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장숙랑,이자경,정수창,박소현 서울시공공보건의료재단 2022 SEOUL HEALTH ON AIR 건강정책동향 Vol.1 No.35
코로나19가 장기과됨에 따라 보건소의 각종 서비스가 중단되고 기능이 위축되어 또 다른 공중보건 위기의 위험이 우려되고 있다. 이에 본 연구는 보건소의 현황 및 문제점을 파악하고 감염병 위기 대응력 및 지역사회 통합돌봄 서비스 강화, 안정적 운영을 위한 기반 구축 등 향후 보건소의 기능 개편 방향을 제시하였다.
장숙랑 한국보건사회연구원 2015 보건복지포럼 Vol.225 No.-
노인 건강증진을 위한 사회정책과 서비스는 중고령기 기능장애 발현을 최대한 늦추고, 사회적·정신적·신체적 기능 감소의 속도를 늦추며, 각각의 기능상태에 있는 사회 구성원들이 모두 행복한 삶을 영위하는 목표를 가져야 한다. 증가하고 있는 노년기심장질환 사망률은 주시할 필요가 있다. 고혈압과 당뇨 유병률은 지난 5년간 개선되지 않고 있다. 일상생활 수행능력 장애율은 85세 이상 남성노인에서는 다소 감소하나 여성과 다른 연령대는 변화가 없다. 노인 보건의료와 건강증진 서비스 및 자원 이용에 있어서 만성질환 관리 및 기능장애 예방에 방해가 되는 위험요소들을 해소해 나가야 할 것이다.
장숙랑,Ichiro Kawachi 대한노인병학회 2019 Annals of geriatric medicine and research Vol.23 No.4
Objectives: Culture-based gender norms regarding who performs daily activities can bias the assessment of instrumental activities of daily living (IADL). This study evaluated item-response biases in the activities of daily living (ADL) and IADL among community-living Korean older adults. Methods: The subjects included older Korean participants of the Korean Longitudinal Study of Ageing baseline survey (n=4,164). We performed differential item functioning (DIF) analysis of these data using the Mantel–Haenszel method. Results: We observed different reported levels of disability for eight IADL items among gender, age, and educational level subgroups. After matching for overall functional disability, men were more likely to report limitations in performing various household activities, compared to cognitive activities in women. Conclusions: Cross-national comparisons of ADL and IADL disabilities need to consider item response bias stemming from culture-based gender norms regarding who performs different household activities.
장숙랑 중앙대학교 의과대학 간호학과 간호과학연구소 2011 중앙간호논문집 Vol.15 No.-
인간의 생애 주기에서 중·장년기 이후는, 질환에 대한 역치가 낮아지면서 다양한 만성 증상이나 질환을 동반하게 된다. 만성적 상태는 대부분 비치명적인 것으로, 그것으로 인해 사망하기보다 그 상태를 안고 인생의 말년까지 살아가게 되는 경우가 많다(Rothenberg & Koplan, 1990). 장기적인 만성 상태는 질환의 유무를 떠나 신체적, 정신적, 사회적 기능에 손상을 입은 기능장애를 동반한다. 장기 및 단기적 시간 모두에서 기능과 장애는 인간의 기본적 건강 결과로 중요하게 다루어져야하며, 간호와 의료를 지속하게 하는 핵심적인 요소임을 인식해야 한다. 이 논문에서는 개인의 건강수준으로서 기능, 장애에 대한 개념과 이론적 기반을 살펴보고 결정요인과 예방전략에 대해 기술하고자 한다. 기능과 장애에 관한 탐구는 보건과 간호 연구뿐만 아니라, 정책, 보건의료 서비스의 기본골격을 파악하는 데에 반드시 포함되어야 하는 영역이다.
장숙랑,조성일,황승식,정최경희,임소영,이지애,강민아,Jang, Soong-Nang,Cho, Sung-Il,Hwang, Seung-Sik,JungChoi, Kyung-Hee,Im, So-Young,Lee, Ji-Ae,KangKim, Min-Ah 대한예방의학회 2007 예방의학회지 Vol.40 No.6
Objectives : While cervical cancer is one of the leading cancers among women worldwide, there are a number of effective early detection tests available. However, the participation rates in cervical cancer screening among Korean women remain low. After the nationwide efforts in 1988 and thereafter to encourage participation in cervical cancer screening, few studies have investigated the effects of socioeconomic inequality on participation in cervical cancer screening. The purpose of this study was to investigate 1) the level of socioeconomic disparities in receiving cervical cancer screening by age group and 2) if there was an improvement in reducing these disparities between 1995 and 2001. Methods : Using data from the Korean National Health Status, Health Behavior and Belief Survey in 1995, the Korean National Health and Nutrition Examination Surveys from 1998 and 2001 (sample sizes of 2,297, 3,738, and 3,283), age-standardized participation rates were calculated according to education level, equivalized household income, and job status. Odds ratios and the relative inequality index (RII) were also calculated after controlling for age. Results : Women with lower education levels were less likely to attend the screening test, and the disparities by education level were most pronounced among women aged 60 years and older. The RIIs among women 60 years and older were 3.64, 4.46, and 8.64 in 1995, 1998, and 2001, respectively. Higher rates of participation were reported among those in the highest income category, which was more notable among the middle aged women (40s and 50s). An inconsistent trend in the rate of participation in cervical cancer screening by occupational level was found. Conclusions : Indicators of socioeconomic position seem to have varying impacts on the inequalities in the rates of participation in cervical cancer screening according to age group. These results demonstrate the need for more aggressive and age-based interventions and policy programs to eliminate the remaining inequalities.
장숙랑,이선자 대한보건협회 2000 대한보건연구 Vol.26 No.1
The objective of study is to investigate the degree of burdens of family as a pilot study focused on the plan about reducing burdens of family caring for terminal cancer patient and the settlement of hospice concept capable of managing the patient and family, and to analyze the burden level according to socio-demographic, economic, and medical factors in family. August 1, 1998 to November 1 1998., 85 terminal cancer patients and their main caregivers in family were included in our study, and the question survey were performed by concrete questionnare including general characteristics of patient and family, medical aspects of patient, economic state of family, degree of medical cost, and questions for family's burden. The burden score of main caregiver in family is 54.48 and the older were patient and main caregiver, the higher was the burden score. Time, self-advancement, economic burden were especially high among 6 area of burden. In cases of woman caregiver, believer in a religion, daughter caregiver, the burden is significantly low. Among medical characteristics, prolonged illness duration, absence of patient's insight heightened the burdens. Family's burdens according to economic factors were not significant, but in case of medical cost of above 5,000,000 won, caregiver's burdens were significantly increased. As a conclusion, the hospice concept must settle down in our country for the patient's family as well as the terminal cancer patient in order to reduce the burden of family care giver. The various social support system is needed to manage terminal cancer patients for their family.