在日韓國人의 生活文化의 異質化와 適應過程에 關한 保健學的 硏究

金正根(Jong-Kun Kim),張昌谷(Chang-Gok Chang),林達旿(Dar-Oh Lim),金武采(Mu-Chae Kim),李州烈(Ju-Yul Lee) 한국인구학회 1992 한국인구학 Vol.15 No.2

After world war Ⅱ Japanese life expectancy has been improved remarkably, and reached the highest level in the world around late 1970's. The life expectancy of Korean has also shown tremendous improvement in recent years with about 20 year's gap from the Japanese. The reason of rapid improvement of life expectancy can be explained by changes in the structure of cause of death due to health system, living standard, social welfare, health behavior of individuals and so on. Korean in Japan is placed under different situations from both Korean in Korea and Japanese in these regards, and expected to show different picture of cause of death pattern. The objective of this study is the comparision of changing patterns of cause of death of three population groups, Korean in Japan, Korean in Korea and Japanese, and to investigate the reasons which effect to the structural difference of mortality cause with special emphasis on health ecological aspects. One of the major limitations of the Korean causes of death statistics is the under-registration which ranges about 10% of the total events, and inaccuracy of the exact cause of death. Some 20% of registered deaths were unable to classify by ICD. However, it is concluded that the Korean data are evaluated as sufficient to stand for over-viewing of trends of cause of death pattern. The evaluation is done by comparing data from registration and field survey over the same population sample. Population data of Korean in Japan differ between two sources of data; census and foreigner's registration. Correction is done by life table method under the assumption that age-specific mortality pattern would accord with that of the Japanese. The crude death rate was lowest among Korean in Japan, 5.7 deaths per 1,000 population in 1965. The crude death rates of Korean in Japan and Japanese are increasing recently influenced by age structure while Korean in Korea still shows decreasing tendency. The adjusted death rate is lowest among Japnaese, followed by Korean in Japan, and Korean in Korea. The leading causes of death of Korean in Korea until 1960's was infectious diseases including pneumonia and tuberculosis. The causes of death structure changed gradually to accidents, neoplasm, hypertensive disease, cerebro-vascular disease in order. The main difference in cause of death between Korean and Japanese is high rate of liver diseases and diabetes for both Korean in Japan and Korea. A special feature of cause of death among Korean in Korea is remakably high rate of hypertensive disease, which is assumed to be caused by physicians tendency in choosing diagnostic categories. The low ischemic heart disease and high vasculo-cerebral disease are the distinctive characteristic of the three population groups compared to western countries. Specific causes of death were selected for detailed sex, age and ethnic group comparisons based on their high death rates. Cancer is the cause of death which showed most drama tical increase in all three population groups. In Korea 20.1% of all death were caused by cancer in 1990 compared with 10.5% in 1981. Cancer of the liver is the leading cause of cancer death among Korean in Japan for both sexes, followed by cancer of the lung and cancer of the stomach, while that of Korean in Korea is cancer of the stomach, followed by cancer of the liver and cancer of the lung for male. Causes of infant mortality were examined among the three population groups since 1980 on yearly bases. For both Japanese and Korean in Japan, leading cause of death ranks as conditions originating in the perinatal period, congenital anomalies, accidents and other violent causes. Trends since 1980 for these two population groups in the leading cause of infant mortality showed no changes. On the contrary, significant changes in leading cause of death structure in Korea were observed : The ranking of leading cause of death in 1981 were congenital asnomali

인구자질과 태생기ㆍ주산기ㆍ영아기 사망에 관한 연구

김정근(Jong-Kun Kim),이승욱(Seung-Wook Lee),이주열(Ju-Yul Lee),김무채(Mu-Chae Kim) 한국인구학회 1996 한국인구학 Vol.19 No.2

이 논문은 인구자질정책을 전개하는 데 필요한 기초적인 정보를 제공하기 위하여 실시된 임신추적조사의 결과이다. 경기도 가평군 전지역을 대상으로 1993년 11월 3일부터 1995년 12월 31일까지 유배우 여성이 경험한 모든 임신을 추적조사하여 임신경과와 그 결과를 관찰하였다. 조사기간중 782건의 임신이 관찰되었는데, 이중 642건은 최종 임신종결 형태가 확인되었으며 140건은 전출 및 조사종료에 따라 관찰이 중단되었다. 본 연구에서는 임신추적조사 자료로 태생기 생명표를 작성하여 그 생명현상을 분석하였다. 태생기 생명표에 따른 임신종결확률은 출생률 53.5%, 태아사망률 14.5%, 인공유산율 32.0%로 전임신기간을 통해서 46.5%의 임신손모가 있었으며, 태아주령에 따른 임신종결확률의 곡선모양은 인공유산율과 태아사망률 모두 L형을 나타내었다. 한편 인위적으로 임신을 중단시키는 인공유산을 제외했을 경우의 태아시망확률은 21.9%였다. 본 연구의 결과에 따르면 임신 초기에 태아사망이나 인공유산과 같은 임신손모에 의해 태생기의 생명이 상당히 손실되고 있는 것으로 나타났다. 따라서 임신손모를 방지하기 위한 대책이 이루어져야 할 것이다. This study was carried out to provide the basic information for the implementation of population quality policies by analyzing fetal life. The outcomes and process of all the pregnancies of women with spouses living in Gapyung-gun, Kyunggi province from November 3, 1993 through December 31, 1995 were analyzed. The results of the study are as follows: According to the fetal life table, the estimated probability of pregnancy outcome showed 53.5% of live birth, 14.5% of fetal death, 32.0% of induced abortion, which resulted in 46.5% of pregnancy wastage throughout gestation period. The curve of the estimated probability of pregnancy outcome by gestation weeks showed L shape in case of total pregnancy wastage rate, induced abortion rate and fetal death rate. The estimated probability of fetal death was 21.9% in case that the induced abortion was excluded, which was 7.4% higher than the case that induced abortion was included. The expected duration of pregnancy was 22.9 weeks until the fourth week of gestation and then started to become the highest, 26.6 weeks at the tenth week. At the 11th week, it declined to decrease to 26.4 weeks. This is attributed to the fact that the pregnancy wastage including fetal death and induced abortion ocurred in the early period of pregnancy. The establishment of appropriate policies to cope with this situation are needed.

공단지역 대기오염과 일별사망수와의 연관성에 관한 연구

김윤신,김무채,최원욱 한국보건통계학회 1998 한국보건정보통계학회지 Vol.23 No.1

The association of air pollution with daily all-cause mortality in two major industrial cities(Ulsan and Yeochon) was investigated using daily values of TSP, O(c)y, SO(c)u,NO(c)� and CO. General Additive Poisson models with daily mortality as the dependent variable, were used to adjust for temperature, rain tall, and wind speed, as well as for serial correlations in mortality. O(c)�ad the strong association with dauly mortality in both cities. The magnitude of association in small, for instance, a 1 ppb increase in O(c)�s estimated to increase daily mortality by 1.27% (95% confidence interval (CI) : 0.58~2.35) in Ulsan and 1.16% (95% CI : 0.58~1.97) in Yeochon. These findings suggests that recent air pollution levels in major two industrial dities may be responsible for substantial number of deaths, and hence remains an important puvlic heath issue.

우리나라 국민학생의 스트레스에 관한 연구

김무채,김지주,김정근 韓國學校保健學會 1993 韓國學校保健學會誌 Vol.6 No.1

The purpose of this study is to find out the stress causes of the primary students in Korea, through the three major methods, life event score, multiple regression about stress causes and G.H.Q. path-diagram. A survey was made of 889 students who were selected among students of six primary schools in seoul and Ka-pyeng, from Sep. 28 to Oct. 2. 1992. The results of this study are summarized as follows : 1. Life event score Among the children's life events, <deaths of family> <degrade of school record> <the increase of absence days> <divorce of parents> <trouble with relationship> are high ranking in life event score. Besides, <Decrease of playing and sleeping time> <scolded by teacher and parents> <beginning of extracurricular work> are spread stress causes. In conclusion, these stress causes are shown by two aspects, home, school, and so children are under stress circumstance in both places. These stress causes very with area and sex. 2, Multiple regression about stress causes and G.H.Q. This study analysed how a stress caused by home life affects the children's health of mind and body. The most influential factors are <life event score> <possession of joystick> <length of sleeping time> <eating a snack> <joyful school life>, and these vary with area and sex. 3. Path-diagram This study proved that socio-psychological school environment raises children to secede from school, and this secession that operates as a stress cause affects children's health of mind and body. This serial process is analysed by path analysis, and made out a path-diagram. In conclusion,, as expected socio-psychological, school environment affects the children's health of mind and body. This is shown by two aspects : positive, negative. This stress causes vary with area and sex.

한국의 지역별 생명표에 관한 연구

이주열,김정근,김무채 한국보건통계학회 1995 한국보건정보통계학회지 Vol.22 No.1

Among numerous health indicators to evaluate the regional health status, life expectancy is recognized as the one of best indicators. Dud to inaccuracy of age specific death rate the regional life table is constructed after the age-specific death rate of each region is corrected by Brass logit system. 1. The life expectancy of life table constructed by corrected mortality rate is higher than that of non-corrected one. 2. The life expectancy in 1990 is 69.46 years for males and 76.97 years for females. 3. The life showed highest life expectancy is Seoul : 72.46 years for male and 79.33 for female respectively. 4. The life expectancy of metropolitan regions including Seoul is higher than that of all other regions. And also the sex difference of life expectancy of metropolitan including Seoul is smaller than that of all other regions at all age groups. 5. By time series analysis we observed little change of rank order of life expectancy by regions : The life expectancy for female in Seoul ranks top among all regions for the years 1975 and 1990 while that of Cheju is the highest in year 1998. Junnam shows the lowest life expectancy both males and females throughout all observed years.

후향성조사의 신뢰성에 관한 연구

홍인정,이주열,김무채 한국보건통계학회 1996 한국보건정보통계학회지 Vol.20 No.1

This study was carried out to investigate the reliability between two retrospective surveys which was initiated with 71 women with spouses in November 1993 first and in December 1994, again. This study evaluated the level of correspondence by comparing pregnancy outcomes reported in the two surveys. The results of the study are as follows : 1) Of 173 pregnancv outcomes that have been investigated by two retrospective surveys. 118 cases(68.2%) were corresponded and 55 cases(31.8%) were contradicted each other in answering. 2) In answering of related to fetal death and induced abortion, a lot of data contradicted each other were observed. But the level of correspondence in live birth was high relatively. 3) In contradicted level the highest case was that after fetal death was answered in first survey answering was dropped in second survey. 4) This study examined levels of correspondance or not and factors related to a different answer, but there isn't the possible explanation for such a pattern in responding.