의료보험 성인병 건강검진율의 결정요인

윤성태,지선하,서일,오희철,김한중,Youn, Sung-Tae,Jee, Sun-Ha,Suh, Il,Ohrr, Hee-Choul,Kim, Han-Joong 대한예방의학회 2000 Journal of Preventive Medicine and Public Health Vol.33 No.2

Objective : To analyze the factors affecting the participation rate in the health screening program of medical insurance. Method : We investigated the factors associated with the participation rate in the health screening program in Korea. Data were collected at the aggregate level from 145 employee health insurance societies and 227 self-employed health insurance societies from 1995 to 1997 Data were also collected at the individual level from four health insurance societies. This study hypothesized that the participation rate of the health screening program was related to 1) the characteristics of its members and the size of the health insurance society; 2) the specifications of the health screening program; 3) the venue of the health screening institution and the interests of individuals in the health screening program; and 4) the activities of the health insurance society. We used bivariate and multiple regression models to examine the factors on the participation rate of the health screening program. Results : First, in the case of dependents of on employee health insurance society, the ratio of dependents 40 years old and over, the average monthly contribution per household, the interest and satisfaction level of individuals in health screening, and the level of refunds for over-payment were all associated with the participation rate in the health screening program, accounting for 54.4% of the participation rate. Second, in case of those insured by the self-employed health insurance society, the interest and satisfaction level of individuals in health screening, the level of refunds for over-payment, and the performance level of on-the-spot health screening were statistically significant, accounting for 40.1% of the participation rate. Conclusion : The factors concerning the participation rate in the health screening program of medical insurance, in both a health insurance society and for individuals, were closely related to the age and gender of individuals and household contributions.

외근직 소방공무원의 직무유형에 따른 요통발생의 차이

홍성기 ( Sung Gi Hong ),임정수 ( Jeong Soo Im ),윤성태 ( Sung Tae Youn ),임준 ( Jun Yim ) 한국보건행정학회 2007 보건행정학회지 Vol.17 No.4

The purpose of this study was to analyze the effect of fire fighters` duty type on occurrence and severity of low back pain. Data were collected with questionnaire to 450 fire fighters working at 119 safety center and rescue unit of 30 fire stations in Gyeonggi-do, Finally the study was analyzed for 360 persons among them. The risk of experiencing of lower back pain occurred in tre order of Rescue[odds ratio(OR) 3.36, 95% confidence interval(95% CD 1.18-9.52]. Vehicle operation(OR 2.63, 95% CI 1.26-5.50), First aid(OR 2.18, 95% CI 1.03-4.59), and Futting out a fire, The risk on severity of lower back pain occurred in the order of Vehicle operation(OR 4.00, 95% CI 1.57-9.80), First aid(OR 1.88, 95% CI 1.00-4.81), Futting out a fire, and Rescue, These result suggest that duty type of fire fighters may be a prognostic factor for occurrence and severity of low back pain, The potential implications of these findings are discussed about different approach for primary and secondary prevention by duty type of fire fighters.

미생물 간이 검사법 실시에 따른 학교급식소의 위생 및 건강관리 개선 효과

한명숙(Myeong-Sook Han),윤성태(Sung-Tae Youn),임준(Jun Yim),임정수(Jeong-Soo Im) 한국보건교육건강증진학회 2006 보건교육건강증진학회지 Vol.23 No.3

Objectives: The purpose of this study was to analyze the effects of microbe inspections on the hygienic improvement of school food service systems. Methods: Thirty-three school food service systems in Incheon metropolitan city participated in the study from Sep. 2004 to Apr. 2005. Major items of microbe inspections were cutting boards, knives, kitchen towels, and kitchen staff's hands. The Rodac plate and hand plate were used to measure the surface contamination level of germs such as Staphylococcus aureus, Vibrio species, Salmonella species and E. coli. Results: This study compared the results of the inspections in Sep. 2004 and Apr. 2005. The surface contamination level of Staphylococcus aureus and Vibrio species on the knives and kitchen towels had significantly improved. However, the surface contamination level of E. coli on the hands of the kitchen staff had worsened. Conclusions: This study showed that microbe inspections could control the hygienic level of the school food service systems. In the future, microbe inspections should be actively used to improve sanitary conditions in the school lunch system.

강화군에서 시행한 말라리아 신속진단킷트의 유용성 평가

권수정(Su-Jung Kweon),권오준(Oh-Jun Kweon),윤성태(Sung-Tae Youn),임준(Jun Yim),임정수(Jeong-Soo Im) 한국농촌의학 지역보건학회 2006 농촌의학·지역보건 Vol.31 No.2

재발성 아프타성 구내염에서 Methylenetetrahydrofolate 환원효소 유전자 C677T 변이와 Apolipoprotein E 유전자 변이에 대한 연구

백진옥 ( Jin Ok Baek ),김민 ( Min Kim ),임정수 ( Jung Su Im ),윤성태 ( Sung Tae Youn ),노주영 ( Joo Young Roh ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.2

Background: Recurrent aphthous stomatitis (RAS) is usually the earliest sign of Behcet`s disease. Hyperhomocysteinemia can damage endothelial cells and progress to obstructive vascular disease. It has been reported that hyperhomocysteinemia is a marker of activation in Behcet`s disease. Enzyme 5,10-methylenetetrahydrofolate reductase may be one of the main factors that regulates plasma homocysteine levels. Homozygosity for the C677T (MTHFR C677T) mutation is associated with reduced activity of this enzyme and considered the most common genetic cause of elevated serum homocyteine levels. However its relationship to vascular injury in Behcet``s disease remains controversial, and its relationship to RAS is unknown. Apolipoprotein E (Apo E) has both immunoregulatory and anti-infective features. Search for Apo E polymorphism and lipid composition in RAS patients might be a clue to pathogenesis of RAS. Objective: To analyze the relationship of MTHFR gene C677T polymorphism, several epidemiologic factors such as age and sex, smoking, lipid composition and Apo E polymorphism to vasculitis in RAS, we assessed the MTHFR gene C677T polymorphism, Apo E polymorphism and lipid composition in RAS and normal population. Methods: We analyzed data from the General Health survey conducted on 1,243 participants (M:F=281:962) over a 20 year-old in Incheon city. Medical interview and laboratory test for methylenetetrahydrofolate reductase (MTHFR) C677T gene polymorphism, apolipoprotein E polymorphism were completed. Statistical significance was analyzed by χ2 test and multistep logistic regression analysis. Results: Among normal population over the age of twenty, a total of 34.2% (426/1,243) had RAS. Female predominance (4.5:1, p=0.003) was noted. The incidence of RAS in age group 20 to 39 year old is higher than the over 40 age group. The incidence is higher in smoking group compared to the nonsmoking group in multistepwise logistic regression analysis. Frequency of the MTHFR C677T genotypes was highest at CT compared to CC and TT homozygous genotype in normal and RAS patients group. There was no significant statistical differences in MTHFR genotypes in RAS patients compared to the control group. Similarly, Apo E genotype analysis revealed no significant statistical differences either. Apo E genotype and total cholesterol, HDL-cholesterol, triglyceride level didn`t show any associations. Conclusion: This study revealed insignificant association between the MTHFR C677T mutation and RAS. Apo E genotype didn`t show a significant statistical difference in RAS patients compared to normal controls. (Korean J Dermatol 2008;46(2):209∼215)

소득계층에 따른 뇌심혈관질환 사망률 차이

임정수(Jeong-Soo Im),최대경(Dae-Kyung Choi),임준(Jun Yim),홍두호(Duho Hong),김종균(Jong-Kyun Kim),박상현(Sang-Hyun Park),윤성태(Sung-Tae Youn) 한국보건교육건강증진학회 2006 보건교육건강증진학회지 Vol.23 No.2

Objectives: A number of studies in economically developed countries have shown occurrence of stroke and cardiovascular disease to be inversely related to socioeconomic class. The purpose of this study is to investigate socioeconomic differentials in stroke and cardiovascular disease mortality in Korea Methods: Two data from two sources, registry data from National Health Insurance Corporation and death certification data from National Statistics Office, were used to calculate mortality rate for five socioeconomic classes. Poisson regression analysis was used to calculate relative indices of inequality as a measure of mortality differentials between socioeconomic classes Results: For males, graded socioeconomic differentials in mortality were observed with higher mortality rates related to lower socioeconomic class for intracerebral hemorrhage, cerebral infarct, hypertension, ischemic heart disease, myocardial infarct, and arrhythmia. The relative index of inequality for stroke and cardiovascular disease was 1.61(95% CI=1.54-1.68). For females, these differentials were observed for arrhythmia and intracerebral hemorrhage. The relative index of inequality was 1.06(95% CI=1.02-1.11) Conclusions: This socioeconomic differential in mortality, consistent with the results of other studies performed in economically developed countries suggest that Socioeconomic class can influence mortality regardless of the developmental stage of the country