• Asian Pacific Journal of Cancer Prevention
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• 제16권11호
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• pp.4741-4743
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• 2015

The aim of this study was to investigate the knowledge, attitude and practice of testicular self-examination (TSE) among male university students from low income (Bangladesh, Madagascar), middle income (South Africa, Turkey) and emerging economy (Singapore) countries. Using anonymous questionnaires, data were collected from 2,061 male undergraduate university students aged 16-30 (mean age 21.4, SD=2.4) from 5 universities in 5 countries across Asia and Africa. Overall, 17.6% of the male students indicated that they knew how to perform TSE; this knowledge proportion was above 20% in Bangladesh and Singapore, while it was the lowest (12.2%) in Madagascar. Among all men, 86.4% had never practiced TSE in the past 12 months, 7.1% 1-2 times, 3.5% 3-10 times, and monthly TSE was 3.1%. The proportion of past 12 month TSE was the highest (17.6%) among male university students in South Africa and the lowest (7.3%) among students in Singapore. Logistic regression found that TSE importance or positive attitude was highly associated with TSE practice. TSE practices were found to be inadequate and efforts should be made to develop programmes that can increase knowledge related to testicular cancer as well as the practice of testicular self-examination.

• 사회복지연구
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• 제44권3호
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• pp.177-206
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• 2013

우리나라는 2004년부터 정부의 재정지원 일자리사업의 하나로, 노인일자리사업을 시행하고 있다. 그러나 시행된 지 10여년이 되었고, 내년부터 본격적인 확대를 앞두고 있지만, 정책대안과 방향설정에 대한 논의가 부족하다. 이에 본 연구는 문헌연구를 중심으로 OECD 국가의 적극적 노동시장정책, 특히 직접 일자리창출 정책을 살펴보았다. 그 후 OECD 국가의 고령자 고용지원정책을 검토한 후, OECD 국가 가운데 저소득 고령자를 대상으로 고용지원정책을 실시하는 국가를 유형화한 후 이를 토대로 노인일자리사업의 발전방안을 도출하였다. 연구결과 첫째, OECD 국가의 고령자 고용정책은 연금정책을 제외하면, 노동수요 장벽제거 전략(임금보조, 사회보험료 감면 등)의 비중이 높고, 고령근로자의 고용가능성 강화전략은 상대적으로 크게 다뤄지지 않는다. 그나마도 직접 일자리창출정책은 매우 주변적인 정책으로 나타났다. 둘째, 정책목표와 사회경제적 지표를 기준으로 저소득 고령근로자를 위한 고용지원정책을 유형화하면, 저소득 노인지원형, 조기퇴직 완화형, 완전고용 지원형으로 나눌 수 있다. 우리나라는 저소득 노인지원형 가운데 직접 일자리 창출형에 속한다. 노인빈곤율이 높고, 소득보장제도가 발달하지 않아서 직접일자리사업을 수행하는 것으로 보인다. 그러나 노인일자리사업은 직접 일자리창출사업으로서의 속성을 갖추지 못했다. 사회참여와 소득보충이라는 2가지 정책목표를 추진하고 있지만 이에 적합한 체제를 구축하지 못했다. 따라서 정책목표를 더 명확히 하여, 목표달성에 적합한 사업체계를 구축해야 한다. 노인일자리사업이 일자리로서 위상을 견고히 하고자 한다면 노동시장정책 차원에서 수정해야 하고, 현재 2가지 목표를 모두 유지하고자 한다면, 소득보충과 사회참여를 위해 사업을 이원화하는 것도 고려할 필요가 있다. 혹은 미국의 SCSEP처럼 훈련을 통해 보조금을 받지 않는 일자리로 이행하도록 지원하는 고용서비스 훈련체제로 바꾸는 것도 대안이 될 것이다.

• 환경정책연구
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• 제12권1호
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• pp.125-153
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• 2013

본 논문의 목적은 물질균형접근에 기초하여 화석연료와 경제, 그리고 화석연료와 환경의 연계를 통하여 국가의 지속가능성을 측정하고자 함이다. 연구의 초점은 국가별로 경제와 환경 중 어디에 더 치중하고 있는지 확인해 보는 것이다. 대부분의 국가는 경제와 환경의 조화로운 성장을 외치고 있으나 거의 모든 국가가 환경보다는 경제성장에 치중한 것으로 나타났다. 그 중에서 지속가능성은 OECD그룹이 가장 낮고 저소득그룹이 가장 높다. 최근 온실가스로 인한 지구온난화의 주범이 개도국과 후진국으로 알려져 있으나 오히려 선진국의 인당 온실가스 배출량이 높고 그로인한 지속가능성은 훨씬 더 낮다는 것을 보여주고 있다. 따라서 온실가스 배출은 선진국이 보다 많은 책임이 있기에 배출저감도 선진국이 많이 부담하는 것이 필요할 것이다.

• 보건행정학회지
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• 제27권1호
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• pp.75-79
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• 2017

Suicide is becoming a public health issue in many countries, and even more so in Korea. Korea has the highest suicide rate in the Organization for Economic Cooperation and Development countries. To address these issues, we investigated the recent trends in suicidal ideation and suicide attempts among the adult population. We used data from four sources: Korean National Health and Nutrition Examination Survey (KNHANES, '2007-2012, '2013, '2015), Korean Community Health Survey (KCHS, '2008-2009, '2013), Korean Wealth Panel Study (KOWEPS, '2012-2015), and Korea Health Panel Survey (KHP, '2010-2013). Weighted frequencies and trend tests were used. The rate of suicidal ideation as recent year was 5.10% (KNHANES, '2015), 8.95% (KCHS, '2013), 2.34% (KOWEPS, '2015), or 5.39% (KHP, '2013). Regarding the suicide attempts, the rate of suicide attempts as recent year was 0.61% (KNHANES, '2015), 0.41% (KCHS, '2013), or 0.04% (KOWEPS, '2015). Average percent change of suicidal ideation during survey year was -2.80% (KNHANES, '2007-2012), 5.78% (KNHANES, '2013-2015), 0.62% (KCHS, '2008-2013), -5.63% (KOWEPS, '2012-2015), and -10.94% (KHP, '2010-2013). Average percent change of suicide attempts during survey year was -3.84% (KNHANES, '2007-2012), 4.55% (KNHANES, '2013-2015), -2.54% (KCHS, '2008-2013), and -18.96% (KOWEPS, '2012-2015). Those who had lower income level were more likely to have self-reported suicidal ideation and suicide attempts. Our results suggest that further efforts are needed for more effective intervention to identify and manage low income strata with suicide problem.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3637-3641
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• 2016

To determine the prevalence of human papillomavirus (HPV) among women with atypical squamous cells of undetermined significance (ASC-US) referred to colposcopy and the implications for clinical management in low- and middle-income countries (LMIC), the present study was conducted. We included 200 women living in $Maring{\acute{a}}$/Brazil referred to colposcopy service between August 2012 and March 2013 due to an abnormal cytology from ASC-US until high-grade intraepithelial lesion (HSIL). HPV was detected and genotyped by polymerase chain reaction (PCR). The mean age was $36.8{\pm}10.5$ years, and women with and without ASC-US had similar mean ages ($37.4{\pm}11.5$ and $36.4{\pm}9.96$ years, respectively). The highest prevalence of ASC-US occurred at 20-24 years (40%). HPV-DNA was positive in 164 (82.0%) women.Of the 57 women with ASC-US, 30 (52.6%) were HPV-DNA-positive and 21 (70%) were high-risk HPV-positive (HR-HPV); the latter was similar to women without ASC-US (76.9%) but with other abnormal cytological findings present. Our data demonstrated that performing tests for HR-HPV can be used for management of women with ASC-US to support the decision of which women should be referred for an immediate or later colposcopy. The same conclusions can be applied to other LMICs for which HPV testing for primary screening has not been adopted.

• Safety and Health at Work
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• 제4권2호
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• pp.77-83
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• 2013

There is still a considerable burden of occupational diseases and injuries in the world. It is not well known which interventions can effectively reduce the exposures at work that cause this burden. The objective of this article is to summarize evidence from systematic reviews of interventions to prevent occupational diseases and injuries. We included systematic reviews of interventions to reduce the incidence of work-related cancer, dust-related diseases, occupational asthma, chronic obstructive pulmonary disease, noise induced hearing loss, back pain, and occupational injuries. We searched Medline and Embase with predefined search strategies to locate systematic reviews of these interventions. We found 23 systematic reviews of which the results are also applicable to low- and middle income countries. Effective measures to reduce exposure leading to work-related cancer, dust-related diseases, asthma, chronic obstructive pulmonary disease, noise, and injuries are available. However, better implementation of these measures is needed. Regulation, enforcement of regulation, and incentives for employers are effective interventions to achieve this goal. There is evidence that feedback and rewards for workers help in reducing occupational injuries. There is no evidence in many studies that back pain can be prevented. Personal protective equipment technically has the potential to reduce exposure but this is difficult to put into effect. There is no evidence in the studies regarding the effectiveness of education and training, preventive drugs, or health examinations. There is evidence that the implementation of technical measures enforced by regulation can prevent occupational diseases and injuries. For other interventions such as education or health examinations, there is no evidence that supports their effectiveness. More systematic reviews are needed in the area of injury prevention.

• 보건행정학회지
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• 제21권2호
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• pp.159-178
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• 2011

Korea ranks high among the OECD member countries with a high out-of-pocket share. In 2006, the government implemented in full scale the policy of extending the health insurance benefit coverage. Included in the policy are lowering the out-of-pocket share of patients of serious case and expanding the medical bill ceiling system to mention just a few. This study proposes to confirm effectiveness of the benefit extension policy by identifying changes in 'out-of-pocket expenditure as a share of the ability to pay' and 'incidence rate of catastrophic health care expenditure' of each individual household as manifested before and after the benefit extension policy was implemented. The 1st and 3rd year data from the Korea Welfare Panel Study (KoWePS), conducted by the Korea Institute for Health and Social Affairs (KIHASA), were used for the analysis, where low-income households and ordinary households are sampled separately. While the absolute amount of 'out-of-pocket expenditure' occurred to the average household increased for the period 2005-2007, the 'out-of-pocket expenditure as a share of the ability to pay' decreased. At the same time, the share decreased in the case of low-income households and households with patients of chronic or serious case as contrasted with ordinary households. 'Incidence rates of catastrophic health care expenditure' of ordinary households for 2007 stood at 14.6%, 5.9% and 2.8% at the threshold of 10%, 20% and 30%, respectively. The rates decreased overall between 2005 and 2007, while those of low-income households with patients of serious case statistically significantly increased. An analysis of this study indicates that it is related with the medical bill ceiling system regardless of incomes introduced in 2007.

• 보건행정학회지
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• 제30권1호
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• pp.92-99
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• 2020

Background: The purpose of this study is to analyze the effect of the income support allowance policy for the care workers on wage level. Methods: The analysis data was constructed using database (DB) of long-term care institution, DB of long-term care personnel status, and DB of health insurance qualification and contribution possessed by National Health Insurance Services. We analyzed the wage status of care workers 2009 to 2016 through basic analysis. We used the difference-in-difference analysis method for the workers who worked in the same institution from 2012 to 2013, The effects of the income allowance policy on wage increase were analyzed. Results: As a result of the net effect of the income support allowance policy, the monthly average wage of the care worker increased by 25,676 won and the hourly wage increased by 478 won. As a result of the analysis, it can be confirmed that the income support allowance policy has achieved some of the goals of raising the wage level of the care workers, and the effect of raising wages for other occupations in the long-term care business can be confirmed. Conclusion: The low wage problem of long-term care workers such as care workers is not the only problem in Korea. In other countries, there are various wage support policies for employees. In particular, it is necessary to refer to the improvement in the treatment of care workers in Japan and wage pass-through in the United States. In addition to wages, there is a need to promote policies to provide employment motivation through efforts to improve their social status and improve their job status and career development for employees in long-term care facilities.

• Journal of Preventive Medicine and Public Health
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• 제48권1호
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• pp.1-9
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• 2015

The purpose of the present review is to give an overview of the association between alcohol intake and the risk of developing cancer. Two large-scale expert reports; the World Cancer Research Fund (WCRF)/American Institute of Cancer Research (AICR) report from 2007, including its continuous update project, and the International Agency for Research of Cancer (IARC) monograph from 2012 have extensively reviewed this association in the last decade. We summarize and compare their findings, as well as relate these to the public health impact, with a particular focus on region-specific drinking patterns and disease tendencies. Our findings show that alcohol intake is strongly linked to the risk of developing cancers of the oral cavity, pharynx, larynx, oesophagus, colorectum (in men), and female breast. The two expert reports diverge on the evidence for an association with liver cancer and colorectal cancer in women, which the IARC grades as convincing, but the WCRF/AICR as probable. Despite these discrepancies, there does, however, not seem to be any doubt, that the Population Attributable Fraction of alcohol in relation to cancer is large. As alcohol intake varies largely worldwide, so does, however, also the Population Attributable Fractions, ranging from 10% in Europe to almost 0% in countries where alcohol use is banned. Given the World Health Organization's prediction, that alcohol intake is increasing, especially in low- and middle-income countries, and steadily high in high-income countries, the need for preventive efforts to curb the number of alcohol-related cancers seems growing, as well as the need for taking a region- and gender-specific approach in both future campaigns as well as future research. The review acknowledges the potential beneficial effects of small doses of alcohol in relation to ischaemic heart disease, but a discussion of this lies without the scope of the present study.

• 패션비즈니스
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• 제21권4호
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• pp.44-60
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• 2017

This study is to understand the image of the Korean beauty and rewards to be gained by trying to be a beautiful person and to study differences according to demographic characteristics. It was studied with the purpose of industrializing beauty image and selling it to foreign countries. The survey questionnaire was distributed to Seoul and Kyeongkido. Respondents totaled 301. Collected data were analyzed with frequency analysis, factor analysis, $X^2$-test, and regression. Results are ; (1) The external image of Korean beauty emphasizes round face, white skin, big eyes, double eyelids, round head shape, early twenties, tall, low body weight, thin waist, long neck, long legs, and thin fingers. (2) The inner image of the Korean beauty emphasizes mature personality, social economic ability, but not housework, and cultural artistic ability. (3) Rewards gained by trying to be a beauty are psychological, actual, and social ones. (4) External face and body image of the beauty are different by demographic characteristics (sex, age, marital status, final education, monthly average income, religion). (5) The inner image of the beauty is different by age, final education, and monthly average income. (6) Rewards gained by trying to be a beauty are different by sex, age, final education, and monthly average income.