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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 : 44권 1호 (2019)

제2형 당뇨병 환자에서 Vitamin D와 HbA1c 및 Fructosamine과의 관련성

오혜종 ( Hye-jong Oh ) , 류소연 ( So-yeon Ryu ) , 박종 ( Jong Park ) , 한미아 ( Mi-ah Han ) , 최성우 ( Seong-woo Choi )
4,500
초록보기
Objectives: Although previous studies reported an association of serum vitamin D with glycated hemoglobin (HbA1c) and fructosamine, the relationships remain unclear. Therefore, this study aims to identify the relationships of serum vitamin D with HbA1c and fructosamine independent of parathyroid hormone (PTH) in Korean type 2 diabetic patients. Methods: Total 227 adults (male 112 and female 115) who treated for type 2 diabetes in a general hospital participated in this study. The serum vitamin D, HbA1c, fructosamine and fasting blood glucose (FBG) were measured in participants who met the detailed inclusion criteria. The level of serum vitamin D was defined as follows; deficient: <10.0 ng/mL, insufficient: 10.0-19.9 ng/mL, optimal: ≥20.0 ng/m. Results: In the analysis of covariance, after adjusted for other covariates including PTH, the means (standard error, SE) values of HbA1c became lower with higher serum vitamin D level (deficiency: 7.8 [0.2]%, insufficient: 7.5 [0.1]%, optimal: 7.2 [0.1]%, p=0.015). Also, after adjusted for other covariates including PTH, the mean (SE) values of fructosamine became lower with higher serum vitamin D level (deficiency: 357.1 [13.1] μmol/L, insufficient: 344.5 [4.9] μmol/L, optimal: 313.3 [6.4] μmol/L, p=0.001). However, the mean values of FBG were not significantly associated with the serum vitamin D level. Conclusions: There were significant associations of vitamin D with HbA1c and fructosamine independent of PTH, but there was no association of vitamin D with FBG in Korean type 2 diabetic patients.
4,500
초록보기
Objectives: We investigated relation between HDL-cholesterol and the incidence of impaired fasting glucose in obese and normal body weight by gender in Korean adults. Methods: 6,438 subjects aged 40-59 years (2,197 impaired fasting glucose, 4,241 normoglycemia) were selected except the patients with cardiovascular disease and pregnant women using 2016 KNHANES data. We analyzed the relation of impaired fasting glucose and HDL-cholesterol by BMI. Results: In both men and women regardless of BMI, who with low HDL-cholesterol significantly higher risk of impaired fasting glucose than who with normal HDL-cholesterol in unadjusted model. In except men with obesity, who with low HDL-cholesterol significantly higher risk of impaired fasting glucose than who with normal HDL-cholesterol when age, smoke, drink, exercise adjusted. In addition, women with normal BMI (OR, 1.82; 95% CI, 1.42-2.33) higher risk of impaired fasting glucose than women with obesity (OR, 1.57; 95% CI, 1.14-2.17). Conclusions: It is necessary to management of HDL-cholesterol to control impaired fasting glucose, except for obese men.

성별에 따른 과민성방광증후군 심각도와 지각된 스트레스 및 우울과의 관련성 차이

남지영 ( Ji-young Nam ) , 류소연 ( So-yeon Ryu ) , 박종 ( Jong Park ) , 최성우 ( Seong-woo Choi )
4,500
초록보기
Objectives: The purpose of this study is to determine whether severity level of overactive bladder (OAB) is related to perceived stress and depression. Methods: Total 200 patients diagnosed with OAB participated in this study. The severity of OAB symptoms was estimated by the OAB symptoms score and the Perceived Stress Scale (PSS) and the Center for Epidemiological Studies Depression Scale (CES-D) were used to estimate stress levels and depression. Results: In the ANCOVA analysis, after adjusted for covariates, PSS increased according to the severity level of OAB (mild: 10.7 [0.8], moderate: 12.9 [0.6], severe: 14.9 [1.5], p=0.014, p for trend=0.004), but there was no significant correlation between the severity level of OAB and CES-D. When stratified by sex, both in males and females, the severity level of OAB was associated with PSS (males: p=0.069, p for trend=0.026; females: p=0.170, p for trend=0.070) Also, PSS and CES-D were significantly higher in females than in males at moderate level of OAB (PSS: male 11.1 [0.8], female 15.8 [0.9], p< 0.001; CES-D: male 7.1 [0.9], female 12.4 [1.0], p<0.001). However, there were no significant differences between male and female at the mild and severe level of OAB. Conclusions: There was significant association of PSS with increasing severity level of OAB, but there was no association the severity level of OAB and CES-D. Also, PSS and CES-D were significantly higher in females than in males at moderate level of OAB.

에코세대의 성별에 따른 불안 관련요인

박민정 ( Min-jeong Park ) , 신수진 ( Sujin Shin ) , 김정현 ( Jeonghyun Ki )
4,500
초록보기
Objectives: The Korean eco-generation, born in 1979-1992, has a high level of anxiety due to the weakness in the labor market and the deprivation of opportunities for self-realization. The purpose of this study was to provide evidences for the development of strategies for reducing anxiety and improving mental health of the eco-generations by exploring factors related to anxiety according to gender. Methods: This study used the data from the Social and Psychological Anxiety Survey of Korean Society conducted in 2015 and identified gender differences of affecting factors on the anxiety among the eco-generation. Results: The results showed that the anxiety of the eco-generation was higher in female than in male. Factors affecting the anxiety of eco-generation were monthly income, physical health status, stress, insomnia, depression. Factors affecting anxiety of male were perceived class and suicidal ideation, while factors affecting anxiety of female were safety satisfaction and life environment satisfaction. Conclusions: Based on the results of this study, we propose the policy that reflects the gender differences for eco-generation anxiety.

대구지역 급성설사질환 원인병원체 검출률과 기후요소와의 상관성 변화

고복실 ( Bog Sil Goh ) , 김건엽 ( Keon Yeop Kim ) , 김신우 ( Shin Woo Kim ) , 이원기 ( Won Kee Lee )
4,500
초록보기
Objectives: We investigated the correlation between detection rates of pathogens causing diarrhea and the climatic elements (temperature and relative humidity) in recent 10 years in Daegu. Methods: From 2008 to 2017, we calculated the detection rates of bacterial and viral pathogens causing diarrheal disease from 12,771 fecal samples collected through the acute diarrhea laboratory surveillance project and got the data of temperature and relative humidity. Correlation analysis between climatic elements and detection rates was conducted and trend analysis was made using the correlation coefficient. Results: The correlation coefficient between temperature and detection rates of bacterial and viral pathogens was r=0.65 (p<0.001) and r=-0.82 (p<0.001) each. The correlation coefficient between relative humidity and detection rates was r=0.76 (p<0.001), r=-0.83 (p<0.001) each. From 2012 to 2017, the linear trend of correlation coefficient between temperature and detection rates of bacterial pathogens was β=-0.090 (p=0.066) showing declining tendency. From 2008 to 2017, the linear trend of correlation coefficient between temperature and detection rates of viral pathogens was β = 0.030 (p=0.036) showing declining tendency. In other words, the correlation between the causative pathogen detection rate and the climatic elements was high for 10 years but the linear trend of correlation between viral pathogen detection rate and temperature showed a declining tendency as it approached 2017. Conclusions: Recently, the general phenomenon that the acute diarrheal diseases by bacterial pathogens mainly occurs in summer season and by viral pathogens mainly in winter season is weakening.

의료기관 종사자의 직무만족 및 직무성과에 미치는 직무스트레스 영향요인

김혜경 ( Hye Kyung Kim ) , 김성수 ( Sung-soo Kim )
5,200
초록보기
Objectives: The purpose of this study was to contribute to the improvement of hospital management by understanding the relationship between job stress and job performance and providing systematic and professional basic data. Methods: The research method examines the general characteristics (8 items) of the hospital staff and identifies the relationship between job stress (43 items), job satisfaction (5 items), and job performance (7 items). Data collected through the questionnaire (self-administration survey) were analyzed using reliability, frequency analysis and descriptive statistics, mean, independent sample (t-test), one-way ANOVA, correlation, and hierarchical regression analysis. Results: The results of the study showed that job stress according to the general characteristics of the research subjects was not significant in job satisfaction and job performance. Job satisfaction was found to be related to job stress, job instability, and compensation inadequacies among job stress factors. In addition, the relationship conflicts and job instability among the job stress factors were found to have a significant relationship with job performance, and job satisfaction was found to affect job performance. Conclusions: In order to increase job satisfaction and job performance of the medical institution workers, it is necessary to identify those who have a high level of job stress among general characteristics group and to provide professional and systematic management to reduce job stress in order to encourage them to demonstrate their abilities to the fullest extent.

한국 전립샘암 데이터베이스를 활용한 근치적 전립샘절제술 후 생화학적 재발 예측

유성혜 ( Sung Hye Yu ) , 최문주 ( Mun Joo Choi ) , 이선정 ( Sun Jung Lee ) , 김청수 ( Choung Soo Kim ) , 서성일 ( Seong Il Seo ) , 변석수 ( Seok Soo Byun ) , 정창욱 ( Chang Wook Jeong ) , 박용현 ( Yong Hyun Park ) , 홍준혁 ( Jun Hyuk Hong ) , 최인영 ( In Young Choi )
5,100
초록보기
Objectives: As the surgical techniques are developed such as adopting robotic surgery etc. It has been reduced postoperative side effects such as urinary incontinence and sexual dysfunction etc., but also remain constant risk of recurrence after the treatment. It is very important to figure out the predictive factors, whichincreasing the probability of long-term survival, by Analyzing the progression of the disease according to biochemical recurrence (BCR). This study aims to figure out the influential predictive factors on BCR by using Korean Prostate Cancer Registry (KPCR) database, which constructedwith providing data from Korean manifold, because of therecurrence-free survival rates are reported to vary according to geographical location and race. Methods: KPCR database consists 7,394 patients’ data which collected from six medical institutions, and final analysis was conducted with 5,119 patients’ data which collected from December 2003 to December 2014. Statistical analysis was conducted with the multivariable Cox proportional hazard regression models to figure out the correlation of clinical factors which affect BCR. The biochemical recurrence free survival rate (BCR-FS) was calculated using with Kaplan-Meier method. Results: The 5 year BCR occurred in 23.6% (1,209 patients). As a result of the recurrence rate, prostate specific antigen (PSA) value ≥20.1 ng/mL was 49.3%, the clinical T3 stage was 40.4%, Gleason score ≥8 was 54.4%, Gleason score 7 was 21.8%. The mean duration of BCR was 20.7 months and the strongest predictor of BCR was Gleason scoreand PSA value ≥20.1 ng/mL. Conclusions: It has been verified that, Gleason scores and PSA value are the most influential factors for biochemical recurrence after radical prostatectomy. These results will be helpful fordetermining the treatment direction in postoperative follow-up and able to contribute to improving survival outcome in the future.

Factors Affecting the Internet Game Addiction Risk of Elementary School Students in Multicultural Families

( On Choi ) , ( Keum Seong Jang ) , ( Nam Young Kim )
4,500
초록보기
Objectives: This study aims to determine that the general characteristics, self-esteem, parent-child relationships, and school life adjustment differ between the Internet game addiction risk group and the non-addiction group, and identify the factors affecting the risk of Internet game addiction. Methods: Data were collected from 24 January to 17 April 2013. A total of 209 subjects were analyzed in the 4th, 5th, 6th grade of elementary school students of multicultural families in Gwangju and Jeollanam-do Province, South Korea. Results: There was a statistically significant difference in self-esteem, parent-child relationship, and school life adjustment between the Internet game addiction risk group and the non-addiction group. The factors affecting Internet game addiction risk to elementary school students in multicultural families were gender, foreign mother’s country, school life adjustment in order. Conclusions: It is necessary to consider cultural sensitivity in developing Internet game addiction risk prevention program, and to grasp the Internet game addiction targeting multicultural elementary school students.

건강관심도, 건강염려성향, 의료인과의 소통성이 인터넷 건강정보추구에 미치는 영향

손현정 ( Hyun Jeong Son ) , 이규은 ( Kyu Eun Lee )
4,500
초록보기
Objectives: This study aimed to identify the influences of health concern, health anxiety, and communication with healthcare providers on health information seeking behavior on the Internet among middle aged adults. Methods: The research design for this study was a descriptive survey using convenient sampling. Data collection was done using self-report questionnaires of 194 adults in Gangneung city. Collected data were analyzed using t-test, ANOVA, Pearson Correlation Coefficient, and multiple linear regression analyses with the SPSS 22.0 Program. Results: There were significant positive relationships among health concern, health anxiety and health information-seeking behavior on the internet. The biggest influencing factor of health information seeking behavior on the Internet was health anxiety. This model accounted for 18% of the total variance. Conclusions: The results of this study showed that health anxiety is a major variable affecting health information seeking behaviors on the internet.

담뱃값 인상에 따른 고혈압 환자의 흡연감소 및 관련요인

주미현 ( Mi Hyun Joo ) , 한미아 ( Mi Ah Han ) , 박종 ( Jong Park ) , 최성우 ( Seong Woo Choi ) , 류소연 ( So Yeon Ryu ) , 신준호 ( Jun Ho Shin )
4,500
초록보기
Objectives: The price of tobacco is an important factor affecting the smoking behavior. The Korean government raised the price of tobacco by 80% from 2,500 won to 4,500 won in 2015. This study investigated the change of smoking behavior after the price raise of tobacco in hypertension patients. Methods: The analysis used the data from the third year of the National Health and Nutrition Examination Survey (2015), which examined the changes in smoking habits after cigarette price hikes. Of the adults aged 19 years and older, 958 were currently smokers and 79 of the former smokers who quit smoking less than one year, excluding those who quit smoking before the cigarette price increase, total 1,037. In 193 hypertensive patients, 193 non-hypertensive patients were selected by 1:1 age group, and a total of 386 patients were analyzed. Data were analyzed using SAS 9.3 statistical program and chi-square and multiple logistic regression analysis. Results: The smoking reduction rate was 46.6% in the hypertensive group and 44.6% in the non-hypertensive group. There was no significant difference between the two groups (p=0.683). Multivariate logistic regression analysis showed that factors affecting smoking cessation in hypertensive group were stress level, smoking prevention and smoking cessation education. In the hypertensive group, the odds ratio was 3.16 (95% CI, 1.39-7.18) in the normal range, If you receive less than the no-smoking education, the statistical significance is 4.17 (95% CI, 1.15-15.12). Conclusions: In the future, there will be a variety of measures such as the government’s continuous cigarette price increase policy, active support for stress management in hypertensive patients, and the introduction of practical policies through socio-economic approaches would be effective in reducing smoking rates in hypertensive patients.
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