• 한국산학기술학회논문지
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• 제14권11호
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• pp.5610-5615
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• 2013

본 연구는 4대 중증질환자와 혈연 관계자에 대한 명리학적 선천성질환 특성요인을 파악하고자 한다. 연구기간은 2013년 3월15일부터 7월31일까지이며, 연구대상자는 서울시에 소재하는 요양시설에 입소한 노인들 중에서 4대중증질환자와 혈연 관계자에 대한 각각 147명을 대상으로 실시하였다. 자료 분석은 SPSS/WIN 18.0 프로그램을 이용하여 빈도분석, 카이스케어 검정을 통계적으로 분석하였다. 연구결과는 4대 중증질환자와 혈연 관계자의 질환특성요인이 매우 유사하게 나타났으며, 선천성질환 중에서 뇌혈관질환이 가장 유의미하게 나타났다. 그리고 혈연 관계자의 건강관련 특성요인에 따른 4대 중증질환자는 유의미한 차이가 있었다. 본 연구의 결과에 의한 시사점은 4대 중증질환자와 혈연 관계자에 대한 명리학적 선천성질환이 유의미하게 나타났으므로 혈연 관계자의 질병예측기초자료가 될 것으로 사료된다.

• 보건행정학회지
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• 제2권1호
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• pp.66-79
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• 1992

The code of the International Classification of Disease(ICD) is seriously questioned on its effectiveness in identifing an independent disease entity from similar conditions at general practitioner's offices. This study has attempted to show individual coding variations in ICD for similar ambulatory care conditions. It has been assumed that a following outpatient visit is regarded as the sane kind of visit owing to the same disease if a visit to the different source of care would be mad within an interval of less than two days. The 'D' health insurance association was selected for this analysis. The 'D' association had 153,298 members and made claims of 642,605 outpatient care in 1990. Out of the total outpatient claims, 8.6%(55,102 claims) were counted as the same disease which could meet the above assumption. Percent of conditions classified as the 10 leading causes of frequent visits which were matched accurately to the subsequent ICD diagnostic code found to be 15.8% on the average. The URI was noted for the highest concurrence rate of 20.4%. This proportion was even decreased to 11.6% on the case of chronic disease. Despite the fact that the assumption underlying the definition of the above same disease is rather rough and inappropriate, this study reveals that the code of ICD currently in use has weaknesses in seperating a certain independent disease from similar conditions at the outpatient setting. Thus, efforts need to be elaborated to meet the need of a new system of classification for conditions and diseases encountering at ambulatory care.

• Asian Pacific Journal of Cancer Prevention
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• 제13권1호
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• pp.351-360
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• 2012

Background: Identification of reliable predictors of leisure time physical activity (LTPA) will enable healthcare providers to intervene and change the patterns of LTPA in the population to improve community health. Objectives: The objectives of this study were to determine prevalence and pattern of LTPA among adult Saudis aged 18-65 years, and to define the socio-demographic determinants that correlate with LTPA in Al-Hassa, Saudi Arabia. Subjects and Methods: A cross-sectional study of 2176 adult Saudis attending urban and rural primary health care centers were selected using a multistage proportionate sampling method. Participants were personally interviewed to gather information regarding socio-demographics, physical activity pattern using the Global Physical Activity Questionnaire (GPAQ). Physical activity (PA) in each domain was expressed in metabolic equivalents (METs). Results: The median total METs minutes/week for LTPA for both genders was 256, higher for men (636 METs minutes/week) compared to women (249METs minutes/week). Overall, only 19.8% of the total PA was derived from LTPA. Of the sampled population 50.0% reported doing no leisure activity. Using the cut off of 600 METs-minutes/day or 150 minutes of moderate intensity over 5 or more days/week, only 21.0% of the included sample were considered as being sufficiently active and 10.4% were in the high active category with beneficial health effects. Multivariate regression analysis showed that male, younger age (<35 years), absence of chronic disease conditions and moderate level of total PA were significant predictors for being active in the LTPA domain. Conclusion: The prevalence and intensity of LTPA among the included sample demonstrated low levels. Nearly 80% of the included sample population did not achieve the recommended LTPA level with beneficial health effects. Female gender, urban residence and associated chronic diseases correlated with a low LTPA.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.324-333
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• 2018

본 연구의 목적은 만성질환인 고혈압, 이상지질혈증, 관절염, 갑상선 질환, 우울증, 아토피, 알레르기, 당뇨병 등의 잠재계층이 어떻게 구성되어 있는지와 유형화된 만성질환의 예측요인을 살펴보고자 하는 것이다. 연구대상은 2014년 국민건강영양조사에 참여한 대한민국 국민으로, 표본추출방법은 층화집락표본추출방법을 사용하였으며 표본 수는 총 7,550명이고, 이를 대상으로 잠재계층분석을 적용하였다. 결과적으로 1 class 유형은 고혈압, 당뇨 그룹으로 고혈압을 앓고 있을 확률이 78.6%이고 당뇨병을 앓고 있을 확률이 34.6%이었다. 2 class 유형은 아토피, 알레르기 그룹으로 아토피를 앓고 있을 확률이 20.3%이고 알레르기를 앓고 있을 확률이 42.2%이었다. 3 class 유형은 이상지질, 관절염, 갑상선질환, 우울증 그룹으로 이상지질 56.1%, 관절염 50.9%, 갑상선 질환 19.4%, 우울증 28.75%로 나타날 확률을 지닌 집단이었다. 4 class 유형은 만성질환을 갖고 있지 않은 정상집단으로 나타났다. 준거변수인 4 class와 1 class를 비교하였을 때, 연령, 운동능력, 자기관리, 비만, 고콜레스테롤 유병여부 등이 유의하게 나타났고, 2 class와 비교하였을 때, 성별, 연령, 교육수준 등이 유의하게 나타났으며, 3 class와 비교하였을 때, 성별, 연령, 통증 및 불편, 고 콜레스테롤 등이 유의하게 나타났다. 결과적으로 세 유형 모두 연령은 복합적인 만성질환을 일으킬 수 있는 요인으로 나타났는데, 이는 질환을 일으킬 수 있는 결정적인 시기가 오기 전에 예방이 중요하다는 것을 의미한다. 따라서 연령에 따른 질병의 유병율 발생 시기를 파악하여 이에 적절한 예방적 노력이 필요하다.

• 한국건강관리협회지
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• 제2권3호
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• pp.97-116
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• 2004

Lifetime Health Maintenance Program(LHMP) for Koreans is the Korean guide to clinical preventive services which include screening for chronic diseases, counseling and immunization. The Korean Task Force on the LHMP vigorously reviews evidence for interventions to prevent over 50 different illnesses and conditions which are important in Korea. The problems addressed in this program are common ones seen every day by primary care physicians in Korea: cardiovascular, infectious diseases, gastrointestinal and endocrine diseases, cancers, alcohol and smoking, and many others. Primary care clinicians have a key role in screening for many of these problems and immunizing against others. Of equal importance, however, is the clinician's role in counseling patients to change unhealthful behaviors related to diet, smoking, exercise, injuries, and sexually transmitted diseases. The recommendations are grouped by age, sex, and other risk factors.

• 한국건강관리협회지
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• 제2권2호
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• pp.231-245
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• 2004

Lifetime Health Maintenance Program(LHMP) or Koreans is the Korean guide to clinical preventive services which include screening for chronic diseases, counseling and immunization. The Korean Task Force on the LHMP vigorously reviews evidence for interventions to prevent over 50 different illnesses and conditions which are important in Korea. The problems addressed in this program are common ones seen every day by primary care physicians in Korea: cardiovascular, infectious diseases, gastrointestinal and endocrine diseases, cancers, alcohol and smoking, and many others. Primary care clinicians have a key role in screening for many of these problems and imunizing against others Of equal importance, however, is the clinician's role in counseling patients to change unhealthful behaviors related to diet, smoking, exercise, injuries, and sexually transmitted diseases The recommendations are grouped by age, sex, and other risk factors.

• 보건의료산업학회지
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• 제13권4호
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• pp.201-214
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• 2019

Objectives: The purpose of this study was to identify the needs of the senior welfare center users of the health service program, and to establish a plan to adjust the health service functions of the senior center. Methods: A survey of 2,130 users of the Gyeonggi-do Senior Welfare Center was conducted from May 28 to June 30, 2018. Results: The major results of the study are as follows. First, 66.8 percent of senior welfare center users were willing to participate in health care. The requirement for health service programs was 3.87 points out of 5 points followed by cognitive ability improvement programs, senior movement programs, and chronic disease programs in lower areas. Second, the factors affecting the needs of health care service programs of senior welfare center users had a significant impact on women; the younger the age, the better the subjective health condition; the higher the number of medical conditions, the lower the out-of-patient experience; the longer the welfare center isused, the more people are willing to participate in healthcare. Conclusions: We believe that there is a need for social service policies and management to better understand the situation of senior citizens who are demanding various services due to illness and to integrate health and welfare services.

• Safety and Health at Work
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• 제14권3호
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• pp.340-346
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• 2023

Background: Truck driving is a highly sedentary occupation that places workers at risk for chronic health conditions, such as obesity and high blood pressure. The primary purpose of this study was to objectively describe truck drivers' typical physical activity (PA) patterns. Methods: We used ~7-10-day baseline PA actigraphy data samples from drivers in the Safety & Health Involvement For Truckers (SHIFT) study (n = 394). Driver PA patterns (e.g., average number of ≥10 minute Freedson bouts per week, time in bouts, and common days/times for PA) were summarized with descriptive analyses. We also compared objective accelerometer data to self-reports. Results: Drivers' weekly PA averaged 14.4 minutes (SD = 37.0), and most PA occurred between 5-6 pm on Tuesdays and Wednesdays. Drivers overestimated self-reported weekly exercise by over 60 min/week compared to accelerometer data. Conclusion: Our results suggest that objective PA assessment may be warranted over self-report when possible, and timing may be key in future PA intervention work with truck drivers.

• 한국보건간호학회지
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• 제23권2호
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• pp.273-284
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• 2009

Purpose: The study examined obesity conditions and related factors in middle aged Korean women who had been diagnosed as obese based body mass index (BMI) or waist circumference (WC) measurement. Presently, BMI alone, WC alone, or BMI + WC were used as obesity measures. Methods: Subjects were 488 women 40~64 years of age living in one city, Korea. Structured questionnaires concerning general characteristics, health behavior practices, and chronic disease history were completed by each subject. Results: The proportions of obesity were 42.4% by BMI, 39.3% by WC, and 51.3% by the combination of both measurements. Chi-square test revealed significant associations of obesity with age, education level, menopausal status, frequency of excessive eating, and history of diabetes mellitus or hypertension. These associations were similar for the three measurement schemes. There was significant positive relationship between BMI and WC, whereas the relationship between BMI and WHR (waist-hip ratio) was not significant. Conclusions: The combination of BMI and WC measurement may be a valid way to evaluate the obesity status in middle-aged women. Developing an obesity management program that includes control of excessive eating, and consideration of menopausal status and history of chronic diseases would be prudent.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.107-122
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• 2003

만성질환자들의 보완요법 이용률과 이용양상을 알아보기 위하여 보건소에 등록된 고혈압, 당뇨병, 만성관절염 환자를 대상으로 하여 2001년 1월 3일부터 1개월간 각 질환별로 200명씩 총 600명에게 지난 12개월간의 보완요법이용실태에대하여직접면담조사를실시하였다. 지난 1년 동안 전체 대상자의 47.5%가 보완요법을 이용하였는데, 고혈압 환자는 35.0%, 당뇨병 환자는 44.6%, 관절염 환자는 62.9%가 보완요법을 이용하여 관절염 환자의 이용률이 가장 높았다. 보완요법 이용률은 대상자의 일반적 특성에 따라서 거의 유의한 차이를 보이지 않았다. 보완요법 이용자 중 고혈압 환자는 약초요법(31.0%)과 침요법(29.6%)을 많이 이용하였고, 당뇨병 환자는 식이요법(57.5%)과 약초요법(35.1%)을 그리고, 관절염 환자는 침요법(85.0%)과 약초요법(34.7%)을 많이 이용하였다. 보완요법 이용자중 2종류 이상을 이용한 사람은 36.8%였고, 고혈압 환자가 18.3%, 당뇨병 환자가 24.1%, 관절염 환자가 55.9%로서 관절염 환자가 여러종류의 보완요법을 이용하였다. 가장 많이 이용한 보완요법을 종류별로 보면 침술이 47.0%로 가장 높은 빈도를 보였고, 그 다음이 한약(26.3%), 건강보조기구(21.8%), 민간요법(21.4%), 물리치료(9.5%), 건강보조식품(8.4%), 약초(7.7%), 수지침(3.2%), 단전호흡(1.1%), 기공치료(0.7%)의 순이었다. 보완요법을 이용한 장소로는 한의원이 42.8%로 가장 많았고, 이용한 이유로서는 치료를 위해서가 61.8%, 증상완화가 26.0%로 대부분의 환자들이 치료와 증상완화를 위해서 이용하였으며, 지난 1년간 보완요법 이용에 지출한 비용은 9만원 이하가 40.3%로 가장 많았고, 50만원 이상도 31.2%이었다. 보완요법 이용 후 56.1%가 만족하다고 대답했고, 6.0%는 부작용을 경험했다고 하였다. 보완요법을 이용한 사람들의 74.0%가 계속 이용하겠다고 하였으며, 56.1%는 다른 사람에게 권유할 의향이 있다고 하였다. 정통의료와 비교한 보완요법의 이점으로는 33.5%가 심리적으로 안정감을 준다, 21.2%는 몸을 보호해 준다, 19.2%가 효과가 좋다라고 하였다. 또한 조사대상자 가운데 보완요법에 대한 교육을 희망하는 사람은 34.0%였다. 이상의 연구결과에서 볼 때 만성질환자들의 상당수(47.5%)가 지난 1년간 자신들의 건강문제를 해결하기 위하여 다양한 종류의 보완요법을 이용하였고, 비록 부작용 경험률이 6.0%정도 되지만 보완요법에 대한 만족도가 비교적 높고, 계속적으로 이용할 의사가 높기 때문에 보건기관이나 의료인들의 적극적인 관심이 요구되며, 부작용이 없고 건강증진에 도움이 되는 다양한 보완요법 프로그램 개발에 노력을 기울려야 할 것으로 생각된다. 그리고 보안요법의 효능를 확인하는 노력이 계속되어야 하고, 적절한 가격을 유지할 수 있는 제도적 장치도 필요하다고 생각된다.