韓國 老人에서 健康行態와 齒周疾患과의 關係

정주애 건양대학교 보건복지대학원 2025 국내석사

본 연구는 65세 이상 노인의 일반적 특성과 구강건강행태가 치주질환 발생에 미치는 영향을 분석하여 구강건강 증진 프로그램 개발을 위한 기초자료를 제공하고자 한다. 제8회 국민건강영양조사(2019∼2021) 자료를 활용하였으며, 최종 표본 2,746명을 대상으로 복합표본분석을 실시하여 분석하였다. 연구 결과, 양치질 빈도와 지각된 구강건강상태가 치주질환 발생에 유의한 영향을 미치는 것으로 나타났다. 하루에 양치질을 한 번 이하로 하는 대상자는 하루에 세 번 이상 하는 대상자에 비해 치주염 발병 위험이 1.361배 더 높았다(OR=1.361, 95% CI=1.071∼1.730). 또한 구강 건강 인지가 좋다고 생각하는 대상자는 구강 건강 인지가 나쁘다고 생각하는 대상자에 비해 치주질환 발병 위험이 1.406배 더 높았다(OR=1.406, 95% CI=1.152∼1.716). 이 연구는 시간적 또는 인과 관계를 명확하게 파악할 수 없고 개인 또는 증상별 요인을 식별하는 데 제한이 있기 때문에 단면 연구로서 한계가 있다. 그럼에도 불구하고 이 연구는 치주 질환을 예방하는 데 있어 양치질 빈도와 구강 건강 관리 행태의 중요한 역할을 확인하였다. 또한 정기적인 치과 검진과 적절한 구강 건강 교육의 필요성을 강조한다. 따라서 노인의 치주질환을 예방하고 구강건강을 증진하기 위해서는 개인에게 양치질 빈도를 늘리는 것에 대한 교육을 실시하고, 구강 건강 상태를 정확하게 평가하기 위한 정기적인 치과 검진을 장려하는 공중보건 전략을 실행하는 것이 필수적이다. 나아가 사회가 고령화됨에 따라, 생활 습관 개선과 구강 건강 관리 기구 사용을 포함한 체계적인 구강 건강 교육 프로그램을 개발하고 실행하여 노인의 건강한 수명을 연장해야 한다. This study aimed to analyze the effects of general characteristics and oral health behaviors on the occurrence of periodontal disease in elderly individuals aged 65 years or older, with the goal of providing foundational data for developing programs to promote oral health. Data from the 8th Korea National Health and Nutrition Examination Survey(2019∼2021) were utilized, and a final sample of 2,746 participants was analyzed using complex sample analysis. The results showed that the frequency of tooth brushing and perceived oral health status significantly influenced the occurrence of periodontal disease. Participants who brushed their teeth once or less per day had a 1.361 times higher risk of developing periodontitis compared to those who brushed three or more times per day(OR=1.361, 95% CI=1.071∼1.730). Additionally, participants who perceived their oral health as good had a 1.406 times higher risk of developing periodontitis compared to those who perceived their oral health as poor(OR=1.406, 95% CI=1.152∼1.716). This study has limitations as a cross-sectional study, as it cannot clearly determine temporal or causal relationships, and there are restrictions in identifying individual or symptom-specific factors. Nevertheless, this study confirmed the critical role of tooth brushing frequency and oral health management practices in preventing periodontal disease. It also emphasized the necessity of regular dental check-ups and proper oral health education. Therefore, to prevent periodontal disease and promote oral health among the elderly, it is essential to educate individuals on increasing the frequency of tooth brushing and to implement public health strategies that encourage regular dental check-ups for accurate evaluation of oral health status. Furthermore, as society ages, systematic oral health education programs, including improvements in lifestyle habits and the use of oral health care devices, should be developed and implemented to extend the healthy life span of elderly individuals.

Epidemiological and Spatiotemporal Patterns of COVID-19 : A Three-Year In-Depth Analysis of Regional Trends and Risk Factors in South Korea

아창과 키아라 건양대학교 대학원 2023 국내박사

한국은 코로나바이러스감염증(코로나-19) 유행을 처음으로 경험한 국가 중 하나였으며, 유병률과 사망률의 지역 수준 동향과 패턴이 시간이 지남에 따라 변화되었다는 것이 관찰되었다. 본 연구의 목적은 대한민국의 연구자들이 보고한 코로나-19 유행기의 기간에 대한 불일치를 파악하고, 코로나-19의 지역 수준 역학적과 시공간적 진화 패턴을 수립하며, 관찰된 공간적 변동성을 설명할 수 있는 가능한 지역 위험 요인을 확인하는 것이었다.본 연구는 두 단계로 수행되었다. 제1단계에서는 문헌의 체계적 검토를 통해 대한민국의 연구자들 사이에서 보고된 코로나-19 유행기의 기간에 대한 기존 차이를 평가하였다. 제2단계에서는 지역적 역학적 동향, 시공간적 패턴 및 관련 위험 요인을 수립하였다. 2020년 1월 20일부터 2023년 12월 31일까지 3년간의 코로나-19 확진자 및 사망자 수 데이터는 질병관리청이 호스팅하는 국가 코로나-19 사이트에서 수집되었다. 지역적 위험 요인에 대한 데이터는 e-나라지표 사이트에서 얻었다. EpiR 패키지를 사용하여, 코로나-19의 연간 도시 및 지방 수준의 유병률과 사망률을 계산하고, ArcGIS를 사용하여 3년간의 시공간적 전파 패턴을 수립하였다. 유병률과 사망률과 지역적 위험 요인 간의 관련성은 회귀 모델을 사용하여 추정되었다. 통계적 유의성 수준은 p < 0.05로 설정되었으며, 모든 분석은 R 버전 4.2.2에서 수행되었다. 제1 단계에서는 대한민국의 연구자들 사이에서 보고된 각 유행기의 기간에 대한 보고의 불일치율이 100%로 확인되었다. 제2 단계에서는 도시와 지방 간 유병률에 유사한 패턴이 관찰되었다. 2022년의 코로나-19 유병률은 2021년과 2020년 대비해서 유의하게 높았다 (p < 0.001). 가장 많은 사례 집중이 발생한 지역은 대구시와 서울시, 그리고 경기도 지역이었다. 2021년과 2022년에는 주로 서울시와 경기도에서 집중 사례가 관찰되었다. 코로나-19 유병률과 관련된 지역 수준 위험 요인은 인구 밀도 (RR = 0.02; 95% CI: 0.01 - 0.039, p=0.027), 60세 이상 인구 비율 (RR = 0.025; 95% CI: 0.01 - 0.05, p=0.01), 흡연율 (여성) (RR = 0.79; 95% CI: 0.54 - 1.04, p=0.012), 당뇨병 유병률 (여성) (RR = 0.51; 95% CI: 0.32 - 0.71, p=0.04), 성비 (RR = 0.21; 95% CI: 0.1 - 0.30, p=0.01), 흡연율 (남성) (RR = 0.11; 95% CI: 0.07 - 0.12, p=0.02), 당뇨병 유병률 (남성) (RR = 0.27; 95% CI: 0.26 - 0.28, p=0.01), 그리고 인당 소득 (RR = 0.65; 95% CI: 0.59 - 0.74, p=0.04)이었다. 본 연구는 전염병 발생 시 역학적 매개변수의 공식적 표준화의 중요성을 보여준다. 또한 본 연구는 전염병 역학 및 시공간적 연구가 질병의 전파를 시간에 따라 이해하는 데 유용하며, 지리적 위치가 코로나-19 전파 패턴과 관련된 요인 조사에 고려해야 할 중요한 요소임을 시사한다.

사회적 자본이 건강행태에 미치는 영향

최순희 건양대학교 대학원 2023 국내석사

This study was conducted to analyze the effects of individual self-perceived social capital, smoking, drinking, sleep, exercise, and health behavior. 729 survey results for healthy city development conducted by the public health center in district Y of metropolitan city D were analyzed. Variables in the study were divided into gender, age, environmental variables, and relational variables. Data analysis was analyzed with the chisqure test to find out the subjective health status and quality of life according to the characteristics (gender, age) of the research subject through the R program, and a logistic analysis was conducted to examine the effect on the binary dependent variable. did As a result of the analysis, the natural environment, disaster environment, social security and welfare, and traffic with neighbors affected smoking, sleep type, and exercise behavior. In addition, it was confirmed that employment opportunities and economic activities are factors influencing health behavior. As a result of this study, it was confirmed that social capital affects individual health behavior. Therefore, in order to create a city where local residents are happy, it is necessary to study, develop, and operate programs and methods that combine environment and health that meet the needs of local residents. 이 연구는 개인이 자각하는 사회적 자본과 흡연, 음주, 수면, 운동형태, 건강행태에 미치는 영향을 분석하기 위해 수행되었다. D광역시의 Y구의 보건소에서 시행한 건강도시 발전을 위한 설문조사 결과 729건을 분석하였다. 연구의 변수는 성과 연령, 그리고 환경변수와 관계변수로 구분하였다. 자료분석은 R프로그램을 통해 연구대상자의 특성(성별, 연령)에 따른 주관적 건강상태와 삶의 질을 파악하기 위해 Chisqure test로 분석하였으며 이원화 종속변인에 미치는 영향을 살펴보기 위하여 Logistic Regression를 실시하였다. 분석결과 자연환경과 재난환경, 사회보장과 복지, 이웃과의 왕래가 흡연, 수면형태, 운동행태에 영향을 주었다. 또한 고용기회 및 경제활동이 건강행태에 영향을 주는 요인임을 확인하였다. 이 연구의 결과 사회적인 자본이 개인의 건강행태에 영향을 주는 것으로 확인되었다. 그러므로 지역주민이 행복한 도시를 만들기 위해서는 지역주민에 필요에 맞는 환경과 건강을 접목한 프로그램과 방법들이 연구되어지고 개발 및 운영이 필요하다.

중독에 의한 병원밖 급성심장정지환자 생존 연관요인

이재광 건양대학교 대학원 2022 국내박사

우리나라 병원밖 급성심장정지의 일반인 심폐소생술 시행률은 증가하고 있다. 미국에 비하면 아직은 미흡하지만 꾸준히 증가하고 있음을 보여주고 있다. 그로인해 급성심장정지 환자의 생존율의 증가를 보이고 있다. 급성심장정지의 원인이 대부분 질병에 의한 경우이고 이에 대한 연구는 활발하게 이루어지고 있다. 하지만 중독에 의한 병원밖 심장정지에 대한 연구가 적다. 중독에 의한 병원밖 심장정지환자의 특성, 시기별 임상적 결과를 분석하여 심폐소생술 시행 시기별 중독에 의한 병원밖 심장정지환자의 생존과 연관성을 알아보고자 하였다.본 연구 결과, 중독에 의한 심장정지 환자에서 심폐소생술 시작 시점이 자발순환회복, 응급실퇴원, 30일생존 모두에 영향을 주고 있다. 중독에 의한 심장정지환자에서도 생존 사슬이 중요하고 필요함을 확인하였다. The rate of CPR for the general public for out-of-hospital cardiac arrest is increasing in Korea. Because of that, the survival rate of patients with acute cardiac arrest is increasing. Most of the causes of sudden cardiac arrest are diseases, and research on this is being actively conducted. However, there are few studies on out-of-hospital cardiac arrest caused by poisoning. This study was conducted on the relationship between the factors related to the survival of out-of-hospital cardiac arrest patients due to poisoning by analyzing the characteristics and clinical results of patients with cardiac arrest due to out-of-hospital poisoning.The site of starting CPR in patients with cardiac arrest due to poisoning has an effect on survival. It was confirmed that the survival chain is important and necessary even in patients with cardiac arrest due to poisoning. However, there are few educational programs on cardiac arrest caused by poisoning.

韓國 老人의 醫療利用이 健康關聯 삶의 質에 미치는 影響

홍영경 건양대학교 2021 국내박사

(Background) This study is purpose to improve the quality of life which relating the health in the elderly at ages of 65 and higher, it was conducted to find out the variables affecting healthcare usage and quality of life. The study was attempted to find out the directly and indirectly affecting paths to provide a basic sources for healthcare policies. (Method) This study was analyzed the raw data of the 7th National Health and Nutrition Examination Survey(2016∼2018) by the Korea Disease Control and Prevention Agency(KDCA), and the subjects were 4,956 for the final analysis. The hypothetical model was analyzed by using AMOS 22 program, and utilizing R Project Ver 3.13 program, cross-tabulation and the logistic regression analysis were carried out on data collected. (Results) Using healthcare service was increased more in female than men, in older age, in worse subjective health, in more stress, in higher BMI, more limited activities, and in higher rates of depression, respectively. However, it was decreased more in higher educational attainment, in employed people than unemployed ones, and in having employees' health insurance, respectively. In addition, subjective health seemed to influences quality of life related to health through mediation of healthcare usage. (Conclusion) According to the results this study, for elderly health is important to use efficient healthcare service, therefore, it is expected that quality of life related to health will be improved through it.

母性 特性이 成人 家族 構成員의 나트륨 攝取量에 미치는 影響

최현미 건양대학교 2015 국내석사

This study was conducted to investigate effects of mother's characteristics on sodium intake of adult family members. In 2012, the national health nutrition research center used the multiple recurrence analysis with the sodium intakes as dependent variable for 1,083family household (787men and 296women) and analyzed the family's sodium intakes for them depending on the characteristics of individual, mother and household. The family's sodium intake quantities depending on the characteristic of individual or family shows notable statistical differences base on sex, age, occupation, 'marriage status, life-long alcohol experience, currently smoking status, frequency of eating out and household income level. For the characteristics of motherhood, the sodium intakes show differences of a notable statistic base on her education status and marriage statue. From the result of multiple regression analysis with sodium intake quantities as a dependent variable, sex, 'marriage status, household income level and mother's sodium intake give effects to statistical differences. The research results reveals that the mothers sodium intake quantities has influence on the quantities of adult family member's sodium intake. As a result of this analysis, it is necessary for mothers who prepare meals for her family to instruct or teach skills of the low sodium culinary. The makes a suitable proposal from this analysis and fulfills the low sodium intake.

陸軍將兵의 戰公傷및 障礙補償金決定要因 : ROK Army Soldiers

김종도 건양대학교 2018 국내석사

Objectives : The aims of this study was to analyze the determinants and impact of the service-related disability and the disability compensation and to utilize as a basic material for minimizing medically discharged soldiers. Methods : The study classified the factors by using the 10 year(2007∼2016) audit data(n=14,848) of the ROK Army headquarters, the service-related disability audit committee, which includes rank, gender, branches, service period, military hospitals, the disease type. These factors were analyzed by the 10 year trend frequency analysis and the 5 year chi-square test to find the determinants of disability compensation and a univariable and multivariable logistic regression were performed. Results : The service-related disability cases are increasing continually showing a significant increase of the cases, especially in 2013(n=405), comparing with 2012. For 10 years, the service-related disability cases increased by 11.3% and the disability compensation cases grew 1.2%. In the 5 year chi-square test, the soldiers grew 14.8% and the mild diseases increased by 19.6%. The very serious and severe diseases decreased by 9.3% and 10.1% respectively. The major determinants of the service-related disability were rank, service period, disease type and the disability compensation were determined by rank, military hospital, disease type, medically discharged grade and service-related disability. Most of officers and noncom missioned officers considered they had more cases of the service-related disability than soldiers but complained they had fewer cases of the disability compensation cases than soldiers because they hope to be in the active services. Conclusions : The results of this study suggest that the determinants of the medically discharged soldiers will be analyzed in depth and manifoldly as it is the first study on the determinants of the service-related disability and the disability compensation cases. It is also expected that the compensation system for the medically discharged soldiers will be improved further and more efficiently by utilizing it as a base material for military health care and the work of the National Veterans Affairs.

코로나19 發生 前後 韓國 成人의 인플루엔자 豫防接種 關聯要因 比較硏究

이규영 건양대학교 보건복지대학원 2025 국내석사

This study analyzed the changes in influenza vaccination rates and the factors influencing them among adults aged 19 to 64 before and after the COVID-19 pandemic. The study utilized data from the 7th(2018) and 8th(2019∼2021) Korea National Health and Nutrition Examination Survey and included a final sample of 14,749 participants. Complex sample chi-square tests and logistic regression analyses were conducted for this analysis. The results showed that the influenza vaccination rate increased from 30.5% before COVID-19 to 35.9% after COVID-19, a rise of 5.4 percentage points. However, the vaccination rate remained relatively low. Among sociodemographic factors, gender, marital status, and education level significantly influenced influenza vaccination rates. Women were more likely to be vaccinated than men, both before COVID-19(OR=1.330, p<0.001) and after COVID-19(OR=1.277, p=0.001). Marital status also showed consistent results, with married individuals being more likely to be vaccinated than unmarried individuals, before COVID-19(OR=1.614, p<0.001) and after COVID-19(OR=1.562, p<0.001). Regarding education level, after COVID-19, individuals with a high school education or lower had higher vaccination rates than those with a university education or higher(OR=1.196, p=0.006). Among health behavior factors, smoking status, health check-up participation, and chronic disease status significantly influenced vaccination rates. Non-smokers and former smokers were more likely to be vaccinated than current smokers, with non-smokers showing an OR of 1.290(p=0.004) and former smokers 1.272(p=0.004). Health check-up participation was also significant, with individuals who had undergone health check-ups being more likely to be vaccinated than those who had not, both after COVID-19(OR=1.358, p<0.001) and for the entire study period(OR=1.780, p<0.001). The most critical factor was chronic disease status; individuals with chronic diseases were 2.051 times(p<0.001) more likely to be vaccinated after COVID-19 compared to those without chronic diseases. In conclusion, although influenza vaccination rates slightly increased following the COVID-19 pandemic, they remain low. Women, married individuals, those who received health check-ups, and individuals with chronic diseases were more likely to be vaccinated. After COVID-19, education level emerged as an additional significant factor, with vaccination rates higher among those with lower educational attainment. Based on these findings, it is essential to strengthen vaccination programs targeting individuals with chronic diseases and those who have not undergone health check-ups. Additionally, public education and promotion emphasizing the importance and benefits of influenza vaccination are needed. Policies aimed at improving vaccination accessibility for low-income and low-education groups should be implemented. Future research should comprehensively consider psychological factors, healthcare accessibility, and lifestyle habits related to influenza vaccination.

一介 保護治療施設 健康相談 內容分析

전재웅 건양대학교 2015 국내석사

objectives : the research was aimed at analyzing the contents of the health counseling in the protection and treatment facility from 2012 June to 2013 May. Methods : I did medical examination in the protection and treatment facility at every ot every other saturday. I have analyzed total 341 cases of health counseling

輕度認知障碍와 알츠하이머病에서 NeuroQuantⓇ에 基盤한 腦 部位別 容量에 관한 硏究

박의철 건양대학교 2021 국내박사

NeuroQuant를 이용한 연구는 경미한 인지 장애와 알츠하이머병에서 뇌 부위별 신경 인지 기능과 부피 사이의 유의한 관계를 찾는 것이다. 이 연구에서는 60세 이상 연령을 대상으로 경미한 인지장애(32명)과 AD 환자(56명)에 대해 신경인지기능 평가(CERAD-K) 및 3차원 자기공명영상(3D magnetic resonance imaging)을 수행했다. 기본적인 자료분석은 각 연구변수의 빈도와 백분율 및 대푯값 등을 활용하였으며, 경미한 인지장애집단과 AD집단 간의 연구변수 평균값 비교는 t-검정으로 분석하였고, 두 집단 간의 연구변수 및 특성별 관련성 분석은 카이제곱검정으로 분석하였다. CERAD-K 하위 구성, 주요 뇌 영역의 볼륨, 측두엽의 비대칭 지수, 해마 점유 점수는 로지스틱 회귀 분석에 의해 분석되었다. 로지스틱 회귀 분석 결과 중 유의한 볼륨 영역에 대하여 ROC 분석을 검정하였다. 경미한 인지 장애와 AD를 종속 변수로 사용한 로지스틱 분석은 여성, 노인 및 하위 교육 수준에서 AD와 더 중요한 관계를 보여주었다. NeuroQuantⓇ에 의해 측정된 뇌의 각 부위의 부피는 구성회상검사, 왼쪽 피질 회백질, 왼쪽 창백핵, 해마점수에서 유의했다. ROC 곡선에 기초한 진단 예측은 구상회상검사, 왼쪽 피질 회백질, 왼쪽 창백핵 및 해마 점수와 유의미한 관계를 보여주었다. 이 연구 결과에 따르면, NeuroQuantⓇ 자동 영상검사 결과는 알츠하이머병 환자의 뇌량 평가와 ROC 곡선의 절단점 발견 과정에서 진단을 예측하는 적합한 도구인 것으로 확인되었다. NeuroQuantⓇ study provides the key to find a significant relationship between neurocognitive function by brain region and its areal volume in mild cognitive impairment and Alzheimer's disease(AD). In this study, Neural cognitive function evaluation(CERAD-K) and three-dimensional magnetic resonance imaging (MRI) were conducted for mild cognitive impairment (32 patients) and AD (56 patients) over 60 years old. The basic data analysis was conducted using frequency, percentage, and representative values of each study variable, and the average value comparison of research variables between mild cognitive impairment group and AD was analyzed by t-test, and the analysis of the relationship between the two groups was analyzed by chi-square test. CERAD-K sub-compositions, volume of major brain areas, asymmetry index of temporal lobe, and hippocampal occupancy scores were analyzed by logistic regression analysis. ROC analysis was performed on significant volume regions among the logistic regression results. The logistic analysis using mild cognitive impairment and AD as dependent variables showed more significant relationship with AD in women than men, in older age, and in lower education levels. The volume of each part of the brain measured by NeuroQuant® was significant in constructional recall test, left cortical gray matter, left parlidum, and hippocampus scores. Diagnostic predictions on the basis of the ROC curve showed significant relationships with constructional recall test, left cortical gray matter, left pallidum, and hippocampal occupancy scores. According to the results of this study, it was confirmed that the NeuroQuantⓇ automated imaging result is a suitable tool to predict the diagnosis in the process of evaluating brain volume of AD patients and finding the cut point of the ROC curve.