국민학교(國民學校) 및 집단주거시설(集團住居施設) 아동(兒童)의 요충감염현황(蟯蟲感染現況)

김종성,이준상,주경환,임한종,Kim, Jong-Seong,Lee, Joon-Sang,Joo, Kyoung-Hwan,Rim, Han-Jong 한국농촌의학지역보건학회 1988 농촌의학·지역보건 Vol.13 No.1

본 조사에서는 서로 다른 주거환경에서 생활하는 집단군에 대해 셀로판테이프항문주위도말법으로 요충감염현황에 대하여 조사한 결과 다음과 같은 결론을 얻었다. 1) 국민학교 및 집단시설거주아동 2,966명을 조사하여 484명이 요충란 양성자로 나타나 16.3%의 양성률을 보였다. 2) 지역별 조사에서 대도시지역의 경우 총 1,144명을 조사하여 79명이 양성자로 나타나 6.9%의 양성률을 보였고, 농촌지역에서는 총 1,268명을 조사하여 193명이 양성자로 나타나 15.2%의 양성률을 보여 대도시지역보다 농촌지역에서 터 높은 감염양상을 보였다. 3) 남, 여별 조사에서는 남자, 1,528명을 조사하여 240명이 양성자로 나타나 15.7%의 양성률을 보였으며, 여자의 경우 1,438명을 조사하여 244명이 양성자로 나타나 16.9%의 양성률을 보여 남, 여별 감염률은 큰 차이를 타나내지 않았다. 4) 국민학교 아동의 학년별 조사성적을 보면 대도시지역 국민학교 아동의 경우 저학년에서 고학년으로 올라갈수록 감염률이 저하되었으나 농촌지역 국민학교 아동의 경우 감염률에 있어서 학년별로 현저한 차이를 나타내지 않았다. 5) 주거환경별 조사에서는 국민학교 아동 2,412명을 조사하여 272명이 양성자로 나타나 11.3%의 양성률을 보였고, 고아원(영아원, 육아원) 아동 416명을 조사하여 136명을 조사하여 76명이 양성자로 나타나 55.1%의 높은 양성률을 보여 국민학교보다 집단거주시설 아동에서 더 높은 감염양상을 보였다. An epidemiological study was undertaken to evaluate the prevalence of E. vermicularis infestation among children in primary schools and orphanages. A total of 2,966 children in primary schools and orphanages was examined for F. vermicularis by means of cellotape anal swab technique. The purpose of the present studies is to determine the prevalence of enterobiasis among children and to make a comparison with the rate of infestation by survey areas. The result could be summarized as follows : 1) The egg positive rate of cellotape anal swab method was 16.3% out of 2,966 children. 2) The egg positive rate of urban area was 6.9% out of 1,144 children and the egg positive rate of rural area was significantly higher than that of urban area. 3) The egg positive rate of boys and girls were 15.7% out of 1,528 children and 16.9% out of 1,438 children. 4) The egg positive rate of primary schools, orphanages and mental retardation child group was 11.3% (out of 2,412), 32.7% (out of 416) and 55.1% (out of 138) respectively. There was noted a tendency of decrease in prevalence by increase of the age.

강원도(江原道) 횡성군(橫城郡) 일부지역(一部地域) 간(肝) 및 폐(肺) 디스토마 감염상황(感染狀況)

최원영,Choe, Won-Yeong 한국농촌의학지역보건학회 1978 농촌의학·지역보건 Vol.3 No.1

이제까지 알려진 바에 의(依)하면 우리 나라에서 간(肝) 및 폐(肺)디스토마 분포양상(分布樣相)은 강원도지역(江原道地域)이 가장 저율(低率)로 나타난 것을 볼 수 있다. 그 이유(理由)로서는 이들 양흡충은 반드시 제(第)1 및 제(第)2중간숙주(中間宿主)를 통한 生活環(생활환)이 완성(完成)되어야만 하는데, 이들 중간숙주분포(中間宿主分布)가 강원도지역(江原道地域)이 낮은 까닭인듯 하다. 우연(偶然)한 기회(機會)에 저자(著者)는 강원도(江原道)의 일부지역(一部地域)은 폐(肺)디스토마의 감염(感染)이 적지 않다는 정보(情報)를 입수(入手)하고 이에 흥미(興味)를 갖게 되었으며, 특(特)히 농후감염지역(濃厚感染地域)으로 예상(豫想)되는 횡성군(橫城郡)의 일부지역(一部地域), 폐(肺), 청일면(廳日面) 신대리(里) 일대(一帶)와 서원면(面) 유현리(里)에서의 간(肝) 및 폐(肺)디스토마의 감염상(感染相)을 파악(把握)할 목적(目的)으로 본(本) 조사(調査)를 전도(全圖)하였다. 검사방법(檢査方法)으로는 일단(一旦) 간(肝) 및 폐(肺)디스토마의 VBS 항원(抗原)으로 피내반응검사(皮內反應檢査)를 실시(實施)하여 간(肝)디스토마 피내반응검사(皮內反應檢査)에 대(對)해서는 객담검사(喀痰檢査)와 면역혈청반응으로 보체결합반응(補體結合反應), 간접형광항체반응(間接螢光抗體反應) 및 Ouchterlony 반응(反應)을 하여 좀더 정확(正確)한 감염상황(感染狀況)을 파악(把握)하고저 하였다. 그 결과(結果)의 개요(槪要)는 아래와 같다. 1. 횡성군(橫城群) 신대리(里)와 우현리(里)의 주민(住民) 680명(名)에 대(對)한 폐(肺)디스토마의 VBS항원(抗原)에 의(依)한 피내반응양성율(皮內反應陽性率)은 12.4%이었고 간(肝)디스토마의 피내반응양성율(皮內反應陽性率)은 12.5%이었다. 2. 성별(性別)에 따른 피내반응양성율(皮內反應陽性率)의 차이(差異)는 간(肝)디스토마의 경우, 여자(女子) 7.4%에 비(比)하여 남자(男子)가 17.1%이었고, 폐(肺)디스토마의 경우는 여자(女子)가 20.7%인데 반(反)하여 남자(男子)가 42.9%로서 2배(倍) 이상(以上)의 고율(高率)이었다. 3. 연령별(年令別)로 보면, 간(肝)디스토마 피내반응양성율(皮內反應陽性率)은 31~40재(才)가 22.1%로 가장 고율(高率)이었고, 폐(肺)디스토마 양성율(陽性率)은 21~30재(才) 사이가 58.5%로서 가장 높았다. 4. 폐(肺)디스토마 피내반응양성자(皮內反應陽性者)에 대(對)하여 객담검사(喀痰檢査)를 실시(實施)한 바 105명(名) 중 11명(名)(10.5%)의 충란검출자(蟲卵檢出者)를 볼 수 있었다. 또 이들에 대(對)한 면역혈청반응(免疫血淸反應)으로 보체결합반응(補體結合反應), 간접형광항체반응(間接螢光抗體反應) 및 Ouchterlony 반응(反應)을 실시(實施)한 바, 각각 42.5%, 50.3% 및 45.8%로서 거의 일치(一致)된 성적(成績)을 나타내어 피내반응양성자(皮內反應陽性者)의 약반수(約半數)에서 이들 혈청반응(血淸反應)이 양성(陽性)으로 나타났다.

농촌 지역 남성들의 혈청 gamma-glutamyl transferase 활성도와 관련된 행태적 요인에 관한 연구

조병만,Cho, Byung-Mann 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

혈청 GGT는 임상적으로 널리 이용되고 있음에도 불구하고 정상 인구 집단에서의 행태적 관련 인자에 대해서는 잘 알려져 있지 않다. 본 연구에서는 경상남도 내의 농촌 지역인 울산시 울주군 두동면에서 1997년에 실시한 주민 건강 검진에 참여하였던 40세 이상의 남성 248명을 대상으로 혈청 GGT 활성도와 관련된 행태적 요인을 조사하였으며 다중 회귀 분석과 공분산 분석을 이용하여 혼란 변수의 영향을 통제하였다. 신체 비만지수(kg/$m^2$)와 알코올 섭취량(ml/day)이 증가함에 따른 혈청 GGT 활성도의 차이는 연령과 요인 상호간의 영향을 보정하였을 때 통계학적으로 유의하였다(p=0.051 및 p<0.001). 비음주자에서 신체 비만지수가 25 이상인 경우는 25 미만인 경우에 비해 혈청 GGT의 활성도가 통계학적요로 유의하게 상승하였으나(p=0.007), 음주자에서는 유의한 차이를 볼 수 없었다(p=0.892). 알코올 섭취는 신체 비만지수가 25미만인 경우와 25 이상인 경우 모두에서 혈청 GGT의 활성도 상승과 유의한 연관성을 보였다(p<0.001 및 p=0.002). 이상과 같은 소견은 농촌 지역 남성들에서 혈청 GGT의 활성도와 가장 밀접하게 관련된 요인이 음주, 그리고 비음주자에서의 비만임을 암시한다. Although serum gamma-glutamyl transferase(GGT) has been widely used as a marker of alcoholic hepatic dysfunction, little is known as to behavioral correlates in the normal population. To examine the association between serum GGT activity and some behavioral factors in male rural population, data un health examination in a rural population (248 males aged 40 years and older) was analyzed Multiple linear regression and analysis of convariance were used to control the effect of confounding factors. Adjusted average differences in the level of serum GGT according to body mass index(BMI: $kg/m^2$) and alcohol intake(ml/day) were statistically significant(p=0.051 0<0.001 respectively). Serum GGT activity for BMII$\geq$25 was significantly higher than for BMI<25 in non-drinkers(p=0.007), but not significantly different in drinkers(p=0.892). Alcohol intake was significantly associated with elevated serum GGT activity for both BMI$\geq$25 and BMI<25(p<0.001, p=0.002 respectively). These findings suggest that alcohol drinking, obesity in non-drinkers are important factors associated with serum GGT in male rural population.

한 농촌 면단위지역 영아의 예방접종실태에 관한 조사

위자형,이보은,Wie, Cha-Hyung,Lee, Bo-Eun 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

In order to find out the status of routine-immunization in a rural area, this study was performed, through analyzing the data which was obtained from the immunization register of infants who was born at Su-Dong myun in 1996 and 1997, managed by Su-dong Myun health subcenter. The results are as follows. 1. B.C.G immunization rate was the highest such as 52.2% within 1 month and next order such 34.8% at 2 month in 1996. In 1997, the highest such as 73.8%, almost all, within 1 month. 2. D.P.T immunization rate in 1996 showed, almost all, the highest at 3 month(79.4%) for 1st dose and at 5 month(78.4%) for 2nd dose. However, the rate for 3rd dose showed the highest at 7 month(51.4%), and next order at 8 month(35.1%) and at 6 month(13.5%). D.P.T immunization rate in 1997, similarly showed the highest at 3 month(81.8%) for 1st dose, at 5 month(71.2%) for 2nd dose and at 7 month(71.4%) for 3rd dose. 3. Hepatitis B immunization rate showed the highest at birth at once or within one week(87.0%) for 1st dose in 1996 and (94.7%) in 1997. The rate for 2nd dose showed the highest at 2 month(51.7%) in 1996 and (50.0%) in 1997, and next order at 1 month(44.8%) in 1996 and (34.4%) in 1997. The rate for 3rd dose showed the highest at 3 month(54.8%) in 1996 and 5 month(54.8%) in 1997, and next order at 5 month(25.8%) in 1996 and at 3 month(26.0%) in 1997. 4. Measles immunization rate was 76.1% in 1996. The rate(76.1%) by the kind of vaccine was the highest with measles-MMR(34.8%), and with MMR(32.6%) and next order with measles(8.7%). The rate by measles immunization time(month) was the highest such as 35.0% at 9 month and 10 month respectively and the rate by MMR was the highest at 16 month(35.5%), and 15 month(22.5%), 13 month (12.9%) and 14 month(12.9%) in next order.

농업종사자(農業從事者)의 혈장(血漿) Cholinesterase 치(値) 변화(變化)에 관(關)한 연구(硏究)

서석권,황인담,Suh, Suk-Kweon,Hwang, In-Dam 한국농촌의학지역보건학회 1983 농촌의학·지역보건 Vol.8 No.1

살충제(殺蟲劑)의 주종(主宗)을 이루는 유기인제(有機憐劑)에 의한 만성중독(慢性中毒)의 예방(豫防)을 위(爲)한 기초자료(基礎資料)를 얻고, 또한 농업종사자(農業從事者)의 혈장(血漿) cholinesterase의 정상치(正常植)를 추정(推定)하고저 전라북도(全羅北道) 정읍군(井邑郡)의 일부(一部) 농업종사자(農業從事者)에 대(對)한 혈장(血漿) cholinesterase 치(植)를 Takahashi의 Micro- method로 측정분석(測定分析)한바 다음과 같이 요약(要約)된다. 1) 농약살포전군(農藥澈布前群)의 혈장(血漿) cholinesterase 치(植)는 $7.60{\pm}1.74{\mu}M/20{\mu}{\ell}$/hr.였고, 살포후군(撒布後群)에서는 $6.23{\pm}1.59{\mu}/20{\mu}{\ell}$/hr.로서 살포전군(澈布前群)보다 $1.37{\mu}M/20{\mu}{\ell}$/hr.가 낮게 나타났다 (P < 0.01). 2) 농업종사자(農業從事者)의 정상(正常) 혈장(血漿) cholinesterase 치(植)의 95% 신뢰구간(信賴區間)은 $7.30-7.90{\mu}M/20{\mu}{\ell}$/hr.이었다. This study was carried out to obtain the basic data for the prevention of chronic poisoning by organic phosphorous pesticides and to estimate the normal range of plasma cholinesterase activity level for Korean agricultural workers. The 285 agricultural workers were randomly selected for the study in Jungup Gun, Jeonbug Province, 135 persons of them were tested in the period of pre-exposure of organophosphorous pesticides (April 1981) and rest of them were tested after exposure(August 1981). Cholinesterase activity levels were measured by the Micro-method of Takahashi Hiroshi. Major findings are as following: 1) There is significant difference in plasma cholinesterase activity levels between the pro-exposed and post exposed group(p > 0.01). Mean values of plasma cholinesterase activity levels were $7.60{\pm}1.74{\mu}M/20{\mu}{\ell}$/hr. in the pre-exposed group and $6.23{\pm}1.59{\mu}M/20{\mu}{\ell}$/hr. in the post-exposed group. 2) Plasma cholinesterase activity in Korean agricultural worker could be estimated $7.30-7.90{\mu}M/20{\mu}{\ell}$/hr. with 95% confidence interval.

농촌지역 주민의 심혈관 질환 위험요인 평가

나백주,박경수,임정수,선병환,남해성,손석준,Na, Baek-Ju,Park, Kyung-Soo,Lim, Jung-Su,Sun, Byeong-Hwan,Nam, He-Sung,Sohn, Seok-Joon 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

Cardiovascular diseases are the leading cause of death and disability in Korea. Their risk factors can be classified as either modifiable or nonmodifiable and among modifiable factors are high bood pressure, elevated blood cholesterol, obesity and cigarette smoking. The purpose of this study was to evaluate the risk factors for the cardiovascular diseases in a rural community and to get basic data for the development of a community-based rick reduction intervention program. Evaluation involved population-based, cross-sectional samples of adult residents in a rurual community. We measured blood pressure, body fat percent by bioelectric impedance fatness analyzer and serum cholesterol and interviewed adult residents over 20-year-old age. Blood pressure was checked twice and hypertension was classified by the sixth report of the Joint National Committee on Detection. Evaluation, and Treatment of High Blood Pressure. The Cutpoints for high blood cholesterol was used National Cholesterol Treatment Guidelines and those for obesity was 25% in male. 30% in female. The results were as follows: 1. Prevalence of definitive hypertension was 59.7% in males and 54.4% in female. 2. Prevalence of hypercholesterolemia was 14.3% in male and 18.2% in female. 3. Prevalence of obese was 10.7% in male and 41.1% in female. 4. Among definitive hypertension, hypercholesterolemia, and obesity 52.1% possessed one risk factor, 12.6% two risk factors and 2.5% three risk factors in males. In females 41.4% possessed one risk factor and 27.6%. 5.7% respectively. 5. The smoking rate was 65.8% in males and 5.2% in females. Our results are used effectively for the community-based intervention towards cardiovascukr diseases risk reduction. However, because of limitations in our study design, further datas are needed including other risk factors and in-person clinical datas.

농부중의 정신적 원인에 대한 연구

박태진,이가영,Park, Tae-Jin,Lee, Ka-Young 한국농촌의학지역보건학회 1997 농촌의학·지역보건 Vol.22 No.1

Backgrounds : There has been many studies investigating the causes of farmers' syndrome. In some studies, psychologic stress is related to farmer's syndrome. And the diagnostic criteria of farmer's syndrome is similar to those of generalized anxiety disorder. So we carried out this study to investigate the psychiatric causes of farmers' syndrome. Methods : This study was done in some rural and urban areas of Kyoungsangnam Province, July, August, October and November of 1996. Those who came to free medical service and completed interview, medical examination and laboratory examination and 20-59 years old were 150 persons. And those who came to health center for health examination and completed only interview and 20-59 years old were 94 persons. The questionnaire was composed of sociodemographic factors, health risk factors, farmer's syndrome, work load, BEPSI(inventory to measure stress), Spielberger's state-trait anxiety inventory, self-rating depression scale. To examine statistical significance, we used X2-test, Mantel-Haenszel test for linear association, t-test, ANCOVA, correlation, multiple regression, logistic regression. Results : The prevalence of farmer's syndrome, adjusted for age and sex with population of Kyungsangnam Province of 1993 was 208 per 1,000(90 per 1,000 in men and 329 per 1,000 in women). In bivariate analysis, farmer's syndrome was significantly related to age, sex, job, income, smoking, alcohol drinking, work load, BEPSI, state anxiety, trait anxiety, depression, body mass index, Hwa-Byung, hypertension, anemia. However, when age and sex were adjusted, job was not significantly related to farmer's syndrome. The score of farmer's syndrome was significantly related to age, sex, work load, BEPSI, trait anxiety by multiple regression. Farmer's syndrome was significantly related to increasing age(odd ratio 1.079, 95% C.I. 1.060 - 1.099), sex(odds ratio of male 0.434, 95% C.I. 0.349 - 0.540), and BEPSI(odds ratio 1.231, 95% C.I. 1.148 - 1.320) by logistic regression. Results of logistic regression analysis of the component symptoms of farmer's syndrome were as follows. Shoulder stiffness was significantly related to increasing age, female sex and BEPSI. Lumbago was significantly related to increasing age, female sex and trait anxiety. Numb limbs and nocturia was significantly related to increasing age and female sex. Breathlessness was significantly related to work load, sleeplessness was significantly related to depression, dizziness was significantly related to job and state anxiety, and abdominal fullness was significantly related to female sex. Conclusion : Farmers' syndrome was related to work load, but was more related to psychiatric factors such as BEPSI and trait anxiety. And the occupation was not risk factor of farmers' syndrome in this study, so further study is needed to investigate the cause of farmers' syndrome.

일부 60~64세 농촌 인구에서 사회조직망과 고혈압

이충원,조희영,이미영,김귀연,박종원,강미정,서석권,Lee, Choong-Won,Cho, Hee-Young,Lee, Mi-Young,Kim, Gui-Yeon,Park, Jong-Won,Kang, Mi-Jung,Suh, Suk-Kwon 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

농촌의 전통적인 사회조직망을 반영해주는 변수들과 고혈압과의 관련성을 규명하기 위해 달성군 60-64세 노인을 대상으로 1996년 4월부터 9월까지 일대일 면담방법으로 조사를 실시하였다. 사회조직망을 반영해주는 변수로 결혼, 규칙적인 종교행사 참석, 친한 친구 및 친척 수, 구성원으로 있는 모임 수, 자식 및 손주 수 그리고 형제 수 등이 선정되었다. 고혈압은 고혈압력을 가진 자, 수축기 혈압이 100 mmHg 이상 또는 이완기 혈압이 95 mmHg 이상의 기준 중 최소한 하나의 기준을 만족하는 자로 정의하였다. 최종 자료 분석에 이용된 대상자는 총 958명으로 남자 440명, 여자 518명이었다. 남자의 당일지수 분석에서 친구가 없는 자에 비해 1-4명 가진 자가 0.43배 (95% 신뢰구간 0.19-0.96) 더 고혈압일 확률이 더 낮았으며, 자식이 0-1명인 자에 비해 2-3명, 4명, 5명 이상에 따라 비차비가 각각 0.21 (95% 신뢰구간 0.06-0.72), 0.14 (95% 신뢰구간 0.04-0.49), 0.24(95% 신뢰구간 0.07-0.82)로 고혈압일 확률이 더 낮았다. 반면에 여자에서는 통계적으로 유의한 사회조직망 구성 변수는 없었으며 손주가 없는 자에 비해 5-9명 가진 자의 비차비가 0.42 (95% 신뢰구간 0.17-1.02)로 경계성 유의성을 나타내었다. 연령, 교육수준, 비만도, 흡연 및 음주를 다중지수회귀분석으로 통제를 한 후 비차비의 변화를 관찰하였다. 남자에서 단일변수 분석에서처럼 친구 수와 자식 수가 통계적으로 유의한 비차비를 나타내었으며 단일연수 분석의 결과에 비해 상관의 강도가 더 높아졌다. 특히 친척 수는 통계적인 유의성을 획득하였으며 친척이 없는 자에 비해 가진 자는 0.44-0.50의 비차비를 나타내었다. 여자에서 대체로 단일변수 분석에서와 같은 결과를 나타내었으나 손주 수는 없는 자에 비해 5-9명을 가진 자의 비차비자 0.42에서 0.37 (95% 신뢰구간 0.14-0.95)로 상관성이 더 높아졌으며 통계적인 유의성 역시 경계선에서 유의성을 획득하였다. 이러한 결과는 사회조직망 중 일부 특정한 구성요소가 고혈압과 관련이 있으며 남녀간에 관련 구성 요소가 서로 차이가 남을 시사한다. Face-to-face interviews were carried out to investigate the relationship between social networks and hypertension in 958 rural residents(males=440, females=518) aged 60-64 of a community-dwelling sample of Dalsung County from April to September in 1996. Eight elements of social network were measured : marital status, regular religious attendance, membership in groups, number of friends, relatives, siblings, children, grandchildren. Hypertensives were defined as meeting at least one of following criteria : hypertension history, systolic blood pressure more than 160 mmHg, diastolic blood pressure more than 95 mmHg. In univariate logistic regression for males, having 1-4 friends vs. none showed odds ratio 0.43 (95% Confidence interval CI 0.19-0.96) and having 2-3, 4 and more than 5 children had reduced prevalence of hypertension with odds ratios 0.21 (95% CI 0.06-0.72), 0.14 (95% CI 0.04-0.49), 0.24 (95% CI 0.07-0.82), respectively when compared with persons without children. In females, there was no elements of social network statistically significant. Having 5-9 grandchildren vs. none showed a marginally significant odds ratio 0.42. In multivariate logistic regression models for males with adjustment for age, education, body mass index, smoking and drinking, number of friends and children showed increased odds ratios and number of close relatives gained a statistically significant odds ratios (0.44-0.50). In females, the adjustment yielded little changes of odds ratios except number of grandchildren which gained a statistically significance. These results suggest that only a certain elements of social network may be associated with reduced risk of hypertension and they may be different between genders in rural resident aged 60-64.

농촌지역 성인의 당뇨병 유병율에 대한 조사연구

전은석,이종섭,Chon, Eyon-Seok,Lee, Jong-Sub 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

The purpose of this study is to establish the basic consultation data for diabetes in adults and to demonstate the necessity of preventive regular medical examinations. The study was carried out at Chungyang County, Chungchungnam-Do from the first of January, 1996 to the end of December. Below is the statistical data of this study which concerns the distinction of sex, ages, and occupations from the 600 examinees. 1. According to the distinction of sex, there are 12 males and 11 females among the 300 examinees in each group. That means, the diabetic percentage is 4.0% versus 3.6% and male/female diabetic ratio is 1.1:1 2. According to the distinction of ages, there is one people 0.25% aged 20years old and 5 peoples 1.3% aged 30 years old among the 400 examinees. There are 6 peoples 1.0% aged 40 years old and 6 peoples 1.0% aged 50 years old among the 600 examinees. There are 4 peoples 2.0% aged 60 years old among the 200 examinees. 3. According to the distinction of occupations, there are 13 white collar workers 6.5% among the 200 examinees, and there are 8 blue collar workers(4%) among the 200 examinees. There are 2 government employees 1% among the 200 examinees. This show that there is less diabets in government employees than other occupational groups of the same number. 4. Among the white and blue collar workers, 7 diabetis's blood glucose levels are 140mg%--200 mg% and 6 are 200mg%. 5. Among the community medical insurance holders, 7 diabetic's blood glucose levels are 140 mg%--200mg% and 1 is 200mg%. 6. Among the government employees, 2 diabetic's bleed glucose levels are 140mg--200mg% and there is no 200mg%.

최근 3년간 포항시 사망수준의 변화

최병순,채정욱,Choi, Byung-Soon,Chae, Jeong-Uk 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

To find health problems of Pohang city and to plan the activities to solve them in the situation of localization, the mortalities of the citizens in recent three years from 1994 to 1996 were analyzed from the notices and the certificates of death. The ratios of the notices with the certificates of death In the rural area of Pohang city were higher than those of whole country, the ratios of the urban area were lower than the respective ones, and the ratio differences between the rural and urban area were increasing. It may be that medical facilities are not within easy access of the rural inhabitants. especially in the rural south district with high population density. The proportional mortality indicators(PMI) were lower them those of whole country, much lower in male. So the health status of young aged males is relatively unsatisfactory. The urban inhabitants died in hospitals about two times more than the rural inhabitants and the differences were increasing. It may be that living and housing conditions and socio-cultural differences affected on the places of death. Because it is thought that death in hospitals will be growing at high speed, it is necessary to enlarge facilities fur funeral services. The age standardized mortalities were lower than those of whole country and age grouped mortalities were also the same. There were not any consistent and meaningful findings in the sex ratios of mortality according to the age groups or the calendar years. The mortalities by neoplasms and cardiovascular diseases according to the twenty one major causes of death were rapidly increased from the middle ages in both male and female. So it is important to plan the activities for early detection and health maintenance or promotion by behavior modifications. The leading causes of death were cardiovascular diseases, hypertensive diseases, and traffic accidents. And accidental drowning because of coastal area, liver diseases in male, and low respiratory tract diseases in female were the leading causes of death in part of age groups.