• Journal of Preventive Medicine and Public Health
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• 제41권3호
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• pp.186-194
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• 2008

Objectives : This study describes trends in the socioeconomic disparities in breast cancer screening among US women aged 40 or over, from 2000 to 2005. We assessed 1) the disparities in each socioeconomic dimension; 2) the changes in screening mammography rates over time according to income, education, and race; and 3) the sizes and trends of the disparities over time. Methods : Using data from the Behavioral Risk Factor Surveillance System (BRFSS) from 2000 to 2005, we calculated the age-adjusted screening rate according to relative household income, education level, health insurance, and race. Odds ratios and the relative inequality index (RII) were also calculated, controlling for age. Results : Women in their 40s and those with lower relative incomes were less likely to undergo screening mammography. The disparity based on relative income was greater than that based on education or race (the RII among low-income women across the survey years was 3.00 to 3.48). The overall participation rate and absolute differences among socioeconomic groups changed little or decreased slightly across the survey years. However, the degree of each socioeconomic disparity and the relative inequality among socioeconomic positions remained quite consistent. Conclusions : These findings suggest that the trend of the disparity in breast cancer screening varied by socioeconomic dimension. Continued differences in breast cancer screening rates related to income level should be considered in future efforts to decrease the disparities in breast cancer among socioeconomic groups. More focused interventions, as well as the monitoring of trends in cancer screening participation by income and education, are needed in different social settings.

• 가정과삶의질연구
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• 제22권6호
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• pp.99-109
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• 2004

This study investigated the motivation of the institutional elderly to participate in the leisure programs the participation motivation and their leisure life satisfaction. A survey questionnaire was administered to 265 elderly in an institution for the elderly. The data was analyzed using frequency analysis, factor analysis, and regression analysis. Major findings are as follows: First, the motivation to participate in leisure programs on the part of the institutionalized elderly tended to be more external than internal. Second, regression analysis indicated that the main internal factors that affected participation were health condition, interaction with roommate, gender. education level, and interaction with institution's staff. The major external factors that affected the participation were health condition, interaction with colleagues, gender, and education level. Finally, the results of the regression analysis indicated that the main internal factors that affected the leisure life satisfaction were, intrinsic motivation to participate in leisure programs, interaction with their roommate, gender, and education level.

• 여성건강간호학회지
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• 제11권3호
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• pp.225-231
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• 2005

Purpose: This study was done to compare prenatal education programs for anxiety and labor efficacy in third trimester women. Method: The subjects were 95 primigravida who attended a prenatal education program at H and B hospital in Kyounggi province and a health center in Chungbuk province and in the Incheon metropolitan area. Data was collected using a structured questionnaire, and trait and state anxiety, and labor efficacy were measured. The data was analyzed by frequency, mean, and paired t-test. Result: In this study, there was a high level of anxiety in the primigravida. After the program, only state anxiety was decreased significantly at the attendants of the health center. Labor efficacy was a little increased, but this was not significant. Anxiety was increased and labor efficacy was decreased in the attendant of a private hospital. Conclusion: These education programs were not so effective to decrease anxiety and to increase labor efficacy. For on effective program to increase labor efficacy, it is necessary to standardize prenatal education program content and to revise it to decrease state anxiety closer to delivery. It is necessary to discover why these programs were not effective.

• Asian Pacific Journal of Cancer Prevention
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• 제15권18호
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• pp.7793-7797
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• 2014

Objective: The aim of this study was to evaluate predictive role of risk of malignancy index in discriminating between benign and malignant adnexal masses preoperatively. Methods: This retrospective study was conducted with a total of 569 patients with adnexal masses/ovarian cysts managed surgically at our clinic between January 2006 and January 2012. Obtained data from patient files were age, gravidity, parity, menopause status, ultrasound findings and CA125 levels. For all patients ultrasound scans were performed. For the assessment of risk of malignancy index (RMI) Jacobs' model was used. Histopathologic results of all patients were recorded postoperatively. Malignancy status of the surgically removed adnexal mass was the gold standard. Results: Of the total masses, 245 (43.1%) were malignant, 316 (55.5%) were benign and 8 (1.4%) were borderline. The mean age of benign cases was lower than malign cases ($35.2{\pm}10.9$ versus $50.8{\pm}13.4$, p<0.001). Four hundred and five of them (71.2%) were in premenopausal period. Malignant tumors were more frequent in postmenopausal women (81% versus 29%, p<0.001). All ultrasound parameters of RMI were statistically significantly favorable for malignant masses. In our study ROC curve analysis for RMI provided maximum Youden index at level of 163.85. When we based on cutoff level for RMI as 163.85 sensitivity, specificity, PPV, NPV was calculated 74.7%, 96.2%, 94% and 82.6%, respectively. Conclusions: RMI was found to be a significant marker in preoperative evaluation and management of patients with an adnexal mass, and was useful for referring patients to tertiary care centers. Although utilization of RMI provides increased diagnostic accuracy in preoperative evaluation of patient with an adnexal mass, new diagnostic tools with higher sensitivity and specificity are needed to discriminate ovarian cancer from benign masses.

• Human Ecology Research
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• 제52권4호
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• pp.415-427
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• 2014

The purpose of this study was to determine the effect of expenditure on private education and stress caused by private education on the parental efficacy of mothers of junior and senior high school students. The subjects were 300 mothers of students who were enrolled in the junior and senior high school in Seoul and its suburbs. The results were as follows: First, the level of stress from private education was found to be higher than the degree of parental efficacy. Second, a hierarchical regression analysis was performed by using expenditure on private education and stress caused by private education as independent variables and the socio-demographic characteristics of mothers as control variables in order to identify their effect on the parental efficacy of mothers of junior and senior high school students. The results show that stress from private education and monthly income were significantly related to parental efficacy. That is, the lower the level of stress from private education and the higher the monthly income, the higher was the degree of parental efficacy. These findings suggest that expenditure on private education seems to be determined by the household income level; thus, income may affect psychological stress and parental efficacy of mothers with respect to the process of providing private education.

• 대한지역사회영양학회지
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• 제14권2호
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• pp.168-174
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• 2009

This study was conducted to investigate the effectiveness of a nutrition and exercise education program on weight control of adult women. The subjects of this study were 28 adult women aged 20-59 years residing in the Daegu area. The nutrition-exercise educational period was 12 weeks. The collected data consisted of items on general characteristics, anthropometric data, blood biochemical values, physical strength data, dietary behavior and nutrition knowledge scores of the subjects. During the 12 weeks of weight control, body mass index(BMI), % of body fat, body fat mass and waist-hip ratio significantly decreased. The level of plasma triglyceride decreased, but not significantly. The level of total cholesterol did not change compared to baseline before the program. After the weight control program, back muscle strength, sit-ups, push-ups, and sit-and-reach tests of the subjects significantly improved. The nutrition knowledge scores of the subjects significantly increased. Therefore, these results suggest that the nutrition-exercise education program may contribute effectively to weight reduction with improvement of physical strength in adult women.

• 여성건강간호학회지
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• 제12권1호
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• pp.61-69
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• 2006

Purpose: The study was done to identify the perceived health status of elderly women and men, and define the difference between the two groups. Method: The subjects of this study were 209 elderly people over 60 years living in urban areas. The data was collected through personal interviews using questionnaires from September to October 2002. Data was categorized by content analysis and then data was analyzed with the SPSS program by frequency and Chi-square tests. Result: Elderly women complained of types of pain(leg pain, arthritis, lumbago, headache) more than elderly men. Elderly men complained about decreased levels of activities such as walking and general weakness. Elderly men and women have discomforts in daily living such as walking and doing household chores. First, elderly men and women want good health and improvement of health status. Second, women want happiness for their offspring, but men want to improve the government and the laws. Conclusion: Elderly women want relief from pain, but elderly men want an increased level of activity. The findings of this study give useful information to conduct health education and care for elderly women.

• 여성건강간호학회지
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• 제14권4호
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• pp.323-332
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• 2008

Purpose: The purpose of this study was to identify health promotion behavior and contraception in married immigrant women. Method: Seventy-three immigrant women who were married with Korean men were recruited in October 2008. Data was collected by using questionnaires through a personal interview. The collected data was analyzed by descriptive statistics, Pearson's correlation, t-test, and ANOVA. Result: The lowest scoring part among health promotion behaviors was exercise. Stress management, eating habits and personal relationships followed. Health promotion behaviors were influenced by the age at marriage, frequency of going out, and health education experiences. Only 35.6% of subjects used contraception. The popular contraceptive methods were IUD, condom, and coitus interruptus. Most subjects got information about contraception from family and friends. 18.1% of subjects had no source of information. The women's education level had a significant influence on their contraceptive knowledge. Conclusion: Programs for exercise and contraception are needed to improve health promotion behaviors in married immigrant women. Nurses are an important part in health promotion. The role of nurses must be expanded in all communities through various intervention programs.

• 보건교육건강증진학회지
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• 제29권5호
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• pp.61-75
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• 2012

Objectives: A great number of the elderly are not aware of having metabolic syndrome, and this pattern differs among regions of the nation. This issue is particularly important for the elderly people with chronic diseases. This study was conducted in order to identify the prevalence, predicting factors of perception and exercise behaviors of among the elderly population. Methods: Using data from the 2009 Korean Community Health Survey, we employed two-level logistic regression models to determine whether individual and community factors are associated with perception and exercise behaviors among the elderly population. Results: Results from weighted two-level logistic regression analyses indicated the individual-level factors of smoking, education level, health center education, community exercise program participation and unmet needs in men, and marital status (being separated), health center education women predicted the elders' perception. As for the community-level predictors, higher smoking and living in regions with high suicide rates significantly predicted the elders' perception and exercise behaviors of metabolic syndrome. Conclusions: These findings demonstrate that education according to stage would increase the perception and motivation toward healthier behavior particularly for the elderly with lower perception levels of metabolic syndrome.

• 한국치위생학회지
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• 제8권3호
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• pp.53-64
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• 2008

The purpose of this study examines the level of awareness and practice for the oral health care of the pregnant women, finding problems and proposing the problem point regarding hereupon and an improvement point by analyzing the result. Data for this study are collected by the questionnaire method from pregnant women who attend gynecology clinic located Gwangju provide for the period between December, 2007 and January, 2008. The obtained results were as follows : 1. The experience of oral health education for pregnant women were 'none' 94.8%, 'yes' 5.2%, the majority no received oral health education. 2. The awareness score of dietary treatment was 34.09 and practice score was 29.73, the awareness score of periodontitis prevention was 33.31 and practice score was 29.04. The awareness score of subsidiary oral hygiene articles was 32.19, practice score was 17.95. The awareness score was higher than practice score. 3. The relationship between the awareness and practice of oral health care was positively correlated: dietary treatment(r=0.483, p<0.01), periodontitis prevention (r=0.531, p<0.01), subsidiary oral hygiene articles (r=0.515, p<0.01), oral health care (r=0.531, p<0.01). Conclusion of these survey showed that it is crucial to increase the level of practice of oral health care. It is also necessarily to increase the level of awareness of the oral health care.