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Jin-Kyoung Oh(오진경),Hai-Rim Shin(신해림),Gyungyub Gong(공경엽),Jin Hee Sohn(손진희),Shin Kwang Khang(강신광) 한국역학회 2008 Epidemiology and Health Vol.30 No.2
목적: 우리나라에서 자궁경부암 조기검진 방법으로 사용되고 있는 Pap 검사, LBC(액상검사) 및 HPV 검사의 정확도를 파악하기 위함이었다. 연구대상 및 방법 : MEDLINE과 KoreaMed를 통하여 1995년부터 2008년 3월까지 각 검사 방법의 민감도와 특이도를 보고한 논문을 검색하였음. 각 검사 방법의 민감도와 특이도의 대표값을 산출하기 위하여 메타 분석을 실시하였다. 조직학적 확진이 이루어진 사례만 메타 분석에 포함하였으며, CIN2 이상으로 진단된 경우를 질병으로 정의하였다. 세포 검사에서는 ASCUS 이상을 양성으로 간주하였다. 연구성적 : 총 24편의 논문이 검색하였고, 이 중 Pap 검사는 15편, LBC는 3편, HPV 검사는 4편이 선정 기준에 부합하여 메타 분석에 포함하였으며, 메타 분석 결과 민감도는 LBC가 가장 높고(92%), HPV 검사(83%)와 Pap 검사(76%) 순이었고, 특이도는 LBC(79%)가 가장 높고, Pap 검사(76%)와 HPV 검사(59%) 순이었다. 그러나 LBC의 민감도(heterogeneity p-value=0.682)를 제외하고는 모두 연구간에 통계적으로 유의한 이질성을 보였다.(p-value<0.0001). 결론: 각 연구의 이질성이 심하여 본 메타 분석 결과가 각 검사 방법의 정확도를 대표한다고 하기에는 제한적이며, 향후 보다 신뢰할만한 자궁경부암 조기검진 방법의 정확도 검증과 더불어 비용-효과 분석도 이루어져야 할 것이다.
일부 젊은 연령층의 인유두종바이러스(Human Papillomavirus) 감염 위험요인간의 관련성 연구
오진경(Jin-Kyoung Oh),주영희(Young-Hee Ju),윤동영(Dong-Young Yoon),정갑열(Kap-Yeol Jung),정세일(Se-II Jung),신해림(Hai-Rim Shin) 한국역학회 2005 Epidemiology and Health Vol.27 No.1
Purpose : To investigate the prevalence and related risk factors of infection with human papillomavirus(HPV) in young adults, and the interrelationships among the risk factors, school-based survey was conducted in Busan. Methods : A total of 1,430 male and female students(aged 16-25) participated in the survey that included self-administered questionnaire and, for males, physician-performed collection of exfoliated genital cells, for females, selfcollection of vaginal cells. The prevalences of 25 HPV types were evaluated by a polymerase chain reaction-based assay. Results : HPV DNA detected more frequently in female students(l5.2%) than in male students(8.7%). In female students, currently smoking cigarettes(OR=3.8, 95% CI=1.7~8.3) and having had penetrative sexual intercourse(OR=12.7, 95% CI=7.2~22.2) were the significant risk factors for HPV infection; in male students, there was nothing to show statistical significance. Smoking rate was 53.8% in males and 17.7% in females, and 55.6% of male students and 25.9% of female students reported having had a sexual intercourse. Smokers were more likely to have had a sexual intercourse than nonsmokers(OR=4.0, 95% CI=2.5~6.2, males; OR=9.1, 95% CI=5.6`14.7, females). Conclusions : According to the strong interrelationship between sexual intercourse and smoking, multilateral behavioral intervention is needed to prevent infection with HPV.
우리나라 성인 여성의 HPV 감염과 HPV 백신 접종에 대한 지식 및 태도 조사
최경아 ( Kyoung A Choi ),김정혜 ( Jung Hye Kim ),이경순 ( Kyoung Soon Lee ),오진경 ( Jin Kyoung Oh ),유선니 ( Shan Ni Liu ),신해림 ( Hai Rim Shin ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.6
Objective: The HPV vaccination target adolescents, and may be influenced by opinion of parents and other family member. For implementation of HPV vaccine, we measured knowledge of HPV infection and acceptability of vaccination among adults in Korea. Methods: From August 2006 to November 2007, we provided a written questionnaire to females (above 19 years- olds) who visited Il-sin Christian hospital for prenatal care or gynecological examination. The questionnaire was built using elements of The Health Belief Model. We measured (1) awareness of HPV (2) perceived susceptibility (3) perceived seriousness (4) perceived benefit of vaccination (5) perceived barriers (6) cues to action. Results: Total 975 females answered the questionnaire, and the mean age was 40 years. Only 23.8% knew the fact cervical cancer is related to HPV infection. 78.3% of respondents were willing to accept HPV vaccination after they understood HPV vaccination can prevent cervical cancer. Financial burden and possible side effect were barriers to vaccination. Conclusions: Despite of low awareness of HPV infection, most (78.3%) adults favored having HPV vaccination. But the vaccine was more likely to be accepted if it is recommended by a physician and reasonably priced.
일개 도시 일부 청년층(16-24세)의 B형, C형 간염에 관한 혈청역학적 연구
주영희,오진경,김동일,이덕희,김병권,김정일,정갑열,신해림,Ju, Young-Hee,Oh, Jin-Kyoung,Kim, Dong-Il,Lee, Duk-Hee,Kim, Byeong-Kweon,Kim, Jung-Il,Jung, Kap-Yeol,Shin, Hai-Rim 대한예방의학회 2004 예방의학회지 Vol.37 No.3
Objectives : To investigate the prevalence of hepatitis B and C virus infections and determine the associated risk factors among young adults in Busan, Korea, which is known to have a high incidence of liver cancer. Methods : The study population consisted of volunteer participants in a health survey during 2002, which included 1,350 students (515 males and 835 females) aged between 16 and 24 years, from three different schools in Busan. The participating students were asked to fill in a self-administered questionnaire which included lifestyle habits and risk factors of hepatitis. Sera obtained from the participants were studied for HBsAg, anti-HBs, and Anti-HCV by enzyme immunoassay (EIA) method and for liver function tests. Results : Among the study subjects (N=1,350), the seropositivities of HBsAg 7.9%(95% CI=7.8-8.0), 7.6%(95% CI=7.6-7.7) in male and 8.1%(95% CI=8.0-8.2) in female. And the seropositivity of Anti-HBs was 69.7%(95% CI=69.0-70.4), 70.5%(95% CI=69.8-71.2) in male and 69.2%(95% CI=68.5-69.9) in female. The seropositivity of Anti-HCV was 0.4%, 0.2% in male and 0.5% in female. The seropositivity for HBsAg in the subjects not having a hepatitis B vaccination history was twice(95% CI=1.0-4.4) that of those that did. Also, the seropositivity for HBsAg in subjects having experienced sexual intercourse was 1.7 times (95% CI=0.9-3.0) that of the subjects who had not. Conclusions : The present study confirmed the high prevalence of HBsAg seropositivity and sexual transmission of HBV among adolescents and young adults may occur. Further studies to evaluate the relationship between HBV vaccination and sexual transmission are required for the young population in Korea.
경상남도 일부 농촌지역의 간흡충 감염에 대한 역학적 연구
주영희,오진경,공현주,손운목,김윤규,김정일,정갑열,신해림,Ju, Young-Hee,Oh, Jin-Kyoung,Kong, Hyun-Joo,Sohn, Woon-Mok,Kim, Yoon-Gyu,Kim, Jung-Il,Jung, Kap-Yeol,Shin, Hai-Rim 대한예방의학회 2005 Journal of Preventive Medicine and Public Health Vol.38 No.4
Objectives : To investigate the prevalence of Clonorchis Sinensis infestation and to determine the associated risk factors among a population in a part of the rural area of Gyeongsangnam-do, Korea, which is an area known to have a high mortality from liver cancer and a high infection of C. sinensis. Methods : The study populat ion consisted of those people who have lived in rural areas and who were over 40 years old. This study was performed in 5 areas during the period from 1999 to 200 3. Informed consents were obtained from the 2,381 study participants, and these people were interviewed about their life style habits with using the structured questionnaire that was administered by trained staff members. The subjects underwent blood sampling and their stool specimens were examined by using the Formalin-ether sedimentation technique. Results : Among the study subjects (N=2,381), the positivity for C. sinensis in the stool was 34.4% (95% CI=36.3-42.5); it was 39.4% (95% CI=36.3-42.5) in the males and 30.9% (95% CI=28.5-33.3) in the females . The positivity for C. sinensis was associated with current alcohol drinking (odds ratio=1.8, 95% CI: 1.5-2.1) and raw fish consumption (odds ratio 1.2, 95% CI: 0.9-1.6). Conclusion : The present study confirmed the high prevalence of C. sinensis in the study subjects. It is necessary to establish consistent medical management and education programs for the treatment and prevention of C. sinensis infestation in the rural inhabitants of Korea.
청소년 폭음과 흡연, 신체활동 부족, 부적절한 체중조절, 성 행태와의 관련성
서수인(Su-In Seo),오진경(Jin-Kyoung Oh),임민경(Min Kyung Lim) 한국보건교육건강증진학회 2017 보건교육건강증진학회지 Vol.34 No.1
Objectives: The aim of this study was to verify relationships between light- and heavy alcohol drinking and health-risk behaviors such as smoking, inappropriate weight control, physical inactivity, and sexual activity among adolescents. Methods: The data of 68,043 adolescents in middle- and high school collected from the Korea Youth Risk Behavior Web-based Survey in 2015 were analyzed. For statistical analysis, logistic regression model was used. Results: The rate of heavy alcohol drinking increased with increasing age up to 21.5% among boys and 13.9% among girls. Among boys, heavy alcohol drinkers were at a higher risk of smoking (adjusted odds ratios [OR]=3.3, 95% confidence interval [CI]=2.8-3.8), inappropriate weight control (OR=1.7; 95% CI=1.4-2.1), having sexual intercourse (OR=3.6; 95% CI=3.0-4.2) than light drinkers. Multiple health-risk behaviors of smoking, inappropriate weight control and sexual intercourse also increased in accordance with the severity of drinking alcohol beverage compared to non-drinker. Physical inactivity was decreased among heavy drinkers compared to light drinkers (OR=0.8; 95% CI=0.7-0.9 for inactivity of moderate exercise). Similar results were observed among girls. Conclusions: Alcohol drinking especially heavy alcohol drinking among adolescents is related to other risky behaviors including smoking, inappropriate weight control, and sexual activity. To prevent health problems in adolescents, it is necessary to adopt a combined approach regarding heavy drinking and health-risk behaviors.
이원영(Weon Young Lee),기모란(Moran Ki),오진경(Jin Kyoung Oh),이종구(Jong Koo Lee),김명빈(Myung Bin Kim),최보율(Bo Youl Choi) 한국역학회 2004 Epidemiology and Health Vol.26 No.2
Objectives: To estimate the complication rate and the societal cost of measles, a survey was conducted in Seoul, Jeonju city, and Kyonggi province in 2001. Methods: A telephone survey was conducted in Jeonju city (175/307) and four local areas of Kyonggi province (793/1,238) to gather information on the complications of measles. To estimate societal cost, the telephone survey was conducted for the sampled subject by complication type and the age group. The response rate was 78% (180/230). Paid bills were examined for direct cost estimation, and the time cost and the transportation expense were analyzed for indirect cost estimation. Results: The incidence of a complication of measles was 3.1% which found to be higher in younger age group. The incidence of pneumonia, otitis media, and encephalitis were 2.1%, 0.8%, and 0.2% respectively. Direct and indirect costs of in-patients without a complication were $417.00 (US $1.00 = 1,000 won) and $256.00 per case, respectively, and the out-patients who have no complication were $54.00 and $65.00, respectively. The average cost for a patient with measles without complication was $119.00 as the result. The societal cost of encephalitis was high as $6,660. Estimated total societal cost of measles ranges from $14 million to $69 million in the year 2000. Conclusion: Complication rate of measles was fairly low compared to foreign countries. The lower rate could result from the difference in vaccination rate and the age distribution of the measles patients. The cost of measles without complication was not high. However, the cost for the complication and the total disease burden caused by measles shown to be high in the year 2000.