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한국보건정보통계학회> 보건정보통계학회지> 우리나라 광역시 쌍태아 출생률에 관한 연구

KCI등재

우리나라 광역시 쌍태아 출생률에 관한 연구

Secular Trend of Twin Birth Rate in Metropolitan Cities of Korea, 2000-2019

박상화 ( Sang Hwa Park ) , 권경훈 ( Kyoung Hun Kwon ) , 이시내 ( Shi Nae Lee ) , 김수범 ( Su Beom Kim ) , 서민정 ( Min Jeong Seo ) , 양원창 ( Won-chang Yang ) , 임달오 ( Dar Oh Lim )
  • : 한국보건정보통계학회
  • : 보건정보통계학회지 46권3호
  • : 연속간행물
  • : 2021년 08월
  • : 362-368(7pages)
보건정보통계학회지

DOI


목차

서 론
연구 방법
연구 결과
고 찰
결 론
REFERENCES

키워드 보기


초록 보기

Objectives: To analyze the seven metropolitan cities of twin birth rate per 100 births (TBR) from 2000 to 2019 in Korea. Methods: We used the 2000- 2019 birth certificated data (3,949,097 births) of seven metropolitan cities from Statistics Korea. The data of extra-marital birth and information missing cases (maternal and paternal age and triplet birth) were excluded. The odds ratio and 95% confidence intervals were calculated using logistic regression to describe the regional variance of TBR adjusted for maternal age, age difference between couple and maternal educational backgrounds. Results: During this period (2000-2019 years), the highest TBR by region was observed in Ulsan and Seoul metropolitan city (3.0), and the lowest TBR in Deagu metropolitan city (2.6). The TBR increased by 275 percent from 1.74 in 2000 to 4.79 in 2019. During the period from 2000-2004 to 2015-2019, there was the highest increment of TBR in Ulsan metropolitan city (odds ratio: 1.78; 95% confidence interval: 1.64-1.92) and Busan metropolitan city (1.74; 1.65-1.83), and the lowest increment in Daegu metropolitan city (1.24; 1.17-1.31), after adjustment by logistic regression for demographic variables. During the period 2015-2019 years, there was a significant increase the odds ratio of TBR in Ulsan metropolitan city (1.39), Busan metropolitan city (1.33), Seoul metropolitan city (1.25) and Incheon metropolitan city (1.23), as compared with the TBR of Deagu metropolitan city. Conclusions: Over the past two decades, TBR have risen dramatically in metropolitan cities of Korea. Regional variance of TBR was observed among metropolitan cities in Korea. There is a need for more research to understand the socio-demographic and medical factors associated with regional differences. The national birth registration system needs to be reformed to monitor whether twin births are spontaneous or assisted pregnancy.

UCI(KEPA)

I410-ECN-0102-2022-500-000768097

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 2465-8014
  • : 2465-8022
  • : 학술지
  • : 연속간행물
  • : 1976-2022
  • : 755


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47권1호(2022년 02월) 수록논문
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1빅 데이터를 이용한 국내의 성인 및 노인대상 작업치료 관련 연구: 체계적 고찰

저자 : 남상훈 ( Sanghun Nam ) , 배수영 ( Suyeong Bae ) , 홍익표 ( Ickpyo Hong )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 1-8 (8 pages)

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Objectives: This study systematically reviewed the literatures related to domestic occupational therapy and big data and suggested the need for changes in occupational therapy and big data research for adults and the older adults. Methods: From January 2010 to December 2020, Google Scholar, Korean Studies Information Service System, and Research Information Sharing Service were utilized to search for literatures related to occupational therapy and big data in South Korea. Results: Of the 954 searched literatures, 17 literatures were selected. Most of the literatures were the evidence level II (n=7, 41.2%), 7 (41.2%) literatures conducted with older adults, and 3 literatures (17.6%) utilized the Korean National Health and Nutrition Examination Survey as a big data source. Finally, in the literature, the research was conducted by selecting variables suitable for the subject from various panel surveys. Conclusions: In south Korea, panel surveys for each topic are being created and various variables are being collected. As a result, research in occupational therapy for adults and the elderly using big data became possible, making it possible to conduct various studies.

KCI등재

2뇌졸중 환자의 재활을 위한 병원선택요인

저자 : 김미옥 ( Miok Kim ) , 김건엽 ( Keon-yeop Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 9-19 (11 pages)

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Objectives: The purpose of this study was to investigate the factors influencing selection for rehabilitation hospital in patients who have been diagnosed with stroke. Methods: This study included 169 stroke patients who were admitted to the top 5 hospitals with the highest recovery rate among 13 hospitals where the rehabilitation medicine is operated as the main medical department in Daegu Metropolitan City. The data was collected from 10 February, 2020 to 17 March, 2020, and the survey was conducted by the head of the hospital administration in each hospital for about a month through face to face. Results: Among the factors influencing selection for rehabilitation hospital after stroke, image factors were at the highest mean and standard deviation (3.83±0.74), following human factors (3.75±0.77), physical factors (3.57±0.89), efficiency factors (3.35±0.69), accessibility factors (3.11±1.00). In the demographic characteristics, human factors were considered important when selecting hospital in aged people over 70 years old (p<0.01). Efficiency factors and human factors were considered important if patients living outside Daegu (p<0.05), but accessibility factors were more important if patients living in Daegu (p<0.01). In the stroke related characteristics, the human factors were considered important in the shorter the disease period, and in the case of having swallowing disorders (p<0.05). When paralysis was affected on both sides (bilateral paralysis), physical factors were considered important (p<0.05), and efficiency factor was also considered important as the disease periods gets shorter (p<0.05). Efficiency factors and accessibility were important in the case of not having respiratory disorders compared to those with the respiratory disorders (p<0.05). The results of the factors for choosing a hospital according to the stroke diseases-related characteristics showed that human factors, physical factors, and hospital image factors were considered important in case of putting much of the efforts to gather hospital information (p<0.01). When the patients who had rehabilitation in the tertiary hospital prior to the current hospital admission, the physical factors were considered important (p<0.05). Conclusions: This study found that various factors were considered in patients who have been diagnosed with stroke, when selecting rehabilitation hospital after stroke. Therefore, it should be warranted to provide reliable and objective hospital information for stroke patients through establishing national level health system and sharing rehabilitation data so that the people can get effective rehabilitation at the right time.

KCI등재

3간호대학생의 MBTI 성격유형에 따른 자아존중감, 스트레스 대처방식 및 회복탄력성 영향요인

저자 : 박정미 ( Jeong Mi Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 20-26 (7 pages)

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Objectives: This study aimed to identify the effects of self-esteem and stress coping styles on resilience in nursing students according to the Myers- Briggs Type Indicator (MBTI). Methods: A descriptive study was conducted. Data were collected from 205 nursing senior students and analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficient and multiple regression analysis. Results: In terms of self-esteem, social support-seeking stress coping style, and resilience, extroversion was significantly higher than introversion in MBTI preference. Among all factors, self-esteem had the greatest effect on resilience (r=0.53), followed by the emotion-focused coping style (r=-0.31) and the problem-focused coping style (r=0.23), with an explanation power of 57.1%. Conclusions: The results of this study indicate that self-esteem is an essential factor affecting resilience. Thus, nursing intervention programs for improvement of resilience in nursing students should be considered by the degree of self-esteem based on the MBTI personality preference.

KCI등재

4노인요양시설의 영양사 배치유무에 따른 영양관리 실태 비교

저자 : 권진희 ( Jin Hee Kwon ) , 황라일 ( Rah Il Hwang ) , 류재현 ( Jaehyeon Ryu )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 27-34 (8 pages)

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Objectives: The study was performed to compare the status of nutrition management with and without dietitian in residential facilities in order to provide basic data for high quality of nutrition management services across the country. Methods: Among long-term care facilities with claims of benefits, 747 samples were extracted through a proportionate stratified sampling method based on region, agents of foundation, types of food service, and facility size. Results: The subjects of the survey were dietitian, general managers, or facility directors. Nutrition evaluation, nutrition intervention, and nutrition monitoring were performed by professional staff at the residential facilities with a dietitian. On the other hand, it was found that the rate of nutrition management performance was relatively low in residential facilities where no dietitian was assigned, and it was performed by non-professional personnel such as nurse aids and social workers. Conclusions: The results of this study suggested that developing strategies is required to reinforce the safe minimal standard of dietitians' staffing levels for systematic nutrition management.

KCI등재

5CEA 및 CA15-3 혈청 수준 기반 유방암 예후 예측 모델 개발 연구

저자 : 양희수 ( Hee Soo Yang ) , 권성욱 ( Seonguk Kwon ) , 이승희 ( Seunghee Lee ) , 이수현 ( Suehyun Lee ) , 김종엽 ( Jong-yeup Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 35-47 (13 pages)

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목적: CEA와 CA15-3 혈청 수준은 유방암 환자의 예후를 예측하기 위해 사용되며, 본 연구에서는 이를 활용하여 유방암 예후 예측 모델을 개발하고자 한다.
방법: 2012년 1월부터 2019년 12월까지 유방암을 진단받은 639명의 환자를 대상으로 분석하였다. CEA와 CA15-3 검사 정보를 포함하는 20개의 변수를 선정하여 예후 예측 모델 개발을 위해 인공신경망, 랜덤 포레스트, 서포트 벡터 머신, 로지스틱 회귀 총 4개의 기계학습 알고리즘을 활용하였다.
결과: 환자군(n= 63)과 대조군(n=576) 간에 CEA와 CA15-3 혈청 수준과 나이, 고혈압 및 당뇨병을 제외한 다른 질병의 병력, 화학요법 및 약물요법일 시행한 경우에서 통계적으로 유의미한 차이가 보였다. 유방암 예후 예측 모델에 대한 인공신경망 모델의 민감도와 특이 도는 각각 26.7%, 92.6%로 확인되었다.
결론: Shapley 부가 설명 모델 활용 결과, 유방암 예후 예측 모델에서 가장 중요한 변수는 CEA와 CA15-3 혈청 수준으로 확인되었다. 결과적으로 본 연구에서 제안된 인공신경망 기반 기계학습 모델과 종양표지자 혈청 수치는 유방암 예후 예측에 유용하게 작용될 것이라고 기대된다.


Objectives: Serum levels of carcinoembryonic antigen and cancer antigen 15-3 tumor markers are used for breast cancer prognosis. This study developed a breast cancer prognosis prediction model. Methods: We retrospectively analyzed data of 639 patients diagnosed between January 2012 and December 2019. We selected 20 independent variables with carcinoembryonic antigen and cancer antigen 15-3 serum levels and employed four machine-learning algorithms for the model: artificial neural network, random forest, support vector machine, and logistic regression. Results: Significant differences in carcinoembryonic antigen and cancer antigen 15-3 serum levels, age, history of other diseases excluding hypertension and diabetes mellitus, chemotherapy, and drug therapy were noted between control (n=576) and case groups (n=63). The sensitivity and specificity of the artificial neural network model for prognosis prediction were 26.7% and 92.6%, respectively. Conclusions: Carcinoembryonic antigen and cancer antigen 15-3 serum levels were the most significant variables for developing a breast cancer prognosis prediction model using the Shapley additive explanations model. The proposed machine-learning model and tumor marker serum levels may be useful for breast cancer prognosis.

KCI등재

6임상간호사의 COVID-19 백신 접종 의도에 대한 영향요인

저자 : 최연희 ( Yeonhui Choe ) , 차지은 ( Jieun Cha )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 48-56 (9 pages)

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Objectives: This study investigated psychosocial factors that influence nurse's intention to receive a COVID-19 vaccine. We focused on factors including COVID-19 knowledge, attitudes and beliefs related to COVID-19 vaccines, social contexts, and demographics. Methods: Data were collected from 200 nurses at five hospitals in Daegu between 12 April and 19 June 2021. We assessed COVID-19 knowledge, perceived susceptibility, severity, benefits, barriers, safety concerns, COVID-19 exposure, demographics, and the intention to get COVID-19 vaccines. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and hierarchial multiple regression. Results: Of 200 participants, 180 (90.0%) reported an intention to obtain a vaccination against COVID-19. Among four health beliefs towards COVID-19 vaccines, perceived severity was the highest. Perceived benefits (r=0.42, p<0.001) were positively associated with vaccination intention, while perceived barriers (r=-0.32, p<0.001) and safety concerns (r=-0.20, p<0.001) negatively influenced vaccination intention. There were differences in the scores for vaccination intention according to hospital grade and work department. According to the regression analysis, perceived benefits and barriers were discovered to account for 21% of the variance in vaccination intention. Conclusions: This study offers a timely overview of psychosocial factors that are related to nurses' intention to get vaccinated for COVID-19. The vaccines' benefits need to be highlighted in campaigns and educations, and it is imperative to remain transparent and truthful in communications about the vaccine safety.

KCI등재

7정신질환이 동반된 입원환자의 특성과 주진단과의 연관성

저자 : 김성수 ( Sung-soo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 57-65 (9 pages)

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Objectives: The purpose of this study was to determine the prevalence of the principal diagnosis among hospitalized patients with mental disorders and to investigate the association between the principal diagnosis and mental diseases as comorbidity. Methods: The subjects of this study were patients with mental disorders, regardless of the main diagnosis, among the Korean National Hospital Discharge In-depth Injury Survey (KNHDS) from 2006 to 2018. Frequency analysis was performed on the general characteristics, principal diagnosis, and mental disorders of the study subjects. The association between the principal diagnosis and mental diseases was analyzed for patterns using association rule mining (ARM). Results: The main result is that liver diseases are fairly associated with behavioral disorders due to psychoactive substance use. And then organic, including symptomatic, and mental disorders are associated with cerebrovascular diseases, Influenza and pneumonia, and other degenerative diseases of the nervous system. Mood disorders are linked to poisoning by drugs, medicaments, and biological substances. Conclusions: It is necessary to raise awareness of mental diseases and to build a care cooperative system between diseases that are highly associated. It will be possible to monitor key association rules and apply them to clinical decision-making systems.

KCI등재

8중소병원 간호사의 안전문화인식, 간호근무환경, 전문직 자아개념이 환자안전간호활동에 미치는 영향

저자 : 조영옥 ( Young Ok Cho ) , 김명수 ( Myoung Soo Kim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 66-73 (8 pages)

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Objectives: The purpose of this study was to investigate the influencing factors of perceived safety culture, nursing work environment, and professional self-concept on patient safety care activities of nurse in small-medium sized hospitals. Methods: A cross-sectional survey was used. Participants were 186 nurses in seven small-medium sized hospitals of a metropolitan city, in Korea. Data were analyzed using multiple linear regression analysis. Results: The influencing factors of the patient safety care activities were perceived patient safety culture and professional self-concept. These two factors explained for 15.1% of the patient safety acre activities. Conclusions: Based on the result of this study, it is necessary to build a good patient safety culture and to develop a positive professional self-concept. The establishment of a positive safety culture should be prioritized to quickly recognized and sensitively accept problems related to patient safety and actively carry out patient safety nursing activity. In order to improve the professional self-concept, it is necessary to increase the social performance for voluntary cooperation and to recognize the self-categorization that the group to which one belongs is distinguished from other groups.

KCI등재

9확산 모형에 의한 첨단 영상진단 의료기기 수요확산의 특성 분석 및 수요예측에 관한 연구

저자 : 김수범 ( Su-beom Kim ) , 김태구 ( Taegu Kim ) , 임달오 ( Daroh Lim )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 74-78 (5 pages)

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Objectives: In this study, we explore the demand forecasting of Advanced Diagnostic imaging Equipment. Methods: The analysis was based on logistic diffusion model. We analyze the specific pattern of each equipment's diffusion curve by interpreting the parameter estimates of logistic diffusion model. Results: Our findings are follows. First, Computed tomography is in the stage of saturation and so, the future demands of that is not too large. Second, Magnetic resonance imaging (MRI) is expected that it will take about 5 years to reach saturation, and further growth is expected to continue. Third, Positron emission tomography (PET) has been shown to be saturated, and therefore, it is not expected that there will be a rapid increase in demand in the future. However, since demand data has been declining since 2000, it is said that additional data collection is required to reliably predict future demand. Conclusions: As a result of analyzing the demand for three major advanced diagnostic imaging equipment, it was found that the domestic market is generally in saturation. Therefore, a future research task will be to predict and analyze the demand for advanced diagnostic imaging equipment in consideration of the government's policy changes.

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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.

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.

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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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