• 대한간호학회지
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• 제5권1호
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• pp.112-132
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• 1975

When Korean family planning services began as a part of the National Policy in 1962, the annual population growth was 3.0%. This growth rate has been decreased to 2.0% during last ten year period. And it seems imperative that all hospitals, as well as related organizations, should participate in family planning in order to contribute to achieving the National goal of 1.5% population growth by 1976, the end of the Third Five Year Economic Development Plan. Nurses should be considered the most important human resources in charge of the core of family planning services in any setting. For the family planning services in the general hospital setting, nurses as a core members contribute much as change agent, motivators, counsellors, educators etc. A nurse can work with patients and their relatives when she is equipped with relevant knowledge and skills. Fur the more family planning cannot be ignored even in hospital setting where more comprehensive nursing care is needed Thus, the general objective of this study is to provide baseline data for better programming of In-service education in family planning so that effective hospital family planning nursing services can be made a part of comprehensive nursing care contributing to the national population program and human welfare. In order to meet the general objective, this study has the following specific objectives : 1. To find out the general characteristics of the clinical nurses working in Y Hospital 2. To evaluate their attitudes and practices of family planning 3. To assess their knowledge, attitudes and practices of population and family planning as professional nurses. 4. To examine and compare data collecting methods for the planning of an In-service Educational Program 5. To explore the contents to be included in this In-service Education Program. The study population randomly selected one hundred nurses working in Y Hospital A cross-sectional survey with questionnaires developed for this study was chosen for the study method. To collect reliable data, the questionnaires were distributed to and answered by the study population in a controlled situation. X²test and t-test was employed in analyzing the data. The findings of this study are as follows: 1. Y Hospital nurses had a lower ideal number of children (X=2.02) and showed no strong preference for male children, and 74% of them expressed the desire to use permanent methods of birth control 2. of this thirty Y Hospital nurses who were married 66.7% stated they were already practicing contraceptive methods. Most of them preferred male methods of contraception. 3. According to objective evaluation about knowledge of various aspects of population and family planning, respondents from collegiate programs significantly knew better the subjects on the average than did respondents from diploma programs of nursing. 4. There was a marked difference in the results of self-evaluation and objective evaluation in their family planning knowledge. It was found that the self-evaluation family planning knowledge seemed to be unreliable. Accordingly, the objective test methods appeared to be more reliable in the evaluation of knowledge levels. 5. The subject areas needed to be included in In-service education for the Hospital family planning services in Y Hospital are 1) rhythm methods, 2) tubal-legation, 3) family planning effects of contraceptives, 4) population growth, 5) demographic traction, 6) population structure and 7) infant mortality facts. In addition, 1) various oral contraceptives, 2) basal temperature method, 3) laparoscopic female sterilization, 4) interfering factors of family planning, 5) anatomy and physiology of the female reproductive organs were additional areas to be taught to respondents from 3-year diploma schools of nursing. Demographic transition was one subject area in which the four-year graduates need further study. 6. Population problems guidance and counselling in family planning instruction in the theory and practice of contraceptives should be included in future In-service Education Programs in order to provide more effective hospital Family Planning Services, stated 77.0% of the respondents.

• 보건교육건강증진학회지
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• 제1권1호
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• pp.83-97
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• 1983

The present study is to provide information for the improvement of school health services through research on the current condition of its organization and practice in universities, colleges and junior colleges. The scope of this study is consisted of four components including health organizations/units, school health services, environmental sanitation and health education for the 30 universities, the 20 colleges and the 32 junior colleges in Korea. The major findings are summarized as follows: (1) Among the sampled schools, around 73% of them have the health service organization/unit. When we break down health service organization/unit into the types by the level of school, around 73% of the universities have formal organization called "health center" and 20.0% of them have an informal organization called "health room". For the colleges level, 30.0% of them have the "health center" and 40.0% of them have the "health room". The figure of junior colleges is a quite different from universities and colleges, 56.3% of junior colleges have the "health room" only but the other have no service organization at all. (2) It was found that only 22.0% of 82 schools have the health committee for the school health services. It might be necessary to have a kind of expert committee to establish an annual health service program, budget and health policy in the school. (3) Approximately 29% of those schools having formal health organizations/units appointed directors as a medical persons. 13.4% of the sampled schools are appointed doctors (including the dentists) at health service organization/unit, 9.8% are appointed pharmacist and 65.9% are appointed nurses. Therefore, the data imply that the school health services are depending mainly on nurses. (4) The major activities of school health services are covering primary medical care (84.1%), health counseling (72.0%), physical examination (68.3%), vaccination (58.5%), tuberculosis control (54.9%), parasite control (29.3%) and dental health case(9.8%). Also 69.5% of the schools have the program on the environmental sanitation and the health education program. (5) In regard to health budget taking account of 34 schools, approximately 92% of them have less than 5,000 won per students and only 8.8% of them have more 10,000 won per students. At the average health budget per students is 4089.8 won in universities, 1617.1 won in colleges and 475.0 won in junior colleges. (6) The students enjoy the benifit of medical insurance at 11.0% of 82 schools surveyed. They are all universities. (7) The study found that 56 universities, colleges and junior colleges provide the annual physical examination. Only 21.4% of them have provided it for all students and school employees. (8) 64.3% of the 56 schools surveyed keep a record of the regular physical examinations. Records must be utilized as the basic data for the evaluation of the student's health condition and so the individual student is encouraged to take care of his own health. (9) At the 59 schools which practice health counseling, the main concerns of the counsellees are venereal disease, tuberculosis and psychoneurosis. This shows the need to practice health education in the area of preventive medicine. (10) 69.5% of the 82 universities, colleges and junior colleges surveyed are concerned with supervision of the environmental sanitation in their school, but non-professionals are in charge at 70.1% of them. This indicates negligence in environmental sanitation. (11) 53.7% of the 82 schools responded that they have no special instructive measure for the students' health and 54.9% are found to be negative in the use of a health education method. This reveals a problem. They are not positive to the recognition of their function as the initiative organization for the students' health. (12) The supplementary education for the faculty of the school health services is executed only at 8.5% of all the schools surveyed.

• 한국인구학
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• 제11권2호
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• pp.33-53
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• 1988

This study aimed at developing a desirable family planning policy and strategy by examining the current status of family planning practice in rural Korea and by indentifying the crucial factors which affect fertility control behavior. For this purpose, an analytical study was conducted, using the survey data collected in July 1985, on an interview basis, on 1, 440 married women living in the Soyi, Wonnam and Maingdong townships of Eumseong County(in North Chungcheong Province). This study population has the typical characteristics of rural areas, and the results of the analysis can be summarized as follows: 1. In regard to the demographic characteristics of the study population : their average age at marriage was 23.7, they had an average of 2.6 children( 1.3 boys, 1.3 girls) :10% experienced the death of their child (ren) :14% had spontaneous abortion(s) :4% weathered stillbirth(s) :35% went through induced abortion (s) : and 5.5% were currently pregnant. The average of their ideal numbers of children was 2.2, while 44% felt that they must have a son. 2. Looking at the contact rate with medical & health institutions, over the past 1 year, the visit rate to health subcenters was 43.7%, while 26.9% visited the (county) health center :59.6% had been to private clinics : and 41.5% went to the Soonchunhyang - Eumsung hospital : thus showing a relatively high rate of accessibility. 3. The utilization rate of family planning services was 76.5%, with tubectomy being the most prominent method at 52.3%, while the informants were health workers in 54.2% of the acceptors. Of the 8.4% who discontinued the use of contraceptive methods, only 26% did so due to want for pregnancy, natural infertility (meno - pause), or other reasons, while the remaining 74% stopped usage on account of side effects, failure in the methods themselves, and inconvenience of use, thus pointing to a situation where the proper choice of family planning methods have not yet been made. It can be noted that there is a strong motivation for early birth stopping as 35.3% practice family planning even with only one child, of which 38.3% have had sterilization operations. According to results of a multiple regression analysis, among the variables affecting contraception usage the most significant variable was the number of sons. 4. 34.8% experienced induced abortions. It was shown as a result of multiple regression analysis that the number of children and attitudes toward induced abortions extensively affected their frequency of abortions conducted. 5. In the regard to the relation between family planning and induced abortions, 33.7% of the women used both, while 52.0% of them used only the former(family planning), with only 1.4 % utilizing solely the latter(abortion), and 12.9% totally abstaining from fertility regulation : again, the discriminant analysis indicated that the choice of family planning and/or induced abortion was determined by the number of children and attitudes toward induced abortion. In view of the above mentioned results, the following are some comments and suggestions concerning problems related to the current family planning policies, in Korea : 1. It is difficult to expect a further quantitative expansion in family planning program operations, as there has been an excessive supply of target-oriented sterilization operations on women. From a maternal and child health care point of view, it will be desirable to have a diversification of service points in the future where family planning methods may be properly chosen, so that choices of methods which suit the mothers' characteristics and tastes may be made by the individuals themselves by strengthening their quality of family planning information services. 2. Along with the strengthening of the qualitative improvement of family planning services policies must be implemented to effectively promote the moral (ethical) deterrents to induced abortions and to preference for sons. From a maternal care standpoint, the social permissive norm toward induced abortion must be modified, and the bias towards son must be analyzed as the women with more daughters have a lower rate of family planning acceptance. Such changes in attitudes, however, can not be hoped to be accomplished with ad hoc policies, but will only be possible when an enhancement of the women's status(within the society) is brought about in a long - term perspective.

• 한국식품위생안전성학회지
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• 제36권1호
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• pp.68-76
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• 2021

식중독에 의한 사회경제적 손실을 최소화하기 위해서는 식중독과 관련된 경제적 비용 손실을 추정하는 것이 중요하다. 하지만 자료의 부족과 다양한 비용 항목의 존재로 식중독과 관련된 사회경제적 손실비용을 정확하게 추정하기에 어려운 점 있다. 본 연구에서는 국내 식중독 발생에 의한 손실비용을 추정하기에 앞서 국외에서 사용되는 사회경제적 비용항목의 기반 자료 확보를 목적으로 수행되었다. 2009-2019년 국외 식중독과 관련된 사회경제적 손실비용 측정 연구의 사례 조사를 위해 문헌 조사를 실시하였다. 이 연구에서는 사회경제적 손실비용을 크게 의료기간에 방문한 외래/입원환자 및 의료기관에 미방문한 경험환자로 구분하였다. 또한 이들의 직접비용 및 간접비용을 고려하였고, 더 나아가 기업비용 및 행정비용 항목으로 구분하여 조사하였다. 조사 결과 문헌별, 나라별 상이한 비용항목을 사용하여 손실비용을 추정하는 것으로 관찰되었다. 직접의료비의 경우 모든 연구에서 외래 또는 입원진료비를 선정하여 비용을 산출한 것으로 관찰되었기 때문에 나라별 의료서비스의 체제 및 비용에 따라 항목을 선정해야 한다. 직접비의료비의 경우 몇 몇의 연구에서 외래 방문에 소요된 교통비만을 고려하였기 때문에 간병비 고려 여부에 대해서는 더 논의가 필요할 것으로 사료된다. 간접비용 중 조기사망비용, 작업손실비용, 여가손실비용 및 삶의 질 저하/고통비용은 고려하였으나, 병문안 기회비용은 모든 연구에서 고려하지 않았다. 직접의료비와 마찬가지로 행정비용의 경우에도 국가별 정부 예산이 상이하기 때문에 각 나라에 맞는 항목을 고려해야할 것이다. 따라서 이러한 조사 결과를 바탕으로 국내 식중독 발생에 의한 사회경제적 손실비용 분석을 위해 어떠한 비용 항목을 고려해야 할 것인지에 대한 검증절차가 필요할 것이다. 본 연구는 국내 식중독 발생에 의한 사회경제적 손실비용 분석을 위한 기초적인 정보를 제공할 것이다.

• 한국노년학
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• 제29권2호
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• pp.629-643
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• 2009

본 연구의 목적은 우울증 노인들의 인구사회학적 특성에 따라 자기효능감과 사회적 지원에 어떠한 차이가 있는 가를 살펴보고, 자기효능감과 사회적지원이 우울증 노인들의 삶의 질에 미치는 영향을 살펴보는 것이다. 즉, 우울증 노인들의 삶의 질에 영향을 미치는 변인을 연구함으로써 그들을 이해하는데 중요한 지식을 제공하고, 그들이 행복하고 만족한 삶을 사는데 어떠한 배려가 필요한지를 알아보는 것이다. 본 연구의 대상자는 편의 추출한 215명으로 서울, 경기 지역에 소재하고 있는 정신병원의 외래와 주간 병동, 정신보건 센터에서 추후 관리를 받고 있는 노인들로서 연구에 참여하기로 동의하고 의사소통이 가능한 자로 선정하였다. 본 연구는 2008년 11월 10일에서 20일까지 11일간 이루어졌으며, 본 연구의 질문지는 인구사회학적 특성을 묻는 문항, 자기효능감, 사회적 지원, 그리고 삶의 질을 묻는 문항으로 구성되었다. SPSS v15.0 통계 프로그램을 사용하여, 빈도분석, 평균비교, 교차분석, 다중회귀분석 등의 분석이 이루어졌다. 연구의 결과를 요약하면 다음과 같다. 첫째, 인구사회학적 변인 중에서 남성, 유배우자, 고학력, 비수급자, 유병기간이 짧을수록, 그리고 건강이 양호한 노인들에게서 자기효능감의 정도가 높게 나타나고 있다. 또한 고학력, 비수급자, 건강이 양호한 노인들이 사회적 지원을 더 많이 받았으며, 삶의 질은 배우자 유무, 기초생활수급여부, 유병기간, 건강에서 유의미한 차이를 보였다. 둘째, 자기효능감과 사회적 지원이 삶의 질에 미치는 영향을 알아보기 위해 실시한 회귀분석 결과에서, 자기효능감이 클수록, 사회적 지원을 받을수록, 배우자가 있는 노인일수록, 건강하다고 느낄수록, 비수급자일수록, 유병기간이 짧을수록 우울증 노인들의 삶의 질은 높은 것으로 나타났다. 이상과 같은 연구 결과를 바탕으로 사회복지적 함의와 후속연구 및 제언을 덧붙였다.

• 한국노년학
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• 제29권4호
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• pp.1361-1381
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• 2009

최근 우리 사회는 급격한 사회변동으로 다양한 사회문제를 경험하여 왔다. 특히 치매노인이 접근하기 쉽지 않은 대상이라는 특성 때문에 치매노인의 삶의 질에 대한 심층적인 연구가 제대로 이루어지지 않고 있다. 이 연구의 목적은 치매노인의 삶의 질을 조사하고, 치매노인의 삶의 질과 시설 환경과의 관계 분석을 통해 치매노인의 시설 환경에 적합한(compatible) 프로그램 개발이나 다양한 정책적 및 실천적 방안을 구성하는 데 필요한 기초 자료를 제시하고자 하며, 이를 통하여 치매노인의 삶의 질 향상과 시설 환경적 문제해결 방안을 모색하는 것이다. 이를 위하여 대구 및 경북지역의 노인주거복지시설 및 노인의료복지시설의 치매노인을 대상으로 하였으며 수집된 자료는 SPSS 12.0 통계 프로그램을 이용하여 빈도 및 교차분석과 다항로지스틱회귀분석을 하였다. 그 결과 시설의 환경이 치매노인의 삶의 질에 유의한 영향을 미치는 변인으로 밝혀졌다. 이를 위한 방안으로는 첫째, 치매노인이 만족하는 삶의 질을 위해서는 치매노인의 특성을 충분히 고려한 환경을 마련하고 치매노인의 잠재능력에 대한 인식전환이 필요하다. 둘째, 주수발자가 치매노인의 삶의 질에 영향을 주는 것으로 나타난 결과를 미루어 볼 때, 주수발자와의 관계 향상을 위한 프로그램이 필요하다. 셋째, 시설환경의 변화가 필요하다. 시설들이 치매노인의 증상에 잘 대처해 나갈 수 있도록 준비하고 시설의 접근성이 다소 떨어지는 것에 대해서는 오프라인(off-line)보다는 온라인(on-line)을 통해 치매노인요양시설과 전담인력 등 인프라를 확충하고, 지역사회가 긴밀히 협력하여 요양보호를 필요로 하는 어르신께 양질의 요양보호서비스를 제공할 수 있도록 해야 한다.

• 항공우주정책ㆍ법학회지
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• 제30권1호
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• pp.95-116
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• 2015

항공운송계약은 객체에 따라 항공여객운송계약과 항공물건운송계약으로 분별된다. 항공운송 사고는 인적 물적 피해를 수반하기 때문에 피해의 분석을 다각도로 접근할 필요가 있으며, 항공운송인의 손해배상책임 논의는 크게 (1) 원인 사유, (2) 제한 사유, (3) 면제 사유로 나눠볼 수 있다. 우리 상법에서 손해배상책임의 소멸을 위한 면제사유는 조약과 국내법이 혼재되어 있는바 이에 대한 가늠이 필요하다. 상법과 항공운송 관련 조약은 항공운송인은 여객의 연착으로 인한 손해에 대하여 항공운송인측이 손해를 방지하기 위해 합리적으로 요구되는 모든 조치를 취하였다는 것 또는 조치를 취하는 것이 불가능하였다는 점을 증명한 경우에는 책임이 면제된다. 그래서 어떠한 경우에 합리적으로 요구되는 모든 조치의 요건을 달성하였는지가 문제이다. 개정 상법 항공운송편은 국제항공운송에서 세계적으로 활용되는 조약들의 내용을 우리 실정에 맞게 반영하여 국제적 기준에 맞으면서 체계상으로도 육상 해상 항공운송을 포괄하는 특징을 갖고 있다. 그러나 상법은 운송계약상 항공운송인의 손해배상책임 문제를 규율하는 몬트리올 협약을 주로 반영하면서 동 협약이 가지고 있던 문제들도 그대로 안게 되었으므로 국내 상황에 맞게 변형 및 생략을 통해 동 협약의 규정을 수용함으로 인해 발생하는 문제들도 생겨나게 되었다. "상법" 제907조 제1항 제909조 제914조에서의 '합리적으로 요구되는 모든 조치'에 대한 분석이 필요하다. 항공운송으로 인한 손해에 관하여 항공운송인에게 기산일로터 2년 내에 재판상 청구가 없으면 항공운송인의 책임은 소멸하는데 이와 같은 2년의 제소기간은 국내법상 어떤 의미로 해석되는지 여부와 연장이나 중단은 합리적인 주의와 사고방지를 위한 적극적인 조치를 다하는 것으로 판단해야 할 것이다.

• 대한간호학회지
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• 제4권3호
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• pp.63-79
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• 1974

1. The purpose of this study. The purpose of this study is to plan and investigate short-term nursing education of two-years associate degree program to produce middle-level professional nurses which are needed by-society and nation. Current nursing education in Korea is divided into four years degree program, three years diploma program Even (though) there are differences in the aims of their education, the curriculums are not much different between the education for producing leaders which is its basic purpose and training middle-level professional nurses. Therefore the purpose of associate degree program lies in minimizing the waste of time and finance which are invested for long-term education for middle-level professional nurses. And also this coincide with the policy of national technical training and definite supply of nurse manpower according to health policy for effective role and ability of nurse. 2. The method of study. This is based on the study of literature, research on the actual condition and investigation of opinion- through questionnaire. L) The study of literature: Domestic and foreign literatures for two years associate degree program were studied and investigated. 2) Research on the actual condition : Current three years nursing education program was collected and analysed. 3) Investigation of opinion. The problem of curried nursing education system and the possibility of two years associate degree program were investigated through questionnaire. 3. The result of the study. 1) The trend of recent nursing education. a. The aims of nursing in past chiefly taking care of physical disease of patient has recently changed to nursing of character including physical, mental, socio-economic, educational and psychological condition. b. For the performing systematic and effective nurse's duty according to her role, the-change of educational system which is classified as a range of education the period of education and certificate after graduation has been enforced or fulfilled. c. Nursing education also has a trend to become a collage or two years associate degree program which can get same legal protection as other educational institutions whose basic purpose is education. Attached nursing school to hospital is getting disappeared because of disadvantage of educational system. 2) Problems. Depending upon research on actual condition of current 3 years nursing education program. a. There are too many subjects. b. Contents of education could be doubled because major subjects are subdivided in detail. c. The credits for graduation are too heavy comparing to the period of study or the ability of students. (The necessary credits are 150.8 for three years according to actual investigation 4. There is no certain standard in organizing curriculum therefore there are too much differences between schools. 4. Basic Plan. The plan for two years associate degree program in nursing education depending on demand of professional nursing field of society is based on following items. 1) Training middle-level professional nurse lay emphasis on liberal arts and basic major field. 2) Liberal arts are divided into required and optional subjects and students could take courses by choice. 3) Major subjects are compound together by fields and they become the sciences of nursing Ⅰ,Ⅱ,Ⅲ,Ⅳ and every items has its educational purposes and contents major study includes laboratory practice and clinical experience. 4) The required credits for graduation are to which means 17-18 credits a semester. The above has been planned to solve the problems of current three years nursing education program. In conclusion for the achievement of this system, following items are needed. 1) It is necessary to change educational administration and system such as amendment of educational law or order of educational application of law. 2) Qualified professors should be available to understand and develope the idea or purpose of this educational system. 3) Local medical institutions should be opened widely and educational for clinical training. 4) The job after graduation should he secured positively.

• 한국직업건강간호학회지
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• 제7권2호
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• pp.164-176
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• 1998

This study deals with the current medical utilization for migrant workers and the characteristics of them. The purpose of this study is to provide the basic information to establish proper medical policy. For the study self-made questionnaire was used, which was answered by 453 migrant workers working in the area of manufacturing and non-technical work in 10 cities like Seoul, Inchon, Namyangju, Sungnam, Kwangju, Pyungchon, Kunpo, Kimpo, Masuk in Kyungki-do and Chunan in Chungchungnam-do. Besides, 303 medical records of those who had visited free medical check-up center were analyzed. The period of accumulating data is 6 months, from November 1st, 1996 to April 30th, 1997. The characteristics of migrant workers and current medical utilization are analyzed by percentage and the relation between characteristics and current medical utilization were analyzed using ${\chi}^2$-test, t-test, ANOVA. The finding of this study was as follows : 1) The number of nationality was 16. The first majority was Philippians as 32.0%. Among 16 nationalities Southeastern and Northern Asians were 48.9%, Southwestern Asian was 46.5%, the rest was 7.3%. Men were 81.0%, those who are aged from 26 to 30 were 39.0%, Graduatee from high school 92.7%, Christians 56.3%, unmarried 55.4% and salary from 600,000 Won to 800,000 Won 53.8% averaging monthly payment 669,810 Won. As for their residence, those who resided over 3 years were 31.9% and the illegal residence reached 77.4%. As for Korean language, those who speak in middle level were 5.6%. 2) As for kind of work and circumstances, manufacturing was 81.1%, 4 off-days per month 72.2% and 9-10 working hours per day 42.1%. As for accommodation, residence in fabric was 62.6% and one or two members as roommate 40.2%. 3) The characteristics of health behavior showed that 89.4% of migrant workers had 3 meals, 70.9% of them did not drink alcohol, 73.5% of them did not smoke. 4) As a characteristic of health status, 71.8% of them perceived of their health. 76.1% thought that they had no illness before coming Korea. Among them who recognized their illness, those who had problem in circulatory system was 35.3%, respiratory system ENT 19.1% and nervous system 19.1%.66.2% of those having illness had already had sickness when coming to Korea. 5) During last one month, 79.2% of them were known as ones having no illness. Among the sick, those who had problem in circulatory system was 31.6%, nervous system 23.7% and respiratory system 21.1%. 60.3% of the sick were not cured at that time. 6) Sorting the symptom of those who visited free medical check up, dental care was 24.2%, orthopedic 14.0% and digestive system 13.8%. Teethache was 34.4%, stomach problem 11.6%, upper respiratory inflammation 10.2% and back pain 5.9%. Averagely they visited free medical check up 1-2 times. According to symptom, epilepsy 25.5 times, heart and vascular disease 9 times, constipation 2.8%, neurosis 2.38 times and stomach problem 2.34 times. 7) The most frequently visited medical service by migrant workers was hospital. The most mentioned reason was good healing as 36.3%. The medical service satisfied migrant workers mostly was hospital as 64.3%. The reason of satisfaction was also good healing as 45.9%. 8) 77.2% of respondents did not spend money for medical check. Average monthly medical cost was 25,100 Won, 3.7% of income. Those who had no medical security was 73.4%. In their case, 67.7% got discount from hospital or support from working place and religious organization. 9) As for the difference of medical utilization according for the characteristics of migrant workers, legal workers and no-Korean speaker used hospital more frequently. 10) Those who were satisfied most of all with the service of hospital were female workers, hinduists and buddhists, legal workers or manufacture workers. 11) Christians, those who have 3 meals or recognize themselves as healthy ones mostly had no illness. As a result, the most of migrant workers in Korea are from Asia. They are good educated but are working in manufacturing and illegal. Their average income is under 700,000 Won which in not enough for medical cost. They have no medical security and medical fee is supported by religious organization or discounted. Considering these facts the medical policy by government is to be established.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제11권1호
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• pp.42-55
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• 2008

목 적: 보건복지부 및 국민건강보험공단에 의해 국내 최초로 영유아 건강검진 사업이 2007년 11월에 시작되었다. 본 연구진은 이 사업에서 포함되는 영양상담 프로그램을 개발하였다. 방 법: 연구진은 대한소아과학회에서 발행되는 영양지침 관련 자료와 미국의 Bright Future, 세계보건기구의 지침들을 참고하였다. 또한, 국내의 중요한 영양 관련 역학 연구인 국민건강영양조사 자료 및 2005년 소아청소년 신체발육표준치 결과를 분석하였다. 문진표와 보호자용 설명서, 컴퓨터 프로그램 및 의사용 지침서를 만들기 위해 연구자들과 정책 담당자들 간의 수차례 회의를 거쳤다. 결 과: 다수의 학문적이고 역학적인 근거를 통해 연령별 영양상담 핵심 주제를 선정하였다. 이는 영유아에서의 모유수유, 보다 건강한 보충식, 철 결핍빈혈의 예방, 보다 건강한 소아 식이, 과체중을 예방하기 위한 영양상담, 그리고 신체활동의 강조 등이다. 이에 근거하여 4개월, 9개월, 18개월, 30개월, 그리고 만 5세의 방문 시기별로 새로운 한국 영양상담 및 예방적 지침을 개발하였다. 각 방문 시기별로 5개에서 8개의 문진이 제공되고, 나이에 적절한 설명서와 의사용 지침서가 개발되었다. 결 론: 연구진은 최신의 과학적 근거를 통해 영양상담 및 예방적 지침을 개발하였으며, 이를 새로운 건강증진 정책인 영유아 건강검진 프로그램의 주요 구성 요소로 포함시켰다. 향후 보다 세밀한 영양학적 진단 및 주요 질환 치료로 이어지는 상담을 위한 심층 연구가 요청된다.