간행물

대한보건협회> 대한보건연구(구 대한보건협회학술지)

대한보건연구(구 대한보건협회학술지) update

THE JOURNAL OF THE KOREAN PUBLIC HEALTH ASSOCIATION

  • : 대한보건협회
  • : 의약학분야  >  예방의학및보건학
  • : KCI등재
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  • : 연속간행물
  • : 계간
  • : 1738-3897
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  • : 대한보건협회지(~1997) → 대한보건협회학술지(1998~) → 대한보건연구(2004~)

수록정보
수록범위 : 1권1호(1975)~46권4호(2020) |수록논문 수 : 1,287
대한보건연구(구 대한보건협회학술지)
46권4호(2020년 11월) 수록논문
최근 권호 논문
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KCI등재

1청소년 자살예방 애플리케이션에 대한 체계적 문헌 고찰 및 기능 분석

저자 : 노은비 ( Eunbi Noh )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 1-10 (10 pages)

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Objectives : The objective of this study was to evaluate the effectiveness of mobile application for adolescent suicide prevention through a systematic review.
Methods : Three different search engines namely RISS, PubMed, and EMBASE were searched and studies were included if they contained primary search terms 'adolescents', 'suicide', and 'application'. Six (6) articles were finally included. Each function of applications was examined by its effectiveness.
Results : Psychotherapy was the most common function and both crisis helplines and safety planning were the second most frequent. However, there was little support for the evidence of each functions.
Conclusion : While mobile technology has become a useful means of health interventions, there was a lack of studies on adolescent suicide prevention using mobile applications. The evidence-based approaches of suicide prevention for adolescents are required with the consideration of an individual's risk factors.

KCI등재

2국내 궐련형 전자담배 광고에 관한 연구: 잡지광고의 내용분석을 중심으로

저자 : 김혜정 ( Hyejung Kim ) , 황지은 ( Jieun Hwang )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 11-23 (13 pages)

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Objective : Heated tobacco products competition in Korean market has been accelerated since IQOS, glo, and lil were launched in 2017. This study content analyzed the magazine advertisements of these heated tobacco products to explore if implicit health information or any other factors diminishing risk perception on smoking is contained.
Methods : The print magazine advertisements of the top three heated tobacco products -IQOS, GLO and lilwere content analyzed in terms of product representation, interaction between product and model, verbal implicit health information (impressionistic or factual), visual implicit health information and health warnings. A total of 42 advertisements were used in the final analysis with 12 cases (28.6%) in IQOS, 21 cases (50.0%) in GLO and 8 cases (21.4%) in lil excluding overlapping ads within the same period.
Results : In result of contents analysis, 95.2% of all units of analysis contained verbal implicit information that weakening smoking risk perception, and the frequency of factual information was followed by technology, smell, additional information, taste, design, sales information, price, and size. In particular, the factual information regarding design and size differed significantly among tobacco companies. In addition, only 88.1% of the advertisements contained health warnings, but all of them were less than 20% of the page, which is not comply with the legal standard of 33%.
Conclusions : This study figured out that heated tobacco product advertisements include implicit clues which can make smoking less harmful and neutralize the effect of health warnings. Therefore, strong measures against advertising heated tobacco products including electronic devices should be taken and a systematic monitoring system should be in place for surveillance on tobacco companies' marketing activities.

KCI등재

3유방암 생존자의 대사증후군 발생률: 체계적 문헌고찰 및 메타분석

저자 : 권향숙 ( Hyang-suk Kwon ) , 양영란 ( Youngran Yang ) , 김현경 ( Hyun-kyung Kim )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 25-39 (15 pages)

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Purpose : The purpose of this study is to identify the risk of metabolic syndrome in breast cancer survivors through systematic review and meta-analysis.
Methods : We searched articles in the MEDLINE (PubMed), The Cochrane Library, Web of Science and CINAHL published between January 1986 to May 2020. Two researchers independently reviewed and selected articles, based on PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-Analyses) and we calculated with the incidence ratio of metabolic syndrome (OR, Odds Ratio), and tested for homogeneity and publication bias using the Compressive Meta-Analysis version 3.3.070 program.
Result : Out of 756 articles meeting the initial criteria, 8 cases-control studies, which involved 15,479 participants (1,463 cases and 14,016 controls) were included in the final analysis. In a sum of analysis, 5,059 developed metabolic syndrome, representing a incidence rate of 32.68%. Compared with the healthy control groups, the cancer survivors were at an increased risk of metabolic syndrome, in the random-effects meta-analysis of all 8 cases-control studies (OR = 1.628; 95% CI = 1.087-2.437; p = 0.018; I2 = 81.91%). In the subgroup meta-analysis, four studies of postmenopausal breast cancer survivors and three of the types of metabolic syndrome definitions using the NCEP-ATP III criterion were significantly associated with the risk of metabolic syndrome.
Conclusion : Higher incidence of metabolic syndrome among breast cancer survivors found compared to healthy control group. Recognizing the risk of metabolic syndrome in breast cancer survivors, active intervention should be made for the prevention of metabolic syndrome in breast cancer survivors. This study informs the development of an evidence-based integrated program to prevent metabolic syndrome, further cardiovascular disease, in breast cancer survivors.

KCI등재

4보건의료자원과 COVID-19 누적확진자 비율의 관계

저자 : 이원재 ( Won Jae Lee )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 41-51 (11 pages)

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Objective : The study attempts to find how health care resources are related to the cumulative incidence of COVID-19 cases among the countries.
Methods : Data published by WHO and OECD were analyzed. Correlation analysis and hierarchial regression analysies were conducted and the final model was selected.
Results : Number of physicians and number of beds per 1,000 people and per capita health care expenditure were significantly related to the cumulative proportion of COVID-19 patients. Number of physicians and per capita health care expenditure were positively related to the cumulative proportion of COVID-19 patients. Number of beds per 1,000 people was negatively related to the cumulative proportion of COVID-19 patients. Number of corona virus patients, such as SARS and MERS, tuberculosis and per capita GNI were used for control.
Conclusions : Health care resources are needed to prepare for the unexpected outbreak such as COVID-19. Enough physicians are needed to diagnose and treat patients as soon as a communicable diseases spreads. Enough hospital beds are required to treat and isolate patients when a disease spread among people.

KCI등재

5디스크 질환 위험요인에서의 남녀 차이 연구

저자 : 이범주 ( Bum Ju Lee )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 53-62 (10 pages)

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Introduction : Disc and spinal diseases degrade the quality of life of humans due to induction of chronic pain and increase with the aging of the domestic population. The purposes of this study are to examine risk factors associated with disc disease based on demographic information, anthropometric information, and biochemical indicators and to analyze gender differences in risk factors of disc disease.
Methods : Based on data from the Third Korean National Health and Nutrition Examination Survey (KNHANES Ⅲ), binary logistic regression and chi square t-test were used to analyze the association between disc disease and variables.
Results : As a result of the analysis, the common risk factors in both men and women were age, apartment availability, education level, occupation, and arthritis diagnosis. Risk factors in men were alcohol, alanine aminotransferase, glucose, triglyceride, and white blood cells. The risk factors that appeared only in women were urban status, housing type, marital status, osteoporosis diagnosis, stress, depression, systolic blood pressure, and menstrual/pregnancy indicators.
Conclusion : We revealed that risk factors of disc disease may differ between men and women. These results are expected to be utilized for the prevention and treatment of disc-related diseases in the future.

KCI등재

6지역사회획득 폐렴환자의 연령별 사망 위험도 변화

저자 : 안미선 ( Mi Sun An ) , 이재빈 ( Jae Bin Lee ) , 우혜경 ( Hyekyung Woo )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 63-73 (11 pages)

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Purpose : The aim of this study was to identify the impact of age and factors on mortality of patients with community-acquired pneumonia in south korea.
Method : The study subjects were 11,076 patients aged 18 years and older that admission for communityacquired pneumonia(CAP). The data were obtained from Korean National Hospital Discharge In-depth Injury Survey in the 2008, 2013 and 2017. Logistic regression models were used to explore the impact of age on mortality of patients with CAP.
Result : The most influential factors of the mortality among pneumonia patients were age, emergency patients, and severity. The mortality risk of CAP increased significantly in from 2008(p<0.001) to 2017 (p<0.001). The highest risk of mortality was patients of over 80 years and the mortality risk of patients over 80 years was higher in 2017 (OR=15.92, 95% CI 6.39-39.66%) than in 2013(OR=10.04, 95% CI 4.01~25.14). The medical institutions characteristics was high the emergency room(OR=3.18, 95% CI 2.37~4.27), and the mortality risk was high for patients with length of stay 1-4 days in the medical use characteristics.
Conclusion : Age is a strong factor on mortality of patients with CAP. We recommend the use of severity marker that specifically reflect the age factors, and specific discussions are required for the implementation of the appropriateness evaluation considering age factors.

KCI등재

7방사선을 주제로 한 항공 승무원들의 대화빈도와 불안감의 관계

저자 : 신형호 ( Hyeongho Shin ) , 박상신 ( Sangshin Park )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 75-83 (9 pages)

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Objectives : This study examined the relationship between the frequency of conversation about radiation and anxiety among aircrew who are exposed to cosmic radiation.
Methods : We executed an online survey for aircrew in September 2019 in order to identify the frequency of conversation about radiation as an independent variable and radiation anxiety as a dependent variable. We identified the general characteristics of the aircrew and performed a univariable linear regression analysis to investigate the relationship between frequency of conversation about radiation and anxiety. After that, we performed multivariable linear regression analysis with adjusting for age, gender, and radiation knowledge scores.
Results : The frequency of conversation about radiation between fellow aircrew was 10.3±13.0 times per year while the frequency of conversation between non-aircrew members was 5.0±9.6 times. The radiation anxiety was 4.36±0.47 points. Radiation anxiety according to the frequency of conversation showed statistically significant result with a p-value less than 0.05 in both univariable and multivariable linear regression analysis results.
Conclusions : Radiation anxiety among Korean aircrew increased as frequency of conversation about radiation increased.

KCI등재

8직장복귀 산재근로자의 자아존중감에 영향을 미치는 사회생태학적 요인

저자 : 박지연 ( Ji-yun Park ) , 이명선 ( Myung-sun Lee )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 85-95 (11 pages)

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Purpose : The purpose of this study is to analyse social ecological factors affecting self-esteem of workers who are injured by industrial accidents.
Method : The Korea Panel Study of Work's Compensation Insurance (PSWCI, 1st:2013~ 4th:2016) was excluded from the censored data from the original data merged longitudinally. Subsequently, major variables and self-esteem non-response cases were excluded from the analysis, and the number of final analysis subjects was 822, and data was analyzed using descriptive statistics analysis and panel regression analysis.
Results : First, The self-esteem of injured workers has increased gradually since the end of medical care. However, the increase degree was smaller in the second, third and fourth year than in the first year. Second, The self-esteem of injured workers was most affected by social relationship satisfaction, and next family relationship satisfaction, subjective health status, number of licence, and subjective social economic status were affected self-esteem.
Conclusion : It is necessary to continue to intervene even after the end of medical care to enhance the self-esteem of workers with industrial accidents. And industrial rehabilitation services need to be operated as rehabilitation programs and policy projects that can enhance family and friends' relationship satisfaction and health status.

KCI등재

9한국 중년 성인의 사회경제적 취약성과 대사증후군

저자 : 박은옥 ( Eunok Park )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 97-105 (9 pages)

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Purposes : This study was to investigate the association of socioeconomic vulnerability and metabolic syndrome(MetS).
Methods : A secondary analysis using data from Korea National Health and Nutrition Examination Survey (KNHANES) were applied for this study. Participants who were 30-64 years old were included and the pooled weights for the stratified complex sampling were applied in the analysis. Socioeconomic vulnerability consisted of education, residential area, income, food living condition, house ownership, and basic livelihood recipient.
Results : The prevalence of metabolic syndrome was higher in socioeconomic vulnerable group than counter group (Odds Ratio 1.77, 95% CI 1.48~2.12) after adjusting age group, gender, and marital status. The findings showed there were negative associations between education level, individual income, family household income, food living condition, basic livelihood recipients with metabolic syndrome. The prevalence of metabolic syndrome was higher among those who lived in rural area than urban area.
Conclusion : Socioeconomic vulnerability increased the risks to have metabolic syndrome. Targeted intervention program for reducing and managing metabolic syndrome need to be developed and implemented for this vulnerable population. Further researches might be also needed to understand the mechanism of inequality in metabolic syndrome.

KCI등재

10우리나라 60세 이상 인구의 치매 사망에 관한 연구: 2014-2018

저자 : 박상화 ( Sang Hwa Park ) , 이용운 ( Yong Woon Lee ) , 임달오 ( Dar Oh Lim )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 46권 4호 발행 연도 : 2020 페이지 : pp. 107-115 (9 pages)

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Purpose : To compare the gender, age, regional and seasonal difference of dementia deaths (vascular & unspecified dementia, Alzheimer disease) in Korea between 2014 and 2018.
Method : The study was based on dementia death data aged 60 years and older (45,969 deaths) from the 2014-2018 vital statistics of Korea. We estimated the age and gender specific dementia death rate, regional variance of age-gender standardized death rate, and seasonal variance of dementia deaths.
Results : The percentage of dementia deaths attributed to Alzheimer disease was 55.1 percent, and percentage of unspecified dementia was 36.9 percent. Dementia death rate per 100,000 among people aged 60 years and older was 94.1. Cause specific dementia death rate were 51.8 in Alzheimer's disease, 7.5 in vascular dementia and 34.8 in unspecified dementia. Death rates were higher for females (118.4) than for males (63.6). The women died more than men with odds ratio 1.86. Age specific dementia death rates were 4.6 in aged 60-69 years, 44.2 in aged 70-79 years, 367.7 aged 80-89 years, and 1,756.8 in aged 90 years and older. Dementia death rate of male was higher than those of female in aged 60-79 years, with the exception for age group 80 years and older. 80.4 percent of dementia's decedents died in medical facility, and 12.5 percent in nursing home and others, and 7.1 percent in the home. In the age-gender standardized dementia death rate (per 100,000) by region, the highest death rate was observed in Gwangju metropolitan city (166.8), and the lowest in Jeju-do (60.6) and Gangwon-do (61.8). There was a significant increase the death rate in Gwangju metropolitan city (odds ratio: 2.36, 95% CI: 2.33-2.39), in Ulsan metropolitan city (1.86, 1.84-1.89), and in Busan metropolitan city (1.75, 1.72-1.77), as compared with the death rate in Seoul metropolitan city (70.8). Average number of dementia deaths in one day was 25.2 deaths during the period. The incidence of dementia deaths was highest in January (29.4 deaths per day) and December (29.1 deaths) and month with lowest incidence of dementia deaths was from June to August (21.2 - 21.9 deaths). There was a winter peak (28.8 deaths) and summer trough (21.6 deaths) in daily average number of dementia deaths.
Conclusion : Alzheimer disease accounted for half of all dementia deaths. Death rate due to dementia varied by age, gender and season. Regional variance of dementia deaths was observed between provinces and metropolitan cities in Korea. Further investigation is needed to assess the risk factors (age, gender and regional variances) associated with these differences.

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