우리나라에서의 지역의 물질적 결핍수준과 15-64세 인구 표준화사망비의 관계

정백근,정갑열,김준연,문옥륜,이용환,홍영습,윤태호,Jeong, Baek-Geun,Jung, Kap-Yeol,Kim, Joon-Youn,Moon, Ok-Ryun,Lee, Yong-Hwan,Hong, Young-Seoub,Yoon, Tae-Ho 대한예방의학회 2006 예방의학회지 Vol.39 No.1

Objectives: This study was performed to investigate the relationship between regional material deprivation and the standardized mortality ratios(SMRs) of community residents aged 15-64 in Korea. Methods: SMRs were investigated using the registered death data from 1995 to 2000 that was obtained from the Korean National Statistics Office with the denominators being drawn from the 1995 to 2000 census. Material deprivation was measured using the Townsend score that was calculated from the 1995 to 2000 census. The relationship between the regional material deprivation and the SMRs of the community residents aged 15-64 was investigated by using ANOVA, Spearman's rank correlation analysis and Pearson's correlation analysis. The trends in mortality inequality were investigated using the concentration index. Results: On the ANOVA, the SMRs of the men and women residents in the least deprived areas were the smallest and those in the most deprived areas were the largest. Spearman's rank correlation analysis, Pearson's correlation analysis and the concentration index revealed that significant positive relationships exist between the regional material deprivation and the SMRs of the community residents aged 15-64. Conclusions: This study suggests that there are mortality inequalities among the communities in Korea and part of this difference is due to the material deprivation of the community. Strategies aimed at reducing mortality inequalities among the communities will be needed to address economic inequalities. Further studies are needed to explore the mechanisms of how the regional deprivation influences on health and how the other factors of the community influence on the health of the community residents.

신뢰수준으로 측정한 사회적 자본과 암 검진 수검 간의 관계

정백근(Baek-Geun Jeong),황인경(In-Kyoung Hwang),손혜숙(Hae-Sook Sohn),고광욱(Kwang-Wook Koh),윤태호(Tae-Ho Yoon),임정훈(Jeong-Hun Lim) 한국보건교육건강증진학회 2011 보건교육건강증진학회지 Vol.28 No.2

〈사례보고〉 경상남도 지역 간 건강불평등 완화사업

정백근(Baek Geun Jeong),김장락(Jang-Rak Kim),강윤식(Yune-Sik Kang),박기수(Ki-Soo Park),이진향(Jin Hyang Lee),조선래(Sun-Rae Jo),서기덕(Gi-Deok Seo),주상준(Sang-Jun Joo),오은숙(Eun-Suk Oh),김승진(Seung-Jin Kim),조성진(Seong-Jin Jo),김승 한국농촌의학 지역보건학회 2012 농촌의학·지역보건 Vol.37 No.1

‘건강 플러스 행복 플러스 사업’은 경상남도의 높은 표준화사망률을 감소시키고 지역 간 건강불평등을 완화하기 위하여 표준화사망비가 구조적으로 높은 40개 읍면동을 대상으로 수행되는 사업이다. 본 사업은 영국의 헬스 액션 존 사업의 방법론을 기반으로 하여 참여, 파트너쉽, 자원의 집중을 사업의 기본 원칙으로 설정하고 2010년부터 시작되었으며 2017년까지 진행될 예정이다. 총사업비는 56억원이며, 2010년에는 17개 읍면동, 2011년에는 12개 읍면동, 2012년에는 11개 읍면동에 사업이 개시되었거나 개시될 예정이다. 2010년 사업의 경우, 사업대상지역인 17개 읍면동에 예산이 배정되었고, 관련 수단 및 지역 차원의 사업진행 틀을 만드는 과정을 거쳤다. 또한 사업대상지역의 건강결정요인을 파악하기 위하여 지역사회조사를 실시하였으며 사업에 대한 교육훈련지원 및 기술지원을 위하여 교육훈련지원단과 사업운영지원단이 설치되었다. 그 결과 사업 인력들과 코디네이터에 대한 교육이 실시되었으며, 사업대상지역에는 사업팀과 사업추진위원회가 결성되었다. 지역사회조사 이후에는 지역사회조사 결과 보고회를 통하여 지역의 건강결정요인과 건강수준을 지역주민들과 함께 공유하였으며 최종적으로 사업 관련 주민자치조직인 건강위원회가 17개 읍면동에서 출범하였다. 본 사업은 지역사회 참여 및 파트너쉽의 구축과 관련하여 아직 해결해야 될 과제들이 많으나 원칙에 근거한 사업이 지속적으로 진행될 수 있다면 경상남도의 건강불평등 완화를 통한 표준화사망률 감소 및 사업대상지역 주민들의 안녕 수준 향상에 기여할 수 있을 것으로 판단된다. Objectives: This study was conducted to implement Health Plus Happiness Plus projects in Gyeongsangnam-Do and assess the policy implications of initiatives to address regional health inequalities. Methods: Health Plus Happiness Plus projects were started as strategies to address regional health inequalities in Gyeongsangnam-Do. The principles of these projects are taken from the Health Action Zones initiatives in England: participation, partnership, resource concentration in project areas. The time period for these projects is from 2010 to 2017, and the total budget is 5.6 billion won. In 2010, a 6.8 hundred million won total budget was invested in 17 project areas. Such investments fell into four broad categories: establishment of the means and local framework; survey development to analyze the health determinants; development of an education and training center; and establishment of a technical support center. Results: Education and training programs for practitioners and coordinators were provided, and project teams and project promotion committees were established in project areas. Health survey result briefing meetings were held, and 17 health committees were established in project areas. Conclusions: Health Plus Happiness Plus projects have some problems in relation to participation and partnerships, however, if these principled projects are performed continuously, they will contribute to a reduction of standardized mortality rate and regional health inequalities in Gyeongsangnam-Do and the improvement of residents’ well-being in project areas.

병원급 의료기관 의사 1인당 일일 진료환자 수와 관련요인

정백근 ( Baek Geun Jeong ),이상이 ( Sang Yi Lee ) 한국병원경영학회 2002 병원경영학회지 Vol.7 No.2

The purpose of this paper is to find the factors affecting the number of patients per physician for a day at hospital and compare them with the results of previous studies. We used data of Korean national patients survey that had been carried out by central government and local health centers from October 27th to November 11th in 1999. Descriptive analyses were performed to overview the general characteristics of our study subject. Also, we tried to find the factors affecting the number of patients per physician for a day at hospital through t test and correlation analysis. Factors affecting the number of outpatients per physician for a day at hospital are location, training type, ownership, No. of physicians, No. of beds per physician, No. of pharmacists per physician, No. of nursing aids per physician and No. of medical techcians per physician. W e factors affecting the number of inpatients per physician for a day at hospital are location, ownershp, No. of physicians, No. of beds per physician, No. of pharmacists per physician, No. of nurses per physician, No. of nursing aids per physician and No. of administrative awullary personnels per physician. The most correlated variable with outpatients per physician for a day at hospital is No. of medical techcians per physician whde the most correlated variable with inpatients per physician for a day at hospital is No. of beds per physician. A more detailed investigation is needed for verifying factors affecting the number of patients per physician for a day at hospital and other medical institutions.

사회경제적 지위와 사회적 관계가 우울에 미치는 영향

정백근(Baek Geun Jeong) 한국보건교육건강증진학회 2016 보건교육건강증진학회지 Vol.33 No.5

보건의료체계에 대한 신뢰도와 건강검진 수진율 간의 관계

정백근(Baek Geun Jeong),황인경(In-Kyoung Hwang),손혜숙(Hae-Sook Sohn),고광욱(Kwang Wook Koh),윤태호(Tae-Ho Yoon),임정훈(Jeong-Hun Lim) 한국농촌의학 지역보건학회 2010 농촌의학·지역보건 Vol.35 No.4

본 연구는 건강검진 수검과 보건의료체계에 대한 신뢰 수준 간의 관계를 파악하기 위하여 수행된 연구로서 2004년 부산시민 건강조사에 참가한 만 20세 이상 7,683명을 대상으로 하였다. 그 결과 남성과 50대 연령층의 건강검진 수진율이 높았으며 교육수준과 소득수준, 수평적 신뢰수준이 높을수록, 주관적 건강상태가 좋지 않을 수록 수진율이 증가하였다. 또한 보건의료체계에 대한 신뢰도가 높은 사람들이 낮은 사람들에 비하여 건강검진을 받을 확률이 높았다 향후 국민들의 보건의료체계에 대한 신뢰도에 영향을 미칠 수 있는 요인들을 파악하고 이러한 요인들이 국민들의 건강검진 수진율에 영향을 미치는 경로를 파악한다면 국민 보건에 이바지할 수 있는 다양한 방안들이 마련될 수 있을 것으로 판단된다. Objectives: This study was conducted to investigate the relationship between vertical trust in the healthcare system and participation in routine health examinations. Method: Data from the 2008 Pusan Health Survey were analyzed for this study. Multiple logistic regression analyses were performed to investigate the influence of possible confounders (sex, age, education, monthly mean household income, horizontal trust) on participation in routine health examinations according to trust in the healthcare system. Result: In a total sample of 7,683 participants, 3,756 (48.9%) were classified as health examination participants. Respondents with high trust in the healthcare system had significantly higher odds ratios of participation, 1.17 (95% CI 1.03-1.33), after multiple adjustments. Conclusion: Vertical trust in the healthcare system was significantly associated with higher odds of participation in routine health examinations. Improvements to the healthcare system have potential for increasing participation in routine health examinations.

건강 불평등 연구에서 사회경제적 위치 지표의 개념과 활용

최용준,정백근,조성일,정최경희,장숙랑,강민아,강영호,Choi, Yong-Jun,Jeong, Baek-Geun,Cho, Sung-Il,JungChoi, Kyung-Hee,Jang, Soong-Nang,Kang, Min-Ah,Khang, Young-Ho 대한예방의학회 2007 예방의학회지 Vol.40 No.6

Objectives : Socioeconomic position (SEP) refers to the socioeconomic factors that influence which position an individual or group of people will hold within the structure of a society. In this study, we provide a comprehensive review of various indicators of SEP, including education level, occupation-based SEP, income and wealth, area SEP, life-course SEP, and SEP indicators for women, elderly and youth. Methods and results : This report provides a brief theoretical background and discusses the measurement, interpretation issues, advantages and limitations associated with the use of each SEP indicator. We also describe some problems that arise when selecting SEP indicators and highlight the indicators that appear to be appropriate for health inequality research. Some practical information for use in health inequality research in South Korea is also presented. Conclusions : Investigation into the associations between various SEP indicators and health outcomes can provide a more complete understanding of mechanisms between SEP and health. The relationship between specific SEP indicators and specific health outcomes can vary by country due to the differences in the historical, socioeconomic, and cultural contexts of the SEP indicators.

일부 우리나라 성인의 대사성증후군의 유병률과 허리둘레 예측치

홍영습,정백근,박용우,박종태,정갑열,김준연,김병권,Hong, Young-Seoub,Jeong, Baek-Geun,Park, Yong-Woo,Park, Jong-Tae,Jung, Kap-Yeol,Kim, Joon-Youn,Kim, Byoung-Gwon 대한예방의학회 2004 예방의학회지 Vol.37 No.1

Objectives : The purpose of this study was to estimate the prevalence of metabolic syndrome, as defined by the ATP III report, in some Korean adults and use the Asian-Pacific proposed waist circumference to investigate waist circumference in some Korean adults using ROC curves. Methods : Study subjects were seventy-five thousands and ninety one persons(47,979 men and 27,111 women) who were selected among the patients who visited hospital for health evaluation from January 2000 to December 2001. All subjects were measured by height, weight, waist and hip circumferences, blood pressure and blood chemistry(lipid profile). Results : The mean age was $41.6{\pm}8.5$ years in men, $41.1{\pm}10.4$ years in women(p<0.05). Body mass index was in the normal range in 35.3% of men, and 55.9% of women. In both men and women, blood pressure, blood sugar, total cholesterol and triglyceride were positively correlated with BMI. waist circumference, and Broca's index(p<0.01). However HDL. choloesterol was correlated negatively (p< 0.01). Using ROC curve, the calculated waist circumferences were 84 cm in men(sensitivity 61.4% and specificity 64.1%) and 74 cm in women(sensitivity 65.0% and specificity 73.2%). The age adjusted prevalences of the metabolic syndrome as defined by NCEP ATP III were different for men(6.4%) and women(14.6%). The prevalence increased from 1.2% among participants aged 20 through 29years to 15.0% among participants aged over 60years in men(p<0.05) and from 1.6% to 27.4% respectively, in women. The age adjusted prevalences, as defined by using the waist circumference that was recommended by WHO's regional office for the western Pacific, were 10.6% in men and 18.5% in women. The age adjusted prevalences, as defined by using the waist circumference that was calculated by the ROC curves, were 17.1% in men and 22.4% in women. And All prevalences were increased following increased BMI and Broca's index. Conculsions : The prevalence of metabolic syndrome in some Korean adults was lower than that in western adults. Nevertheless because waist circumference was differed among race and region, application of the same criteria was not proper. Morcover, a higher awareness was required in women, because the prevalence of metabolic syndrome was rapidly increased with increment of age.

우리나라의 사회계층별 건강행태의 차이

문옥륜,이상이,정백근,이신재,김남순,장원기,윤태호,Moon, Ok-Ryun,Lee, Sang-Yi,Jeong, Baek-Geun,Lee, Sin-Jae,Kim, Nam-Sun,Jhang, Won-Ki,Yoon, Tae-Ho 대한예방의학회 2000 예방의학회지 Vol.33 No.4

Objectives : To analyze differences in health behaviors among the social strata in Korea by using the 1995 National Health and Health Behavior Survey Data. Methods : Study Participants numbered 2,352 men and 1,016 women aged between 15-64 years old, with housewives, students and non-waged family workers excluded. Health behaviors in this study were defined according to the recommendations of the Alameda 7 study. The measure of health behaviors was based on the Health Practices Index(HPI; 0-5 range, with the exclusion of snacking between meals and regularly eating breakfast) developed by the Alameda County research. The significance of the relationship between social strata and HPI was assessed by considering the adjusted means from the multi-variate model. Results : For men, incidence rates of never having smoked, no/moderate use of alcohol, regular exercise, and regular 7-8 hours sleep per night were higher in the upper social strate. Meanwhile, for women, incidence rates of never having smoked, no/moderate use of alcohol, appropriate weight, regular exercise, and regular 7-8 hours sleep per night were higher in the upper strata. HPI varied significantly among social strata in both sexes (p<0.001), a result which held true when adjusted for age, education, income, social insurance type, marital status and region. Conclusions : Health behaviors assessed by Health Practices Index(HPI) varied significantly among social strata for both sexes. Therefore, the existing gap in health behaviors among social strata can be corrected more effectively by target oriented health promotional activities.

일부 개원의사들의 사회심리적 스트레스 및 직무 스트레스 관련 요인

강문국,김장락,정백근,박기수,감신,홍대용,강윤식,Kang, Moon-Kuk,Kim, Jang-Rak,Jeong, Baek-Geun,Park, Ki-Soo,Kam, Sin,Hong, Dae-Yong,Kang, Yune-Sik 대한예방의학회 2007 예방의학회지 Vol.40 No.2

Objectives : This study was conducted to investigate the levels of psychosocial stress, job stress and their related factors among medical doctors practicing at local clinics. Methods : A survey using a self administered questionnaire was administered to 1,456 doctors practicing at private clinics via post for 2 months (2006. 1 - 2006. 3). Psychosocial stress, job stress, demographic factors, job related factors and health related behaviors were investigated. Among the eligible study population, the respondents were 428 doctors (29.4%). Results : The average scores of psychosocial stress and job stress were 2.19 and 3.13, respectively. The levels of psychosocial stress and job stress were statistically lower in older respondents, those who worked shorter or who were more satisfied with their job, and those with higher socioeconomic status. The level of psychosocial stress was related with smoking status, drinking status and exercise. The level of job stress was related with smoking status and exercise. In multiple linear regression analysis using psychosocial stress as a dependent variable, age, working hours per day, job satisfaction and perception on socioeconomic status were significant independent variables. In analysis using job stress as a dependent variable, age, working hours per day and job satisfaction were significant independent variables. Conclusions : Stress affects the doctor-patient relationship, productivity and overall health level of people. Therefore, it is important to manage and relieve the stress of doctors. It is suggested that more advanced studies on stress level and related factors and ways to improve the stress and health related behaviors of medical doctors should be conducted.