• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.391-400
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• 2005

Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.

• Journal of Preventive Medicine and Public Health
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• 제26권3호
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• pp.332-346
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• 1993

성인 남성들에서 여가시간의 육체적 활동량의 분포를 파악하고 관상동맥질환의 위험인자들과의 관련성을 보기위해 경상북도에 소재하는 일개 제철회사의 남성 근로자 277명을 연구대상자로 선정하였다. CARDIA 연구의 Physical Activity History questionnaire를 변형한 설문지를 이용하여 연구대상자들의 여가시간의 육체적 활동에 대해 면담조사하였다. 공복시 혈액 5ml를 채취하여 혈청 총콜레스테롤, 중성지방 및 혈당량을 측정하였고, 신장, 체중 및 혈압을 측정하였다. 흡연습관과 음주습관, 교육 수준 및 그 밖의 사항들은 설문지를 이용하여 면담조사하였다. 연구대상자들의 여가시간의 육체적 활동에 의한 에너지 소모량의 기하 평균치는 212.80 kcal/week이었고, 전체 대상자 중 여가시간에 2,000 kcal/week이상 육체적 활동을 하는 사람의 비율은 22. 4%이었다. 설문지의 항목들 중 대상자들이 여가시간에 하는 운동으로 가장 많은 것은 산보나 등산, 조깅 혹은 달리기 등이었다. 전체 대상자들에서 연령별, 교육수준별, 근무기간별, 흡연 및 음주습관별 주당 여가시간의 육체적 활동량이 유의한 차이를 보이지 않았으나, 작업 중 격렬한 노동을 하는 사람들이 안 하는 사람들에 비해 주당 여가시간의 육체적 활동량이 많은 것으로 나타났다(p<0.05). 여가시간의 육체적 활동량과 관상동맥질환의 위험인자들과의 관련성을 보고자 여가시간의 육체적 활동량을 중등도 이상의 활동을 전혀 안 하는 경우, 총 활동량이 2,000 kcal/week 미만인 경우 그리고 총 활동량이 2,000 kcal/week 미만인 경우의 세 군으로 나눈 후 BMI, 수축기 및 이완기혈압, 혈청 총콜레스테롤, 중성지방, 공복시 혈당량의 평균을 비교하였으나 통계적으로 유의한 차이를 보인 것은 없었다.

• 한국식품영양학회지
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• 제29권5호
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• pp.724-734
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• 2016

The purpose of this study was to determine the health behaviors and nutritional status related to dyslipidemia in Korean middle-aged adults (between 50 and 64 years old) from the Korean National Health and Nutrition Examinations Survey data (2007~2010). A total of 4,721 subjects were analyzed in this study. The subjects were divided into three groups (normal, borderline, and dyslipidemia) according to serum lipid levels. Parameters included in this study were drinking and smoking, anthropometric parameters, blood and nutritional parameters. The latter parameter included food/nutrients intake. All data was adjusted by sex, region, education level, and age. General linear model and logistic regression model were used for statistical analysis. The dyslipidemia group was comprised of more men than women. By contrast, the borderline group was comprised of more women than men (p<0.001). No significant differences were observed for other general characteristics. There were more smokers and drinkers(drinking per time) in the dyslipidemia group (p<0.05). Anthropometric data showed significant difference, ie, height (p<0.05), weight, body mass index, waist circumference, percent body fat, and blood pressure were higher in the dyslipidemia group (p<0.001). Only blood urea nitrogen showed no significant difference among groups. The HbA1c (p<0.01), fasting blood glucose, GOT, GPT, creatinine levels were higher in the dyslipidemia group (p<0.001). So it is required for the management of obesity in dyslipidemia group. The dyslipidemia group ate less sea food (p<0.05). The nutrients intake of energy and protein, thiamin, riboflavin, niacin, calcium, phosphorus were lower in the dyslipidemia group (p<0.05). Therefore, to lower dyslipidemia prevalence rates, it is necessary to increase the intake of foods containing ${\omega}-3$ fatty acids. We also suggest a meal management program and nutritional education to recognize the risk of dyslipidemia, especially for people such as the individual in the borderline and dyslipidemia study groups.

• Journal of Preventive Medicine and Public Health
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• 제40권5호
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• pp.388-396
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• 2007

Objectives: The purpose of this study was to examine the relationship between the differences in employment status and self assessed health in Korea. Methods: We analyzed 4 year follow-up data generated by the Korean Labor and Income Panel Study(KLIPS), which was conducted on 1,207 men and 582 women who had undergone a change in employment status. The study subjects were placed into 1 of the following 4 groups based on their employment history; Non-precarious workers, Precarious to non-precarious workers, Non-precarious to precarious workers and Precarious workers. Logistic regression was then used to examine the relationship between the changes in employment status and self assessed health. Results: When males were considered, self assessed health was better among the precarious to non-precarious workers (OR 1.58, 95% CI=1.57-1.60) and the precarious workers (OR 1.29, 95% CI=1.28-1.30) than in the non-precarious workers, after adjusting for age, socioeconomic status (education level, occupational class, marital status, average equivalent household income and average number of hours worked per week), health behavior (smoking, drinking and exercise) and medical service access (regular medical examination, have chronic disease or hospitalized within 1 year). When female workers were considered, the precarious to non-precarious workers (OR 1.89, 95% CI=1.86-1.92), non-precarious to precarious workers(OR 1.24, 95% CI=1.23-1.26) and precarious workers (OR 1.27, 95% CI=1.25-1.28) all reported poorer health than the non-precarious workers after adjusting for the aforementioned factors. Conclusions: This study showed that changes in employment status were associated with differences in self assessed health among men and women. Specifically, the results of this study showed that a corresponding positive outcome based on self assessed health was greater for employees that changed from precarious to non-precarious jobs and for male employees with precarious jobs., whereas female employees with non-precarious jobs had higher self assessed health. However, additional longitudinal studies on the health effects of employment status should be conducted.

• 한국연초학회지
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• 제15권1호
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• pp.3-14
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• 1993

공기중에 존재하는 여러 산화성 물질들은 호흡기의 손상과 관련이 있는 것으로 알려지고 있으며 이와같은 산화성 물질에 의한 손상은 폐에 존재하는 항산화 물질이나 항산화 효소들에 의해 감소 또는 예방될 수 있다. 저자들은 폐의 항산화방어 기전에 대한 흡연의 영향을 흰쥐에서 관찰하였다. 횐쥐를 6개피의 담배연기에 일일 20분씩 90일간 전신 폭로했을때 조직내의 catalase와 superoxlde dismutase(SOD)의 활성이 유의하게 증가되었다(p<0.05) 그러나 glutathione peroxidase의 활성도는 변화되지 않았고 thiol 화합물의 함량은 흡연 시작후 15일에 44%까지 감소되었으나 그후 정상으로 회복되었다. 한편, 횐쥐를 1, 3, 5, 10 및 20개피의 담배연기에 같은 방법으로 15일간 노출시켰을때, catalase는 개피수에 따라서 증가되었고 총 SOD의 활성도는 5개피 이하에서만 특이하게 증가되었으며 대부분 Zn-SOD이었다. 폐에는 한 종의 Cu, Zn-SOD (pI 4.9)와 CN에 내성이 있는 두종의 Mn-SOD(pI 4.7, pI 7.9)가 존재하였고, 등전점이 4.7인 Zn-SOD가 주된 동위효소로써 흡연에 의해 유도되는 형태였다. 이 결과들은 흡연으로부터 폐의 보호는 초기에는 항산화 물질들의 소모로, 그리고 만성 흡연의 경우는 항산화 효소들의 유도로 이루어지며. 특히 Zn-SOD (pI 4.7)와 catalase가 중요한 역할을 하는 것으로 사료된다.

• 한국산업보건학회지
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• 제27권4호
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• pp.313-323
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• 2017

Objectives: This study aimed to assess exposure to black carbon(BC) among forklift operators and to identify environmental and occupational factors influencing their BC exposure. Methods: We studied a total of 23 forklift operators from six workplaces manufacturing paper boxes. A daily BC exposure assessment was conducted during working hours from January to April 2017. A micro-aethalometer was used to monitor daily BC exposure, and information on work activities was also obtained through a time-activity diary(TAD) and interviews. BC exposure records were classified into four categories influencing BC exposure level: working environment, workplace, forklift operation, and job characteristics. Analysis of variance(ANOVA) was used to compare average BC exposure levels among the four categories and the relationships between potential factors and BC exposure were analyzed using a multiple linear regression model. Results: The operators' daily exposure was $12.9{\mu}g/m^3$(N=9,148, $GM=7.5{\mu}g/m^3$) with a range: $0.001-811.4{\mu}g/m^3$. The operators were exposed to significantly higher levels when they operate a forklift in a room ${\leq}20,000m^3$($AM=12.3{\mu}g/m^3$), in indoor workplaces($AM=16.3{\mu}g/m^3$), when they operate a forklift manufactured before 2006 ($AM=13.2{\mu}g/m^3$), a forklift with a loading limit of four-tons($AM=27.1{\mu}g/m^3$), with a roll and bale type clamp($AM=17.1{\mu}g/m^3$), and with no particulate filter($AM=15.7{\mu}g/m^3$). Conclusions: Occupational factors including temperature, smoking, season, daytime, room volume($m^3$), location of operating, and manufacturing era and model of forklift influenced the BC exposure of forklift operators. The results of this study can be used to minimize the BC exposure of forklift operators.

• 한국식품영양학회지
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• 제31권2호
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• pp.293-300
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• 2018

The purpose of this study was to investigate dietary habits, health lifestyle, preference and intake of beverages of Chinese students in Gyeonggi area. Therefore, we try to identify the factors that affect beverage consumption. According to the analysis of the demographic characteristics of male and female Chinese students, there were 155 male students (49.7%) and 157 female students (50.3%). There were statistically significant differences between the residence period and the time of coming to Korea according to sex (p<0.05), but there was no statistically significant difference between the education level, residence type and Korean ability (p>0.05). Analysis of the differences in health-related lifestyle among Chinese students of both sexes showed statistically significant difference in alcohol drinking, smoking, and exercise according to sex (p<0.05), but no statistically significant difference in computer use time (p>0.05). According to the analysis of the dietary habits of the Chinese students, there was a statistically significant difference in the number of meals per day, breakfast, lunch, dinner, snack frequency and number of midnight snacks, but no statistically significant difference in eating out frequency. As a result of the preference test for general beverages, 4.11 points of water, 3.81 points of milk, 3.64 points of fruit and vegetable juice, 3.58 points of tea, 3.25 points of coffee, 3.22 points of carbonated drinks, 2.92 points of functional drinks, respectively. Male students were more likely to prefer water, tea, and health functional drinks while female students had higher preference for fruit, vegetable juice and vinegar drinks (p<0.05). In general, consumption of regular drinks was 4.95 in water, 3.58 in milk, 3.03 in coffee, 2.92 in carbonated drink, 2.91 in fruit and vegetable juice, 2.63 in tea, 2.07 in functional drink, and 1.44 in vinegar appear. Male students had higher intake of water, tea, carbonated drinks, and health functional drinks while female students had higher intake of fruit and vegetable juice (p<0.05). The results of correlation analysis of factors affecting the general drinking of Chinese students are as follows. The intake of tea was related to the period of residence and dietary habits, the intake of milk for breakfast, the number of snacks and midnight snacks for carbonated drinks, and the fruit vegetable juice were related to dietary habits (p<0.01, p<0.05).

• 대한가정학회지
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• 제43권12호
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• pp.61-78
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• 2005

This study was peformed to assess the relationships among bone mineral density(BMD), nutrient intake and lifestyle factors in postmenopausal women. A trained nutritionist examined the interviewed usual dietary intake and physical activity of 85 subjects in Chungnam with a questionnaire interview, and BMDs of the lumbar spines($L_2-L_4$), femoral necks(FN), ward's triangles(WT) and trochanters(TR) were measured by dual energy X-ray absorptiometry (DEXA). The BMDs(T-score) of $L_2-L_4$, FN, and WT were $0.996g/cm^2(-1.601),\;0.697g/cm^2(-1.697)$, and $0.793g/cm^2(-1.512)$, respectively, which were assessed as osteopenia by T-score,. and TR was normal at $0.718g/cm^2(-0.675)$. Subjects included 85 in Chungnam were divided into three groups according to the BMD measurement of the $L_2-L_4$ and FN assessed by T-score. The percentages of the osteoporosis, osteopenia, and normal groups were $32.9\%,\;42.4\%$ and $24.7\%$ respectively. The average age was significantly the highest of the osteoporosis group than in the other two osteopenia or normal groups(P<0.001). Among lifestyle factors, the BMD of lifestyles was significantly related with exercise but it was not significant with medication., salt. intake, bone fracture, coffee consumption, drinking and smoking. The nutrient intake of the subjects was most nutrient intake adequate to the Korean RDA level for most nutrients excepting energy intakes and calcium. The BMD of lumbar spines $L_2-L_4$ showed significant positive association with the intake of most nutrients except carbohydrate, especially in the normal group. The Higher BMD levels were found for those with high intake of protein and vitamin B1. The BMDs of $L_2-L_4$, and FN were positively correlated with showed energy expenditure, exercise, miscellaneous activity, per weekend and week(P<0.05) in normal group but that was showed negatively correlated in the osteopenia group. Therefore, this study confirmed that one of the most effective ways to minimize bone less in postmenopausal women is to maintain an adequate intake of calcium and other nutrients and regular physical activity.

• 치위생과학회지
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• 제15권3호
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• pp.333-339
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• 2015

본 연구는 성인의 치아우식증에 영향을 미치는 관련요인을 알아보고자 제6기 1차년도(2013년) 국민건강영양조사중 건강설문 검진조사, 영양조사를 완료한 10,113명 중 만 19세 이상의 성인과 영구치우식 유병자 여부 카테코리에 대한 정보가 갖춰진 4,843명을 최종 분석대상자로 복합표본분석을 실시하였으며, 연구결과는 다음과 같다. 사회 경제적 특성에 따른 치아우식증 유병률은 성별에서 남자가 여자보다 높았으며(p<0.001), 연령별로는 30대, 20대, 40대, 60대 이상, 50대 순으로 나타났다(p<0.05). 교육수준에 따라서는 고졸, 중졸, 대졸 이상 순으로 나타났고(p<0.05), 월 소득수준은 '하'인 경우 가장 높게 나타났다(p<0.001). 건강관련 생활양식에 따른 치아우식증 유병률은 흡연자가 비흡연자보다 높게 나타났으며(p<0.001), 비만의 경우 정상보다 다소 높았으며(p<0.05), 구강검진을 받지 않은 경우가 받는 경우보다 높았다(p<0.001). 일일 칫솔질 횟수가 증가할수록(p<0.05), 치실, 치간칫솔을 사용하는 경우 치아우식증 유병률이 감소하는 것으로 유의하게 나타났다. 치아우식증 여부를 종속변수로 로지스틱 회귀분석을 실시한 결과 치아우식증에 영향을 미치는 변수로는 성별, 연령, 소득수준, 흡연, 구강검진, 치실사용 등으로 나타났다. 이상의 결과를 종합해 보면 한국 성인의 사회 경제적 요인 및 생활양식은 치아우식증에 영향을 미치는 것으로 확인되었으며, 성인의 치아우식증 예방 및 구강건강을 향상시키기 위해서는 건강한 생활습관을 실천할 수 있는 구강건강교육 및 실천 프로그램의 개발이 필요하다고 생각되었다.

• 한국콘텐츠학회논문지
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• 제12권6호
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• pp.317-327
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• 2012

본 연구는 연령층별 사회경제적 계층, 건강행위, 주관적 건강수준 간의 직 간접 경로를 규명하고 그 영향력을 파악하고자 하였다. 제4기 2차년도(2008) 국민건강영양조사에 참여한 성인 중, 교육, 소득, 직업의 3가지 변수로 사회경제적 계층 구분이 가능한 만 25세 이상 4,987명을 연구대상으로 하여 사회경제적 계층을 교육과 소득은 4단계, 직업은 7단계로 분류하고, 건강행위의 실천이 주관적 건강수준에 미치는 영향은 경로분석을 수행하였다. 복합표본분석으로 chi-square test, t-test, one-way ANOVA를 실시하였다. 그 결과 주관적 건강수준은 사회경제적 계층이 낮을수록 낮았으며 청장년층일수록 더 많은 건강행위가 사회경제적 계층에 따라 차이를 보였다. 낮은 사회경제적 계층일수록 주관적 건강수준이 낮아지는데, 청장년층 여자는 금연과 체중조절, 노년층 남자는 운동이 매개변수로써 간접영향을 주었다. 이를 통해 건강증진사업 기획 시 연령층, 성별, 사회경제적 계층을 고려한 정확한 표적집단 선정과 각 표적집단에 적합한 내용 구성이 필요하리라 본다.