가족 및 친구의 흡연과 청소년 흡연의 관련성

정명진 조선대학교 2016 국내석사

초록 가족 및 친구의 흡연과 청소년 흡연의 관련성 정 명 진 논문지도 : 교수 한미아, M.D., Ph.D. 보건학과 조선대학교 보건대학원 목적: 청소년의 흡연은 성장기에 있는 청소년의 성장이나 건강에 악영향을 미치며, 성인기 흡연으로 연결될 수 있다. 본 연구에서는 한국 청소년의 학생들의 흡연현황을 파악하고 가족 및 친구의 흡연과의 관련성을 파악하고자 하였다. 조사방법: 질병관리본부가 수행한 제10차 2014년 청소년건강행태 온라인조사 원시자료를 이용하였으며, 최종적으로 72,060명의 자료를 이용하였다. 수집된 자료의 분석에는 SPSS 18.0 통계프로그램을 이용하였으며 성별에 따른 층화분석을 하였다. 일반적인 특성, 흡연과 관련된 특성, 가족 및 친구 흡연행태는 빈도와 백분율 및 카이제곱 검정을 실시하였다. 최종적으로 다중로지스틱회귀분석을 이용하여 청소년 흡연과 친구, 가족의 흡연의 연관성을 분석하였다. 결과: 청소년의 평생흡연율은 남학생 27.8%, 여학생 10.7%였으며, 현재흡연율은 남학생 13.3%, 여학생 4.1%였다. 다중 로지스틱회귀분석의 결과를 보면 여학생인 경우 친구가 흡연을 많이 하는 경우(OR:96.94, 95% CI=72.80-129.09) 현재흡연율이 높았으며, 남학생의 경우 형제가 흡연을 하는 경우(OR:2.29, 95% CI=2.01-2.61) 중학생 이전의 흡연율이 높았으며, 여학생인 경우 엄마가 흡연을 하는 경우(OR:2.79, 95% CI=2.01-2.61) 평생 흡연율이 높았다. 결론: 가족 및 친구의 흡연은 청소년의 흡연과 관련성이 있었으며, 가족의 경우 청소년과의 관계에 따라 차이가 있었다. 향후 청소년의 흡연 관리 시 가족이나 친구 등 가족환경적인 측면이나 사회적인 측면을 고려해야 함을 의미한다. 핵심어: 가족 흡연, 연관성, 청소년, 친구 흡연

COVID-19로 인한 가족생활 변화와 우울감 및 스트레스 증가의 관련성

김민수 조선대학교 보건대학원 2022 국내석사

Objective: COVID-19 is an new infectious disease that has had a great impact on daily life of the people. Previous studies have focused on depression and stress in medical workers and COVID-19 confirmed cases. The purpose of this study was to investigate the effect of changes in family life due to COVID-19 on depressive mood and stress perception. Methods: We used data from 'Survey on changes in family life due to COVID-19' The final study population were 1,500 adults with children aged ≤19years. General characteristics, family life change due to COVID-19, and depression and stress were collected using a computer assisted web interview. Chi-square tests and a binary logistic regression analysis were performed. Results: Of the total respondents, 59.3% responded that depressive mood and stress perception increased due to COVID-19. In multiple logistic regression analyses women had a significantly higher depressive mood and stress perception than men (OR:1.39, 95% CI=0.97-2.00). Regarding the change in the economic environment due to COVID-19, decrease of househ old income (OR=2.21, 95%CI=1.73-2.82), and increase of household expenditure (OR=2.06, 95%CI=1.56-2.72) were significantly associated with increased risk of depressive mood and stress perception. And decrease in leisure activities was associated with increased depressive mood and stress perception (OR=1.15, 95%CI=0.90-1.48). Conclusion: More than half of participants had depressive mood and stress perception dud to COVID-19, and changes in household income and expenditure and family care were related. These results could be used to assess changes in family life and to manage mental health when a new infectious disease occurs. It would be necessary to assess the long-term effect of changes in family life due to COVID-19 on mental health.

일부 간호조무사 학원생들의 학습동기와 태도가 교육만족도에 미치는 영향

김선애 조선대학교 대학원 2012 국내석사

ABSTRACT The Effect of Learning Motivation and Attitude on Educational Satisfaction among Some Assistant Nursing School Students Kim, Seon-Ae Advisor: Prof. Han, Mi Ah, MD. Ph.D Department of Public Health, Graduate School of Health Science, Chosun University Objectives: This study was performed to the effect of the learning motivation and attitude on education satisfaction in assistant nursing school students. Methods: The study subjects were assistant nursing school students in Gwangju. Data were collected by self-reported questionnaires including general characteristics, learning motivation, attitude and satisfaction of education. Six multiple regression models were used to determine the satisfaction according to learning motivation and attitude with six satisfaction measures (learning subjects, theoretical education, practical education, teacher, facilities of school and overall satisfaction). Results: Of 240 subjects, 234 (97.5%) subjects were female and the mean age was 36.4±8.5. The overall satisfaction score of education was 3.90±0.64. The learning motivation and attitude were positively correlated with education satisfaction. Even after adjusting for potential confounders, learning motivation and attitude were positively associated with satisfaction for learning subjects, theoretical education, practical education, teacher, facilities of school and overall satisfaction. Conclusion: This study showed that learning motivation and attitude were positively associated with education satisfaction. Motivation for studying by the establishment of a vision for the future and encouragement to achieve desirable learning attitude will increase the education satisfaction in assistant nursing school students. Key words : Learning motivation, Learning attitude, Educational satisfaction

COVID-19 유행 시기 119 구급대원의 감염관리 수행도 및 관련요인

장혜영 조선대학교 대학원 2022 국내박사

Objective: Since 119 paramedics treat patients for the first time, infection control performance would be important to control transmission of infectious diseases. This study was conducted to investigate the COVID-19 infection control performance and related factors among 119 paramedics. Methods: The subjects of this study were 249 paramedics in Gwangju, Jeonnam, and Jeonbuk. General characteristics, infection-related characteristics, awareness and performance of infection control were collected using self-reported questionnaires. Descriptive analysis, t-test, ANOVA and multiple regression analysis were performed to determine the performance of infection control and associated factors. Result: The mean score of infection control performance was 4.47±0.54. In multiple regression analysis, the infection control performance of those with Safety Management Standard Guidelines are complied was higher than those with Safety Management Standard Guidelines are not followed(ß=0.066, p=0.026). The performance was high when there was a COVID-19 Infection control team(ß=0.076, p=0.032). The higher the awareness, the higher the performance (ß=0.948, p=0.000). Conclusion: Mean performance scores for infection control of paramedics were high (>4) in all performance domains. And it is related to COVID-19 experience, infection prevention monitoring, provide of protection equipment, COVID-19 infection control. The higher the awareness, the higher the performance. Keyword: Emergency Medical Technician, COVID-19, infection control, awareness, performance

한국 성인에서 코로나19 관련 특성과 구강건강과의 연관성

이가영 조선대학교 보건대학원 2023 국내석사

코로나19는 새로운 유형의 코로나바이러스에 의한 호흡기 감염질환으로 2019년 12월 중국 우한에서 처음 발생한 이후 중국 전역과 전 세계로 확산되었다. 코로나19가 유행시기에 치과내원 환자가 지속적으로 감소한다고 하였다. 이처럼 치과방문 환자의 감소는 치과의 수익 감소로 이어질 뿐만 아니라 적절한 치과치료가 지연될 경우 개인의 구강건강관리에 영향을 미칠 수 있다. 이에 본 연구는 한국 성인에서 코로나19 관련 특성과 주관적 구강건강 상태 및 저작불편 경험 연관성을 파악하고자 하였다. 이에 본 연구는 지역사회건강조사 자료를 이용하였으며, 조사기간은 2021년 8월 16일부터 2021년 10월 31일이었다. 총 229,242명이 조사에 참여하였으며, 이중 주관적 구강건강 수준에 응답하지 않은 3명을 제외한 229,239명을 본 연구의 분석 대상으로 하였다. 코로나19 관련 특성과 주관적 구강건강 수준과 저작불편감과의 관련성을 파악하기 위해 다중로지스틱회귀분석을 실시하였다. 통계적 유의수준은 P-value<0.05을 기준으로 검정하였다. 본 연구결과 양호한 주관적 구강건강 대상자는 26.5%였으며, 저작불편 경험이 있는 경우 20.2%였다. 양호한 주관적 구강건강 상태에 대한 교차비를 분석한 결과 코로나19로 인한 일상생활에 아주 조금 영향을 받은 대상자, 감염될까봐 염려되는 대상자, 총 소득이 감소한 대상자, 신체활동이 증가한 대상자, 인스턴트 식품 섭취와 코로나19로 인한 흡연은 해당없는 대상자, 코로나19 예방접종을 경험한 대상자가 주관적 구강건강 상태가 양호할 가능성이 높았다. 저작불편 경험에 대한 교차비를 분석한 결과 코로나19 염려사항 항목에서 감염, 주위비난, 경제적 피해를 받을까봐 염려되는 대상자, 총 소득과 필수 소비지출이 증가한 대상자, 신체활동 변화가 해당없는 대상자, 인스턴트 식품 섭취와 코로나19로 인한 음주와 흡연은 증가한 대상자가 저작불편을 경험할 가능성이 높았다. 본 연구는 한국 성인에서 코로나19 관련 특성과 주관적 구강건강 상태 및 저작불편 경험 연관성에 대해 알아본 연구로써 의의가 있다. 향후 본 연구 결과를 감염병 유행 시기에 구강건강 관리를 위한 근거 자료로 활용할 수 있을 것이다. Objective: The COVID-19 pandemic and its prolongation have raised concerns about oral health. We investigated the association between COVID-19-related characteristics and oral health in Korean adults. Methods: We used data from the 2021 Community Health Survey. A total of 229,242 Korean adults were completed in 2021 survey. Subjective oral health status and chewing discomfort were assessed and their association with COVID-19 related characteristics were investigated using chi-square tests and multiple logistic regression analyses. Results: Among the total participants, 26.5% responded that their subjective oral health status was good, and 20.2% experienced chewing discomfort. As a result of analyzing the odds ratio for good subjective oral health status, subjects who were slightly affected in daily life due to COVID-19 and those who were concerned about being infected were more likely to have good subjective oral health status. Subjective oral health status was highly likely to be good in subjects with a decrease in total income, subjects with increased changes in physical activity, subjects without consumption of instant food and smoking due to COVID-19, and subjects who experienced COVID-19 vaccination. As a result of analyzing the odds ratio for experience of copyright discomfort, subjects who were concerned about being infected, those who were concerned about being criticized around them, and those who were worried about receiving economic damage were more likely to experience discomfort in the items of concern for COVID-19. Subjects with increased total income, increased essential consumption expenditures, changes in physical activity, non-applicable subjects, increased consumption of instant food, and increased drinking and smoking due to COVID-19 were more likely to experience chewing discomfort. Conclusion: Among the total participants, 26.5% responded that their subjective oral health status was good, and 20.2% experienced chewing discomfort. Continuous management of the community is required to maintain oral health, and policies to increase dental service accessibility for the socially and economically underprivileged will be needed to reduce the oral health gap. In the future, the results of this study can be used as evidence for oral health management during epidemics of infectious diseases.

한국 성인에서 코로나19 유행시기에 미충족 치과의료 현황 및 관련요인

김정현 조선대학교 보건대학원 2023 국내석사

목적: 코로나19 전염병 시기 연구에 따르면 의료 서비스 사용이 감소하고 일상 생활에 제한이 있다고 보고되었다. 이에 본 연구는 코로나19 유행 기간 동안 미충족 치과의료 현황을 조사하고 한국 성인의 관련 요인을 분석하였다. 방법: 본 연구는 2021년 지역사회건강조사 자료를 이용하였다. 총 193,989명의 참가자를 대상으로 분석되었으며, 지난 미충족 치과 의료를 조사하였다. 일반적, 건강 관련 , 구강건강 상태 관련, 코로나19 관련 특성과 미충족 치과 의료 간의 연관성은 카이제곱 검정과 다중 로지스틱 회귀 분석을 통해 분석하였다. 결과: 본 연구에서 전체 대상자 중 미충족 치과의료 대상자는 16.8%이었다. 일상 생활에서 코로나19의 영향을 많이 받은 사람들과 코로나19로 인해 가계 소득과 지출이 변경된 사람들의 미충족 치과의료가 높았다. 또한 코로나19로 인한 경제적 피해가 우려되는 사람들과 COVID-19 예방 접종을 받지 않은 사람들의 경우 미충족 치과의료가 높았다. 결론: 치과의 경우 적절한 시기에 방문하지 않으면 구강건강 악화뿐만 아니라 나아가 전신건강의 위험도 커질 가능성이 있 다. 이에 앞으로의 감염병 상황에서도 안전하게 치과진료 및 치료 받을 수 있는 환경을 만들어야 할 것이다. Objective: In the era of the COVID-19 epidemic, studies have reported reduced health care use as well as restrictions on daily life. This study investigated the current status of unmet dental care during COVID-19 epidemic and analyzed the related factors among Korean adults. Methods: This study used data from the 2021 Korea Community Health Survey. A total of 193,989 participants were analyzed, and unmet dental care for the past year was investigated. The association between general, health-related, and COVID-19 related characteristics and unmet dental care were analyzed with chi-square tests and multiple logistic regression analysis. Results: The unmet need for dental care rate was 16.8%. Unmet need of dental care was high for those who were very much affected by the COVID-19 in their daily life, and those who household income and expenditure had changed due to COVID-19. In the case of those who are concerns about economic damage due to COVID-19 and in those who have not had COVID-19 vaccination, the risk of unmet dental care was high. Conclusion: Failure to visit a medical institution at the right time is likely to increase the risk of not only deteriorating oral health but also systemic health. It is necessary to create an environment in which dental treatment and treatment can be safely performed even in the face of future infectious diseases.

당뇨병 환자의 영양표시 활용 현황 및 관련요인

이소정 조선대학교 보건대학원 2022 국내석사

목표: 당뇨병은 전 세계적으로 계속 증가하고 있습니다. 식습관의 변화, 운동 부족, 스트레스 증가, 노화가 주요 원인으로 알려져 있습니다. 당뇨병 관리의 핵심 전략은 혈당 조절입니다. 본 연구의 목적은 당뇨병 환자의 영양표시 정보 활용 현황 및 관련 요인을 분석하는 것입니다. 방법: 제7차 국민건강영양조사 자료를 이용하였습니다. 총 1,587명의 당뇨병 병력이 있는 성인이 선택되었습니다. 통계분석은 SPSS version 26을 사용하였으며 카이제곱검정과 다중로지스틱회귀분석을 수행하였습니다. 결 과: 당뇨병 환자의 영양표시 인식도, 사용도 및 영양표시 활용도의 영향은 각각 48.8%, 11.4%, 9.6%였습니다. 다중 로지스틱 회귀분석에서는 소득수준, 걷기일수, 당뇨병 진단시 연령, 당뇨병 기간, 식이요법이 영양표시의 이용상태와 관련이 있었습니다. 결론: 당뇨병 환자에서 영양표시의 활용도는 낮았습니다. 당뇨병 환자의 식이 관리 도구로 영양 표시를 사용하는 전략이 필요합니다. Objective: Diabetes have been continue to increase globally. Changes in eating habits, lack of exercise, increase in stress, and aging were known as major contributors. The key strategy of diabetes management is glycemic control. The purpose of this study was to analyze the of utilization status of nutrition label information and related factors among patients with diabetes. Methods: The 7th Korea National Health and Nutrition Examination Survey data was used. Total 1,587 adults with diabetes history were selected. For statistical analysis, SPSS version 26 was used, and chi-square test and multiple logistic regression analysis were performed. Results: Nutrition label awareness, use, and effect of nutrition label utilization status among diabetic patients were 48.8%, 11.4%, and 9.6%, respectively. In multiple logistic regression analysis, income level, number of days walked, age at diagnosis of diabetes, duration of diabetes, diet regimen, were associated with the utilization status of nutrition label. Conclusion: The utilization status of nutrition label was low in patients with diabetes. Strategies to use nutrition label as a diet management tool for diabetic are needed.

지역아동센터 이용 아동의 우울감 및 관련요인

윤상은 조선대학교 보건대학원 2021 국내석사

Objective: This study examined the current status of depression and related factors affecting children's depression among children using Community child center. Methods: The study population was children in grades 4-6 who used the Gwangju and Jeonnam Community Child Center (n=224). General characteristics, family characteristics, children's emotional characteristics, children's school life environment and depression status were assessed using a self-reported questionnaire. Results: The average score of depression among children using Community child center was 15.31±7.70 out of a total of 27, and the average score of depression among poverty children was 17.58±7.09. Fifty-eight (25.9%) children had depression above 22 points. Variables related to children's depression were shown as grade, subjective economic level awareness, after-school activities excluding local children's centers, presence of after-school families, and family structure. Conclusion: The depression prevalence of children using community child center was higher. Policy support such as children's psychological support programs would be needed to reduce children's depression, and community child centers are expected to be effective in reducing children's depression if continuous child psychological support services are developed for children's mental health.

PHQ-9을 활용한 암 유병자의 우울장애 및 관련요인

김정원 조선대학교 보건대학원 2021 국내석사

Objective: New cancer cases have been steadily increased, and cancer survival rates have continue to rise. As a result, the psychological problems of cancer patients emerging as important, and the most common problem is depressive disorder. In particular, depressive disorder in cancer patients requires appropriate management because it negatively affects treatment, prognosis, and daily life. The purpose of this study was to analyze the factors related to the depressive disorder of cancer patients. Methods: The 7th Korean National Health and Nutrition Examination Survey (KNHANES) data was used. Total 590 adults with cancer diagnosis history were selected. Patient Health Questionnaire-9 (PHQ-9) was used to investigate depressive disorder. For statistical analysis, SPSS version 26.0 was used, and chi-square test and multiple logistic regression analysis were performed. Results: Overall 6.3% of adults with cancer had a PHQ-9 score of 10 or higher. And 14.6% of the people experienced mild depression with more than 5 points, or 20.9% of the total subjects, had mild or higher levels of depression. Marital status, education level, income level, and private insurance coverage, physical activity, stress perception, and activity restrictions were associated with the depressive disorder. In multiple logistic regression analysis, marital status, activity restrictions, stress perception, and current treatment status were significantly associated with the depressive disorder. Conclusion: The study presented the prevalence of depressive disorder among adults with cancer diagnosis history. Marital status, activity restrictions, stress perception, and current treatment status were factors associated with depressive disorder. 목적 : 본 연구는 제7기 국민건강영양조사 자료를 활용하여 암 유병자의 우울장애 수준과 우울장애에 유의한 영향이 있는 요인을 분석하기 위해 수행하였다. 방법 : 의사로부터 암 진단 이력이 있고, PHQ-9의 결측이 없는 성인 590명을 대상으로 한 연구이다. DSM-Ⅴ의 진단 기준에 부합하는 9개의 문항으로 구성된 PHQ-9은 민감도와 특이도가 우수하며 평가에 많은 시간이 소요되지 않아 1차 의료와 임상현장 및 설문에 적합한 선별도구이다. 수집된 자료는 SPSS for window version 26.0을 사용하여 분석하였다. 대상자의 특성 분포와 PHQ-9의 결과를 분석하기 위해 백분율, 평균, 표준편차, 빈도 분석을 실시하였다. 대상자의 일반적 특성, 건강 관련 특성, 암 관련 특성과 PHQ-9의 결과로 나타나는 우울장애의 관련성을 분석하기 위해 카이제곱검정을 실시하였으며, 우울장애에 유의한 영향이 있는 요인을 분석하기 위해 다중로지스틱회귀분석을 실시하였다. 통계적 유의수준은 P-value<0.05을 기준으로 검정하였다. 결과 : 연구 결과 암 유병자의 PHQ-9의 점수가 10점 이상으로 나타난 우울장애는 6.3%였다. PHQ-9 결과가 5점 이상으로 경미한 우울감을 경험하는 대상자는 14.6%로, 20.9%에 해당하는 대상자가 경미한 수준 이상의 우울감이 있었다. 우울장애와 대상자의 특성 간의 관련으로 결혼 상태, 교육 수준, 소득 수준, 민간보험 가입 여부, 신체 활동, 스트레스 인지, 활동 제한이 통계적으로 유의한 관련이 있었다. 우울장애에 유의한 영향이 있는 요인으로 배우자가 없는 대상자, 스트레스 인지가 있는 대상자, 활동 제한이 있는 대상자, 현재 암을 치료 중인 대상자의 우울장애 가능성이 유의하게 높았다. 결론 : 우울장애 관리를 위해 암 유병자가 배우자나 가족 구성원의 지원을 제공 받을 수 없더라도, 돌봄 서비스 등을 활용해 의료적 지원을 받을 수 있는 제도적 장치가 마련되어야 한다. 또한 암 유병자를 대상으로 스트레스와 재활 등을 지속적으로 관리할 수 있는 효과적인 방안을 마련하고, 치료에 따른 고통이나 부작용 등을 최소화할 수 있는 방법을 강구한다면 암 유병자의 우울장애를 적절히 관리할 수 있을 뿐 아니라, 우울장애를 수반함으로써 야기되는 암에 대한 부정적 예후 및 사회적 비용 또한 감소될 것으로 기대된다.

한국 노인의 치주질환에 따른 구강건강상태 및 구강건강행태

이새롬 조선대학교 보건대학원 2021 국내석사

Objective: The purpose of this study was to investigate the oral health status and oral health behavior according to periodontal disease in the elderly. Methods: The data of 7th Korea National Health and Nutrition Examination Survey (2016-2018) were used. Final study subjects were 2,981 elderly aged 65 or more. The periodontal disease was assessed by oral health examination data. The Oral health status (such as subjective oral health status, toothache) and oral health behaviors (such as tooth brush, oral health examination) were assessed by health interview data. Analysis methods used descriptive statistics, chi-square tests, and logistic regression analyses. The SPSS statistics program was used and the statistical significance level was tested at p<0.05. Results: Overall prevalence of periodontal disease was 47.5% in Korean elderly. The risk of toothache was significantly higher in elderly with periodontal disease than those without it (aOR=1.46, 95%CI=1.20-1.77). Chewing discomfort was significantly higher in elderly with periodontal disease compared to those without it (aOR=1.21, 95%CI=1.01-1.44). When using oral hygiene products, the odds ratio of those with periodontal disease was significantly lower than those without periodontal disease (aOR=0.74, 95%CI=0.60-0.91). Conclusion: The prevalence of periodontal disease in the elderly in Korea was 47.5%. In the elderly with periodontal disease, toothache and chewing discomfort were high, and oral hygiene products were used low. The results of this study may be used for the management of periodontal diseases, and it is necessary to confirm this association through prospective studies.