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추적조사된 대구시내 일부 병원분만 산모에서 모유수유중단 예측변수
이충원,이무식,박종원,이미영,강미정,신동훈,이세엽,Lee, Choong-Won,Lee, Moo-Sik,Park, Jong-Won,Lee, Mi-Young,Kang, Mi-Joung,Shin, Dong-Hoon,Lee, Se-Youp 대한예방의학회 1995 예방의학회지 Vol.28 No.4
모유수유를 시작하지 않는 산모의 특성과 모유수유 중단을 예측해주는 특성을 찾아내기 위하여 1년간 매달 전화면담으로 추적조사를 실시하였다. 등록대상자는 대구시의 대학병원 산부인과와 개업산부인과 각각 1개소에서 1991년 9월부터 11월까지 분만한 산모로서 최종분석에 이용된 자는 대학병원에서 166명, 개업산부인과에서 316명으로 총 482명이었다. 모유수유 중단은 고형식 유무에 관계없이 100% 인공수유로 전환하여 1주일 이상 지속하는 것으로 정의하였다. 대상자의 평균연령은 27.3세(표준편차 3.2)였다. 모유수유를 중단한 산모와 지속한 산모간의 특성차이는 다중지수회귀분석시 출신지, 직업, 출산방법, 모성의 건강을 위해 좋다고 생각되는 수유방법 등이었다. 한 달 이상 모유수유를 지속한 242명의 산모를 추적조사시에 모유수유 중단의 중앙값은 5개월이었으며 추적 대상자의 25%, 75%가 각각 3개월, 9개월에 모유수유를 중단하였다. Cox's proportional hazard model로 분석시 9년이하의 교육수준인 산모에 비하여 $10\sim12$년을 교육받은 산모는 2.63배(95% 신뢰구간 $1.50\sim4.60$), 13년 이상의 교육을 받은 산모는 3.55배(95% 신뢰구간 $1.99\sim6.33$)나 모유수유 중단을 할 가능성이 더 높았다. 전업 주부에 비하여 시간제 근무를 하는 주부는 1.99배(95% 신뢰구간 $0.86\sim4.57$) 모유수유 중단의 가능성이 더 높았고 취업 주부는 1.55배(95% 신뢰구간 $0.96\sim2.51$) 더 높았다. 이러한 결과는 모유수유를 시작하지 않는 것과 관련된 변수와 모유수유 중단과 관련된 변수들이 다를 수 있다는 사실을 시사해주며 모유수유 증진을 위한 전략 역시 출산 후 시기에 따라 달라져야 한다는 것을 시사해준다. We followed prospectively some hospital-delivered mothers to identify characteristics of those not initiated breast-feeding and predictors of breast-feeding discontinuation in monthly telephone interviews. Recruits were composed of 482 mothers who delivered their babies at one university hospital and one OB/GYN clinic in September to November 1991. Breast-feeding discontinuation was defined as switch to 100% formula lasting more than one week regardless of solid foods. Average age of the study subjects was 27.3 years of age(standard deviation 3.2). Multiple logistic regression analysis indicated native place, occupation, method of delivery and method of feeding considered to be better for maternal health were statistically significant(p<0.1) between initiators and non-initiators of breast feeding. In starting cohort(N=242) of those initiated breast-feeding, that median of breast-feeding discontinuation were 5 months and 25th and 75th percentiles were 3 and 9 months respectively. In Cox's proportional hazard model, mothers with $10\sim13$ years of education were 2.63 times (95% confidence interval, CI $1.50\sim4.60$) more likely to discontinue than those with less than 9 years of education and those with more than 13 years of education were 3.55 time (95% CI $1.99\sim6.33$). Compared with house wife, mothers with part-time jobs were 1.99 times (95% CI $0.86\sim4.57$) more likely to discontinue and those with employed full-time were 1.55 times (95% CI $0.96\sim2.51$). These results suggest that the predictors of initiation and discontinuation of breast-feeding may be different and different target populations should be selected to promote initiation and to prevent discontinuation of breast-feeding according to the period after birth.
이충원 ( Choong Won Lee ),이원기 ( Won Ki Lee ),이지수 ( Ji Soo Lee ),이찬희 ( Chan Hee Lee ),송창호 ( Chang Ho Song ),서창희 ( Chang Hee Suh ),박용범 ( Yong Beom Park ),이수곤 ( Soo Kon Lee ) 대한류마티스학회 1997 대한류마티스학회지 Vol.4 No.2
Objectives: To investigate the clinical characteristics of Sjogren`s syndrome (SS). Methods: We. retrospectively reviewed 59 patients with SS in the period from January 1986 to January 1997. European Epidemiology Center criteria was used to diagnose SS. Results: Thirty-one primary SS and 28 secondary SS patients were included in this study. There were 57 females and 2 males, the mean age was 45.2±12.3 years(24 to 70 years). Patients with secondary SS were associated with rheumatoid arthritis (n=10), systemic lupus erythematosus (n=7), scleroderma (n=5), mixed connective tissue disease (n=3), and myositis (n=3). The common presenting symptoms were dry mouth in 92% and dry eyes in 90% of patients. Other symptom and signs included fatigue(27%), lymphadenopathy (22%) and parotid gland swelling (10%). The commonly presented autoantibodies were antinuclear antibody (83%) and rheumatoid factor(57%). Anti-Ro was positive in 49% (25/51) and anti-La in 37% (19/51). Anti-La positivity was significantly higher in primary SS(52%) compared to secondary SS(21%) (p<0.05). Schirmer test was positive in 98% (44/45), salivary radioscintigraphy in 74%(25/34), and lower lip biopsy in 47% (16/34). Extraglandular manifestations, such as Raynaud`s phenomenon, vasculitis, glomerulonephritis, vaginal dryness, renal tubular acidosis, and primary biliary cirrhosis, were more frequently presented in primary SS compared to secondary SS (p<0.05). Conclusion: The sex, age, and clinical manifestation of primary SS were similar with secondary SS, but extraglandular manifestations and anti-La antibody positivity were more frequent in primary SS.