연중기획 / 한국사회를 진단한다 3 : 종교문제 - ' 교회 ' 주식회사가 된 복음의 성전

고현영 사회평론 1992 월간 사회평론 Vol.92 No.3

Health-Related Quality of Life and Cardiovascular Disease Risk in Korean Adults

고현영,이정권,신진영,조은이 대한가정의학회 2015 Korean Journal of Family Medicine Vol.36 No.6

Background: Health-related quality of life (HRQoL) is considered an important outcome measure in chronic diseases, in particular cardiovascular disease (CVD), which is known to be associated with impaired HRQoL. However, few studies have examined HRQoL in individuals at high risk of CVD. Methods: Using the Fifth Korea National Health and Nutrition Examination Survey 2010–2012, we analyzed data from 10,307 adults aged ≥30 years. The study subjects were stratified into 3 groups on the basis of their Framingham risk score—a 10-year estimate of CVD risk: <10.0% (low risk), 10.0%–19.9% (moderate risk), and ≥20.0% (high risk). The EuroQol-5D (EQ-5D) was used to evaluate HRQoL. Results: A significantly higher proportion of high-risk subjects than low-risk participants had impaired HRQoL (defined as the lowest quartile of the EQ-5D index); this held true even after adjustment for confounding factors in multivariable logistic regression analysis (men: odds ratio [OR], 1.62; 95% confidence interval [CI], 1.24–2.11; women: OR, 1.46; 95% CI, 1.02–2.08). In terms of the 5 EQ-5D dimensions, a 10-year CVD risk ≥20.0% was significantly associated with self-reported problems of mobility in men (OR, 3.15; 95% CI, 2.02–4.90), and of mobility (OR, 1.56; 95% CI, 1.09–2.24), self-care (OR, 2.14; 95% CI, 1.09–4.22), and usual activity problems (OR, 1.80; 95% CI, 1.17–2.78) in women. Conclusion: A high CVD risk is associated with impaired HRQoL. After adjustment for demographic and clinical factors, a 10-year CVD risk ≥20.0% is an independent predictor of impaired HRQoL in the general population; in particular, of mobility problems in men, and of mobility, self-care, and usual activity problems in women.

중환자실 환자를 위한 소매형 억제대의 개발 및 적용

고현영(Ko, Hyun-young),강지연(Kang, Jiyeon) 한국성인간호학회 2013 성인간호학회지 Vol.25 No.6

Validation Study for the Korean Version of Fear of Cancer Recurrence Inventory

신진영,구애진,고현영,김지혜,임승우,이한경,Sébastien Simard,송윤미 대한의학회 2017 Journal of Korean medical science Vol.32 No.11

Fear of cancer recurrence (FCR) is one of the most prevalent unmet psychosocial needs. This study aimed to confirm the cultural equivalence, reliability, and validity of the Korean version of Fear of Cancer Recurrence Inventory (K-FCRI). We conducted a forward–backward translation of the English version FCRI to Korean version through meticulous process including transcultural equivalence test. The psychometric property of the K-FCRI was then validated in 444 survivors from cancers at various sites. The Korean translation was accepted well by participants. There was a good cultural equivalence between the Korean version and the English version of FCRI. Confirmatory factor analysis supported the original seven-factor structure with slightly insufficient level of goodness-of-fit indices (comparative fit index = 0.900, non-normed fit index = 0.893, root mean square error of approximation = 0.060). The K-FCRI had high internal consistency (α = 0.85 for total scale and α = 0.77–0.87 for subscales) and test-retest reliability (r = 0.90 for total scale and r = 0.54–0.84 for subscales). The K-FCRI had significant correlations with the Korean version of Fear of Progression Questionnaire, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Version 3.0, Hospital Anxiety and Depression Scale, and Fatigue Severity Score, supporting the good construct validity and psychometric properties of K-FCRI. The K-FCRI was confirmed as a valid and reliable psychometric test for measuring FCR of Korean survivors from cancers at various sites.

CCTV 감시카메라 동영상에서 딥러닝을 이용한 녹화 일시정보 추출방법

최규식(Gyusik Choi),낭종호(Jongho Nang) 한국정보과학회 2022 한국정보과학회 학술발표논문집 Vol.2022 No.12

Educational Inequality in Obesity-Related Mortality in Korea

김미현,정최경희,고현영,송윤미 대한의학회 2017 Journal of Korean medical science Vol.32 No.3

The prevalence of obesity has been increasing worldwide, which raises concerns about the disease burden associated with obesity. Socioeconomic status (SES) has been suggested to be associated with obesity and obesity related diseases. This study aimed to evaluate the time trend in socioeconomic inequality in obesity-related mortality over the last decade in Korean population. We evaluated the influence of education level, as an indicator of SES, on obesity-related mortality using death data from the Cause of Death Statistics and the Korean Population and Housing Census databases. The rate ratio of the mortality of people at the lowest education level as compared with those at the highest education level (relative index of inequality [RII]) was estimated using Poisson regression analysis. Between 2001 and 2011, RII (95% confidence interval) for overall obesity-related disease mortality increased from 2.10 (2.02–2.19) to 6.50 (6.19–6.82) in men, and from 1.94 (1.79–2.10) to 3.25 (3.05–3.45) in women, respectively. Cause-specifically, the same trend in RII was found for cardiovascular mortality and mortality from diabetes mellitus, whereas the RII of mortality from obesity-related cancers in men did not show the similar trend. Subgroup analysis stratified by age revealed that the RII of obesity-related mortality was much higher in younger people than in older people. In conclusion, there has been persistent socioeconomic inequality in obesity-related mortality in Korea, which was more evident in younger people than in older people and has been deepened over the last decade especially for cardiovascular disease and diabetes.

악력과 심혈관 질환 위험도 간의 연관성: 2016년국민건강영양조사

조민경,김현정,고현영,이정권 대한가정의학회 2019 Korean Journal of Family Practice Vol.9 No.1

Background: The measurement of grip strength is a simple and inexpensive method to assess all-cause and cardiovascular mortality, as well as the risk of cardiovascular disease. We investigated the association between handgrip strength and the risk of cardiovascular disease in a nationally representative sample. Methods: Using the Seventh Korea National Health and Nutrition Examination Survey 2016, we analyzed data obtained from 3,266 adults aged 40–79 years, without cardiovascular disease at their baseline examination (1,421 men and 1,845 women). Relative handgrip strength was used for analysis and was calculated as the sum of the maximal absolute handgrip strength of both hands divided by the body mass index. We performed multivariate linear regression analysis to assess the association between handgrip strength and the 10-year risk of cardiovascular disease. The 10-year risk of cardiovascular disease was calculated using the American College of Cardiology/American Heart Association (ACC/AHA) Pooled Cohort atherosclerotic cardiovascular disease (ASCVD) Risk Estimator. Results: Multivariate linear regression analysis showed a significant association between handgrip strength and the 10-year risk of cardiovascular disease (%). After adjusting for confounders, an inverse association was observed between handgrip strength and the 10-year risk of cardiovascular disease in adults of both sexes (men: -1.29, women: -0.58). Conclusion: This study investigated the association between relative handgrip strength and the risk of ASCVD using ACC/AHA guidelines. We observed that increased relative handgrip strength may be associated with a better cardiovascular disease risk profile and lower 10-year cardiovascular risk among Korean adults aged 40–79 years. 연구배경: 악력 측정은 전체 사망, 심혈관계 질환으로 인한 사망 및심혈관계 질환을 예측하는 간단하고 저렴한 방법으로 알려져 있다. 이번 연구에서는 국민건강영양조사의 자료를 이용하여 악력과 심혈관 질환 위험 요인 및 심혈관 질환 10년 위험도간의 연관성을 조사해보고자 하였다. 방법: 본 연구는 2016년 시행된 제7기 1차년도 국민건강영양조사 결과를 활용한 단면연구로 40세에서 79세의 성인 3,332명을 대상으로하였다. 악력은 디지털 악력계(Digital grip strength dynamometer,T.K.K 5401, Japan)를 사용하여 측정되었고 상대적 악력(양손의 악력 최대값의 합을 체질량지수로 나눈 값)을 분석에 사용하였다. 악력과 심혈관 질환 10년 위험도의 연관성을 확인하기 위해 다변량 선형회귀분석을 하였으며 심혈관 질환 10년 위험도는 미국심장협회/미국심장학회 가이드라인(ACC/AHA guideline)에서 제시한 ASCVD10년 위험도를 사용하여 측정하였다. 결과:다변량 선형회귀분석결과 악력과 심혈관 질환 10년 위험도 사이에는 유의한 관계가 있는 것으로 확인되었다. 남녀 구분하여 분석을 진행하였으며 보정변수로 나이, 가구수입, 운동, 음주여부, 폐경여부(여성)를 고려하여 분석한 결과 악력이 높을수록 심혈관 질환10년 발생률은 낮은 것으로 확인되었다(men: -1.29, women: -0.58). 결론: 본 연구결과 악력의 높을수록 심혈관 질환 10년 발생률이 낮은 것으로 확인되었다.

통합적 고찰과 키워드 분석을 이용한 최근 10년(2008-2017) 동안의 국내 중환자간호 연구 동향 분석

강지연,김수경,조영신,고현영,백지현,이수진,Kang, Jiyeon,Kim, Soo Gyeong,Cho, Young Shin,Ko, Hyunyoung,Back, Ji Hyun,Lee, Su Jin 한국중환자간호학회 2018 중환자간호학회지 Vol.11 No.2

Purpose : The purpose of this study was to examine the possible direction of critical care nursing research in the future by analyzing the trends of recent Korean studies. Method : Using a database search, we selected 263 articles on critical care nursing that were published in Korean journals between 2008 and 2017. Then, we conducted an integrative review of the contents of the selected articles and analyzed the English abstracts using the relevant packages and functions of the R program. Results : The number of studies concerning critical care nursing has increased over the 10-year period, and the specific topic of each study has diversified according to the time at which it was conducted. In terms of quality, the majority of the research was published in high-level academic journals. The key words regularly studied over the past decade were: knowledge, delirium, education, restraint, stress, and infection. Studies related to vancomycin-resistant enterococci infection, compliance, and standards have decreased, while studies related to death, communication, and safety have increased. Conclusion : Randomized controlled trials and protocol research for evidence-based critical care need to be conducted, as does research on family involvement. The key word analysis of unstructured text used in this study is a relatively new method; it is suggested that this method be applied to various critical care nursing research and develop it methodologically.

Factors Associated with Depression Assessed by the Patient Health Questionnaire-2 in Long-Term Cancer Survivors

구애진,송윤미,신진영,고현영 대한가정의학회 2016 Korean Journal of Family Medicine Vol.37 No.4

Background: This cross-sectional study aimed to evaluate the prevalence of depressive disorders and factors associated in long-term cancer survivors. Methods: A total of 702 long-term cancer survivors over 5-years in remission were recruited in a university-affiliated tertiary hospital in Korea. Self-report using the Patient Health Questionnaire-2 and the Fatigue Severity Scale assessed depression and fatigue, respectively. Demographic characteristics, cancer-related clinical characteristics, comorbidity, health behaviors, and physical symptoms were assessed through the review of medical records or a structured self-administered questionnaire. Results: We identified 26.1% of patients who had a depressed mood or displayed a loss of interest. The most prevalent primary site of cancer was the stomach (65.2%), followed by lung, breast, colorectal, and thyroid cancer. We also found that 5.7% of subjects experienced double or triple primary cancers. Larger proportion among depressive group (89.1%) complained at least one physical problem than among non-depressive group (53.2%). Physical symptoms including sleep problems, dry mouth, indigestion, pain, decreased appetite, and febrile sense were more frequent in the depressive group than in the non-depressive group. The Fatigue Severity Scale scores were higher in the depressive group than in the non-depressive group (P<0.001). Multiple logistic regression analysisshowed that the highest tertile level of fatigue (odds ratio, 7.31; 95% confidence interval, 3.81–14.02) was associated with the increased risk of depression. Conclusion: These findings suggest that careful concern about depression is necessary in long-term cancer survivors. Fatigue may be a surrogate sign for depression, and warrants further evaluation.

The Risk of Microalbuminuria by Obesity Phenotypes according to Metabolic Health and Obesity: The Korean National Health and Nutrition Examination Survey 2011–2014

최인영,문희선,강소영,고현영,신진영,이정권 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.3

Background: The present study aimed at identifying the difference in the risk of microalbuminuria among individ-uals with various obesity phenotypes in terms of metabolic health and obesity.Methods: This cross-sectional study included 15,268 individuals and used data from the National Health and Nu-trition Survey conducted from 2011 to 2014. Obesity was defined as body mass index ≥25 kg/m². Metabolically un-healthy was defined as meeting two or more of the following criteria: systolic and diastolic blood pressure ≥130/85 mm Hg or current use of hypertensive drugs; triglyceride level ≥150 mg/dL; high-density lipoprotein level <40/50 mg/dL (in both men and women); and fasting blood glucose level ≥100 mg/dL or current use of oral antidiabetic medications. The participants were further classified into four subgroups: metabolically healthy non-obese (MHNO), metabolically healthy obese (MHO), metabolically unhealthy non-obese (MUNO), and metabolically unhealthy obese (MUO).Results: A significant difference was observed in the microalbuminuria ratio among the four groups. The MHNO group was considered as the reference group, and the MHO, MUNO, and MUO groups were at an increased risk for microalbuminuria by 1.42 fold (95% confidence interval [95% CI], 1.03–1.96), 2.02 fold (95% CI, 1.61–2.53), and 3.40 fold (95% CI, 2.70–4.26), respectively, after adjusting confounding factors.Conclusion: The MUNO group had a higher risk of developing microalbuminuria than the MHNO group. Thus, based on this result, differences were observed in the risk of developing microalbuminuria among individuals with various obesity subtypes.