일부농촌지역의 상병상태연구(충남 서산군)

안문영,Ahn, Moon-Young 대한예방의학회 1984 예방의학회지 Vol.17 No.1

At the preliminary survey of Seosan demonstration project for integration of family planning and maternal and child health service, 6 questions about morbid conditions of all household members were included. Definition of morbid condition used at the survey was self-conceived physical or mental infirmity which had been caused by diseases or accidents, resulting in obstacles to ordinary daily life for past 30 days. Analyzing those morbidity data, the following results were obtained. 1. The morbid person rate was 192.2 per 1,000 persons and the morbidity rate 214.2 per 1,000 persons. 2. The percentage of household which had at least one morbid person was 61.9% and average number of morbidity per one household was 1.1. 3. Analyzing the 1st morbid condition of the total 4,433 morbid persons, morbidity rate of male was 194.6 per 1,000 persons and that of female was 189.8 per 1,000 persons. 4. The highest age specific morbidity rate was that of $0{\sim}4$ years of age, and it was 304.3 per 1,000 persons. The lowest was that of $10{\sim}14$ years of age and the rate of 93.8 per 1,000 persons. 5. The following was the order of five major diseases which were classified according to 17 International Classification of Diseases. (1) Symptoms and Ill defined conditions : 17.3% (2) Disease of the Digestive system : 15.7% (3) Infections and Parasitic disease 14.3% (4) Disease of the Respiratory system : 13.7% (5) Disease of the Nervous system and sense organs : 9.4% 6. 30 leading morbid conditions were described in Table III-2 and which composed 70.6% of total morbid conditions. 7. The percentage of the morbid conditions of which duration was longer than 90 days was 40.5%. 8. Of the total 4,433 morbid persons, 4,394 morbid persons responded for the morbid condition management method. Of those, Hospital & clinic (35.3%), drug store (40.0%), herb drug store (3.6%), health center (2.2%) ware selected for the 1st place or method for management morbid condition, and 18.0% did not search for morbid condition management.

한국제조업의 생산관리 체제의 발전전략

안문영,이근희 ( Moon Young Ahn,G . H . Yi ) 한국품질경영학회 1991 품질경영학회지 Vol.19 No.1

예비과학교사들의 유사과학에 대한 인식의 탐색: 개인적 경험 사례와 은유적 표상을 중심으로

안문영 ( Moon-young ),이준기 ( An¸ Jun-ki Lee ) 전북대학교 과학교육연구소 2023 과학과 과학교육 논문지 Vol.48 No.1

This study was conducted with 119 pre-service science teachers in the Department of Physics, Chemistry, Biology, and Earth Science Education at the Faculty of Science Education at the College of Education located in the southern region, who are students who are striving to become science teachers in the future. By using an open questionnaire, participants were asked to present experiences related to pseudoscience to find out the type and context of their experience, and to find out the perception of pseudoscience by suggesting a metaphor for pseudoscience. In order to achieve the purpose of the study, an online survey was conducted to find out the personal experiences and metaphorical representations of the research participants in pseudoscience. the results are as follow. First, the types of experience related to pseudoscience were classified into six types: personality, product, occult, religion, health, inexperience and ignorance. Second, the context of experience related to pseudoscience was classified into four types: personal contact, obscurity and forgetting, media, and inexperience and ignorance. Third, the perception of pseudoscience found out using metaphor analysis was classified into four perspectives: positive, negative, mixed, and indifferent. Fourth, according to the mixed view of positive and negative, confusion appeared as the concept of pseudoscience changed depending on the meaning or situation. Based on this research, it has the following educational implications. First, it is necessary to clarify the definition of pseudoscience and have complete scientific knowledge and critical thinking skills to distinguish between science and pseudoscience. Second, various types of pseudoscience may newly emerge according to the changes of the times, and the context of experiences related to pseudoscience that may occur in the actual field should be studied and analyzed in more depth. Third, it is necessary to develop a class program such as an appropriate curriculum or extracurricular program for prospective science teachers, and through this, science education that can cultivate personal knowledge about science should be conducted.

충남 서산군 삼화의료보험조합을 통해본 일부 농촌지역 주민의 의료사고 발생율 및 진료수혜실태 조사

안문영(Moon-Young Ahn),이정자(Jung-Ja Lee),남택승(Taik-Sung Nam) 한국농촌의학 지역보건학회 1981 농촌의학·지역보건 Vol.6 No.1

초등학생 대상 싱겁게 먹기 영양교육 프로그램의 개발 및 효과평가

정윤영(Yun Young Jung),신은경(Eun Kyung Shin),이혜진(Hye Jin Lee),이난희(Nan Hee Lee),천병렬(Byung Yeol Chun),안문영(Moon Young Ann),이연경(Yeon Kyung Lee) 대한지역사회영양학회 2009 대한지역사회영양학회지 Vol.14 No.6

This study was to develop and evaluate a nutrition education program to reduce dietary sodium. The school children (218 boys, 226 girls), from 8 elementary schools in the city of Daegu, Korea, were involved in this study. This research was based on the data from two groups of elementary school children, the education group (n = 240), and no-education group (n = 204). Educational media and programs were developed to educate the education group for four weeks and were presented on the web (www.saltdown.com). After education, the preference for a non-salty taste in the education group increased 10%, compared with those who preferred a non-salty taste before education. There was a significant change away from a preference for a salty taste and a rise in the mean score for nutrition knowledge and dietary attitude in the education group compared to the no-education group (p < 0.05). This study indicates that school children can reduce their dependency on preference for a salty taste and change their high-salt dietary behavior after the education. (Korean J Community Nutrition 14(6): 746~755, 2009)

가족계획과 모자보건 통합을 위한 조산원의 투입효과 분석 -서산지역의 개입연구 평가보고-

방숙,한성현,이정자,안문영,이인숙,김은실,김종호,Bang, Sook,Han, Seung-Hyun,Lee, Chung-Ja,Ahn, Moon-Young,Lee, In-Sook,Kim, Eun-Shil,Kim, Chong-Ho 대한예방의학회 1987 예방의학회지 Vol.20 No.1

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects o

성인코호트에서 고혈압 발생률

감신,오희숙,이상원,우극현,안문영,천병렬,Kam, Sin,Oh, Hee-Sook,Lee, Sang-Won,Woo, Kook-Hyeun,Ahn, Moon-Young,Chun, Byung-Yeol 대한예방의학회 2002 예방의학회지 Vol.35 No.2

Objectives : This study was peformed in order to assess the incidence of hypertension based on two-years follow-up of a rural hypertension-free cohort in Korea. Methods : The study cohen comprised 2,580 subjects aged above 20 (1,107 men and 1,473 women) of Chung-Song County in Kyungpook Province judged to be hypertensive-free at the baseline examination in 1996. For each of two examinations in the two-year follow-up, those subjects free of hypertension were followed for the development of hypertension to the next examination one year (1997) and two years later (1998). The drop-out rate was 24.7% in men and 19.6% in women. Hypertension was defined as follows 1) above mild hypertension as a SBP above 140 mmHg or a DBP above 90 mmMg,2) above moderate hypertension as a SBP above 160 mmHg or a DBP above 100 mmHg or when the participant reported having used antihypertensive medication after beginning this survey. Results : The age-standardized incidence of above mild hypertension was 6 per 100 person years (PYS) in men and that of above moderate hypertension was 1.2. In women, the age-standardized rate for above mild hypertension was 5.7 and 1.5 for above mild and moderate hypertension, respectively. However, the rates of incidence as calculated by the risk method were 4.8% and 1.0% in men and 4.6%, 1.2% in women, respectively. In both genders, incidence was significantly associated with advancing age(p<0.01), In men, the incidences of above moderate hypertension by age group were 0.5 per 100 PYS aged 20-39, 0.7 aged 40-49, 1.7 aged 50-59, 3.6 aged 60-69, and 5.8 aged above 70(p<0.01). In women, those the incidence measured 0.6 per 100 PYS aged 20-39, 1.8 aged 40-49, 1.3 aged 50-59, 3.3 aged 60-69, and 5.6 aged above 70(p<0.01). After age 60, the incidence of hypertension increased rapidly. Conclusions : The incidence data of hypertension reported in this study may serve as a reference data for evaluating the impact of future public efforts in the primary prevention of hypertension in Korea.

군 지하 시설 유해 환경요인에 관한 연구

박유진 ( Yoo Jin Park ),안문영 ( Moon Young Ahn ),이용호 ( Yong Ho Lee ),변해공 ( Hae Kong Byun ) 국군의무사령부 1986 대한군진의학학술지 Vol.17 No.1

농촌지역 주민의 고혈압 치료순응도와 관련요인

이상원,천병렬,예민해,강윤식,김건엽,이영숙,박기수,손재희,오희숙,안문영,임부돌,감신,Lee, Sang-Won,Chun, Byung-Yeol,Yeh, Min-Hae,Kang, Yun-Sik,Kim, Keon-Yeop,Lee, Young-Sook,Park, Ki-Soo,Son, Jae-Hee,Oh, Hee-Sook,Ahn, Moon-Young,Lim, Pu-D 대한예방의학회 2000 예방의학회지 Vol.33 No.2

Objective : The purpose of this study was to examine the therapeutic compliance and its related factors in the rural hypertensives. Method : A questionnaire survey and blood pressure measurement were performed to 3,876 residents of a rural area, and 660 hypertensives were selected as subjects of study. The study employed a hypothetical model which was composed of constructs from the health belief model and KAP model. The analysis techniques employed included contingency table analysis and structural equation modeling. Result : The proportion of those who were compliant to the treatment of hypertension was 44.2% of subjects. As the result of structural equation modeling, when patients had more favorable attitude toward treatment, higher perceived benefit, or lower perceived barriers to treatment, the therapeutic compliance was significantly higher(T>2.0). When patients had more knowledge about hypertension, or higher perceived severity of hypertension, the attitude toward the treatment of hypertension was more favorable significantly(T>2.0). And when patients had the support for treatment from family or neighbor, the attitude toward treatment was more favorable(T>2.0). When patients had experience of health education, they had more knowledge, higher perceived susceptibility of complication, perceived severity for hypertension, and perceived benefit of treatment, compare to patients without health education(T>2.0). Conclusion : In consideration of above findings, in order to improve the therapeutic compliance in the rural hypertensives, it would be necessary to change attitude, perception, knowledge about hypertension and its treatment, by various methods such as effective health education and programs for maintaining the supportive environment for hypertension treatment.

농촌 지역 주민들의 고혈압 발생 위험요인 - 1년간 전향성 추적 조사 -

오희숙,감신,예민해,강윤식,김건엽,이영숙,박기수,손재희,이상원,안문영,천병렬,Oh, Hee-Sook,Kam, Sin,Yeh, Min-Hae,Kang, Yun-Sik,Kim, Keon-Yeop,Lee, Young-Sook,Park, Ki-Soo,Son, Jae-Hee,Lee, Sang-Won,Ahn, Moon-Young,Chun, Byung-Yeol 대한예방의학회 2000 예방의학회지 Vol.33 No.2

Objectives : This study was peformed to identify the risk factors related to the development of hypertension in a rural area. Method : Total of 3,573 subjects in Chung-Song County were interviewed and examined in 1996. The study cohort comprised 2,580 hypertension-free subjects aged above 20. One-year follow up was completed for 1,781 subjects(69.0%) in 1997. General characteristics(age, gender, education level, economic status, marital status), the family history of hypertension, diet, alcohol, smoking, coffee, stress, past history of oral contraceptive and menopausal status in female, height, weight, waist and hip circumference, baseline blood pressure, and serum total cholesterol were considered as risk factors. Results : Multivariate analysis using logistic regression model indicated that age(RH=1.50, 95% CI; 1.15-1.96), the family history of hypertension(RR=2.11, 95% CI; 1.04-4.26), waist-hip ratio(WHR) (RR=2.09, 95%, CI; 1.15-3.79), and baseline systolic blood pressure(130-139/<120mmHg)(RR=3.34, 95% CI; 1.47-7.60) were significant risk factors associated with the development of hypertension above the borderline level in male. In female, age(RR=1.06, 95% CI; 1.03-1.09), change in menopausal status$(no{\rightarrow}yes/no{\rightarrow}no)$ (RR=3.32, 95% CI; 1.01-10.87), baseline systolic blood pressure(120-129/<120mmHg: RR=2.00, 95% CI; 1.02-3.90)(130-139/<120mmHg: RR=2.64, 95% CI; 1.34-5.20) and baseline diastolic blood pressure(85-89/<80mmHg)(RR=4.09, 95% CI; 1.86-8.96) were identified as risk factors. Conclusions : Age and high normal blood pressure were significant risk factors for the development of hypertension above the borderline level. In addition, the family history of hypertension and WHR in men, and the change of menopausal status in women might be significant risk factors in Korea.