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우리나라 여성들의 건강 수준 및 건강 위험요인 현황: 여성근로자들을 중심으로
임신예 ( Sin Ye Lim ) 경희대학교 경희의료원 2014 慶熙醫學 Vol.29 No.1
The proportion of Korean women in total population is 50.0%. The enrollemtn rate for college or university of Korean women has been increasing and it has been higher than that of Korean men. In spite of this finding, the proportion of women in higher position in government and company is much lower because of glass ceiling. Furthermore, there is a big wage gap between male workers and female workers. Korean female workers are more employed in non-standard work, such as temporary and daily work, than male workers and the employment rate in non-standard work is increasing. Female workers suffer from double burden of work and domestic responsibilities. Because of this, the risk of musculoskeletal diseases is increasing. They deprived of sleeping hours, so the risk of generalized fatigue, self-rated poor health, depression, and suicidal ideation is increasing. Recently, the suicidal attempted rate in Korean female has been higher than that in Korean male. The risk of work-related musculoskeletal diseases in female workers is worse, because of repetition, force, and not suitable working conditions and equipments. In addition, most female workers are working in the sectors of service, sales, care giver, and hospital exposed to high demand of emotional labor. Because of these risk factors, female workers’ self-rated health is worse than that of male workers and the prevalence rates of depression and other psychological health problems show increasing trend. Besides, female workers exposed to adverse reproductive health risks for both workers themselves and their children, such as spontaneous abortion, delayed time to pregnancy, and congenital anomalies of their children. To prevent these health problems, it is necessary to obey the regulation for the protection of women’s health. Furthermore, policies for keeping work-life balance, reducing job stress by increase of job control and decrease of job demand, and decreasing gender inequality should be planned and implemented in Korean society.
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최예용,임흥규,임신예,백도명,Choi, Ye-Yong,Lim, Heung-Kyu,Lim, Sin-Ye,Paek, Do-Myung 한국환경보건학회 2012 한국환경보건학회지 Vol.38 No.2
Introduction: After 17 years since the first production of humidifier disinfectants in Korea, Korea Centers for Disease Control and Prevention (KCDC) announced that the odds ratio of lung injury related with humidifier disinfectant usage was 47.3 (95% confidence interval 6.0-369.7) according to a case-control study with 18 adult cases, including 8 pregnant women at a university hospital in Seoul. Results: From September 2011 to April 2012, one-hundred and seventy four victim cases have been reported to an environmental non-governmental group (NGO). We summarized timetable of humidifier disinfectants accidents, analyzed health outcomes (death, lung or lung and heart transplantation, pulmonary disease) of reported victims, and classified some information for humidifier disinfectants with health outcomes, and government action for this accident. Among the victims, number of death cases are 52 (30.0%), including 26 babies less than 3 years old. Sixty-nine victims come from twenty-seven family with 2 to 4 members per family. About twenty types of humidifier disinfectant products and about 600,000 product items a year have been sold. Fifty-two death cases used 7 different types of disinfectant products, including imported goods and some private brands of well-known supermarkets. KCDC confirmed inhalation toxicity of 6 products through an animal experimental test, and based on this observation recalled disinfectants containing PHMG (polyhexamethylene guanidine) and PGH (Oligo(2-(2-ethoxy)ethoxyethyl guanidinium chloride). Discussions: The use of these biocides involved highly fatal consequences among biologically vulnerable victims, such as pregnant women, several family member victims after semi-acute exposure. This is the first biocide disaster in Korea with non-specific targets, and unknown scale of victims, warranting concerns on use of biocides in the living environment. Conclusions: Special administrative agency for chemical safety and compensation act for environmental health victims are needed to prevent similar problems.
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비만 환자들의 체중 조절에 대한 순응도와 장기 추적 결과
박혜순,조혜진,이규희,임신예 대한비만학회 1999 The Korean journal of obesity Vol.8 No.2
Background: Recently, the incidence of obesity and its associated chronic disease has progressively increased in korea due to the introduction of westernized lifestyle. The effect of weight control is depended on long term compliance for patients lifestyle modification. There is little publication about long term follow-up result of obesity treatment in korea. The purpose of this study is to assess the long term follow-up compliance, five year interval, and effects of multidisciplinary educations, including behavior modification, diet education, and exercise on body weight reduction who visited in our obesity clinic from September 1991 to December 1992. Methods: Total number of obese patients who visited our obesity clinic in Asan medical center from September 1991 to December 1992 and received individualized rnultidisciplinary educations, including behavior modification, diet therapy, and exercise was one hundred and ninety two. About 5 years later, we could survey sixty two patients (32.3%) about present height, weight, weight reduction, continuity of weight control, the method of weight control, family support, and so on by telephone questionnaire. Results: Among sixty two subjects who corresponded to the questionnaire, there were 14 male (22.6%) and 48 female patients (77.4%). For men, the change of weight from baseline to follow-up was not significant, but for women, the weight was significantly reduced (P$lt;0.001). Fifty three (85.5%) people were trying to lose their weights, nine people (14.5%) were not. The difference in weight reducrse between the two groups was staristically significant (p$lt;0.05). We divided the subjects into three groups by the method of weight control. Diet-only group was seven (13.2%). Exercise-only group was twenty four (45.3%). Diet-Exereise group was twenty two (41.5%). The difference in weight reduction in each group was not statistically significant. The number of weight reduction group was forty seven (75.8%), that of nonweight reduction group was fifteen (24.2%). We could not find any factors, such as marital status, education, family support, family history of obesity, etc. which were related with long term weight reduction, except continuity of weight control and occupation. Conclusion: According to the result of this study for the long term follow-up compliance and effects of multidisciplinary education, we observed about 85% obese patients are trying to lose their weight still and about 70% patients lose their weight. Weight reduction in obese patients is closely related to the compliance with long term weight control, therefore effective education and continuous concern for raising the compliance is necessary.
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