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      • SCOPUSKCI등재

        비만아동 및 청소년의 체중조절 경험과 비만관리 의도에 영향을 미치는 요인

        강윤주,손명세,진기남,김한중,오희철,서성제,Kang, Yun-Ju,Sohn, Myong-Sei,Jin, Ki-Nam,Kim, Han-Joong,Oh, Hee-Choul,Suh, Sung-Jae 대한예방의학회 1998 예방의학회지 Vol.31 No.2

        This study was undertaken to explain weight control behavior and intention of obese children and adolescents as measured by the elements of the health belief model. A total of 732 obese students from 28 schools in Seoul metropolitan area and their mothers were assessed with a self-administered questionnaire. The analyzed results are as follows; 1. Among obese students, 45.3% of male students and 57.2% of female students, a significantly higher portion than male students, reported that they had tried to lose weight within the recent year. Exercise was the most frequently used method to lose weight followed by diet control, drug use, and specialized clinic visits, in descending order. 2. Male students were more likely to try to lose weight if they perceived a low threat level and their mother had a job, and female students were more likely to try to lose weight if they were younger in age, perceived a low threat level and had strong external motivating factors. 3. Female students showed a significantly higher level of intention to obesity control than male students, and the intention level of their mothers also showed the same trend. 4. In male students, the degree of weight dissatisfaction, weight control experience, the level of obesity related beliefs of students, the educational level of the mother and economic status of the family were significant predictors of intention to obesity control, and in females, age, the level of obesity related beliefs of students and intention of their mothers were significant. In the mothers of male students, obesity index of students, age of the mother and the level of obesity related beliefs of the mother were significant predictors of intention of the mother, and in the mothers of female students, obesity index of students, occupational status of the mother and obesity related beliefs of the mother were significant. 5. According to the path model of intention to obesity control, the degree of weight dissatisfaction had the most powerful effect in male students, and perceived net benefit level was the most important variable in female students. Since the weight control behavior and intention of obese students were more predictable by the degree of weight dissatisfaction than the obesity index, we can conclude that only the students dissatisfied with their weight are well motivated for obesity control. There can be a discrepancy between the mother and her child's beliefs and intention status(especially in male students), so the therapists should also assess the student's opinion as well as the mother's. In female students, the perceived net benefit level wag the most important predictor of intention to obesity control, therefore the intervention program should pay particular attention to the positive benefits of weight control rather than negative aspects(threats) of obesity.

      • SCOPUSKCI등재
      • SCOPUSKCI등재
      • KCI등재

        Physical and Intellectual Development of Korean Children in Relation to Family Formation Patterns

        Joung-Soon Kim(金貞順),Moon-Ho Chung(鄭文鎬),Sung-Jae Suh(徐聖濟) 한국인구학회 1992 한국인구학 Vol.15 No.2

        兄弟數, 出?順位, 出?터울, 母性의 出?時年齡等 家族形成 樣相은 兒童의 身體的發育 成長 및 知能發達과 ?한 關聯性을 보여 왔음이 世界여러나라 兒童을 對象으로 遂行된 硏究에서 報告되었다. 本 硏究는 兄弟數와 出?順位, 그리고 出?時 母性의 年齡은 兒童의 身體的 知能的 發達과는 逆相關關係를, 出?터울의 길이는 順相關關係를 나타낼 것이라는 假說을 證明하고자 1984年 韓國中學生 1, 2, 3學年 約 46,000名을 對象으로 遂行되었다. 地域別, 그리고 社會經濟的 狀態別 比較를 위하여 서울市 高所得層이 主로 居住하는 學區內의 中學校와 低所得層이 居住하는 學區內 中學校 各各 5個를 選定하고 江原道內 典型的 農村의 中學校 12個를 선정하여 身長, 體重, 坐高, 血球容積, 知能指數를 測定하였다. 이들 測定値들의 平均은 學父母와 담임선생님의 도움으로 作成된 家族形成 變數別로 比較되었으며 多重回歸分析과 部分相關分析으로 聯關性의 統計的 有意性을 檢定하였다. 同一年齡의 身體的 發育成長 指標들은 都市의 高所得地域 兒童들이 가장 優秀했으며 다음이 都市低所得 지역 아동이었고 農村兒童이 가장 貧弱하였다. 男女別 身體的發育地標들의 差異는 年齡이 많을수록 더 顯著했으며 年齡別 地域別 差異는 男學生에게서 더 두드러졌다. 平均 知能指數는 都市高所得地域 男學生들이 越等히 높아 114.8인데 比해 都市低所得地域 男學生들은 106.1, 그리고 農村 男學生들은 105.3%이었다. 男學生보다는 女學生의 知能指數가 낮았는데 이것은 대만兒童들도 女學生이 모든 年齡에서 男學生보다 낮았다는 報告와 一致하였다. 한편 都市低所得地域과 農村地域 學生들은 男女모두 平均知能指數가 비슷하였다. 家族形成變數들은 混亂變數들은 모든 制禦했을 경우에도 兒童들의 身體的 知能的 發達에 獨立的으로 영향을 미쳤다. 發育指標中에 知能指數와 형제수가 가장 가족형성 변수들과의 연관성이 ?했다.

      • KCI등재

        우리나라 學校保健事業에 關한 硏究

        徐聖濟 대한보건협회 1985 대한보건연구 Vol.11 No.1

        Aiming to appraise school health services in Korea, a review on the school health program from administrative and technical aspects, critical analysis of the health status of the pupils and productive recommendation of a school lunch program were discussed in this study. The main findings are as follows: 1. The concept and scope of the school health program is still not recognized and accepted satisfactorily in Korea; therefore it is emphasized that recognition of the unique role and position of the school health program be accepted by the nation as whole. 2. The current weak governmental organization of school health program at the centrallevel including manpower and structure of the program should be strengthened in order to implement an effective and consistent program and development. 3. Cooperation and understanding is emphasized between school and community health professionals in order to implement and effective school health program. For such purpose, the School Health Committee in the Ministry of Education was organized in the last decade; however, the committee has become weak. 4. The School Health Center of Seoul City Board of Education is the only independent health institute in the Ministry of Education. However, at least one institute in each city and province should be established for the better health of the school population. 5. Only 25.1% of schools employ school nurses even though they are the frontier workers in the school health services. However, at least one school nurse should be employed in each school not only by the school health law but also for the better health of the pupils. Worse, at present the school nurses do not participate in the planning of school health services; therefore legal and administrative procedures should be provided for nursing activitiesin schools for better usage of the professional skills of the school nurse. 6. School in the doctorless areas find it difficult to obtain part-time school physicians. Also even in the areas where doctors exist, still some schools cannot find a school physician because they cannot provide adequate payment for the doctor. Contrarily, in these days changing disease patterns with a high prevalence of chronic disease call for attention to early diagnosis for prevention in the young population. In order to cope with this situation, employment of at least two part-time physicians in each school should be. 7. Some existing laws and regulations suffer from a conflict in consistency or unavailability which do not match with their original intention. 8. Health apppraisal for school populations is the most important program in the school health service; however, at present the appraisal is being carried out without correct measures or physicial examination check-up. 9. Results of health appraisal of abnormal pupils are not followed-up nor is there any application for feed-back in planning and implementing of school health program. 10. The school lunch program has many defects such as unsatisfactory budget, lack of understanding of the program by school personnel as well as parents of the pupils. However, there is no doubt that the school lunch program should be carried out effectively for better health especially the growth and development of the pupil.

      • KCI등재

        청소년 흡연과 관련된 요인 : 서울시 일부 남녀 고등학생을 대상으로

        강윤주,서성제 韓國保健敎育學會 1996 보건교육건강증진학회지 Vol.13 No.1

        The prupose of this study is to examine the associated risk factors for adolescent cigarette smoking. In February 1995, a total of 1793 students from 17 general high schools in Seoul were assessed with a self-completing questionnaire pertainnig current smoking status and school·family·peer environmental factors. The results are as follows; 1. The overall proportion of current smoker among students in the study was 17.3%; 27.7% in males and 6.6% in females. 2. There was significant association between smoking status and all school environmental factors (ranks at school, satisfaction at school, study hours after school, extracurricular activity) examined. 3. Siblings smoking in males and family structure in females were significantly associated with the smoking status of students. 4. Functional aspect of family environmental factors, such as APGAR score, parental supervision, attachment to father or to mother were related to smoking staus of students. 5. Association with friends who smoke was significantly associated with smoking status of students. 6. In males, association with friends who smoke, ranks at school, siblings smoking were significant positive predictors and APGAR score, parental supervision, attchment to mother were significant negative predictors. In females, association with friends whosmoke, ranks at school, satisfaction at school were significant positive predictors and parental supervision, attchment to father were significant negative predictors. These findings suggest that strategies that strategies that influence smoking behavior need to be directed not only to the individual student but also to their peer group, family and school environment.

      • 濟州道地域의 葬禮制度에 關한 調査硏究

        徐聖濟 서울大學校保健大學院 1972 公衆保健雜誌 Vol.9 No.2

        In order to contribute to the formulation of a general pubic health plan, survey were conducted on 1,478 households in Cheju Province during the 15-day period from August 1 to 15, 1972 concerning funeral systems. The following results have been obtained: 1) By area, 47.6 per cent of urban pollees preferred cremation, a slightly greater proportion than 41.5 per cent of rural polles who preferred it. 2) The greatest proportion or 55.1 percent of pollees wished to be cremated in the age group of 20 to 29 years while the lowest rate, 35.5 per cent, wished it in the age age group of 60 or more years. 3) By education, 65.3 per cent of college graduates wished to be cremated, showing the highest percentage, while 21.5 per cent of uneducated pollees wished it, indicating the lowest proportion. 4) No significant differences were noted among religions regarding toward cremation. 5) The greatest proportion, 39.9 per cent, desired to be buried in family cemetery while 9.4 per cent wanted to be buried at whatever places as may be determined by geomancer. 6) The average disired area of each gravard was 4.6 p'yong (1p'yong is 36 square feet) in urban areas and 5.4 p'yong in rural areas. 7) In the event of death from either acute or chronic infectious disease, 91.5 per cent of college graduate would obtain medical diagnosis, showing the highest rate of positive answers, while 35.6 per cent of uneducated pollees gave negative answers. 8) In the event of death from infectious disease, 65.3 per cent of college graduates preferred cremation, indicating a higher rate than 40.2 per cent of uneducated pollees who chose it. 9) As for attitude toward death registration, 91.9 per cent of college graduates gave positive answers, showing the highest rate, while no significant differences were noted among age groups. 10) Funeral expenses ranged extensively from \20,000 to \1,500,000, indicating a median figure of \93,900. 11) Regarding the necessity of parkland cemetery, 77.0 per cent or urban pollees gave positive answers, a high rate than that of rural pollees, 70.9 per cent. By education, 82.6 per cent or the highest rate of positive answers was given by college graduates while the lowest rate, 54.7 per cent, was indicated by uneducated pollees.

      • KCI등재

        국민학생들의 흡연예방교육 개입효과에 관한 연구 : centering on the change of knowledge and attitude 흡연에 대한 지식 및 태도 변화를 중심으로

        강윤주,서성제 韓國學校保健學會 1995 韓國學校保健學會誌 Vol.8 No.1

        The purpose of this study was to examine the effect of smoking prevention program on changing the knowledge and attitude about smoking behavior of elementary school students. In September 1993, as a pretest, a total of 1492 students from 4 elementary schools in Seoul weere assessed with self-completing questionnaire pertaining to knowledge and attitude about smoking. Among them, 704 students from 2 schools were assigned to intervention group and 788 students from other 2 schools were assigned to control group. Smoking prevention program was implemented in intervention group for about six months. In September 1994, as a posttest, all students were reassessed with the same questionnaire. The overall experimental smoking rate of students in the study was 8.0%; 13.4% in males and 2.9% in females. The baseline smoking knowldge score of intervention group and control group was 12.3 and 12.0, respectively. There was no significant difference between the two groups. But each score collected after one year interval was 15.3 and 13.0, respectively, which were significantly different(P<0.01). The main items of attitude, such as 'future intentiion to smoke', were not significantly changed by the intervention. Important predictors of 'future intention to smoke' in males were past history of experimental smoking, paternal smoking and knowledge about smoking.In females, past history of experimental smoking and knowledge about smoking weere important predictors.

      • KCI등재

        청소년기의 물질남용에 관한 예비적 연구

        고복자,박인호,김창윤,강정아,한오수,이철,서성제,이상일 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.2

        This study was carried out to investigate the prevalence rate and the attitude toward substance abuse in adolescent populations in Seoul. The data were collected from 3 academic and 3 vocational high school students by a questionnaire survey in 1992. Subjects surveyed for this study consisted of 10626 students ranging from 14 to 24 years of age(mean 17.6 years). In this study, adolescents tend to use the following substances in decreasing order to frequency : alcohol 78.7%, smoking 29.9%, stimulant 14.7%, sleeping pill 3.3%, bond/thinner 1.6% and marijuana 0.7%. Age of onset to start substance abuse was highest at 3rd grade of middle school and 1st grade of high school. Authors investigated experience of previous substance uses and frequency of current substance abuse such as alcohol, smoking marijuana, bond/thinner, it was found that there was higher tendency toward mixed drug abuse than single drug abuse. There were negative correlations between substance abuse and school life statisfaction. When we tried to compare the result of this study and previous studies about substance abuse in adolesents, there were limitations of criteria and classification of substance abuse. Finally, Further school-based educations and epidemiological studies for controlling substance abuse in adolescents are recommended.

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