철강제조업 생산직 남성 근로자의 건강행태에 관한 연구

하은희,임현술,위자형,곽정옥,Ha, Eun-Hee,Lim, Hyun-Sul,Wie, Cha-Hyung,Kwak, Jung-Ok 대한예방의학회 1996 예방의학회지 Vol.29 No.1

This study was carried out to evaluate the relations among workers' general characteristics, work-related behaviors and health related behaviors in a steel industry with 1,134 workers in Pohang. The results were as follows; 1. The mean age of workers was 50 years old and working duration was 15 years and over. Most of them were married(94.5%) and had studied beyond high school (53.0%). They performed three shift work and most of them(63.0%) had experienced industial accidents. The frequency of noise and dust exposure was defined by a minimum of 6 hours per day, and workers complained about noise exposure(62.9%) and dust(55.6%). There were current smokers(67.7%), current drinkers(74.3%) and current exercising workers(32.3%) in the industry. The number of cigarette consumption in current drinkers was significantly high $(13.6{\pm}8.4\;pieces/day)$ and the alcohol consumption in current smokers was significantly high$(104.5{\pm}113.5\;g/wk)$. And the number of cigarette consumption of exercisers was significantly low and the alcohol consumption of exercisers was higher than non-exercisers. 3. The ratio of current smokers on frequent noise in exposed workers versus non-exposed workers was not significantly high but the current drinkers in frequent noise and dust exposed workers was significantly higher than non-exposed. 4. The normal levels of SGOT workers in non-smokers were significantly higher than in current smokers, and the normal levels of LFT (SGOT, SGPT, $\gamma-GTP$ workers in nondrinkers were significantly high. The normal levels of SBP and DBP workers in current smokers were not significantly high but were significantly high in non-drinkers. 5. The ratio of current smokers in voters unsatisfied with their job and working condition was higher than non-smokers, but the ratio of current drinkers in workers satisfied with their job and working condition were higher. 6. The significant factors for SGOT and $\gamma-GTP$ were age, the drinking amount and BMI. But the only significant factor for r-GTP was BMI. The significant factors for DBP were age, the alcohol consumption and BMI. And the significant factors for SBP were age, BMI.

황사의 건강영향에 관하여

하은희,Ha Eun-Hee 대한설비공학회 2006 설비저널 Vol.35 No.4

대기오염 역학연구의 주요 쟁점들

하은희,권호장,Ha, Eun-Hee,Kwon, Ho-Jang 대한예방의학회 2001 예방의학회지 Vol.34 No.2

우리는 이 글에서 대기오염의 건강영향, 특히 사망에 대한 역학 연구 결과를 해석하는데 논란이 되고 있는 쟁점들을 고찰하였다. 과거 런던스모그 때와 같은 극심한 대기오염 사건 때는 그로 인한 건강영향도 매우 자명하여 별다른 논란의 소지가 없었다. 그러나 오늘날 우리가 경험하는 수준의 대기오염은 눈에 바로 띨 정도의 건강영향을 초래하지는 않기 때문에 많은 연구에서 관찰되는 통계적 유의성이 인과적 관련성을 의미하는지에 대한 많은 논란이 있다. Hill의 인과성기준에 비추어 대기오염에 관한 역학 연구 결과들을 평가해보면 각 기준 별로 부합되는 소견과 그렇지 않은 소견이 같이 존재하지만 전체적으로는 인과적인 관련성을 지지하는 증거들이 많은 편이다. 특히 세계 여러 지역에서 수행된 연구들에서 공통된 결과들이 나오는 것이 인과성을 지지해주는 강력한 근거라고 할 수 있다. 대기오염이 사망을 증가시킨다고 가정할때 구체적으로 어떤 병태 생리적인 기전을 통해서 증가시키는지는 아직 충분히 밝혀져 있지 않다. 현재까지의 역학연구 결과들과 동물실험 결과들을 종합해보면 대기오염 물질이 일차적으로 폐포에 염증을 유발하고 이에 따라 이차적으로 혈장의 응고성이 증가하거나, 심장에 대한 자율신경조절에 이상이 생겨서 사망위험이 증가한다는 가설이 가장 폭넓은 지지를 받고 있다. 시계열분석에서 나타나는 대기오염에 의한 초과사망자들이 어떤 특성을 가지고 있는지에 대한 논란도 많다. 대기오염이 아니더라도 곧 사망할 사람들이 대기오염 때문에 몇 일 앞당겨 사망한다는, 즉 추수효과에 의한 것이라는 것이 상식적인 판단이지만 최근의 연구들은 추수효과 외에도 대기오염에 의해 실질적인 수명의 감소가 있다는 증거들을 제시하고 있다. 대기오염 물질과 사망의 양-반응 관계가 어떤 모양일지, 그리고 문턱값이 존재하는지의 여부도 중요한 관심사이다. 특히 문턱값의 존재 여부는 대기오염 관리 대책과도 밀접한 관계가 있다. 대기환경 기준을 정해서 대기오염 수준을 관리하는 현재의 대책은 문턱간의 존재를 전제하고 있기 때문이다. 그러나 현재까지의 증거를 종합해보면 대기오염과 사망의 관련성은 문턱값이 없는 선형적 관계일 가능성이 높다. 따라서 향후 대기오염 관리대책에서는 대기오염 물질의 평균농도를 낮추려는 노력을 병행하여야 할 것을 생각한다. The purpose of this review is to discuss the debate concerning the interpretation of epidemiologic studies on particles and health effects. Study of the 1952 air pollution disaster in London established that very high levels of particulate-based smog can cause dramatic increases in daily mortality. However, recent epidemiologic studies have reported statistically significant health effects and mortality due to low levels of air pollution. The statistical significance does not prove causation in observational studies; therefore it is necessary to evaluate these associations. There are arguments for and against each of the numerous studies using Hill's criteria, however the body of accepted evidence supports the causal association. In particular, a high level of consistency in the estimated effect of PM10 has been observed across studies worldwide. The mechanism of the relationship between air pollution and health effects is not obvious. The mechanism of particle-induced injury may involve the production of an inflammatory response by the particulate. The harvesting and the threshold effect are also major concerns regarding the health effects of air pollution. However, current epidemiologic findings indicate that linear models lacking a threshold are appropriate for assessing the effect of particulate air pollution on daily mortality even at current levels.

일부 여자대학교 학생들의 영양지식, 태도, 식행동 및 식품섭취상태와 그 관련요인에 관한 연구 - 1학년, 4학년 중심으로 -

하은희,김선희,강지용,Ha, Eun-Hee,Kim, Sun-Hee,Kang, Ji-Yong 대한예방의학회 1990 Journal of Preventive Medicine and Public Health Vol.23 No.4

This study was conducted to analyze the relations among nutritional knowledge, nutrional attitude, eating practice and total nutritional diagnosis and also to find the influencing factors of them. The survey was done during the period from April 1990 to June 1990 and the target population were Ewha Womans University students (freshmen and senior) of whom 1,354 peoples were surveyed. The summarized results are as follows ; 1. For the teaming environment, the percentage of completion on nutritional knowledge course was 28.6% and among them the department of foods and nutrition had the highest score(100.0%) and the next was dept. of medicine (53.4%). 2. To find the relation which the nutritional knowledge, nutritional attitude, eating practice and the total nutritional diagnosis influence on one another, the multiple correlation analysis was done. The attitude and the practice were highly correlated with total nutritional diagnosis, but the correlation between nutritional knowledge and total nutrional diagnosis was not significant. The correlation between the practice and nutritional knowledge which were positively and significantly correlated with attitude respectively was positive but not significant. 3. The difference which were analyzed by department, grade and completion on knowledge course on the nutritional knowledge, attitude, eating practice were significant (p<0.01) by ANOVA. 4. The significant variables on nutritional diagnosis are the eating practice points, the grade, the knowledge course, the breakfast and the attitude ($r^2=10.3%$) by multiple regression analysis. This study has the limitation that it did not consider the environmental factors of dietary life such as dietary culture, family environment, cultural habit. Therefore important points of these dietary studies are to extend to the practical nutritional education and dietary improvement for the national health not restricted to the local area or local population.

해방 이후 우리나라 산업보건관리에 관한 문헌분류 및 연구동향

하은희,박혜숙,김영복,송현종,Ha, Eun-Hee,Park, Hye-Sook,Kim, Young-Bok,Song, Hyun-Jong 대한예방의학회 1995 예방의학회지 Vol.28 No.4

산업보건관리영역의 범위를 정하고 이를 분류하기 위해 우선적으로 저자들이 정의한 산업보건관리영역의 범위에 따라 분류하고 이에 대하여 설문조사를 실시한 후 의견수렴과정을 거쳐 재분류하였다. 이를 토대로 해방 이후 우리나라의 산업보건관리문헌을 분류하여 연구동향을 파악하고자 정기간행물기사색인에 수록된 21종의 문헌을 분석하였으며 산업보건관리내용에 대한 우선순위 및 향후 산업보건관리 연구 방향을 조명함으로써 앞으로 산업보건관리의 방향설정에 대한 기초자료를 제공하고자 하였으며 다음과 같은 결과를 얻었다. 1 대부분의 응답자들이 산업보건을 전공하고(71.6%) 있었고, 대학에서 근무하고 있었으며(68.3%), 남자가 많았고 연령은 40세 이상이었다. 산업보건관리영역의 분류에 대찬 의견으로는 분류가 필요하다는 찬성의견이 70.0%였고 반대의견은 100.0%였다. 2. 응답자들의 의견수렴을 거쳐 재분류한 산업보건 관리영역을 크게 산업보건사법과 산업보건사업을 지지해 주는 산업보건관리체계 및 이를 평가하는데 도움을 주는 여러 가지 방법론들로 구분하였다. 3. 산업보건관리 문헌 총 510편을 연도별로 살펴본 결과 연도별로 서서히 증가하다가 1986년 이후에 급격 히 증가하고 있었으며, 학술지별 분포는 대한산업의학회지(18.2%), 한국의 산업의학(15.1%), 예방의학회지(15.1%) 순으로 나타났다. 연구 내용별로는 산업보건관리체계에 대한 연구는 33편(6.5%)에 지나지 않았으며 산업보건사업에 대한 연구가 477편(93.5%)으로 주를 이루고 있었다. 산업보건관리체계에 대한 연구는 산업보건자원체계에 대한 연구가 15편(45.5%), 산업보건재원조달체계 8편(24.2%), 산업보건관리운영체계 6편(18.2%), 산업보건조직체계 3편(9.1%), 산업보건서비스전달체계 1편 (3.0%)의 순이었으며 산업보건사업에 대한 연구는 질병관리 269편(57.2%),보건관리 116편(24.7%),작업환경관리 85편(18.1%)으로 질병관리에 관한 연구가 가장 많았다. 연구대상별로는 일반근로자 대상이 185편(71.1%)으로 가장 많았으며 여성근로자, 전문직, 서비스근로자 순이었다. 4. 산업보건관리내용의 우선순위에 대한 의견으로는 산업장근로자들에 대한 건강관리, 작업환경관리, 보건교육 등의 산업보건사업이 가장 필요하다고 하였고 다음으로는 산업보건인력에 대한 교육훈련 및 직무내용, 성인병 및 직업병 의뢰체계, 산업보건조직 등에 관한 산업보건의료체계에 관한 분석 등을 순위로 제시하였다. 5. 산업보건관리영역의 향후 연구방향에 대하여 병의 응답자가 48건의 의견을 제시하였으며 산업보건사업에 관한 실제적인 연구가 31.3%로 가장 많았으나 조직, 체계에 대한 연구(27.1%), 정보망구축에 관한 연구(8.3%) 등 산업보건체계에 관한 연구도 필요하다고 하였다. 건강진단에 대한 비용-편익분석 (10.4%), 산업보건사업평가(4.2%), 유해물질폭로평가(2.1%), 노동조건에 관한 연구(6.2%)등 다양한 새로운 분야의 연구에 대한 의견을 제시하였다. 본 연구에서 해방 이후 우리나라의 산업보건관리에 관한 연구는 1945년부터 서서히 증가하다가 1986년 이후부터 활발히 진행되어졌고, 대부분의 연구가 산업보건사업에 치중되어 있으며 산업보건관리체계에 대한 연구는 미약함을 알 수 있었다 산업보건사업에 관한 연구의 대부분도 직업병 실태와 건강관련행태 및 실태를 파악하는 수준에 머무르고 있으며 산업보건관리체계의 경우도 대부분 인력의 실태 파악에 그 The purposes of this study are to define the scope of occupational health management and to classify occupational management by review of related journals from 1945 to 1994 in Korea. The steps of this study were as follows: (1) Search of secondary reference; (2) Collection and review of primary reference; (3) Survey; and (4) Analysis and discussion. The results were as follows ; 1. Most of the respondents majored in occupational health(71.6%), and were working in university (68.3%), males and over the age 40. Seventy percent of the respondents agreed with the idea that classification of occupational health management is necessary, and 10% disagreed. 2. After integration of the idea of respondents, we reclassified the scope of occupational health management. It was defined 3 parts, that is , occupational health system, occupational health service and others (such as assessment, epidemiology, cost-effectiveness analysis and so on). 3. The number of journals on occupational health management was 510. It was sightly increased from 1986 and abruptly increased after 1991. The kinds of journals related to occupational health management were The Korean Journal of Occupational Medicine(18.2%), Several Kinds of Medical Colloge Journal(17.0%), The Korean Journal Occupational Health(15.1%), The Korean Journal of Preventive Medicine(15.1%) and others(34.6%). As for the contents, the number of journals on occupational health management systems was 33(6.5%) and occupational health services 477(93.5%). Of the journals on occupational health management systems, the number of journals on the occupational health resource system was 15(45.5%), occupational finance system 8(24.2%), occupational health management system 6(18.2%), occupational organization 3(9.1%) and occupational health delivery system 1 (3.0%). Of the journals on occupational health services, the number of journals on disease management was 269(57.2%), health management 116(24.7%), working environmental management 85(18.1%). As for the subjects, the number of journals on general workers was 185(71.1%), followed by women worker, white coiler workers and so on. 4. Respondents made occupational health service(such as health management, working environmental management and health education) the first priority of occupational health management. Tied for the second are quality analysis(such as education, training and job contents of occupational health manager) and occupational health systems(such as the recommendation of systems of occupational and general disease and occupational health organization). 5. Thirty seven respondents suggested 48 ideas about the future research of occupational health management. The results were as follows: (1) Study of occupational health service 40.5%; (2) Study of organization system 27.1%; (3) Study of occupational health system (e.g. information network) 8.3%; (4) Study of working condition 6.2%; and (5) Study of occupational health service analysis 4.2%.

Postnatal exposure of particulate matter (PM<SUB>2.5)</SUB> and house dust mite allergen and eosinophil count on allergic disease

Eun-Hee Ha(하은희),Byung-Mi Kim(김병미),Hye Sook Park(박혜숙),Yun-Chul Hong(홍윤철),Mina Ha(하미나),Yangho Kim(김양호),Choonghee Park(박충희),Bo Eun Lee(이보은),Eunjeong Kim(김은정),Eun-Kyo Park(박은교) 환경독성보건학회 2014 한국독성학회 심포지움 및 학술발표회 Vol.2014 No.5

보육바우처가 보육서비스 질의 개선과 만족도에 미치는 영향

하은희(Eun Hee Ha),조성한(Sung Han Cho) 한국국정관리학회 2016 현대사회와 행정 Vol.26 No.2

바우처라는 제도는 전통적인 복지지원서비스에 소비자의 선택과 공급자의 경쟁을 가져오기 위한 정책도구이다. 보육바우처 역시 보육시설에 대한 소비자의 선택과 공급자의 경쟁을 유도하여 보육서비스의 질을 높이기 위해 도입되었다. 그러나 최근의 보육시설내 불미스러운 사건들은 보육바우처가 제 기능을 다하는지에 대한 의문을 가져오게 한다. 이 연구는 보육바우처의 도입에 대한 소비자들의 인식이 보육시설의 질적인 개선과 소비자들의 만족도에 어떤 영향을 미치는지 분석해 보았다. 소비자들이 가지는 보육바우처에 대한 이해도가 보육시설의 질적인 수준에 대한 인식이나 만족도에 큰 영향을 주는 것으로 나타났다. 보육바우처가 가지는 기본적인 성격에 대한 소비자의 이해를 높이는 것이 보육바우처제도의 성공을 위해서 중요하다. This study is to evaluate consumers’ perception of the childcare vouchers called "Aisarang Card” which was introduced in 2009. Voucher is a policy tool for enhancing the effectiveness and efficiency of social services based by encouraging competition between suppliers and choice for consumers. Therefore, the consumers’ perception of the voucher system may be an good indicator to determine the success. Despite the introduction of childcare vouchers the nursery has experienced unsavory incidents such as the abuse of children until recently. The incidents show that “choice and competition” of the voucher has not worked out as expected. Previous studies have addressed the childcare vouchers mainly from the perspective of the operating system. However, perception and satisfaction of users with childcare voucher also has serious impact on the success of the program. Therefore, this study has its significance in that it analyzes the effectiveness of the scheme by examining the parents’ perception of understanding, satisfaction, and service quality for childcare vouchers. The study selected 10 districts in Seoul where the first demonstration project was held before. Questionnaires were distributed to 450 parents and 172 valid questionnaires were collected. The research study showed that 68% of respondents did not feel that it became easier to choose the desired daycare center even after introduction of childcare voucher. In addition, more than 80% of respondents replied that there had not much change in competition between childcare facilities. The reason is that parents compete each other to choose better daycare center because of lack of childcare facilities. According to this study, parents’ understanding of the voucher and cometition between facilities had significant impact on parents’ perception of the quality of the service. However understanding of the childcare voucher had negatively affect parents’ perception of the quality of the service. Satisfaction is significantly affected by the understanding, selectivity of parents and competition between facilities. Understanding of voucher affected satisfaction negatively. As parents understand the childcare voucher better they become cynical to the program.

환경보건정책 수립을 위한 환경보건연구 활용방안

하은희(Eun-Hee Ha) 환경독성보건학회 2013 한국독성학회 심포지움 및 학술발표회 Vol.2013 No.5

Coordination of birth cohort studies in Asia

Eun-Hee Ha(하은희),Pau-Chung CHEN,Reiko KISHI,Yun-Chul Hong(홍윤철),Hyesook Park(박혜숙),Yangho Kim(김양호),Mina Ha(하미나),Eunjeong Kim(김은정),Eun-Kyo Park(박은교),Byung-Mi Kim(김병미) 환경독성보건학회 2013 한국독성학회 심포지움 및 학술발표회 Vol.2013 No.10

Mothers and children's environmental health (MOCEH) study

Eun-Hee Ha(하은희),Hye-Sook Park,Mina Ha,Yangho Kim,Yun-Chul Hong,Byung-Mi Kim,Ju-Hee Seo,Moon-Hee Chang 환경독성보건학회 2008 한국독성학회 심포지움 및 학술발표회 Vol.- No.-