춘천지역 폐경 후 여성의 골다공증 유병률과 관련 요인: 한림노년연구

장숙랑,최영호,최문기,강성현,정진영,최용준,김동현,Jang, Soong-Nang,Choi, Young-Ho,Choi, Moon-Gi,Kang, Sung-Hyun,Jeong, Jin-Young,Choi, Yong-Jun,Kim, Dong-Hyun 대한예방의학회 2006 예방의학회지 Vol.39 No.5

Objectives: A community-based, cross-sectional survey was conducted to determine theprevalence of osteoporosis and to evaluate the effects of body composition, health behaviors and reproductive history on bone density in postmenopausal women. Methods: The study subjects were 362 postmenopausal women, aged 45 years old or over, who were invited to the hospital. Information on their socio-demographic characteristics and the potential risk factors such as their past medical history, smoking, alcohol intake, exercise, diet and menstrual/reproductive histories were collected by trained interviewers. Weight, height, the body mass index ($kg/m^{2}$), and body composition variables were measured. Bone mineral density of the lumbar spine was measured by dual energy X-ray absorptiometry (DXA). Results: The prevalence of osteoporosis was 30.6% in the $45{\sim}64$ years old women, 52.5% in the elderly women aged $65{\sim}74$, and 68.7% in the women aged 75 years or over. After adjustment for the effect of potential covariates, those women in the highest 25% (4th quartile) of the lean body mass are less likely to have osteoporosis (aOR=0.31, 95% CI=0.12-0.76), compared with the lowest quartile group. More parity also had significantly detrimental effects on osteoporosis. Conclusions: These findings suggest that the prevalence of osteoporosis in postmenopausal women increased with age from 46.3% of those aged 45-64 to 68.7% for those aged 75 and over. Lean body mass and parity appeared significant contributor to bone mineral density in postmenopausal women in this population.

재가 중증 장애인의 지속적 재활 관리 실태와 재활 서비스 요구

장숙랑,김완호,이규범,김수경,임재영,이선자,Jang, Soong-Nang,Kim, Wan-Ho,Lee, Kyu-Beom,Kim, Su-Kyung,Lim, Jae-Young,Rhee, Seon-Ja 대한예방의학회 2006 예방의학회지 Vol.39 No.3

Objectives: As the number of people with disabilities is increasing and their needs for care are varied, the continuum and comprehensiveness of their rehabilitative care are getting more important. This study was performed to understand the utilization of rehabilitation services and requirements of care among the people with severe disabilities in Korea. Methods: We interviewed 578 disabled persons who had severe extremity and cerebral impairment in the urban and rural areas of Korea. The questionnaire included questions on their general characteristics, the type of disability, their physical function (ADL, IADL), their use of rehabilitation services after discharge and their requirements for rehabilitation care Results: Only 12.6% of people with disability in the community continuously used the available medical rehabilitation care. The associated factors for utilization of rehabilitation services were pain and admission for rehabilitative treatment in the acute phase. There was a great need for rehabilitation services in community and this varied according to gender, the socio-economic status, the functional status and the geographic region. The gap between utilization and need for rehabilitation services was largest in the economic support. The gap of primary health care was larger in the rural area than in the urban area. Conclusions: The needs for rehabilitation service were diverse according to the individual functional status, the regional characteristics and other general characteristics of people with disability. Strategies should be considered to eliminate the barriers to obtain rehabilitation services for the people with disability in the community.

자궁경부암 검진 수검률의 불평등 추이

장숙랑,조성일,황승식,정최경희,임소영,이지애,강민아,Jang, Soong-Nang,Cho, Sung-Il,Hwang, Seung-Sik,JungChoi, Kyung-Hee,Im, So-Young,Lee, Ji-Ae,KangKim, Min-Ah 대한예방의학회 2007 예방의학회지 Vol.40 No.6

Objectives : While cervical cancer is one of the leading cancers among women worldwide, there are a number of effective early detection tests available. However, the participation rates in cervical cancer screening among Korean women remain low. After the nationwide efforts in 1988 and thereafter to encourage participation in cervical cancer screening, few studies have investigated the effects of socioeconomic inequality on participation in cervical cancer screening. The purpose of this study was to investigate 1) the level of socioeconomic disparities in receiving cervical cancer screening by age group and 2) if there was an improvement in reducing these disparities between 1995 and 2001. Methods : Using data from the Korean National Health Status, Health Behavior and Belief Survey in 1995, the Korean National Health and Nutrition Examination Surveys from 1998 and 2001 (sample sizes of 2,297, 3,738, and 3,283), age-standardized participation rates were calculated according to education level, equivalized household income, and job status. Odds ratios and the relative inequality index (RII) were also calculated after controlling for age. Results : Women with lower education levels were less likely to attend the screening test, and the disparities by education level were most pronounced among women aged 60 years and older. The RIIs among women 60 years and older were 3.64, 4.46, and 8.64 in 1995, 1998, and 2001, respectively. Higher rates of participation were reported among those in the highest income category, which was more notable among the middle aged women (40s and 50s). An inconsistent trend in the rate of participation in cervical cancer screening by occupational level was found. Conclusions : Indicators of socioeconomic position seem to have varying impacts on the inequalities in the rates of participation in cervical cancer screening according to age group. These results demonstrate the need for more aggressive and age-based interventions and policy programs to eliminate the remaining inequalities.

맞춤형방문건강관리사업의 지역사회 네트워크 탐색

장숙랑(Soong-Nang Jang),조성일(Sung-Il Cho) 한국보건교육건강증진학회 2012 보건교육건강증진학회지 Vol.29 No.1

Objectives: The nurse visiting health service named Customized Visiting Health Care Program(CVHCP) requires the service innovations incorporating community support into a local service network. The purpose of this study was to assess the community network in CVHCP and inform improvement in this network. Methods: We used Social Network Analysis(SNA) in one CVHCP at H city. Network links were generated by self-administered questionnaires by the 14 community resource centers who quantified their links to all other 25 agents on the list. Links were analyzed by a dichotomous scale for any experience of collaboration and a scored scale of 0 to 3 for level of collaboration using UCINET v6. Results: A list of 14 agents was generated, and local network was dominated by the Public Health Center and a local welfare center named Unlimited Care Center(UCC). According to centrality score, UCC was the most prominent agent, and Public Health Center was the most influential agent, being a link in the pathway flow between other agents for 9.5% of contribution. CVHCP scored lower rank of prominent with 30.8% of other agents reported referring to it. Conclusions: Social network analysis provides a useful network description for informing and evaluation service network improvement in maximizing its service for the CVHCP.

국민건강증진종합계획 건강형평성 대표지표 개발 및 건강격차 해소 전략

장숙랑(Soong-nang Jang),이주헌(Joo Hun Lee),김창오(Chang-O Kim),허현희(Hyun-Hee Heo),황종남(Jongnam Hwang),김태연(Tae-Yon Kim) 한국보건교육건강증진학회 2017 보건교육건강증진학회지 Vol.34 No.4

Objectives: This study was to propose the representative index to evaluate the health equity and also to suggest the national strategy and policy in the National Health Plan. Methods: We performed literature reviews on health equity index and indicators, case reports, policy reports, and articles from abroad and domestic regions written in English or Korean. International and domestic advisory conference and focus group interviews were also performed in order to arrange strategy and policy recommendations for health equity. Results: The health equity index in the National Health Plan 2020 should be healthy life expectancy years according to income level. Monitoring indicators as the epidemiological assessment is to be based on policy and strategy setting. Openness is an important value of health equity, a specialized advisory committee for information and statistics should be established to produce the indicators and to institutionalize for putting the value into action. Indicator production and openness should be led by the state. A legal institutional basis should be established if necessary. We finally have proposed a strategy and policy management system for health equity. Conclusions: We summarized a comprehensive strategy that connects the strategy system and the performance management system for national health policy for equity so that the indicator does not end in the calculation but leads to national health equity strategy through index production.

저소득층 장애인의 의료비 지출 실태

장숙랑(Soong Nang Jang),이선자(Seon Ja Rhee),김미주(Mi Ju Kim),이효영(Hyo Young Lee) 서울대학교 보건환경연구소 2002 보건학논집 Vol.39 No.1

말기 암환자 가족의 부담감에 관한 연구

장숙랑(Soong Nang Jang),이선자(Seon Ja Lee) 대한보건협회 2000 대한보건연구 Vol.26 No.1

N/A N/A

감염되는 절망: 청년여성의 정신건강

장숙랑(Jang, Soong-nang) 한국여성연구소 2021 페미니즘 연구 Vol.21 No.2

여성의 다중역할에 따른 건강 차이

조수진,장숙랑,조성일,Cho, Su-Jin,Jang, Soong-Nang,Cho, Sung-Il 대한예방의학회 2008 예방의학회지 Vol.41 No.5

Objectives : Most studies about multiple roles and women's health suggested that combining with paid job, being married and having children was more likely to improve health status than in case of single or traditional roles. We investigated whether there was better health outcome in multiple roles among Korean women coinciding with previous studies of other nations. Methods : Data were from the 2005 Korea National Health & Nutritional Examination Survey, a subsample of women aged 25-59 years (N=2,943). Health status was assessed for self-rated poor health, perceived stress and depression, respectively based on one questionnaire item. The age-standardized prevalence of all health outcomes were calculated by role categories and socioeconomic status. Multiple logistic regression was used to assess the association of self rated health, perceived stress, and depression with multiple roles adjusted for age, education, household income, number of children and age of children. Results : Having multiple roles with working role was not associated with better health and psychological wellbeing. Compared to those with traditional roles, employed women more frequently experienced perceived stress, with marital and/or parental roles. Non-working single mothers suffered depression more often than women with traditional roles or other role occupancy. Socioeconomic status indicators were potent independent correlates of self-rated health and perceived stress. Conclusions : Employment of women with other roles did not confer additional health benefit to traditional family responsibility. Juggling of work and family responsibility appeared more stressful than traditional unemployed parental and marital role in Korean women.

노인의 장애 및 주관적 건강의 남녀차이와 사회경제적 요인의 영향

전경숙,장숙랑,이선자,Jeon, Gyeong-Suk,Jang, Soong-Nang,Rhee, Seon-Ja 대한예방의학회 2009 예방의학회지 Vol.42 No.3

Objectives : Research on the gender differences of health among older Korean people has been limited compared with the research for other stages of life. This study first examined the patterns and magnitude of the gender differences of health in later life. Second, we examined the gender differences in the health of older men and women that were attributable to differing socioeconomic conditions. Methods : Using the nationally representative 2005 Korean National Health and Nutrition Examination Survey, the gender differences in disability and subjective poor health were assessed by calculating the age adjusted and gender-specific prevalence. Logistic regression analyses were used to assess if the differences between the men and women for health could be explained by differential exposure to socioeconomic factors and/or the differential vulnerability of men and women to these socioeconomic factors. Results : Our results indicated that older women were more likely than the men to report disability and poor subjective health. The health disadvantage of older women was diminished by differential experiences with socioeconomic factors, and especially education. The differences shrink as much as 43.7% in the case of disability and 35.4% in the case of poor subjective health by the differential exposure to educational attainment. Any differential vulnerability to socioeconomic factors was not found between the men and women, which means that socioeconomic factors may have similar effect on health in both genders. Conclusions : Differential socioeconomic experience and exposure between the men and women might cause gender difference in health in old age Koreans.