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        한국 폐경 여성의 조기/이른 폐경 시기에 따른 삶의 질의 차이

        소은선 인문사회 21 2022 인문사회 21 Vol.13 No.1

        The Differences of Quality of Life According to Premature/EarlyMenopausal Timing Among Korean Menopausal WomenEunsun So Abstract: This study was conducted to identify the differences of Quality Of Life (QOL) according to menopausal timing of premature/early/normal menopause among Korean menopausal women. This study utilized the 2014-2019 Korea National Health Nutrition Survey data with the total of 4,266 women aged 20-65 years who answered “have presnetly menopaused” and it’s age of menopause, These subjects were grouped those who menopaused -39, 40-44, and 45-54 years old into premature, early, and normal menopause, and to analyze the differences of QOL according to these groups, used complex sample logistic regression analysis. As a result, the premature, early, and normal menopause of the study subjects comprised 1.2%, 5.0%, and 93.8% respectively. Statistical differences of QOL according to menopausal timing were not shown. However, statistical differences of QOL according to a period after menopause were shown; whereas QOL of -5 years after menopause were not significantly different from the comparison with 16- years after menopuase, QOLs of 6-10 years and 11-15 years after menopause showed significantly better (β=0.02, 0.03, p=.048, .005 respectively). Intervention is necessary focusing on the period after menopause rather than menopausal timing to improve QOL among menopausal women. Key Words: Quality Of Life, Premature Menopause, Postmenopause, Korea, Women 한국 폐경 여성의 조기/이른 폐경 시기에 따른 삶의 질의 차이소 은 선** 요약: 본 연구는 한국 폐경 여성의 조기/이른/정상 폐경인 폐경시기에 따른 삶의 질의 차이를 규명하고자 시행되었다. 본 연구는 2014-2019년 국민건강영양조사 자료를 활용하여 현재 자연폐경이면서 폐경 연령에 응답한 20~65세 여성 중 폐경 연령이 54세 이전에 온 총 4,266명을 대상으로 하였다. 또한, 이들 대상자들의 폐경 연령에 따라 -39, 40-44, 45-54세에 폐경한 조기폐경, 이른 폐경, 정상 폐경으로 군을 구분하였고, 이들 군별 삶의 질과의 차이를 분석하는데 복합표본 선형 회귀분석을 사용하였다. 연구결과, 연구대상자는 자연폐경 시기에 따라 조기 폐경, 이른 폐경, 정상 폐경이 각각 1.2%, 5.0%, 93.8%였다. 폐경 시기에 따라 삶의 질은 유의한 차이를 보이지 않았다. 폐경 후 시기에 따라 삶의 질에 유의한 차이를 보였는데, 폐경 후 16년 이상이 경과한 군과 비교하여 폐경 후 5년 이내에서는 유의한 차이가 없었던 반면, 폐경 후 6-10년, 11-15년에는 유의하게 삶의 질이 나아졌다(각각 β=0.02, 0.03, p=.048, .005). 폐경 여성의 삶의 질을 향상하기 위해서는 폐경 시점 보다는 폐경 후 시기에 따른 중재가 요구된다. 핵심어: 삶의 질, 조기 폐경, 폐경후, 한국, 여성 □ 접수일: 2022년 2월 7일, 수정일: 2022년 2월 14일, 게재확정일: 2022년 2월 20일* 이 논문은 2021년도 전북대학교 연구기반 조성비 지원에 의하여 연구되었음. ** 전북대학교 간호학과 교수(Professor, Jeonbuk National Univ., Email: soeunjee@naver.com)

      • KCI등재

        청소년 대상의 건강상태, 생활습관과 아토피 피부염의 관계

        소은선,여지영 한국아동간호학회 2012 Child Health Nursing Research Vol.18 No.3

        Purpose: The aim was to explore the relationship between health status/life style and prevalence of atopic dermatitis in adolescents. Methods: Data from 1,743 adolescents (aged 13 to 18 years) derived from the fourth Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed using binary logistic regression and the classification and regression tree (CART) model. Results: The prevalence rate of atopic dermatitis was 10.3%. Third quartile income class (OR=2.19, 95%CI=1.20-4.00), fair and unhealthy self-rated health (OR=1.49, 95% CI=1.06-2.11; OR= 2.73, 95% CI=1.64-4.55), past or current smoker (OR=0.41, 95% CI=0.20-0.85; OR=0.44, 95% CI=0.21-0.92), and more than average stress (OR=1.43, 95%CI=1.03-1.99) were related with increased prevalence of atopic dermatitis. The high prevalence risk groups for atopic dermatitis were adolescents who perceived themselves to be healthy on self-rated health and had more than average stress and those who perceived themselves to be unhealthy and who never smoked. Conclusion: The results of the study indicate that health status, smoking, and stress are associated with a prevalence risk for adolescent atopic dermatitis in different degrees. Therefore,for control of atopic dermatitis, various interventions for smoking and stress need to be reinforced for the high prevalence atopic dermatitis groups.

      • KCI등재

        한국 성인여성의 조기 폐경과 이른 폐경 발생률 추세와 조기/이른 폐경 위험인자

        소은선 한국산학기술학회 2024 한국산학기술학회논문지 Vol.25 No.2

        This study was conducted using data extracted from the 4th to 8th National Health and Nutrition Examination Survey (2007~2021) and targeted 27,699 women aged 30 to 65 who responded to questions about current menstruation. Women who underwent artificial menopause were excluded. The analysis was performed using complex sample multiple logistic regression analysis and complex sample multivariate Cox proportional hazards regression analysis. The rates of early and early menopause among subjects who underwent natural menopause were 0.9 to 3.1% and 3.9 to 7.3%, respectively. These rates were lower in the 5th to 8th surveys than in the 4th survey; rates of early and early menopause decreased by 0.31 to 0.46-fold and 0.54 to 0.72-fold, respectively. Age (OR=1.01, 95% CI= 1.00-1.02), middle school graduation (OR=1.12, 95% CI= 1.00-1.25), and smoking (OR=1.18, 95% CI: 1.07-1.13) were associated with increased risk of premature/early menopause, and sales/service workers had a lower risk than unemployed individuals (e.g., housewives and students) (OR=0.91, 95% CI= 0.84-0.99). This study provides basic data for those developing policies or interventions aimed at delaying premature/early menopause.

      • KCI등재

        Factors Associated with Early Smoking Initiation among Korean Adolescents

        소은선,여지영 한국간호과학회 2015 Asian Nursing Research Vol.9 No.2

        Purpose: The aim of this study was to identify factors associated with early initiation of cigarette smoking among Korean adolescents. Methods: A secondary analysis was conducted on the 2012 Korea Youth Risk BehaviorWeb-based Survey data using Cox proportional hazards regression. Results: Early smoking initiation was associated with being male, having a positive subjective health status, perceiving oneself as thin or average weight (body image), having an average happiness level, being stressed, consuming alcohol, having suicidal ideation, experiencing sexual intercourse, having low or average academic grades, having a parental education level of high school or below, not taking a family trip in the previous 12 months, and having a family that approves of smoking in the home. Conclusions: Interventions targeting the prevention of smoking initiation among adolescents should include individual factors such as health status, body weight, perceived mental health status, health-risk behaviors, and academic characteristics as well as family factors that reinforce family cohesion and home smoking bans. Moreover, male adolescents aged 12e13 years and their parents should be the main target of these interventions.

      • KCI등재

        한국 여성의 초경 연령과 만성 비전염성 질환과의 관계: 2016-2018 국민건강영양조사 자료 활용

        소은선,여지영 인문사회 21 2020 인문사회 21 Vol.11 No.5

        The aim of this study is to examine age at menarche of Korean women to check the trend and to identify the association with chronic non-inflammatory diseases. Using the 2016-2018 Korea national health nutrition survey, women aged 20-49 years were identified by regression analysis such as demographic characteristics, obesity, hypertension, dyslipidemia, diabetes and rheumatoid arthritis, by dividing the initial age into early AAM (under 11 years old), average AAM (12-15 years old), and late AAM (16-19 years). As a result, the mean age of AAM was 12.8±0.03 years. The prevalence of hypertension was significantly higher in the early AAM group (OR=1.97, 95% CI=1.24-3.13, p=.004), higher in dyslipidemia. The prevalence of rheumatoid arthritis was significantly lower in the early AAM group (OR=0.07, 95% CI=0,01-0,49, p= .008). This study is meaningful in confirming the relationship between AAM and non-communicable disease in Korean women using the latest nationally representative data, and follow-up studies to identify related factors affecting the prevalence of each disease should be conducted in the future. 본 연구는 한국 여성의 초경 연령을 분석하여 변화 추세를 확인하고 초경 연령과 만성 비전염성 질환과의 연관을 확인하는데 연구의 목적이 있다. 연구방법과 관련하여 2016-2018년 국민건강영양조사 자료에서 20-49세 여성을 대상으로 초경 연령을 조기 초경(11세 이전), 평균 초경(12-15세), 늦은 초경(16-19세)으로 구분하여 인구사회학적 특성, 비만, 고혈압, 이상지질혈증, 당뇨 및 류마티스 관절염 등 만성 비전염성 질환과의 연관을 회귀분석으로 확인하였다. 연구결과, 20-49세 한국 여성의 초경 연령의 평균은 12.8±0.03세로 나타났다. 고혈압 유병은 조기 초경군에서 유의하게 높았고(OR=1.97, 95% CI=1.24-3.13, p=.004), 이상지질혈증일 때 높았다. 류마티스 관절염 유병은 조기 초경군에서 유의하게 낮았다(OR=0.07, 95% CI=0,01-0,49, p=.008). 본 연구는 대표성 있는 최신 대규모 국가자료를 활용하여 한국 여성의 초경 연령과 만성 비감염성 질환과의 관련성을 확인하였다는 점에 의의가 있으며, 향후 각 질환 유병에 영향을 미치는 관련 요인을 규명하는 후속연구가 진행되어야 할 것이다.

      • 강직척추염 환자의 경추 손상에서 굴곡성 기관지경을 사용한 각성하 경비 기관내삽관

        소은선,김성수,김선옥,장혜윤,전덕희 경희대학교 경희의료원 2016 慶熙醫學 Vol.31 No.1

        Traumatic cervical fracture compressing the spinal cord increase risk of existing neurological condition during tracheal intubation. Preexisting ankylosing spondylitis with cervical spine involvement makes spinal column more rigid and introduces difficulty in airway management. In a patient of ankylosing spondylitis with traumatic cervical spine injury, awake fiberoptic intubation is the gold standard to reduce cervical spine movement and preserve spinal cord function during intubation. We report a fiberoptic nasal awake intubation in such patient with limited oral opening due to braces.

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