도시지역 중학생의 알코올 접근성과 음주 경험

윤난희 알코올과 건강행동학회 2019 알코올과 건강행동연구 Vol.20 No.2

Objectives: As the drinking rate and drinking-related harms of adolescents has been increasing, it is emphasized to make efforts to prevent youth alcohol drinking. Despite the regulatory policy for restricting sales of alcoholic beverages to adolescents, they mostly buy alcohol at the convenience stores easily. However, there is a lack of empirical research on alcohol access and drinking of adolescents. Therefore, this study aimed to investigate the impact of convenience store accessibility in community on alcohol drinking of adolescents, and examine whether alcohol prevention education in schools can reduce the alcohol drinking risk of adolescents. Methods: Multilevel logistic regression analysis was conducted on the middle schools students in urban areas who responded to the Youth Health Behavior Survey in 2016. We analyzed the influence of the convenience stores density in community on alcohol drinking experience of adolescents, and stratified analysis was also conducted according to the respondents’ experience of school-based alcohol prevention education. Results: Of the 29,047 respondents, 7,098 students(24.4%) had a drinking experience. The students who were boys, older, living without families, or those whose father’s education was lower were more likely to have drinking experience(p<.001). Those who perceived more severe stress or depression were also more likely to drink alcohol(p<.001). After adjusting for those individuals factors influencing on their drinking behaviors, the students whose schools were in a community with more convenience stores were more likely to drink alcohol(p=.010). According to the stratified analysis, the significant impact of convenience store density on adolescents’ drinking behaviors were not found with the students who had school-based alcohol prevention education(p=.106). Conclusions: In order to effectively prevent adolescents’ drinking behaviors and drinking-related harms, it is necessary to strengthen both the regulation of alcohol access and school-based education for adolescents’ drinking prevention.

학교의 신체활동 환경이 청소년 비만에 미치는 영향

윤난희 한국보건교육건강증진학회 2018 보건교육건강증진학회지 Vol.35 No.2

Objectives: This study aimed to identify the influences of physical activity environments on obesity among adolescents. Methods: Data from 2017 Korea Youth Risk Behavior Web-based Survey were used for the analysis. Multivariate logistic regression analysis was conducted to analyze the effects of the physical activity during the classes at school on obesity. Stratified analysis was also conducted to compare the effects of physical activities at school according to the access to public parks and exercise facilities in the community. Results: Of the 60,392 respondents, 8,374 (13.9%) were obese. After controlling for their sociodemographic factors and health behaviors, the adolescents who experienced regular physical activities at school more than 3 times per week were less likely to be obese than their counterparts. According to the stratified analysis, the effects of school physical activity were still more significant in the community with lower access to public parks or exercise facilities. Conclusions: To prevent and manage obesity among adolescents, it is necessary to improve school environments facilitating physical activity and fostering the regular education curriculum with more frequency, intensity, and duration of physical activity.

지역별 노인 만성기 의료 및 요양·돌봄 공급체계 유형화

윤난희,윤성훈,서동민,김윤,김홍수 한국보건행정학회 2023 보건행정학회지 Vol.33 No.4

Background: By applying the suggested criteria for needs-based chronic medical care and long-term care delivery system for the elderly, the current status of delivery system was identified and regional delivery systems were categorized according to quantity and quality of delivery system. Methods: National claims data were used for this study. All claims data of medical and long-term care uses by the elderly and all claims data from long-term care hospitals and nursing homes in 2016 were analyzed to categorize the regional medical and long-term care delivery system. The current status of the delivery system with a high possibility of transition to a needs-based appropriate delivery system was identified. The necessary and actual amount of regional supply was calculated based on their needs, and the structure of delivery systems was evaluated in terms of the needs-based quality of the system. Finally, all regions were categorized into 15 types of medical and care delivery systems for the elderly. Results: Of the total 55 regions, 89.1% of regions had an oversupply of elderly medical and care services compared to the necessary supply based on their needs. However, 69.1% of regions met the criteria for less than two types of needs groups, and 21.8% of regions were identified as regions where the numbers of institutions or regions with a high possibility of transition to an appropriate delivery system were below the average levels for all four needs groups. Conclusion: In order to establish an appropriate community-based integrated elderly care system, it is necessary to analyze the characteristics of the regional delivery system categories and to plan a needs-based delivery system regionally.

코로나19 유행에 따른 의료이용의 변화

윤난희 한국보건행정학회 2023 한국보건행정학회 학술대회 논문집 Vol.2023 No.2

보건교육건강증진학회지 1984~2021년 연구동향

윤난희,김영복,송현종,이지은,최정은 한국보건교육건강증진학회 2022 보건교육건강증진학회지 Vol.39 No.5

Objectives: This study aimed to analysis the trends of published papers between 1984 and 2021 in the Korean Journal of Health Education and Promotion, and draw the role of developing health promotion policies or program. Methods: 1,277 published papers were reviewed and categorized in terms of their subject, topic, research desin, data collection, and source of data and classified by publication time. Categories of subject and topic were set based on the Health Plan 2020 and Health Plan 2030. Frequencies and network centrality were analyzed for keywords of the papers published after 2000. Results: Among the topic of the papers in all published periods, the highest frequency was in the ‘Healthy lifestyles’, followed by ‘Health education’ before the 2000s, whereas in the 2000s, ‘Non-communicable disease prevention and management’, and after the 2010s, ‘Health-friendly environment and infrastructure’ followed. In the research subjects, before the 2000s and in the 2000s, papers on children/adolescents and adults accounted for the highest frequency, whereas after the 2010s, papers on adults accounted for the highest frequency. In particular, since 2010s, the proportion of papers using secondary data has increased significantly. ‘Health promotion’, ‘Health education’, and ‘Health behavior’ were most frequently presented keywords in published paper, and they also had highest centrality in their networks of keywords. Conclusion: Research papers published in the Korean Journal of Health Education and Promotion have been changing in a timely manner according to environmental changes and policy issues in the field of health education and health promotion, and have played a role in leading academic discussions and the development of related policies and systems. .

청소년 알코올 접근성과 대책

윤난희 알코올과 건강행동학회 2019 한국알코올과학회 학술대회 Vol.2019 No.04

Composition of Metabolic Syndrome Among Korean Adults in a Lifestyle Modification Intervention

윤난희,유승현,김혜경 질병관리본부 2014 Osong Public Health and Research Persptectives Vol.5 No.6

Objectives: The aim of this study was to examine the composition of metabolic syndrome (MetS) components among middle-aged and older Koreans. Methods: A total of 263 participants (age 40 + years) in a lifestyle modification intervention program who met the MetS definition of National Cholesterol Education Program (NCEP) e Adult Treatment Panel (ATP) III criteria were included in the study. The frequent patterns and clustering of MetS components were investigated. Clustering of changes in individual components, through a lifestyle modification intervention, was also identified. All characteristics were stratified by and compared between sexes. Results: Approximately 80% of the participants had three of five MetS risk factors at baseline. The prevalence of each risk differed by sex. MetS composition patterns that do not include low high-density lipoprotein (HDL) cholesterol were more noticeable in men because of the low prevalence of low HDL cholesterol. In women, with higher prevalence of low HDL cholesterol, more patterns that include low HDL cholesterol were observed. The most common combination was “elevated blood pressure + abdominal obesity + impaired fasting glucose” in both sexes. Clustering of MetS risks was also found with most of the frequent combinations of MetS components. Through the lifestyle intervention, the greatest change was observed in HDL cholesterol among men and blood pressure among women. Triglycerides and HDL cholesterol were likely to be improved with blood pressure in men and abdominal obesity in women. Conclusion: Differences in the prevalent patterns of MetS compositions were observed prior to and after the intervention, along with during-intervention changes. It is recommended that intervention strategies and guidelines for MetS management consider the MetS composition patterns for effectiveness.

환자의 치료 의사결정 참여와 건강수준

윤난희,Yoon, Nan-He 한국의료질향상학회 2018 한국의료질향상학회지 Vol.24 No.1

Purpose: This study aimed to identify the factors influencing on patients' participation in their treatment decision making, and influences of patients' experience on their health status. Methods: Data from the 2015 Korea National Health and Nutrition Examination Survey were used for the analysis. Multivariate logistic regression analysis was conducted to identify the factors influencing on patients' participation in their treatment decision making. The influences of patients' experience on their health status were analyzed using multiple linear regression analysis. Results: Of the 4,497 respondents, 3,698 (82.2%) respondents mostly participated in their treatment decision making. Those who experienced enough visit duration, physicians' explanation easy enough to understand, or more opportunities to ask were more likely to participate in their treatment decision making. After controlling for their sociodemographic factors and health status, those who had better experience during the outpatient visits were more likely to have better self-rated health or quality of life. Conclusion: To improve patients' health outcomes and satisfaction of health care uses, it is necessary to provide better experiences and expand the opportunities for participation in treatment decision making during their hospital visits.

Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome

윤난희,유승현,김혜경,한윤정 대한의학회 2015 Journal of Korean medical science Vol.30 No.8

This randomized controlled trial study aimed to investigate the effects of a lifestyle intervention on metabolic syndrome (MetS) among middle-aged Koreans. A total of 243 middle-aged Koreans with MetS were randomly assigned to either of 2 types of lifestyle intervention for MetS and followed for 12 months. Health examinations and interventions were implemented at 16 regional branch facilities of a Korean medical institution from 2010, following the NCEP-ATP III criteria and recommendations. Lifestyle intervention (LI) group (n = 137) participated in a 12-week multi-component intervention including individual counseling, group sessions, and self-help materials. Basic usual intervention (BI) group (n = 106) was provided with one-page health information sheet on MetS and MetS management at baseline. Prevalence of MetS and each of MetS components, except for low HDL-cholesterol, in both groups were significantly reduced and maintained after the intervention. Notably, prevalence of hypertension and abdominal obesity continued to improve during the follow-up period. Between-group differences in results were not found. Both interventions were effective when they were accompanied with repeated check-ups and notification of MetS status. It is recommended to design clear guidelines for the notification of MetS after MetS screening and to encourage checking MetS status periodically for effective MetS management (KCT 0000446).

생애말기 노인의 장기요양서비스 이용 특성과 영향요인

윤난희 ( Nan-he Yoon ),김홍수 ( Hongsoo Kim ),권순만 ( Soonman Kwon ) 한국보건행정학회 2016 보건행정학회지 Vol.26 No.4

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.