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H : 소장처정보

T : 목차정보

Journal of preventive medicine and public health =... 13건

  1. [국내논문]   급성상기도질환에서 일차의료의사의 항생제 처방에 영향을 주는 요인   피인용횟수: 5

    김남순 (한국보건사회연구원 ) , 장선미 (국민건강보험공단 심사평가원 ) , 장숙랑 (한림대학교 고령사회연구소)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 1 - 8 , 2005 , 1975-8375 ,

    초록

    Objectives : To explore the factors influencing antibiotics prescription by primary health physicians for acute upper respiratory infections(URI). Methods : We performed a survey of 370 primary health physicians randomly sampled in April, 2003. The questionnaire consisted of a prescription on the scenario of acute bronchitis case, along with opinions and reasons for prescribing antibiotics on URI. Results : We found that 54.7% of the physicians prescribed antibiotics on the example case of acute bronchitis which is known as not needing antibiotics. Female physicians and ENT physicians had a greater tendency to prescribe antibiotics. The factors influencing antibiotics prescription on URI were the belief about the effectiveness of antibiotics, preference for their own experiences rather than clinical guidelines, perception of patients' expectations, and perception of competitive environment. The prescription of antibiotics in the example case was affected by how much they usually prescribe antibiotics (OR=2.400, 95% CI=1.470-3.917) and the physicians who thought that antibiotics were helpful for their income prescribed antibiotics more than others (OR=6.773, 95% CI=1.816-25.254). Conclusion : These findings demonstrated that the false belief on the effectiveness of antibiotics, patient's expectation of medication and fast relief of symptoms, and perception of competitive environment all affected the physicians prescription of antibiotics on URI. It may help to find barriers to accommodate scientific evidence and clinical guidelines among physicians and to specify subgroups for education about appropriate prescription behaviors.

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  2. [국내논문]   암환자에서 암발생부위와 생존기간에 따른 사망전 1년간의 의료비용   피인용횟수: 5

    이지전 (연세대학교 보건대학원 ) , 유원곤 (인제대학교 대학원 보건학과 ) , 김소윤 (보건복지부 보건산업진흥과 ) , 김광기 (인제대학교 대학원 보건학과 ) , 이상욱 (관동대학교 의과대학 예방의학교실)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 9 - 15 , 2005 , 1975-8375 ,

    초록

    Objectives : To analyze medical expenses by cancer site and survival time among cancer patients in their last year of life. Method : The study subjects were 45,394 people that had died of cancers in 2002, were registered by the Korea Central Cancer Registry and received National Health Insurance benefit in the last year (360 days) of life. Personal identification data, general characteristics, dates of death and cancer incidence, and site of cancer were collected from the National Statistical Office and the Korea Central Cancer Registry, and merged with the data of the individual medical expenses of the Health Insurance Review Agency. Results : Average monthly cost curves were U-shaped with high costs near the time of diagnosis and death, and lower costs in between. Medical expenses in the last year of life were around 30.3, 16.7, 13.0, and 12.1 million won among leukemia, lymphoma, ovarian cancer, and breast cancer patients, respectively. Digestive organ cancers including stomach, esophagus, liver, pancreas, and colorectal cancers had relatively low medical expenses. Medical expenses in the last year of life were inverse U-shaped with high expenses near one year of survival. Average monthly cost in the 12 months before death among the patients who had survived $10{\sim}15$ years were more than two-fold greater than the cost before diagnosis among those who had survived for less than one year. Conclusions : Leukemia was the most expensive cancer. It is possible that once diagnosed as cancer, medical expenses do not return to the level before diagnosis. Further research will be needed to understand the magnitude and change of the medical expenses among cancer patients with long term follow up data.

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  3. [국내논문]   유료노인장기요양보호서비스 이용의사 결정요인   피인용횟수: 1

    유진영 (인제대학교 보건대학원 ) , 전진호 (인제대학교 의과대학 예방의학교실)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 16 - 24 , 2005 , 1975-8375 ,

    초록

    Objectives : To help develop strategies to cope with the changes arising from the rapid aging process by predicting the determining factors of intention to actual use of the charged long-term care services for elderly as perceived by the middle aged who play the major role of supports. Methods : Subjects were the parents (men 177, women 507) in their 40s of the students selected from a university of Busan city. A questionnaire survey was conducted for 4 weeks in October 2003 about the knowledge for long-term care service, the intention of actual use, and the preferences about the type of service suppliers. Data analysis was performed with frequency, chi-square test, and t-test using SPSS program (ver 10.0K), along with data mining using decision tree of Enterprise Miner V8.2 by SAS. Results : About half of the subjects (53.7%) had the actual experiences of elderly supports. Intentions to use the charged services were relatively high in home visiting nursing care service (40.1%) and long-term care facilities service (40.4%), and were influenced by previous knowledge about the services. The intentions were stronger in women, those with higher education, and those with greater income levels. Actual elderly supports were mostly (80%) done by women, and the perceived burdens for the supports were bigger in women and those of lower socioeconomic level. Desired charges were about 10,000 won for the bath service, 20,000 won for the rests services per day, and about 500,000 won for the long-term care facilities service per month. From the result of decision tree analysis, the job professionalism was the most important determining factor of intention to actual use of the services with validation as $63{\sim}71%$ . Health and welfare mixed type facilities were preferred, and the most important consideration was the level of professionalism. Conclusions : Intention to actual use of the charged services was largely determined by the aspects of time and cost. Polices to increase the number of service suppliers and to decrease the burdens perceived by actual supporters were strongly recommended.

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  4. [국내논문]   우리나라 직장인 스트레스의 역학적 특성   피인용횟수: 45

    장세진 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 강명근 (조선대학교 의과대학 예방의학교실 ) , 차봉석 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 박종구 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 현숙정 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 박준호 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 김성아 (포천중문의과대학 구미차병원 산업의학교실 ) , 강동묵 (부산대학교 의과대학 산업의학교실 ) , 장성실 (충남대학교 의과대학 예방의학교실 ) , 이경재 (순천향대학교 의과대학 예방의학교실 ) , 하은희 (이화여자대학교 의과대학 예방의학교실 ) , 하미나 (단국대학교 의과대학 예방의학교실 ) , 고상백 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 25 - 37 , 2005 , 1975-8375 ,

    초록

    Objective : To estimate the magnitude of psychosocial distress and examine eligible factors associated with the development of psychosocial distress in Korean employees, using a nationwide sample. Methods : A total of 6,977 workers were recruited from 245 companies. A structured questionnaire was used to assess sociodemographics, health-related behaviors, job characteristics, social support at work, personality traits (locus of control, type A behavior pattern), self-esteem, and psychosocial distress. Results : The results showed that 23 % of workers were categorized as high stress, 73% as moderate, and 5% as normal. Hierarchical multiple regression analysis showed that psychosocial distress was more common in younger workers, both male and female. Regular exercise was negatively associated with increase of psychosocial distress. In job characteristics, as expected, low decision latitude, high job insecurity, and low social support at work were related to high psychosocial distress. Personality traits such as locus of control and type A behavior pattern, and self-esteem were more powerful predictors of psychosocial distress than general characteristics, health-related behavior, and job characteristics. There were some gender differences. While men who are less educated and single (unmarried, divorced, and separated) experienced higher levels of psychosocial distress than those who are educated and married, women who feel high job demand experienced higher levels of psychosocial distress than those who feel low job demand. Conclusions : The proportion of the high stress group was higher than expected, and psychosocial factors like social support and personality characteristics (e. g. locus of control, type A behavior pattern and self-esteem) were more significant factors for psychosocial distress than other variables. This finding suggests that some psychosocial factors, especially inadequate social support, low self-esteem and lack of internal locus of control for the development of psychosocial distress, will also operate as an intervention strategy in the worksite stress reduction program. It is strongly required that worksite stress reduction programs should be established in at both occupational and level as well as in individual levels.

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  5. [국내논문]   통계청 사망자료를 이용한 우리나라 의사들의 사망률에 관한 연구 1992-2002   피인용횟수: 6

    신유철 (인제대학교 서울백병원 가정의학과 ) , 강재헌 (인제대학교 서울백병원 가정의학과 ) , 김철환 (인제대학교 서울백병원 가정의학과)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 38 - 44 , 2005 , 1975-8375 ,

    초록

    Objective : To compare the mortality rate of Korean medical doctors to that of the general Korean population for the period 1992-2002. Methods : The membership records of the Korean Medical Association were linked to the 1992-2002 death certificate data of Korea s National Statistical Office using 13-digit unique personal identification numbers. The study population consisted of 61,164 medical doctors with a follow-up period of 473,932 person-years. Standardized mortality ratios(SMRs) were calculated to compare cause-specific mortality rates of medical doctors to those of the general population. Results : We confirmed 1,150 deaths at ages from 30 to 75 years from 1 January 1992 to 31 December 2002. The SMR for all-cause of death was 0.47(95% CI : $0.44{\sim}0.50$ ). The SMRs for smoking-related diseases such as cerebrovascular accidents and chronic obstructive pulmonary disease were smaller than the SMR of all-cause of death. However, the SMRs for colorectal and pancreatic cancers were not significantly lower than those of the general population. Transport accidents and suicides accounted for 72% (94 of 131) of external causes of death. The SMR for suicide was 0.51 (95% CI : $0.38{\sim}0.68$ ). Conclusions : The mortality rate of South Korean medical doctors was less than 50% that of the general population of South Korea. Cause-specific analysis showed that mortality rates in leading causes of death were lower among medical doctors although differences in mortality rates between medical doctors and the general population varied with the causes of death. These health benefits found among medical doctors may be attributable to the lower level of health damaging behaviors (e.g., lower smoking rates) and better working conditions.

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  6. [국내논문]   VDT작업 은행원들의 피로자각증상 조사   피인용횟수: 2

    이경재 (순천향대학교병원 산업의학과 ) , 김주자 (순천향대학교병원 산업의학과)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 45 - 52 , 2005 , 1975-8375 ,

    초록

    Objectives : To investigate the fatigue subjective symptoms and VDT related risk factors in bank workers. Methods : A total of 2178 workers (62.8% male, 37.2% female) were surveyed with a self-administered and structured questionnaire consisting of 30 fatigue symptoms and other VDT related factors regarding work characteristics, work postures, work environments, personal medical histories, etc. Fatigue subjective symptoms were divided into 3 groups of 10 questions each: a dull, drowsy and exhausted feeling (Group I), a mental decline of working motivation (Group II), or a feeling of incongruity in the body and dysfunction of autonomic nervous system (Group III). Each question was weighted as 0 for 'none', 1 for 'sometimes', and 2 for 'always'. Results : Mean age was $35.8{\pm}7.2$ years ( $38.9{\pm}6.0$ in males, $30.6{\pm}5.8$ in females), Mean work duration was $7.7{\pm}7.1$ years ( $8.4{\pm}7.4$ in males, $6.5{\pm}6.4$ in females). Mean symptom score in males was $11.0{\pm}8.1$ ( $4.9{\pm}3.1$ in Group I, $3.0{\pm}3.1$ in Group II, $3.1{\pm}2.8$ in Group III) and in females was $17.5{\pm}9.5$ ( $7.0{\pm}3.8$ in Group I, $4.6{\pm}3.5$ in Group II, $5.9{\pm}3.4$ in Group III). Mean scores were higher in the order of Group I>III>II. Females had significantly higher scores than males in all three groups (p

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  7. [국내논문]   청소년의 인터넷 중독과 건강증진 생활양식 및 지각된 건강상태와의 연관성   피인용횟수: 6

    김정숙 (질병관리본부 ) , 천병철 (고려대학교 의과대학 예방의학교실)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 53 - 60 , 2005 , 1975-8375 ,

    초록

    Objectives : To identify the relationship between the internet addiction of adolescents and their Health Promotion Lifestyle Profile and Perceived Health Status, and thereby to detect the impact of internet addiction on the health of adolescents, produce the basic information necessary to develop a prevention program for internet addiction and to plan for a health promotion program. Methods : This study was designed as a cross-sectional study, and the subjects were the second-grade students of three junior-high and three high schools located in the city of K in Kyung Gi Province. Out of 769 subjects, 764 completed the questionnaires (99.3%); 369 (48.3%) junior-high school students and 395 (51.7%) high school students. The questionnaires were composed of Young's Internet Addiction, Health Promotion Lifestyle Profile, Perceived Health Status, and general characteristics. We used t-test, ANOVA in means comparison between groups, X2-test in frequency analysis, and multiple regression analysis in multivariate analysis, using the SAS $8.1^{\circledR}$ program. Results : There was a statistically significant difference in Health Promotion Lifestyle Profile according to internet addiction status (severe addiction vs. other status, p

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  8. [국내논문]   고혈압 환자의 삶의 질 측정도구 개발   피인용횟수: 6

    김건엽 (건양대학교 의과대학 예방의학교실 ) , 감신 (경북대학교 건강증진연구소 및 의과대학 예방의학교실 ) , 이상원 (대구가톨릭대학교 의과대학 예방의학교실 ) , 박기수 (포천중문의대 예방의학교실 ) , 채성철 (경북대학교 병원 순환기내과 ) , 천병렬 (경북대학교 건강증진연구소 및 의과대학 예방의학교실)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 61 - 70 , 2005 , 1975-8375 ,

    초록

    Objectives : To develop a tool for multidimensional measurement of the quality of life, which was psychometrically sound, short, and easy to administer for patients with hypertension. Methods : A sample of 1,115 hypertensive patients aged 20 or above in Cheong-Song County was studied from June 1997 to October 1998. In the development of the instrumental stage, the authors first conceptualized the quality of life. Item generation, item reduction, and questionnaire formatting were followed. Item-level (item descriptive, missing%, item internal consistency, item discriminant validity) analysis, scale-level (scale descriptive, floor and ceiling effect) analysis, and other tests(Cronbach's alpha, inter-dimension correlations, factor analysis, clinical validity) were performed to evaluate the validity and reliability of the new measurement scale. After 1 year, responsiveness and confirmatory factor analysis were performed. Results : The results of both item-level and scale-level analyses were acceptable. An acceptable degree of internal consistency was observed for each of the dimensions (Cronbach's alpha was 0.60 or higher). Inter-dimension correlations were below 0.50 and the factor analysis result was the same as the intended dimension structure. Correlation coefficients between perceived health status, stress and dimensions were proven to be acceptable. The result of comparing dimensional score means among ADL and MMSE-K groups above 60 years was statistically significant(p

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  9. [국내논문]   우리나라 직장인 피로의 역학적 특성   피인용횟수: 17

    장세진 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 강명근 (조선대학교 의과대학 예방의학교실 ) , 현숙정 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 차봉석 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 박종구 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 박준호 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소 ) , 김성아 (포천중문의과대학 구미차병원 산업의학교실 ) , 강동묵 (부산대학교 의과대학 산업의학교실 ) , 장성실 (충남대학교 의과대학 예방의학교실 ) , 이경재 (순천향대학교 의과대학 예방의학교실 ) , 하은희 (이화여자대학교 의과대학 예방의학교실 ) , 하미나 (단국대학교 의과대학 예방의학교실 ) , 고상백 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 71 - 81 , 2005 , 1975-8375 ,

    초록

    Objective : To elucidate the correlates of self-rated fatigue in Korean employees. Methods : The data for 10,176 (men, 7,984; women, 2,192; mean age, 34.2; SD: 8.8) employees recruited from a nationwide sample were examined. A structured questionnaire was used to measure the participants' fatigue, sociodemographics (sex, age, education, and marital status), job-related characteristics (work duration, grade at work, work hours, shiftwork, employment type, and magnitude of workplace), and health-related habits (smoking, drinking, coffee intake, and exercise). Two types of measurement for fatigue were used to evaluate the magnitude of fatigue: self-rated question and a standardized measurement tool (Multidimensional Fatigue Scale: MFS). Results : According to the self-rated fatigue, 32% of employees reported that they felt fatigue for the past two weeks, and 9.6% of males and 8.7% of females had experienced excessive fatigue (6 months or more). Hierarchical multiple regression analysis showed that fatigue measured by MFS was more common in women, younger, college or more graduated, single, and employees who do not regularly exercise. Fatigue was also associated with long work hours, and the size of the workplace (

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  10. [국내논문]   단계적 행위변화 모형을 이용한 자궁경부암 검진행위 관련 요인 분석 - 국가 조기 암검진 대상자들을 중심으로 -   피인용횟수: 5

    이혜진 (이화여자대학교 의과대학 예방의학교실 ) , 정상혁 (이화여자대학교 의과대학 예방의학교실 ) , 신해림 (국립암센터 암역학관리연구부 ) , 오대규 (질병관리본부 ) , 이선희 (이화여자대학교 의과대학 예방의학교실)
    Journal of preventive medicine and public health = 예방의학회지 v.38 no.1 ,pp. 82 - 92 , 2005 , 1975-8375 ,

    초록

    Objective : To evaluate the relationships among sociodemographic characteristics, health behaviors, levels of pros and cons and stages of change in Pap testing for uterine cervical cancer. Methods : A questionnaire survey was performed on 560 randomly sampled people who were assigned to participate in a Pap testing program by the National Cancer Screening Project in 2003' between 25 September and 10 October in Gyeonggi, Korea. Data about the behaviors and intentions of Pap testing, sociodemographic characteristics, health behaviors, and levels of acknowledged benefit (pros) and barrier (cons) for Pap testing was collected. The stages of change were grouped according to behaviors and intentions of Pap testing as passive, active, and relapse. Results : Logistic analysis between the passive and active groups showed that city dwellers, 'high' and 'middle' groups in terms of the individual s health belief, those who had undergone a health examination within the past 2 years, and those who had undergone hormone replacement therapy had a higher odds ratios to be in the active group. As the 'benefit' scores increased and the 'Unnecessity' scores decreased, the probabilities to be in the active group increased. According to the logistic analysis results between the active and relapse groups, those who were 60 years or older, members of the National Heath Insurance, and those who had not undergone a health examination within the past 2 years had a higher odds ratio to be in the relapse group. The 'Benefit' scores were not significant in this relationship. The probabilities of being in the relapse group increased as the Unnecessity and 'Shamefulness' scores increased. Conclusions : In conclusion, health planners should inform women in the passive group of the benefits and necessity of Pap testing. It would be better to reduce the barriers to the active group of undergoing Pap smear. This study might be a useful guide for future planning of Pap testing program.

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