주관적 건강인식과 건강검진 결과의 비교분석을 통한 건강행위 연구

문상식,이시백 韓國保健敎育.健康增進學會 2001 보건교육건강증진학회지 Vol.18 No.3

The purpose of this study is to analyze health behavior by comparing the difference between self-perceived health status and health examination results. The study subjects consist of 7,702 people aged over 20, surveyed by Health Interview survey, Health Examination survey, Dietary Life survey, Health Consciousness and Behavior survey Data used in the study are drawn from raw data from a 1998 National Health and Nutrition survey. Goneral characteristics variables are sex, age, education level, residential area, marital status, occupation, and living standard while dichotomous variables, 'not healthy' and 'healthy' are used to measure self-perceived health status. Variables for health examination results are high blood pressure, high cholesterol, diabetes, liver diseases, liver inflammation, kidney diseases, normal weight, regular diet, optimum sleeping time(7-8 hours), regular health examination and health behavior practice group. Major findings of the study are as follows: 1)Analysis of self-perceived health status and health behavior by disease : Variables significantly correlated with high self-perceived health status have strong associations with high health behavior practice, which supports the hypothesis that as one has high self-perceived health status, one is more likely to practice health promoting behavior. The results of analysis of health behavior differences by dividing subjects into two categories, 'cases of illness' and 'cases of no illness' indicate that drinking, sleeping time, health examination are significant variables (p<0.001, 0.05) whereas smoking, weight control, regular exercise, regular diet are not significant. 2)Analysis of disparity patterns between self-perceived health status and health examination : The hypothesis that health behaviors would be different according to the disparity pattern between self-perceived health status and health examination is supported as a result of χ2 test. Among Type I : Self-perceived health status is high and actual health status is good (no disease) Type II : Self-perceived health status is high and actual health status is poor(have disease) Type III : Self-perceived health status is low and actual health status is good(no disease) Type IV : Self-perceived health status is low and actual health status is poor(have disease) Type I and Type IV show no disparity, Type I shows the highest health promoting behavior whereas Type IV shows the lowest health promoting behavior Type II, and III, compared to Type I, practise lower health promoting behavior Multi-logistics regression analysis was conducted to find out the degree of impact on health behavior. Independent variables are goneral characteristics, self-perceived health status and health examination result and presence of illness, while the dependent variable is health promoting behavior. The analysis of the impact of self-perceived health status on the health promoting behavior shows that smoking, drinking, weight control, regular exercise, health examination practice, and/or regular diet are significantly correlated to self-perceived health status, High self-perceived health status is inversely related to high health promoting behavior. This finding supports the hypothesis that the higher one perceives one's health, the more likely one is to practice health promoting behavior. On the contrary, the presence of illness has little impact on health promoting behavior. 3)Multiple logistics analysis on how disparity patterns between self-perceived health status and health examination affect health behavior : The results of multiple logistics analysis made on health behavior variables compared to the standard variable are as follows: When analyzed on the standard of Type I, smoking is a significant risk factor for the Type IV. In case of drinking, all the patterns show a high probability of relative task ratio. With regard to weight control, it is a risk factor for Type II while all the patterns show high probability of not practising when analyzed on the standard of type IV.Type III and IV show high probability of not doing regular exercise while Type IV, shows a high probability of not taking appropriate sleeping time. When analyzed on the standard of type IV, all the patterns show a high probability of not taking health examinations. Type III and IV show a high probability of not having regular meals. As for overall health promoting behavior, Type III and IV show a high relative risk ratio. These two groups have low self-perceived health status. It implies that self-perceived health status has significant impact on health promoting behavior. This is also supported by the fact that Type I with high self-perceived health status and no illness shows a high practice rate of health promoting behavior. Types II and III the groups with high disparity between self-perceived health status and health examination results, show a low practice rate of health promoting behavior when compared to Type I. Type IV, that is the group with low self-perceived health status and actual illness, shows the lowest practice of health promoting behavior. It is highly probable that this type proves to be the poorest health group.

우리나라 건강증진 관련 조사·연구의 방향설정

문상식 서울大學校保健大學院 1998 國民保健硏究所硏究論叢 Vol.8 No.2

There are five research areas in health promotion: 1) planning, policy making, and evaluation of health promotion programs; 2) healthy lifestyle practice research; 3) safety education research: 4) disease prevention research; and 5) health promotion related information and data service research The first research area is about planning and evaluation of health promotion programs and policy development. For the planning and evaluation of a health promotion program, it includes both of short and long term plans, conceptual model development, and process and outcome evaluation. For the policy development, the research is on health management system for different life stages, resources and manpower development, and health promotion related law and regulations. The second is healthy lifestyle practice research. This includes the development of a program and/or a framework for the programs to encourage healthy lifestyle change, and program development of community organization participation and manpower for the programs. The examples for the programs are smoking cassation, moderate alcohol consumption, nutrition,, physical activity, family planning, mental health, drug abuse prevention and treatment through carefully designed health promotion programs and various types of health communication. The third is personal and work place safety education research. The research includes evaluation the facilities and the regulations to protect people's health, encouraging health promotion programs at a work place, and developing dental hygiene programs and regulations, accident prevention programs, and food safety programs. The fourth includes disease prevention research. The research requires epidemiological research on cardiovascular diseases, circulatory diseases, diabetes, arthritis, AIDS, sexually transmitted disease, maternal and infant health, Also, the research includes the evaluation of disease prevention programs. The last is health promotion related information and data service research. This area include providing actual data from the surveys on national health knowledge and behaviors such as utilizing medical care system, people's nutrition status, nation health care expenditure, physical activity, smoking status and alcohol consumption, and dental hygiene. In addition, the research includes the establishment of a database for health education campaigns, of infra structure between health promotion related institutes and organizations, detection programs for disease and health risk behaviors.

우리나라 65 세 이상 노인의 건강수준 : 여성노인의 질병상태, 와병수준, 활동제한을 중심으로

문상식,남정자 韓國老年學會 2001 한국노년학 Vol.21 No.1

본 연구는 노년기 유병상태, 급성질환, 만성질환, 활동제한실태를 분석하는데 있으며, 분석자료는 1998년 국민건강영양조사원 자료이다. 남자의 83%, 여자의 91%가 만성질환을 갖고 있는 것으로 조사되었다. 남자보다 여자에게서 많은 질환은 근골격계, 정신신경계, 순환기계, 내분비계, 혈액조혈기 질환 등이었고, 여자보다 남자에게서 많은 질환은 신생물, 호흡기, 비뇨생식기계 질환 등이었다. 65세 이상 여성의 58%가 의사진단기준 근골격계질환을 갖고 있는 것으로 나타나, 남자(30%)보다 근골격계질환의 유병률이 매우 높았다. 특히 관절염 유병률은 38%, 요통·좌골통 유병률은 25%로 매우 높은 유병상태를 보이고 있다. 검진조사 결과 남자의 45%, 여자의 58%가 고혈압인 것으로 분류되었다. 그러나 의사진단 고혈압유병률은 각각 9%와 15%로 나타나 차이가 컸으며, 고혈압을 위한 의료이용이 제대로 이루어지지 않고 있는 것으로 유추된다. 여자의 고지혈증 비율이 남자의 약 3배나 되었다. 일년중 남자는 평균 37일, 여자는 평균 44일을 활동제한상태에 있으며, 남녀별로 각각 22일과 24일을 침상와병상태로 지내는 것으로 나타났다. 특히 75세 이상 연령층의 활동제한일수는 연평균 남자 61일, 여자 56일이었고, 침상와병일수는 남자39일, 여자 35일로 나타났다. 주요활동제한자의 비율도 남자12%, 여자16%로 여자노인이 주요활동의 제한을 더 많이 받고 있었으며, 75세 이상 연령층에서는 남자의 22%, 여자의 28%가 주요활동의 제한을 받고 있었다. 표준체중 백분율을 기준으로 한 여성의 비만비율은 31%로 남성의 5.2%에 비해 매우 높았다. The purpose of this study was to compare prevalence of acute and chronic disease and disability between elderly (over sixty-four) women and men. This study utilized data from the Korean National Health and Nutrition Survey of 1998. The findings of the study are as follows: There were chronic diseases in 83% and 91% of men and women, respectively. Much more women than men had diseases that represented diseases of the musculoskeletal, mental and nervous, circulatory, or endocrine systems or hematogenesis. The men had neoplasm or diseases of respiratory, urinary or genital organs. Specifically, there was high difference in prevalence of musculoskeletal disease (by doctor diagnosis) of 58% in elderly women and 30% in elderly men. Moreover, women had a higher prevalence of arthritis, lumbago and ischiadynia than men, 38% and 25% respectively. By result of health examination, men and women had hypertension rates of 45% and 58% respectively, but in consequence of doctor diagnosis, prevalence was only 9% and 15%. The cause of this discrepancy can be inferred as poor medical utilization. Women's hyperlipemia rate was three times that of men. On the other hand, men and womens period of disability was 37 days and 44 days per year respectively. Furthermore, their number of days sick in bed were 22 and 24. Specially, for those over 75 years, disability and sick in bed days for men and women were 61 days and 39 days and 56 days and 35 days respectively. Also, the difference in obesity rate was very high: womens rate was 31% while men's rate was only 5.2%.

우리나라 出生性比에 대한 推定分析

文相植,李時伯 서울大學校保健大學院 1995 國民保健硏究所硏究論叢 Vol.5 No.1

Major findings of the study are summarized as follows: The results of the examination of Census (0-4 age) show that Census data lack an accuracy in the sense that the population of 1985-1990 were increased in comparison with the previous years. The comparison of actual sex ratios with the expected ones shows that actual sex ratios are higher that expected ones in almost every region, which made the presumption that there was a delay in the reporting of births of daughters possible. The difference between actual sex ratios and expected ones is wider in urban area than in rural area. The data of 1985 Census were more accurate than those of 1990 Census. It is presumed that there were more overlapping reportings in 1990. The comparison of the sex ratio of 1981 with those of accumulated years shows that the sex ratio difference was 2.8, which was decreased to 0.2 in 1991. The birth reports of children were made at the proper times and the difference in sex ratio was decreased. These facts explain that the birth reports of sons and daughters were made at the proper times. The examination of Census data in comparison with Vital Statistics shows that the data of 1985 were more accurate than those of 1990. The difference between the actual sex ratios and the expected ones is wider in 0 age group than in the age bracket of 1-4.

청소년 비행에 영향을 미치는 요인 분석

문상식 ( Moon Sang Shik ),문재우 ( Moon Jae Woo ) 대한보건협회 2011 대한보건연구 Vol.37 No.2

Objectives: The purpose of this study was to analyze determinants of adolescents` delinquent behavior. Methods: For this purpose the survey was conducted on 600 middle and high school students in Seoul from November 1 to December 31 in 2010. Data analyses were carried out using SPSS Ver. 12.0 software. Results: The major findings of this study are as fellows; First, juvenile delinquency as a dependent variable had a positive correlation with sex, living with parents, abuse, neglect, and family conflict. Also Juvenile delinquency had a negative correlation with school life satisfaction, life satisfaction, school adjustment, self-esteem. Second, Abuse and neglect showed a high correlation(r=0.404), juvenile delinquency, abuse and neglect showed a high correlation. Especially abuse showed a higher correlation with juvenile delinquency ((r=0.527), p<0.01). Third, family conflict were highly correlated with neglect(r=0.398). Fourth, school adjustment had a negative effect on delinquency(beta=-0.113). Conclusion: In conclusion, the most significant impact on juvenile delinquency was abuse and neglect. And this study shows that the successful adjustment to school life will reduce juvenile delinquency.

IT환경 변화에 따른 한국의 오픈소스 소프트웨어의 정책방향 연구

문상식(Sang-Sik Moon),김기홍(Gi-Hong Kim) 한국인터넷전자상거래학회 2014 인터넷전자상거래연구 Vol.14 No.1

The purpose of this study is to suggest the policy direction of Korea"s open-source software with the consideration of the change of IT market where the importance of mobile computing increases rapidly. As is well known, the source code of open-source software is open publicly so that anyone can use, change and distribute this software. It has comparative advantage in its production cost due to its unique way of production, and currently is regarded as a momentum to open a new technological breakthrough. The portion of mobile market was almost nothing when the policy of open-source software was initially being established. However, the change of IT market toward mobile computing makes it inevitable to change its policy direction toward developing new open-source mobile OS, which must be considered simultaneously with the build-up of mobile eco-system since no success of mobile OS without the efficient mobile eco-system. From this respect, Korean government should devise some ways how to cooperate with private enterprises in developing this software.

휴대전화를 중심으로 한 사하라 이남 아프리카의 정보격차 분석

문상식(Sang-Sik Moon),김기홍(Gi-Hong Kim) 한국인터넷전자상거래학회 2016 인터넷전자상거래연구 Vol.16 No.3

The purpose of this paper is, first of all, to analyze the diffusion of cell phones from the perspective of digital divide, to explain their economic characteristics surrounding their diffusion in SSA, and finally to analyze factors determining their diffusion within SSA countries. The result of analysis can be summarized as follows. First, the digital divide between SSA and high income countries has been decreased during 2000-2013 in all the areas. The digital divide in the areas of cell phones and number of internet users has been greatly decreased. While the number of internet users has a characteristics of stratification, the diffusion of cell phones has that of normalization in the Norris model. Secondly, the diffusion of cell phones in SSA has a feature of leapfrog spread: the speed of their diffusion is very rapid. Cell phones in SSA have played a role of providing inhabitants with means to participate in economic activities in this region. Thirdly, the main factors to determine the level of diffusion of cell phones in SSA have proved to be an income level and the ratio of urbanization.

외사면 치은 절제술을 이용한 약물 유도성 치은 비대의 치료: 임상증례

김현성 ( Hyun Sung Kim ) , 문상식 ( Sang Sik Moon ) 조선대학교 구강생물학연구소 2006 Oral Biology Research (Oral Biol Res) Vol.30 No.3

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상악 전치부위에서의 치관연장술: 임상 증례

최성미 ( Seong Mi Choi ) , 문상식 ( Sang Sik Moon ) , 강순원 ( Soon Won Kang ) 조선대학교 구강생물학연구소 2006 Oral Biology Research (Oral Biol Res) Vol.30 No.2

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서울시민의 건강행위실천 수준(II)

김혜련,문상식 한국보건사회연구원 2002 보건복지포럼 Vol.73 No.-