• 디지털융복합연구
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• 제12권6호
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• pp.23-34
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• 2014

본 연구의 목적은 정부가 추진하고 있는 청소년 인터넷중독 대응(예방 및 해소) 정책의 추진과정에서 발생한 정책딜레마의 발생 원인과 대응 전략을 분석하는 것이다. 이의 분석을 위해 딜레마 모형을 분석틀로 하여 맥락 및 상황변화, 정책가치와 대안 변화, 정책 행위자, 정책 결정자의 대응 전략을 통해 변화한 딜레마의 양상을 분석하였다. 분석결과의 주요 내용은 첫째, 청소년 인터넷중독 예방 및 해소정책 추진과정에서 '맥락과 상황 변화', '정책의 가치와 대안', '정책행위자', '정책결정자'는 정책 전반의 딜레마를 형성하는데 결정적인 원인으로 작용하였다. 둘째, 정책딜레마 상황에서 정부의 정책대응 전략은 정책중복 및 대립 발생, 형식적 대응, 가치 재규정 형태로 나타났다. 이에 따라 결과적으로 다음의 특징이 드러났다. 첫째, 정부는 하나의 정책 내에 정책중복과 대립의 문제가 발생하자 해당딜레마를 형식적으로 대응함으로써 더욱 강력한 딜레마를 초래했다. 둘째, 정부는 두 가지 가치(청소년 보호 및 게임 산업 진흥)를 재규정하고자 노력하였고, 이 결과 정책딜레마는 전보다 약화되었지만, 근본적 딜레마의 문제를 해결하지는 못하였음이 드러났다. 본 연구는 분석결과를 바탕으로 추후 심화되는 정보사회생태에서 보다 실효적인 청소년 인터넷중독 대응정책의 추진을 위해 범정부 차원의 통합적 정책 가치 및 비전 수립하여 일관되고 내실 있는 정책 추진을 위한 시사점을 제안하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9543-9547
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• 2014

Background: The aim of this study was to investigate demographic features, dietary habits, and some possible risk factors for being susceptible to breast cancer in Iranian women. Materials and Methods: A study of dietary habits and breast cancer was conducted among 53 Iranian women with histological confirmed disease and 40 matched controls. A dietary habits questionnaire was used to evaluate the pattern of selected food intakes. The risk of cancer was analyzed after adjustment for confounding factors. Age, weight, body mass index (BMI), waist circumference, educational status, parity, lactation, marital status, menopause, history of estrogen therapy, and family history of breast disease or cancer were assessed among participants. Special attention was given to the relationship between consumption of high fat meat, milk, yogurt and cheese as well use of frying oils for frying foods, use of olive/liquid oils for cooking, removing fat from meat and poultry, removing chicken skin and not use of mayonnaise as salad dressing and the risk of breast cancer. Moreover, salad, vegetable and fruit consumption, and eating outdoors owere investigated. Results: Our results revealed significant lower education and higher BMI and waist circumference levels in patients with breast cancer. There was significantly increased breast cancer risk in overweight women in comparison with normal weight (OR=2.91, 95%CI 1.24 to 6.82). High intake of fat dairy products including milk and cheese was found to be a statistically significant factor for increasing breast cancer risk in models adjusting for age, BMI and education. Use of olive/liquid oils for cooking and avoidance of mayonnaise as salad dressing are related to lower risk of breast cancer. The frequency of vegetable and fruit consumption was significantly lower in patients with breast cancer compared to healthy women. Conclusions: Dietary habits might be risk factors for breast cancer among Iranian women. Adoption of a prudent diet could be an appropriate strategy for preventing breast cancer.

• 한국병원경영학회지
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• 제25권2호
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• pp.1-13
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• 2020

Purpose: The purpose of this study is to identify the effect of the disease duration on depression change in cancer survivors between the middle and old age groups. Methodology: To that end, we analyzed 275 patients using the Korea welfare panel survey from 2011 to 2016 jointly developed by the Korea Institute for Health and Social Affairs and Seoul National University. The duration of the elapsed and the experienced was measured as a independent variable. CES-D was used as a dependent variable. Frequency, paired t-test, ANOVA, and logistic regression analysis were conducted using Stata 14.0 for statistical analysis. Findings: Studies have shown that as the duration of the elapsed and the experienced increases, people under 65 are 1.17 times and 1.84 times each more likely to be included in depression-increase group than in depression-reduction group. The group that has been maintaining economic activities continuously since 2011 was significantly less likely to belong to the depression-increase group than the group that did not have economic activities in 2016. For those aged 65 and older, there was no significant difference in the duration of the elapsed and the experienced. The higher the likelihood of low-income households being included in the family of depression was 2.58 times higher than for ordinary households. Practical Implications: It is suggested that close policy management of the employment and working environment of cancer survivors is necessary, as both cancer survivors of productive age as well as older cancer survivors are analyzed to be beneficial to depression management. In addition, a systematic management program related to the mental health of cancer survivors is believed to be necessary for normal social recovery in the future.

• 한국직업건강간호학회지
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• 제9권1호
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• pp.39-48
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• 2000

Hyperlipemia is the most leading risk factor of cardiovascular disease which is the main cause of death in Korea. However, there is a tendency to neglect the prevention and treatment since it has no specific symptoms. It has been reported that the level of serum-lipid can be lowered by the improvement of eating habits. Therefore, it is highly likely that the development of programs on the improvement of eating habits through behavioral theory is required to the community nursing practice. The theory of planned behavior, which assumes that human behaviors are determined by one's intention to carry out the behavior, can be characterized by the point that behaviors are not only individual factors but also social behaviors relating to subjective norms. It is widely recognized that this theory has a high predictability on health behavior due to it's simplicity clearness, and measurability as well as high quality of being general. Thus, the theory of planned behavior could be useful in developing a model of a health promotion program to the change of behaviors of the risk group of cardiovascular disease. Consequently, based on the theory of planned behavior, the purpose of this study is to develop an intention promotion program of the diet, and then to testify the effects. The sample of this study consisted of 26 industrial workers who had proved hyperlipemia from a medical examination in 1996 (experimental group 13, control group 13). The intention promotion program, which includes education, monitoring, pressure, counselling on the level of individuals, families and organizations, was conducted for 10 weeks The purpose of this program was to promoting intention of the diet through changes of the prerequisite factors of intention such as behavioral belief, outcome evaluation, normative belief and control belief. When it came to data analysis, the ${\chi}^2$-test and Fisher's Exact test were used to compare the general characteristics between the experimental and the control group, an independent t-test for the other variables. ANOVA was used to the test hypothesis, and the Pearson correlation test for variable's correlation. The results of this study can be summarized as follows ; 1) There was a significant increase in the intention(F=18.51, p=.00) of diet in the experimental group. 2) Diets(F=32.51, p=.001) in the experimental group were better carried out than in the control group. 5) There was a moderate correlation between the intention of diet and performance (r=.587. p=.003). From the results, it can be concluded that the intention promotion program is very effective, leading to the change of health promotion behavior. Above all, it is really valuable that the intention promotion program in this study regards health promotion behavior as a social behavior and that intervention was done on the level of family and organization. Consequently, when performing a health promotion program, social approach elevating the intention should go hand in hand in order to make the program effective.

• 대한가정학회지
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• 제11권1호
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• pp.3-13
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• 1973

This article has an aim to study what kind of housing system our ancestors lived with during the Yi-Dynasty by analyzing the house-plan of upper-class society of that period since the house of lower-class was very insignificant as it has always been while the house of upper-class represented the period. With this study we can clearly see how we ought to go in the right direction toward the development of our Korean genuine housing by renovating and renewing those unreasonable points in our traditional housing system. It is firmly believed that we should-keep our own unique traditional lovely housing system for being destroyed by the whirl-wind of modernization and the demand of rationalism and efficiency-centered idea of the western mind. From this view point we think it is very urgent to see this matter correctly and find out the real way how we should do in order to keep our own good things for ourselves and make them preserved. This essay is divided into three parts as follows : 1. Thoughts on selecting the good housing area. 2. The aspect of housing reflected upon composing the house-plan. 3. The characteristic sentiments reflected upon the interior construction and decoration. We can find several characteristic points in the housing system of the Yi-Dynasty as follows : 1. In Korea, the thought of natural geography (Poongsu-seul), apart fro scientific view, which seems rather superstitious to us, modern young people, has been highly recommended by the people of our country from old days connected with the prosperity of our life. They also neglected about the social circumstances such as, market, transportation, and education, which are now considered as very important. They only put their concern on this natural environment which they called Poongsu. 2. In construction of house-plan, the house was not built for living with reasonable convenience, but for showing prestige of the upper-class people reflecting its social organization under the feudalism of the period. Furthermore, the most of the housework was done actually by those servants and maids of the house, and not the family themselves. The only concern for the upper-class people was to show off their authority, and so this sense of authority was revealed in the housing as well. 3. Both the outside appearance of the house and the interior decoration or the furniture are all very artistic and lovely. They were so refined and beautiful with their delicate taste which truly seem against our modern rationalism and uniformity.

• 한국사회복지학
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• 제67권3호
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• pp.5-29
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• 2015

본 연구는 결혼이주여성의 문화적응스트레스 관련 변인들을 개인, 가족, 사회적 지지 요인에 따라 메타분석하여 사회복지적 함의를 모색하는 것을 목적으로 하였다. 이를 위해 2000년부터 2013년까지 국내에서 수행된 37편의 결혼이주여성의 문화적응스트레스 관련 연구들을 최종 분석하였으며 결과는 다음과 같다. 첫째, 결혼이주여성의 문화적응스트레스와 개인, 가족 및 사회적 지지 요인들 간의 관계는 모두 통계적으로 유의한 효과크기를 보였다. 둘째, 각 요인들은 모두 '중간 효과' 이상의 효과크기를 보이는 것으로 나타났으며 효과크기의 우선 순위는 결혼만족, 사회적 지지 순으로 '큰 효과' 크기를 보였고, 다음으로 생활만족도, 가족 관계 기능, 자아존중감, 심리적 안녕감, 우울 순으로 '큰 효과'에 가까운 관계성을 보이는 것으로 나타났다. 셋째, 조절효과 분석 결과, 개인요인에서는 한국어능력, 경제적 어려움, 우울, 자아존중감이, 가족 및 사회적 지지 요인에서는 결혼만족, 부부관계, 사회적 지지 요인이 결혼이주여성의 인구사회학적 특성에 따라 효과크기의 차이가 나타났다. 이들 연구결과를 토대로 결혼이주여성의 문화적응스트레스를 예방하고 완화시키기 위한 사회복지의 실천적, 정책적 함의가 제시되었다.

• 고문화
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• 68호
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• pp.77-92
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• 2006

이 글은 대학박물관에서 행해지고 있는 사회교육의 역사를 일별하고 사회교육프로그램의 내용을 분석한 뒤, 사회교육의 발전방향을 논한 글이다. 대학박물관 중에서 사회교육을 시행하고 있는 곳은 서울대학교, 이화여자대학교, 충북대학교, 영남대학교 박물관을 비롯한 20개 기관인데, 영남대학교 박물관이 1990년에 시작한 것을 비롯하여 20년이 되지 않는 짧은 역사를 가지고 있다. 박물관대학, 박물관교실, 교양강좌, 문화강좌 등의 명칭으로 시작한 사회교육은 주제나 교육방식 등이 점차 다양해져가고 있다. 사회교육프로그램의 내용을 분석한 결과, 교육프로그램은 고고학, 미술사, 민속학, 불교사, 역사학, 인류학, 현대미술 등 분야에 대한 강의실 강의와 현장강의, 답사로 이루어졌음이 밝혀졌고 강사는 대학교수가 주종을 이루고 수강생은 4, 50대의 여성이 대부분이었다. 교육프로그램에 대한 자체평가나 수강생의 평가가 미흡한 것으로 나타났고 수요자중심의 프로그램개발이 필요하다고 생각되므로 가칭 교육프로그램 개설위원회의 설치가 필수적이라 할 수 있다. 사회교육의 발전방향으로 대학박물관협회에 사회교육분과를 설치하여 지속적인 연구가 절실하고 사회교육의 청년화와 자녀와 함께 하는 토요박물관에서의 강좌수강도 권유해볼만한 사항이라 여겨진다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6365-6373
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• 2015

Background: Tobacco consumption has become pandemic, and is estimated to have killed 100 million people in the 20th century worldwide. Some 700,000 out of 5.4 million deaths due to tobacco use were from India. The era of global modernization has led to an increase in the involvement of women in tobacco consumption in the low income and middle-income countries. Tobacco consumption by females is known to have grave consequences. Objectives: To assess: (1) the tobacco use among urban and rural women; (2) the discrepancy in the knowledge, belief and behavior towards tobacco consumption among urban and rural women in Durg-Bhilai Metropolitan, Chhattisgarh, Central India. Materials and Methods: The study population consisted of 2,000 18-25 year old young women from Durg-Bhilai Metropolitan, Chhattisgarh, Central India, from both urban and rural areas. Data were collected using a pretested, anonymous, extensive face to face interview by a female investigator to assess the tobacco use among women and the discrepancy in the knowledge, belief and behavior towards tobacco consumption among urban and rural individuals. Results: The prevalence of tobacco use was found to be 47.2%. Tobacco consumption among rural women was 54.4% and in urban women was 40%. The majority of the women from urban areas (62.8%) were smokers whilst rural women (77.4%) showed preponderance toward smokeless tobacco use. Urban women had a better knowledge and attitude towards harms from tobacco and its use than the rural women. Women in rural areas had higher odds (1.335) of developing tobacco habit than the urban women. Conclusions: Increased tobacco use by women poses very severe hazards to their health, maternal and child health, and their family health and economic well-being. Due to the remarkably complex Indian picture of female tobacco use, an immediate and compulsory implementation of tobacco control policies laid down by t he WHO FCTC is the need of the hour.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7467-7472
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• 2015

Background: Breast cancer is known to be one of the most prevalent cancers among women in both developing and developed countries. The incidence of breast cancer in Pakistan has increased dramatically within the last few years and is the second country after Israel in Asia to have highest proportional cases of breast cancer. However, there are limited data for breast cancer available in the literature from Pakistan. Objectives: The study was conducted to bring to light the common clinical presentation of breast cancer and to evaluate the frequency of established risk factors in breast carcinoma patients and furthermore to compare the findings between premenopausal and postmenopausal women in Pakistan. Materials and Methods: A 6 months (from July 2012 to Dec 2012) cross sectional survey was conducted in Surgical and Oncology Units of Civil Hospital, Karachi. Data were collected though a well developed questionnaire from 105 female patients diagnosed with carcinoma of breast and analyzed using SPSS version 17. Institutional ethical approval was obtained prior to data collection. Results: Out of 105 patients, 43 were premenopausal and 62 were postmenopausal, 99 being married. Mean age at diagnosis was $47.8{\pm}12.4years$. A painless lump was the most frequent symptom, notived by 77.1%(n=81). Some 55.2% (n=58) patients had a lump in the right breast and 44.8%(n=47) in the left breast. In the majority of cases, the lump was present in upper outer quadrant 41.9% (n=44). Mean period of delay from appearance of symptoms to consulting a doctor was $5.13{\pm}4.8months$, from the shortest 1 month to the longest 36 months. Long delay (> 3 months) was the most frequent figure 41.9%. Considering overall risk factors most frequent were first pregnancy after 20 years of age (41%), physical breast trauma (28.6%), lack of breast feeding(21.9%), and early menarche <11 years (19%), followed by null parity (16.2%), consumption of high fat diet (15.2%), family history of breast cancer or any other cancer in first degree relatives (9.5% and 13.3%, respectively). Some of the less common factors were late menopause >54 years (8.6%), use of oral contraceptive pills (10.5%), use of hormone replacement therapy (4.7%),smoking (4.7%) and radiation (0.96%). Significant differences (p<0.005) were observed between pre and post menopausal women regarding history of physical breast trauma, practice of breast feeding and parity. Conclusions: A painless lump was the most frequent clinical presentation noted. Overall age at first child > 20 years, physical breast trauma, lack of breast feeding, early menarche <11 were the most frequent risk factors. Physical breast trauma, lower parity, a trend for less breast feeding had more significant associations with pre-menopausal than post-menopausal onset. Increase opportunity of disease prevention can be obtained through better understanding of clinical presentation and risk factors important in the etiology of breast cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1419-1424
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• 2012

Objectives: To investigate in depth the use of complementary and alternative medicines (CAMs) by cancer patients at the end-of-life (EOL) and how they communicate with physicians about them. Design and location: In 17 hospitals in Korea between January and December 2004 we identified 4,042 families of cancer patients. Results: The prevalence of CAM use among cancer patients at the EOL was 37.0%, and 93.1% had used pharmacologic types of agents. The most frequent motive for CAM use was the recommendation of friends or a close relative (53.4%) or a physician (1.6%). Only 42.5% discussed CAM use with their physicians. Satisfaction with CAMS was recalled for 37.1%. The most common reason given for that satisfaction was improvement of emotional or physical well-being, while ineffectiveness was the most common reason given for dissatisfaction. The average cost of CAM during the last month of life was $US 900. CAM use was associated with longer disease periods, primary cancers other than liver, biliary, and pancreatic, and need of support from physicians or religion. Conclusions: CAM use among cancer patients at the EOL was common, not discussed with physicians, and associated with expectation of cure. Expectations were generally unmet while the treatments were a financial burden. Further studies evaluating the effects of CAM at the EOL and factors that enhance communication with the physician are needed.