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      • The effects of community structure and condition on the adolescent and young adults’ risky sexual behavior: A systematic review

        Youngran Yang,Sung-Heui Bae 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

        Aim(s): Risky sexual behavior, such as early sex initiation, unprotected sex and having multiple sex partners of adolescent can result in infection of HIV, sexually transmitted infection (STI), unintended pregnancy, abortion, and legal conflict. The purpose of this review is to examine associations between community process and mechanism and adolescent and young adults’ risky sexual behavior (RSB). Method(s): We followed a five-step approach, comprising problem formulation, literature search, data evaluation, data analysis, and presentation, and also used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The keywords included factor (s) AND sexual behavior OR risky sexual behavior AND adolescent (s) OR young adult (s) in the CINAHL, Cochrane Library, EBSCO, PubMed, PsycINFO. After screening title, abstract, and full-text, social processes and mechanisms within the community and adolescents’ RSB outcome were only analyzed (n=26). Result(s): The community process and mechanisms include collective efficiency and social support, community safety, and community norm. Decent size of studies examined collective efficacy and social support (11 studies) and community safety (17 studies). Collective efficacy and control had expected relationships with adolescent and young adult’s RSB, the greater collective efficacy & control, the lower early sexual initiation. Conclusion(s): Community process and mechanisms are intangible assets of community. From this review, we found that decent numbers of studies examined these community process and mechanisms and its relationship with adolescent and young adult’s RSB. All these three can be used to prevent and reduce the occurrence of adolescent and young adult’s RSB. To prevent negative reductive health outcomes like STI or unintended pregnancy, these community process and mechanisms should be emphasized.

      • Sociocultural Influences on the Transmission of HIV From Husbands to Wives in Cambodia: The Male Point of View

        Yang, Youngran,Thai, Sopheak SAGE Publications 2017 American Journal of Mens Health Vol.11 No.4

        <P>The purpose of the study was to explore, within cultural and societal contexts, the factors of spousal HIV transmission as described by the experiences of HIV-positive Cambodian men. Using qualitative research methods, the researchers collected data from in-depth interviews with 15 HIV-positive Cambodian men of seroconcordant couples recruited from an HIV/AIDS clinic in Phnom Penh. Using a model of HIV transmission from husbands to wives, the questions were designed to elicit the men’s perspectives on the topics of promiscuity, masculinity, condom use in marriage, the image of the ideal Cambodian woman, and attitudes toward sex and marriage. Directed content analysis was used to analyze the interview data. The main results were as follows: (a) men involved with sex workers perceived this as a natural behavior and a necessary part of being an approved member in a male peer group, (b) married men never used condoms during sex with their wives prior to their HIV diagnosis, (c) men perceived a good wife as one who is diligent and loyal to her husband, and (4) men’s attitudes toward sex and marriage (e.g., sex perceived as a part of life pleasure) differed from those of their wives. Promoting honest spousal communication about sexuality, maintaining men’s marital fidelity, and increasing women’s comfort in the use of sexual techniques are suggested as strategies for reducing HIV transmission within marriage in Cambodia. Future interventions should focus on reshaping men’s behaviors and changing cultural norms to protect them and their spouses from HIV infection.</P>

      • KCI등재

        외국인 근로자 건강관련 연구동향과 연구 주제어 네트워크 분석: 최근 10년간(2010-2019년)

        양영란 ( Youngran Yang ),김혜영 ( Hye Young Kim ) 대한보건협회 2021 대한보건연구 Vol.47 No.1

        연구의 필요성 및 목적 : 본 연구의 목적은 최근 10년간 수행된 외국인 근로자의 건강관련 연구동향을 체계적으로 고찰하고 연구 주제어간 네트워크를 파악하여 추후 정책과 연구방향을 제안하는 것이다. 연구방법 : 외국인 근로자 건강관련 연구동향을 분석하기 위해 RISS(한국교육학술정보원), DBPia, PubMed, CINAHL, Web of Science, ProQuest 문헌 데이터베이스를 이용하여 문헌을 검색하였으며 검색어(keyword)는 “외국인/이주 근로자(foreigner/migrant/immigrant worker)”, “건강(health)”, “의료/간호/서비스(medical/care/service)”, “스트레스(stress)”, “삶의 질(quality of life)”을 사용하였다. 네트워크 분석은 R 프로그램(R-4.0.2, C Core Team, 2017)을 이용하였다. 연구결과 : 문헌고찰 대상 논문은 모두 33편으로 건강 및 건강증진 행위 관련(16편), 정신건강 관련(10편) 및 중재연구(7편)으로 구분되었다. 추출한 연구주제어 중 가장 많은 빈도를 보인 주제어는 ‘문화적응(acculturation)’과 ‘문화적응 스트레스(acculturation stress)’으로 나타났고 ‘우울(depression)’, ‘직무 스트레스(occupational stress)’, ‘직업 관련 근골격계 질환(work-related musculoskeletal disorder)’이 그 뒤를 이었다. 중심성 분석에서 중추적 역할을 하는 것으로 분석된 주제어는 ‘문화적응’, ‘문화적응 스트레스’, ‘우울’ 그리고 ‘직무스트레스’, ‘정신건강’, ‘사회적 지지’, ‘건강증진’이었으며 건강행동, 건강수준 및 운동이 그 뒤를 이었다. 결론 : 외국인 근로자의 정신건강 증진과 문화적응을 위한 정책과 프로그램 개발이 필요하며 향후 외국인 근로자 대상 건강관련 논문은 삶의 질, 사람 중심 케어 등으로 주제를 다양화해야 한다. 또한 상대적으로 자료수집이 용이한 제조업 근로자 뿐 아니라 농업, 건축업 및 서비스업 등으로 산업체를 확장시킬 필요가 있다. Purpose : The purpose of this study is to systematically review the health-related research trends of foreign workers conducted in the last 10 years, and to identify the network between key words to propose future research directions and topics. Methods : Literature was searched in RISS, DBPia, KISS, PubMed, CINAHL, Web of Science, and ProQuest literature databases using key words of “foreigner/migrant/immigrant worker”, “health”, “medical/care/service”, “stress”, and “life Quality of life”. Network analysis was performed using the R program (R-4.0.2, C Core Team, 2017). Results : A total of 33 articles were selected for analysis, focusing on health and health promotion behaviors (16 studies), mental health (10 studies), and intervention studies (7 studies). The main key words with the most frequency were 'acculturation', 'acculturation stress', 'depression’, 'occupational stress' and 'work-related musculoskeletal disorder' followed. Conclusion : Health policies and programs should be developed to reduce acculturation stress and improve mental health of foreign workers. It is necessary to diversify recruitment of the samples, research topics, and research methods in the further research targeting foreign workers.

      • KCI등재

        국내성인의 에이즈 지식과 태도의 유형과 관련요인

        양영란 ( Youngran Yang ) 대한보건협회 2015 대한보건연구 Vol.41 No.4

        연구목적 : 본 연구는 국내 성인의 에이즈 지식과 태도의 유형과 유형별 특성을 파악하고 각 유형에 미치는 영향요인을 분석하여 맞춤형 에이즈 교육 및 홍보 프로그램 개발을 위한 기초자료를 제공하기 위해 수행되었다. 연구방법 : 연구 자료는 질병관리본부 주관으로 전국 17개 시도에서 수행된 “지역사회건강조사(2013)”의 원시자료를 사용하였으며 연구대상자는 만 19세 이상에서 59세까지의 성인 122,888명이었다. 자료분석을 위해 SPSS 18.0 프로그램을 이용하여 에이즈지식과 태도의 유형은 K-평균 군집분석을 이용하였으며 유형별 인구사회학적 변수간의 차이를 파악하기 위해 복합표본설계 교차분석을 이용하였으며 각 유형별 관련요인은 다항로짓회귀분석을 통해 살펴보았다. 주요결과 : 본 연구결과는 다음과 같다. 첫째, 국내성인의 에이즈지식 및 태도에 대한 유형은 ‘고지식 부정태도군(High knowledge & negative attitude)’, ‘고지식 긍정태도군(High knowledge & positive attitude)’, ‘저지식 부정태도군(Low knowledge & negative attitude)’로 분류되었으며 각각 36.0%, 31.1%, 32.9%를 차지하였다. 둘째, 여성, 읍·면 거주자, 전문행정관리자 외 기타 직업, 또는 무학력 대상자는 ‘고지식 긍정태도군’보다는 ‘저지식 부정태도군’에 속할 확률이 통계적으로 유의하게 높은 것으로 나타났다. 결론 : 본 연구 결과, 여전히 국내성인의 에이즈 지식은 낮고 감염인에 대한 태도는 부정적임을 알 수 있다. 지식은 높지만부정적인 태도를 가진 대상자의 비율은 전체성인의 약 1/3을 차지하였다. 따라서, 인구사회학적 특성과 인간의 지식과 태도의 상호작용을 고려하여 각 유형에 맞는 에이즈에 관한 교육과 태도개선을 위한 맞춤형 프로그램의 개발을 제안한다. Objective: This study explored the types of AIDS knowledge and attitudes among Korean adults and analyzed the socio-demographic characteristics and related factors of each type. Methods: Data used in this study came from the Community Health Survey (2013), conducted by the Korean Centers for Disease Control and Prevention; a total of 122,888 study subjects ages 19-59 were included. SPSS 18.0 program was used for statistical analysis of the data. The types were classified using K-means cluster analysis, frequency analysis, and polychotomous logistic regression analysis of complex sample design to identify the characteristics and related factors of the types. Results: The results of the study are as follows: the types of AIDS knowledge and attitudes were identified as “high knowledge & negative attitude” (36.0%), “high knowledge & positive attitude” (31.1%), and “low knowledge & negative attitude” (32.9%). Male, town residents, those 20-29 and 40-49 aged people, professional administrator/manager, married, or higher education tended to be classified into ‘high knowledge & positive attitude’ compared to those counter partners. Conclusion: Based on the findings of this study, it would be effective to consider the socio-demographic characteristics of each type of AIDS knowledge and attitudes when developing a program designed to improve AIDS knowledge and attitudes in Korean adults.

      • SCOPUSKCI등재

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