20-40대의 HIV/AIDS 관련 지식과 태도에 미치는 영향

박경실(Kyong Sil Park) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.12

본 연구는 20-40대 HIV/AIDS의 지식 및 태도를 확인하고, 지식과 태도에 미치는 영향요인을 파악하기 위해 2011년, 2013년 지역사회건강조사 자료를 활용한 2차 자료 분석 연구이다. 연구대상자는 만 20세부터 만 49세로, 최종 분석 대상자는 182,315명이다. 수집된 자료는 t-test, ANOVA, 상관관계분석, 다중회귀분석으로 분석하였다. 연구 결과, HIV/AIDS의 지식은 정답률 69.4%로 높은 지식수준을 보이나, 개별 문항에서 감염경로에 대한 지식이 부족하며, 20대가 가장 낮은 정답율을 보였다. HIV/AIDS의 태도율은 44.3%로 부정적 태도수준을 나타났다. HIV/AIDS 지식 및 태도는 남성일수록, 미혼일수록, 소득이 높을수록 교육 수준이 높을수록, 직업이 농림어업, 주부/무직보다 관리자 및 전문가, 직업군인일수록 지식 및 태도의 점수가 높았다. 지식과 태도 사이에 양의 상관관계(r=0.27, p<.001)를 보였다. 에이즈 관련 지식 및 태도에 영향을 미치는 요인으로, 연령, 결혼상태, 소득수준, 직업, 교육수준이 있었으며 연령별로 차이가 있음을 확인하였다. 따라서, HIV/AIDS 지식수준 향상과 긍정적인 태도 구축을 위해서 일률적이고 획일적인 교육보다는 연령 및 특성별 맞춤형 교육프로그램이 필요하다. This descriptive research investigates the knowledge of and attitude toward HIV/AIDS among individuals in their 20s to 40s. This study also analyzes the results of the 2011 and 2013 community health surveys to identify the factors influencing their knowledge and attitude. The study subjects were 20 to 49 years old, and the final analysis included 182,315 subjects. The collected data were analyzed through t-tests, ANOVA, correlational analysis, and multiple regression analysis. The survey results showed a high level of knowledge of HIV/AIDS, with 69.4% correct answers. Most individuals lacked knowledge regarding routes of infection, and those in their 20s had the lowest percentage of correct answers. As for attitude toward HIV/AIDS, 44.3% showed a negative attitude. The scores for knowledge and attitude toward HIV/AIDS were higher among males, unmarried individuals, individuals with a higher income, individuals with a higher level of education, individuals working in agriculture, forestry, or fishery, managers, professions that were not homemakers/unemployed, and professional soldiers. A positive correlation (r=0.27, p<0.001) was observed between knowledge and attitude. The factors influencing AIDS knowledge and attitude were gender, marital status, income level, occupation, and education level. This study confirmed that there is a difference by age group. As such, educational programs customized by age and other characteristics are expected to be more effective in enhancing knowledge and in developing a more positive attitude towards HIV/AIDS.

젊은 성인의 COVID-19 대유행 전후 건강행동 변화: 2019-2020년 지역사회건강조사를 활용한 성별 분석

박경실(Kyong Sil Park) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.2

이 연구는 만 19-39세 젊은 성인의 COVID-19 대유행 전후의 건강행동 변화를 확인하기 위해 2019-2020년도 지역사회건강조사 자료를 이용한 단면적 조사연구이다. 원시자료 458,368명의 대상자 중 19-39세 101,585명의 대상자를 연구대상자로 선정하였다. 인구사회학적 변수로 성별, 연령, 교육수준, 가구 구성원, 거주지역, 직업, 월 가구 소득을 포함하였다. 건강행동 변수로 흡연, 음주, 체질량지수, 신체활동, 아침결식, 수면을 포함하였다. 인구사회학적 및 건강 행동 변수는 빈도, 백분율, 평균, 표준편차 등의 기술통계로 분석하였다. COVID-19 대유행 전후의 건강행동 변화를 확인하기 위해 로지스틱 회귀분석을 실시하였다. 젊은 성인의 70% 이상은 도시에 거주하고 있으며, 2020년 기준으로 1인 가구는 65.1%였다. 2019년에 비해 2020년은 신체활동 및 걷기가 감소하였으나 아침 식사 결식 및 수면은 증가하였다. 2019년과 비교하여 2020년 남성의 흡연율은 2.6% 감소하였으나 여성의 흡연율은 거의 변화하지 않았다. 비만은 남성에서 유의하지 않았으나 여성에서는 0.82배 감소하였다. 젊은 성인의 긍정적인 건강행동을 위해 흡연, 음주, 신체활동, 아침결식 등에 대한 긍정적인 인식 개선을 위해 정부, 교육기관 등이 적극적으로 홍보 및 교육활동을 시행해야 하겠다. The purpose of this cross-sectional study was to investigate health-behavioral changes associated with the COVID-19 pandemic among young adults by secondary analysis of 2019-2020 Korea Community Health Survey data. The data of 101,585 adults, 50,095 before the COVID-19 pandemic and 51,490 during the pandemic, were included in the analysis. Sociodemographic variables included gender, age, education, household members, residential area, occupation, and household income. Health behavioral variables included smoking, drinking, body mass index, physical activity, skipping breakfast, and sleep. Descriptive statistics were used to analyze sociodemographic and health behavioral characteristics, and health behavior changes were also analyzed using logistic regression analysis. More than 70% of young adults included lived in urban environments. Single-person households accounted for 65.1% in 2020. Physical activity and walking decreased but skipping breakfast and satisfaction with sleep increased in 2020 versus 2019. The cigarette smoking rate among men was 2.6% lower in 2020 than in 2019, but there was little change among women. The obesity rate was not significantly different in these two years among men but decreased by 18% among women. To promote healthy behavior among young adults, government and educational institutions must promote healthy attitudes regarding smoking, drinking, physical activity, and skipping breakfast.

20-30대의 COVID-19 예방행위에 미치는 영향요인: 2020년 지역사회건강조사 자료 활용한 분석

박경실(Kyong Sil Park) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.9

본 연구의 목적은 20-30대를 대상으로 COVID-19 예방행위에 미치는 영향요인을 규명하기 위함이다. 2020년 지역사회건강조사 자료를 이용한 이차자료분석의 서술적 조사연구이다. 원시자료 229,269명 중 20-39세 성인 40,113명이 연구대상자로 선정되었다. 사회인구학적 변수에 성별, 연령, 교육수준, 가구구성원, 직업, 가구소득이 포함되었고, 독립변수에 지식, 스트레스, 우울, 염려, 사회적 지지, 사회적 신뢰가 포함되었다. 20-30대의 COVID-19 예방행위에 미치는 영향요인을 분석하기 위해 다중회귀분석을 사용하였다. 염려, 사회적 신뢰, 스트레스, 지식, 우울, 사회적 지지가 COVID-19 예방행위에 영향을 미치는 중요한 요인으로 확인되었다. 새로운 감염병이 도래하였을 때 젊은 성인의 염려, 스트레스, 우울 등의 정신건강 관리가 필요하다. 또한 매중매체의 종류에 따른 사회적 신뢰와 COVID-19 예방행위의 연관성을 탐색하는 연구가 필요하다. This study investigated COVID-19 preventive behaviors in 20 to 30-year-old adults. This was a cross-sectional study, and secondary analysis was achieved using the 2020 Korea Community Health Survey data. Among 229,269 adults in the raw data, 40,113 adults aged 20-39 years were selected as study participants. Socio-demographic variables included gender, age, education, household members, occupation, and household income. Independent variables included knowledge, stress, depression, psychological concerns, social support, and social trust. Multiple regression analysis was applied to analyze the COVID-19 preventive behaviors. We found that psychological concerns, social trust, stress, knowledge, depression, and social support were important factors influencing COVID-19 preventive behaviors. Our results indicate that the appearance of a new infectious disease necessitates the efficient management of the mental health of young adults, such as their concerns, stress, and depression. In addition, we propose further research in exploring the association between social trust and COVID-19 preventive behavior according to the type of mass media.

청소년의 좌식행동과 스마트폰 사용이 범불안장애 고위험에 미치는 영향

박경실 ( Park Kyong Sil ) 한국정신간호학회 2023 정신간호학회지 Vol.32 No.4

Purpose: This study investigated the influence of sedentary behavior and smartphone use on the risk of generalized anxiety disorder among adolescents. Methods: This study was a cross-sectional, secondary analysis using the 2021 Korea Youth Risk Behavior Survey data. Data from 54,848 adolescents were analyzed using descriptive statistics, the Rao-Scott x2 test, and hierarchical logistic regression. Results: After controlling for socio-demographic, health-related behavior, and mental health factors as compounding variables, adolescents who sat for more than seven hours, when studying, on weekends had a significantly higher risk of generalized anxiety disorder odds ratios than those who sat for less than three hours. Adolescents who used smartphones for more than eight hours on weekdays and weekends had a significantly higher risk of generalized anxiety disorder odds ratios than those who used smartphones for less than four hours. Conclusion: It is necessary to provide an expanded health education program that reduces sedentary behavior and smartphone use to prevent the risk of generalized anxiety disorder at home and school.

독거노인과 비독거노인의 COVID-19 팬데믹 전후 정신건강 비교: 2019-2020년 지역사회건강조사 자료 활용

박경실 ( Kyong Sil Park ),채여주 ( Yeojoo Chae ) 한국보건정보통계학회 2023 보건정보통계학회지 Vol.48 No.2

Objectives: The purpose of this study is to identify comparison of mental health before and after outbreak of the COVID-19 pandemic in older people living alone and those who do not live alone, using the 2019-2020 Community Health Survey data. Methods: 146,063 older people aged 65 years or older were selected as participants using the Community Health Survey. The data were analyzed with frequency test, χ²-test and multiple logistic regression analysis using SPSS 27.0. Results: In mental health, compared to the pre-COVID-19 pandemic, the subjective health of the older people living alone and the older people who did not live alone increased, and stress and depression decreased. However, the overall mental health of the older people living alone was worse than that of the older people who did not live alone. Conclusions: After the pandemic, it is necessary to continuously monitor the mental health of the older people, and in particular, to develop and apply programs to promote the mental health of the older people living alone.