• 제목/요약/키워드: comparing health

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노인 구강건강 수준과 구강건강관련 삶의 질의 관련성 (Association between Oral Health and Oral Health-Related Quality of Life among the Elderly)

  • 김미화;김경원;이경수
    • 치위생과학회지
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    • 제14권4호
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    • pp.488-494
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    • 2014
  • 본 연구는 경상북도 일개 도 농 복합시의 보건소에서 실시하는 노인 불소도포, 스케일링사업에 참여한 65세 이상 노인을 282명을 대상으로 하였다. 자료수집 기간은 2011년 1월부터 12월까지로 연구의 목적과 내용 및 취지를 설명하고 자발적인 연구 참여에 동의한 사람들을 대상으로 하였다. OHIP-14 설문 문항은 5점 만점으로 측정하였으며, 점수가 높을수록 구강건강 삶의 질이 낮아지는 것을 의미하며, 다음과 같은 결과를 얻었다. 1. 치아우식증 개수가 적을수록, 잔존치아 수와 일일 칫솔질 횟수가 많을수록, 의치를 장착하지 않은 그룹에서 구강건강 삶의 질이 유의하게 높았다. 2. 사회경제적 특성에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한 점수는 학력이 높을수록 적었다. 신체적 동통 점수는 나이가 많을수록, 학력이 낮을수록 더 많이 느끼고 있었다. 신체적 능력저하는 학력이 낮을수록 더 많이 느끼고 있었다. 3. 구강건강상태와 칫솔질 횟수에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한과 신체적 동통, 정신적 불편, 정신적 능력저하, 사회적 능력저하, 사회적 불리 점수는 치아우식증 개수가 많을수록 삶의 질이 낮았고, 잔존치아가 많을수록, 의치장착을 하지 않은 그룹에서 삶의 질이 좋았다. 4. 구강건강관련 삶의 질에 영향을 미치는 요인을 규명하기 위한 다중회귀분석 결과 충치의 개수와 의치장착이 유의한 변수로 나타났다. 이 연구결과 노인들의 구강건강상태의 수준과 노인들의 삶의 질이 유의한 관련성이 있는 것으로 나타났다. 구강건강 삶의 질을 유지하기 위하여 나이가 들더라도 잔존치아 수를 많이 유지할 수 있도록 하고, 필요한 경우에는 의치를 장착할 수 있도록 지원하는 것이 중요하다.

치위생 전공교육과 연계한 노인구강보건관련 봉사학습(SERVICE-LEARNING)의 효과 연구 (Effect of SERVICE-LEARNING related to Geriatric Oral Health according to Dental Hygiene Education)

  • 윤영숙
    • 치위생과학회지
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    • 제8권2호
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    • pp.43-49
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    • 2008
  • 전공봉사학습을 치위생 전공교과과목인 예방치위생학 및 실습 수업과 노인구강보건봉사활동 I, II를 D대학 치위생과 학생들 1, 2, 3학년 총 131명에게 2학기에 걸쳐 적용하여 그 경험적 효과성을 분석한 결과, 학생의 개인적 성장 측면에서는 자기효능감은 유의하게 증가한 것으로 나타났으며(p < 0.05), 이타심 및 사회적 책임감도 유의미하게 증가한 것으로 나타났다(p < 0.05). 아울러 자기효율성, 이타심 및 사회적 책임의 변화는 학년별로는 유의하였으며(p < 0.05), 봉사활동횟수에서는 유의하지 않았다. 또한 학년에 따른 자기효능감, 이타심 및 사회적 책임의 차이가 어떤 잡단간의 차이에서 기인한 것인지를 알아본 결과 1학년과 3학년 간, 2학년과 3학년 간에 유의한 차이가 있는 것으로 나타났다(p < 0.05). 봉사학습 참여 후 예방치위생학 및 실습과 연계한 노인구강보건봉사학습에서 시행한 봉사활동과 교과목 구성에 대한 질문에 대한 평가결과 봉사학습 참여 후의 봉사활동 횟수와 봉사활동 만족도 점수는 유의한 것으로 나타났다(p < 0.05). 또한 봉사학습 참여 후의 봉사활동 횟수와 교과목 평가점수도 유의미한 것으로 나타났다(p < 0.05).이상에서 살펴본 바와 같이 치위생전공교육에 봉사학습을 적용했을 때 실제적인 효과가 있는 것으로 나타났으며, 봉사학습이 보다 다양한 교과목에 효과적으로 적용되고 활성화되도록 하기 위해서 다음의 제언을 하고자 한다. 차기연구에서는 기존의 강의중심의 수업과 봉사학습을 적용한 수업간의 비교연구, 과목에 따라 다양한 봉사학습의 효과를 규명하는 연구 등을 통해서 보다 면밀하게 봉사학습의 효과를 검증해보는 것이 필요하다.

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반려동물과 아동의 천식증상과의 관계에 관한 연구 - 반려견 및 반려묘를 중심으로 - (Association between Pets and Asthma Symptoms in Korean Children - Focusing on Dogs and Cats -)

  • 조준호
    • 한국환경보건학회지
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    • 제46권1호
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    • pp.11-21
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    • 2020
  • Objectives: The purpose of this study was to assess the association between pet ownership and asthma symptoms in Korean children. Methods: This study used data from the 8th Panel Study on Korean Children in 2015. For the final study, 1598 cases were used. Wheezing as an asthma symptom was self-reported as an outcome variable. Whether children had owned dogs or cats or not was used as an independent variable. Results: A total of 6.8% of children lived with dogs and 2.1% of children lived with cats in their homes. There were 4.0% of children who had asthma symptoms in the past year. When comparing 'children who had owned dogs for more than 12 months' with 'children who had not owned dogs', the adjusted odds ratio (OR) for 'asthma symptoms' were 1.20 (95% confidence interval (CI), 1.10-1.30) among male children and 2.19 (95% CI, 1.94-2.46) among female children. When comparing 'children who had owned cats for more than 12 months' with 'children who had not owned cats', the adjusted ORs for 'asthma symptoms' were 38.94 (95% CI, 35.55-42.65) among male children and 5.32 (95% CI, 4.60-6.16) among female children. When comparing 'children who had owned both dogs and cats for more than 12 months' with 'children who had not owned at all', the adjusted OR for 'asthma symptoms' was 13.22 (95% CI, 11.93-14.65), and when comparing 'children who had owned cats only' with 'children who had not owned at all', the adjusted OR for 'asthma symptoms' was 9.25 (95% CI, 8.50-10.08). Conclusions: As a result, children's asthma symptoms were higher in the case of cats than with dogs, and in the case of cats, boys were more at risk than girls. In the analysis for the risk of asthma symptoms when a dog and a cat are raised at the same time, it was statistically confirmed that the children in the home were more at risk than with single animal ownership. The results of this study can be considered to be of great importance in policy-making and for the use of educational materials in the field of environmental health.

장애학생과 일반학생의 구강건강상태 조사연구 (A Study of Oral Health Status in Handicapped Students Comparing with Normal Students)

  • 이지연;김창희
    • 치위생과학회지
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    • 제2권2호
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    • pp.115-119
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    • 2002
  • 본 연구는 신체적, 정신적으로 장애가 있는 장애학생의 구강 건강상태를 조사하였고 대조군으로는 일반학교에 다니는 일반학생을 대상으로 하였다. 6개의 장애학교의 학생들과 4개의 일반학교 학생들을 조사하였다. 조사기간은 1999년 8월부터 1999년 11월까지이며, 장애학생 597명과 일반학생 731명의 구강건강상태를 조사 평가해 보았다. 1. 장애학생과 일반학생의 구강건강상태는 우식영구치는 비슷한 수준이었고, 상실영구치는 일반학생($0.11{\pm}0.54$개)보다 장애학생($0.41{\pm}1.16$개)에서 높게 나타났으며(p<0.01), 치주질환도 일반학생(10.9%)보다 장애학생(29.1%)이, 부정교합에서도 일반학생(7.4%)보다 장애학생(25.6%)에서 더 높게 나타났다(p<0.01). 2. 장애유형에 따른 구강건강상태는 우식영구치에서 $2.24{\pm}2.14$개로 정신지체장애학생이 가장 높게 나타났으며, 감강기능장애의 학생은 $1.75{\pm}2.10$개로 가장 낮게 나타났다(p<0.05). 상실영구치는 장애유형에 따른 차이는 없었으나, 치주질환에서는 정신지체장애학생이 63.8%로 가장 높게 나타났다. 또한 부정교합에서도 정신지체장애학생이 59.5%로 지체장애학생(9.2%)이나 감각기증장애학생(31.3%)보다 높게 나타났다(p<0.01). 3. 정기적인 치아관리를 하고 있는 학교의 학생에 비해 그렇지 못한 학교의 학생이 치주질환과 부정교합이 많았으나, 우식영구치와 상실영구치는 비슷한 수준이었다. 집단숙식을 하는 학교의 학생과 그렇지 않은 학생의 학생에 대한 우식영구치, 상실영구치, 치주질환, 부정교합에서는 모두 비슷한 수준이었다.

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의료이용의 남녀차이와 영향요인에 관한 연구 (Gender-related Difference in the Utilization of Health Care Services by Korean Adults)

  • 전경숙;최은숙;이효영
    • 한국보건간호학회지
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    • 제24권2호
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    • pp.182-196
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    • 2010
  • Purpose: This study examined potential determinants of gender differences in utilization of health care services among Korean adults. Methods: The study population was 21,647 adults ${\geq}$25-years-of-age who had responded to a health interview survey conducted as part of the 2005 National Health and Nutrition Surveys. Relative gender differences in the use of each health service were assessed using chi-square test and sex ratios. The contribution of potential factors of sex differences in the use of health services was evaluated by comparing the odds ratio and sex ratio before and after adjustment for such variables. Results & Conclusions: More females had visited a physician and been admitted to hospital, but hospitalization time was longer for males. Adjustment for poor self-rated health, number of chronic disease and limit of full term for ADL led to a reduction in the odds ratio of females compared to males for health service utilization. However, adjustment for socioeconomic factors (household income, education, occupation, and health insurance) magnified the gender difference concerning length of hospitalization. Factors that explain gender-related differences in utilization of health care services are concluded to be different health needs and socioeconomic status.

Effects of Group Exercise Program on the Health Condition and Quality of Life in Adults with Cerebral Palsy

  • Kim, Byeong Jo
    • 국제물리치료학회지
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    • 제9권3호
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    • pp.1549-1557
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    • 2018
  • This study examined the effects of group exercise program on health conditions and quality of life in cerebral palsy. Adults with cerebral palsy in their 20's who participated in the evaluation of measurement tools prior to and following the experiment. The control group was engaged in manual exercise for the range of joint movement and extension exercise for arms, legs and trunk, and experimental group performed group exercise program including boccia exercise. The health condition and quality of life of the experimental group were significantly increased after intervention (.05<). There was a slight increase in the control group, however it was not statistically significant. As a result of comparing the health condition and quality of life of the two groups, the value of the experimental group was significantly higher than that of the control group. The results of this study suggest that exercise programs for patients with cerebral palsy in the twenties are considered as beneficial interventions to improve health conditions and quality of life.

WHO 건강증진학교 개념에 근거한 전국 중.고등학교의 건강증진학교 운영유형 (Clusters of Health-Promoting Schools in Middle and High Schools Based on the WHO Guidelines)

  • 고영;이인숙
    • 지역사회간호학회지
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    • 제24권3호
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    • pp.282-291
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    • 2013
  • Purpose: The purpose of this study was to identify the Clusters of health promoting schools in middle and high schools for the Korean Youth Risk Behaviors Web-based Survey. Methods: The tool of health promoting school was developed based on a framework for action for health promoting schools in World Health Organization and Schools Health Index for middle and high schools in the United States by 2 professionals and 2 health teachers and revised as a result of the preliminary study. Data were collected with a questionnaire from teachers who attended the conference run by Korean Centers for Communicable Disease Control and Prevention in 2009. The data of 363 schools were analyzed using descriptive analysis, t-test, and ANOVA. Results: As a result of comparing the scores of health promoting schools, three Clusters were identified. The Clusters differed significantly in presence of health teacher, location, and type of schools (p<.05). Conclusion: These results are a good reference in developing tailored strategies for health promoting schools, which will help improve health-promoting schools.

성인의 연령별 구강건강행위에 따른 건강관련 삶의 질에 관한 연구 (Health-related quality of life according to oral health behavior in adults)

  • 황수현
    • 대한치위생과학회지
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    • 제2권2호
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    • pp.21-30
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    • 2019
  • This study identifies oral health behavior factors related to the health-related quality of life(EQ-5D) of adults. Three groups are analyzed, young adults(aged 19 to 39 years old), middle-aged(40 to 64 years old), and elderly(over 65 years old). By comparing the factors related to health-related quality of life by age, we will provide information for improving the overall quality of life, including oral health for current and future elderly. Using raw data from the 1st year(2016) of the National Health and Nutrition Survey, the oral health behaviors of the study subjects were compared. These included: the number of times teeth were brushed, the time brushing took place, the use of interdental care products, and whether they went for oral and examinations. There was a statistical significance in treatment experience and drinking habits. There was also a significant influence on the health-related quality of life across the age groups. Therefore, it is possible to improve the health-related quality of life, including oral health practices according to age. It will be necessary to develop and apply.

민간의료보험 활성화에 대한 인식과 그에 영향을 미치는 요인 (Attitude toward the Increasing Role of Private Health Insurance)

  • 박기홍;권순만
    • 보건행정학회지
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    • 제19권1호
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    • pp.62-80
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    • 2009
  • The purpose of this study was to examine the factors influencing the attitude toward the increasing role of private health insurance(PHI). In the Korea Welfare Panel Data 2007, a sample of 1,675 (adjusted by weight value: 1,607) respondents on an opinion on promoting PHI was used in the study. With independent variables including socio-demographic characteristics, health status, health-related behavior, and opinions on welfare service, ordered-probit model was used to analyze the attitude toward PHI. Negative opinion on the increasing role of PHI were responded by 54.6%(n=877) of the respondents, whereas 22.2%(n=373) were positive and 23.2%(n=357) were neutral. Old people, the better off, those with worse self-assessed health status, and those having an experience of health examination tend to have the positive attitude toward the increasing role of PHI. Women, those with chronic diseases or disorders and those who do not agree that comprehensive welfare benefits reduce work incentive showed negative attitude toward PHI. When comparing the needs for PHI before and after medical utilization, ex-ante need tends to strengthen the tendency to support private health insurance. This study will contribute to the discussion on the optimal mix of public and private health insurance in Korea by a better recognition of attitude toward PHI and health care system.