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      • 2009-2018년 소변코티닌을 활용한 비흡연자들의 간접흡연 노출률 변화

        박명배 배재대학교 자연과학연구소 2020 自然科學論文集 Vol.31 No.1

        목적: 본 연구는 소변코티닌을 이용하여 인체내 간접흡연 노출률을 평가하는 것이다. 방법: 2012, 2013년도를 제외하고, 2009-2018년도의 국민건강영양조사 자료를 이용하였으며 비흡연자 38,904명을 대상으로 연구하였다. 우리의 연구에서는 가장 대표적인 사회경제적 변수이며 기존 연구에서 간접흡연 노출에 영향을 미칠 수 있다고 알려진, 성, 지역, 주거형태를 설명 변수로 선택하였다. 결과: 먼저 비흡연자의 농도는 2009년 3666.2pg/mg에서 2018년 680.2pg/mg로 현저히 감소하였다. 남자는 2009년 7929.2pg/mg에서 2018년 1349.7pg/mg로, 여자는 2009년 1331.1pg/mg에서 2018년 296.2pg/mg로 감소하였다. 지역별로는 도시지역과 농촌지역 모두 현저히 감소하였으며, 2018년 기준 도시는 654.6pg/mg, 농촌 855.0pg/mg 였다. 거주유형별로도 꾸준히 감소하여 2018년 기준 일반주택은 838.7pg/mg, 아파트 570.0pg/mg였다. 결론: 지난 10년간 인체내 소변 코티닌 농도는 현저히 감소하였다. 이는, 금연정책과 간접흡연 예방 정책의 성과로 보여진다. 그러나 최근 코티닌 농도의 감소가 답보상태를 감안하여, 앞으로의 간접흡연 정책은 저농도 노출에 대한 예방정책으로 패러다임의 변화가 필요하다. Aims: The aim of this study is to evaluate the exposure rate of environmental tobacco smoke (ETS)in the human body using urinary cotinine. Methods: Excluding 2012 and 2013, data from the 2009-2018 Korean National Health and Nutrition Survey were used, and 38,904 non-smokers were studied. In our study, the most representative socio-economic variable, sex, region, and housing type, which are known to have an effect on exposure to ETS in previous studies, were selected as explanatory variables. Results: The cotinine concentration in non-smokers decreased significantly from 3666.2 pg/mg in 2009 to 680.2 pg/mg in 2018. The concentration in men decreased from 7929.2 pg/mg in 2009 to 1349.7 pg/mg in 2018, and in women from 1331.1 pg/mg in 2009 to 296.2 pg/mg in 2018. By region, both urban and rural areas decreased significantly, and as of 2018, urban was 654.6 pg/mg and rural 855.0 pg/mg. As of 2018, the number of general-type houses was 838.7 pg/mg and apartments 570.0 pg/mg as of 2018. Conclusions: Urinary cotinine levels have decreased significantly over the past decade. This is seen as the result of the tobacco control and the ETS prevention policy. However, the recent decline in cotinine concentration has been stagnant. Therefore, a paradigm shift is needed for the future policy for ETS to prevent exposure to low exposure.

      • 감염병 확산의 역사를 통해 살펴본 COVID-19의 확산

        박명배 배재대학교 자연과학연구소 2020 自然科學論文集 Vol.31 No.1

        COVID-19와 교통 그리고 인구이동에 관한 지금까지의 경과를 논리적으로 평가하고 이 질병과 관련한 향후 국제보건 정책의 추세를 제언하는 서술적 연구이다. 20세기에 항공, 해운 등의 교통 발달로 인플루엔자는 범세계적인 유행병이 되었으며, 2002년 사스(SARS), 메르스(MERS)는 SARS-Cov2와 같은 코로나바이러스 계열의 신종 감염병은 전세계적인 유행을 하였다. 역사적으로 감염병의 확산에 있어 교통은 많은 영향을 미쳤으며, COVID-19의 범세계적 확산에서도 교통이 영향을 미쳤다. 남아시아와 아프리카와 같이 따듯한 기후를 가진 개발도상국은 COVID-19가 비교적 늦게 도착 하고 있다. 낮은 의료시스템과 보건교육 보급률(low health literacy)로 인하여, 이 지역에서 확산이 시작 된다면 그 어느 지역보다 피해가 클 가능성이 높다. 장기적으로 아프리카 및 개발도상국에서 오랫동안 토착화될 수 있으며, 종식이전 까지 이 지역의 주요문제가 될 가능성이 높다. 코로나시대 이후 국제간 이동 그리고 검역시스템의 시스템은 엄격하게 변화될 것이다. 그리고 이러한 시스템은 개발도상국에 상대적으로 더 필요하다. 따라서 개발도상국의 시스템 정착 및 적용을 위한 국제적 노력이 필요하다. The purpose of this study is a descriptive study to review the relationship between COVID-19 and traffic and the progress of the population movement to date, and to suggest the direction of future international health policy related to this disease. In the 20th century, the development of transportation such as commercial flight and shipping made influenza a global outbreak, and new infectious diseases of the coronavirus family such as such as SARS, MERS, SARS-CoV2 became a worldwide epidemic. Historically, travel has had a significant impact on the spread of infectious diseases, and it has also affected the global spread of COVID-19. Developing countries with warmer climates, such as South Asia and Africa, are arriving relatively late for COVID-19. Due to the low health care system and low health literacy, when the spread begins in this area, the damage is likely to be greater than in any other area. It can be endemic for a long time in Africa and developing countries, and it is likely to be a major health problem in the region until the end. After the coronavirus era, the international travel and quarantine system will be severely changed. And these systems are relatively more needed in developing countries. Therefore, global efforts are needed to establish and apply systems in developing countries.

      • 여가활동 만족도가 삶의 질 향상에 미치는 영향

        박명배 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.2

        The purpose of this paper was to analyze the influence of improvement in life quality on satisfaction of leisure activity. The instrument for data collection was a questionnaire as identified by Yu(2000) and Chang(1996). The questionnaire's validity was evaluated by computing the Cronbach alpha value. Since the values ranged from .77 to .89. the questionnaire was deemed to be highly reliable. The subjects included 500 pieces that were selected in Seoul and Gyeonggi. A total of 482 pieces responded , but only 462 were used for data analysed, and data analyses consisted of employing descriptive statistics, t-test, one-way ANOVA, multiple-regression using SPSS/PC verson 10.0. The following results were obtained: First, Satisfaction of leisure activity differ statistically and significantly according to socio-demographic variables. Second, psychological satisfaction, educational satisfaction and social satisfaction statistically and significantly influence life quality with a magnitude in the listed order.

      • KCI등재

        소셜 빅데이터를 이용한 낙태의 경향성과 정책적 예방전략

        박명배,채성현,임진섭,김춘배,Park, Myung-Bae,Chae, Seong Hyun,Lim, Jinseop,Kim, Chun-Bae 한국보건행정학회 2017 보건행정학회지 Vol.27 No.3

        Background: The purpose of this study is to investigate the trends on the induced abortion in Korea using social big-data and confirm whether there was time series trends and seasonal characteristics in induced abortion. Methods: From October 1, 2007 to October 24, 2016, we used Naver's data lab query, and the search word was 'induced abortion' in Korean. The average trend of each year was analyzed and the seasonality was analyzed using the cosinor model. Results: There was no significant changes in search volume of abortion during that period. Monthly search volume was the highest in May followed by the order of June and April. On the other hand, the lowest month was December followed by the order of January, and September. The cosinor analysis showed statistically significant seasonal variations (amplitude, 4.46; confidence interval, 1.46-7.47; p< 0.0036). The search volume for induced abortion gradually increased to the lowest point at the end of November and was the highest at the end of May and declined again from June. Conclusion: There has been no significant changes in induced abortion for the past nine years, and seasonal changes in induced abortion have been identified. Therefore, considering the seasonality of the intervention program for the prevention of induced abortion, it will be effective to concentrate on the induced abortion from March to May.

      • KCI등재

        신종담배의 출현과 정책방향: 전자담배 및 가열담배에 대한 전략

        박명배 한국보건행정학회 2019 보건행정학회지 Vol.29 No.1

        The term new tobacco products (NTPs) refers to the new alternatives to conventional cigarettes. There are several kinds of NTPs in South Korea. The present study discusses the most widely used NTPs namely electronic cigarette (ECs) and heated tobacco products (HTPs). The aims of this study are to evaluate the risk related to the use of ECs and HTPs, introduce policy examples across different countries of management of this issue, and finally, present some policy implications of the problem and our response strategies. Since the advent of ECs, there has been a lot of debate about its risk. Some studies have reported that ECs are less harmful than conventional cigarettes and that they are effective in aiding smoking cessation. Nevertheless, the efficacy of ECs in smoking cessation and its potential health risks are still unclear. However, the obvious fact is that it is not harmless. Regulations on ECs differ from country to country. In many countries, they are strictly regulated as tobacco or toxic substances; however, in the United Kingdom, the use of ECs are included as part of their smoking cessation policy, and in Japan, they are treated as a form of medication. On the other hand, HTPs are the most recently introduced NTPs and they have attained sensational popularity because of the wrongly held belief that they are less harmful to health. So, what about our policy response to these two tobacco products? The research on ECs requires more systematic statistical monitoring, such as monitoring the ratio of dual-users. Further, the new EC smokers should be identified taking into account that the arguments for the use of ECs often emphasize smoking cessation or less risks to health, the government should further strengthen its policy to prevent those claims. The HTPs market experienced a very sharp growth and continues to grow because the government policy is too passive. Taking this as a lesson, it is necessary to approach NTPs, such as HTPs, proactively and increase their contribution to the National Health Promotion Fund by imposing greater taxes on them. Finally, considering the likelihood of NTPs being promoted as a less harmful tobacco product, it is essential to strictly regulate tobacco companies’ publicity from the very beginning to ensure that potential consumer s are not mislead.

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