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韓國 低所得層 幼兒의 成長類型과 發育標準値 선택에 관한 考察
文玄卿,鄭해랑,宋凡鎬,朴惠蓮 대한보건협회 1989 대한보건연구 Vol.15 No.1
One of the fundamental, but controversial issues in evaluating the growth patterns of children in developing countries has been whether or not the application of the uniform growth reference worldwide is justifiable and advisable. The prevailing view aeems to have been that it can be applied to children of any ethnic group, since the genetic origin does not make much difference in child's growth. This view has recently been challenged by some scholars. Noting that when the growth performances of children of some ethnic group, particularly of Asiatic origin, were compared to the NCHS growth standard, they displayed a consistent, and sizable growth faltering from the second year after birth. It was suggested that the growth faltering should be attributed to their physiological difference rather than nutritional inadequacy or poor nutritional environment, and that it is to blame for the smaller adult size of Asiatic peoples. When one compares the Korean growth standard with the NCHS growth curve, he can draw the same conclusion. The growth standards set up in 1966, 1975, and 1985 received a continued upward readjustment, narrowing the overall gap between them and the NCHS standards, in corresponding years. But all the three Korean growth standards are the same in that they recognize the growth faltering starting 6 to 7 months after birth. For example, the Korean weight and height standards for the period of 6 months after birth amount to the 70~90th percentile of the NCHS standard, while those at the end of the two year after birth belong to the 30~50th percentile. The result of a study conducted by the Korea Advanced Food Research Institute in 1987 for the sample of 679 infants taken from three different regions(first, a major city, Daejon; second, a minor city, Chunchon; third, a rural area, Chunsong county) seems to support the theory. The study found that the z-scores of both weight and height of Korean children from 2~3 months after birth were consistently faltering and size of the faltering reached about 2 s.d. for about one half years when analyzed based on the NHCS standard. When the data was compared to the Korean standard, however, the z-scores of both weight and height of them were found to be increasing in the normal range for 3~4 months thereafter and begin to fall again from around 7~8 months after birth, the time of starting weaning generally in Korea. These facts may well lead us to believe that genetic difference matters, and that the Korean standard, rather than the NCHS standard, can provide us with more accurate information about and safer assessment of the nutritional status and growth performance of Korean children.
문현경,정효지 대한보건협회 1997 대한보건연구 Vol.23 No.1
본 연구는 대한영양사회의 영양사 재교육에 참가한 전국의 영양사들에게 설문지를 배부하여 회수된 2.987명을 대상으로 우리나라 취업영양사의 일반적인 특성을 파악하고자 실시되었다. 조사결과는 다음과 같다. 1. 조사대상 영양사의 99.4%가 여성이었고, 연령의 분포는 20대가 79.2%, 30대가 19.5%, 40대가 1.3%였다. 교육수준은 전문대졸이 61.5%, 학사학위 소지자가 36.5% 그리고 석사학위 소지자가 2.0%였다. 2. 영양사들의 근무처는 사업체가 51.9%로 가장 많았고, 학교가 35.6%, 병원이 5.8%, 그리고 기타순이었다. 단독사무실을 가진 영양사는 50.0%였고, 컴퓨터를 업무에 활용가능한 영양사도 73.7%였다. 직장에서의 지위는 고졸사원 대우가 21.8%, 대졸사원 대우가 73.3%, 그리고 계장이상이 2.8%였다. 3. 영양사의 연령이 20대인 경우 사업체에 근무하는 비율이, 30대는 학교에 근무하는 비율이 높았다. 전문대졸 영양사는 주로 사업체에, 대졸 영양사는 학교에, 석사이상의 학력을 가진 영양사는 병원에 근무하는 비율이 높았다. 4. 영양사의 교육수준과 직장내의 지위가 낮을수록 휴직을 많이 하였고, 학교영양사의 휴직율이 가장 낮았다. 그리고 연령과 교육수준이 높을수록 단독사무실을 가지고 있었고 컴퓨터의 활용정도가 높았다. 5. 영양사의 업무는 주로 메뉴작성, 작업관리, 급식기기 및 설비관리, 급식행정 및 사무업무 등 이었다. 영양교육, 영양상담, 교육자료개발, 급식평가를 실시하는 영양사의 비율은 낮게 나타났다. 본 조사에 의하면 우리나라의 영양사직은 20대의 미혼여성이 주로 산업체나 학교에서 단체급식을 담당하는 직업이고. 영양사의 직장내의 지위나 대우가 업무에 비하여 낮은 것으로 파악된다. 그리고 영양교육, 영양상담, 건강관리와 같은 업무는 제대로 수행되지 않고 있어 환자와 일반인에 대한 건강관리 전문인으로서의 역할이 부족함을 알 수 있었다. This study was carried out to investigate general characteristics of the Korean dietician. The subjects were 2,987 dieticians who responded to the questionnaire distributed at the annual education program of the Korean Dietetic Association in 1995. The results are followings: 1. Among the subjects, female dieticians are 99.4%. In terms of age group, 20's account for 79.2%, 30's for 19.5% and 40's for 1.3%. Among the subjects, 60.5% is junior college graduate, 36.5% college graduate and 2.0% master degree holder. 2. Work places are private firm 51.9%, school 35.6%, hospital 5.8% and others. Dietician who has own office is 50.0% and dietician who uses computer in their job is 73.7%. In work places, 21.8% of them are treated as high school graduate, 73.8% as college graduate and 2.8% as supervisor. 3. The rate of job holder in private firm is higher for the dieticians of age 20's than others. For 30's, job holding rate in school is higher. Job holding rate in private firm is higher for junior college graduates. For college graduate and master degree holder, the rate is higher in school and hospital, respectively. 4. The less educated and the lower in position in work place they are, the more frequently they take long term leave. The rate of taking long-term leave is lower for school dieticians. Also, work environment is better for the older and the educated than others. 5. Major job contents for dietician are menu setting, supervision, hall management, mass service administration and miscellaneous office works. The rate of dietician doing nutrition education, counseling, developing education media, evaluating mass service was low. In summary, the majority of Korean dieticians are 20's women and major job is mass service in firms or schools. It appears that dietician's position and treatment are relatively low for their work load. Also, it is noted that the role of health care professional for patients and general public is not well supported due to the lack of job contents such as education, counseling and health management.