일개 도시 일부 청년층(16-24세)의 B형, C형 간염에 관한 혈청역학적 연구

주영희,오진경,김동일,이덕희,김병권,김정일,정갑열,신해림,Ju, Young-Hee,Oh, Jin-Kyoung,Kim, Dong-Il,Lee, Duk-Hee,Kim, Byeong-Kweon,Kim, Jung-Il,Jung, Kap-Yeol,Shin, Hai-Rim 대한예방의학회 2004 예방의학회지 Vol.37 No.3

Objectives : To investigate the prevalence of hepatitis B and C virus infections and determine the associated risk factors among young adults in Busan, Korea, which is known to have a high incidence of liver cancer. Methods : The study population consisted of volunteer participants in a health survey during 2002, which included 1,350 students (515 males and 835 females) aged between 16 and 24 years, from three different schools in Busan. The participating students were asked to fill in a self-administered questionnaire which included lifestyle habits and risk factors of hepatitis. Sera obtained from the participants were studied for HBsAg, anti-HBs, and Anti-HCV by enzyme immunoassay (EIA) method and for liver function tests. Results : Among the study subjects (N=1,350), the seropositivities of HBsAg 7.9%(95% CI=7.8-8.0), 7.6%(95% CI=7.6-7.7) in male and 8.1%(95% CI=8.0-8.2) in female. And the seropositivity of Anti-HBs was 69.7%(95% CI=69.0-70.4), 70.5%(95% CI=69.8-71.2) in male and 69.2%(95% CI=68.5-69.9) in female. The seropositivity of Anti-HCV was 0.4%, 0.2% in male and 0.5% in female. The seropositivity for HBsAg in the subjects not having a hepatitis B vaccination history was twice(95% CI=1.0-4.4) that of those that did. Also, the seropositivity for HBsAg in subjects having experienced sexual intercourse was 1.7 times (95% CI=0.9-3.0) that of the subjects who had not. Conclusions : The present study confirmed the high prevalence of HBsAg seropositivity and sexual transmission of HBV among adolescents and young adults may occur. Further studies to evaluate the relationship between HBV vaccination and sexual transmission are required for the young population in Korea.

경상남도 일부 농촌지역의 간흡충 감염에 대한 역학적 연구

주영희,오진경,공현주,손운목,김윤규,김정일,정갑열,신해림,Ju, Young-Hee,Oh, Jin-Kyoung,Kong, Hyun-Joo,Sohn, Woon-Mok,Kim, Yoon-Gyu,Kim, Jung-Il,Jung, Kap-Yeol,Shin, Hai-Rim 대한예방의학회 2005 Journal of Preventive Medicine and Public Health Vol.38 No.4

Objectives : To investigate the prevalence of Clonorchis Sinensis infestation and to determine the associated risk factors among a population in a part of the rural area of Gyeongsangnam-do, Korea, which is an area known to have a high mortality from liver cancer and a high infection of C. sinensis. Methods : The study populat ion consisted of those people who have lived in rural areas and who were over 40 years old. This study was performed in 5 areas during the period from 1999 to 200 3. Informed consents were obtained from the 2,381 study participants, and these people were interviewed about their life style habits with using the structured questionnaire that was administered by trained staff members. The subjects underwent blood sampling and their stool specimens were examined by using the Formalin-ether sedimentation technique. Results : Among the study subjects (N=2,381), the positivity for C. sinensis in the stool was 34.4% (95% CI=36.3-42.5); it was 39.4% (95% CI=36.3-42.5) in the males and 30.9% (95% CI=28.5-33.3) in the females . The positivity for C. sinensis was associated with current alcohol drinking (odds ratio=1.8, 95% CI: 1.5-2.1) and raw fish consumption (odds ratio 1.2, 95% CI: 0.9-1.6). Conclusion : The present study confirmed the high prevalence of C. sinensis in the study subjects. It is necessary to establish consistent medical management and education programs for the treatment and prevention of C. sinensis infestation in the rural inhabitants of Korea.

지역사회 거주 노인의 요실금에 관한 연구

주영희,김정순,Ju, Young-Hee,Kim, Jung-Soon 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.2

The purpose of this study was to identify the prevalence of urinary incontinence and its relating factors elderly communities. Subjects of this survey consisted of 877 elderly women and men in one Kun. Korea, who were over 60 years old. The design for this study was descriptive: the subjects were interviewed by well trained investigators from July 9. 1999 to July 20. 1999. During that survey period, the subjects were interviewed with a structured questionnaire. The data were analyzed by frequency, percentage, $X^2-test$. T-test using an SAS program. The results of the study were the following: 1. The prevalence rate of urinary incontinence was 20.1 %. of the total. The types of urinary incontinence were mixed incontinence 44.3%. stress incontinence 38.1%. and urge type incontinence 17.6%. 2. The relating factors of urinary incontinence were as follows: 1) 33.5% of UI(urinary incontinence) subjects reported urine loss once a month. twice or three times a week 23.3%. one or two times a day 17.0% 2) 38.1% of elderly reported only 1 to 2 drops. 1 t-spoon 36.9%. 1 T-spoon 15.9% 3) The volume of urine loss registered by changing underwear was 63.1 %. no necessity of changing underwear was 22.1 %. or using some type of pads was 13.1%. 4) 62.5% of UI subjects never discussed their UI problem with other people. 73.9% of the total had never experienced any treatment for their UI problem. The reasons for not receiving medical cure were their typical conception about urinary incontinence taking UI as a normal part of aging 76.2% and due to their bad financial situation 9.2%. 3. Women had more prevalence of UI than men (p=0.01), and it was found that the worse the subjective health state. the higher the prevalence of UI (p=0.001). However. there was no statistical difference in daily frequency of UI (p>0.05). The more nocturnal incontinence (p=0.001), the more intermittent stream experience (p = 0.01), the more retention experience (p = 0.01), and the more incomplete the emptying experience (p=0.001), the higher the prevalence of UI. 4. UI groups had lower ADL scores than non UI groups(p=0.01). The level of depression in the group of urinary incontinence was significantly higher than that of non incontinence group (p=0.0001). As shown above, the elderly people suffering from UI haven't been treated properly: their subjective health state and their ADL competence was lower, and their depression level was higher than non UI groups. Therefore, the development of a proper urinary incontinence management program are required so that they can lead more healthy lives. Also continual case studies for the elderly people with UI are necessary.

멀티미디어 학습 환경에서 학습 주도 방식과 학습 내용 수준에 따른 학습 자료 제시 방식이 학습 성과에 미치는 효과

주영희 ( Young Hee Ju ),이재식 ( Jae Sik Lee ) 한국교육정보미디어학회(구 한국교육정보방송학회) 2006 교육정보미디어연구 Vol.12 No.3

멀티미디어 학습이 교육 현장에서 다양하게 도입되고 있으나 그 학습 효과에 대한 해석은 상반되고 있다. 본 연구 목적은 고등학교 과학 교과의 멀티미디어 학습의 효과를 학습 유형, 학습 자료 제시 방식, 그리고 학습 내용 수준을 체계적으로 조작하여 학습 효과에 어떠한 차이를 가져오는지 검토하는 것이다. 본 연구 결과를 요약하면 다음과 같다. (1)고수준의 학습내용이 저수준보다 학습량이 높게 나타났고 시스템-주도 학습이 학습자-주도의 학습보다 일반적으로 학습량이 더 크게 나타났다. (2)학습자-주도 학습에서는 다양한 학습 정보를 동시에 제시해 주는 조건보다 학습량이 크게 나타났다. 본 연구 결과는 멀티미디어 시스템을 통한 학습에서 학습 시간에 제약이 있고 고수준의 학습 내용은 단일한 감각 채널을 통한 시스템-주도 학습 방식이 더 효율적이라는 것을 시사한다. 그리고 충분한 학습 시간이 주어지고 저수준의 학습 내용은 중다의 감각 채널을 통해 학습자-주도 학습이 더 효과적인 것으로 보인다. 따라서 다양한 과학교과의 내용을 멀티미디어를 통해 학습할 경우 학습 내용의 수준에 맞춘 학습 유형과 학습 자료 제시 방식의 설계와 가이드라인 제공이 요구된다고 판단된다. The purpose of the present study was to investigate the effects of learning materials difficulty levels and presentation types on multimedia learning efficiency in system-driven vs. user-driven interactions. For this purpose, the independent variables of interaction styles, learning material presentation types, and levels of material difficulty were systematically varied, and dependent variables of learning efficiency including amount of leaning, transfer, and retention were measured. The results of the study can be summarized as followings: First, considered the levels of learning material, the material of high level induced better learning efficiency(in particular, in amount of learning) than that of low level. Second, in general, system-driven interaction appeared to be more efficient than user-driven interaction in multimedia learning. Third, the subjects in the material presentation type of picture + text + narration showed better performance in the immediate test session(that is, amount of learning) than the other types when they were allowed to actively interact with the system. Fourth, subjects in the experimental condition of system-driven interaction remembered the material longer when the difficult learning materials were presented in the form of picture + text than the other conditions. Based on these results, the following implications or guidelines should be applied to the design of multimedia learning. First, the amount of available time and way of interaction in learning should be considered together in selection of learning methods. For example, time-limited system-driven learning methods appeared to be more effective when the learning materials are relatively difficult and simple. In contrast, in user-driven learning methods, rich and multi-modal information presentation showed higher learning efficiency regardless of the levels of material difficulty and the learning methods. Second, although it was not systematically controlled in the present study, the user`s level of knowledge before learning needs to be manipulated independently, because it can be an important factor in designing multimedia learning styles, as the results of this study suggested. Finally, as the current multimedia learning systems have, various options of learning methods can be a promising way of interaction with multimedia learning system.

경상북도 일지역 초등학교 고학년의 흡연경험에 영향을 미치는 요인

주영희(Young-Hee Ju),강민정(Min-Jung Kang),임소희(So-Hee Lim) 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.11

본 연구는 경상북도 일 지역에 거주하는 초등학교 4학년 이상의 고학년 학생을 대상으로 흡연경험에 대한 영향요인을 파악하고자 시행되는 서술적 조사연구이다. 수집된 자료는 SPSS 23.0 프로그램을 이용하여 실수와 백분율, 로지스틱 회귀분석을 시행하였다. 연구결과, 흡연경험이 있는 학생은 3.4%이며, 처음 흡연을 한 시기는 4학년 이상이 71.4%로 나타났다. 또한, 아버지가 흡연을 하는 경우는 63.7%, 어머니가 흡연을 하는 경우는 8.7%, 가까운 친구가 흡연을 하는 경우는 2.9%이며, 미래에 흡연을 할 의향에서는 흡연을 하겠다가 2.9%로 나타났다. 흡연경험에 대한 영향요인은 흡연경험이 있는 초등학생이 흡연경험에 없는 초등학생에 비해 가까운 친구의 흡연이 14.95배(Exp(B)) 높게 나타났으며, 추후 성인이 되었을 때의 흡연의도도 5.51배(Exp(B))로 나타났다. 그러나 부모님의 흡연은 유의하지 않게 나타났다. 따라서 초등학생의 흡연경험에 영향을 주는 요인은 가까운 친구의 흡연으로 흡연에 대한 교육은 흡연경험이 있는 대상자로 제한하는 것이 아니라, 비흡연 학생에게도 교육이 필요하며, 또래집단을 형성하여 교육을 진행하는 것이 효과적일 것으로 판단된다. 더 나아가 효과적인 흡연예방 교육 프로그램을 개발하기 위하여 흡연 노출 시작 시기인 초등학교 학생을 대상으로 보다 포괄적인 접근과 체계적인 연구를 제언한다. This study is a descriptive research study to investigate the factors influencing the smoking experience among senior students aged 4 and above in elementary school in Gyeongbuk province. The collected data were analyzed using SPSS 23.0 program. The general characteristics and major variables analyzed by number, and percentage. Logistic regression analysis was used to determine the smoking experience. The results of the study showed that 3.4% of the students had experience of smoking and 71.4% of the students who had the first experience smoked more than the fourth grade. In addition, 63.7% of fathers smoked, 8.7% of mothers smoked, 2.9% of close friends smoked, and 2.9% of smokers were willing to smoke in the future. The effect of smoking on the experience of elementary school students who had experience of smoking was 14.95 times (Exp(B)) higher than that of elementary school students who did not have the experience of smoking and 5.51 times(Exp(B)) of smoking when they became adults. However, parents smoking was not significant. Therefore, the factors affecting the smoking experience of elementary school students are not restricted to those who have experience of smoking due to close friends smoking, education is also needed for non-smoking students. In addition, it is considered that it is effective to educate the smoking education by forming a peer group. In order to develop an effective smoking prevention education program, a more comprehensive approach and systematic research is suggested for elementary school students.

일 지역 중학생의 자살생각경험에 영향을 미치는 요인

주영희(Young-Hee Ju),강민정(Min-Jung Kang),임소희(So-Hee Lim) 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.10

본 연구의 목적은 일 지역 중학생의 자살생각 경험에 영향을 미치는 요인을 성별 차이를 중심으로 파악하여 중학생의 자살생각 경험의 실제적인 관련성을 규명하기 위한 서술적 조사연구이다. 연구대상자는 경상북도에 거주하는 중학생 247명을 대상으로 2016년 7월부터 8월까지 설문조사를 시행하였고, 수집된 자료는 SPSS 23.0 프로그램을 이용하여 성별에 따른 일반적 특성과 주요변수관련 특성은 실수, 백분율, χ2-test로, 자살생각경험에 영향을 주는 요인은 로지스틱 회귀분석을 실시하였다. 연구결과, 자살생각경험이 있는 남학생이 자살생각경험이 없는 남학생에 비하여 슬픔이나 절망감 정도가 5.04(Exp(B))배, 스트레스 정도가 2.21(Exp(B))배, 주관적 건강상태가 2.03(Exp(B))배 높은 것으로 나타났다. 여학생의 경우, 자살생각경험이 있는 여학생이 자살생각경험이 없는 여학생에 비하여 슬픔이나 절망감 정도가 3.69(Exp(B))배 높은 것으로 나타났다. 따라서 중학생의 자살생각경험에 영향을 주는 요인은 슬픔이나 절망감으로 중학생을 대상으로 슬픔을 해결하며 대처할 수 있는 방안이 필요하며, 특히 성별에 따른 차이를 고려하여 자살예방을 위한 슬픔 및 절망감 완화 프로그램이나 상담, 교육이 필요하다. The purpose of this study is to investigate the factors affecting suicidal thoughts experience of middle school students by gender difference and to investigate the actual relevance of suicidal thoughts experience of middle school students. The subjects were 247 middle school students living in Gyeongsangbuk-do from July to August, 2016. The collected data were analyzed using SPSS 23.0 program. The general characteristics and major variables related to gender were analyzed by number, percentage, and χ2-test. Logistic regression analysis was used to determine the suicidal thoughts experience. The results of the study showed that Male students with suicidal thoughts experienced had experience of sadness or despair that can not do everyday life 5.04(Exp(B)) times higher, the level of stress 2.21(Exp(B)) times higher and subjective health 2.03(Exp(B)) than male students who had not suicidal thoughts experience. In the case of female students, the female students with suicidal thoughts experienced a 3.69(Exp(B)) times higher experience of sadness or despair that can not do everyday life who had not experienced suicide. Therefore, it is necessary for the middle school students to cope with the grief and to cope with the grief and despair. Especially considering the difference between genders is necessary grief and despair easing program or counseling, training for suicide prevention.

온라인 콘텐츠 및 자기주도적 팀별 오프라인 학습자료 활용을 통한 공학교육의 효율제고

주영희(Young-Hee Ju),박창호(Chang-Ho Park) 한국콘텐츠학회 2011 한국콘텐츠학회 종합학술대회 논문집 Vol.9 No.1

혈청 총 콜레스테롤과 체질량 지수, 혈압, 생활습관과의 관련성

최소영(Choi So Young),주영희(Ju Young-Hee),오진경(Oh Jin-Kyoung),류은정(Ryu Eun Jung),김정순(Kim Jung-Soon),강영실(Kang Young Sil) 한국성인간호학회 2005 성인간호학회지 Vol.17 No.1

일부 젊은 연령층의 인유두종바이러스(Human Papillomavirus) 감염 위험요인간의 관련성 연구

오진경(Jin-Kyoung Oh),주영희(Young-Hee Ju),윤동영(Dong-Young Yoon),정갑열(Kap-Yeol Jung),정세일(Se-II Jung),신해림(Hai-Rim Shin) 한국역학회 2005 Epidemiology and Health Vol.27 No.1

Purpose : To investigate the prevalence and related risk factors of infection with human papillomavirus(HPV) in young adults, and the interrelationships among the risk factors, school-based survey was conducted in Busan. Methods : A total of 1,430 male and female students(aged 16-25) participated in the survey that included self-administered questionnaire and, for males, physician-performed collection of exfoliated genital cells, for females, selfcollection of vaginal cells. The prevalences of 25 HPV types were evaluated by a polymerase chain reaction-based assay. Results : HPV DNA detected more frequently in female students(l5.2%) than in male students(8.7%). In female students, currently smoking cigarettes(OR=3.8, 95% CI=1.7~8.3) and having had penetrative sexual intercourse(OR=12.7, 95% CI=7.2~22.2) were the significant risk factors for HPV infection; in male students, there was nothing to show statistical significance. Smoking rate was 53.8% in males and 17.7% in females, and 55.6% of male students and 25.9% of female students reported having had a sexual intercourse. Smokers were more likely to have had a sexual intercourse than nonsmokers(OR=4.0, 95% CI=2.5~6.2, males; OR=9.1, 95% CI=5.6`14.7, females). Conclusions : According to the strong interrelationship between sexual intercourse and smoking, multilateral behavioral intervention is needed to prevent infection with HPV.

방문간호서비스 질 평가도구 개발

김조자(Cho Ja Kim),김용순(Yong Soon Kim),강혜영(Hae Young Kang),박정혜(Jeong Hye Park),성명숙(Myung Sook Sung),우영자(Young Ja Woo),오현숙(Hyun Suk Oh),윤영옥(Yeung Ok Yoon),조혜숙(Hye Sook Cho),주영희(Young Hee Ju) 한국노년학회 2008 한국노년학 Vol.28 No.2

본 연구는 2008년 7월 시행을 앞두고 있는 노인장기요양보험제도의 재가급여 중 방문간호의 지속적인 질 관리와 향상을 위하여 실시된 방문간호서비스 질 평가 도구 개발 연구이다. 본 연구의 진행은 노인간호 전문가 7인으로 이루어진 자문위원회 회의를 통하여 이루어졌다. 국내ㆍ외 노인 간호 관련 질 평가지표에 대한 문헌고찰과 자문회의 검토를 통하여 예비 질 평가 도구를 개발하였으며, 예비 질 평가도구에 대하여 50인의 전문가 집단을 구성하여 1차 내용 타당도 검사를 실시하였다. 예비 질 평가도구의 1차 내용타당도 검사결과를 수정ㆍ보완한 후 2차 내용타당도 검사를 실시하였으며, 개발된 방문간호서비스 질 평가도구를 이용하여 훈련된 평가자 4인이 전국 14개 방문간호기관을 직접 방문하여 시범평가를 실시하였다. 시범평가 실시 후 실제 평가도구 적용 시 평가기준을 분명하게 할 필요가 있다고 평가자들이 지적한 문항들에 대하여 자문회의를 통하여 질 평가 도구를 수정ㆍ보완하여 방문간호서비스 질 평가도구를 완성하였다. 최종적으로 개발된 질 평가도구는 구조, 과정, 결과로 구성되어 있으며, 총 20개 영역, 59개 항목, 88개 문항으로 이루어진 4점 척도의 도구이다. 20개 영역은 인사, 업무 공간, 물품확보 및 관리, 조직, 재정, 경영방안, 의사소통 체계, 보고체계, 정보관리, 비용청구, 자원연계, 효과, 방문간호 책임자 역량, 방문간호사 교육, 서비스 계획, 서비스 수행, 서비스 평가, 감염관리, 환경 및 안전대책, 자체평가로 구성되어 있다. 본 연구결과로 개발된 방문간호서비스 질 평가도구를 활용하여 향후 시범사업이 종료되고 본 사업이 진행될 때 체계적인 방문간호 질 관리 체계를 구축해 나갈 필요가 있다. The purpose of this study was designed to develop Home Care Quality Indicators(HCQIs) to evaluate and improve quality of 'Elderly Care Program' that has been conducted in 14 institutions in the 2nd demonstration project. For this study, the preliminary HCQIs were developed through literature reviews and analysis of existing quality indicators. An expert development panel reviewed established and new quality indicators twice for applicability to home care services for long-term care. The final HCQIs were confirmed and applied in fourteen home care service agencies to test feasibility. In results, the preliminary HCQIs had 19 domains, 68 categories and 99 indicators. After two content validity testing, the final HCQIs consisted of 20 domains, 59 categories and 88 indicators. They were applied in fourteen home care service agencies and it was revealed that all the indicators were applicable. The quality indicator set provides a comprehensive home care quality framework for long-term care future and will allow for comparative research. Provision of these evidence-based measures could improve patient quality of life and longevity.