소셜 빅데이터를 이용한 낙태의 경향성과 정책적 예방전략

박명배,채성현,임진섭,김춘배,Park, Myung-Bae,Chae, Seong Hyun,Lim, Jinseop,Kim, Chun-Bae 한국보건행정학회 2017 보건행정학회지 Vol.27 No.3

Background: The purpose of this study is to investigate the trends on the induced abortion in Korea using social big-data and confirm whether there was time series trends and seasonal characteristics in induced abortion. Methods: From October 1, 2007 to October 24, 2016, we used Naver's data lab query, and the search word was 'induced abortion' in Korean. The average trend of each year was analyzed and the seasonality was analyzed using the cosinor model. Results: There was no significant changes in search volume of abortion during that period. Monthly search volume was the highest in May followed by the order of June and April. On the other hand, the lowest month was December followed by the order of January, and September. The cosinor analysis showed statistically significant seasonal variations (amplitude, 4.46; confidence interval, 1.46-7.47; p< 0.0036). The search volume for induced abortion gradually increased to the lowest point at the end of November and was the highest at the end of May and declined again from June. Conclusion: There has been no significant changes in induced abortion for the past nine years, and seasonal changes in induced abortion have been identified. Therefore, considering the seasonality of the intervention program for the prevention of induced abortion, it will be effective to concentrate on the induced abortion from March to May.

계층 분석적 의사결정 방법(AHP)에 의한 건강도시 사업 평가기준의 우선순위 결정에 관한 연구

박명배(Myung-Bae Park),남은우(Eun-Woo Nam),이해종(Hae-Jong Lee),신택수(Taek-Su Shin) 한국보건교육건강증진학회 2008 보건교육건강증진학회지 Vol.25 No.3

한국의 국제개발협력 연구 동향 분석: 보건 분야의 시각에서 (2000-2014)

박명배 ( Myung Bae Park ),신정우 ( Jeong Woo Shin ),남은우 ( Eun Woo Nam ) 대한보건협회 2014 대한보건연구 Vol.40 No.4

연구목적 : 본 연구의 목적은 국제보건개발과 관련된 논문을 체계적으로 고찰하고, 이를 바탕으로 국제보건개발 연구의 동향과 문제점 등을 파악하는 것이다. 연구방법 : 연구대상은 2000년부터 2014년 6월 말까지 국내에서 발표된 국제보건개발 및 ODA 관련 논문이다. 체계적 문헌고찰을 위해 PRISMA의 모형 흐름도를 이용하였으며, 문헌 검색은 COSI model을 사용하였다. 연구결과 : 총 37편의 논문이 최종 조사 대상으로 선정되었다. ODA 관련 논문은 평균적으로 매년 2.5편의 수준이며, 최근 3년간 급격히 증가하는 추세이다. 지역별로는 살펴보았을 때, 아프리카를 대상으로 하는 논문이 10편으로 많은 편이었다. 주제별로는 시스템에 관한 것이 16편으로 가장 많았고, MDGs 4, 5, 6번과 MDGs 4, 5번을 동시에 다룬 논문도 각각 6편에 해당되었다. 지역별 분류된 논문의 수는 지원된 국가의 수와 유의미한 상관관계가 있었다. 핵심어는 총 96개였으며, 중복된 단어를 제외하면 78종류의 핵심어가 있었다. 결론 : 국내에 발표된 국제보건개발 분야 연구는 대부분 ODA의 이론, 이행 체계, 정책 제안과 같은 기술형 논문에 치중되어 있다. 향후에는 공여국으로서의 경험을 나누고, 실증적인 연구에 기반한 논문, 비용 편익 분석, 비용 효과분석, clinical trial등의 근거에 기반한(evidence based)연구 논문이 많이 생산될 필요가 있다. Objective : The aim of this study is to investigate the trend and challenges of research in international development cooperation in health based on a systematic review. Methods : Selected articles focus on international development cooperation on health, and published on domestic scientific journals from 2000 to June 2014. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow chart was used for the systematic review and the COSI model was used for searching literature. Results : Thirty-seven articles were finally selected for the analysis. Articles related to the Official Development Assistance (ODA) issue was published 2.5 times in average during that period. However, the number of articles increased dramatically in recent 3 years. Most articles (10 of 37) studied on Africa areas rather than Asia, Central and South America and so on. Sixteen articles focused on the ODA system, and 6 articles focused on Millenium Development Goals (MDGs) in general (MDGs 4, 5, and 6) or partially (MDGs 4 and 5). The number of articles and number of recipient countries are significantly related. 96 keyword was found on 37 articles in total, and 18 words are duplicated among them. Conclusion : Most of the ODA articles published in Korea are focusing on descriptive study regarding theory, system and policy suggestion. However, it is necessary to concentrate on empirical analyses and share experiences as a donor country.

우리나라와 경제협력개발기구 국가들의 건강결정요인 비교분석

박명배 ( Myung-bae Park ),문지영 ( Ji Young Moon ),김진리 ( Jin Ri Kim ),남은우 ( Eun Woo Nam ) 한국보건행정학회 2018 보건행정학회지 Vol.28 No.2

Background: This study aims to utilize Organization for Economic Cooperation and Development (OECD) data to identify macroscopic determinants of health at national level and to utilize it in health policy development through comparison and analysis with Korea. Methods: The potential years of life lost (PYLL) were used as dependent variables and 19 indicators were selected as health determinants to be independent variables based on the results of previous studies. Data analysis was done using SAS ver. 9.4 package (SAS Institute Inc., Cary, NC, USA) and model used in technical statistics concerning PYLL by countries, multi-linearity test between independent variables and OECD economic studies were modified and used. Results: From 1994 to 2012, the average PYLL for OECD countries was 4,262.9 years, the highest in Estonia and the lowest in Iceland. As a result of the analysis using the fixed effect model, the significant variables affecting PYLL were four variables: gross domestic product, nitric oxide, tobacco consumption, and number of doctors. The health determinants that had more influence on the PYLL of Korean people compared to other OECD countries were tobacco consumption, calorie consumption, fat intake and total health expenditure. Conclusion: In order to effectively reduce unnecessary deaths, we must continue to strengthen our smoking policy and nutrition policies such as calorie and fat intake. It is necessary to prevent the increase of total health expenditure due to the increase in the prevalence of chronic diseases and to strengthen the public health aspect.

자가응답과 코티닌 측정에 의한 간접흡연 노출률 비교: 생체지표 활용의 정책적 필요성

박명배 ( Myung-bae Park ),심보람 ( Boram Sim ) 한국보건행정학회 2020 보건행정학회지 Vol.30 No.4

Background: In monitoring exposure to environmental smoke (ETS), biomarkers can overcome the subjectivity and inaccuracy of self-reporting measurements, and have the advantage of reflecting ETS exposure in all places. This study aims to evaluate the effectiveness of ETS exposure measurement using biomarkers such as urine cotinine. Methods: This study used the Korea National Health and Nutrition Survey data from 2009 to 2018. A total of 28,574 non-smokers with urine cotinine data were selected for the study. The cotinine concentration and ETS exposure rate using urine cotinine was estimated and then compared with the self-reporting measurements. The degree of agreement among measurements of ETS exposure was confirmed. Results: As a result of measuring ETS exposure with urine cotinine, 23,594 (83.8%) out of 28,574 subjects were classified as to exposure groups. This estimate differs significantly from measurements made by self-reporting. In addition, the average concentration of cotinine in non-smokers has decreased to a 10th level over the past 10 years. Based on the biomarker, the sensitivity of the self-reporting was 8.5%-29.0%, the specificity was 16.4%-19.5%, and the kappa value was 2.0%-5.8%. Conclusion: The findings of our study show that self-reporting measurement does not well reflect the extent to which non-smoker’s exposure to smoking materials. Whereas cotinine concentration has decreased significantly over the past 10 years, the ETS exposure rate has not reduced. It strongly suggests the need for intervention in the group of non-smokers exposed to low concentrations of smoke. Therefore, an assessment using biomarkers such as cotinine-based measurement should be made in the Health Plan 2030.

인플루엔자 예방접종률에 영향을 미치는 요인

박명배(Myung-Bae Park),김춘배(Chun-Bae Kim),주현실(Hyun-Sil Joo) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.4

이 연구는 2007년부터 2010년까지 4년간의 국민건강영양조사에 참여한 대상자 중 인플루엔자 백신 예방접종에 응답한 19세 이상 65세 미만 성인 남녀 18,289명을 대상으로 인구사회학적 특성 및 건강행태에 따른 인플루엔자 예방접종률과 접종에 미치는 영향요인을 분석하였다. 국민건강영양조사 데이터를 분석한 결과, 인플루엔자 예방 백신 접종률은 21.7%이었으며, 예방접종에 영향을 주는 요소는 연령의 증가, 농촌지역 거주, 높은 개인 소득수준, 낮은 교육수준, 직업이 없는 여성, 의료기관 이용 경험이 있는 경우 및 만성질환에 유병 되어 있는 경우이었다. 결론적으로 우리나라의 인플루엔자 예방접종률은 낮고, 다양한 인구사회학적 특성 및 건강행태에 영향을 받는다. 인플루엔자 예방접종률을 높이기 위하여 인플루엔자 예방접종에 영향을 주는 요인들을 고려하여 예방접종률의 극대화를 위한 방안을 모색하여야 할 것이다. The aim of this study was to investigate the factors influencing on influenza vaccination among socio-demographic characteristics and health behaviors. Data of 18,299 adults of age between 19 and 65 years who answered to the survey on National Health and Nutrition and influenza vaccination from 2007 to 2010 was used and analyzed. Overall influenza vaccination rate was 21.7%. Logistic regression analysis revealed that factors influencing on influenza vaccination were an increasing age, a residence in rural area, a high personal income, a low educational level, jobless women, experience of hospital visits, and morbidity of chronic illnesses. In conclusion, influenza vaccination rate in Korea is low and influenced by multiple socio-demographic factors and health behaviors. It is needed to seek a strategy to develop a vaccination program in consideration of factors associated with influenza vaccination.

건강도시에 대한 국내 연구동향 분석(1990-2014)

김하윤 ( Ha Yun Kim ),박명배 ( Myung Bae Park ),남은우 ( Eun Woo Nam ) 한국보건행정학회 2015 보건행정학회지 Vol.25 No.4

Background: Healthy cities of Korea have engaged in various activities regarding the Korea Healthy Cities Partnership, and research activities on healthy cities is one of the important area. In the present context, due to the current policy to pursue Sustainable Development Goals locally and globally, it is essential to emphasize the importance of healthy city. Therefore, it is important to identify the research trend related to healthy city. The aim of this study was to find out research trend of healthy city studies from 1990 to 2014 by reviewing published papers and studies systematically. Based on the finding of the study, the necessary implications on future research directions of the healthy city are obtained. Methods: The area of this study is domestic journal (Korea), international journal, thesis, and research report focusing on healthy city from 1990 to 2014. The selection of data was performed using keyword is based on domestic and international database. The analysis criteria were divided into year of publication, type of study, subjects, study methods, and study area. Results: One hundred twenty papers were selected for the analysis. Papers related to the healthy city issue were published 4.8 times in an average in a year during that the period. However, the number of papers published increased dramatically in the recent 4 years. Of total, 28 papers (44.4%) focused on the healthy city policy and urban environmental improvement, 18 papers (28.6%) focused on health promotion, and the remaining were program centered. Most papers (71 out of 120) used quantitative study methods. Of total studies, studies have conducted in Jinju city (9), Wonju city (8), Changwon city (6) and Gangnam-gu (5), respectively, as a study area of healthy city. Conclusion: First, domestic healthy city researches has been gradually increasing every year, over the past 10 years which has heightened interest in healthy cities. Second, the expansion of the various areas of research is required in order to contribute to future sustainable healthy city. Third, in recent years, by taking advantage of a variety of research methods, conducting the qualitative and mixed method research is considered to be a desirable change.

임부 및 모유수유부와 가임기 여성의 건강행태 비교

주현실 ( Hyun Sil Joo ),김춘배 ( Chun Bae Kim ),남은우 ( Eun Woo Nam ),이민영 ( Min Young Lee ),박명배 ( Myung Bae Park ) 여성건강간호학회 2014 여성건강간호학회지 Vol.20 No.3

Purpose: The aim of this study was to assess health-related behavior of pregnant women and breastfeeding mothers by investigating relevant risk factors. Methods: Data of 10,396 women (age 19 to 49 years) from the Korea National Health and Nutrition Examination Survey report from 2007 to 2012 was used to analyze factors associated with health-related behavior. The subjects were divided into pregnant women; breastfeeding mothers; and non-pregnant women. Bottle feeding mothers were excluded. Results: Current smoking rate including self-reported smoker and/or positive cotinine urine test were lower for pregnant or breast-feeding group than non-pregnant group. Heavy-drinking was not different among groups while monthly drinking rate was higher in non-pregnant group. Rate of stress recognition was lower in pregnant and breast-feeding group than non-pregnant group. Rate of experience for depressive symptoms and rate of suicidal ideation were not different among groups. Conclusion: Pregnant women and breast-feeding mothers maintain a good pattern of health- related behavior compared to non-pregnant women. However, substantial proportion of pregnant women and breast-feeding mothers continue to drink and smoke. This shows the need for a plan that will modify health-related behavior.

Determinants of Subjective Health of the Elderly in Healthy City Wonju, Republic of Korea

Eun Woo Nam(남은우),Nayu Ikeda,Myung Bae Park(박명배),Ji Young Moon(문지영) 한국보건교육건강증진학회 2007 한국보건교육·건강증진학회 학술대회 발표논문집 Vol.- No.-

의과대학 학생의 해부학 실습 시 포름알데히드의 노출이 호흡기 · 안구점막 및 피부계통의 주관적 자각 증상에 미치는 영향

정태종(Tae-Jong Jeong),박규현(Gyu-Hyeon Park),허정(Jeong Hur),고상백(Sang-Baek Koh),박명배(Myung-Bae Park),장세진(Sei-Jin Chang) 대한체질인류학회 2018 해부·생물인류학 (Anat Biol Anthropol) Vol.31 No.1

이 연구는 해부학 실습 시 시신 고정을 위해 이용되는 포름알데히드 등의 화학약품에의 노출이 의과대학생이 주관적으로 느끼는 불편함과 호흡기 점막 및 안구 점막 관련 증상, 피부 계통의 주관적 자각 증상에 미치는 영향을 분석하였다. 연구대상은 해부학 실습을 수강한 의학과, 의학전문대학원 1 · 2학년 학생으로 이들을 대상으로 웹설문조사를 실시하였다. 총 14개교 학생 대표들을 통해 설문조사를 홍보하였으며, 이 중 설문 응답에 동의한 총 463명의 자료를 최종 분석하였다. 분석결과, 해부학 실습 시 중등도 이상의 불편함을 느꼈다고 응답한 대상자는 261명(56.4%)이었다. 실습 이후 알레르기성 비염, 안구 건조증 등의 기존 질환 악화가 있었다고 응답한 대상자는 104명 (43.2%)이었으며, 기존 질환의 과거력이 없었던 학생 중 증상이 새롭게 발현한 대상자는 209명(95.0%)이었다. 기존 질환의 악화에 영향을 미치는 요인을 다중로지스틱 회귀분석을 실시한 결과, 호흡기 · 점막의 경우 남자에 비해 여자 (OR: 2.000, 95% CI: 1.169~3.421)일 때, 주관적 불편감을 느낄수록 (OR: 3.190, 95% CI: 1.807~5.632) 위험도가 높았다. 피부계통의 경우, 연령이 높을수록 (OR: 2.612, 95% CI: 1.187~5.750), 보호 장비 착용 금지 (OR: 2.217, 1.006~4.885)일 때 유의하게 높았다. 새로운 증상 유발에 영향을 미치는 요인의 경우, 호흡기 · 점막은 주관적 불편감을 느낄수록 (OR: 5.097, 95% CI: 1.075~24.160), 피부계통의 경우 여자 (OR: 1.711, 1.090~2.686)일 때, 주관적 불편감을 느낄수록 (OR: 1.921, 95% CI: 1.218~3.031), 보호 장비 미착용 (OR: 1.953, 1.189~3.210)일 때 유의하게 높았다. 이 연구를 통해 우리나라 의과대학생들은 해부학 실습 시 포름알데히드 등의 화학약품의 노출 위험을 최소화 할 수 있는 장비를 제대로 착용하고 있지 못하며, 실습 시 각종 화학약품에의 노출로 인해 주관적 불편감 및 관련 질환을 경험하고 있음을 확인하였다. 해부학 실습에 대한 안전 가이드라인을 강화하고 학생 건강권을 보호할 수 있는 제도적 장치가 마련되어야 한다. This study aims to determine the effects of formaldehyde exposure on self-reported symptoms of respiratory-eye mucosa and integumentary system during anatomy practices among Korean medical students. Data were collected using the web-based survey. Study subjects in 1st and 2nd grade medical student, and having anatomy dissection in medical college and medical graduate school. A total of 463 students from the 14 medical college and medical graduate school participated in this study. The results show that 261 (56.4%) of the participants responded feeling discomfort above moderate at anatomy dissection. After anatomy dissection, 104 (43.2%) students responded aggravating the symptom allergic rhinitis, xerophthalmia and so on. 209 (95.0%) of them responded the new symptom’s appearance. In the result of multiple logistic regression, women (OR: 2.000, 95% CI: 1.169~3.421) and the students with feeling discomfort (OR: 3.190, 95% CI: 1.807~5.632) were more likely to increase the risk of pre-existing respiratory · eye mucosal system symptom’s aggravation than the counter parts. For pre-existing integumentary system symptom’s aggravation, risk is significantly higher in elder age group (OR: 2.612, 95% CI: 1.187~5.750) and with disapproval protective equipments (OR: 2.217, 1.006~4.885). In case of new symptom’s appearance, people with feeling discomfort above moderate (OR: 5.097, 95% CI: 1.075~24.160) in respiratory · eye mucosal system were more likely to increase the risk of new symptom’s appearance. And for integumentary system, risk was higher in people with feeling discomfort (OR: 1.921, 95% CI: 1.218~3.031), in woman (OR: 1.711, 1.090~2.686) and without enough protective equipments preparation (OR: 1.953, 1.189~3.210). This study confirms the protective equipments for minimizing exposure from chemicals for cytological fixation (e,g formaldehyde) is not worn enough and students in anatomy dissection experience discomfort and disease after anatomy dissection. Therefore, this study indicates that the safe guideline in anatomy dissection should be enhanced and institutional strategy to protect student’s right of health should be provided.