher-level medical institutions. Improvements to the service infrastructure in vulnerable regions are essential.

• 보건행정학회지
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• 제23권3호
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• pp.233-243
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• 2013

Background: This study was conducted to evaluate the individual and community level factors which were influencing the severe injury patients' death and transfer at discharge. Methods: Analysis data is based on Korean National Hospital Discharge In-depth Survey Data released by the Korea Center for Disease Control and Prevention from 2006 to 2008. Study subjects was 11,026 inpatients with of severe injury. For multi-level analysis, socio-demographic characteristics, injury related characteristics, hospitalization related characteristics were used as individual level factors, and socio-environmental characteristics and health care resource characteristics were used as community level factors. Results: As to community level factors affecting mortality of severe injury, the possibility of death was also high in cases of less numbers of surgeons per a population of 100,000 and more number of operation beds. As to community level factors affecting transfer of severe injury, vulnerable areas with higher social deprivation index and low population density had higher possibility of transfer. Conclusion: Both individual level factors and community level factors affected clinical outcomes of treatment for severe injury. In particular, since there happened higher death and transfer of severe injury in socioeconomic and medical vulnerable areas, special efforts for establishing preventive policy and care system for injury in national and area level should be directed toward such areas.

• 한국농공학회논문집
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• 제62권6호
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• pp.43-50
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• 2020

The Doam Lake watershed is one of the non-point source management areas announced by the Ministry of Environment, and is a constant problem for the stream ecosystem dut to Storm water. In this study, a total of 48(rainfall) and 47(non-rainfall) sites were investigated for the entire watershed (Samyangcheon, Chahangcheon, Hoenggyecheon, Yongpyeongcheon, Songcheon, Lake Doam) on August 15, 2019 and on October 18, 2019 to estimate the source of turbid water in the Doam Lake watershed. Subsequently, water quality analysis was performed on Suspended Soild (SS), Turbidity, Total Phosphorus (TP), Total Nitrogen (TN), and Biochemical Oxygen Demands (BOD) and correlation among water quality parameters was analyzed based on the analyzed samples. As a result, most of the turbid water generated during rainfall was in highland fields. During rainfall, Hoengyecheon had the highest average SS concentration among all streams, and during non-rainfall, the average SS concentration was highest in Yongpyeongcheon, so the two stream were selected as vulnerable areas. However, since Yongpyeongcheon may be a temporary phenomenon due to river construction, additional continuous monitoring is required. Therefore, in the Doam Lake watershed, intensive management is required for vulnerable areas.

• 한국임상수의학회지
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• 제36권1호
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• pp.15-22
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• 2019

Highly pathogenic avian influenza (HPAI) is among the top infectious disease priorities in Korea and the leading cause of economic loss in relevant poultry industry. An understanding of the spatial epidemiology of HPAI outbreak is essential in assessing and managing the risk of the infection. Though previous studies have reported the majority of outbreaks occurred clustered in what are preferred to as densely populated poultry regions, especially in southwest coast of Korea, little is known about the spatial distribution of risk areas vulnerable to HPAI occurrence based on geographic information system (GIS). The main aim of the present study was to develop a GIS-based risk index model for defining potential high-risk areas of HPAI outbreaks and to explore spatial distribution in relative risk index for each 252 Si-Gun-Gu (administrative unit) in Korea. The risk index was derived incorporating seven GIS database associated with risk factors of HPAI in a standardized five-score scale. Scale 1 and 5 for each database represent the lowest and the highest risk of HPAI respectively. Our model showed that Jeollabuk-do, Chungcheongnam-do, Jeollanam-do and Chungcheongbuk-do regions will have the highest relative risk from HPAI. Areas with risk index value over 4.0 were Naju, Jeongeup, Anseong, Cheonan, Kochang, Iksan, Kyeongju and Kimje, indicating that Korea is at risk of HPAI introduction. Management and control of HPAI becomes difficult once the virus are established in domestic poultry populations; therefore, early detection and development of nationwide monitoring system through targeted surveillance of high-risk spots are priorities for preventing the future outbreaks.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.10.1-10.10
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• 2023

The purpose of this paper was to review the problems relating to Korea's occupational health services and suggest ways to improve them. Korea can be classified as a welfare state type of conservative corporatism partially interwoven with liberalism. While experiencing compressed economic growth, the economic sectors of developed (excess areas) and developing (deficient areas) countries are interwoven. Therefore, it is necessary to perfect conservative corporatism along with a complementary reinforcement of liberal contents and to apply a multilayered approach focusing on complementing the deficient areas. It is essential to form a national representative indicator related to occupational health, and a strategy for selection and concentration is needed. The proposed central indicator is the occupational health coverage rate (OHCR), which is the number of workers who have applied for mandatory occupational health services under the Occupational Safety and Health Act in the numerator with the total working population in the denominator. This paper proposes ways to raise the OHCR, which is currently at the level of 25%-40%, to 70%-80%, which is the level of Japan, Germany, and France. To achieve this target, it is necessary to focus on small businesses and vulnerable workers. This is an area of market failure and requires the active input of community-oriented public resources. For access to larger workplaces, the marketability of services should be strengthened and personal intervention using digital health resources should be actively attempted. Taking a national perspective, work environment improvement committees with tripartite (labor, management, and government) participation for improvement of the working environment need to be established at the center and in the regions. Through this, prevention funds linked to industrial accident compensation and prevention could be used efficiently. A national chemical substance management system must be established to monitor the health of workers and the general public.

• 한국콘텐츠학회논문지
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• 제21권6호
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• pp.404-414
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• 2021

최근 고령 사회에서는 지역사회중심의료로의 전환에 대한 관심이 증가하고 있다. 이에 일반 노인과 취약계층 노인 각각에 대해 기능중심의 건강상태를 파악하고, 이를 기반으로 의료서비스 이용 경험 및 요구 인식에 대해 살펴보는 것은 필요하다. 본 연구는 2016년 11월부터 12월까지 서울시 일개지역에 거주하는 65세 이상 노인을 방문하여 구조화된 설문을 통해 노인의 건강기능 상태와 의료서비스 이용 행태를 파악하였다. 취약계층 노인은 일반 노인보다 인지기능, 영양, 통증, 낙상 등에서 기능적 건강상태 저하를 더 많이 경험하는 것으로 나타났다. 인지기능, 영양과 같은 기능적 건강문제를 경험한 일반 노인은 취약계층보다 유의하게 의료서비스를 이용하는 것으로 나타났다. 한편 취약계층 노인은 통증 건강문제 영역에 있어서는 일반 노인보다 의료서비스 이용의 필요성을 더 유의하게 인식하는 것으로 나타났다. 이는 지역사회 노인을 대상으로 공공 서비스 확대의 방향과 범위를 설정함에 있어, 일반 노인과 취약계층 노인 간에는 차별화된 정책이 설정되어야 함을 알 수 있었다. 또한 취약계층의 의료접근성 향상을 위해서는 경제적 장벽으로 인해 필요한 의료이용의 장애가 초래되지 않도록 공공의료기관의 적극적인 지원이 이루어져야 하겠다.

• 대한지역사회영양학회지
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• 제3권2호
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• pp.228-244
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• 1998

The nutritional status of 362 elderly men and women in Chung-bud area was evaluated in terms of their nutrient intakes, biochemical and anthrophometric measurements by interviews with questionnaires from August to October 1996. Mean intake of all nutrients except ascorbic acid did not meet the RDA for this sample. Protein, vit A, reboflavin, calcium were the most likely to be deficient on the basis of propotions of elderly consuming less than 75% of the RDA. The subjects nutrient intake was significantly affected by gender, marital status, number of family, family composition, educational level, pocket money, and region. Men in rural areas and women over 75 in urban areas were the most vulnerable groups with nutritional deficiency. According to serum biochemical indices, mean level of cholesterol, triglycerides, LDL, total protein, albumin and iron belonged to normal range but mean level of HDL showed below the normal range. More elderly men and women in urban areas showed a higher percentage of abormal level of cholesterol, triglycerides, LDL and HDL than those in rural areas. More elderly men and women in rural areas had abnormal levels of RBC, Hematocrit and hemoglobin compared to those in urban areas. Mean height and weight of elderly men was 161.4cm and 56.2Kg, respectively and 149.1cm and 50.5kg for women. The elderly in rural areas were taller than those in urban areas but had less weight, MAC, TSF, MAMC. Mean BMI of this sample belonged to normal range. However, the elderly in rural areas had a higher rate of underweight and lower for overweight than those in urban areas. The elderly in urban areas had higher blood pressure than those in rural areas.

• 한국산업보건학회지
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• 제30권3호
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• pp.256-269
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• 2020

Objectives: Everyone has been affected in some way by the COVID-19 pandemic, while some workers face threats to their health due to their jobs as well as worries about spreading the virus to intimate family members. With these concerns in mind, this study aims to identify occupations more vulnerable to COVID-19 and suggests the necessity of providing proper control measures against the risks in a timely manner in Korea. Methods: Daily briefing reports by the Korea Centers for Disease Control and Prevention (KCDC) were compiled (n=120) between January 20 and May 31, 2020. A total of 11,486 confirmed cases were included, which were sorted by occasion, area, and occupation. Among them, 2,411 cases were classified with specific occasions and/or areas of infection, while only 544 cases were determined with identifiable occupations. Guidelines for biological hazard management and COVID-19 guidelines for workplaces from domestic and international bodies were enlisted and compared. Results: It is unsurprising to find that healthcare professionals are experiencing the most immediate threat from COVID-19. In addition, service workers with face-to-face practices or indirect contact are also facing high risks. Religion facilities and eating places (dining, drinking bar, café, etc.,) follow. Guidelines and manuals for biological hazards are still lacking in Korea compared to the US and EU. Workplace manuals for managing COVID-19 are neither as comprehensive as the approaches of NIOSH's hierarchy of controls nor inclusive enough for minimizing secondary or tertiary suffering. Conclusions: The COVID-19 crisis is still ongoing and there is no doubt there will be more such events in the future. This analysis suggests that occupational health professionals, amid a pandemic including COVID-19, are urged to anticipate emerging risks related to all sorts of occupations, identify vulnerable workers and working environments, and plan and take actions to protect workers' health.