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소셜미디어 정서전염척도(SECS)의 개발 및 타당화: 20대 성인을 대상으로
이찬주,박주은,신하영,최상민,서동기,김재금 한국콘텐츠학회 2022 한국콘텐츠학회논문지 Vol.22 No.7
본 연구의 목적은 소셜미디어 정서전염척도(Social Media Emotional Contagion Scale, SECS)를 개발하고 타당화를 하는 것이다. 전국의 20대 성인을 대상으로 결측을 제외한 총 326명을 대상으로 진행되었으며, SECS의 높은 신뢰도를 확보하였다. EFA와 CFA를 통해 SECS가 2요인 구조임을 확인하였고 한국판 정서전염 척도(K-ECS), 성인 공감척도(BES-A), Rosenberg 자아존중감척도(SES)와의 준거관련타당도를 확인하였다. SECS는 K-ECS와 BES-A의 정서적 전염과 관련된 하위요인과는 수렴하였지만, K-ECS와 BES-A 전체 척도와는 변별되었다. 이는 오프라인상에서 나타나는 정서전염과 소셜미디어상에서 나타나는 정서전염을 구별할 필요성을 시사한다. SES와는 변별되었으나 SES의 하위요인과는 일부 수렴하고 일부 변별되었다. 더 나아가, IRT를 시행하여 SECS가 높은 변별도와 적절한 심각도 문항으로 구성된 타당한 척도임을 확인하였다. 마지막으로, SECS 척도의 기준점을 제시하였고 본 연구의 의의와 제한점 및 추후 연구에 대해 논의하였다.
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우리나라 저출산 대응 정책에 대한 남성의 인식 차이 탐색: Q방법론을 중심으로
이찬주 한국정책분석평가학회 2022 政策分析評價學會報 Vol.32 No.3
hildbirth and childcaring had been considered women's roles in the past. While South Korea recorded Total Fertility Rate(TFR) of 0.84 in 2020, a social consensus has been built that men also need to participate in childbirth and childcaring. Despite the social atmosphere, the Korean government has been criticized that the contents of the national policy response to the low fertility are not enough to support households with children because policy programs for men are missing. Recognizing the social atmosphere, the South Korean government has made an effort to design the 4th Plan for Ageing Society and Population centered on a life-cycle paradigm that deviates from gender roles. As the 4th national plan for low fertility is also targeting males as policy beneficiaries, the success or failure of the 4th Plan for Ageing Society and Population depends on the satisfaction of men with the policy. Nevertheless, most previous studies on the policy response to low fertility have targeted only women. Also, many of them are conducted for policy evaluation but have evaluated either policy processes or policy outcomes. Unless both aspects of policy processes and outcomes are considered, it is not easy to gain a comprehensive perspective of the policy response from the policy evaluation. To fill the gap found in the previous studies, this study aims to analyze how married men with children between 0-8 evaluate the policy response to low fertility from the perspective of both policy implementation (processes) and policy benefits (outcomes). Using the Q-methodology, this study has found that there are four different types of subjective perception: (factor 1) a group emphasizing the job policy; (factor 2) a group emphasizing the childcare policy ; (factor 3) a group with a skeptical perspective; and (factor 4) a group requesting policy improvement having an optimistic perspective. Sorting out the subjectivity of the policy response, all of them have a negative perception on policy benefits in common. Meanwhile, factor 2 and 4 groups criticized the policy processes, which is policy implementation and factor 3 and 4 groups have the highest demands in the applicable policy contents. The four subjective perceptions of married men with children between 0-8 suggest that male policy beneficiaries' policy demands are also very specific. As the men's demands on the policy response to low fertility have been discovered, it would be critical to reflect men's needs in the policy to enhance policy satisfaction. 과거 출산과 육아는 여성들의 역할로 치부되었던 경향이 있다. 하지만 우리나라 합계출산율이 0.84명을 기록한 2020년 오늘날에는 출산과 육아에 남성들의 적극적인 참여가 요구되고 있다. 남성들의 출산 및 육아참여에 대한 요구는 약 20여 년 사이에 일어난 사회적 요구로 그 동안 남성들을 위한 저출산 대응 정책의 기반이 다소 미흡했던 것이 사실이다. 저출산 대응 정책이 더 이상 여성만을 대상으로 하지 않음에도 불구하고 그 동안의 선행연구들은 여성을 대상으로 한 연구가 다수를 이루고 있다. 또한 저출산 대응 정책 ‘평가’라고는 하지만 과정평가나 결과평가 둘 중 한 측면만을 살펴본 연구들이 대부분이다. 하지만 어떤 정책을 입체적으로 분석하기 위해서는 정책집행과정 뿐만 아니라 결과 측면 모두를 포괄적으로 살펴보아야 한다. 본 연구는 위와 같은 선행연구들의 공백을 보완하기 위해 유자녀 기혼 남성을 대상으로 Q방법론을 활용하여 저출산 대응 정책에 대한 주관적 인식유형을 분석하였다. 특히 저출산 대응 정책의 집행(과정)적 측면과 혜택(결과)적 측면의 진술문 설계를 통해 포괄적 인식 분석이 이루어지도록 하였다. 분석 결과 유자녀 기혼 남성들의 인식유형은 ‘1) 일자리 정책 중시형, 2) 육아 정책 중시형, 3) 저출산 대응 정책에 대한 회의적 입장형, 4) 낙관적 정책 개선 요구형’으로 나타났다. 이는 남성들의 정책적 수요(요구) 역시 상당히 구체적임을 시사한다. 남성의 출산과정 및 육아활동 참여에 대한 사회적 요구 뿐만 아니라 남성 본인들의 욕구도 확인된 만큼 남녀 모두의 목소리를 반영하는 것이 정책 만족도를 제고하는데 기여할 수 있을 것이다.
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이찬주,박상현,한경도,이상학 한국지질동맥경화학회 2022 지질·동맥경화학회지 Vol.11 No.3
Objective The aim of the current study was to investigate whether the impact of low-density lipoprotein-cholesterol (LDL-C) levels on cardiovascular risk is different between individuals with severe hypercholesterolemia and diabetes mellitus (DM) and those without DM. Methods This study used the database of a National Health Insurance Service cohort of Korea. Among individuals who underwent health check-up, 2,261,332 were included and categorized into 3 groups with severe hypercholesterolemia, >260, 225–259, and 190–224 mg/dL groups, and a control group (<160 mg/dL). Risks of composite events (myocardial infarction [MI], coronary revascularization, and ischemic stroke) and total mortality were analyzed, according to the presence of DM. Results Of the study population, 5.2% had DM. During median follow-up of 6.1 years, the rates of composite events (/1,000 person-year) in non-DM and DM subjects were up to 5.66 and 8.92, respectively. Adjusted hazard ratios (aHRs) of the composite events ranged up to 3.11 and 1.44 in non-DM and DM groups, respectively (p<0.0001 between LDL-C categories in both groups). Dependency of aHR on LDL-C levels was more prominent in the non-DM group. aHRs of MI and coronary revascularization showed similar tendency to the composite events. Although aHRs of ischemic stroke (p<0.0001) and total mortality (p=0.002) were different according to LDL-C categories in the non-DM group, these relations were not observed in DM group. Conclusion Although individuals with severe hypercholesterolemia had high cardiovascular risk when DM was present, the impact of LDL-C on the risk was attenuated in this population.
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이찬주,최보금,박하연,박정미,이지현,이상학 연세대학교의과대학 2022 Yonsei medical journal Vol.63 No.4
Purpose: Angiotensin-converting enzyme inhibitors (ACEIs) are medications generally prescribed for patients with high cardiovascularrisk; however, they are suboptimally used due to frequent adverse events (AEs). The present study aimed to identify andreplicate the genetic variants associated with ACEI-related AEs in the Korean population. Materials and Methods: A two-stage approach employing genome-wide association study (GWAS)-based discovery and replicationthrough target sequencing was used. In total, 1300 individuals received ACEIs from 2001 to 2007; among these, 228 were selectedfor GWAS. An additional 336 patients were selected for replication after screening 1186 subjects treated from 2008 to 2018. Candidate genes for target sequencing were selected based on the present GWAS, previous GWASs, and data from the PharmGKBdatabase. Furthermore, association analyses were performed between no AE and AE or cough groups after target sequencing. Results: Five genes, namely CRIM1, NELL1, CACNA1D, VOPP1, and MYBPC1, were identified near variants associated with ACEIrelatedAEs. During target sequencing of 34 candidate genes, six single-nucleotide polymorphisms (SNPs; rs5224, rs8176786,rs10766756, rs561868018, rs4974539, and rs10946364) were replicated for association with all ACEI-related AEs. Four of these SNPsand rs147912715 exhibited associations with ACEI-related cough, whereas four SNPs (rs5224, rs81767786, rs10766756, andrs4974539 near BDKRB2, NELL1, NELL1 intron, and CPN2, respectively) were significantly associated with both categories of AEs. Conclusion: Several variants, including novel and known variants, were successfully replicated and found to have associationswith ACEI-related AEs. These results provide rare and clinically relevant information for safer use of ACEIs.
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