한국 요양보호사 산업재해의 연도별 변화추이

손미아 ( Mia Son ),전거송 ( Geo-song Jeon ),배동철 ( Dong-chul Bae ),손병창 ( Byungchang Son ),김태운 ( Taeun Kim ),윤재원 ( Jae-won Yun ) 한국산업보건학회 (구 한국산업위생학회) 2021 한국산업보건학회지 Vol.31 No.2

Objectives: To investigate the trends of industrial injuries among long-term health care workers in Korea Methods: T7866 injuries were selected from the total industrial injuries approved by the Industrial Accident Compensation Insurance Act(Occupational Safety and Health Act) among long-term health care workers between 2007 and 2016 in Korea. We analyzied the trends of industrial injuries according to work process, occurrence type, and causes. Results: The industrial injuries among long-term health care workers increased since 2012. The mostly occurred area for industrial injuries were low back areas, which is related that the most serious industrial injuries occurred when the one long-term healthcare worker lift manually the recipient, from bed(ondol, Korean floor heating system) to a wheelchair, bed to bath bed, and wheelchair to bath chair. In addition to this, lack of workforce, increased work intensity due to overwork contributed the increasing of occupational injury. Conclusions: This study suggests that the main causes of industrial injuries were Lack of facilities and equipment for small private long-term care institutions, The physical load that goes into lifting the recipient directly, work intensity such as excessive workload and increased work speed. We suggest that the social publicization of long-term care service for the elderly, avoiding ways to lift recipients directly, introducing lifting machines as well as improving working methods, and reducing the workload of caregivers are required.

강원도의 뇌혈관질환 사망과 지역사회 건강 지표와 관련성

심정하(Jeoungha Sim),손미아(Mia Son) 한국농촌의학 지역보건학회 2009 농촌의학·지역보건 Vol.34 No.1

본 연구는 뇌혈관질환 사망에 영향을 미치는 지역의 건강상태 지표를 파악하기 위해 시도되었으며, 연구방법은 2000년 사망 원인 통계를 활용하여 뇌혈관질환으로 인한 사망자 수와 2000년 인구센서스 자료를 이용하여 인구수를 산출하여 뇌혈관질환 표준화 사망률을 산출하였다. 또한 지역사회 건강지표로 지역의 물질적 결핍 지수와 보건의료자원, 도로 포장율, 지방세를 지표로 하였다. 자료는 Excel 2003과 SAS 9.1을 활용하여 분석하였다. GIS 프로그램인 Arcview 9.1을 이용하여 뇌혈관질환 사망률과 지역의 물질적 결핍지수를 시각화하였다. 본 연구의 결과는 다음과 같다. 1. 강원지역에서 뇌혈관질환의 표준화 사망률은 지역, 성별에 따라 차이가 있었다. 남자의 사망률이 가장 높은 지역은 고성군이었고, 가장 낮은 지역은 평창군으로 나타났다. 여자의 사망률이 가장 높은 지역은 고성군이었고, 가장 낮은 지역은 양양군이었다. 2. 강원도의 지역의 물질적 결핍지수는 태백시가 가장 높게 박탈된 지역으로 나타났고, 가장 적게 박탈된 지역은 평창군이었다. 3. 병·의원의 수, 지역의 물질적 결핍지수, 도로 포장율. 지방세와 남녀 표준화 사망률과는 관계가 없었다. 본 연구의 의의는 지역의 여러 건강상태를 나타내는 자원들을 지표로 산출하여 뇌혈관질환 사망과 관련지어 분석하고, 또한 소지역인 시?군별 사망률의 차이와 지역사회 건강 지표인 물질적 결핍지수와의 관계를 시각화하였다는 점이다. Objectives: The aim of this study was to characterize the community health indicators affecting standardized mortality rate of cerebrovascular diseases(CVD) and to identify the relationship between CVD mortality and community health indicators in Gangwon-do. Methods: The community health indicators included material deprivation index, medical resource, rates of road pavement and local tax. CVD mortality and the material deprivation index were calculated in the registered death data and the 2000 census which were obtained from the Korean National Statistics Office. The community health indicators were measured using 2001 statistical year book of Ganwon-do. Data were analyzed by using Excel 2003, SAS 9.1. CVD mortality and material deprivation index were visualized by Arcview 9.1. Results: CVD mortality varied by region and sex in Gangwon-do. The highest CVD mortality in male and female were noted at Goseong-gun, the lowest CVD mortality in male was at Yangyang-gun as it of female at Pyeongchang-gun. In Taebaek city where material deprivation index was also the highest; in Pyeongchang-gun was the lowest. Also the higher material deprivation index in some regions was the higher CVD mortality was. CVD mortality was not related with community health indicators. Conclusions: The results showed the regional difference of mortality of CVD among counties and cities in Gangwon-do. It is recommended that other community health indicators besides material deprivation index, road pavement rate, medical resources and local tax affecting CVD mortality need to be considered to improve the preventive strategies.

극소 및 초극소 저체중출생아 출생과 사망의 사회적 불평등

박혜정 ( Hye Jeong Park ),손미아 ( Mia Son ) 한국보건행정학회 2015 보건행정학회지 Vol.25 No.4

Background: This study investigates the relationship of socioeconomic status with adverse birth outcomes(low birth weight, preterm birth) and the relationship of socioeconomic status with infant mortality, using the birth cohort in Korea, 1995-2010. Methods: 8,648,035 births from National Statistics Offics, 1995-2010 were studied with respect to social variation in adverse birth outcomes and infant mortality in Korea. The effect of social inequality was examined against adverse birth outcomes and infant mortality using multivariate logistic regression after controlling for other covariates. Results: Social inequality were observed in adverse birth outcomes: LBW(Low Birth Weight, 1500-2499g), very LBW(1000-1499g), and extremely LBW(500-999g) as well as moderately PTB(Preterm Birth, 33-36weeks), very PTB(28-32weeks), extremely PTB(22-27weeks) and infant mortality. The effect of social inequality was higher among moderately LBW(1500-2499g) and PTB(33-36weeks) than very or extremely LBW and PTB. Conclusion: The social inequality in adverse birth outcomes(low birth weight and preterm) and infant mortality existed and increased in Korea from 1995 to 2010. The effect of maternal education on adverse birth outcomes as well as infant mortality was apparent in the study results. Especially, social inequailiy in infant mortality was greater among the sub-normal births(low birthweight(1500-2499g) or preterm birth(33-36weeks)), which suggests, social interventions should aim at more among the subnormal births. This study suggest that tackling inequality in births as well as infant mortality should be focused on the social inequality itself.

한국의 40세 이상 남녀의 소득, 결혼, Body Mass Index, 건강행태요인이 당뇨에 미치는 영향

허연정(Yeon-Jeong Heo),손미아(Mia Son),현혜진(Hye-jin Hyun) 한국자료분석학회 2021 Journal of the Korean Data Analysis Society Vol.23 No.3

이 연구는 한국인유전체역학조사사업(KoGES)에서 2001년부터 2013년 사이에 구축된 지역사회기반코호트(안산, 안성), 도시기반코호트, 농촌기반코호트 자료를 통합하여 구축한 한국의 만 40세 이상 성인 남녀를 210,413명을 대상으로 소득수준, 결혼, BMI, 건강행태요인이 당뇨병에 미치는 영향을 분석하였다. 당뇨병에 미치는 위험요인을 보면, 소득이 당뇨병과 역의 선형을 보이면서, 소득이 적을수록 당뇨병이 증가하는 경향이 뚜렷하게 나타났다. 남성, 고령, 사별, 비만, 음주, 흡연이 당뇨병에 영향을 미치는 것으로 나타났으나, 소득과 결혼이 건강행태요인들보다 당뇨병에 더 많은 영향을 미치고 있었다. 이 연구는 당뇨병 발생 위험요인이 높은 집단은 소득 수준이 낮고, 결혼상태가 별거, 이혼한 고령의 남성 집단임을 보여주고 있다. 이 연구는 당뇨병 발생위험이 소득수준, 결혼상태와 같은 사회경제적 상태에 따라 차이가 있어 당뇨병 중재 프로그램개발과 적용을 고려할 때 인구학적 특성과 사회경제적 상태를 고려한 중재가 필요함을 제시하였다는 점에서 의의가 있다. 특히 당뇨병의 치료 및 관리에 있어서 소득수준에 따른 다양한 중재방안이 이루어져야 할 것이다. This study was conducted by integrating data from community-based cohorts (Ansan, Anseong), urban-based cohorts, and rural-based cohorts established between 2001 and 2013 by the Korean Genome Epidemiology Survey (KoGES) in Korea, and was constructed by those over the age of 40 in Korea. The effects of income level, marriage, BMI, and health behavior factors on diabetes were analyzed for 210,413 adult men and women. The effect on diabetes was inversely linear with income, and as the income decreased, the tendency to increase diabetes was evident. Men, old age, bereavement, obesity, drinking, and smoking were found to have an effect on diabetes, but income and marriage had more influence on diabetes than health behavior factors. In conclusion, it is necessary to adjust health behavioral factors for elderly male subjects with low income, separated from their marital status, and divorced with risk factors for diabetes, and to prepare interventions to improve awareness and prevent diabetes.

한국에서 알츠하이머 질환 사망의 사회경제적 불평등

박상모(Sangmo Park),윤재원(Jaewon Yun),손미아(Mia Son) 한국자료분석학회 2020 Journal of the Korean Data Analysis Society Vol.22 No.6

이 연구의 목적은 한국의 알츠하이머 질환 사망에 사회경제적인 요인이 어떻게 영향을 미치는지 파악하고 사망에서 사회적 불평등이 존재하는지를 분석하는 것이다. 이 연구는 한국의 사망통계 자료(통계청, 1995-2009년)과 인구센서스자료(통계청, 1995년, 2000년, 2005년)를 이용하여 65세 이상 노인의 사회경제적 상태가 알츠하이머 사망에 미치는 영향을 분석하였다. 사회경제적 상태 변수로 교육수준, 경제활동상태, 결혼상태를 선정했고, 종속변수로 65세 이상 노인의 알츠하이머 사망으로 정하여, 로지스틱 회귀분석을 실시했다. 연구 결과, 65세 이상 집단에서 남, 녀 모두 낮은 사회계급집단에서 알츠하이머질환 사망위험이 더 높았다. 특히 65-74세의 경우 초등학교 졸업 집단, 비경제활동집단에서, 결혼하지 않았거나 이혼, 사별 등으로 배우자가 없는 집단에서 알츠하이머 질환 사망위험이 더 높았다. 알츠하이머 사망 추이를 보면, 2000년-2004년 기간에 비해 2005년-2009기간에서 대학졸업집단과 초등학교 졸업 집단의 사망 격차가 커졌으며, 비경제 활동집단, 비결혼집단, 이혼 및 사별한 집단의 사망이 크게 증가했다. 이 연구는 65세-74세의 교육수준이 낮은 집단, 물질적 결핍 지수가 높은 집단, 그리고 배우자가 없는 집단에서 알츠하이머질환의 사회적 불평등이 크고, 불평등이 심화되는 경향을 보이고 있어, 국가적으로 65세이상 노인의 사회적불평등을 줄이는 정책이 필요하다는 것을 시사해주고 있다. This study examined the association between socioeconomic factors and Alzheimer s disease mortality and identified social inequality in the mortality among over 65 years old in Korea. Data were consisted of population census data in 1995, 2000, and 2005 and death registration data in 1995-2014 from the Korea National Statistical Office. The results showed that the death rate from Alzheimer s disease was increased in men aged 65-74 years with a high school diploma or less compared to those with a college diploma or more. The higher risk of mortality was found among those who are non-married, divorced, and widowed. So the mortality was higher for old adults living without spouse than for those living with spouse in adults over the age of 65. We found that the death rate from Alzheimer s disease was increased in adults aged 65-74 years with low education attainment, and that socioeconomic inequalities in mortality are apparent. Therefore, this study suggests that being physically active and building high social relationships will help old adults to reduce Alzheimer s disease prevalence and mortality. In addition, A public health policy for old adults living without spouse is necessary to improve social inequality in mortality from Alzheimer s disease.

내분비계 환경호르몬 노출과 사춘기 발달과의 연관성

범은애(Eunae Burm),하미나(Mina Ha),손미아(Mia Son),임신예(Sinye Lim),김유미(Yu-Mi Kim),홍영습(Young-Seoub Hong),박인호(Inho Park),정해관(Hae-Kwan Cheong),강희태(Hee-Tae Kang),사공준(Joon Sakong),오경재(Gyung-Jae Oh),김수영(Soo-Young Kim 환경독성보건학회 2014 한국독성학회 심포지움 및 학술발표회 Vol.2014 No.5

Association of blood and urine levels of lead, mercury and cadmium with children’s growth indexes in Korea

Soo Eun Chung(정수은),Hae-Kwan Cheong(정해관),Mina Ha(하미나),Mia Son(손미아),Sinye Lim(임신예),Yu-Mi Kim(김유미),Hee-Tae Kang(강희태),Joon Sakong(사공준),Gyung-Jae Oh(오경재),Soo-Young Kim(김수영),Hwan-Cheol Kim(김환철),Chul-Gab Lee 환경독성보건학회 2014 한국독성학회 심포지움 및 학술발표회 Vol.2014 No.5

일부 조선업 노동자의 근골격계 증상과 스트레스 및 노동강도의 관련성

김인아(Inah Kim),고상백(Sang Baek Koh),김정수(Jeong Soo Kim),강동묵(Dong Mug Kang),손미아(Mia Son),김용규(Yongkyu Kim),송재철(Jaechul Song) 대한직업환경의학회 2004 대한직업환경의학회지 Vol.16 No.4

우리나라에서 서로 다른 분모자료가 산업별 규모별 산재 사망률의 계산에 미치는 영향

손미아 서울大學校保健大學院 2000 國民保健硏究所硏究論叢 Vol.10 No.1

Objective: This paper presents the workplace fatality rates are different according to using different denominators in korea. Method: fatality rates by industry type and factory size among workers in the undustries, which have more than 10 workers in korea between 1995 and 1996, were calculated using different data sources: data from WELCO, Census on basic characteristics of establishments, survey of establishment labour conditions, survey of wage structure, Monthly labour survey. Rates were compared for worker groups defined by industry and factory size. Results: The fatality rates by industry as well as factory type were different according to different sources of denominators, where the proportions of workforce measured according to different industry and factory size differ significantly. This may be because the different data sources have different definition about'the workers'. Some data include temporary workers as well as regularily workers, whereas others only include regularily workers. Especially, as the denominators from WELCO which are used for Government's formal statistics in korea include all temporarily employed. part-time workers, as well as regularily employed workers, these overestimate denominators, especially construction workers, therefore, there looked to be underestimated the fatality rates among construction workers. Conclusion: This suggests that the data sources for denominators for calculation national injury rates needs to be improved and hours worked can be an alternative to overcome the limination of data source of denominators in Korea.

한 자동차공장에서 연속 12시간 주야 2교대 근무 노동자들의 노동시간 및 노동강도와 수면장해의 연관성

손미아 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

결국 이 연구결과는 자동차공장 노동자들에서 교대근무형태의 차이, 즉 주간고정과 주야맞교대의 차이에 의한 장시간의 노동시간 및 야간노동시간의 변화와 수면의 질과 양의 변화를 가져와 근무직후에 심한졸리움을 유발했을것으로 보고 있다. 이 연구의 결과는 교대제의 해결방법은 장시간의 야간 노동시간을 가능한 없애는 것이며, 절대적 노동일(시간)과 노동강도를 줄여나가는 일이다. Background: The object of this study is to explore the relationships of working hours and work intensity with sleep disturbance among 12-hour shift workers in automobile factory in Korea. Method: A questionnaire and a sleep diary were distributed among 2200 (25% of total workers)and 300 workers who were randomly selected, 262 workers in one car factory. Among the 300 randomely selected workers, who were randomly selected, 262 workers filled out a sleep diary. For a questionnaire, 2200 (25%) among 8700 workers were randomly selected, 1200 (54% response rate) of whom filled out the questionnaire. The cross-sectional questionnaire and the sleep diary during 14 consecutive days were distributed and collected by workers' representatives, who were trained for participatory action research in this study. One hundred and sixty worker and used for the analysis in this study. Logistic regression analysis for repeated measurements was modeled using the prevalence of severe sleepiness at work (i.e. Karonlinska Sleepiness Scale 7 or higher) as dependent variable and working hours, sleep pattern, work intensity and health behaviours as independent variables. Results: The prevalence of severe sleepiness at the end of work was more than 60% after finishing night shift in the automobile factory. The main risk factors related to the severe sleepiness at the end of work were the night shift, long working hours more than 10 hours, the higher frequency of night shift per month, less free time between shifts, poor quality of sleep, deficit of sleeping hours and intensified work (reducing tendency of rest time per day and increasing tendency of additional working time) such as increasing tendency of absolute surplus value. Discussion: We suggest that the 12-hour shift system, long working hours, intensified work and poor quantity as well as quality of sleep were the main risk factor for the severe sleepiness among the shift workers in the automobile factory in Korea.