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한국보건정보통계학회> 보건정보통계학회지> 한국 성인의 건강행위실천 군집현상 및 관련요인

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한국 성인의 건강행위실천 군집현상 및 관련요인

Clustering of Healthy Behaviors and Related Factors among 19-64 Aged Korean Adults

구혜민 ( Hyae Min Gu ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 최성우 ( Seong-woo Choi ) , 한미아 ( Mi Ah Han ) , 신준호 ( Jun Ho Shin )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 46권3호
  • : 연속간행물
  • : 2021년 08월
  • : 267-275(9pages)
보건정보통계학회지

DOI


목차

서 론
연구 방법
연구 결과
고찰 및 결론
ORCID
REFERENCES

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Objectives: This study was performed to identify and find the clustering of healthy behaviors and the factors related to the clustering among Korean adults aged 19-64. Methods: The data of 9,519 Korean adults aged between 19 and 64 years who participated in the 6th Korea National Health and Nutrition Examination Survey were used as the analysis target. Following the recommendation of the Health Plan 2020 for health-promoting lifestyle, four variables, including nonsmoking, moderate drinking, sufficient physical activity, and healthy diet, were used in the study. The multinomial logistic regression analysis was performed to analyze the relationships among demographic characteristics, health-related characteristics, and clustering of healthy behaviors. Results: The significant elements of healthy behaviors clustering included sufficient physical activities for males, and non-smoking, moderate drinking, and healthy diet for females. Clustering healthy behaviors were higher for “females, the elderly, people with higher level of education, people with higher household income, people with diabetes, and people who perceive their subjective health status is good. Conclusions: In this study, the factors related to the clustering of healthy behaviors were identified. In order to spread the practice of healthy behaviors, multiple interventions are more effective than individual health behaviors.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 2465-8014
  • : 2465-8022
  • : 학술지
  • : 연속간행물
  • : 1976-2021
  • : 736


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46권3호(2021년 08월) 수록논문
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KCI등재

1한국인 당뇨병 환자에서 염증 표지자와 혈당 조절과의 관련성

저자 : 강민 ( Min Kang ) , 손석준 ( Seok-joon Sohn )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 247-256 (10 pages)

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목적: 이 연구는 한국 당뇨환자에서 저등급염증과 혈당조절 간의 관계를 평가하는 것을 목적으로 하였다.
방법: 2007-2018년까지의 국민건강영양조사를 바탕으로 19-80세까지의 4,186명의 당뇨환자를 대상으로 진행하였다. 잘못된 혈당조절은 HbA1C가 7미만일 때로 정의하였다. 저등급염증은 염증마커인 WBC counts와 hsCRP로 측정되었으며 모든 염증마커는 사분위수로 구분되었다. 사분위수의 염증마커와 혈당조절 불량은 연령, 교육수준, 소득, 결혼상태, 흡연, 음주, 운동, BMI, CAD, 고혈압, 빈혈, 고콜레스테롤혈증을 포함한 혼란변수가 적용된 다변량로지스틱회귀분석을 통해 분석되었다.
결과: 잠재적 혼란변수를 적용한 후에도 WBC counts와 hsCRP는 혈당조절불량과 직선관계를 나타내었다. WBC counts의 경우 첫 번째 4분위수를 기준으로 하였을 때 혈당조절불량에 대해 두번째 사분위수는 1.50 (95% confidence intervals, 1.26-1.78), 세번째 사분위수는 1.71 (95% CI, 1.43-2.05), 네번째 사분위수는 2.0의 OR 값을 가졌다(95% CI 1.67-2.40). HsCRP의 경우 첫 번째 4분위수를 기준으로 하였을 때 혈당조절불량에 대해 두 번째 사분위수는 1.15 (95% CI, 0.87-1.53), 세 번째 사분위수는 1.59 (95% CI, 1.20-2.11), 네 번째 사분위수는 1.69의 OR 값을 가졌다(95% CI, 1.27-2.26). 층화분석결과 hsCRP와 혈당조절 간의 관련성에 연령과 성별에 따른 차이점이 있었다. 65세 미만인 그룹과 남성 그룹은 HsCRP와 혈당조절에서 통계적으로 유의한 직선관계를 나타내었지만 65세 이상인 그룹과 여성그룹은 직선 관계를 보였으나 통계적으로 유의하지 않았다.
결론: WBC counts와 hsCRP는 혈당조절불량의 위험과 통계적으로 유의한 직선관계를 나타내었으나 hsCRP의 경우 연령과 성별에 따른 차이점이 있었다. 이러한 결과는 한국을 대표하는 한국인 당뇨병환자 표본에서 낮은 등급의 염증이 혈당조절불량과 유의하게 관련이 있음을 시사한다.


Objectives: This study evaluated the association between inflammatory markers and glycemic control in Korean patients with diabetes mellitus. Methods: Using data from the 2007-2018 Korean National Health and Nutritional Examination, 4,186 diabetic subjects aged between 19 and 80 years were included in this study. Poor glycemic control was defined as level of HbA1c higher than 7%. Inflammation was measured by inflammatory markers including white blood cell (WBC) count and high-sensitivity C-reactive protein (hsCRP), and those inflammatory markers were categorized into 4 groups by quartiles. A multiple logistic regression analysis was performed to evaluate the association between quartile of inflammatory markers and poor glycemic control after adjusting for demographic factors, lifestyle, and comorbidities. Results: Levels of WBC count and hsCRP were positively associated with the risk of poor glycemic control even after fully adjusting for potential confounders. For WBC count, compared with the first quartile, the second quartile was 1.50 (95% confidence interval, CI: 1.26-1.78), 1.71 (95 % CI:1.43-2.05) for the third, 2.00 (95% CI: 1.67-2.40) for the fourth. In case of hsCRP, compared with the first quartile, the second quartile was 1.15 (95% CI: 0.87-1.53), 1.59 (95% CI: 1.20-2.11) for the third, and 1.59 (95% CI: 1.19-2.12) for the fourth. There was significant age difference in the association between hsCRP and glycemic control. The association was more evident in the younger group than in the elderly group. Conclusions: High level of WBC and hsCRP were positively associated with the risk of poor glycemic control. These results suggest that in a Korean diabetic patient, inflammation was significantly associated with poor glycemic control.

KCI등재

2텍스트마이닝을 통한 노인장기요양보험 키워드 네트워크 분석

저자 : 서종근 ( Jonggeun Seo ) , 남정모 ( Chung Mo Nam ) , 김태현 ( Tae Hyun Kim ) , 박소희 ( So-hee Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 257-266 (10 pages)

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Objectives: This study conducted research using big data in order to overcome the limitations of existing qualitative research or analysis research. By analyzing keywords, the flow and role of long-term care insurance in society were analyzed. Methods: Issues were searched through text mining, one of the big data techniques, and the flow of agendas by period was examined by 3 time points (institutional settlement period, 1st basic plan, 2nd basic plan). Using R and NetMiner, Daum News (news.daum.net) and Naver News (news.naver.com) were web-scraped to collect 20,965 news articles, 4,994 articles were filtered for keyword extraction and analysis. Result: Looking at the characteristics of each data type, in all data types, long-term care institutions (including nursing homes) and care providers appear as the top keywords, and the keyword subgroup characteristics are ① grade/service, ② institution management, and ③ the employee group includes the keyword subgroup. Conclusions: This study is based on the subject of long-term care insurance for the elderly and applies big data analysis techniques, and can be used as a decision-making tool in establishing policies and systems.

KCI등재

3한국 성인의 건강행위실천 군집현상 및 관련요인

저자 : 구혜민 ( Hyae Min Gu ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 최성우 ( Seong-woo Choi ) , 한미아 ( Mi Ah Han ) , 신준호 ( Jun Ho Shin )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 267-275 (9 pages)

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Objectives: This study was performed to identify and find the clustering of healthy behaviors and the factors related to the clustering among Korean adults aged 19-64. Methods: The data of 9,519 Korean adults aged between 19 and 64 years who participated in the 6th Korea National Health and Nutrition Examination Survey were used as the analysis target. Following the recommendation of the Health Plan 2020 for health-promoting lifestyle, four variables, including nonsmoking, moderate drinking, sufficient physical activity, and healthy diet, were used in the study. The multinomial logistic regression analysis was performed to analyze the relationships among demographic characteristics, health-related characteristics, and clustering of healthy behaviors. Results: The significant elements of healthy behaviors clustering included sufficient physical activities for males, and non-smoking, moderate drinking, and healthy diet for females. Clustering healthy behaviors were higher for “females, the elderly, people with higher level of education, people with higher household income, people with diabetes, and people who perceive their subjective health status is good. Conclusions: In this study, the factors related to the clustering of healthy behaviors were identified. In order to spread the practice of healthy behaviors, multiple interventions are more effective than individual health behaviors.

KCI등재

4표현적 글쓰기가 중환자실 간호사의 전문직 삶의 질과 극복력에 미치는 효과

저자 : 유단비 ( Danbi You ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 276-284 (9 pages)

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Objectives: This study examined the effect of expressive writing on professional quality of life and resilience among intensive care unit nurses. Methods: Forty nurses stratified by the nursing proficiency career randomly assigned to an writing group (n=17) or a control group (n=23) from a university hospital-affiliated intensive care units. The 5-week expressive writing included a weekly 20 min of expressive writing and 10 min of reflection on the work-related traumatic events. Outcomes were assessed using questionnaires of a professional quality of life (compassion satisfaction, burnout and secondary traumatic stress) and a resilience. Data were analyzed by independent t-test and analysis of covariance. Results: The expressive writing program provided improvements in resilience measure, including measures of situational, philosophical, and professional resilience. Conclusions: Expressive writing might be a useful strategy for enhancing resilience from the stressful work-related traumatic events for nurses working at the intensive care units.

KCI등재

5다문화 청소년의 진로장벽이 우울에 미치는 영향: 부모의 양육태도, 다문화 청소년과 교사와의 관계의 매개효과를 중심으로

저자 : 오혜경 ( Hye-kyung Oh ) , 고미숙 ( Mi-suk Ko )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 285-292 (8 pages)

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Objectives: The purpose of this study was to investigate the effect of multicultural adolescents' career barriers on depression focused on mediating effect of parent's rearing attitudes and relationship between multicultural adolescents and teachers. Methods: The empirical analysis data of this study was extracted from the 8th Multicultural Adolescents Panel Survey. The subjects of this study were 1194 multicultural adolescents. The data were analyzed with Pearson's correlation coefficient and regression analysis. Results: The significant factor related to supervision (B=-0.26, p<0.001) and negligence (B=0.31, p<0.001) of parent's attitudes and relationship with teachers (B=-0.43, p<0.001) included perceived career barriers. Negligence of parent's rearing attitude (B=0.21, p<0.001) increased depression while supervision of parent's rearing attitude (B=-0.14, p<0.001) and relationship with teachers (B=-0.06, p<0.01) decreased depression. Parent's rearing attitudes and relationship with teachers were mediators between career barriers and depression. Conclusions: Based on the results of this study, it is desirable to reduce the level of depression by lowering the career barriers, parent's rearing attitude (negligence), and by increasing the parent's rearing attitude (supervision) and relationship with teachers (adaptation). It is suggested to develop effective educational programs to decrease the depression level of multicultural adolescents.

KCI등재

6간호대학생의 소진과 행복감의 관계에서 경제적 스트레스와 사회적 자본의 매개효과

저자 : 김수진 ( Su Jin Kim ) , 정경순 ( Kyung Soon Jeong )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 293-301 (9 pages)

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Objectives: The purpose of this study was to examine the mediating effects of economic distress and social capital on the relationship between burnout and happiness of nursing students. Methods: This study used Maslach Burnout Inventory-Student Survey, The Oxford Happiness Questionnaire, Incharge Financial Distress/Financial Well-Being Scale, and Internet Social Capital Scales. The data was analyzed by using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, and Person's correlation coefficient. Baron and Kenny's method was used to analyze mediating effect between burnout and happiness. Results: Burnout, happiness, social capital, and economic distress had correlation with each other. There were the mediating effects of economic distress and social capital on the relationship between burnout and happiness of respondents. Conclusions: The result showed the mediating effects of economic distress and social capital on the relationship between burnout and happiness of nursing students. To increase happiness, it is necessary to apply a curriculum to strengthen the ability of nursing students.

KCI등재

7당뇨병 환자의 약물치료 관련 요인

저자 : 최선주 ( Sun Ju Choi ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 최성우 ( Seong Woo Choi )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 302-308 (7 pages)

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Objectives: The purpose of this study was to identify related factors related to the treatment of diabetic patients. Methods: The subjects of this study were 23,772 diabetic patients aged 30 years and older who participated in the 2016 Community Health Survey. The independent variables were sociodemographic factors, lifestyle and health-related characteristics and diabetes-related characteristics and the dependent variables were related to diabetes treatment. The statistical analysis methods used to find factors related to treatment in diabetic patients were the chi-square test and multiple logistic regression analysis. Results: The drug treatment rate of diabetic patients was 88.7%. Among sociodemographic characteristics, drug treatment for diabetes was significantly related to women, increasing age, higher educational level and living in rural area. Among the characteristics related to lifestyle and health status, walking practice and subjective health status were significantly related and among diabetes related characteristics, there were significant correlations in whether it was blood glucose level, self-cognitive blood glucose control, and diabetes management education. Conclusions: Conclusively, gender, age, education level, residential area, walking practice, self-rated health and knowledge of DM were associated with treatment of DM. An effective diabetes management program that reflects the relevant factors should be applied to the treatment of DM.

KCI등재

8생활 요인이 난임 여성의 2년 이내 출산 횟수에 미치는 영향

저자 : 김민영 ( Min Young Kim ) , 한규은 ( Kyueun Han )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 309-314 (6 pages)

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Objectives: Infertility has been increasing in Korea, but few studies have examined the effect of lifestyle factors on childbirth among infertile Korean women. This study was designed to identify whether the lifestyle factors can predict the childbirth of infertile women in 2 years. Methods: We selected women aged under 40 diagnosed with infertility in 2016 and retrieved their national health examination data from Korean National Health Insurance Service. Regression analysis was conducted to investigate whether infertile women's age, drinking, smoking, physical exercise, obesity, and sequela recorded in 2016 explained their childbirth in 2017 and 2018. Results: The results showed that age and obesity explained childbirth, respectively. In addition, the interaction of age and sequela predicted childbirth in 2 years. Conclusions: The findings suggest that the number of childbirth of infertile women can be inferred from lifestyle factors, which implies the importance of nonmedical factors in infertility.

KCI등재

9Patient Drug Database: 환자 생성 건강 데이터를 활용한 환자 주도적 약물 부작용 탐색을 위한 데이터베이스 구축

저자 : 이상민 ( Sang Min Lee ) , 이수현 ( Suehyun Lee ) , 김종엽 ( Jong Yeup Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 315-325 (11 pages)

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Objectives: This study focuses on building a database for patient-led search on drug side effects using basic drug information, drug analysis results information, patient information, and patient-generated health data (PGHD). Methods: After collecting data from the Health Insurance Review and Assessment Institute, the Korean Pharmaceutical Information Center, the Ministry of Food and Drug Safety, and the Korean Pharmaceutical Association, basic drug information was created. By utilizing the Korea Average Event Reporting System (KAERS) side effect report data provided by the Korea Drug Safety Administration and MetaLAB, a drug side effect detection algorithm applied on the Konyang university hospital's real data, we designed and built a database using Oracle DB, which contains a table of patient information and PGHD. For drug information, a total of 49,553 drugs were mapped, and drug analysis results used KAERS and MetaLAB. Results: Based on the collected drug information, a total of 15 tables containing basic drug information (7 tables), drug analysis results (2 tables), patient information (1 table), and patient generation information (5 tables) were created using EDI codes, following mapping and normalization. Basic drug information included 49,553 EDI and 2,099 ATC codes. Drug analysis results included 2,046 KAERS ATC codes, 1,701 WHOART-ARRN (PT) that the result of 33 WHOART-SEQ (IT), 15,861 MetaLABEDI codes, and 101ATC codes. TheADR results were constructed using 62 DRUG_IDs and 73 MedDRA_PTI_IDs. Conclusions: The Patient Drug Database (PD2B) in this study was employed to allow patients to voluntarily report on their perception and drug side effects through application tools, which can provide quick measures against drug side effects and assist in the discovery of new ones.

KCI등재

10체계적 문헌고찰과 메타분석을 통한 소방공무원의 외상 후 스트레스 장애 중재 프로그램 효과 검증 연구

저자 : 강민주 ( Min-ju Kang ) , 김영화 ( Young-hwa Kim ) , 이상구 ( Sang-goo Lee ) , 한승우 ( Seung-woo Han )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 326-336 (11 pages)

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Objectives: The purpose of this study is to provide basic data for the development of effective post-traumatic stress disorder (PTSD) intervention programs for firefighters. Methods: Four domestic and four abroad databases were used, and 7 domestic and 4 abroad studies that met the criteria of this study were selected for systematic review and meta-analysis. Results: The overall effect size of the PTSD intervention program was 0.40 (95% confidence interval, CI: 0.17-0.64, p<0.05) in domestic and 0.37 (95% CI: 0.02-0.71, p<0.05) in abroad. Conclusions: Various domestic and abroad intervention methods for PTSD of firefighters have low effects. Therefore, based on the results of this study, it is necessary to develop and apply a post-traumatic stress disorder intervention program for firefighters.

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KCI등재

1한국인 당뇨병 환자에서 염증 표지자와 혈당 조절과의 관련성

저자 : 강민 ( Min Kang ) , 손석준 ( Seok-joon Sohn )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 247-256 (10 pages)

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목적: 이 연구는 한국 당뇨환자에서 저등급염증과 혈당조절 간의 관계를 평가하는 것을 목적으로 하였다.
방법: 2007-2018년까지의 국민건강영양조사를 바탕으로 19-80세까지의 4,186명의 당뇨환자를 대상으로 진행하였다. 잘못된 혈당조절은 HbA1C가 7미만일 때로 정의하였다. 저등급염증은 염증마커인 WBC counts와 hsCRP로 측정되었으며 모든 염증마커는 사분위수로 구분되었다. 사분위수의 염증마커와 혈당조절 불량은 연령, 교육수준, 소득, 결혼상태, 흡연, 음주, 운동, BMI, CAD, 고혈압, 빈혈, 고콜레스테롤혈증을 포함한 혼란변수가 적용된 다변량로지스틱회귀분석을 통해 분석되었다.
결과: 잠재적 혼란변수를 적용한 후에도 WBC counts와 hsCRP는 혈당조절불량과 직선관계를 나타내었다. WBC counts의 경우 첫 번째 4분위수를 기준으로 하였을 때 혈당조절불량에 대해 두번째 사분위수는 1.50 (95% confidence intervals, 1.26-1.78), 세번째 사분위수는 1.71 (95% CI, 1.43-2.05), 네번째 사분위수는 2.0의 OR 값을 가졌다(95% CI 1.67-2.40). HsCRP의 경우 첫 번째 4분위수를 기준으로 하였을 때 혈당조절불량에 대해 두 번째 사분위수는 1.15 (95% CI, 0.87-1.53), 세 번째 사분위수는 1.59 (95% CI, 1.20-2.11), 네 번째 사분위수는 1.69의 OR 값을 가졌다(95% CI, 1.27-2.26). 층화분석결과 hsCRP와 혈당조절 간의 관련성에 연령과 성별에 따른 차이점이 있었다. 65세 미만인 그룹과 남성 그룹은 HsCRP와 혈당조절에서 통계적으로 유의한 직선관계를 나타내었지만 65세 이상인 그룹과 여성그룹은 직선 관계를 보였으나 통계적으로 유의하지 않았다.
결론: WBC counts와 hsCRP는 혈당조절불량의 위험과 통계적으로 유의한 직선관계를 나타내었으나 hsCRP의 경우 연령과 성별에 따른 차이점이 있었다. 이러한 결과는 한국을 대표하는 한국인 당뇨병환자 표본에서 낮은 등급의 염증이 혈당조절불량과 유의하게 관련이 있음을 시사한다.

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2텍스트마이닝을 통한 노인장기요양보험 키워드 네트워크 분석

저자 : 서종근 ( Jonggeun Seo ) , 남정모 ( Chung Mo Nam ) , 김태현 ( Tae Hyun Kim ) , 박소희 ( So-hee Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 257-266 (10 pages)

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Objectives: This study conducted research using big data in order to overcome the limitations of existing qualitative research or analysis research. By analyzing keywords, the flow and role of long-term care insurance in society were analyzed. Methods: Issues were searched through text mining, one of the big data techniques, and the flow of agendas by period was examined by 3 time points (institutional settlement period, 1st basic plan, 2nd basic plan). Using R and NetMiner, Daum News (news.daum.net) and Naver News (news.naver.com) were web-scraped to collect 20,965 news articles, 4,994 articles were filtered for keyword extraction and analysis. Result: Looking at the characteristics of each data type, in all data types, long-term care institutions (including nursing homes) and care providers appear as the top keywords, and the keyword subgroup characteristics are ① grade/service, ② institution management, and ③ the employee group includes the keyword subgroup. Conclusions: This study is based on the subject of long-term care insurance for the elderly and applies big data analysis techniques, and can be used as a decision-making tool in establishing policies and systems.

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3한국 성인의 건강행위실천 군집현상 및 관련요인

저자 : 구혜민 ( Hyae Min Gu ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 최성우 ( Seong-woo Choi ) , 한미아 ( Mi Ah Han ) , 신준호 ( Jun Ho Shin )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 267-275 (9 pages)

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Objectives: This study was performed to identify and find the clustering of healthy behaviors and the factors related to the clustering among Korean adults aged 19-64. Methods: The data of 9,519 Korean adults aged between 19 and 64 years who participated in the 6th Korea National Health and Nutrition Examination Survey were used as the analysis target. Following the recommendation of the Health Plan 2020 for health-promoting lifestyle, four variables, including nonsmoking, moderate drinking, sufficient physical activity, and healthy diet, were used in the study. The multinomial logistic regression analysis was performed to analyze the relationships among demographic characteristics, health-related characteristics, and clustering of healthy behaviors. Results: The significant elements of healthy behaviors clustering included sufficient physical activities for males, and non-smoking, moderate drinking, and healthy diet for females. Clustering healthy behaviors were higher for “females, the elderly, people with higher level of education, people with higher household income, people with diabetes, and people who perceive their subjective health status is good. Conclusions: In this study, the factors related to the clustering of healthy behaviors were identified. In order to spread the practice of healthy behaviors, multiple interventions are more effective than individual health behaviors.

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4표현적 글쓰기가 중환자실 간호사의 전문직 삶의 질과 극복력에 미치는 효과

저자 : 유단비 ( Danbi You ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 276-284 (9 pages)

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Objectives: This study examined the effect of expressive writing on professional quality of life and resilience among intensive care unit nurses. Methods: Forty nurses stratified by the nursing proficiency career randomly assigned to an writing group (n=17) or a control group (n=23) from a university hospital-affiliated intensive care units. The 5-week expressive writing included a weekly 20 min of expressive writing and 10 min of reflection on the work-related traumatic events. Outcomes were assessed using questionnaires of a professional quality of life (compassion satisfaction, burnout and secondary traumatic stress) and a resilience. Data were analyzed by independent t-test and analysis of covariance. Results: The expressive writing program provided improvements in resilience measure, including measures of situational, philosophical, and professional resilience. Conclusions: Expressive writing might be a useful strategy for enhancing resilience from the stressful work-related traumatic events for nurses working at the intensive care units.

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5다문화 청소년의 진로장벽이 우울에 미치는 영향: 부모의 양육태도, 다문화 청소년과 교사와의 관계의 매개효과를 중심으로

저자 : 오혜경 ( Hye-kyung Oh ) , 고미숙 ( Mi-suk Ko )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 285-292 (8 pages)

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Objectives: The purpose of this study was to investigate the effect of multicultural adolescents' career barriers on depression focused on mediating effect of parent's rearing attitudes and relationship between multicultural adolescents and teachers. Methods: The empirical analysis data of this study was extracted from the 8th Multicultural Adolescents Panel Survey. The subjects of this study were 1194 multicultural adolescents. The data were analyzed with Pearson's correlation coefficient and regression analysis. Results: The significant factor related to supervision (B=-0.26, p<0.001) and negligence (B=0.31, p<0.001) of parent's attitudes and relationship with teachers (B=-0.43, p<0.001) included perceived career barriers. Negligence of parent's rearing attitude (B=0.21, p<0.001) increased depression while supervision of parent's rearing attitude (B=-0.14, p<0.001) and relationship with teachers (B=-0.06, p<0.01) decreased depression. Parent's rearing attitudes and relationship with teachers were mediators between career barriers and depression. Conclusions: Based on the results of this study, it is desirable to reduce the level of depression by lowering the career barriers, parent's rearing attitude (negligence), and by increasing the parent's rearing attitude (supervision) and relationship with teachers (adaptation). It is suggested to develop effective educational programs to decrease the depression level of multicultural adolescents.

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6간호대학생의 소진과 행복감의 관계에서 경제적 스트레스와 사회적 자본의 매개효과

저자 : 김수진 ( Su Jin Kim ) , 정경순 ( Kyung Soon Jeong )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 293-301 (9 pages)

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Objectives: The purpose of this study was to examine the mediating effects of economic distress and social capital on the relationship between burnout and happiness of nursing students. Methods: This study used Maslach Burnout Inventory-Student Survey, The Oxford Happiness Questionnaire, Incharge Financial Distress/Financial Well-Being Scale, and Internet Social Capital Scales. The data was analyzed by using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, and Person's correlation coefficient. Baron and Kenny's method was used to analyze mediating effect between burnout and happiness. Results: Burnout, happiness, social capital, and economic distress had correlation with each other. There were the mediating effects of economic distress and social capital on the relationship between burnout and happiness of respondents. Conclusions: The result showed the mediating effects of economic distress and social capital on the relationship between burnout and happiness of nursing students. To increase happiness, it is necessary to apply a curriculum to strengthen the ability of nursing students.

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7당뇨병 환자의 약물치료 관련 요인

저자 : 최선주 ( Sun Ju Choi ) , 류소연 ( So Yeon Ryu ) , 박종 ( Jong Park ) , 최성우 ( Seong Woo Choi )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 302-308 (7 pages)

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Objectives: The purpose of this study was to identify related factors related to the treatment of diabetic patients. Methods: The subjects of this study were 23,772 diabetic patients aged 30 years and older who participated in the 2016 Community Health Survey. The independent variables were sociodemographic factors, lifestyle and health-related characteristics and diabetes-related characteristics and the dependent variables were related to diabetes treatment. The statistical analysis methods used to find factors related to treatment in diabetic patients were the chi-square test and multiple logistic regression analysis. Results: The drug treatment rate of diabetic patients was 88.7%. Among sociodemographic characteristics, drug treatment for diabetes was significantly related to women, increasing age, higher educational level and living in rural area. Among the characteristics related to lifestyle and health status, walking practice and subjective health status were significantly related and among diabetes related characteristics, there were significant correlations in whether it was blood glucose level, self-cognitive blood glucose control, and diabetes management education. Conclusions: Conclusively, gender, age, education level, residential area, walking practice, self-rated health and knowledge of DM were associated with treatment of DM. An effective diabetes management program that reflects the relevant factors should be applied to the treatment of DM.

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8생활 요인이 난임 여성의 2년 이내 출산 횟수에 미치는 영향

저자 : 김민영 ( Min Young Kim ) , 한규은 ( Kyueun Han )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 309-314 (6 pages)

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Objectives: Infertility has been increasing in Korea, but few studies have examined the effect of lifestyle factors on childbirth among infertile Korean women. This study was designed to identify whether the lifestyle factors can predict the childbirth of infertile women in 2 years. Methods: We selected women aged under 40 diagnosed with infertility in 2016 and retrieved their national health examination data from Korean National Health Insurance Service. Regression analysis was conducted to investigate whether infertile women's age, drinking, smoking, physical exercise, obesity, and sequela recorded in 2016 explained their childbirth in 2017 and 2018. Results: The results showed that age and obesity explained childbirth, respectively. In addition, the interaction of age and sequela predicted childbirth in 2 years. Conclusions: The findings suggest that the number of childbirth of infertile women can be inferred from lifestyle factors, which implies the importance of nonmedical factors in infertility.

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9Patient Drug Database: 환자 생성 건강 데이터를 활용한 환자 주도적 약물 부작용 탐색을 위한 데이터베이스 구축

저자 : 이상민 ( Sang Min Lee ) , 이수현 ( Suehyun Lee ) , 김종엽 ( Jong Yeup Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 315-325 (11 pages)

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Objectives: This study focuses on building a database for patient-led search on drug side effects using basic drug information, drug analysis results information, patient information, and patient-generated health data (PGHD). Methods: After collecting data from the Health Insurance Review and Assessment Institute, the Korean Pharmaceutical Information Center, the Ministry of Food and Drug Safety, and the Korean Pharmaceutical Association, basic drug information was created. By utilizing the Korea Average Event Reporting System (KAERS) side effect report data provided by the Korea Drug Safety Administration and MetaLAB, a drug side effect detection algorithm applied on the Konyang university hospital's real data, we designed and built a database using Oracle DB, which contains a table of patient information and PGHD. For drug information, a total of 49,553 drugs were mapped, and drug analysis results used KAERS and MetaLAB. Results: Based on the collected drug information, a total of 15 tables containing basic drug information (7 tables), drug analysis results (2 tables), patient information (1 table), and patient generation information (5 tables) were created using EDI codes, following mapping and normalization. Basic drug information included 49,553 EDI and 2,099 ATC codes. Drug analysis results included 2,046 KAERS ATC codes, 1,701 WHOART-ARRN (PT) that the result of 33 WHOART-SEQ (IT), 15,861 MetaLABEDI codes, and 101ATC codes. TheADR results were constructed using 62 DRUG_IDs and 73 MedDRA_PTI_IDs. Conclusions: The Patient Drug Database (PD2B) in this study was employed to allow patients to voluntarily report on their perception and drug side effects through application tools, which can provide quick measures against drug side effects and assist in the discovery of new ones.

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10체계적 문헌고찰과 메타분석을 통한 소방공무원의 외상 후 스트레스 장애 중재 프로그램 효과 검증 연구

저자 : 강민주 ( Min-ju Kang ) , 김영화 ( Young-hwa Kim ) , 이상구 ( Sang-goo Lee ) , 한승우 ( Seung-woo Han )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 46권 3호 발행 연도 : 2021 페이지 : pp. 326-336 (11 pages)

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Objectives: The purpose of this study is to provide basic data for the development of effective post-traumatic stress disorder (PTSD) intervention programs for firefighters. Methods: Four domestic and four abroad databases were used, and 7 domestic and 4 abroad studies that met the criteria of this study were selected for systematic review and meta-analysis. Results: The overall effect size of the PTSD intervention program was 0.40 (95% confidence interval, CI: 0.17-0.64, p<0.05) in domestic and 0.37 (95% CI: 0.02-0.71, p<0.05) in abroad. Conclusions: Various domestic and abroad intervention methods for PTSD of firefighters have low effects. Therefore, based on the results of this study, it is necessary to develop and apply a post-traumatic stress disorder intervention program for firefighters.

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