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논문검색은 역시 페이퍼서치

보건정보통계학회지검색

Journal of Health Informatics and Statistics


  • - 주제 : 의약학분야 > 예방의학및보건학
  • - 성격 : 학술지
  • - 간기: 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 2465-8014
  • - 간행물명 변경 사항 : 한국보건통계학회지(~2003) → 한국보건정보통계학회지(2004~)
논문제목
수록 범위 : 39권 2호 (2014)

Measures of Adiposity in the Identification of Metabolic Abnormalities in Middle-aged and Older Korean Adults

( Ji Hye Park ) , ( Hyeon Chang Kim ) , ( Ju Mi Lee ) , ( Dong Phil Choi ) , ( Bo Mi Song ) , ( Seung Won Lee ) , ( Hansol Choi ) , ( Joo Young Lee ) , ( Il Suh )
5,200
초록보기
Objectives: We investigated anthropometric measures of obesity, including body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) in their associations with metabolic abnormalities in Korean adults. Methods: Study participants were 1,399 male and 2,325 female community dwellers aged 40-79 years. Assessed metabolic variables included blood pressure, fasting glucose, insulin resistance, triglycerides, HDL cholesterol, LDL cholesterol, alanine aminotransferase, and gamma-glutamyl transferase. Associations of anthropometric measures per 1-SD increase with each metabolic abnormality were assessed using logistic regression analysis. Results: The adiposity measurements were significantly associated with all of the metabolic abnormalities, only except for with LDL cholesterol in men. In men, hypertension was more strongly associated withBMI (OR=1.58) than WC (OR=1.40) or WHtR (OR=1.44) or WHtR (OR=1.75); and hypertriglyceridemia was more closely associated with WC (OR=1.91) than BMI (OR=1.79) or WHtR (OR=1.87). In women, three adiposity measurements had similar association with metabolic abnormalities. Conclusions: Simple anthropometric measurements can be used to screen high-risk individuals of metabolic abnormalities in Korean men and women, although certain obesity indicators are more strongly with a specific kind of metabolic abnormality in men.
초록보기
Objectives: This study was designed to determine the effects of four different methods of team-based simulation on nursing students’ self-rated core nursing performance, satisfaction, and clinical judgment in high-risk neonatal care scenario. Methods: Nursing students (N=177) from Y College in Daegu participated in a four-group quasi-experimental post-test only design in July 2014. The theoretical framework for this study was based on Tanner’s Clinical Judgment Model and Lasater’s Clinical Judgment Rubric, using Likert scales to measure student’s perceptions of clinical competence. Results: The ratings of students’ perceived clinical judgment, core nursing skills performance, and satisfaction were high, showing the highest rating of high-fidelity simulation (HFS) group with conventional debriefing. However, the strongest positive correlation between team and individual clinical judgment was found in the HFS group implementing reflective debriefing. Conclusions: The effect of reflective debriefing in HFS education for high-risk neonatal care seemed not to be greater than that of conventional debriefing. However, the result of this study implies the HFS groups’ educational outcomes to be higher than LFS group’s. Further research needs to explore whether a team-based high-risk neonatal HFS nursing education comprising a peer handover and reflective debriefing can enhance the study outcomes.

한국 여성의 유방암 발생에 대한 코호트 효과

조호진 ( Ho Jin Cho ) , 주우현 ( Woo Hyun Joo ) , 김윤남 ( Youn Nam Kim ) , 배종면 ( Jong Myon Bae ) , 남정모 ( Chung Mo Nam )
5,200
초록보기
Objectives: The purpose of the study is to review various methods in age-period-cohort (APC) analysis and to provide a guideline to choose adequate method evaluating age, period, and cohort effects. We investigated age, period, and cohort effects of breast cancer incidence between 1999 and 2011 in Korea. Methods: Data on female breast cancer incidence from 1999 to 2011 were drawn from the Korean national statistical office. The 5-year period of data units (1999-2003, 2004-2008, and 2009-2011) and 5-year age interval (30-34-80-84) were used to calculate 13 birth cohorts. The graphical approach, constrained generalized linear model (CGLM) approach, median polish approach and intrinsic estimator (IE) approach were used to estimate age, period, and cohort effects. Results: The age and period effects existed significantly in CGLM, median polish, IE approaches. The breast cancer incidence increased along with age and period. However, there was a difference in cohort effect. For CGLM, positive cohort effects for recent cohort emerged significantly, but for the other methods, no significant effects shown. Conclusions: While previous studies have used the CGLM method, CGLM depends on arbitrary parameter constraints. Therefore, we suggest median polish approach or IE approach for analyzing APC models to obtain more accurate results.

간호대학생의 임상수행능력에 영향을 미치는 요인

전은미 ( Eun Mi Jun )
5,300
초록보기
Objectives: This study was conducted to identify and describe the relationships of the self-efficacy, self-directedness, and clinical competence with the target of nursing students residing in Busan. Methods: As to data collection, it randomly selected four Universities, located in Busan from September, 4, 2013 to September, 30, 2013 and selected 268 junior and senior nursing students who had experienced clinical practices. The SPSS/PC+ ver 19.0 program was used for the analysis. Descriptive statistics, t-test, ANOVA, Scheffe test, and Pearson correlation coefficients were used for stat istics. Results: The study results show that the grand mean was 3.46 in self-efficacy, 3.03 in self-directedness, and 3.36 in clinical competence. There was a positive correlation among self-efficacy, self-directedness and clinical competence. The most effective factor for clinical competence was self-directedness. The total explanation of clinical competence was 33.2%. Conclusions: The study results reveal that self-efficacy had a significant positive correlation with self-directedness and clinical competence, while self-directedness had a significant positive correlation with clinical competence. This indicates that clinical competence would be enhanced as self-efficacy and self-directedness are higher. Therefore, the development of internal factors such as self-efficacy and self-directedness is required to improve nursing competency.

간경변증환자의 비대상성 간경변증으로의 진행 예측모형

곽민정 ( Min Jung Kwak )
4,500
초록보기
Objectives: This study is intended to find the significant prognostic factors for the prediction of hepatic decompensation with cirrhosis. Also, this study provides the proper cut off value for significant factors. Methods: 232 patients with cirrhosis were investigated retrospectively from 1996 to 2010. Logistic regression and odds ratio estimates are used to find the most significant factors and the effects of those factors for the decompensation with cirrhosis. The decision tree model is adopted to find the proper cut off point for the most significant factor. The Cox’s proportional hazard regression model is used to consider the time to decompensation with prognostic factors. Results: The result of logistic regression shows that H/L ratio and prothrombin time are significant measures for decompensation. Moreover, H/L ratio is the most significant factor with AUROC 0.84 with odd ratio 29.94 in simple logistic regression. Also, Cox’s proportional hazard regression model using progression time to decompensation supports this result. ALT, Prothrombin time, H/L ratio and AST/ALT ratio show significant results and H/L ratio is the most significant prognostic factor in survival analysis. From decision tree model, 71.0% of the patients with H/L ratio above 0.5 are progressed to decompensation. At cut off value 0.5, sensitivity and specificity are 75.9% and 81.4%, respectively. Conclusions: Both the results of logistic regression and survival analysis show that H/L ratio is an important parameter to predict the progression to a decompenation state.

폐경 후 여성의 요추골밀도와 대퇴골경부골밀도 관련 요인

이강용 ( Kang Yong Lee ) , 김판수 ( Pan Soo Kim ) , 감신 ( Sin Kam )
5,300
초록보기
Objectives: This study was performed to investigate related factors in bone mineral density of both the L-spine and femoral neck of post menopausal women. Methods: This study was carried out by analyzing the data of 224 subjects who were examined with a bone mineral density (BMD) at Young Cheon City Health Center during the period from January 2011 to December 2012. 224 postmenopausal women over 50 years old were measured for their age, height, weight, body mass index, lipid profile, previous medical history, physical activity and dairy product intake. Results: Among the postmenopausal women, 33.9 percent of the subjects had a normal bone mineral density of their lumbar spines. The mean bone mineral density of their lumbar spines of post menopausal women was -1.37±1.34 g/㎠. 26.3% of the subjects had a normal bone mineral density of their femoral neck. The mean bone mineral density of the femoral neck of post menopausal women was -1.53±0.90 g/㎠. In multiple regression analysis, age, body mass index, drinking and dairy intake were significantly related with the bone mineral density of L-spines, and bone mineral density of femoral necks was significantly related with age and body mass index ( p<0.05). Conclusions: After their menopause, women undergo rapid loss of bone mineral density. Hence, they need to prevent osteoporosis before their menopause, especially. It would be important to maintain an adequate body mass index. The postmenopausal risk factors of osteoporosis should be analyzed to prevent osteoporotic fractures, which would cause socio-economic losses and even mortality.

사망원인과 지역의 관련성에 관한 연구

조성인 ( Seong In Cho ) , 김병수 ( Byung Soo Kim ) , 전민수 ( Min Soo Jeon )
5,300
초록보기
Objectives: This study aims to examine the relation between the cause of death and the regions. Methods: It is examined what differences are in the cause of death based on regions and, if there are some differences, it is also examined in regard to regional characteristics focused on lift what the cause of death which has big differences is based on regions. Also, regional characteristics related to regional differences in the cause of death are traced out by using correlation coefficient. For the cause of death, the ones which are more than 10,000 among the ones which are applicable to the intermediate level for Korean Standard Classification of Diseases are examined and the regions are examined based on the unit of provincial governments and the one of municipal governments. Results: According to the result of analysis, lift for diabetes and suicide is the highest at Dongducheon-si and Siheung-si, respectively and it is also high at the regions where the rate of drinking alcohol and the one for early marriage and divorce are high. For the cause of death which has big differences based on regions, it is the death by heart disease as other systems and the lift is high at Gyeongnam regions. As a result of the correlation analysis performed for regional characteristics, correlation of variables for average temperature, the lowest temperature and the highest temperature is high. Also, probability to die of disease of respiratory system is high at the regions whose rate for the oldest is high. It is low at the regions with a great deal of precipitation. Conclusions: We discovered the fact that there are causes to be discrepant on the basis of probability to die by region, and we can make a conclusion that a part of causes to die have a relationship to each regional characteristics such as atmospheric temperatures.

Association between Fasting Blood Glucose Levels and Arterial Stiffness in Healthy Korean Men and Women

( Jae Woong Sull ) , ( Dae Ryong Kang ) , ( Sun Ha Jee )
4,500
초록보기
Background: Increased fasting blood glucose (FBG) level and obesity can be associated with the progression of arterial stiffness, which is an early marker of atherosclerosis. Measuring pulse wave velocity (PWV) is a non-invasive method to evaluate vessel wallstiffness. Objective: The objective was to determine the association of FBG levels and obesity with peripheral PWV considering insulin resistance. Methods: Across-sectional study was conducted in 2006. Waist circumference (WC), body mass index (BMI), and PWV were measured in 3,390 healthy Korean men and women. Multiple linear regression models were used to assess the association between FBG levels and peripheral PWV. The population was classi- fied into two groups according to median insulin resistance values (homeostasis model assessment of insulin resistance [HOMA-IR]). Results: Peripheral PWV was significantly associated with BMI and systolic blood pressure in men and women, respectively, after adjusting for age, lipid levels, and HOMA-IR (Table 3). WCwas associated with peripheral PWV only in women ( p=0.006). The relationship between peripheral PWV and FBG in women was significant in subjects with HOMA-IR < 0.725 (p= 0.015). Conclusions: These results suggest that FBG levels and waist circumference are associated with peripheral PWV in Korean women. Further studies should be performed in other populations to confirm the association between FBG levels and PWV considering insulin resistance.
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