성인의 대상포진 예방접종 시행의 영향 요인

정선락,김유미,김경희,남행미,이원기 보건의료산업학회 2018 보건의료산업학회지 Vol.12 No.2

Objectives : This study aimed investigate general characteristics, vaccination status and health beliefs related to vaccination for herpes zoster and to identify variables. Methods : The structured questionnaire was conducted from March 31, 2016 to April 20, 2016 with 312 outpatients who visited a university hospital. The data were analyzed by frequency analysis, t-test, χ²-test, correlation analysis and logistic regression analysis via SPSS statistics 22.0. Results : The vaccination rate of the herpes zoster was 16.0% and the vaccination cost was the most common reason for rejecting inoculation. More highly educated people with more than a university degree(OR=4.28, p=.002), those with higher susceptibility to herpes zoster(OR=1.56, p=.000), those more aware of the benefits of vaccination(OR=1.51, p=.009) and those with lower disability for vaccination(OR=0.74, p=.003) were more likely to be vaccinated. Conclusions : Therefore, to increase the vaccination rate of herpes zoster in adults over 50 years old, continuous publicity and education are needed to emphasize the susceptibility of herpes zoster and the benefit of vaccination. In addition, it is necessary to develop policies at the national level for the expensive vaccination cost that obstructs vaccination.

한국 성인의 치통 경험과 구강건강행태가 건강관련 삶의 질에 미치는 영향 -국민건강영양조사 제8기(2019-2020) 2차 자료를 이용하여

정선락,장지언 대한예방치과·구강보건학회 2022 大韓口腔保健學會誌 Vol.46 No.4

Objectives: This study aimed to investigate the relationship between toothache, oral health behaviors, and the quality of health-related life of Korean adults. A national nutrition survey representative of Korea was used. The study presents basic material for developing health improvement and dental health programs to highlight the importance of oral health management and Health-Related Quality of Life improvement. Methods: The second edition of the 8th national health nutrition survey data was used for this study. The subjects were 5,922 Korean adults aged 19 years and above. Results: There was a significant difference in gender, age, marital status, education, income, toothache experience, subjective oral health condition, and the number of daily toothbrushes in participants’ Health-Related Quality of Life. For gender, “male” had an overall higher quality of life which was statistically significant. In toothache experience, Health-Related Quality of Life was significantly higher at 0.027 with “none” (P<0.01). In addition, higher conditions of subjective oral health at 0.077 showed a significantly higher quality of life (P<0.01). Conclusions: This study revealed that higher subjective oral health conditions in Korean adults resulted in higher Health-Related Quality of Life and subjectively better oral health conditions. This means that active health management is possible, and concrete systematic health education program development is urgently needed. Oral health improvement can improve Health-Related Quality of Life. It is necessary to recognize the importance of oral health to improve Health-Related Quality of Life through oral health prevention and promotion programs for adults.

흡연력이 치과외래이용횟수에 미치는 영향

정선락,두영택,이원기,Jeong, Sun-Rak,Doo, Young-Taek,Lee, Won Kee 한국데이터정보과학회 2016 한국데이터정보과학회지 Vol.27 No.2

본 연구는 한국의료패널 조사 자료 2008-2012년의 연간 통합자료를 활용하여 흡연력에 따른 구강질환과 관련하여 치과외래이용횟수에 미치는 영향을 알아보고자 하였다. 2010-2012년의 연간 통합자료 중 연령이 20세-60세이면서 3차례 모두 조사된 남성 3,866명을 최종 분석대상으로 하였다. 음이항회귀모형을 이용한 분석에서 연령, 혼인상태, 가구소득수준와 만성질환여부를 통제한 후 치과외래이용횟수에 미치는 영향은 유의하였으며 흡연력이 10갑년 증가할 때마다 치과외래이용횟수는 6%씩 증가할 것으로 예측되었다. 특히, 40~50대 남성의 치과외래이용횟수는 비흡연자에 비교하여 평균적으로 20~29.9갑년의 흡연자는 25%, 30갑년 이상 흡연자는 52% 더 많이 이용하는 것으로 나타났다. To examine whether the effect on utilization of ambulatory dental care are associated with oral disease according to pack-years of smoking in Korean population. Using data from Korea Health Panel between 2008 and 2012, we analyzed 3,866 participants who were male and more than 20 years. Pack-years of smoking were significantly associated with utilization in ambulatory dental care after adjustment for age, marital status, family income, and chronic disease. Ambulatory dental visitation frequency has been estimated to increase by 6% when 10.0 pack-years of smoking increased. Especially, the smokers who had 20.0~29.9 and 30.0 or more pack-years of smoking in forties and fifties males were 25% and 52% respectively more than non-smokers in utilization of ambulatory dental care.

한국 청소년의 건강위험행동 및 구강건강행동과 구강증상경험의 관련성 - 2018년도 제14차 청소년건강행태온라인조사를 중심으로

정선락 ( Sun Rak Jeong ),장지언 ( Ji Eon Jang ) 대한예방치과·구강보건학회 2019 大韓口腔保健學會誌 Vol.43 No.3

Objectives: This study investigates the relationship between risky health behaviors, occurrence of oral symptoms, and oral health-related behaviors. Methods: The subjects were 60,040 adolescents selected from the web-based survey from the 2018 Korean Youth Health Behavior of Korean Center for Disease Control. The data were analyzed using a combined sample analysis method. The software SPSS version 12.0 was used to conduct the analyses. Results: 1. Men were observed to partake in risky health behavior at significantly higher rates than were women in terms of smoking, drinking, drugs, and sexual intercourse. Our data showed the percentages of men taking part in these behaviors to be 21.1%, 46.4%, 1.3%, and 7.6%, respectively (P<0.01). 2. Of all subjects, 49.1% brushed their teeth more than three times a day, and 43.6% brushed more than twice a day. Further, a significantly higher number of men (46.0%) did not brush their teeth after lunch compared with women (29.1%) (P<0.01). 3. Of all subjects, 52.9% had developed oral symptoms in the previous year. The rate of women experiencing oral symptoms was significantly higher, at 58.1%, compared with men (48.1%, P<0.01). 4. Risky health behavior, such as smoking, drinking, drugs, and sexual intercourse, was significantly associated with occurrence of oral symptoms (P<0.01). Those that had not partaken in smoking, drinking, and sexual intercourse were significantly lower by 0.73, 0.87, and 0.89 times, respectively, compared with those that responded with “yes” (P<0.01). Conclusions: We have evaluated the rates of risky health and oral health-related behavior in Korean youth and identify their association with the oral symptoms. It is essential to understand the risks of oral diseases so that appropriate oral health education can be provided to adolescents for promoting behavioral changes.

흡연이 치과 외래 이용 및 치과 외래 의료비에 미치는 영향

정선락 ( Sun Rak Jeong ),김영희 ( Young Hee Kim ),장지언 ( Ji Eon Jang ),이원기 ( Won Kee Lee ) 대한예방치과·구강보건학회 2015 大韓口腔保健學會誌 Vol.39 No.4

Objectives: The objectives of this study were to evaluate the effect of smoking on utilization of and expenses in ambulatory dental care. Methods: The subjects of this study were 5,751 men aged over 20 years selected from the Korea Health Panel data collected during 2010-2012. Pack-years of smoking were calculated based on the survey data. Dental utilization was defined as dental outpatient clinic use least once in three years. The expenses in ambulatory dental care were summed to determine total dental health care spending for three years. To detect the effect of smoking, we used multiple logistic regression analysis for dental utilization and multiple linear regression for expenses in ambulatory dental care after changing log. Results: The pack-years had a significant effect on dental utilization and expenses in participants aged 40-59 years. After controlling for income level, bedtime brushing, and the presence of chronic disease, dental care utilization rates in the over 10 to less than 25 pack-year and the over 25 pack-year groups were about 1.4 (OR=1.37, (P =0.007)) and 1.6 times (OR=1.59, (P =0.001)) those in the 0 pack-year group. In comparison with the 0 pack-year group, the over 10 to less than 25 pack-year group spent 50,000 won more over dental expenses, while the corresponding number for the over 25 pack-year group was about 100,000 won. Thus, the ambulatory dental care expenses increased with the packyears of smoking. Conclusions: Smoking significantly influenced the utilization and expense in ambulatory dental care in men aged 40-59 years.

치과위생사의 조직 내 갈등수준과 직무만족도간의 관련성

정선락 ( Sun Rak Jeong ),장지언 ( Ji Eon Jang ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.1

This research was attempted in order to investigate the correlation of the conflict level and job satisfaction of the dental hygienists in the dental clinic agency. The subjects were 249 dental hygienists working with more than five dental hygienists at dental clinics in Daegu, eight dental clinics were randomly chosen, the researcher visited them personally and the data was obtained by self-administrated questionnaires from March 2 to March 31, 2011. In conclusion, the higher ages, monthly income and total career were, the higher levels of conflict were, and job satisfaction was significantly high when monthly income and total career were higher. Correlation between level of conflict and job satisfaction showed as level of conflict are lower, job satisfaction was significantly high. Regression analysis of the factors affecting job satisfaction, it was significantly high as monthly income was higher, friction of view and ignorance was lower. Therefore, the conflict level is reduced, the job satisfaction degree of the dental hygienist is enhanced, the dental hygienist duty efficiency is enhanced and dental service of the good quality is provided.

치과내원 환자의 구강위생용품 인지와 이용에 관한 조사

양귀예,정선락,장지언 보건의료산업학회 2015 보건의료산업학회지 Vol.9 No.4

Objectives : The purpose of this study was to examine the effects of sociodemographic characteristics on usage patterns of oral hygiene supplies of patients visiting a dental clinic. Methods : A questionnaire survey was administered to 592 patients visiting a dental clinic based in Daegu from December 2, 2013 through December 31, 2013. Statistical analysis was done with IBM SPSS Statistics 20.0. Results : For awareness of oral toothbrushes, electric toothbrushs had the highest ratio(67.6%), and for awareness of auxiliary oral hygiene devices, dental floss had the highest ratio (77.7%). For toothbrushes used, interdental brushes had the highest user ratio(34.3%), and for using auxiliary oral hygiene devices, dental floss had the highest ratio(37.7%). Age had an influence on the awareness of oral hygiene devices. Gender and Age had influence on the use of oral hygiene devices. Of the total respondents, 34.6% citied do not need to do that as the reason for not using oral hygiene supplies, followed by do not know (34%) and it is tiresome (30.4%). Conclusions : To effectively improve oral health status, a good motivation method necessary to promote the use of oral hygiene supplies.

청소년건강행태조사 자료를 이용한 COVID-19 유행시기 경제상태에 따른 건강상태

김은석,정선락,김경희,신은경 한국보건정보통계학회 2023 보건정보통계학회지 Vol.48 No.3

Objectives: During COVID-19, we studied the direct and indirect effects of household economic levels on health status through the mediation of changes in economic levels. Methods: In comparison between the changed and not changed group of health status, the continuous data compared with inde- pendent t-test and the categorical type tested chi-square test. Whether economic levels changed due to COVID-19 as an influencing factor of youth health Structural equation modeling (SEM) was used to evaluate the direct effect of COVID-19 and the indirect effect through the downgrading of the economic level caused by COVID-19. Results: The direct effect of changes in household economic status due to COVID-19 on health status was β = -0.13, which had a significantly negative effect (p < 0.001), and the indirect effect through household economic status was also β = –0.05. There was a significant adverse effect (p < 0.001). Conclusions: It was found that when the economic condition worsens, it has an adverse effect on the economic levels of the family and the health status of the youth. In cases where economic conditions deteriorate due to crises such as pandemics, more attention should be paid to youth health promotion.

재활요양병원 물리‧작업치료사의 직무스트레스, 자기효능감 및 우울

박재우,정선락,박녕서,이원기 한국보건정보통계학회 2020 한국보건정보통계학회지 Vol.45 No.4

Objectives: The purpose of this study was to investigate the relationship among job-stress, self-efficacy and depression in physical therapists and occupational therapists in 7 nursing and rehabilitation hospitals in Daegu Metropolitan City, and to provide basic data for improvement of manpower management and work environment system. Methods: The number of subjects was calculated using G*Power 3.1.9.2 program and the final 171 data were analyzed. The research tool used structured anonymously self-filling questionnaires, consisted of 11 questions of general characteristics, 11 questions of job-stress, 8 questions of self-efficacy, and 9 questions of depression. The data was collected through visits and mailings for about 3 weeks from February 1st to 22nd of 2019, after receiving permission from the department head of each hospital rehabilitation center. Results: (1) The higher the job-stress of the subjects, the higher the depression. (2) The higher the self-efficacy of the subjects, the lower the depression. (3) Job-stress and self-efficacy were not related to each other. (4) Job-stress and self-efficacy of subjects were found to affect depression. Based on the above results, it was found that job-stress and self-efficacy of physical therapists and occupational therapists of nursing and rehabilitation hospitals were not correlated with each other, and depression was found to be decreased with lower job-stress and higher self-efficacy. Conclusions: The development of a program to prevent job-stress and depression and promote self-efficacy will be needed for therapists. In addition, it will be necessary to improve the overall environment of therapists working at nursing and rehabilitation hospitals through health policy efforts such as amendment and improvement of legislation on medical law.

치과위생사의 근무환경 및 조직 내 갈등수준이 이직에 미치는 영향

장지언,정선락 보건의료산업학회 2015 보건의료산업학회지 Vol.9 No.3

Objectives : The purpose of this study was to understand how work environment and conflict level of dental hygienists affect turnover for the efficive manpower management of dental hygienists. Methods : Dental hygienists in dental (hospital)clinics near Daegu were randomly selected as the subjects of this study, and the followings analysis results are from 249 questionnaires: which were collected from March 2 to March 31 2011. Results : Among the 249 dental hygienists surveyed, 33.7% experienced turnover and 59.0% had turnover intention. From the analysis of the demographic, working environment and levels of conflict, dental hygienists had significantly higher turnover experiences based on following factors: older age, employment at a dental clinic rather than a dental hospital, longer working hours, longer total career as a dental hygienist, and longer of length of time at their current job. Furthermore, dental hygienists had significantly higher turnover intentions based on the following factors: younger age, more ignorant and higher level of discomfort due to conflict levels. Conclusions : Therefore, the working environment of dental hygienists has to be improved to inspire motivation, and conflict management has to be taughht within an organization to allow free communication and active participation in decision-making.