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최승아 ( Choe Seung-ah ) 한국보건사회연구원 2023 보건복지포럼 Vol.321 No.-
한국 여성들이 적시에 필요한 부인과 의료서비스를 받을 수 있도록 하기 위해서는 현재 여성들이 갖고 있는 부인과 건강 문제를 확인하고 부인과 의료 이용 현황과 함께 여성들이 부인과 진료에 어려움을 겪는 원인을 파악하는 것이 중요하다. 지난 2022년 수행된 ‘한국 여성의 생애주기별 성·생식 건강조사’의 의료 이용 설문 결과 여성의 생애주기에 따라 주요 부인과 건강 문제와 미충족 의료 경험률에 차이가 있었다. 초기 성인과 청소년에서 노인보다 대체로 부인과 건강 문제가 흔했다. 중장년층에서는 10명 중 1명꼴로 자궁근종 제거 시술을 받았다. 부인과 진료가 필요한데도 받지 못한 주된 이유는 시간이 없는 것과 산부인과 검진이 불편한 것이었다. 한국 여성들의 삶의 질을 높이고 기대수명 대비 건강수명의 분율을 높이려면 부인과 진료의 장애물을 줄일 수 있는 정책과 프로그램이 필요하다. Ensuring that women in Korea receive the gynecologic care they need in a timely manner requires identifying the current gynecologic health problems that women have, their utilization of gynecologic care, and the reasons why women have difficulty accessing gynecologic care. The healthcare utilization survey, conducted in 2022 as part of the Korean Women's Sexual and Reproductive Health Survey, found that the prevalence of major gynecologic health problems and unmet healthcare needs varied across the life cycle. In early adulthood and adolescence, gynecologic health problems were generally more common than in the elderly. Among middle-aged women, only 1 in 10 had a procedure to remove fibroids. The main reasons for not seeking gynecologic care were lack of time and discomfort with gynecologic exams. Policies and programs are needed to reduce barriers to gynecological care, improve the quality of life of Korean women, and increase the ratio of healthy years to life expectancy.
최승아(Seung-Ah Choe),신자운(Ja-Woon Shin),유승현(Seunghyun Yoo) 서울대학교 보건환경연구소 2015 보건학논집 Vol.52 No.2
This paper intends to briefly review the concept of health impact assessment (HIA) and to introduce a case of HIA for a campus plan of Seoul National University. HIA is structured practice that uses available evidences to assess the prospective health impacts of projects, plans, programs, and policies. The process of HIA involves identification of health and health determinants, engagement with decision makers, affected stakeholders and application to policy making for more beneficial effect on health. In the pursuit of health and wellness in communities, it has been suggested that universities need HIA in developing campus policies. Potential campus-specific health measures such as grade point average and number of campus leaders’ meetings can be considered in performing HIA for a campus plan. This framework of campus HIA was applied to HIA for the campus plan to improve walking environment of Seoul National University. The identified health impacts of the plan included increased campus members who are doing recommended amount of physical activities, student satisfaction, risk of vehicle-related accident and secondhand smoke, and public transportation-related stress. To maximize the health benefits and minimize harm of the plan, several recommendations and alternatives were made. To implement HIA for campus policies, development of baseline health-related data, efforts to ensure stakeholder participation and engagement, and integration of HIA to the formal policy making process in campus would be necessary.
최승아(Seung-Ah Choe),김새롬(Saerom Kim),김현주(Hyun Joo Kim),류지아(Jia Ryu),민혜숙(Hye Sook Min),오정원(Jeong-Won Oh),윤정원(Jung-Won Yoon),김규원(Kyuwon Kim),정연택(Yun Tag Chung) 충남대학교 사회과학연구소 2024 사회과학연구 Vol.35 No.2
Due to a Supreme Court ruling in April 2020, the Korean Industrial Accident Insurance Act (KIAIA) was revised, and starting in January 2023, industrial accident insurance compensation for a live-born child with health issues due to its mother’s work during pregnancy has been provided. Based on this, a bill to amend the Public Officials’ Accident Compensation Act (POACA) was announced to provide similar compensation to the children of public officials with health issues. This study began with the purpose of presenting problems and alternatives to the currently announced POACA. As a methodology, literature reviews and case studies are used. The proposed recommendations can be largely divided into a plan to expand only services and a plan to expand beyond services to cash compensation. By setting the time of disability determination at the time of discovery of disability, nursing benefits, vocational rehabilitation benefits, and two kinds of paid care leaves could be immediately provided. In addition, disability benefits could be provided at a lower amount to minors in order to cover additional costs due to disabilities. The proposed measures do not significantly modify the current legal framework, but are appropriate for satisfying the principles and needs of compensation.
체외수정시술을 받는 여성에서 평균 신체활동량과 6개월 내 임신 성공 여부: 전향적 난임부부 코호트 연구
안선미 ( Seon Mi An ),최승아 ( Seung-ah Choe ),전병율 ( Byungyool Jun ) 한국모자보건학회 2021 한국모자보건학회지 Vol.25 No.2
Purpose: This study aimed to assess the association between physical activity and pregnancy in 6 months among infertile women who underwent in vitro fertilization (IVF). Methods: The participants included in this study were infertile women who underwent IVF at Cha Fertility Center in Seoul Station from October 2019 to February 2020. Of 132 women who agreed to participate in the study, one was eliminated for omitting the exercise questionnaire. A survey assessing the level of physical activity of infertile women was conducted using the Korean version of the International Physical Activity Questionnaires. We calculated metabolic equivalent tas k-minutes (MET-min) scores and obtained their IVF results after 6 months of the survey. Participants with less than 3,000 MET-min were classified into the minimally active group, and those with ≥3,000 MET-min were classified as the health-enhancing group. The 2 groups were compared based on age, anti-Müllerian hormone levels, body mass index, infertility duration, nulliparity, harmful alcohol drinking, history of smoking, obesity, male factors, and pregnancy rates. Adjusted relative risk for pregnancy was calculated using log-binomial regression analysis. Results: There was no significant difference in basal characteristics between the less active and health-enhancing groups. When controlling for all covariates, the relative risk for pregnancy was close to null with health-enhancing activity. The adjusted pregnancy rate decreased with increasing MET-min in the generalized additive model. Conclusion: We observed no positive association between physical activity and pregnancy rate among interfile women undergoing IVF. To confirm our findings, subsequent interventional studies would be needed.
보존적 방법을 통한 제왕절개 반흔임신의 성공적 치료 증례보고
이재은 ( Jae Eun Lee ),최승아 ( Seung Ah Choe ),구승엽 ( Seung Yup Ku ),김석현 ( Seok Hyun Kim ),최영민 ( Young Min Choi ),김정구 ( Jung Gu Kim ),문신용 ( Shin Yong Moon ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.4
Cesarean scar pregnancy is the one of the rarest forms of ectopic pregnancy and is associated with severe complications, such as uncontrollable bleeding and uterine rupture. However optimal treatment has not been established. We present here a case of ectopic pregnancy in the previous Cesarean scar treated successfully by uterine artery embolization in combination with subsequent intra-cardiac potassium chloride and intra-sac methotrexate injection without surgical or invasive intervention at 9+3 weeks` gestational age.