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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 : 42권 4호 (2017)

고혈압, 당뇨, 뇌졸중 유병률에 대한 지역적 공간 자기상관 분석: 한국의 사례에 대하여

주성하 ( Sungha Ju ) , 노주환 ( Juhwan Noh ) , 김창수 ( Changsoo Kim ) , 허준 ( Joon Heo )
4,500
초록보기
Objectives: This study aims to derive correlation between disease prevalence and geographical adjacency, by using global and local autocorrelation. Methods: In order to derive the correlation, data provided by community health survey was utilized. The data contains disease prevalence rate for hypertension, diabete mellitus, stroke in 2012, covering the whole South Korea. Global autocorrelation analysis was implemented to derive the spatial characteristics of each disease prevalence rate, and local autocorrelation analysis was implemented to derive local spatial patterns of each disease prevalence rate. All the results are visualized into disease prevalence map. Results: All three diseases had significant spatial autocorrelation, and unique local clustering patterns were derived when local autocorrelation analysis was conducted. Spatial outliers, where disease prevalence rate was significantly different, were found and analyzed accordingly. Conclusions: The result of the study brought new insight towards spatial patterns of disease prevalence rate. The patterns of each diseases were unique, and spatial adjacency factor was found to be a grave influential factor in terms of disease prevalence rate. Also outlier regions, where disease prevalence rate is critically higher or lower and adjacent regions, were used for further analysis to figure out the reasons for disease prevalence. This study allows understanding of spatial characteristics of disease prevalence rate, thus enabling the spatial factors to be considered in terms of disease causation analysis, which can aid in decision making and resolving unbalanced medical service of community.

생활 습관, 주거지 주변 녹지 비율 및 지하수 내 라돈 농도 따른 실내 라돈 농도 영향 모델

( Hyun Young Lee ) , ( Ji Hyun Park ) , ( Cheol-Min Lee ) , ( Dae Ryong Kang )
4,500
초록보기
라돈 및 그 자손은 폐암을 일으키는 환경적 위험인자로, 일상 활동 및 수면 등으로 많은 시간을 보내는 실내 라돈 농도 관리는 필수적이다. 이를 위해서는, 주거지를 둘러싼 개인적, 사회적, 환경적 요소에 대한 총체적 접근이 필요하다. 따라서 본 연구는 실내 라돈 농도에 영향을 미치는 다양한 인자를 찾아 내고, 이를 활용한 포괄적 모델을 구축하고자 한다. 건축 자재 및 생활 양식을 포함한 주거 환경에 대한 자료를 얻기 위해 설문을 실시하였고, 의사결정트리 및 구조 방정식 모델링을 활용하였다. 그 결과 주거지 주변 녹지 비율, 불 투과성 층 비율, 주택과 지면의 맞닿은 상태, 매일 환기 습관, 난방 습관, 측정 장치 주위의 균열 및 침실여부는 실내 라돈 농도와 유의한 연관성을 보였다. 매일 환기 습관을 가질 경우 실내 라돈 농도가 200 Bq/m3 이상인 비율이 11.6%로 줄었다. 한편 매일 환기습관이 없는 주거자의 주거지 주변 녹지 비율이 65% 이상이면 매일 환기 습관이 있는 주거자와 비교하여 15.3%의 비율이 증가하였다. 구축된 포괄적 모델의 실내 라돈 농도에 직접 영향을 미치는 인자는 주거지 주변 녹지 비율과 환기율이었다. 제시된 모델로 국내 라돈 농도에 대한 개인의 지리적 특성, 지하수 및 생활 양식 요소의 결합된 영향을 확인할 수 있었다.

심장대사 위험인자와 심박수 변이 성분들 간의 상관관계

정호근 ( Ho-geun Jung ) , 정휘수 ( Hwee-soo Jeong )
4,500
초록보기
Objectives: This study was conducted to investigate the relationship between triglyceride/high-density lipoprotein cholesterol (TG/HDL-C) index, waist-to-height ratio (WHtR) which were evaluated as cardiometabolic risk factors and components of heart rate variability (HRV). Methods: This study was conducted on 2,008 subjects who underwent HRV test among those who had health-check up at a university hospital in Korea during 2016. The presence of metabolic syndrome in the subjects was identified. TG/HDL and WHtR were calculated and blood level of leukocyte, erythrocyte, amino transferase, uric acid were used for analysis. Standard deviation of the NN interval (SDNN), low frequency (LF), high frequency (HF), and LF/HF were used for the components of HRV. Results: Among the total subjects, 330 (16.4%) had metabolic syndrome. The mean SDNN in the subjects with metabolic syndrome was 32.78±16.49 (ms), which was significantly lower than that (36.16±18.75 ms) of the control group (p<0.01). The HF values were also significantly different between the two groups (162.77±278.08 ms2 vs. 225.74±330.99 ms2, p<0.05). Except HDL, waist circumference, blood pressure, fasting blood glucose, and triglyceride concentration among metabolic syndrome components were negatively correlated with SDNN and HF. Significant negative correlations were found in SDNN (p<0.01) and HF (p<0.05) with WHtR and only SDNN (p<0.05) with TG/HDL. Conclusions: TG/HDL and WHtR, including the metabolic syndrome, showed a negative correlation between SDNN indicating left ventricular function and HF indicating activation of parasympathetic nerve.

한국 성인 남성에서 안정 시 심박수, QTc 간격 및 혈액검사 지표와 대사증후군 위험요인과의 관계

김철규 ( Chul-gyu Kim ) , 차선경 ( Sun Kyung Cha )
4,500
초록보기
Objectives: Each of resting heart rate, QTc interval, blood uric acid, leukocyte count, erythrocyte count, and calcium and other laboratory variables were reported to be related to metabolic syndrome. Thus, more variables including the above are extensively examined together to verify the effect on metabolic syndrome in Korean adult male. Methods: A total of 889 male subjects who have undergone healthy volunteer screening from June 2011 to January 2016 for phase 1 clinical trial were analyzed. The criteria for metabolic syndrome included blood pressure, fasting plasma glucose, triglyceride, high-density lipoprotein (HDL) by American Heart Association/National Heart Lung and Blood Institute (AHA/NHLBI, 2005), and body mass index (BMI) by American Association of Clinical Endocrinologists (AACE, 2003). Heart rate, QTc interval, complete blood cell count, serum creatinine, uric acid, calcium, AST, ALT, and alkaline phosphatase were included as risk factors for metabolic syndrome. The data were analyzed by t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression analysis using SAS 9.4. Results: About 4.4% of subjects had at least 3 of 5 criteria for metabolic syndrome. Age, leukocyte count, erythrocyte count, AST, ALT, uric acid, and calcium were positive correlated (p<0.05) with the count of satisfied metabolic syndrome criteria among age, resting heart rate, QTc interval, laboratory variables. Six variables-Age, erythrocyte count, uric acid, ALT, calcium, and leukocyte-were selected as significant variables for explaining the count of satisfied criteria for metabolic syndrome by multiple regression analysis, of which the coefficient of determination was 11%. Conclusions: The count of satisfied criteria for metabolic syndrome increased as the age becomes older, which signifies the importance of management in the old age. Other variables such as erythrocyte, uric acid, ALT, calcium, leukocyte should be managed or monitored more carefully to reduce metabolic syndrome.

중소병원 야간교대근무 간호사의 수면의 질, 직무몰입, 웰니스의 관계

채여주 ( Yeojoo Chae ) , 고영심 ( Youngshim Go ) , 김지아 ( Jia Kim ) , 정채경 ( Chaecyeung Jeong ) , 이민희 ( Minhui Lee ) , 하영미 ( Yeongmi Ha )
4,500
초록보기
Objectives: The purpose of this study was to identify the relationship between quality of sleep, job commitment, wellness, and identify contributing factors affecting on the wellness of night shift nurses in medium and small-sized hospitals. Methods: One hundred twenty four nurses who had working experiences with night shifts for 6 months or more completed a pack of questionnaires. Collected data were analyzed using t-test, ANOVA with Scheffe test, and stepwise multiple regression. Results: Factors including quality of sleep, job commitment, and wellness were identified. The quality of sleep score of the subject was 7.55(0-21), the job commitment was 20.17(7-35), and the wellness was 2.93(1-5). There was no significant in wellness according to general characteristics of subjects. The subjects' wellness had a significant negative correlation with quality of sleep(r=-0.31, p<0.001), and a significant positive correlation with job commitment(r=0.45, p<0.001). Regression analysis to identify factors affecting the wellness of night shift nurses showed that job commitment was the most significant factor (p<0.001), followed by quality of sleep(p=0.049). In the regression analysis, quality of sleep and job commitment were significant predictors and explained 21.9%(p<0.001) of wellness. Conclusions: Results of this study have suggested that job commitment and quality of sleep were significantly related to nurses' wellness in medium and small-sized hospitals. Therefore, there is a needed to develop a program with an enhancement of job commitment and a strategy of improving quality of sleep.

입원환자 낙상예방 프로그램에서 근력운동의 효과: 낙상 고위험군 노인환자를 중심으로

이현옥 ( Hyun-ok Lee ) , 이병화 ( Byung-hwa Lee ) , 이창희 ( Chang-hee Lee )
4,500
초록보기
Objectives: The purpose of this study is to analyze the changes in the indices of body muscle strength, the indices of muscle strength associated with physical balance, and index of the pain relief between the intervention group who performed the muscle strength exercise and control group who not performed the muscle strength exercise. The study period was from September 7, 2016 to May 12, 2017, and it was conducted after receiving Institutional Review Board approval. Methods: Among 40 participants who were recruited in this study, the final analysis subjects were a total of 39 people, excluding the one people who dropped out during the 2-week. For analysis, the changes were compared with baseline and after two weeks by comparing three types of body muscle strength indices, four types of physical balance indices, and one type of pain relief index. Finally, we analyzed whether there is a difference between the groups in the each changes. Results: In the body muscle strength index change analysis, the change of muscle mass relative to weight was not statistically significant, but the difference between the groups regard to change was statistically significant (p<0.05). The lower body strength and the bone mineral were statistically significant in both the intervention and control group, but the difference between the groups regard to change was not statistically significant. In the index of muscle strength associated with physical balance change analysis, the intervention group showed improvement much higher in the right arm, left arm, right leg, and left leg of muscle mass than the control group. Also, the muscle mass of the right arm and the left arm was statistically significant in the analysis of the difference between the groups regard to change (p<0.05). Analysis of changes in pain relief index showed that the intervention group showed significantly improvement higher than the control group, and the difference between the groups regard to change was statistically significant (p<0.05). Conclusions: In the elderly patients in the hospital where the fall prevention program was provided, it was concluded that the intervention group higher improved the muscle strength associated with physical balance and the pain relief compared with the control group.

계절 ARIMA 모형을 이용한 화장수요예측: 수원시를 중심으로

김혁우 ( Hyugwoo Kim ) , 이필도 ( Phildo Lee )
4,500
초록보기
Objectives: Main objective of this study was to estimate crematory facility demand of Suwon city, using Seasonal ARIMA Model. This study aims to estimate the demand based on the number of currently operating crematory facilities, dividing into inward district and outward district of Suwon city. Methods: As the construction of crematory facilities is greatly in need of supply along with the increasing funerals, it requests more accurate estimation of the demand in specific area. This study employed Seasonal ARIMA Model which is useful to deal with time series data with small size and various patterns, instead of the Gompertz curve and logistic curve frequently used in the past. This study did analyses in four steps, discrimination of stationarity (balance for average and dispersion), identification of functions (ACF, PACF), model diagnostic (estimation of parameter), and decision (forecasting of crematory facilities). Results: First, the demand of cremation in inward district of Suwon was estimated to be 4,051 persons in 2017 and to be 5,129 persons in 2022 using the ARIMA (0,1,1)(1,1,0)S=12 Model, which is to be increased 31.8 percent points compared to that of 2016. Second, the demand of cremation in outward district of Suwon was estimated to be 6,731 persons in 2017 and 7,060 persons in 2022 using the ARIMA (0,0,3)(1,1,1)S=12 Model. Altogether the users of crematory facilities were estimated to be 10,782 persons in 2017 and 12,189 persons in 2022, which shows increasing trend of 3 to 4 percent points every year. Conclusions: This study proved that Seasonal ARIMA Model is a proper tools to estimate the crematory facility demand in specific area. Demand and supply of crematory facilities should be estimated based on reliable statistics and data. Suwon city should provide more facilities to meet the increasing need of cremation. For this, Suwon city should input more investment for improving of quality of facilities and coordination of the number.

1년간 체중감량 노력을 한 대상자들에서 성공적인 체중감량과 관련된 요인: 국민건강영양조사 제6기(2015년) 자료

정호근 ( Ho-geun Jung ) , 정휘수 ( Hwee-soo Jeong )
4,500
초록보기
Objectives: Behaviors of weight control for obesity, which is closely related to all causes death, are affected by the subjective perception of obesity, degree of body mass index (BMI), and the state of multiple chronic diseases. The purpose of this study was to identify factors related to successful weight reduction among subjects who tried to reduce their weight. Methods: This study was conducted using data of the Korea National Health and Nutrition Examination Survey (2015). Among 1,687 subjects who answered “I tried to reduce my weight for 1 years.”, the subjects who answered “I have lost weight” in the question of change in weight were the group of successful weight reduction. We compared gender, demographics, lifestyle, obesity, morbidity, and weight control methods between successful weight reduction group and control group. Results: Two hundreds sixty (15.4%) among total subjects reported successful weight reduction. Young age (odds ratio=1.02, 95% confidence interval=1.00-1.04), aerobic exercise activity (1.36, 1.01- 1.81), subjective perception of obesity (0.68, 0.47-0.97), obesity by BMI (0.62, 0.43-0.89), history of diabetes (2.35, 1.28-4.32) and prescriptive anti-obesity agents (3.44, 1.80-6.57) were associated with successful weight reduction. Conclusions: In order to achieve successful weight reduction, intervention strategies based on this results will be needed.

상급종합병원과 종합병원 간호사의 낙상예방활동에 영향 요인

진미숙 ( Misook Jin ) , 하영미 ( Yeongmi Ha )
4,500
초록보기
Objectives: This study was aimed to identify influencing factors of hospital fall prevention activities of tertiary hospital nurses and general hospital nurses by examining relationships between knowledge and attitude of fall prevention, self-efficacy for preventing fall and perceived patient safety culture on fall prevention activities. Methods: A total of 341 nurses from one university hospital and two general hospitals were recruited. A descriptive survey research was used with self administered questionnaires. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression. Results: As results of multiple regression analysis, the factors affecting hospital fall prevention activities of tertiary hospital nurses were working unit, working hours, knowledge of fall prevention, and self-efficacy for preventing fall. For general hospital nurses, the factors affecting hospital fall prevention activities were self-efficacy for preventing fall and perceived patient safety culture. Conclusions: Based on the findings, there is a need to develop an intervention program for enhancing self-efficacy for preventing fall to improve fall prevention activities of nurses.
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