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춘천지역 폐경 후 여성의 골다공증 유병률과 관련 요인: 한림노년연구
장숙랑,최영호,최문기,강성현,정진영,최용준,김동현,Jang, Soong-Nang,Choi, Young-Ho,Choi, Moon-Gi,Kang, Sung-Hyun,Jeong, Jin-Young,Choi, Yong-Jun,Kim, Dong-Hyun 대한예방의학회 2006 예방의학회지 Vol.39 No.5
Objectives: A community-based, cross-sectional survey was conducted to determine theprevalence of osteoporosis and to evaluate the effects of body composition, health behaviors and reproductive history on bone density in postmenopausal women. Methods: The study subjects were 362 postmenopausal women, aged 45 years old or over, who were invited to the hospital. Information on their socio-demographic characteristics and the potential risk factors such as their past medical history, smoking, alcohol intake, exercise, diet and menstrual/reproductive histories were collected by trained interviewers. Weight, height, the body mass index ($kg/m^{2}$), and body composition variables were measured. Bone mineral density of the lumbar spine was measured by dual energy X-ray absorptiometry (DXA). Results: The prevalence of osteoporosis was 30.6% in the $45{\sim}64$ years old women, 52.5% in the elderly women aged $65{\sim}74$, and 68.7% in the women aged 75 years or over. After adjustment for the effect of potential covariates, those women in the highest 25% (4th quartile) of the lean body mass are less likely to have osteoporosis (aOR=0.31, 95% CI=0.12-0.76), compared with the lowest quartile group. More parity also had significantly detrimental effects on osteoporosis. Conclusions: These findings suggest that the prevalence of osteoporosis in postmenopausal women increased with age from 46.3% of those aged 45-64 to 68.7% for those aged 75 and over. Lean body mass and parity appeared significant contributor to bone mineral density in postmenopausal women in this population.
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,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.