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북한 이탈 주민의 신체 계측치를 이용한 남북한 비교 연구-하나원 훈련생들을 중심으로
문옥륜,백지은,김동식,이철형,Mun, Ok-Ryun,Baek, Ji-Eun,Kim, Dong-Sik,Lee, Cheol-Hyeong 한국건강관리협회 2004 한국건강관리협회지 Vol.2 No.2
본 연구에서는 2003년 6월~2003년 12월 사이에 탈북적응훈련 교육원에 입소한 854명의 북한 이탈주민들의 신체 계측치를 이용하여 북한 이탈주민들의 체질량지수(BMI)를 파악함으로써 북한 주민들의 건강상태를 간접적으로 유추하였다. 연구결과 신장은 전 연령에서 남한이 북한보다 컸으며, 남한주민의 체중이 북한보다 많았다. 또한, 20세 이상 남북한 주민의 BMI 분포를 연령별로 보면 북한 이탈 남성의 경우 55세 이상 연령집단에서과체중 현상을 보였으나, 남한의 남성은거의 모든 연령집단에서 과체중인 것으로 나타났다. 북한 이탈 여성의 경우 45-54세와 70-74세에서 과체중 및 1단계 비만을 보였지만, 남한 여성의 경우 40-44세, 50-74세는 과체중, 45-49세는 1단계비만으로 나타났다. 최근의 북한 이탈주민들일수록 신장, 체중 모두 작았다. 본 연구결과에 따르면 북한 이탈주민들은 식량부족사태가 있기 이전부터 이미 남한과 신체 계측치에서 차이를 보였으며,1980년 말부터 시작된 식량난과 1990년대 중반에 지속적으로 일어난 자연재해 등으로 인해 북한 주민들은 더 왜소화되고 만성적 영양결핍상태가 더욱 만연해지고 있음을 알 수 있다.
우리나라에서의 지역의 물질적 결핍수준과 15-64세 인구 표준화사망비의 관계
정백근,정갑열,김준연,문옥륜,이용환,홍영습,윤태호,Jeong, Baek-Geun,Jung, Kap-Yeol,Kim, Joon-Youn,Moon, Ok-Ryun,Lee, Yong-Hwan,Hong, Young-Seoub,Yoon, Tae-Ho 대한예방의학회 2006 예방의학회지 Vol.39 No.1
Objectives: This study was performed to investigate the relationship between regional material deprivation and the standardized mortality ratios(SMRs) of community residents aged 15-64 in Korea. Methods: SMRs were investigated using the registered death data from 1995 to 2000 that was obtained from the Korean National Statistics Office with the denominators being drawn from the 1995 to 2000 census. Material deprivation was measured using the Townsend score that was calculated from the 1995 to 2000 census. The relationship between the regional material deprivation and the SMRs of the community residents aged 15-64 was investigated by using ANOVA, Spearman's rank correlation analysis and Pearson's correlation analysis. The trends in mortality inequality were investigated using the concentration index. Results: On the ANOVA, the SMRs of the men and women residents in the least deprived areas were the smallest and those in the most deprived areas were the largest. Spearman's rank correlation analysis, Pearson's correlation analysis and the concentration index revealed that significant positive relationships exist between the regional material deprivation and the SMRs of the community residents aged 15-64. Conclusions: This study suggests that there are mortality inequalities among the communities in Korea and part of this difference is due to the material deprivation of the community. Strategies aimed at reducing mortality inequalities among the communities will be needed to address economic inequalities. Further studies are needed to explore the mechanisms of how the regional deprivation influences on health and how the other factors of the community influence on the health of the community residents.
한방 공공의료의 활성화에 관한 연구 - 공중보건 한의사의 활동을 중심으로 -
이상구,문옥륜,박송림,이신재,윤태호,정백근,문용,Yi Sang-Gu,Moon Ok-Ryun,Piao Song-Lin,Lee Shin-Jae,Yoon Tae-Ho,Jeong Baek-Geun,Wen Yong 대한예방한의학회 2000 대한예방한의학회지 Vol.4 No.1
From 1998, Oriental Medical Physicians(OMP) is distributed in Public Health Sector. but long term plan for Oriental Medicine in Public Health is not existed. So, this study is designed for the activation of OMP Subjects in this study were comprised 3 groups of oriental medicine related persons, the group of which are Students of 11 Oriental Medical Schools, Oriental Medical Physicians in Public Health Sector, Specialist Croup of Oriental medicine Policy(total 1,458 persons). Data were collected from July 1st to November 30, 1999. Direct interview with key persons, systematic interview by using of interview protocol, e-mail and facsimile have been conducted. The results of survey were coded by Excel 5.0, and analysed with SAS 6.12 statistical package. Inter-group difference determined by T-test, and descriptive statistics have been examined. Major findings can be epitomized as follows. 1) OMP disposition to multifarious organizations and institutes such as Public Health Centers, Public Health Sub-centers, Public Hospitals, Private Hospitals in Remote-Vulnerable Area, Community Social Welfare Centers, Institutes for Heath Policy Research, etc, will promise an effective use of Oriental Medical Physician. 2) Average number of patients treated by OMP was 22.8, average budget for oriental medical department, in which OMP were affiliated, was 39.6 million Won per year. Direct cost per every patient visit was 7,210.9 Won, which is considered expensive for public health service. Therefore, development and transformation for Oriental Medical Service in Public Health Sector is desirable in economic and political aspects. 3) It is recommended that ${\ulcorner}Advisory\;Committee{\lrcorner},{\ulcorner}Planning\;Commission\;for\; Public\;Health\;in\;Oriental\;Medicine{\lrcorner}$ should be established for the activation and for the support of Oriental Medical Physician in Public Health Sector, 4) Most effective programmes for oriental public health doctor are health service programmes for the elderly, Home health visit, chronic degenerative disease control services(p<0.001). 5) Standard guideline for facilities and equipments of Oriental Medicine Department in Public Health Center is needed for optimal supply of resources and activation of public health activity.