지역사회 재가 노인의 낙상에 영향을 미치는 요인

백경원,송현종,정윤석,문혜원,조준필,Paek, Kyung-Won,Song, Hyun-Jong,Jung, Yoon-Seok,Moon, Hae-Won,Cho, Joon-Pil 대한예방의학회 2001 예방의학회지 Vol.34 No.1

Objectives : To analyze factors associated with elderly falls in a community dwelling, a comparatively important, but somewhat neglected, health mailer. Methods : Data came from personal interview surveys using a questionnaire of 552 people aged 65 or older living in a community. Socioeconomic, and health related characteristics were investigated as independent variables and experiences of falling in the previous year as the dependent variable. Results : 118(21.4%) of the elderly subjects experienced a fall in the previous year. 24 subjects experienced more than two falls, accounting for 20.3% of the elderly fall victims studied. Factors affecting the falls were families living together, level of daily activity, heart disease, and aconuresis;, therefore an elderly person who lives alone, lives independently, has heart disease, or suffers urinary incontinence had a demonstrated increased chance of failing. Conclusion : Groups at risk for luting included elderly persons living alone, living independently, suffering heart disease, or experiencing urinary incontinence. When an elderly fall prevention program is developed and implemented, these results should be considered.

우리나라 성인의 공복혈당 수준과 식이패턴요인: 제4기(2007-2009) 국민건강영양조사를 중심으로

백경원,전기홍,이수진,Paek, Kyung-Won,Chun, Ki-Hong,Lee, Soo-Jin 대한예방의학회 2011 예방의학회지 Vol.44 No.2

Objectives: This study was performed to identify the socioeconomic factors, health behavior factors and dietary patterns that have an influence on the fasting blood glucose in adults. Methods: This study used data collected from the 2007, 2008, 2009 Korea National Health and Nutrition Examination Survey. The final sample included 4163 subjects who were 30-59 years old and who had completed the necessary health examinations, the health behaviors survey and nutrition survey. Results: Eleven dietary patterns emerged from the factor analysis with different factor loading. After controlling for potential confounders, multiple regression analysis of the dietary patterns showed that 'fruits', 'alcohols', and 'starchy foods' affected the fasting blood. Lower consumption of 'fruits' and higher consumption of 'alcohols' and 'starch foods' were significantly associated only with an increased risk of high blood glucose. Conclusions: In the light of the results of this study, it appears pretty likely that the risk of developing high blood glucose can be reduced by changing a person's dietary patterns.

복부비만의 지표인 허리둘레에 영향을 미치는 건강행태요인 -"2001년 국민건강.영양조사"의 자료를 기반으로

백경원,홍윤미,Paek, Kyung-Won,Hong, Yoon-Mi 대한예방의학회 2006 예방의학회지 Vol.39 No.1

Objectives: This study was performed to identify the socioeconomic factors, the psychosocial factors and the heath behavior factors that have an influence on abdominal obesity, as measured by using the waist circumference. Methods: Data was obtained from individuals aged above 20 years who had their waist circumference measured on the Korean National Health and Nutrition Examination Survey 2001, which was a cross-sectional health survey. Results: Regression analysis of the factors that affect abdominal obesity showed that the education level, income, smoking, duration of smoking, drinking consumption, frequency of exercises and sleeping were the associated factors for abdominal obesity. For men, the duration of smoking, education level, income and drinking consumption were the associated factors for abdominal obesity. For woman, the education level, income, duration of smoking, drinking consumption and frequency of exercise were the associated factors for abdominal obesity. Conclusions: Abdominal obesity is a risk factor for morbidity and mortality, and it is associated with chronic diseases, including cardiovascular disease and diabetes. Based on the findings, it is essential to modify heath behaviors for preventing abdominal obesity, which is a condition associated with the incidence of chronic disease.

우리나라 성인의 치주질환과 식이패턴요인 -제5기 국민건강영양조사(2010년) 중심으로-

백경원 ( Kyung Won Paek ),이수진 ( Soo Jin Lee ),백종환 ( Joung Hwan Back ) 대한예방치과·구강보건학회 2015 大韓口腔保健學會誌 Vol.39 No.4

Objectives: This study was aimed to identify the socioeconomic factors, health behavior factors and dietary patterns that have an influence on the periodontal disease in adults. Methods: This study used data collected from the fifth Korea National Health and Nutrition Examination Survey (NHANES V-1). The final sample included 2,386 subjects who were 30-59 years old and who had completed the necessary health examinations, the health behaviors survey and nutrition survey. Results: Eleven dietary patterns emerged from the factor analysis with different factor loading. After controlling for potential confounders, multiple logistic regression analysis of the dietary patterns showed that ‘legumes/mixed grains’ and ‘instant foods’ affected the periodontal disease. Lower consumption of ‘legumes/mixed grains’ and higher consumption of ‘instant foods’ were significantly associated only with an increased risk of periodontal disease. Conclusions: In the light of the results of this study, it appears pretty likely that the risk of developing periodontal disease can be reduced by changing a person’s dietary patterns.

아동의 가정 내 손상에 영향을 미치는 요인

백경원 ( Kyung Won Paek ),송현종 ( Hyun Jong Song ),이국종 ( Kook Jong Lee ),조준필 ( Joon Pil Cho ) 대한외상학회 2004 大韓外傷學會誌 Vol.17 No.2

본 연구는 경기도 일개 시에서 만 3세 이하의 아동을 자녀로 두고 있는 가정을 대상으로 체계적 무작위 추출법을 이용하여 표집한 후, 이들 가정의 전업주부만을 연구대상으로 하여 설문조사법을 사용한 일대일 면접으로 499명의 자료를 수집하여 분석하였다. 연구결과를 살펴보면, 대상자의 일반적 특성 중에서 가정의 구조적 점수에 영향을 미치는 변수로는 연령, 교육수준, 가옥구조 등이 유의하였으며, 대상자의 안전행동 실천점수에 영향을 미치는 변수는 없었다. 자녀의 가정내 사고 경험이 있다고 응답한 대상자가 전체의 49.1%(254명)이었으며, 단일변량 요인분석에서는 사고 경험에 영향을 미치는 변수가 없었다. 그러나 아동의 가정내 사고 경험에 영향을 미치는 로지스틱 분석결과로는 대상자들의 안전행동 실천점수만이 통계학적으로 유의하여 어머니의 안전행동 실천정도가 자녀의 사고경험에 중요한 역할을 하고 있는 것으로 분석되었다. 이러한 결과를 바탕으로 부모님을 포함한 아동 양육자 대상의 아동 안전사고 예방을 위한 교육 프로그램 개발이 필요하다. Background: Injuries of infants and toddlers in their homes are serious public health problems. Fatal child injuries happen in our safe homes. There are many situations that can cause accidents in the house. In our study, the risk factors that have effects on the accidents at home are 1) hazards in the house that needs improving, and 2) injury preventive behaviors of the subjects. Method: In the study, we randomly selected 627 cases from Suwon area households that had children under the age of three. Survey was conducted with mothers of the children, using one-on-one interview by specially trained people. The statistical methods used the analysis were t-test, ANOVA and multiple logistic regression. Results: Children whose mother`s injury preventive behavior scores were high experienced less accident than other children(OR=1.048), and this was statistically significant. Conclusion: Home modification and mother`s injury preventive behavior have influences on prevention of home injuries among children. Based on these findings, home modification checklist and educational materials on injury preventive behaviors for parents will be developed. These materials will be used as a means of safety promotion education program to reduce home injuries.

교통사고로 인한 중증손상 환자에 대한 분석

정지윤 ( Ji Yoon Jung ),백경원 ( Kyung Won Paek ),이국종 ( Kug Jong Lee ),조준필 ( Joon Pil Cho ) 대한외상학회 2004 大韓外傷學會誌 Vol.17 No.2

Background: To provide information about serious traffic accident injuries in Suwon, Korea, during the year of 2000, we conducted an epidemiologic study of injured patients. Methods: The data were obtained by reviewing medical records of patients requiring hospital admission due to traffic injury. A retrospective study, the selection of patients was made according to ICD-10 code. Results: A total of 1389 patients were surveyed. With respect to the causes of injury, traffic accidents accounted for the highest percentage (40.2%). More men than women were injured in all age groups. The highest frequency of traffic injuries was noted in patients ranging in age from 20 to 39 years. The occurrences of accidents were distributed evenly throughout the year, with little seasonal correlation. As for the time of day, the accidents occurred more often in the afternoon and evening. Most of patients were admitted to general ward. The mean ISS of all traffic accident patients was 9.41±7.81. Factors associated with injury severity were sex, age, road user, time of day, and results of ED treatment. Conclusion: This is the first study of serious traffic accident injuries in Suwon for the year 2000. As such, our findings constitute the seminal information for future research, including collection of further data, analyses, and extensions to other cities.

일개 대학병원의 당뇨병환자들의 진료비 분석(1996~2005)

전기홍 ( Ki Hong Chun ),이관우 ( Kwan Woo Lee ),김대중 ( Dae Jung Kim ),김혜진 ( Hae Jin Kim ),백경원 ( Kyung Won Paek ),이수진 ( Soo Jin Lee ) 대한당뇨병학회 2008 Diabetes and Metabolism Journal Vol.32 No.4

청소년 건강증진교육을 위한 비만여부에 따른 당뇨병 관련 건강행태

백경원,전기홍 한국학교보건학회 2008 韓國學校保健學會誌 Vol.21 No.2

Purpose: Several health behavior factors affect the incidence of type 2 diabetes. Especially obesity which causes insulin resistance is the most important determinant of diabetes. Therefore, we expect the risk factors associated with insulin resistance and type 2 diabetes are affected by obesity and additionally, the related factors with diabetes caused by obesity can be controlled. Methods: This study used data collected from the 2001 Korea National Health and Nutrition Examination Survey subjects over 30 years old who had completed necessary health examinations and health behaviors survey Results: The risk factors associated with type 2 diabetes are affected by obesity. According to logistic regression diabetes regardless of sex and BMI. However drinking, smoking, total energy consumption and protein consumption BMI. Sleeping hours affected diabetes for women with obesity and Fiber consumption was a risk factor for both women and men with obesity. In addition, statistically the family history of diabetes was a significant risk factor only in the group with normal weight, not in the group with obesity Conclusion: The study results will provide information for implementing a regional initiative of type 2 diabetes prevention by BMI.

아동·청소년기 식이패턴 분석과 복부비만에 영향을 미치는 요인 : 1998, 2001, 2005년 국민건강·영양조사 자료를 근거하여

백경원 韓國學校保健學會 2009 韓國學校保健學會誌 Vol.22 No.2

Purpose: This study was performed to identify the socioeconomic factors. the health behavior factors and dietary pattern that have an influence on abdominal obesity. as measured by using the waist circumference in children and adolescents. Methods: This study used data collected from 1998, 2001, 2005 Korean National Health and Nutrition Examination Survey (NHANES). Final sample included 3.596 subjects from 10 to 19 years old who had completed necessary health examinations, health behaviors survey, and nutrition survey. Results: 12 dietary patterns emerged from factor analysis with different factor loading, Logistic regression analysis of the factors that affect abdominal obesity showed that the education level. BMI(Body Mass Index) and dietary pattern, 'Kimchi' including Korean cabbage and radish affected the abdominal obesity in children and adolescents. Conclusions: Alxlominal obesity is a risk factor for morbidity and mortality. and it is associated with chronic diseases, including cardiovascular disease and diabetes. Based on the findings. it is essential to modify dietary pattern for preventing abdominal obesity, which is a condition associated with the incidence of chronic disease in adults.

PRECEDE 모형을 이용한 일부 초등학교 안전교육의 진단적 연구

백경원,이명선 韓國保健敎育.健康增進學會 2001 보건교육건강증진학회지 Vol.18 No.1

As the complexity of the our environment is further complicated by advancements in industry and increase in vehicle traffic flow, the incidents of injury causing accidents are on the rise. Consequently, there is increasing emphasis on the importance of systematic and continual safety education for injury preventive behaviors. This study investigates safety related problems of elementary school students based on the PRECEDE model, proposed by Green et al.(1980 Green), to comprehensively identify the requirements of school safety education. The identified requirements were used to diagnose the current state of elementary school safety education through the analysis of multidimensional factors. A questionnaire survey was conducted on 594 sixth grade students from randomly selected 4 schools in Seoul to examine their injury preventive behaviors and to determine the educational diagnosis variables that affect it. The duration of the survey was 3 weeks starting from April 12, 1999 to May 8, 1999. A summary of the survey results are presented below ; 1. Situations in which accidents have occurred were, in their order of frequency, 'during play or sports activities within the school grounds' was most frequent at 59.6%,'during play on local streets' at 49.5%, and 'traffic accidents' at 41.6%. 2. Categorization of the injury preventive behavior showed that 'not playing at high traffic flow locations such as streets and construction sites' had the higher level of observance, while 'wearing of helmets and joint protection devices during playing' was least observed. 3. Considering injury preventive behaviors in relation to educational diagnosis variables indicated, for predisposing factors, lower 'perception to injury accidents'(p<0.001) combined with higher' concerns for injury accidents'(p<0.001), 'practice of preventive behavior' (p<0.001), and 'the level of safety knowledge'(p<0.001) resulted in significantly higher observance of injury preventive behaviors. For enabling factors, higher 'perceived level of the school safety education' (p<0.001) and 'availability of safety education resources'(p<0.01) indicated significantly higher observance of injury preventive behaviors. For the reinforcing factor, frequent exposure to 'safety education brochure'(p<0.01) and 'audio-visual material for safety education'(p<0.01) combined with more 'regional safety education'(p<0.01), 'home safety education'(p<0.01),'school safety education'(p<0.001), and 'parents' observance of preventive behaviors'(p<0.001) showed significantly higher observance of injury preventive behaviors. 4. An analysis of the factors that affect injury preventive behaviors showed that the enabling factor 'awareness of school safety education' had the highest correlation with injury preventive behaviors followed by factors, in their order of significance, 'practice of preventive behavior, 'perception to injury accidents', 'level of safety knowledge', 'parents' observances of preventive behaviors', and' concerns for injury accidents.'