일부 지역주민의 비만 수준과 비만 관련요인

박종구(Jong Ku Park),고상백(Sang Baek Koh),강명근(Myung Gun Kang),김진백(Jin Back Kim),현숙정(Sook Jung Hyun),홍주희(Ju Hee Hong),박준호(Jun Ho Park),장세진(Sei Jin Chang) 한국역학회 2004 Epidemiology and Health Vol.26 No.2

Objective: The aim of present study was to assess the distribution and correlates of obesity in a Korean rural people using both body mass index(BMI) and body far percent. Methods: A total of 1,243 participants were recruited using a two-staged stratified sampling. A structured questionnaire was used to ask their sociodemographics (gender, age, marital status, educational background, and etc.) and health-related behaviors (smoking, drinking, and regular exercise etc.). The data of weight-for height, and body fat percent were also collected by physical examination. POI' the estimation and analysis of con-elates of obesity, we used BMI(≥25kg/㎡) and body fat percent(male≥25%, female≥30) as a cut-point of obesity. All analyses were stratified to three age groups(<20,20-39,40≥). Results: The prevalence of obesity in this study was higher than that in previous studies. This study showed that 32.6% (male: 33.7%, Female: 31.7%) of participants according to BMI, and 45.6% (male: 43.8%, female: 47.4%) of them according to body fat percent were obese group. Logistic regression analysis showed that, in the criteria of BMI, while obesity was associated with female and low educational background under the age of 40, prevalence of obesity was higher in non smokers over the age of 40. In case of body fat percent crteria, single(unmarried, divorced, separated, widowed) were more likely to be obese in male aged 20 to 39 years. In the group aged 40 years and over, risk of obesity was higher in female than in male. Conclusion: This result suggests that obesity is common in Korean rural areas, especially among adolescents and female aged 40 years or over, and the risk factors for obesity were different by age. It is required that health management program focusing on obesity and its adverse outcomes should be developed in a community setting.

수해지역 주민의 정신건강에 대한 2년 추적조사

조영주(Youngju Cho),김민혁(Min-Hyuk Kim),고상백(Sang-Back Koh),허지훈(Ji-hoon Heo),박준호(Joon-Ho Park),안정숙(Joung-Sook Ahn),박기창(Ki-Chang Park),신정호(Jongho Shin),민성호(Seongho Min) 대한사회정신의학회 2010 사회정신의학 Vol.15 No.2

목 적: 홍수피해를 입은 지역사회 주민의 수해 후 2년간의 정신건강상태 변화와 우울증, 외상 후 스트레스 장애 유병률에 대하여 연구하였다. 방 법: 저자들은 강원도 인제군 가리산리를 농작업 안전관리현황 진단을 위한 코호트로 선정하고, 2006년 4월부터 수해가 일어나기 직전인 7월까지, 83명의 주민들에 대한 사전조사를 마쳤었다. 신체 및 정신 건강상태와 의료 결과 연구 36항목 단축 서식 건강조사-한국판 (36-Item Short-Form Health Survey-Korean version, SF-36), 단축형 사회심리적 스트레스(Psychological Well-being Index, PWI-SF), Beck 우울척도(Beck Depression Inventory, BDI), 사회충격척도-개정판 (Impact of Event Scale-Revised, IES-R) 등의 조사도구를 사용하였다. 수해 후 18개월 후에 1차 조사, 24개월 후에 2차 조사를 시행하였고, 25명의 남자와 32명의 여자가 1차, 2차 조사에 응답하였다. 우울증상, 외상 후 스트레스장애 증상과 일반적 정신건강 상태의 시간에 따른 변화와 관련된 인자들을 조사하였다. 결 과: BDI 16점 이상의 중등도 이상의 우울증상은 1차 조사 에서 36.8%, 2차 조사에서 28.1%로, 2차 조사에서 호전되는 양상이 었다. 반면 PWI-SF는 1차 조사보다 2차 조사에서 증가하여 스트레스에 대한 심각도가 높아졌고, IES-R로 측정된 외상 후스트레스장애 증상의 유병율도 1, 2차 조사에서 각각 29.8%, 38.6%로 증가하였다. SF-36은 고령군에서 유의미하게 감소하였 지만, 보상 만족도가 높은 집단에서는 증가하였다. 결 론: 재해는 2년 이상 장기간 동안 피해자들의 정신건강에 영향을 미치며, 그 영향은 정신병리에 따라 다양하다. 연령, 계절, 보상 수준, 재해 중 경험 등이 재해 후 정신건강의 변화에 조절인자로 작용하는 것으로 보인다. Objective:Eighteen-month and 24-month follow-ups after floods were performed to investigate interval changes of general mental health status and the prevalence of depression and PTSD symptoms in the agricultural population of a mountain village. Method:Garisan-ri of Inje-gun, Gangwon-do was chosen as an associate for evaluating agricultural safety management status. A baseline survey was done among the residents from April to July, 2006 just before flood damage occurred. Among the 83 subjects of the baseline survey before the flood, the primary investigation was implemented 18 months after, and a secondary investigation 24 months after the flood. Twenty five men and 32 women responded to both the primary and secondary investigations. The SF-36, PWI-SF BDI, MMPI-PTSD and IESR were used for this group to examine the prevalence of depression, post-traumatic stress disorder symptoms, and the general status of their mental health. They were also observed regarding changes of time and seasons. Results:Depression of a moderate or higher degree measured with BDI (>16) was shown to be experienced in 36.8% of residents from the primary, and 28.1% from the secondary investigation. It seemed to be improving, but the PWI-SF total score increased in the secondary investigation than that in the primary. The estimated prevalence of post-traumatic stress disorder symptom measured by IES-Rappeared to be increasing, being 29.8% and 38.6% in the primary and secondary investigations, respectively. As for changes in SF-36, the elderly group and the group with high satisfaction showed significant values. Conclusion:The result of the study is that disasters may have long-term effects on victimsfor more than two years, although some of the symptoms improve, other symptoms continue, and there are changes in mental health status depending on age, seasons, level of compensation and other factors.

보상만족도가 수해 후 정신병리와 삶의 질에 미치는 영향

김신(Shin Kim),민성호(Seongho Min),고상백(Sang-Back Koh),신정호(Jongho Shin),박기창(Ki-Chang Park),안정숙(Joung-Sook Ahn),김민혁(Min-Hyuk Kim) 대한사회정신의학회 2011 사회정신의학 Vol.16 No.2

목 적 : 본 연구의 목적은 보상만족도가 재해 후 정신병리와, 삶의 질의 변화에 미치는 영향을 알아보는 것이다. 방 법 : 강원도 인제군 가리산리는 농작업 안전관리현황 진단을 위한 코호트로 선정되어, 2006년 4월부터 수해가 일어나기 직전인 7월까지 주민 83명의 신체적 및 정신적 건강실태에 대한 기초조사가 이루어졌다. 저자들은 수해 후 18개월에 1차 조사, 24개월에 2차 조사를 시행하여, 한국판 36-단축형 건강조사(36-Item Short-Form Health Survey-Korean version, SF-36)를 사용하여 삶의 질을 측정하였고, 단축형 사회심리적 스트레스(Psychological Well-being Index Short form, PWI-SF), 개정판 사건충격척도(Impact of Event Scale-Revised, IES-R), Beck 우울척도(Beck Depression Inventory, BDI) 등을 사용하여 정신병리를 측정하였으며, 보상에 대한 만족도에 대해 조사하였다. 결 과 : 55명 중 보상만족도가 보통 이상은 12명(21.8%), 불만족은 33명(78.2%)이었으며, 두 집단간의 인구사회학적 특징은 차이가 없었다. 보상만족도에 따라 시간에 따른 BDI, IES-R, AUDIT 점수의 변화에는 차이가 없었다. SF-36은 보상만족도가 높은 집단에서 수해 후 18개월에 감소하였다가 24개월 증가하였으며, 보상만족도가 낮은 집단은 수해 후 18개월에 증가하였다가 24개월에 감소하 였다. 결 론 : 수해는 피해자들의 정신건강에 장기간 영향을 미치며 보상만족도는 수해 후 삶의 질 변화에 영향을 미친다. Objectives : This study aims to examine the effects of compensation satisfaction on psychopathology and quality of life following flood. Methods : Garisan-ri of Inje-gun, Gangwon-do was chosen as a cohort regarding evaluating of agricultural safety management status. A baseline survey had been administered just before the flood. A follow-up study was conducted for 24 months. Psychopathology and quality of life were assessed using BDI, IES-R, SF-36 and PWI-SF. Satisfaction with the flood compensation was also evaluated. Results : There was a total of 55 respondents. There was no significant difference between the low satisfaction group (N=43, 78.2%) and middle & high group (N`12, 21.8%) in the sociodemographic factors. There were no significant differences in changes in BDI, IES-R, and AUDIT score over time between the two groups. While SF-36 in the low satisfaction group was increased at 18months after the disaster and decreased at 24months, SF-36 in the middle and high satisfaction group decreased at 18 months after the disaster and increased at 24 months. Conclusion : The flood disaster had a long-term effect on the flood victims’ mental health. Satisfaction with compensation affects changes of quality of life following a flood disaster.

콜타르가 함유된 페이트 사용 조선업 근로자에서 요중 1-hydroxypyrene glucuronide와 대사효소 유전자 다형성에 관한 연구

이경호(Kyoung-Ho Lee),이정미(Jeongmi Lee),최인미(Inmi Choi),김재용(Jaiyong Kim),임형준(Hyungjune Im),이상윤(Sang-Yun Lee),윤기정(Kijung Yoon),고상백(Sang Back Koh),최홍렬(Hong Ryul Choi),조수헌(Soo-Hun Cho),강대희(Daehee Kang) 한국환경성돌연변이발암원학회 2000 한국환경성돌연변이·발암원학회지 Vol.20 No.1

Although shipbuilding workers were exposed to a variety of genotoxic compounds including polycyclic aromatic hydrocarbons (PAHs), limited number of studies were conducted to evaluate the biomarkers related to PAH exposure in painting workers in shipbuilding industry. One hundred and thirty three workers<br/> including 73 employees using coal tar paints were recruited from a shipbuilding company located in South Korea. Urinary 1-hydroxypyrene glucuronide (1-OHPG), as internal dose of PAH exposure, were measured by synchronous fluorescence spectroscopy after immunoaffinity purification using monoclonal antibody 8E11. Glutathione S-transferase (GST)M1 and GSTT1 genotypes were assessed by multiplex PCR. Information on demographic characteristics, smoking habit, diet, job title, use of personal protective equipments were collected by self-administered questionnaire. Urinary 1-OHPG were higher in workers using coal tar paints than in workers using general paints, however, the difference was not statistically significant (p=0.20, Mann-Whitney U test). Urinary<br/> 1-OHPG levels in smokers were higher than in non-smokers (p<0.05 by Mann-Whitney U test) and there was a significant increase in urinary 1-OHPG levels with the numbers of cigarettes consumed per day (Spearman's correlation coefficient=0.28, p=0.02). Genetic polymorphisms of GSTM1 and GSTT1 did not influence the level of 1-OHPG in study subjects. Multiple regression analysis show that smoking is the only significant predictor for log-transformed 1-OHPG (overall model R²=0.1). These results suggest that workers using coal tar paints were exposed to significant amount of PAHs and individual difference in xenobiotic metabolism might affect the<br/> levels of internal dose of PAHs.