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일부 농촌지역 노인들의 인지 장애에 관련된 요인에 관한 연구
고광욱,조병만,이수일,김돈균,조봉수,김영욱,김영실,강수용,Koh, Kwang-Wook,Cho, Byung-Mann,Lee, Su-Ill,Kim, Don-Kyoun,Cho, Bong-Su,Kim, Yeung-Wook,Kim, Young-Sil,Kang, Su-Yong 대한예방의학회 1996 예방의학회지 Vol.29 No.3
경상남도 일부 지역에서 60세 이상 노인들의 MMSE에 의한 인지 장애 유병률을 조사하고 인지 장애에 영향을 미치는 요인들을 조사하여 다음과 같은 성적을 얻었다. 1. MMSE에 의한 인지 장애의 유병률은 35.9%로 남자에서 18.4%, 여자에서 45.2%였다. 2. 인지 장애 유병률은 여자에서 유의하게 높았고(p=0.02) 무학력자와 문맹자의 인지 장애 유병률이 통계적으로 유의하게 높았다(p=0.03). 3.성별과 교육 수준에 따른 층화 분석에서 알루미늄의 인지 기능에 대한 독성 효과와 칼슘의 보호 효과에 대한 전체적으로 일정한 경향은 관찰되지 않았다(p>0.05). 4. 최종 분석 대상자 전체에서 음용수 중의 알루미늄과 인지 기능 검사 점수간의 상관 계수는 -0.066으로서 미약한 음의 상관관계에 있었으나 통계학적인 유의성은 보이지 않았고(p=0.434), 칼슘과 MMSE 점수와의 관계에서도 기대했던 바의 양의 상관관계는 관찰할 수 없었다. To investigate the factors which affecting the cognitive impairment of the 60 or more age group, the authors surveyed for the subjects in some area of Kyungnam Province. 201 studied subjects were tested for cognitive function with mini-mental state examination(MMSE). Information on demographic characteristics and life style has been collected through direct interview. The concentration of Ai and Ca of subject's drinking water, which might be related with cognition, was measured by Inductively Coupled Argon Plasma Spectrometer. The main results were summarized as follows. 1. The prevalence rate of cognitive impairment was 18.4% in male and 45.2% in female and this sexual difference was statistically significant(p=0.03). And the uneducated or illiterated showed significantly high prevalence rate of cognitive impairment(p=0.02). 2. In stratified analysis by sex md education year, we can not see significant trend indicating the neurotoxic effects of aluminum and protective effects of calcium to the cognitive function(p>0.05). 3. The correlation between the concentration of aluminum in drinking water and the MMSE score in whole subjects showed weak negative relationship(r=-0.066). But there was no statistical significance(p=0.434).
고광욱(Koh, Kwang-Wook) 대한운동학회 2006 아시아 운동학 학술지 Vol.8 No.2
신체활동 부족은 질병과 사망의 주요한 위험인자이나 이에 대한 인식과 연구가 부족하여 건강보험급여을 이용하여 개략적 의료비를 추산하여 보고자 하였다. 연구의 방법은 미국보건복지부의 개략적 추산법을 이용하여 관련 질병을 선정하여 건강보험통계의 입원 및 외래 급여비를 합산하고 기존 연구를 통해 알려진 인구집단 기여위험도를 적용하여 신체활동 부족 관련 의료비를 추산하였다. 연구의 결과 입원과 외래를 합하여 인슐린 비의존 당뇨병, 무릎관절증, 협심증, 우울병, 급성심근경색증, 결장암, 유방암, 직장암 순의 분포를 보였고 여기에 인구집단 기여위험도를 적용하면 인슐린 비의존 당뇨병, 협심증, 급성심근경색증, 결장암, 직장암, 유방암의 순으로 총 205,211,206천원의 의료비가 신체활동 부족에 기인한 것으로 추정되었다 결론 및 제언으로는 개략적 적용에 의한 의료비 추산시 당뇨병, 허혈성심질환, 대장암, 유방암의 의료비 부담이 큰 것으로 나타나 이에 대한 지속적 모니터링 및 보완연구가 필요하다. Although Physical inactivity is major risk factor of morbidity and mortality, awareness and research is not much. So approximate estimation using health insurance data and population attributable risk rate was tried. regarding the research methods, diseases were selected after the method of United States Department of Health and Human Services. Medical costs were estimated by cost of treatment benefit of National Health Insurance Corporation. Population attributable risk rate applicated to the above cost. According to the result, cost of treatment benefit of Insulin non-dependant diabetes mellitus(NIDDM), arthritis of knee, angina pectoris, depression, acute myocardial infarction, rectal cancer, breast cancer were high in order. Cost of treatment benefit due to physical inactivity were estimated 205,211,206 thousand won in order of NIDDM, angina, acute myocardial infarction, colon cancer, rectal cancer and breast cancer. In short medical cost of NIDDM, Ischemic heart disease, cancer of large intestine and breast cancer were high in Republic of Korea and continuous monitoring and complementary research is needed.
고광욱(Kwang Wook Koh),김혜숙(Hye Sook Kim) 도시건강학회 2023 도시건강연구 Vol.2 No.2
Although Korean Healthy Cities have shown rapid growth in number, there is still no official Healthy Cities guideline developed in Korea. Before the Healthy Cites article of Korean Health Promotion Act comes into effect in 2023 December, it is important to review the two official Healthy Cities guidelines published by World Health Organization Western Pacific Regional Office(WPRO). The first official guideline which reflects actions during the early pilot Healthy Cities projects is written by pioneers from academia and by staff at the WHO. The guideline still has implications today regarding the common steps according to the three phases of developing a healthy city. The second official guideline added many useful tools for partner mobilization and situation analysis in addition to strategic objectives and other resources. By reviewing these official Healthy Cities guidelines, the Korean Healthy Cities Partnership and the Academy of Urban Health would be able to add value to the development of Korean Healthy Cities.
고광욱(Kwang Wook Koh),김혜숙(Hye Sook Kim) 도시건강학회 2022 도시건강연구 Vol.1 No.1
Although Healthy City Jinju has relatively long history among Korean Healthy Cities academic case reporting has not been done yet. Using the SPIRIT checklist of Alliance for Healthy Cities, evaluation was conducted with practitioners of Jinju. The SPIRIT checklist is formal evaluation tool of Alliance for Healthy Cities for Healthy Cities since its foundation. Healthy City Jinju has three stages of development. Some elements of the SPIRIT checklist showed very good performance but according to the leadership change of the city and the lead agency, the framework of Healthy Cities programmes were substantially changed. According to the amendment of Korean Health Promotion Act in 2021, a full-fledged Healthy Cities approach based on international standards is required.
고광욱(Kwang Wook Koh),김혜숙(Hye Sook Kim) 도시건강학회 2022 도시건강연구 Vol.1 No.1
Korea has experienced rapid change and urbanization rate in 2018 is 90.8% and faces challenges in issues such as suicide, quality of life, rapid ageing, low birth rate, climate change and pandemics. In this paper, we reviewed the evolution of Korean Healthy Cities and explored new way through literature reviews. The unprecedented rate of urbanization and population growth have been supplemented with Primary Health Care and Health Promotion of World Health Organization. Korean Healthy Cities Partnership also has grown rapidly since 2006 and many organizations have played diverse roles and finally National Health Promotion Act amended to include Healthy Cities in 2021. The Korean Health Plan 2030 also include Health in All Policies as basic principles. Climate change and pandemic requires another paradigm change in Healthy Cities. So Korean Healthy Cities needs new directions based on ‘Essential Healthy Cities action domains’ in governance, inequalities, supportive environments, plan for urban preparedness, readiness and response in public health emergencies etc.