지역사회 기반 참여형 학교 건강증진 프로그램 개발: 인도네시아 반다아체 초등학생 적용 사례

권은주 ( Eunjoo Kwon ),나은희 ( Eunhee Nah ),정헌우 ( Heon Woo Jeong ),정후근 ( Hoo Gn Jeoung ) 대한보건협회 2016 대한보건연구 Vol.42 No.1

연구목적 : 본 연구의 목적은 지역사회 기반 참여형 학교 건강증진 프로그램을 개발하고, 인도네시아 반다아체 지역에 적용된 과정을 확인하는 것이다. 연구방법 : 2012~2014년 한국국제협력단의 지원으로 진행된 “인도네시아 반다아체 초등학생 건강증진 및 보건교육 사업”을 대상으로 하며, 프로그램 개발 및 적용과정에 지역사회 참여형 연구(CBPR)의 기본 개념이 적용되었다. 연구결과 : 지역사회 기반 참여형 학교 건강증진 프로그램은 CBPR의 원칙에 따라 개발되고, 인도네시아 반다아체 지역에 적용되었다. 개발된 프로그램은 인도네시아 반다아체 아동의 건강한 성장에 영향을 미쳤다. 결론 : 교사를 비롯한 지역사회 구성원의 참여와 협력, 역량강화는 개발도상국의 학교 건강증진 프로그램에서 중요한 부분이다. 후속 연구를 통해 개발된 프로그램의 중재 효과를 깊이 있게 파악해야 할 것이다. Objective: This study was conducted to develop and implement a community-based participatory school health program for elementary school children. Methods: This study describes how Community-Based Participatory Research(CBPR) principles were applied to the international cooperation health project entitled “School Health Promotion and Education Project in Banda Aceh, Indonesia(2012-2014)” sponsored by Korea International Cooperation Agency(KOICA). Results: A community-based school health program was developed and made progress along the principles of CBPR successfully. A program had effect on securing right to health of the children in Banda Aceh, Indonesia. Conclusion: The cooperative participation and capacity building of community members are positively necessary in the school health program for developing countries. Further studies are required to confirm and discuss intervention effects of school health program in-depth.

한국 소아청소년의 10년간(2006-2015년) 신장, 체중, 비만 추이 분석

권은주(Eunjoo Kwon),나은희(Eun-Hee Nah) 한국보건교육건강증진학회 2016 보건교육건강증진학회지 Vol.33 No.2

Objectives: This study was performed to investigate secular trends in height, weight, obesity among Korean children and adolescents in 2006-2015. Methods: The study participants were 1,249,698 children and adolescents 6-17 years in age who participated in health examinations for school students supervised by Korean Ministry of Education and conducted by the Korea Association of Health Promotion in 2006-2015. Height and weight were measured unified procedures at each period. Obesity was defined as being 95th percentile of sex-specific body mass index(BMI) for age in the 2007 Korean National Growth Charts or BMI 25. Results: Between 2006 and 2015, the median of height and weight, BMI of Korean children and adolescents has increased significantly. The overall prevalence of obesity was 10.7%(boys 12.6%, girls 8.7%). In 2012-2015, the prevalence of obesity 12.2%(boys 14.1%, girls 10.2%), compared to 9.1%(boys 10.9%, 7.2%) in 2006-2008. The increase in obesity prevalence was statistically significant(p<0.05). The prevalence was highest in Gyeonggi area, lowest in Chungcheong area when compared to other regions(p<0.001). Conclusions: During the period 2006-2015, growth trends, prevalence of obesity among Korean children and adolescents increased significantly. Health promotion and intervention programs promoting healthy growth and development of Korean children and adolescents were need consider the demographic and regional characteristics.

군인, 의경의 흡연 특성과 비만 간의 관련성

권은주(Eunjoo Kwon),김수영(Suyoung Kim),추지은(Jieun Chu),조선(Seon Cho),나은희(Eunhee Nah) 한국보건교육건강증진학회 2018 보건교육건강증진학회지 Vol.35 No.5

Objectives: This study was performed to investigate trends of smoking characteristics and to identify the relationship between smoking characteristics and obesity among military personnel in Korea. Methods: The study participants were 50,680 military personnel who participated smoking cessation clinic from January in 2009 to December in 2017(excluded in 2011). Obesity was defined as body mass index≥25kg/m2. Smoking characteristics was included cigarettes of smoked per day, age of initial smoking, smoking duration, and nicotine dependence. Binominal logistic regression analysis was performed to confirm the relationship of smoking and obesity among military personnel. Results: The prevalence of obesity of study subjects was 20.4%. The military personnel were more likely to be obese if they who smoked more than 20 cigarettes per day(adjusted OR 2.271, CI 2.027-2.545), who smoked for more than 10 years(adjusted OR 2.046, CI 1.820-2.299), and who smoked their initial smoking at later than 20 years(adjusted OR 1.357, CI 1.223-1.493). Conclusions: Obesity is closely related to cigarettes of smoked per day, age of initial smoking and smoking duration among military personnel. Thus, intervention included both smoking cessation and weight control are necessary for smokers with obese who are interested in losing weight among military personnel.

현재 궐련을 흡연 중인 군인의 궐련형, 액상형 전자담배 복합사용의 관련 요인

권은주(Eunjoo Kwon),나은희(Eunhee Nah),조선(Seon Cho),추지은(Jieun Chu),김수영(Suyoung Kim),강필수(Pilsu Kang),김태숙(Taesuk Kim) 한국보건교육건강증진학회 2020 보건교육건강증진학회지 Vol.37 No.2

Objectives: This study investigated factors related to the dual use of heated tobacco products and electronic cigarettes among military personnel who smoke conventional cigarettes in Korea. Methods: The participants were 1,558 military personnel who participated in the survey for Korean soldiers conducted from November to December 2018. Multinomial logistic regression analysis was performed to confirm the factors related to the dual use of heated tobacco products and electronic cigarettes among military personnel who smoke conventional cigarettes. Results: The dual and triple use rates of heated tobacco products and electronic cigarette among the participants were 26.4%, and 4.2%, respectively. Moreover, the dual use of heated tobacco products and conventional cigarettes was associated with military ranks such as corporal(OR 5.081, CI 1.776-14.535), sergeant(OR 4.418, CI 1.479-13.197), and military officer(OR 8.820, CI 2.936-26.494). It was also associated with interest in health(OR 2.078, CI 1.177-3.668), use of other tobacco products(OR 1.660, CI 1.205-2.287), and superior’s smoking in military camp(OR 1.826, CI 1.128-2.693). Dual use of electronic cigarette and conventional cigarettes was related to being a sergeant(OR 3.105, CI 1.463-6.590), and the use of other tobacco products(OR 1.434, CI 1.023-2.012). Conclusion: The dual use of heated tobacco products and electronic cigarettes among military personnel who smoke conventional cigarettes are closely related to the military rank and use of other tobacco products.

폐경 단계에 따른 월경전 증후군/월경전 불쾌장애의 과거력과 혈관운동증상의 차별적 연관성

현홍대,조숙행,정현강,고영훈,권은주,김혜경,고승덕,Hyun, Hong-Dae,Joe, Sook-Haeng,Jeong, Hyun-Ghang,Ko, Young-Hoon,Kwon, Eunjoo,Kim, Hyekyeong,Ko, Seung-Duk 한국정신신체의학회 2015 정신신체의학 Vol.23 No.1

연구목적 급격한 호르몬 변화가 발생하는 월경과 폐경 시기에 기분증상 및 신체증상이 나타난다는 공통된 임상적 특징과 생물학적 기전의 유사성을 바탕으로 하여 월경전 증후군/월경전 불쾌장애와 폐경기 증상의 연관성이 제기되었으나 아직까지 일관된 결론이 내려지지 않고 있다. 따라서 본 연구는 폐경기 여성에서 각각의 폐경 단계에 따라 월경 전 증후군의 과거력과 대표적인 폐경기 증상 중의 하나인 혈관운동증상의 연관성에 대해 조사해보고자 하였다. 방 법 한국건강관리협회 전국 16개 지사에 건강검진을 목적으로 방문한 361명의 폐경주위기 여성과 693명의 폐경후기 여성을 대상으로 단면연구를 시행하였다. 모든 대상자는 혈관운동증상과 월경전 증후군 과거력 및 여러 요인(연령, 결혼, 수입, 교육 수준, 음주, 운동, 흡연, 폐경에 대한 태도, 우울, 스트레스)에 대한 자가보고식 설문지를 작성하였다. 결 과 전기 폐경주위기를 제외한 후기 폐경주위기, 전기 폐경후기, 후기 폐경후기에서 월경전 증후군/월경전 불쾌장애의 과거력이 있는 여성에서 중등도 이상의 혈관운동증상을 호소하는 비율이 유의하게 높았다(전기 폐경주위기, p=0.824 ; 후기 폐경주위기, p=0.001 ; 전기 폐경후기, p=0.001 ; 후기 폐경후기, p=0.01). 후기 폐경주위기와 전기 폐경후기에서 PSST score와 혈관운동증상의 심각도가 유의한 양의 상관관계가 관찰되었다(후기 폐경주위기, r=0.213, p=0.010 ; 전기 폐경후기, r=0.246, p<0.001). 우울, 폐경에 대한 태도, 스트레스, 생활습관요인 등의 관련된 요인들을 통제하였을 때, 후기 폐경주위기와 전기 폐경후기에서 월경전 증후군/월졍전 불쾌장애의 과거력이 중등도 이상의 혈관운동증상을 예측하는 유의한 인자로 나타났다(후기 폐경주위기, OR=5.197, p=0.005 ; 전기 폐경후기, OR=3.017, p=0.010). 결 론 본 연구는 폐경 단계에 따라 월경전 증후군/월경전 불쾌장애와 혈관운동증상의 연관성이 차별적으로 나타남을 시사한다. 본 연구에서 나타난 결과를 규명하기 위한 추가적인 대단위의, 전향적인 연구가 필요할 것으로 사료된다. Objectives:Within the normal reproductive cycles of women, dramatic fluctuations of sexual hormones occur in the premenstrual and menopausal periods. In both periods, women are vulnerable to mood disturbances and show several somatic complaints. Based on these common clinical profiles and physiological changes, a relationship between vasomotor symptoms and the premenstrual syndrome has been suggested. However, attempts to establish such a link have yielded inconclusive results. The purpose of this study was to investigate the association between histories of premenstrual syndrome and menopausal vasomotor symptoms within different menopausal stages. Methods:This cross-sectional study recruited Korean women aged 45-64 years who were perimenopausal and postmenopausal from 16 branch offices of the Korean Association of Health Promotion. All subjects completed self-report questionnaires that asked about a history of premenstrual syndromes, vasomotor symptoms, and several other variables. Results:A total of 1054 participants(361 perimenopausal women and 693 postmenopausal women) completed the study. Severity of premenstrual symptoms significantly correlated with postmenopausal vasomotor symptoms, only in late perimenopausal(r=0.213, p=0.010) and early postmenopausal women(r=0.246, p<0.001). After adjusting for several factors related to vasomotor symptoms, a history of premenstrual syndrome was a significant predictor of moderate to very severe vasomotor symptoms in late perimenopausal(OR=5.197, p=0.005) and early postmenopausal women(OR=3.017, p=0.010). Conclusions:This study suggests that a history of premenstrual syndrome/premenstrual dysphoric disorder is differentially associated with vasomotor symptoms in the menopausal stage. Prospective studies with larger population are needed to confirm these findings

비만 소아청소년의 간기능 이상과 대사위험인자와의 관계

추지은(Jieun Chu),권은주(Eunjoo Kwon),나은희(Eun-Hee Nah) 한국보건교육건강증진학회 2017 보건교육건강증진학회지 Vol.34 No.3

Objectives: This study was performed to determine the relationship between abnormal liver function and metabolic risk factors in obese children and adolescents. Methods: The participants were 118,830 obese children and adolescents who received health examinations for students supervised by Korean Ministry of Education and conducted by the Korea Association of Health Promotion in 2006-2015. Obesity were evaluated by relative weight, and the metabolic risk factors consisted of blood pressure, fasting blood sugar, and total cholesterol. ‘Abnormal liver function’ was defined by ALT and AST. The association of ‘Abnormal liver function’ with metabolic risk factors were explored after adjusting for sex and grade of school, by using multivariate logistic regression analysis. Results: The factors significantly associated with abnormal liver function were degrees of obesity, blood pressure, fasting blood sugar, and total cholesterol. Severe obesity had highest odds ratio of 4.92 (95% Confidence Intervals, 4.66-5.20; p<.001) among the metabolic risk factors. Conclusions: Metabolic risk factors had a significant impact on abnormal liver function. In order to prevent non-alcoholic fatty liver disease in obese children and adolescents, it is most important to lose weight and it is also necessary to manage risk factors through regular health examinations and lifestyle intervention.

최근 보건교육건강증진학회지 게재논문 동향 (2009-2011년)

김혜경(Hyekyeong Kim),권은주(Eunjoo Kwon) 한국보건교육건강증진학회 2012 보건교육건강증진학회지 Vol.29 No.4

Objectives: By analysing the recent trends of published papers in the Korean Journal of Health Education and Promotion, this study aims to identify and discuss some challenging issues, and to provide recommendations for quality improvement of the research papers. Methods: One hundred and sixty five papers published between 2009 and 2011 were examined and categorized according to selected standards. Results are displayed in frequencies and percentages. Results: The volume of articles published has increased by two-folds in three decades since the publication of the first issue. More than 90% of the papers were original articles. Cross-sectional research design was most frequently applied, while only 11.5 % of the articles were intervention studies. For cross-sectional research articles, limitation in generalizability of the study findings was mentioned as one of the major issues, in relation with the frequent use of convenient sampling methods and lack of theoretical evidence in inclusion of variables. Consideration of internal and external validity of the study, utilization of scientific evaluation design and mixed evaluation methods were recommended for intervention research to improve the quality of the research results. Conclusion: To serve as a key resource for evidence-based practices in health promotion, more strict scientific research criteria should be applied to the articles published in the Korean Journal of Health Education and Promotion.