• 대한간호학회지
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• 제49권1호
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• pp.104-112
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• 2019

Purpose: This study aimed to identify types of quality of life (QoL) based on the 5 dimensions of EQ-5D and predict factors affecting types of QoL. Methods: This study was a secondary analysis using data from the Korean Health Panel Survey-II(2012). Participants were 2,071 middle-aged men who had completed the additional survey in 2012 and the data were analyzed using SPSS 20.0 and Mplus 5.21 for latent analysis. Results: Three latent classes of QoL were identified: serious (2.4% of the sample), threatened (15.5%), and stable types (82.0%). The types and characteristics of QoL among the latent classes differed. On comparing latent type 1 with latent type 2, the socioeconomic status (p<.05), employment status (p<.05), and subjective health status (p<.001) were found to be significant. On comparing latent type 1 with latent type 3, the socioeconomic status (p<.05), current smoking status (p<.001), and subjective health status (p<.001) were found to be significant. On comparing latent type 2 with latent type 3, the socioeconomic status (p<.05), subjective health status (p<.001), stress (p<.001) were found to be significant. Conclusion: The results showed significant heterogeneity in types of QoL and the predictors of QoL by types were different. These findings provide basic information for developing nursing interventions to improve QoL. Specific characteristics depending on the subtypes should be considered during the development of interventions.

• Journal of Chest Surgery
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• 제52권2호
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• pp.91-99
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• 2019

Background: The relationship between the size of bullae and pneumothorax recurrence is controversial. The aim of this study was to retrospectively evaluate the role of blebs or bullae in predicting ipsilateral recurrence in young patients experiencing their first episode of primary spontaneous pneumothorax (PSP) who underwent conservative treatment. Methods: A total of 299 cases of first-episode PSP were analyzed. The status of blebs or bullae was reviewed on high-resolution computed tomography (HRCT). The dystrophic severity score (DSS; range, 0 to 6 points) was calculated based on HRCT. Results: The 5-year recurrence rate was 38.2%. In univariate analysis, age (<20 years), body mass index (<$20kg/m^2$), a unilateral lesion, and intermediate risk (DSS 4 and 5) were associated with recurrence. Sex; smoking history; and the presence, number, and maximal size of blebs or bullae were not related to recurrence. In Cox regression, age and intermediate risk were independent risk factors for recurrence. High risk (DDS 6) was not an independent risk factor. Conclusion: The presence, number, and size of blebs or bullae did not affect ipsilateral recurrence. DSS failed to show a positive correlation between severity and recurrence. The decision to perform surgery in patients experiencing their first episode of PSP should not be determined by the severity of blebs and bullae.

• 한국식품영양학회지
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• 제32권3호
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• pp.216-225
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• 2019

The objective of this study was to compare nutrients intake, health indices, and prevalence of chronic diseases by occupation in middle-aged men, using results from National Health and Nutrition Examination Survey. The subjects were divided into two groups by their occupation (Office worker (OW) and Agri-fishery worker (AFW)) and their percentages were 75.5% and 24.5% respectively. In health-related factors, drinking rate was higher in OW (p<0.001), while smoking rate was higher in AFW (p<0.001). Walking and strength exercise were both higher in OW group. In dietary behavior, the rate of skipping breakfast and eating out was higher in OW (p<0.001). Food supplement usage were consumed by OW more than AFW (p<0.001). Daily energy intake was higher in AFW (p<0.05). There were significant differences in nutrient density per 1,000 kcal of minerals and vitamins between the two groups (p<0.05~p<0.001), except calcium, potassium, vitamin A and thiamin. In body weight, BMI, waist circumference and blood pressures, OW was higher than AFW (p<0.05~p<0.001). Whereas, HDL and LDL-cholesterol were higher in AFW (p<0.001). The prevalence of diabetes was higher in AFW (p<0.001). The results of this study can be used as data to establish nutrition and health strategies for occupation in middle-aged men.

• 한국노년학
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• 제28권4호
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• pp.1129-1145
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• 2008

본 연구는 노인우울증에 대한 사회경제적 지위의 영향력 뿐 아니라 근접요인으로써 건강행태의 영향력을 파악하여 보다 실천적인 함의를 제시하고자 하였다. 이를 위해 일 도시지역의 65세 이상 노인 964명의 자료를 분석에 사용하였고, 노인우울증 진단에는 단축형 노인우울척도(Short Form of Geriatric Depression Scale: SGDS)의 절단점 10점을 사용하였다. 본 연구에서 노인우울증의 유병율($SGDS{\geq}10$)은 22.2%(남성 18.4%, 여성 23.3%)로 나타났다. 로지스틱 회귀분석을 사용하여 노인우울증에 대한 위험요인을 살펴본 결과, 동거가족 수가 적을수록, 의료보호일수록, 교육수준이 낮을수록, 흡연을 지속하고 있을수록, 신체활동이 불충분할수록 노인우울증의 유병율이 유의미하게 높아지는 것으로 나타났다. 본 연구의 결과를 바탕으로 볼 때 사회경제적 차이를 고려하여 노인우울증 개입을 위한 표적집단을 정해야 하고 더불어 우울증 예방을 위해서는 건강행태 특히 흡연이나 운동에 대한 지역사회 중심의 통합적 개입이 필요하다.

• Clinical Nutrition Research
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• 제11권1호
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• pp.42-49
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• 2022

Data on the association between dietary red meat intake and non-alcoholic fatty liver disease (NAFLD) are limited. We designed this case-control study to determine the association between red and processed meat consumption and risk of NAFLD in Iranian adults. A total of 999 eligible subjects, including 196 NAFLD patients and 803 non-NAFLD controls were recruited from hepatology clinics in Tehran, Iran. A reliable and validated food frequency questionnaire was used to evaluate the red and processed meat intakes. The analyzes performed showed that in an age- and gender-adjusted model, patients with the highest quartile of red meat intake had an approximately three-fold higher risk of NAFLD than those with the lowest quartile of intake (odds ratio [OR], 3.42; 95% confidence interval [CI], 2.16-5.43; p value < 0.001). Moreover, patients in the highest quartile of processed meat intake had a 3.28 times higher risk of NAFLD, compared to the lowest quartile(OR, 3.28; 95% CI, 1.97-5.46; p value < 0.001).Both these associations remained significant by implementing additional adjustments for body mass index, energy intake, dietary factors, diabetes, smoking, and physical activity (OR, 3.65; 95% CI, 1.85-7.18; p value < 0.001 and OR, 3.25; 95% CI, 1.57-6.73; p value = 0.002, respectively).Our findings indicate that both red and processed meat intakes are related to the increased odds of NAFLD; however, prospective studies are needed to confirm these results.

• 대한지역사회영양학회지
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• 제10권1호
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• pp.111-121
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• 2005

This study was to performed to assess social factors and physical health status. The subjects of the study were 103 elderly people of age over 85 years living in Ganghwa-gun area. The method of this research was based on the interview-survey with questionnaire. Chi-square test was the main data analysis method. The subject group was composed of 36 males and 67 females, the average age being 91.0 $\pm$ 3.2 years old for the males and 91.1 $\pm$ 3.4 years old for the females. The aged average height and weight were 161.0 $\pm$ 7.9 cm and 54.6 $\pm$ 7.8 kg in males, 141.0 $\pm$ 8.2 cm and 42.2 $\pm$ 7.9 kg in females which were lower than the Korean average standard but the mean BMIs of both male and female showed normal range. Their level of education was lower and they tended to be religious. The aged population might be economically poor. Their level of living standards tended to have been lower-middle and lower class. The mean age of their parents' death were 64.3 $\pm$ 17.2 years in males, 59.0 $\pm$ 14.9 years in females for the father and 70.9 $\pm$ 15.5 years in males, 66.8 $\pm$ 16.6 years in females for the mother. The rate of living together with their family or spouse in the female aged was $83.2\%$ higher than in the male aged. They tended to have engaged in hobbies that require less movement. Of the kinds of hobby, 'TV watching ($47.8\%$ in male and $44.9\%$ in female) was the highest. Ratios of the drinking and the smoking elderly were $30.6\%$, $25.0\%$ in male and $7.5\%$, $18.8\%$ in female but they tended to have never drunken and smoked. Of the subjects, $42.9\%$ spend 8$\~$9 hours for sleeping in male and $35.8\%$ spend 10 hours for sleeping in female. They tended to have not done any particular health behavior. The most common diseases were digestive disease in male, arthritis and hypertension in female. Most elderly males ($47.3\%$) and females ($61.2\%$) had 1$\~$2 diseases.

• 한국산학기술학회논문지
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• 제19권5호
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• pp.451-458
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• 2018

본 연구는 소방직공무원들의 수면의 질을 평가하고, 이들의 일반적 특성, 건강습관특성 및 직업적 특성과 수면의 질과의 관련성을 규명하고자 시도하였다. 조사는 2016년 10월에 D광역시의 5개 소방서에 근무하고 있는 남성 소방직공무원 600명을 대상으로 Pittsburgh대학에서 개발한 수면의 질에 관한 질문 표(PSQI)를 사용한 자기기입식 설문조사에 의하였다. 연구결과, 전체 조사대상자의 13.2%는 "수면의 질이 좋은 군"으로, 86.8%는 "수면의 질이 좋지 않은 군"으로 나타났다. 일반적 특성 및 건강습관 특성별 수면의 질은 주관적인 건강상태가 좋지 않을수록, 흡연군보다 비흡연군에서, 주관적인 수면의 질이 높다는 군보다 낮다는 군에서 "수면의 질이 좋지 않다는 군"의 비율이 유의하게 높았다. 직업적 특성별 수면의 질은 다른 업무보다 화재진압을 한다는 군에서, 비교대근무군보다 교대근무군에서, 업무의 신체적 부담이 낮은 군보다 높은 군에서, 업무에 대한 만족도가 높은 군보다 낮은 군에서, 업무에 대한 적성도가 높은 군보다 낮은 군에서, 현재의 소방직에 대한 직업전환의사가 없다는 군보다 있다는 군에서 "수면의 질이 좋지 않다는 군"의 비율이 유의하게 높았다. 다중회귀분석결과, 수면의 질에 영향을 미치는 요인으로는 주관적 건강상태, 음주상태, 주관적인 수면의 질, 근무경력, 직위, 업무의 신체적 부담정도가 유의한 변수로 선정되었으며 이들의 설명력은 24.4%이었다. 위와 같은 연구결과는 소방직공무원들의 수면의 질은 일반적 특성, 건강습관 특성 및 직업적 특성의 여러 요인들과 유의한 관련성이 있음을 시사하고 있다.

• 한국산업보건학회지
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• 제29권3호
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• pp.289-297
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• 2019

Objectives: To identify the positive rate of and the risk factors associated with latent tuberculosis infection(LTBI) in mine workers, the objectives of the present study evaluated those among former mine workers. Methods: Between January 2015 and May 2017, former male mine workers who had been subjects for epidemiology research for work-related chronic obstructive pulmonary disease(COPD) and had received QuantiFERON-$TB^{(R)}$ Gold In-Tube(QFT-GIT) from the Institute of Occupation and Environment(IOE) under Korea Workers' Compensation and Welfare Service(KCOMWEL) were selected as the study subjects. To identify significant variables for increased risk of LTBI, logistic regression analysis was performed. Results: A total of 736 male former mine workers were selected as study subjects. The positive rate of LTBI among subjects was 69.2%(509/736). The current smoking[odds ratio(OR), 2.3; 95% confidence interval(CI), 1.1-4.9], COPD(OR, 1.4; 95% CI, 0.9-2.3), department loading(OR, 1.8; 95% CI, 0.9-3.4) and mining(OR, 1.5; 95% CI, 0.9-2.5), and working duration of over 20(OR, 1.6; 95% CI, 0.9-3.1) and over 30 years(OR, 2.2; 95% CI, 0.9-4.9) were associated with increased risk of LTBI. The interferon-gamma(IFN-${\gamma}$) level after stimulation with Mycobacterium tuberculosis(MTB)-specific antigens showed a significantly negative correlation with age(r=-0.126). Conclusions: The present study determined that the high positive rate of LTBI among mine workers was associated with not only the host factors but also the occupational exposure to mine dust.

• 한국안광학회지
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• 제16권2호
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• pp.209-217
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• 2011

목적: 본 연구는 노인의 가구 소득과 눈 건강과의 관계를 확인함으로써 노인의 눈 건강 불평등 정도를 알아보고, 향후 저소득층 노인의 삶의 질 향상을 위한 안보건 정책 수립의 기초자료를 제공하고자 한다. 방법: 국민건강영양조사(2009) 데이터를 이용하여 만 65세 이상의 노인 1,668명을 대상으로 가구 소득에 따른 눈 건강 관련요인(시력, 백내장 유무, 군날개 유무, 안압, 망막이상소견, 나이관련 황반변성, 당뇨망막병증, 근시, 원시, 난시, 부동시 유병률)을 t-test 및 ${\chi}^2$ 검정하였다. 결과: 자동굴절계검사의 굴절이상도와 안압은 저소득군이 낮았고, 나안시력과 교정시력은 0.1~0.5 미만에서 저소득군이 높았고, 원시는 고소득군에서 높았다. 백내장과 최대교정시력 0.8미만인 사람의 백내장 유병여부는 저소득군에서 더 높게 발생하였고, 흡연, 음주, 직업, 교육수준과 유의한 관계가 있었다. 결론: 노인의 가구 소득에 따른 눈 건강 불평등이 존재함을 알 수 있었고, 특히 백내장은 삶의 질과 밀접한 관계가 있는 안질환으로 저소득층 노인의 눈 건강 불평등 해소를 위한 안보건 정책이 필요할 것으로 사료된다.

• 한국가정과교육학회지
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• 제24권3호
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• pp.57-72
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• 2012

본 연구는 청소년들의 학업스트레스가 건강관련 생활습관 및 정신건강에 미치는 영향을 알아보고자 서울 및 경기도 소재 8개 지역 중학교에 재학 중인 중학생 842명을 대상으로 설문조사를 실시하였다. 본 조사결과 여학생이 남학생들에 비해 학업스트레스 점수가 높았으며 특히, 하위 요인 중 교사 및 수업시간, 친구와의 경쟁 관련 학업스트레스 점수가 유의하게 높았다. 남학생들의 경우 학업스트레스 수준이 높은 학생들이 낮은 학생들에 비해 흡연 및 음주 경험 과 흡입제 사용 경험이 유의적으로 많았으며 학업스트레스 수준이 높은 학생들은 컴퓨터나 온라인 게임 등의 놀이오락 위주로 여가활동 시간을 보내는 것으로 나타났다. 또한 정신건강상태 조사 결과, 남녀학생 모두 학업스트레스 수준이 높은 학생들이 낮은 학생들에 비해 정신건강진단 점수가 유의하게 높아 정신건강 위험도가 높음을 알 수 있었다. 특히, 우을증상의 점수가 유의적으로 높았다. 따라서 청소년들이 학업 스트레스에 적절히 대응하고 관리할 수 있도록 학교교육과정에서 지속적인 교육이 이루어져야 한다.