• 한국산학기술학회논문지
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• 제17권12호
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• pp.71-80
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• 2016

본 연구의 목적은 우리나라 청소년들의 성 행태와 성 경험을 파악하고, 성 경험에 영향을 미치는 예측요인을 규명하여 향후 성 건강 개발을 위한 기초자료를 제공하고자 한다. 연구대상은 2012년 제8차 청소년 온라인건강행태조사에 참여한 중학교 1학년부터 고등학교 3학년까지의 중 고등학생 74,186명이며, 기술통계, $X^2-test$, 복합표본 로지스틱 회귀분석을 실시하였다. 본 연구결과 성관계를 경험한 학생은 중 고등학교 청소년 중 4.3%였으며, 이중 남학생은 5.9%, 여학생은 2.6%로 남학생들의 성경험이 높게 나타났다. 성 경험에 영향을 미치는 유의한 변수는 남학생이 학교급, 아버지 학력, 사회경제적 상태, 아르바이트경험, 학교 성교육경험, 거주형태가 유의한 변수로 확인되었고, 여학생은 학교급, 학교유형(공학여부), 사회경제적 상태, 아르바이트 경험, 학교성교육경험, 거주형태가 유의한 변수로 확인되었다. 본 연구결과에서 남녀모두에서 성 경험에 승산비가 가장 컸던 변수는 아르바이트 경험으로 나타났다. 따라서 어른들에 의한 물리적 성폭력에 대한 심층적인 연구가 더 필요할 것으로 보이며 거절기술이나 의사소통기술과 같은 프로그램이 필요할 것으로 사료된다. 또한 학교성교육을 받은 경험이 있는 남녀 청소년들이 학교 성교육을 받은 적이 없다고 응답한 학생에 비해 성관계 경험이 유의하게 적었던 만큼 학교에서의 성교육을 활성화하는 방안이 필요하다. 이러한 본 연구결과를 바탕으로 청소년 아르바이트경험이 중 어른이나 혹은 물리적 힘에 의한 성폭력을 경험한 적이 있는 지에 대한 지표를 청소년 건강행태온라인조사에 반영하는 방안을 고려해 볼 필요가 있으며, 거절기술이나 의사결정 기술 등 생활기술을 반영한 학교성교육을 강화하는 것이 필요하다.

• 한국치위생학회지
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• 제16권6호
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• pp.893-907
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• 2016

Objectives: The purpose of this study was to identify the related factors of dental caries and periodontal disease in adolescents from Korean multicultural families, thereby helping to reduce the prevalence rate of oral disease. Methods: The subjects were 710 multicultural adolescents recruited using a web-based survey, National 2015 Korean Youth Risk Behavior, from the Korean Center for Disease Control. A multicultural family was defined in this study as one having an immigrant mother or father. Oral symptoms included dental caries and periodontal disease. Toothache was defined as a symptom of dental caries. Tender or bleeding gums were defined as symptom of periodontal disease. For statistical analysis, Statistical Package for Social Sciences (SPSS) Version 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to determine the factors associated with general characteristics, health behavior, and oral health behavior. Finally, to investigate the associations among oral disease symptoms, logistic regression analysis was performed. Results: Toothache was significantly higher in female 1.52 (95% CI; 1.45-1.60), high school 1.23 (95% CI; 1.18-1.28), women school 1.10 (95% CI; 1.05-1.16), individuals with poor economic status 1.45 (95% CI; 1.30-1.52), and participants who consumed alcohol 1.32 (95% CI; 1.27-1.37). Toothache related to perceived health status was significantly lower in the healthy group 0.69 (95% CI; 0.64-0.75), and was higher in usual stress group 1.65 (95% CI; 1.57-1.74). Gum bleeding was significantly higher in female 1.32 (95% CI; 1.27-1.37), high school 1.15 (95% CI; 1.10-1.19), and individuals with poor economic status 1.38 (95% CI; 1.27-1.50). Gum bleeding related to perceived health status was significantly lower in the healthy group 0.68 (95% CI; 0.63-0.74), and was higher in usual stress group 1.54 (95% CI; 1.46-1.62). Conclusions: Taking into account of social and economic levels, and dietary habits in the multicultural families adolescents, further education and support will be needed for oral disease prevention and early treatment.

• 한국치위생학회지
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• 제17권2호
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• pp.181-191
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• 2017

Objectives: The objective of the study was to investigate the use of dental hygiene devices in Korean adolescents. Methods: The study subjects were 70,362 adolescents in 800 schools who completed the 2015 Korean Youth Risk Behavior Web-based survey. Dependent variables included usage of dental floss, interdental brushes and mouthwash solutions. Independent variables included demographic characteristics of the subjects, health state and behaviors, and oral health behaviors and experience of oral diseases. Results: The related factors of usage of dental hygiene devices included gender, where females showed higher usage (OR=1.10) compared to males, father and mother's level of education where usage was higher in above university graduates (OR=1.20, OR=1.14) compared to less than high school graduation, economic status where usage was higherin high and middle (OR=1.93, OR=1.26) compared to low, vigorous physical activity where usage was higher in those who responded yes (OR=1.35) compared to no, subjective weight recognition where usage was higher in normal (OR=1.07) compared to under weight, sleep time where usage was higher in enough (OR=1.12) compared to not enough, number of toothbrushing (day) where usage was higher in 2 times or over 3 times (OR=1.35, OR=1.75) compared to below 1, oral health education experience (OR=1.10), sealant experience (OR=1.17) and scaling experience (OR=1.45) where usage was higher in those who responded yes compared to no, school where usage was lower in high school (OR=0.64) compared to middle school, residential type where usage was lower in rural area (OR=0.74) compared to metropolitan area, living form where usage was lower in other (OR=0.77), compared to with family, smoking (OR=0.93), and alcohol drinking (OR=0.90) where usage was lower in those who engage in the activities compared to those who didn't, BMI where usage was lower in normal (OR=0.87) and over weight (OR=0.98) compared to under weight. Conclusions: To expand the use of dental hygiene devices in the adolescents, it is necessary to improve the continuing education program for need and motivation of dental hygiene device usage.

• 한국치위생학회지
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• 제17권3호
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• pp.465-478
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• 2017

Objectives: The purpose of this study was to investigate the relationship between the level of subjective stress recognition and oral symptom experiences including toothache, gum diseases, and oral soft tissue diseases in the Korean adolescents. Methods: The subjects were 68,043 adolescents recruited using a web-based survey, National Korean Youth Risk Behavior in 2015 by the Korean Center for Disease Control. For statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to determine the factors associated with general characteristics, health behaviors, oral health behaviors, and level of subjective stress recognition. Finally, to investigate the relationship between the level of subjective stress recognition and oral symptom experiences, logistic regression analysis was performed. Results: Toothache related subjective stress recognition level was significantly higher in the moderate group with the score of 1.59 (95% CI; 1.49-1.68), and was greater in the high group with 2.38 (95% CI; 2.24-2.53) compared to the low group. Gum disease related subjective stress recognition level was significantly higher in the moderate group with 1.41 (95% CI; 1.32-1.51), and was greater in the high group with 1.99 (95% CI; 1.86-2.13). Oral soft tissue disease related subjective stress recognition level was significantly higher in the moderate group with 1.59 (95% CI; 1.45-1.74), and was greater in the high group with 2.55 (95% CI; 2.33-2.79). Bad breath related subjective stress recognition level was significantly higher in the moderate group with 1.48 (95% CI; 1.39-1.57), and was greater in the high group with 2.10 (95% CI; 1.97-2.25). Conclusions: Higher subjective stress recognition level was found to affect the oral symptoms experienced. Therefore, the stress management plan should be prepared through the cause identification of the main stress in the adolescents. Practical and systematic education is needed for oral health management in the schools.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권4호
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• pp.306-312
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• 2016

Objectives: We aimed to compare the smoking behaviors in adolescents from monocultural and multicultural families and to evaluate the associations between their smoking behavior and number of suicide attempts. Methods: The data used in this study was collected from The Tenth Korea Youth Risk Behavior Web-based Survey. The differences in the sociodemographic characteristics between the adolescents in the multicultural and monocultural families were analyzed through the ${\chi}^2$-test, and a logistic regression was conducted to evaluate the relationships between the smoking behavior and number of suicide attempts of the adolescents in multicultural families. The process involved an analysis using a complex sample design. Results: There was significant difference in the weighted rates of the current smoking behavior (13.3% vs. 8.4%, p<0.001), experience of violence (6.8% vs. 2.3%, p<0.001), and number of suicide attempts (5.4% vs. 2.7%, p<0.001) between the adolescents from the multicultural and monocultural families. In both groups, the current smoking behavior was associated with the number of suicide attempts (multicultural families OR=6.5, p=0.005; monocultural families OR=1.5, p<0.001). Conclusion: Our results showed that the percentage of current smokers in the adolescents from multicultural families was higher than that in the monocultural families and that current smoking behavior is related to the number of suicide attempts in both groups, after adjustment for age, sex, socioeconomic status, academic achievement, current smoking behavior, depressive mood and experience of violence.

• 농촌의학ㆍ지역보건
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• 제34권2호
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• pp.223-233
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• 2009

본 연구는 다양한 홍보매체를 접하고 있는 우리나라 중학생을 대상으로 금연홍보노출정도와 흡연과의 관련성을 살펴보고자 한다. 연구의 대상은 2007년 청소년건강행태온라인조사에 응답한 중학생 38,820명으로서 이 중 설문에 대한 불충분한 응답으로 지난 일 년 동안 접한 금연홍보매체와 흡연율을 평가할 수 없는 1,106명을 제외한 37,714명을 최종 분석 대상자로 하였다. 통계 프로그램은 SPSS version 17.0을 이용하였다. 연구 결과 흡연율은 학년이 올라갈수록 증가하였고, 대상자의 특성에 따른 흡연율은 1학년에서 성별, 거주 지역, 학업성적, 경제상태, 부모와 동거여부, 스트레스 정도, 현재음주여부, 금연교육경험, 금연홍보매체노출 정도에 따라 유의한 차이가 있었다. 2학년에서는 거주 지역을 제외한 변수에서 유의한 차이를 보였고, 3학년에서는 거주 지역과 금연교육경험을 제외한 변수에서 유의한 차이를 보였다. 대상자의 금연홍보매체노출이 흡연과 관련된 제 변수를 통제한 상태에서 독립적으로 유의한 변수인지 파악하기 위하여 로지스틱 회귀분석을 실시한 결과 1학년의 경우 금연홍보매체노출이 전혀 안 된 군을 기준으로 하였을 때 5~6점이 교차비 0.49(95% CI=0.33-0.74)로 유의하게 낮았고, 3학년의 경우 5~6점이 교차비 0.57(95% CI=0.43-0.76)로 유의하게 낮았다. 결론적으로 우리나라 중학생에서 금연홍보매체 노출정도와 흡연과의 관련성을 파악할 수 있었고, 추후 선후 관계나 다양한 매체를 활용한 효과적인 메시지 전달을 위한 금연광고 개발에 있어 심도 있는 연구가 필요할 것이다.

• 감성과학
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• 제12권2호
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• pp.181-192
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• 2009

본 연구에서는 TAM을 적용하여 혁신적인 의류 제품인 스마트 의류에 대한 소비자의 태도와 수용의도를 설명하고자 하였다. 이를 위해 상용화된 스마트 의류 제품을 대상으로 소비자들의 수용도에 대한 연구모형을 수립하였고, 선행연구들을 근거로 각 구성 요인 간의 관계에 대해 연구가설을 설정하였으며, 그 경로가설을 검증하였다. 이를 위해 확인적 요인분석, 상관관계분석과 스마트 의류 수용과정의 경로를 검증하기 위한 공분산 구조모형을 구성하였고, AMOS 5.0 package를 사용하여, 온라인 설문을 통해 얻은 557부의 유효 표본을 분석하였다. Davis(1989)가 제안한 TAM에, 스마트 의류 제품들의 판매 가격을 고려한 지각된 가치 변수를 적용하여 스마트 의류의 수용과정을 설명한 결과 모형의 적합성을 입증하였으며, 8개의 경로가설 중 6개의 경로가 통계적으로 유의함이 밝혀져 채택되었다. 그 결과는 다음과 같다. 첫째, 지각된 사용용이성은 유용성을 거쳐 태도에 간접적으로 영향을 주었고, 태도는 다시 수용의도에 영향을 주는 것으로 나타났다. 둘째, 지각된 유용성은 지각된 가치에 대한 태도에 영향을 주는 것으로 나타났으나, 스마트 의류의 수용의도에는 영향을 미치지 않는 것으로 분석되었다. 셋째, 지각된 가치가 스마트 의류에 대한 태도와 수용의도에 둘 다 영향을 미치는 것으로 나타났다. 넷째, 스마트 의류에 대한 태도는 구매의도에 영향을 미치는 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제52권6호
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• pp.345-354
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• 2019

Objectives: It is well-known that post-traumatic stress disorder (PTSD) among firefighters contributes to their job-related stress. However, the relationship between burnout and PTSD in firefighters has rarely been studied. This study therefore explored the association between burnout and its related factors, such as trauma and violence, and PTSD symptoms among firefighters in Korea. Methods: A total of 535 firefighters participated in the Firefighter Research on Enhancement of Safety & Health study at 3 university hospitals from 2016 to 2017. The 535 participants received a baseline health examination, including questionnaires assessing their mental health. A Web-based survey was also conducted to collect data on job-related stress, history of exposure to violence, burnout, and trauma experience. The associations among burnout, its related factors, and PTSD symptoms were investigated using structural equation modeling. Results: Job demands (${\beta}=0.411$, p<0.001) and effort-reward balance (${\beta}=-0.290$, p<0.001) were significantly related to burnout. Burnout (${\beta}=0.237$, p<0.001) and violence (${\beta}=0.123$, p=0.014) were significantly related to PTSD risk. Trauma (${\beta}=0.131$, p=0.001) was significantly related to burnout; however, trauma was not directly associated with PTSD scores (${\beta}=0.085$, p=0.081). Conclusions: Our results show that burnout and psychological, sexual, and physical violence at the hands of clients directly affected participants' PTSD symptoms. Burnout mediated the relationship between trauma experience and PTSD.

• 생태와환경
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• 제56권2호
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• pp.161-171
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• 2023

Simocephalus spp.는 수생식물이 발달한 호소의 수변부 및 습지 서식처에서 우점 출현하는 중대형 지각류로, 해당 서식처의 동물플랑크톤 군집 생체량(biomass)에 기여하는 정도가 높아 먹이망 내 생물학적 상호작용을 기반으로 한 물질 순환을 이해하기 위해서는 Simocephalus종들의 생체량 산정이 중요하다. 본 연구에서는 S. serrulatus의 생체량 추정에 사용되어지고 있던 기존의 선행 산정식을 검토하고, 현미경 디지털 카메라와 미세 저울 같은 장비를 사용하여 개체의 다양한 체측값(체장, 너비 및 면적)과 생체량(건중량)을 직접 측정하여 상호 간 회귀 분석을 실시하였다. 국내 『생물측정망 조사 및 평가지침 - 보구간편』에서 제시하고 있는 Simocephalus spp.의 생체량 산정식(Kawabata and Urabe, 1998)을 사용하여 S. serrulatus 생체량을 추정했을 때, Lemke and Benke (2003)에 의해 개발된 S. serrulatus종 특이적 생체량 산정식 대비 추정치-실측치 간 오차가 상대적으로 크게 나타났으며, 두 산정식에서 모두 개체 체장 증가에 따른 오차 증가 및 유사 체장 개체 간 오차 편차 증가 경향이 보여졌다. 체측값별로 건중량과 회귀 분석을 실시한 결과, S. serrulatus 생체량 추정에 가장 적합한 산정식은 너비-건중량 지수 회귀식(R²=0.9555)으로 도출되었다. 이 같은 종 특이적 생체량 산정식의 검토 및 개발 연구는 수생태계 먹이망 내 동물플랑크톤 역할 및 기능 파악하는 데 도구(tool)로써 활용될 수 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권1호
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• pp.25-37
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• 2011

Objectives：This study was conducted to develop a Korean algorithm of pharmacological and non-pharmacological treatment strategies in attention-deficit hyperactivity disorder (ADHD) and its specific comorbid disorders (e.g. tic disorder, depressive disorder, anxiety disorder, bipolar disorder, and oppositional defiant disorder/conduct disorder). Methods：Based on a literature review and expert consensus, both paper- and web-based survey tools were developed with respect to a comprehensive range of questions. Most options were scored using a 9-point scale for rating the appropriateness of medical decisions. For the other options, the surveyed experts were asked to provide answers (e.g., duration of treatment, aver-age dosage) or check boxes to indicate their preferred answers. The survey was performed on-line in a self-administered manner. Ultimately, 49 Korean child & adolescent psychiatrists, who had been considered experts in the treatment of ADHD, vol untarily completed the questionnaire. In analyzing the responses to items rated using the 9-point scale, consensus on each option was defined as a non-random distribution of scores as determined by a chi-square test. We assigned a categorical rank (first line/preferred choice, second line/alternate choice, third line/usually inappropriate) to each option based on the 95% confidence interval around the mean rating score. Results：Specific medication strategies for key clinical situations in ADHD and its comorbid disorders were indicated and described. We organized the suggested algorithms of ADHD treatment mainly on the basis of the opinions of the Korean experts. The suggested algorithm was constructed according to the templates of the Texas Child & Adolescent medication algorithm Project (CMAP). Conclusion：We have proposed a Korean treatment algorithm for ADHD, both with and without comorbid disorders through expert consensus and a broad literature review. As the tools available for ADHD treatment evolve, this algorithm could be reorganized and modified as required to suit updated scientific and clinical research findings.