일부 지역 의사들의 흡연실태와 금연지도활동에 대한 조사연구

김기순,강명근,박형철,김진선,류소연,Kim, Ki-Soon,Kang, Myung-Gun,Park, Hyung-Cheol,Kim, Jin Sun,Ryu, So-Yeon 대한예방의학회 2003 예방의학회지 Vol.36 No.3

Objectives : The purposes of this study were to assess the smoking status, knowledge and attitude related to smoking and smoking cessation activity of the physicians in a community, and to identify their predictors of smoking cessation activity. Method : All physicians employed by various health facilities in a community were surveyed using a structured questionnaire. Of the physicians surveyed,523 (69.6%) returned completed questionnaires. Results : The smoking rate of physicians was 29.3% (34.2% in males, 3.6% in females) and the knowledge and attitude scores to smoking were $22.5{\pm}2.4\;and\;65.4{\pm}0.9$, respectively. The self-efficacy score was $3.4{\pm}1.0$ and the smoking cessation activity score was $65.4{\pm}6.9$. The smoking cessation activity was statistically significant with working place, specialty, knowledge and attitude to smoking and self-efficacy. In stepwise multiple regression, smoking cessation activity was predicted by doctors' working place, specialty, attitudes related to smoking issues, and self-efficacy of counseling knowledge and stills. Conclusion : Physicians need to participate routinely and actively in smoking cessation activity. For doctors to effectively counsel and intervene in patients regarding smoking cessation, it is essential to integrate education un smoking cessation intervention into curricula in formal education and to offer continuing education including smoking cessation intervention.

우리나라 직장인 스트레스의 역학적 특성

장세진,강명근,차봉석,박종구,현숙정,박준호,김성아,강동묵,장성실,이경재,하은희,하미나,고상백,Chang, Sei-Jin,Kang, Myung-Gun,Cha, Bong-Suk,Park, Jong-Ku,Hyun, Sook-Jung,Park, Jun-Ho,Kim, Seong-Ah,Kang, Dong-Mug,Chang, Seong-Sil,Lee, Kyung-Jae 대한예방의학회 2005 예방의학회지 Vol.38 No.1

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.

우리나라 직장인 피로의 역학적 특성

장세진,강명근,현숙정,차봉석,박종구,박준호,김성아,강동묵,장성실,이경재,하은희,하미나,고상백,Chang, Sei-Jin,Kang, Myung-Gun,Hyun, Sook-Jung,Cha, Bong-Suk,Park, Jong-Ku,Park, Jun-Ho,Kim, Seong-Ah,Kang, Dong-Mug,Chang, Seong-Sil,Lee, Kyung-Jae 대한예방의학회 2005 예방의학회지 Vol.38 No.1

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 (<1,000 employees). Conclusions : These results suggest that fatigue has been considered as a common complaint, and that it is affected by job-related factors like work hours and the workplace size as well as sociodemographics or health-related behaviors. Further research is needed to clarify the effects of fatigue on adverse health outcomes, work performance, work disability, sick absence and medical utilization, and to examine the relationship of job characteristics (e.g.: work demand, decision latitude) to fatigue.

일부 지역주민의 비만 수준과 비만 관련요인

박종구(Jong Ku Park),고상백(Sang Baek Koh),강명근(Myung Gun Kang),김진백(Jin Back Kim),현숙정(Sook Jung Hyun),홍주희(Ju Hee Hong),박준호(Jun Ho Park),장세진(Sei Jin Chang) 한국역학회 2004 Epidemiology and Health Vol.26 No.2

Objective: The aim of present study was to assess the distribution and correlates of obesity in a Korean rural people using both body mass index(BMI) and body far percent. Methods: A total of 1,243 participants were recruited using a two-staged stratified sampling. A structured questionnaire was used to ask their sociodemographics (gender, age, marital status, educational background, and etc.) and health-related behaviors (smoking, drinking, and regular exercise etc.). The data of weight-for height, and body fat percent were also collected by physical examination. POI' the estimation and analysis of con-elates of obesity, we used BMI(≥25kg/㎡) and body fat percent(male≥25%, female≥30) as a cut-point of obesity. All analyses were stratified to three age groups(<20,20-39,40≥). Results: The prevalence of obesity in this study was higher than that in previous studies. This study showed that 32.6% (male: 33.7%, Female: 31.7%) of participants according to BMI, and 45.6% (male: 43.8%, female: 47.4%) of them according to body fat percent were obese group. Logistic regression analysis showed that, in the criteria of BMI, while obesity was associated with female and low educational background under the age of 40, prevalence of obesity was higher in non smokers over the age of 40. In case of body fat percent crteria, single(unmarried, divorced, separated, widowed) were more likely to be obese in male aged 20 to 39 years. In the group aged 40 years and over, risk of obesity was higher in female than in male. Conclusion: This result suggests that obesity is common in Korean rural areas, especially among adolescents and female aged 40 years or over, and the risk factors for obesity were different by age. It is required that health management program focusing on obesity and its adverse outcomes should be developed in a community setting.

방광암과 Glutathione S transferase mu (GSTN1) 유전적 다형성에 관한 메타분석

고상백(Sang Baek Koh),차봉석(Bong Suk Cha),박종구(Jong Ku Park),김춘배(Chun Bae Kim),강명근(Myung Gun Kang),김기웅(Ki Woong Kim),이원진(Won Jin Lee),장성훈(Soung Hoon Chang) 대한직업환경의학회 1999 대한직업환경의학회지 Vol.11 No.1