국가 암조기검진사업 참여에 영향을 미치는 인구사회학적 요인

성나영,박은철,신해림,최귀선,Sung, Na-Young,Park, Eun-Cheol,Shin, Hai-Rim,Choi, Kui-Son 대한예방의학회 2005 예방의학회지 Vol.38 No.1

Background : Cancer is the leading cause of death and one of the largest burdens of disease in Korea. In 1996, the Ten year Plan for Cancer Control was formulated and the government then adopted the plan as a national policy. As part of this plan, the National Cancer Screening Program (NCSP) for Medicaid recipients was formulated, and the government adapted this in 1999. For low-income beneficiaries of the National Health Insurance Corporation (NHIC), the screening program has been in place since 2002. In 2002, the target cancers of NCSP were stomach, breast and cervical cancer. This study was conducted to examine the relationships between the participation rate, the abnormal screening rate and the socio-demographic factors associated with participation in the screening program. Methods : To analyze the participation rate and abnormal rate for the NCSP, we used the 2002 NCSP records. The information on the socio-demographic factors was available from the database of the beneficiaries in the NHIC and Medicaid. Results : The participation rate of the Medicaid beneficiaries for the stomach, breast and cervical cancer screening were 9.2%, 15.5% and 15.0%, respectively, and 11.3% and 12.5%, except cervical cancer which wasn't be included in the NCSP, for the beneficiaries of the NHIC. The abnormal rate of stomach, breast and cervical cancer screening were 25.7%, 11.2% and 21.0%, respectively, for the beneficiaries of Medicaid and 42.6% and 19.4% for the beneficiaries of the NHIC. On the multiple logistic regression analysis, gender, age and place of residence were significantly associated with participation rates of the NCSP. For stomach cancer, women participated in the NCSP more than men. The participation rate was higher among people in their fifties and sixties than for those people in their forties and those people over seventy years in age. For the breast and cervical cancer, people in their fifties were more likely to participate in the NCSP than people in their forties and people over sixty. For the place of residence, people in the rural areas participated more than those people in any other places. Conclusions : The above results show that the participation rate and abnormal rate were significantly associated with the socio-demographic factors. To improve the participation rate for the NCSP, more attention should be given to the underserved groups.

WPM 기반 MemN2N(End-to-End Memory Networks)을 이용한 한국어 뉴스 내용 분류에 관한 연구

성나영(Na-Young Sung ),구명완(Myoung-Wan Koo) 한국정보과학회 2018 한국정보과학회 학술발표논문집 Vol.2018 No.6

소지역 통계 생산을 위한 추정방법

김영원,성나영,Kim, Young-Won,Sung, Na-Young 한국데이터정보과학회 2000 한국데이터정보과학회지 Vol.11 No.1

Small area estimation is becoming important in survey sampling due to a growing demand for reliable small area statistics. In estimating means, totals, and other parameters for small areas of a finite population, samplie sizes for small areas are typically small because the overall sample size is usually determined to provide specific accuracy at a much higher level of aggregation than that of small area. The usual direct estimators that use the only information which is gotten from the sample in a given small area provide unreliable estimates. However, indirect estimators utilize the information from the areas related with a given small area, that is, borrow strength from other related areas, and so give more accurate estimates than direct estimators. In this paper we investigate small area estimation methods such as synthetic, composite and empirical best linear unbiased prediction estimator, and apply them to real domestic data which is from the Survey of Hotels and Restaurants in In-Chon as of 1996 and then evaluate the performance of these methods by measuring average squared errors. This evaluation shows that indirect estimators, which are small area estimation methods, are more efficient than direct estimator. 지방자치제 실시에 따라 우리나라에서도 전국 또는 도 단위의 통계뿐만 아니라 시 군 구 등의 소지역 통계에 대한 수요가 증대되고 있다. 하지만 정부통계 생산을 위해 실시되는 표본조사의 경우 시(특별시, 광역시) 및 도별 통계생산을 목적으로 하기 때문에 신뢰성 있는 소지역 통계를 산출하는 것이 불가능하고, 따라서 이런 소지역 통계생산을 위해 간접 추정 기법을 적극적으로 활용하는 것이 필요하다. 본 논문에서는 정부통계 생산을 위한 소지역 통계 기법의 도입 및 활용 가능성을 검토해 보기 위해 인천광역시 숙박 및 음식점업의 총매출에 대한 구별 소지역 통계를 산출할 수 있는 여러 가지 간접 추정 방법을 제시하고, 아울러 도소매업 총조사 자료를 이용하여 제시된 간접추정량들의 효율성을 비교 분석해 보고자 한다.

여성의 암 검진에 대한 지불의사

곽민선,성나영,양정희,박은철,최귀선,Kwak, Min-Son,Sung, Na-Young,Yang, Jeong-Hee,Park, Eun-Cheol,Choi, Kui-Son 대한예방의학회 2006 예방의학회지 Vol.39 No.4

Objectives: The goal of this study is to measure women's willingness to pay for cancer screening and to identify those factors associated with this willingness to pay. Methods: A population-based telephone survey was performed on 1,562 women (aged 30 years or over) for 2 weeks (9-23th, July, 2004). Data about sociodemographic characteristics, health behaviors, the intention of the cancer screenings and willingness to pay for cancer screening were collected. 1,400 respondents were included in the analysis. The women's willingness to pay for cancer screening and the factors associated with this willingness to pay were evaluated. Results: The results show that 76% of all respondents have a willingness to pay for cancer screening. Among those who are willing to pay, the average and median amount of money for which the respondents are willing to pay are 126,636 (s.d.: 58,414) and 120,000 won, respectively. As the status of education & the income are higher, the average amount that women are willing to pay becomes much more. The amount of money women are willing to pay is the highest during the 'contemplation' stage. Being willing to payor not is associated with a change of behavior (transtheoretical model), the income, the concern about the cancer risk, the family cancer history, the marital status, the general health exam, age and the place of residence. Income is associated with a greater willingness to pay. Old age was associated with a lower willingness to pay. Conclusions: According to the two-part model, income and TTM are the most important variables associated with the willingness to pay for cancer screening. The cancer screening participation rate is low compared with the willingness to pay for cancer screening. It is thought that we have to consider the participants' behavior that's associated with cancer screening and their willingness to pay in order to organize and manage cancer screening program.

국민건강보험공단 자료를 이용한 국내 거주 통풍 환자의 유병률과 특성에 관한 연구

이찬희 ( Chan Hee Lee ),성나영 ( Na Young Sung ) 대한류마티스학회 2011 대한류마티스학회지 Vol.18 No.2

Objective. We wanted to evaluate the prevalence of gout and its features in Korean people using the National Health Insurance Corporation (NHIC) database. Methods. Using the NHIC database from 2001 to 2008, we selected the gout patients who were coded as having gout as a main diagnosis. From the total number of gout patients, we evaluated the prevalence of gout and its features. Results. The prevalence of gout prevalence was 0.171% in 2001 and 0.397% in 2008, and there was a 2.317 fold increased during over the 7 years. In 2008, the percentage of fifth and sixth decade patients was 48.5% and that of the male patients were 89.8% of the total gout patients. The increasing rate of the prevalence of gout during the same period was also higher in males (the male vs. female ratio was 5.3:1 in 2001 and 8.8:1 in 2008). The gout prevalence increased year by year to the eighth decade, and the peak prevalence age group was the ninth decade in 2001, the eighth decade in 2002-2005 and the seventh decade in 2006-2008. The prevalence ratio of 2008 to 2001 was higher for the males and the younger age group; that of third decade for males was 9.87, which was over the 10 times higher compared to that of the ninth decade (9.87 vs. 0.89, respectively). Conclusion. The prevalence of gout in 2008 using the NHIC database was 0.397%, so the prevalence of gout increased 2.317 fold over the 7 years, and nearly 90% of the gout patients were male. The increasing rate of gout prevalence was higher in the males and the younger age group.

노약자의 응급상황 대응을 위한 안전바 및 응급호출 시스템

나민지 ( Min-ji Na ),배민호 ( Min-ho Bae ),성나영 ( Na-young Sung ),옥석우 ( Seok-woo Ok ),이소용 ( So-yong Lee ),조희진 ( Hee-jin Cho ) 한국정보처리학회 2021 한국정보처리학회 학술대회논문집 Vol.28 No.2

본 작품은 안전 사각지대에 놓여있는 노약자들을 대상으로 낙상을 예방하고, 응급 상황 시 긴급 신고가 가능한 안전바와 응급호출 시스템을 제공한다. 본 작품이 요구하는 각종 기능은 안전바 내부에 센서를 부착하고 그에 맞는 소프트웨어를 추가하여 구현하였다. 또한 어플리케이션을 통해 보호자와 연결되어, 응급상황 시 보호자가 노약자가 처한 상황을 빠르게 인지하여 대처할 수 있도록 하였다.

암 검진 수검에 영향을 주는 요인

곽민선,박은철,방진영,성나영,이지영,최귀선,Kwak, Min-Son,Park, Eun-Chul,Bang, Jin-Young,Sung, Na-Young,Lee, Ji-Young,Choi, Kui-Son 대한예방의학회 2005 Journal of Preventive Medicine and Public Health Vol.38 No.4

Objectives : We wanted to identify those factors associated with stomach, colon, breast and cervix cancer screening. Methods : A population-based telephone survey was conducted for 2 weeks (the 9th-23th of July, 2004) by trained interviewers with using a questionnaire. 2,598 respondents (females aged 30 years or over, and the males aged 40 years or over) were selected by random-digit dialing that was based on the 2000 Population and Housing Census. The data on socio-demographic, health behavior and enabling factors were collected. 2,571 respondents were included in analysis. The cancer screening rate was classified into 2 categories : the life time screening rate and the screening rate with recommendations. Results : For the 2,571 respondent s, the life time screening rate was as follows: 52.0% (Stomach), 25.3% (Colon), 55.9% (Breast) and 76.8% (Cervix). The screening rate with recommendation was as follows : 3 9.2% (Stomach), 20.6% (Colon), 42.5% (Breast) and 58.3% (Cervix). On a multiple logistic regression analysis of the life time screening, statistically significant relationships were observed for the screening intention, the health exam, the disease history, the age of the patients and the cancer screening rates. On a multiple logistic regression analysis of the screening with recommendation, statistically significant relationships were observed for the screening intention, the health exam, the age of the patients, the concern about the risk of cancer, the voluntary health insurance for cancer and the cancer screening rates. Conclusions : The results of this study suggest that the cancer screening intention, the health exam and the age of the patients are the most important factors to participate in life time cancer screening and also screening with recommendations. A positive association was also observed for the concern about the risk of cancer, the voluntary health insurance for cancer. It is hoped that this study will be a base line data for suggesting the representative cancer screening rate in Korea.

위암검진행태 단계의 관련요인

계수연(Su-Yeon Kye),최귀선(Kui Son Choi),성나영(Na-Young Sung),곽민선(Min-Son Kwak),박수호(Su-Ho Park),방진영(Jin-Young Bang),박소미(So-Mi Park),함명일(Myung-Il Hahm),박은철(Eun-Cheol Park) 한국보건교육건강증진학회 2006 보건교육건강증진학회지 Vol.23 No.4

Objectives: The aim of this study was to determine the distribution of stages of adoption in stomach cancer screening and elucidate differences among stages. Methods: A randomly selected sample of 712 Korean males and females aged 40 years or over were interviewed. Stomach cancer screening intention and behavior, sociodemographic characteristics, beliefs, self-efficacy and reinforcing characteristics were assessed. Results: The majority of participants were not on-schedule screening(unaware 3.2%, unengaged 20.8%, deciding about acting 24.0%, decided not to act 9.6%, decided to act 14.5%, acting 9.7%, maintenance 18.3%). Perceived susceptibility, perceived barriers, self-efficacy, other cancer screening experiences were significantly associated with higher compared to lower Precaution Adoption Process Model(PAPM) stages. Conclusions: This study appears to be applicable of the Precaution Adoption Process Model to understanding stomach cancer screening behavior. Our results suggest that it is needed to develop the tailored message for adherence of stomach cancer screening.

생식샘자극호르몬 분비호르몬 길항제를 이용한 난소자극 투여법에서의 경구복합피임제의 전처지: 비교 연구

추연실 ( Youn Sil Choo ),한애라 ( Ae Ra Han ),양승헌 ( Seung Heon Yang ),성나영 ( Na Young Sung ),차선화 ( Sun Hwa Cha ),김혜옥 ( Hye Ok Kim ),박찬우 ( Chan Woo Park ),송인옥 ( In Ok Song ),궁미경 ( Mi Kyoung Koong ),강인수 ( In S 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.10

Objective To evaluate whether oral contraceptive pill (OCP) pretreatments in gonadotropin-releasing hormone (GnRH) antagonist ovarian stimulation protocols takes positive effects on in vitro fertilization (IVF) outcomes in respect to retrieved oocyte number, oocyte maturation rate, fertilization rate, good quality embryo rate, cycle cancellation rate, pregnancy rate and clinical abortion rate. Methods A total of 194 cycles using GnRH antagonist protocol was performed at infertility clinic of our institute from September 1st, 2009 to February 28th, 2010. The medical records of GnRH antagonist protocols for IVF with or without OCP pretreatment in our IVF unit were retrospectively analyzed. We compared the IVF outcomes between OCP pretreated (n=41) and no pretreatment group (n=153). Results In cycles with OCP pretreated group, the total used dosage of gonadotropin (3019.38±1379.00 IU) were higher than that of no pretreatment group (2551.52 ± 1157.05 IU, P = 0.054). The duration of ovarian stimulation in OCP pretreated group (11.5 ± 2.0) was significantly longer than that of control group (9.5 ± 1.9, P = 0.000). The number of gained total embryo (2.8±0.9 vs. 2.5±1.0, P = 0.055) and fertilization rate (77.2% vs. 65.5%, P = 0.017) were significantly higher in OCP pretreated group. There is no significant difference in pregnancy rate between two groups (39.4% vs. 30.0%, P = 0.304). Conclusion OCP pretreatment before GnRH antagonist protocol for IVF appears not to have reliable benefit in terms of IVF outcomes. Wellcontrolled and large-scaled studies are needed.

중증 자궁내막증의 수술적 치료 후 체외수정의 결과

양승헌 ( Seung Heon Yang ),김혜옥 ( Hye Ok Kim ),성나영 ( Na Young Sung ),안현숙 ( Hyun Suk Ahn ),추연실 ( Youn Sil Choo ),양광문 ( Kwang Moon Yang ),송인옥 ( In Ok Song ),궁미경 ( Mi Kyoung Koong ),강인수 ( Inn Soo Kang ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.9

Objective: The aim of this study is to evaluate in vitro fertilization (IVF) outcomes in advanced endometriosis with/without surgical treatment and to compare between cyst enucleation and surgically treated peritoneal lesions without endometrioma. Methods: We performed a retrospective analysis of 506 IVF cycles (345 patients) with stage III-IV endometriosis (170 cycles without surgical treatment, 336 cycles with the surgical treatment) between 1997 and 2004. Among the surgical treatment, 151 cycles were performed previously cyst enucleation with endometrioma and 185 cycles were performed only resection of peritoneal lesions without endometrioma enucleation. 313 cycles (246 patients) with the tubal factor infertility were used as controls. Results: In the endometriosis group with/without surgical treatment, the number of retrieved oocytes (9.6±7.3 vs. 11.2 ± 7.5 vs. 14.8 ± 7.0, P < 0.0001) and the transferred embryos (3.5 ± 1.4 vs. 3.5 ± 1.4 vs. 3.9 ± 0.9, P = 0.001) was significantly lower than controls. But, implantation rates (17.2% vs. 15.2% vs. 15.9%), pregnancy rates (36.9% vs. 35.9% vs. 39.6%) and live birth rates (32.1% vs. 28.2% vs. 29.7%) were similar. Surgically treated peritoneal lesions group showed no difference in the number of retrieved oocytes (9.6 ± 7.9 vs. 9.8 ± 6.5), the number of transferred embryos (3.4 ± 1.4 vs. 3.7 ± 1.3), implantation rates (15.5% vs. 18.0%), pregnancy rates (34.6% vs. 39.7%) and live birth rates (29.2% vs. 35.8%) with cyst enucleation group. Conclusion: IVF parameters in the patients with endometriosis are inferior to tubal factor infertility, but IVF outcomes are comparable. Surgically treated peritoneal lesions group without endometrioma enucleation shows IVF parameters as bad as cyst enucleation group. We might be considered endometriosis itself worse IVF parameters regardless previous cyst enucleation.