공복혈당 궤적에 따른 심장병 발생 위험: 국민건강보험공단 표본 코호트 연구

전주은 ( Jooeun Jeon ),조어린 ( Eo Rin Cho ),정금지 ( Keum Ji Jung ),지선하 ( Sun Ha Jee ) 한국보건정보통계학회(구 한국보건통계학회) 2016 보건정보통계학회지 Vol.41 No.4

Objectives: To classify trajectories of fasting blood glucose (FBS) levels and examine each trajectory`s associations with risk of cardiovascular disease (CVD). Methods: The National Health Insurance Service-National Sample Cohort (NHIS-NSC) sampled in the 2002 NHIS database was followed until 2010, and 13,829 participants aged 20 years and above had conducted nationwide health examinations annually. We used Cox proportional hazards models to examine the association of trajectories to risk of CVD. Four distinct trajectory groups were identified for FBS: low-stable, moderate-stable, elevated-upward, and High-upward. Results: During 88947.9 person-years of follow-up (mean follow-up, 6.4 years), we documented 2,778 incident case of CVD. Age-standardized incidence rate were increased with FBS levels (5,296.2 in low-stable group, 6,292.6 in moderate-stable group, and 8047.9 in elevated-upward group), but not in High-upward group. In multivariate models adjusted for age and sex, FBS was a significant predictor of CVD in elevated-upward group (hazard ratio (HR)=1.6, 95% confidence interval (CI):1.4-1.8) and High-upward group (HR=1.6, 95% CI:1.3-2.1). However, further adjustment for clinical covariates, only elevated-upward group was significantly associated with CVD (HR=1.2, 95% CI:1.1-1.4). Conclusions: Using the trajectory approach, we found that elevated-upward and High-upward FBS trajectories were associated with greater risk of CVD. These findings indicate the importance of FBS management across the lifespan, prognostic assessments and the targeting of prevention strategies to high-risk individuals.

파놉티콘의 강화 혹은 역감시?

전현재(Hyunjae Jeon),조주은(Jooeun Cho) 한국사회조사연구소 2015 사회연구 Vol.- No.28

최근 자동차 블랙박스가 확산되면서 블랙박스에 의한 감시가 증가하고 있다. 사람들은 사고 발생시 억울한 일을 당하지 않기 위해 블랙박스를 구입하고, 블랙박스로 자기 자신을 감시한다. 블랙박스 감시는 두 가지 측면에서 파놉티콘 감시와 구분되는 탈파놉티콘 감시의 특징을 지닌다. 하나는 블랙박스가 정보통신기술을 이용하는 디지털화된 감시 도구이며, 다른 하나는 파놉티콘 감시하에서 감시 대상이던 개인이 감시 주체가 되었다는 점이다. 이 연구에서는 블랙박스동호회의 인터넷 게시판을 통하여 사람들이 블랙박스로 무엇을 하는지, 구입 의도대로 자기 보호를 위해서만 블랙박스를 사용하는지, 아니면 다른 용도로도 사용하는지, 그리고 블랙박스가 기존의 감시체제에 어떤 영향을 미치는지를 분석하였다. 분석 결과를 요약하면 다음과 같다. 첫째, 사람들은 블랙박스로 자기 자신, 타인, 보험회사 등 다양한 대상을 감시하면서 감시 주체로서의 정체성을 확립하고 있었다. 구입 목적과는 달리 자기 보호보다 타인 감시에 블랙박스를 더 많이 활용하였다. 둘째, 인터넷 동호회는 일종의 시놉티콘으로 작용하였는데, 일반 대중이 블랙박스 이용의 모델을 제시하고, 여론 형성에 영향을 미쳤다. 셋째, 블랙박스 감시는 ‘신고’ 행위를 통해 감시 어셈블리지에 연결되고, 파놉티콘 감시 권력을 강화시켰다. 넷째, 블랙박스와 그에 의한 신고가 일상화되면서 사람들은 블랙박스감시를 내면화하고, 감시에 대한 사회적 수용도가 높아졌다. 마지막으로 사고발생시 보험회사가 판단한 과실비율에 문제를 제기하는 역감시가 이루어지고 있었다. 즉, 다수가 소수를 감시하는 또다른 시놉티콘을 발견할 수 있었다. 결론적으로 개인에 의한 블랙박스 감시는 파놉티콘 감시체제를 강화시키는 동시에 역감시도 수행하고 있었다. The dashboard camera is now an essential part of an automobile, which entails increasing surveillance by the cameras. dash-board cameras, or dash-cams, are useful in assessing responsibility in an accident and for reporting traffic violations. Dash-cam surveillance is different from panopticon surveillance in two aspects. First, dash-cam is a digitalized surveillance tool based on information technology. Secondly, the individual, who was being watched under the panopticon surveillance, is now the active surveillant. This study analyzes internet bulletin boards of an online dash-cam club and examines whom people watch, why they do it, what the surveillance behavior means to them, and what effects the new surveillance system has on the old system. The results are as follows. First, people watch various targets such as themselves, others, and insurance companies, and in doing so they establish their identity as active surveillants. Secondly, the online dash-cam club works as a kind of synopticon. In the club, a layperson can suggest a models in which to use the dash-cam, influencing public opinion. Thirdly, dashcams are connected to the surveillance assemblage through the acts of reporting, therefore strengthening the panopticon surveillance. Fourthly, as dash-cams are now a part of everyday life and reporting crimes/violations based on their video footage is common, people have become accustomed to the surveillance by dash-cams and the social acceptance of the surveillance has significantly increased. Lastly, insurance companies’ decisions regarding who is at fault in a car accident are often disputed by dash-cam videos, which can imply a synopticon situation where the majority exercise watch over the minority. In summary, while the dash cam surveillance over individuals has strengthened the panopticon surveillance system, it has simultaneously operated as the synopticon surveillance system.

Trends in the Incidence and Etiology of Non-Traumatic Spinal Cord Injury in Korea: A Nationwide Population-Based Study From 2007 to 2020

Choi Yoonjeong,Leigh Ja-Ho,Jeon Jooeun,Lee Goo Joo,Shin Hyung-Ik,Bang Moon Suk 대한의학회 2023 Journal of Korean medical science Vol.38 No.18

Background: Although patients with non-traumatic spinal cord injury (NTSCI) have distinct epidemiological characteristics compared to those with traumatic spinal cord injury, no previous study has reported the incidence of NTSCI on a national scale in Korea. In this study, we examined the trend in incidence of NTSCI in Korea and described the epidemiological characteristics of patients with NTSCI using nationwide insurance data. Methods: National Health Insurance Service data were reviewed for the period from 2007 to 2020. The International Classification of Diseases, 10th revision, was used to identify patients with NTSCI. Inpatients with newly diagnosed NTSCI on their first admission during the study period were included. Crude incidence was calculated using the annual number of NTSCI cases divided by the mid-year population estimates. Age-specific incidence was calculated by dividing the number of cases in 10-year age groups by the total number of individuals in that age group. Age-adjusted incidence was calculated using direct standardization. Annual percentage changes were calculated using Joinpoint regression analysis. The Cochrane-Armitage trend test was conducted to examine the trends of NTSCI incidence according to the types or etiologies of NTSCI. Results: The age-adjusted incidence of NTSCI increased continuously from 24.11 per million in 2007 to 39.83 per million in 2020, with a significant annual percentage change (4.93%, P < 0.05). The age-specific incidence for those in their 70s and 80s or older was the highest and rapidly increased from 2007 to 2020. According to the types of paralysis in NTSCI, the proportion of tetraplegia decreased, whereas those of paraplegia and cauda equina increased significantly from 2007 to 2020. The proportion of degenerative diseases was the largest among all etiologies and increased significantly during the study period. Conclusion: The annual incidence of NTSCI in Korea is increasing significantly, particularly among older adults. As Korea is one of the countries with most rapidly aging population in the world, these results have significant implications, indicating that preventive strategies and sufficient rehabilitation medical services are warranted for the population of older adults.

The risk of psychiatric disorders among patients with psoriasis in Korea: a 12-year nationwide population-based cohort study

( Jongwook Oh ),( Su Jin Park ),( Tae-gyun Kim ),( Jooeun Jeon ),( Keum Ji Jung ),( Hae Won Kim ),( Sun Ha Jee ),( Min-geol Lee ) 대한피부과학회 2019 대한피부과학회 학술발표대회집 Vol.71 No.2

Background: Psoriasis is a chronic skin disease with a high impact on self-esteem and patients’ health related quality of life. Objectives: The association between psoriasis and risk of psychiatric disorders has not been thoroughly evaluated in a large longitudinal cohort of Asian population Methods: We conducted a nationwide population-based retrospective cohort study encompassing more than 1.6 million Koreans with a 12-year follow-up period. Patients were considered in the psoriasis cohort if they had an incident diagnostic code for psoriasis and included patients were followed up until they developed any psychiatric disease Results: In adjusted models, psoriasis patients (n = 10,868) were at a 18% increased risk for depression (hazard ratio [HR] 1.18, 95% confidence interval [CI] 1.09-1.26), 16% for anxiety disorders (HR 1.16, 95% CI 1.08-1.26), and 21% for somatoform disorders (HR 1.21, 95% CI 1.08-1.34) compared with the referent cohort (n = 1,620,055). Patients with moderate-to-severe psoriasis had a higher risk of developing depression and somatoform disorders than patient with mild disease (depression, HR 1.28, 95% CI 1.07-1.54 vs HR 1.17 95% CI 1.07-1.27; somatoform disorders, HR 1.60, 95% CI 1.26-2.03 vs HR 1.13, 95% CI 1.00-1.28). Conclusion: Our results highlight the burden of psychiatric diseases in patient with psoriasis in Korea and suggest that appropriate medical support for possible mental illness is warranted in Asian psoriatic patients.

청소년 흡연자의 금연 시도와 전자담배 사용

이예림(Ye Rim Lee),김희진(Heejin Kimm),이성규(Sungkyu Lee),전주은(Jooeun Jeon),추소담(Sodam Chu),지선하(Sun Ha Jee) 한국보건교육건강증진학회 2017 보건교육건강증진학회지 Vol.34 No.3