작목별 농약 노출에 따른 안전관리 수준에 관한 연구

최동필(Dong-Phil Choi),채혜선(Hye-seon Chae),김효철(Hyo-Cher Kim),이경숙(Kyung-Suk Lee),최원종(Woun-Jong Choi),이현경(Hyeon-Gyeong Lee),김경수(Kyeong-Su Kim) 한국지역사회생활과학회 2018 한국지역사회생활과학회지 Vol.29 No.4

일부 농촌 지역 성인에서 고혈압과 폐기능의 관련성

이주영,안성복,최동필,서민아,김현창,김영삼,서일,Lee, Joo-Young,Ahn, Song-Vogue,Choi, Dong-Phil,Suh, Min-A,Kim, Hyeon-Chang,Kim, Young-Sam,Suh, Il 대한예방의학회 2009 예방의학회지 Vol.42 No.1

Objectives : Whilst hypertension exerts a negative effect on several organs there have been few studies regarding its effect on pulmonary function. The objective of this study was to examine the relationship between hypertension and pulmonary function in rural Korean adults Methods : In 2006, 2534 people were recruited, aged 40 to 70, in Kangwha County. We selected 1454(male: 624, female: 830) participants whose pulmonary function results were repeatable. Blood pressure(BP) was measured twice and the average calculated. Participants were divided into two groups(hypertensive group and non-hypertensive group) in accordance with The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Pulmonary function was measured by dry rolling seal spirometry. Forced expiratory volume in the one second and forced vital capacity were converted into percent-predicted values based on average pulmonary function amongst Koreans. Results : The number of hypertensive participants in the present study was 460(male: 205, female: 255) and the number of non-hypertensive participants was 994(male: 419, female: 575). Our findings have shown that the mean values for expiratory volume in the one second and forced vital capacity were significantly lower for hypertensive people than for non-hypertensive people, among women(P=0.002 for forced expiratory volume in the one second, p<0.001 for forced vital capacity volume). Odds ratio analysis revealed that hypertensive participants were more likely to have lower pulmonary function than non-hypertensive participants, again significantly among women. Conclusions : The pulmonary function of hypertensive women was significantly lower than that of non-hypertensive women aged 40-70.

EQ-5D를 이용한 농림어업인의 건강관련 삶의 질

최원종(Woun-Jong Choi),김경수(Kyeong-Su Kim),이현경(Hyeon-Gyeong Lee),김효철(Hyo-Cher Kim),채혜선(Hye-seon Chae),이경숙(Kyung-Suk Lee),최동필(Dong-Phil Choi) 한국지역사회생활과학회 2018 한국지역사회생활과학회지 Vol.29 No.3

농림어업숙련종사자의 만성질환 사망원인 특성

이현경(Hyeon-Gyeong Lee),김경수(Kyeong-Su Kim),최동필(Dong-Phil Choi),이민지(Min-ji Lee) 한국자료분석학회 2022 Journal of the Korean Data Analysis Society Vol.24 No.5

농림어업숙련종사자의 실효성 있는 질병사망 예방방안 수립을 위해서는 질병사망의 규모와 특성을 파악하는 것이 매우 중요하다. 따라서 본 연구의 목적은 통계청 사망원인통계 원시자료를 활용하여 농림어업숙련종사자의 만성질환 사망원인에 대한 기초자료를 제공하는 것이다. 분석 대상자는 2015년부터 2019년까지의 만 19세 이상의 사망자 중 농림어업숙련종사자로 분류된 123,451명이다. 최근 5년간 농림어업숙련종사자의 전체 사망 중 질병 사망의 평균 비율은 71.8%로 나타났다. 주요 5대 질병 사망원인으로는 악성신생물(암)이 전체 질병사망의 45.5%를 차지하여 주요 원인으로 나타났으며, 다음으로 심장질환(13.2%), 뇌혈관질환(10.9%), 폐렴(10.1%), 만성하기도 질환(4.9%)의 순이었다. 질병 사망 중 악성신생물(암) 사망비율의 경우 남성이 여성에 비해 높았으며, 연령대가 낮을수록 높은 경향을 보였다. 질병사망 사망장소로 가장 높게 나타난 곳은 의료기관이었으며, 농장에서는 심장질환 사망원인이 가장 높게 나타났다. 농림어업숙련종사자의 주요 만성질환의 특성에 맞는 예방 및 관리가 중요하며, 특히 가장 높은 사망원인인 악성신생물(암)에 대해선 적극적인 방안마련이 필요하다. 또한 농림어업숙련종사자의 작업장인 농장에서의 심장질환의 사망률을 낮추기 위한 응급처치 교육, 응급의료시스템 개발 등이 중요하다. The purpose of this study is to provide basic data on the causes of death from chronic diseases among skilled workers in agriculture, forestry and fisheries using raw data on the statistics on the causes of death by Statistical Korea. The subjects of analysis was 123,451 people who were classified as skilled workers in agriculture, forestry and fisheries among those aged 19 years and over from 2015 to 2019. As a key result, disease deaths occupied 71.8% of the total deaths among skilled workers in agriculture, forestry and fisheries over the past five years. The five major causes of death from diseases were malignant neoplasm(cancer)(45.5%), heart disease(13.2%), cerebrovascular disease(10.9%), pneumonia(10.1%), and chronic lower respiratory tract disease(4.9%). Proportions of death from malignant neoplasms(cancer) out of disease death were higher for men than for women, and for the young age of farmers than for the old age. The main place of disease deaths was medical institutions, but deaths from heart disease mainly occurred on farms. Prevention and management considering the characteristics of major chronic diseases of farmers are important, and in particular, active measures are needed for malignant neoplasms(cancer) as the highest cause of disease death. In addition, first aid education and the development of emergency medical systems are important to lower the death rate of heart disease in farms and the farmer's workplace.

사망원인통계 기반 농림어업 숙련 종사자의 손상사망 특성 : 직업군별 비교

이현경(Hyeon-Gyeong Lee),김경수(Kyung-Su Kim),최동필(Dong-Phil Choi),이민지(Min-ji Lee),김효철(Hyo-Cher Kim) 한국자료분석학회 2021 Journal of the Korean Data Analysis Society Vol.23 No.3

본 연구의 목적은 농림어업 숙련 종사자의 손상사망을 예방하기 위한 방안 마련에 필요한 기초자료를 제공하는 것이다. 이 연구에서는 통계청 사망원인통계 원시자료를 활용하여 만 19세이상 사망자의 손상사망 규모와 직업군별 현황 및 사망원인 특성 등을 분석하였다. 2019년 만19세 이상 사망자 중 손상 사망자의 비율은 9.1%(인구 10만 명당 58.9명)로 나타났다. 손상 사망원인 중 자살의 비율(50.8%, 인구 10만 명당 29.9명)이 가장 높았으며, 손상으로 인한 사망 장소는 의료기관에서 가장 높았다. 직업별 손상사망 비율은 사무종사자와 기능원 및 관련 기능 종사자에서 가장 높았다. 농림어업 숙련 종사자 중 손상사망 비율은 8.8%였으며 운수사고가 중요한 손상사망의 원인으로 나타났다. 농림어업 숙련 종사자 손상사망의 81.1%가 남성에게 발생하였으며, 70대에서 가장 많이 발생하였으나, 자살의 경우 60대 미만에서 가장 많았다. 농림어업 숙련종사자의 손상사망은 주로 농번기와 점심시간 전후에 발생하는 것으로 나타났다. 만 19세 이상 손상사망은 직업에 따라 사망원인 특성에 차이를 보였다. 본 연구의 분석에서 도출된 것처럼, 특히 농림어업 숙련 종사자의 손상사망 발생사고에 대하여, 운수사고와 관련한 안전교육 및 예방활동의 지원이 이루어져야 한다. The purpose of this study is to provide basic data necessary for preparing a plan to prevent injury-related death. Using the statistics on the cause of death provided by the National Statistical Office, the scale of the injury mortality, occupations, and the characteristics of the cause of death were analyzed in deaths over 19 years of age. The injury mortality rates among adults aged 19 years or older in 2019 was 58.9 per 100,000 population, and injury deaths accounted for 9.1% of total deaths. Suicide(50.8%, 29.9 per 100,000 population) was the most common cause of injury deaths, and the main place of injury deaths was medical institutions. Among skilled workers in agriculture, forestry and fishery, injury deaths occupied 8.8% of total deaths, and transportation accidents were found to be an important cause of injury mortality. Also, 81.1% and 34.0% of injury deaths occurred among men, and people in their 70’s, respectively. On the other hand, 30.9% of suicide occurred among those aged below 60 years. It was found that the injury-related deaths among skilled workers in agriculture, forestry and fisheries mainly occur before and after lunchtime during the busy agricultural season. In order to prevent injury mortality among adults, measures appropriate to the characteristics of the cause of death according to occupation are necessary. In particular, support for safety education and preventive activities should be provided related to transportation accidents of skilled workers in agriculture, forestry, and fishing.

농업인의 업무상 근골격계질환 발생 현황 및 특성 분석

이민지(Min Ji Lee),김경수(Kyeong Su Kim),최동필(Dong Phil Choi),서민태(Min Tae Seo) 대한인간공학회 2021 대한인간공학회 학술대회논문집 Vol.2021 No.11

Objective: 본 연구에서는 농업인의 업무상 근골격계질환의 발생 현황과 특성을 분석하였다. Background: 근골격계 질환은 바람직하지 못한 작업조건이나 불편한 자세로 반복, 누적되어 나타나는 질환이다. 농업인 대부분은 농작업을 수행할 때 장시간 반복적인 자세를 취하면서 작업을 진행한다. 특히, 농업은 급속하게 고령화가 진행되고 있고 근골격계질환은 고령자에게 발생할 가능성이 크므로 농업인의 농작업 관련 근골격계발생 현황 및 유형에 대한 수준을 파악하는 것이 중요하다. Method: 본 연구는 농촌진흥청 국립농업과학원에서 실시한 2020년 농업인 업무상 질병 조사자료를 활용하였으며, 조사 대상은 우리나라 모든 농업인으로 10,020 표본가구로 전국 농업인을 대표할 수 있도록 가중치를 적용하여 분석하였다. Results: 그 결과, 휴업1일 이상 농작업 관련 근골격계 질병의 일반적인 현황으로 전체 근골격계 질환 유병률은 4.4%로 전체 질환중 84.6%로 가장 높은 비율을 차지하고 있다. 또한, 성별로는 남성 3.7%, 여성 5.2%로 여성이 근골격계질환 유병률이 더 높았으며, 근골격계질환의 주요 신체 부위는 허리 47.3%, 무릎 27.3% 어깨 6.9% 순이였다. 농업인이 한 해 동안 농작업 관련 질병을 일으키거나 악화시킨 요인으로는 장시간 근무가 27.6%, 반복적인 동작 22.8, 불편한/부자연스러운 자세 16.8% 순으로 나타났다. Conclusion: 본 연구 결과를 통해 농업인의 근골격계질환에 대한 현황을 파악하고, 농작업 관련 질병의 악화요인을 확인하여 근골격계질환과의 영향을 유추할 수 있었다. 농업인의 안전과 건강을 위해 다양한 통계자료를 분석함으로써, 맞춤형 근골격계 예방방안 개발 등의 기초자료로 활용이 가능할 것이다. Application: 본 연구 결과는 농업인의 근골격계 현황 및 요인 특성 분석을 통해 농업활동으로 인한 재해의 예방 및 관리에 기여할 것으로 판단된다.

한우 사육자 작업환경 및 작업복과 보호구 착용 실태 분석

김인수(Insoo Kim),이경숙(Kyung-Suk Lee),채혜선(Hye-Seon Chae),김경수(Kyungsu Kim),최동필(Dong-Phil Choi),김효철(Hyo-Cher Kim) 한국지역사회생활과학회 2016 한국지역사회생활과학회지 Vol.27 No.4

농업인에 적용 가능한 스마트 개인보호장비 개발 동향 분석

채혜선(Hye Seon Chae),고명선(Myung Sun Ko),김효철(Hyo Cher Kim),김경수(Kyung Su Kim),최동필(Dong Phil Choi),김경란(Kyung Ran Kim),이경숙(Kyung Suk Lee) 대한인간공학회 2017 大韓人間工學會誌 Vol.36 No.6

Objective: The purpose of this study is to clarify the implications of development of smart personal protective equipment which can enhance occupational safety for farmers through development trend and development case analysis of smart personal protective equipment (SPPE) applicable to agriculture sector. Background: Most of the farmers work alone in the open far away from home, so their geographical accessibility is low, which may lead to serious disasters due to delayed response in case of an accident. Therefore, it is expected that the life - friendly service that can cope with accidents in rural areas and the spread of work safety equipment using ICT and IOT will improve the welfare of farmers scientifically and efficiently. Method: Patents were searched by year of application from 1990 to 2016 using the New WIPS ON patent information database. Among collected 268 data, 150 valid patents for quantitative trend analysis. Using Google, the prototypes or commercialized products for smart personal protection devices were searched. And a selection of 16 cases of products applicable to the agricultural safety sector was chosen and discussed. Results: The patent applications of smart personal protection equipment, which combines ICT and IoT technologies, have progressed most recently and have been declining since 2012. Only about 31% of the 150 selected valid patents tended to match the body"s wear and protection areas. The smart personal protection equipment uses various biometric information from the combination of devices to allow the wearer to voluntarily recognize danger or escape from danger. Conclusion: The research and development of the Rural Smart Personalization Equipment for Preventing Farming and Disaster Prevention should be established in the Rural Community and the cooperative management system for the safety inspection and crisis responses in the rural communities. Application: The commercialization of smart personal protective equipment and the application of agriculture sector are difficult to solve, but it is expected that it will be a breakthrough in raising industrial disaster response ability in agriculture in the blind spot.

한우 농가의 농작업 안전보건 실태 및 안전관리 수준 조사

김인수(Insoo Kim),이경숙(Kyung-Suk Lee),김효철(Hyo-Cher Kim),채혜선(Hye-Seon Chae),김경수(Kyungsu Kim),최동필(Dong-Phil Choi) 한국환경보건학회 2017 한국환경보건학회지 Vol.43 No.1

Objectives: The present study was conducted to investigate farm work environments among farmers and examine the level of management of safety and health, and to subsequently produce study result to serve as foundational data for the development of guidelines on safety and health as part of the improvement of farming work environments among farmers raising Korean native cattle. Methods: The present study conducted a survey on farm work environments and the management of safety and health with 407 farmers engaged in Korean native cattle farming in selected regions in eight provinces. It also visited 10 farmers to verify the current status of farm work. Results: The survey results showed that 16.4% of the respondents experienced safety-related accidents due to farm work. The locations of the accidents were inside the cattle shed (71.4%) and facilities outside the cattle shed (19.6%). The types of accident showed collision with animals (35.7%), collision or contact with obstacles (27.1%), and musculoskeletal accidents due to heavy object handling (12.9%). The causes of the accidents were cattle (38.3%), cultivators and tractors (25.4%), facility tools in cattle sheds (9.0%), and slippery floors (6.0%). The damaged areas were hand (21.0%), spine (19.8%), lower limb (18.5%), and foot (17.3%). A self-diagnostic survey on respiratory diseases showed that 11.5% of the respondents experienced respiratory-related symptoms. The survey on safety and health during farm work showed that wearing personal protective equipment and response to emergency situations, which were needed to prevent safety-related accidents, were relatively low compared to the level of recognition of the need and awareness of safety issues. Furthermore, the field survey identified the current status of safety and health issues such as prevention management of collision accidents with cattle, how to handle heavy objects, and wearing of personal protective equipment. Conclusions: The present study identified safety-related accidents and problems in the management of safety and health among Korean native cattle farmers. In order to address the problem, it is necessary to not only provide guidelines on safety and health management which are appropriate to the characteristics of Korean native cattle farming work, but also to study the development of personal protective equipment.