이 연구는 아시아지역에서 대표적으로 단일문화사회에서 다문화사회로 변모한 일본의 지방자치단체의 외국인주민 보건의료 정책을 중점적으로 살펴보았다. 주요 연구결과는 첫째, 일본의 지방자치단체는 다문화공생 정책의 주체로서의 지위를 가지고, 외국인주민에 대한 행정서비스를 지 원하고 있다. 둘째, 군마현은 다문화공생 추진 기본계획을 바탕으로 외국 인주민이 안전하고 안심하게 살아갈 수 있도록 지원 사업을 추진하고 있 다. 셋째, 군마현은 의료기관에서 외국인주민의 진료를 지원하기 위해 14개 언어의 의료통역 자원봉사자를 활용하고 있다. 한국 지방자치단체 의 외국인주민 보건의료 서비스 강화를 위한 정책적 시사점을 제시하면 첫째, 지방자치단체의 권한과 역할을 강화하여 외국인주민 정책과 보건 의료 서비스 지원 정책을 적극적으로 추진해야 한다. 둘째, 현재 외국인 주민 지원 조례의 내용이 지방자치단체별로 매우 유사하여 향후 지역적 특성과 실태를 반영하는 조례의 개정이 필요하다. 셋째, 외국인주민의 건 강정보와 의료접근성 강화를 위해 의료 통역사를 양성하고 지원하는 공 공의료통역시스템을 구축해야 한다.

This study conducted a survey on environmental awareness and analyzed outdoor PM10 and heavy metals (cadmium, lead) for 60 local residents living in the Gwangyang national industrial complex from July 2019. 40.0% of subjects responded that local environmental pollution was serious. Especially, there was a high proportion of residents living near the industrial complex or roads where it was perceived that local environmental pollution was serious. The average concentration of PM10 in the outdoors of the houses was 10.95 μg/m3 and the average concentration of heavy metals in PM10 was 1.90 ng/m3 for Cd and 24.92 ng/m3 for Pb. Overall, the average concentration of PM10 and heavy metals revealed a tendency to be high in the houses located near the industrial complex or the roads. As a result of a risk assessment carried out, the cancer risk of Cd was estimated to exceed 106 in the CTE, RME and Monte Carlo analysis. These results suggest that the urgent implementation of specific environmental health education for local residents is necessary.

This study examined the relevance of impact factors using survey data, standardized mortality rates, and medical utilization rates of study subjects in the Namhae and Hadong regions. The study subjects were found to have lived in the area for more than 20 years, and in terms of lifestyle, they did not smoke, but the rate of drinking was high and showed little exercise. As a result of analysis through logistic regression analysis, it was found that angina pectoris, myocardial infarction and anemia were affected by exercise status, and allergic rhinitis disease showed significant results depending on the presence of smoking. The standardized mortality rate of men in chronic lower respiratory tract diseases in the Namhae and Hadong regions was higher than in the nation. In the case of allergic rhinitis, both men and women in Namhae were slightly lower than those in Nation, and in Hadong, both men and women were higher than in Nation.

This study examines the dietary, exercise, and other daily habits of Daegu residents and how these relate to the residents’ perception of their own health status, and comparatively analyzes the lifestyles and daily habits of those who perceive themselves to be healthy and those who do not. This research study used Inbody 230(Body composition analysis, Biospace, Korea) to make body and health measurements such as body composition and obesity index. Also, included in this study was a survey on the lifestyle patterns of the residents. The data from this survey was analyzed with SPSS. The results show that among the residents of Daegu, those who perceive themselves to be healthy have lower body fat and are less obese on average. With respect to dietary habits, those who believe themselves to be healthy have more regular dietary habits such as rarely skipping a meal than those who do not believe themselves to be healthy. In addition those who say they are healthy exercise more frequently and for a longer duration than those who say they are not healthy. As for daily habits, those who report they are healthy show greater satisfaction with life and suffer less from stress than those who report themselves to be unhealthy. This study demonstrates that in order to improve people’s health in Korea, good dietary, exercise and daily habits need to be emphasized. Additionally, health education and health awareness programs need to be established in each region. Follow-up studies should be conducted afterwards.

This study was intended to collect the baseline information on dietary behavior of adults to develop nutrition education program in the context of health promotion at community level. Nutrients intake of 135 housewives were assessed by 24 hour recall methods. Also food habits, nutrition knowledge and attitude were investigated by self-administered questionnaires. Our results indicated dietary intake of calcium and vitamin B2 were insufficient when they were compared to Korean recommended dietary allowances(RDA). Among five food groups, intakes of milk and dairy product was inadequate as compared to the recommended amount. When we compared the fatness indices to self-evaluated meal problems, overeating and speedy eating were significantly related to fatness indices. Fatness indices such as relative body weight(RBW) and body mass index(BMI) were significantly higher in the subjects who self-evaluated their unsound food behavior as overeating. However, there were no significant differences of food habit score and nutrition knowledge among groups classified by fatness or meal problem. Body fat ratio, frequencies of night snack and skipping meal significantly increased with age. Food habit score was positively related to health-concerned attitude and active attitude toward change. We concluded that nutrition education program for housewives should include detailed strategies to modify unsound food behaviors for healthy weight.

본 연구의 목적은 경기도에 거주하는 북한이탈주민의 정신건강 수준을 파악하고 이러한 정신건강에 어떠한 요인들이 영향을 미치는지를 알아보고 향후 이들의 정신건강 증진을 위한 실천적 함의를 제시하는데 있다. 이를 위해 경기도 6개 권역소재 하나센터의 협조를 받아 경기도 거주 20세 이상 북한이탈주민 212명을 대상으로 설문조사를 실시하였다. 연구결과, 북한이탈주민의 교육수준과 국내 거주기간에서 정신건강에 유의미한 차이를 나타내었다. 또한 교육수준과 자아존중감, 탈북과정 외상 경험이 정신건강에 영향을 미치는 요인으로 제시되었다. 이러한 연구결과에 대하여 향후 추진되어야 할 북한이탈주민의 정신건강 증진은 기존 정신보건서비스 전달체계 범위 내에서 인접 자원의 조정과 연계를 통해 접근성과 포괄성, 전문성이 확보되는 방향으로 접근하는 것이 필요하다고 제언하였다.

This research had been conducted from May to October 2007, studying 110 residents of G, Y, H industrial area in Jun-nam province. It is designed to understand the difference in levels of indoor, outdoor and personal exposure to VOCs(benzene, toluene, Ethylbenzene) and a health risk assessment was conducted to see if there was any fatal cause from carcinogenic or non - carcinogenic elements from a case group and a control group in all areas as well as each different area. In the case of benzene in the air, the geometric levels for the case group are indoor, outdoor and personal exposure; a higher than for the control group. As a results of the Monte - Carlo study about benzene, it shows that the case group’s carcinogenicity is higher than that of the control group and it also shows that, on the CTE, RME condition and Monte - Carlo analysis, all subjects are seen to exceed the carcinogenicity tolerance 10-6 of US EPA. In the case of toluene, ethylbenzene on the CTE, RME condition and Monte - Carlo analysis, these do not exceed the non - carcinogenic standard of 1, but toluene in RME condition for both groups’ personal exposure and the indoor and personal exposure of ethylbenzene in Monte - Carlo show that these seem to exceed the standard.