• Title/Summary/Keyword: health risk

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Factors Influencing Health Behavior Related to Particulate Matter in Older Adults (노인의 미세먼지 관련 건강행위와 영향요인)

  • Park, Min Kyung;Kim, Gwang Suk
    • Journal of Korean Academy of Nursing
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    • v.50 no.3
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    • pp.431-443
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    • 2020
  • Purpose: This study aimed to investigate health behavior related to particulate matter (PM) in older adults and examine the factors affecting it. Methods: A cross-sectional survey design was used. Data were collected from 150 voluntary older adult participants from Songpa-gu in Seoul. The survey questions measured service perception and experience related to PM, risk perception related to PM, attitude toward risk of PM, and health behavior related to PM. Results: The average score for health behavior related to PM was 79.37, ranging from 51 to 115. There was a significant positive correlation between health behavior related to PM and risk perception related to PM (r=.58, p<.001) as well as between health behavior related to PM and attitude toward risk of PM (r=.70, p<.001). Multiple linear regression revealed that health behavior related to PM was predicted by levels of the existence of disease related to PM (β=.14, p=.019), service experience related to PM (β=.20, p=.021), risk perception related to PM (β=.20, p=.019), and attitude toward risk of PM (β=.44, p<.001). The model including these variables accounted for 47.0% of health behavior related to PM. Conclusion: Korean older adults have the low level of health behavior related to PM. The findings of this study emphasize that risk perception and attitude toward risk of PM should be evaluated, and the underlying diseases related to PM and their service experience should be considered in developing intervention to improve health behavior related to PM.

Application of Matrices and Risk Assessment of Industries and Processes using DMF (DMF 취급 사업장에 대한 매트릭스 적용 및 위험성 평가 연구)

  • Ha, Kwon Chul;Park, Dong-Uk;Yoon, Chung Sik;Choi, Sang Jun;Lee, Gwang Yong;Paik, Do Hyun;Nam, Tek Hyung;Lee, Jae Hwan;Lee, Jong Keun;Jung, Eun-Kyo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.18 no.4
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    • pp.303-309
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    • 2008
  • The reduction of risk within the workplace has long been focus of attention both through industry initiatives and legislation. Exposure matrices according to industries and processes treated DMF (N,N-Dimethylformamide) were constructed based on KOSHA (Korean Occupational Safety and Health Agency)'s 2005 exposure database which were gathered from Korean agencies of workplace hazards evaluation for business place. These exposure matrices were assessed by danger value (DV) that was calculated from combination of hazard rating, duration of use rating, and risk probability rating of exposure to chemical hazardous agents in accordance with Hallmark Risk Assessment Tool. The results of risk assessment is divided four kinds of control bands which were related with control measures. The applicability of risk assessment using exposure matrices was performed by field study and survey for high matrices group. This study found that more attentions should be paid to two industries, manufacture of sewn wearing apparel and manufacture of textiles, among 19 industries, and to 3 processes, coating, processing & mixing, and lab, among 80 processes because those were regarded as having the highest risk.

Comparative Risk Analysis for Priority Ranking of Environmental Problems (환경 문제의 우선 순위 도출을 위한 비교 위해도 분석에 관한 연구)

  • 김예신;임영욱;남정모;장재연;이동수;신동천
    • Environmental Analysis Health and Toxicology
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    • v.17 no.4
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    • pp.285-298
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    • 2002
  • In Korea, no CRA (comparative risk analysis) studies have been undertaken, nor have their methodologies of such studies been established. Therefore, the objectives of this study were to establish the framework of CRA consisting of health risk, economic risk and perceived risk, and to estimate and compare these risks among the three environmental problems of air pollution, indoor air pollution and drinking water contamination, which are themselves subject to the eight sub -problems of hazardous air pollutants (HAPs), regulated pollutants (representative as PM 10) and dioxins (PCDDs/PCDFs) in air pollution, indoor air pollutants (IAPs) and radon in indoor air pollution, and drinking water pollutants (DWPs), disinfection by -products (DBPs) and radionuclides in drinking water contamination in Seoul, Korea. After which, the priorities of these problems were set by individual and integrated risk. From the results, the rankings of both health risk and economical risk were in the following order: radon, PM10, IAPs, HAPs, DWPs, dioxins, DBPs, and radionuclides among the eight sub problems. On the contrary, the ranking of perceived risk was in the following order: HAPs, dioxins, radionuclides, PM10, DWPs, IAPs, Radon and then DBPs among the eight sub-problems.

Fall Risk in the Community-dwelling Elderly who Received Home Care Services: Focused on Residential Environment and Perception of Fall Risk (방문간호를 받는 재가노인의 낙상위험)

  • Lee, Chong Mi;Cho, Bok-Hee
    • Journal of muscle and joint health
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    • v.21 no.1
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    • pp.36-45
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    • 2014
  • Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi's residential environmental risk scale (2010) and the Hong's fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.

Do Psychological Factors Increase the Risk for Low Back Pain Among Nurses? A Comparing According to Cross-sectional and Prospective Analysis

  • Sadeghian, Farideh;Hosseinzadeh, Samaneh;Aliyari, Roqayeh
    • Safety and Health at Work
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    • v.5 no.1
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    • pp.13-16
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    • 2014
  • Background: This study assesses influences of baseline psychological risk factors on prevalence of low back pain (LBP) at baseline and follow-up among nurses. Methods: A prospective longitudinal study was performed at two phases, baseline and 1-year follow-up among 246 nurses of university hospitals in Shahroud, Iran. A standardized Cultural and Psychosocial Influences on Disability questionnaire was used for data collection. Logistic regression was performed for analysis. Results: At the baseline of the study, 58.9% of nurses reported back pain in the previous 12 months. Age (p = 0.001), belief that work causes pain (p = 0.022), and somatization tendency (p = 0.002) significantly increased risk of LBP. At 1-year follow-up, prevalence of LBP was 45.7% and expectation of back pain at baseline (p = 0.016) significantly increased risk of LBP in this phase (p < 0.05). Conclusion: Results indicate that risk factors for prevalence of back pain at baseline and 1-year follow-up are different. At baseline, the risk factors are age, belief that work causes pain, and somatization tendency, and at follow-up, expectation of pain is the major risk factor.

Effect of oral health status on risk factors for obstructive sleep apnea in middle-aged Koreans: the Korea National Health and Nutrition Examination Survey (2019) (한국 중장년층의 구강 건강 상태가 폐쇄성 수면 무호흡증 위험인자에 미치는 영향: 국민건강영양조사를 바탕으로(2019년도))

  • Kim, Yu-Rin
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.4
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    • pp.249-257
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    • 2022
  • Objectives: This study aimed to investigate the effect of the oral health status on risk factors for obstructive sleep apnea (OSA) using data from the 2019 National Health and Nutrition Examination Survey. Methods: Of a total of 2,422 persons, 1,295 and 1,127 were categorized into the control group (CG) and OSA risk group (OSARG), respectively. The effect of the oral health status on OSA risk factors was presented in Model 1 by performing a complex sample linear regression analysis. Results: Our findings showed that OSA risk factors decreased by 0.075 points when there were no speaking problems with demographic characteristics adjusted. In addition, when systemic diseases were adjusted for, OSA risk factors decreased to 0.074 points (p<0.05). Conclusions: Therefore, in order to reduce oral problems that affect OSA risk factors, dentists and dental hygienists should seek accurate recognition of OSA and effective oral care methods.

A Study on the Priority for the Hazard and Risk Evaluation of Chemicals (HREC) According to the Industrial Safety and Health Act (ISHA) (산업안전보건법 상 관리수준 검토를 위한 화학물질 유해성.위험성 평가대상 후보물질 선정에 관한 연구)

  • Yang, Jeong Sun;Lim, Cheol Hong;Park, Sang Young
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.22 no.1
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    • pp.73-81
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    • 2012
  • Object: The aim of this study is to suggest a list of priority chemicals for the Hazard & Risk Evaluation of Chemicals (HREC) controlled by the Industrial Safety and Health Act (ISHA). Method: Screening assessment was done for 642 chemicals whose exposure threshold limit values were set by the Ministry of Employment and Labor (MOEL). Hazard data were collected from Korea Occupational Safety & Health Agency (KOSHA) and/or other toxicity database. Exposure data were obtained from KOSHA internal database. The hazard and exposure scores of chemicals were listed by order of priority in accordance with GHS classification and exposure index data. Result: From the result of screening risk assessment for 642 chemicals, we extracted a list of 13 priority chemicals for HREC performed by the ISHA. A priority list of 27 chemicals which have carcinogen, mutagen and/or reproductive toxicity but not controlled by the ISHA was suggested for additional evaluation as "chemicals for special management".

Health risk assessment by CRPS and the numerical model for toluene in residential buildings

  • Choi, Haneul;Kim, Hyungkeun;Kim, Taeyeon
    • KIEAE Journal
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    • v.17 no.5
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    • pp.33-41
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    • 2017
  • Purpose: Indoor air quality in residential buildings needs to be evaluated over the long term. In previous research, there has been an attempt to perform the health risk assessment of pollutants by using numerical models as a method of long-term evaluation. However, the numerical model of this precedent study has limitations that do not reflect the actual concentration distribution. Therefore, this study introduces the CRPS index, constructs a numerical model that can reflect the concentration distribution, and then presents a more accurate health risk assessment method using it. At this time, the pollutants are toluene, which is a typical material released from building materials. Method: CRPS index was applied to existing numerical model to reflect concentration distribution. This was used to calculate concentrations at adult breathing area and to use them for exposure assessment in a health risk assessment. After that, we entered adult data and conducted a health risk assessment of toluene. Results: The non-carcinogenic risk of toluene was calculated to be 0.0060. This is 5% smaller than the existing numerical model, meaning that it is more accurate to predict the pollutant risks. This value is also lower than the US EPA reference value of 1. Therefore, under the conditions of this study, long-term exposure of adults to toluene has no impact on health.

Interactions of Behavioral Changes in Smoking, High-risk Drinking, and Weight Gain in a Population of 7.2 Million in Korea

  • Kim, Yeon-Yong;Kang, Hee-Jin;Ha, Seongjun;Park, Jong Heon
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.4
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    • pp.234-241
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    • 2019
  • Objectives: To identify simultaneous behavioral changes in alcohol consumption, smoking, and weight using a fixed-effect model and to characterize their associations with disease status. Methods: This study included 7 000 529 individuals who participated in the national biennial health-screening program every 2 years from 2009 to 2016 and were aged 40 or more. We reconstructed the data into an individual-level panel dataset with 4 waves. We used a fixed-effect model for smoking, heavy alcohol drinking, and overweight. The independent variables were sex, age, lifestyle factors, insurance contribution, employment status, and disease status. Results: Becoming a high-risk drinker and losing weight were associated with initiation or resumption of smoking. Initiation or resumption of smoking and weight gain were associated with non-high-risk drinkers becoming high-risk drinkers. Smoking cessation and becoming a high-risk drinker were associated with normal-weight participants becoming overweight. Participants with newly acquired diabetes mellitus, ischemic heart disease, stroke, and cancer tended to stop smoking, discontinue high-risk drinking, and return to a normal weight. Conclusions: These results obtained using a large-scale population-based database documented interactions among lifestyle factors over time.

Risk Factors of Breast Cancer in Kyzylorda Oblast of Kazakhstan: a Case-Control Study

  • Toleutay, Ulpan;Reznik, Vitaly;Kalmatayeva, Zhanna;Smigelskas, Kastytis
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.5961-5964
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    • 2013
  • Background: Breast cancer in Kazakhstan and its Kyzylorda oblast is the most prevalent cancer in women and features increasing trends of incidence. The aim of study was to reveal risk factors for breast cancer among women of Kyzylorda oblast of Kazakhstan. Materials and Methods: A hospital-based case-control study was conducted at Kyzylorda oblast Oncology Center, including 114 cases of breast cancer and 196 controls. Binary logistic regression analysis was performed. Results: Social and behavioral risk factors for breast cancer were evaluated, among which unfavorable living conditions, chronic stress, unilateral breastfeeding, breastfeeding less than 3 months and over 2 years, abortions, and hereditary predisposition were found to be related with increased breast cancer risk. Breastfeeding for 6-24 months was found to be protective. Conclusions: The findings may have significant impact on activity planning aimed towards breast cancer reduction among women in Kazakhstan.