Earticle

본 연구의 목적은 주의력결핍 과잉행동 장애(ADHD) 아동의 학교적응을 지원하기 위해 다면 적 상담을 적용하고 그 효과를 분석하는 것이다. 연구 대상은 1년 전 ADHD 진단을 받은 초 등학교 4학년 남학생 1명으로, 학업 및 사회적 관계 등 다양한 학교 부적응 문제를 겪고 있 다. 아동의 학교적응을 위해 학업 참여 태도와 또래 관계 개선, 긍정적 자아개념 형성 등의 세부 목표를 설정하였다. 이를 바탕으로 부모, 교사, 또래 등의 지원체계를 구축하여 일관된 교육상담적 개입을 시행하는 다면적 상담을 구성하였고, 상담 종료 후 심리검사와 관찰기록, 내담자와 주변인의 보고를 통해 상담의 효과를 평가하였다. 연구 결과, 다면적 상담을 통해 ADHD 아동의 주의력과 학업 참여 태도가 개선되었으며, 또래 관계, 자아개념 등에서 긍정적 인 변화가 나타났다. 본 연구는 ADHD 아동의 학교적응을 돕기 위한 다면적 상담의 효과를 검증하고, 교육 현장에서의 실증적 적용 가능성을 확인했다는 데에 의미가 있다.

The purpose of this study is to analyze the effectiveness of a multifaceted counseling approach to support school adjustment in a child with attention deficit hyperactivity disorder (ADHD). The subject of the study is a fourth-grade male student who was diagnosed with ADHD one year ago and suffers from various school maladjustment problems, including academic and social relationships. In order to improve the child’s school adjustment, specific goals were set, including reducing symptoms of distractibility, hyperactivity, and impulsivity, improving academic engagement and peer relationships, and building a positive self-concept. Based on this, a multifaceted counseling program was planned and implemented to provide consistent educational counseling interventions by establishing various support systems such as parents, teachers, and peers, and the effectiveness of the counseling was evaluated through psychological tests, observation records, and reports from clients and peers. The results of the study showed that the multifaceted counseling improved ADHD children’s attention and attitudes toward academic participation, and showed positive changes in peer relationships and self-concept. This study is significant in that it validated the effectiveness of multifaceted counseling to help children with ADHD adjust to school and confirmed its empirical applicability in educational settings.

Purpose : This study aims to analyze the motivation for choosing the dental hygiene major and the level of satisfaction with the major among college students preparing to become dental hygienists, to provide foundational data for improving the education of competent dental hygienists. Methods : A survey was conducted from June 8 to 23, 2023, with 248 enrolled students in the dental hygiene department at S University located in Gyeonggi Province. The data analysis was performed using the statistical program R. Results : Significant influences on major satisfaction were found in academic performance, reasons for major selection, and interpersonal relationships. Conclusion : To enhance the selection process for the major, it is important to promote the consideration of aptitude and interest. Moreover, efforts should be made to increase satisfaction with the major by exploring various educational program approaches, thereby fostering proud and competent ental health professionals.

Objectives: The aim of this study was to identify risk factors of alcohol use disorder among Korean adults. Methods: Cross-sectional exploratory study based on data collected from Data from the 6th Korea National Health and Nutrition Examination Survey in 2015 were performed in this study. There were 3,248 participants who were 2,558 normal drinkers while 690 had alcohol use disorder. Decision tree analysis were used to exam socio-demographic and health-related factors to predict alcohol use disorder. Results: As a result of decision tree analysis, the predictive model for factors related to alcohol use disorder in Korean adults presented with 8 pathways. The significant predictors of alcohol use disorder were age, gender, smoking, marital status, and house income. Male smokers whose household income is ‘high’ or ‘low’ are most vulnerable to alcohol use disorders. Conclusions: This study indicates that need to consider health behavior and house income when we practice prevention policies and health education of alcohol use disorder.

본 연구는 한 난민의 생애 경험에 나타난 삶의 방식과 역할을 중심으로 ‘정치적 주체’ 의 의미를 탐색하는 것을 목적으로 한다. 이를 위하여 난민공동체 재한줌머인연대 (JPNK)의 전략가이자 인권운동가인 Chakma R의 생애경험에 주목하였다. 연구참여자 인 Chakma R과 총 5회의 면대면 심층면담을 통해 자료를 수집하였고, 자료분석은 Mandelbaum의 차원(dimensions), 전환(turnings), 적응(adaptation)을 텍스트 분석 틀로 활용하였다. 연구결과 한 난민의 생애경험에 나타난 ‘정치적 주체’의 의미를 세 가 지 차원으로 도출하였다. 정치적 주체의 의미는 1) 개인적 차원에서 자연‧사랑‧꿈의 원 천을 회복하고 배타적 민족주의에 ‘예속‧통치되지 않으려는 저항이고, 2) 공동체 차원 에서는 내부의 결속과 시민사회로의 외연 확장을 통해 전 세계 소수민족의 자치권 확 보와 난민의 인권 문제를 이슈화하여 난민에 대한 단편적인 인식을 개방적인 이해로 넓혀가는 힘이며, 3) 사회적으로는 시민사회에 대등한 주체로 참여하여 사회의 의미 있 는 변화를 추동해 나가려는 의지이자 실천이라는 것이다. 본 연구가 기존의 부정적인 난민 담론에서 벗어나 억압에 저항하고 삶을 만들어가는 능동성, 사회의 변화를 추동 하는 역동성, 대항적이고 대안적인 정치적 주체성을 가진 존재로서 난민을 새롭게 바 라보는 계기가 되기를 기대한다.

The purpose of this study is to explore the meaning of 'political subject', focusing on the way of life and role shown in a refugee's life experience. To this end, the researcher paid attention to the life experience of Chakma R, a strategist and human rights activist of the JPNK. For data collection, 5 times face-to-face in-depth interviews were conducted with the research participants. For data analysis, Mandelbaum's 'dimensions', ‘turnings’, and ‘adaptations’ were used as text analysis frameworks. As a result of the study, the meaning of 'political subject' is, 1) at the individual level is to recover the source of nature, love, and dreams and to resist being subjugated/ruled by exclusive nationalism, 2) at the community level, through internal solidarity and expansion into civil society It is the power to expand the fragmentary perception of refugees into an open understanding by raising issues of minority autonomy and human rights issues of refugees. 3) Socially level, it drives meaningful change in society by participating as an equal subject in civil society. It is the will to do it and the practice. The researcher hopes that this study will serve as an opportunity for Korean civil society to break away from the existing negative refugee discourse and look at refugees as beings with political subjectivity.

본 연구는 한 난민의 생애 경험에 나타난 삶의 방식과 역할을 중심으로 ‘정치적 주체’ 의 의미를 탐색하는 것을 목적으로 한다. 이를 위하여 난민공동체 재한줌머인연대 (JPNK)의 전략가이자 인권운동가인 Chakma R의 생애경험에 주목하였다. 연구참여자 인 Chakma R과 총 5회의 면대면 심층면담을 통해 자료를 수집하였고, 자료분석은 Mandelbaum의 차원(dimensions), 전환(turnings), 적응(adaptation)을 텍스트 분석 틀로 활용하였다. 연구결과 한 난민의 생애경험에 나타난 ‘정치적 주체’의 의미를 세 가 지 차원으로 도출하였다. 정치적 주체의 의미는 1) 개인적 차원에서 자연‧사랑‧꿈의 원 천을 회복하고 배타적 민족주의에 ‘예속‧통치되지 않으려는 저항이고, 2) 공동체 차원 에서는 내부의 결속과 시민사회로의 외연 확장을 통해 전 세계 소수민족의 자치권 확 보와 난민의 인권 문제를 이슈화하여 난민에 대한 단편적인 인식을 개방적인 이해로 넓혀가는 힘이며, 3) 사회적으로는 시민사회에 대등한 주체로 참여하여 사회의 의미 있 는 변화를 추동해 나가려는 의지이자 실천이라는 것이다. 본 연구가 기존의 부정적인 난민 담론에서 벗어나 억압에 저항하고 삶을 만들어가는 능동성, 사회의 변화를 추동 하는 역동성, 대항적이고 대안적인 정치적 주체성을 가진 존재로서 난민을 새롭게 바 라보는 계기가 되기를 기대한다.

The purpose of this study is to explore the meaning of 'political subject', focusing on the way of life and role shown in a refugee's life experience. To this end, the researcher paid attention to the life experience of Chakma R, a strategist and human rights activist of the JPNK. For data collection, 5 times face-to-face in-depth interviews were conducted with the research participants. For data analysis, Mandelbaum's 'dimensions', ‘turnings’, and ‘adaptations’ were used as text analysis frameworks. As a result of the study, the meaning of 'political subject' is, 1) at the individual level is to recover the source of nature, love, and dreams and to resist being subjugated/ruled by exclusive nationalism, 2) at the community level, through internal solidarity and expansion into civil society It is the power to expand the fragmentary perception of refugees into an open understanding by raising issues of minority autonomy and human rights issues of refugees. 3) Socially level, it drives meaningful change in society by participating as an equal subject in civil society. It is the will to do it and the practice. The researcher hopes that this study will serve as an opportunity for Korean civil society to break away from the existing negative refugee discourse and look at refugees as beings with political subjectivity.

Objectives: This study was to investigate the effects of sexual orientation related to sexual intercourse on smoking behavior. Methods: The study includes 33,309 Korean high school students. Of these, 31,213 had no experience of sexual intercourse, 1,739 had sexual intercourse with the heterosexual, 191 had sex with the homosexual, and 166 had sexual intercourse with the bisex. The study used 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables were analyzed, and it showed that smoking behavior was higher in the group had experienced sexual intercourse. The group had homosexual intercourse (OR=1.84, 95%CI=1.31-2.57) or bisexual intercourse (OR=2.78, 95%CI=2.06-3.76) showed higher risk of smoking behavior than the group had heterosexual intercourse (OR=1.67, 95%CI=1.48-1.90 Conclusions: The study results showed sexual orientation related to sexual intercourse was associated with smoking behavior. Further follow up studies and evaluations are needed.

Objectives: The purpose of this study is to compare alcohol drinking behaviors between living alone and living together women in Korea. Methods: 6∼7th National Heath and Nutrition Examination Survey(2013∼2016) data were analyzed using SPSS statistics complex samples. 9,373 Korean Women, aged 19-65 years were included in this study. Among them, 560 participants(5.1%) was living alone women and analyzed between characteristics of drinking behaviors of living alone and living together women. Results: Adjusted confounding variables were analyzed and the risk of light drinking behavior was not significant between the groups. However the group of living alone women showed in higher risk of binge drinking(OR=1.57, 95%CI=1.19-2.07) than those of living together women. Conclusions: Living alone women were associated with binge drinking behaviors compared to living together women. Thus, living alone women are needed to concern on social behaviors including alcohol drinking.

Purpose: This study was to identify the factors that influence sexually transmitted infections (STIs) among adolescents in Korea. Methods: The data from the 10-12th Korea Youth Risk Behavior Web-based Survey (2014-2016) were used to assess the effects of individual, family, and school-related factors on sexually transmitted infections. The participants of this study were 9,760 adolescents who had experienced sexual intercourse. The participants consisted of 6,905 boys and 2,855 girls. Results : Out of 9,760 adolescents with sexual intercourse experience, 9.7% (908) had STIs. Grade, substance abuse, age at first sexual intercourse, having sexual intercourse after drinking alcohol, the type of sex partner and family structure were significantly related STIs in both boys and girls. Using condoms was related to STIs only in boys. Drinking alcohol and smoking were related to STIs only in girls. However, sex education at school was not related to STIs in both boys and girls. Conclusion : In this study, Individual and family factors were associated with STIs in male and female adolescents. The results of this study suggest the need for systematic research on the factors influencing STIs and health eduation for STI prevention.

Objectives: The aim of this study was to identify differential impacts on smoking and drinking behaviors according to early menarche. Methods: 31,277 Korean female adolescents who had undergone menarche were included. Among them, 1,822 participants(5.8%) who experienced menarche in elementary school under 4th grade were assigned to early menarche group and others were was assigned normal menarche group. Using 11th(2015) Korea Youth Risk Behavior Web-based Survey, logistic regression analysis was conducted. Results: Adjusted confounding variables were analyzed and it was found that both drinking and smoking behaviors were higher in early menarche group. The participants with early menarche showed higher risk of non-daily smoking(OR=1.39, 95%CI=1.18-1.63), light daily smoking(OR=1.64, 95%CI=1.14-2.35) and moderate-to-heavy daily smoking(OR=3.15, 95%CI=2.02-4.92). Also, in the drinking behaviors, the risk of light and heavy drinking was higher than those of normal menarche group. Conclusions: Finding of this study showed Early menarche adolescents were associated with heavy smoking and drinking behaviors compared to normal menarche. Further studies are needed more evaluations.

본 연구는 청소년에게 적용 가능한 성매개 감염병 지식 측정도구를 개발하기 위해 시행되었다. 문헌고찰 을 바탕으로 40문항의 예비문항을 작성하고, 내용타당도 검증 및 예비조사과정을 거쳐 29문항의 예비도구를 개발하 였다. 2016년 2월 13일부터 26일까지 청소년 141명을 대상으로 자료를 수집하여 예비도구의 타당도와 신뢰도 검증 을 실시하였다. 타당도검증을 위한 요인분석결과 요인의 적재값은 .52이상의 값을 보였으며, 수렴타당도 평가결과 성매개 감염병 교육경험이 있는 집단의 지식정도가 유의하게 높았다(p=.009). 최종 확정된 16문항의 신뢰도는 Chronbach’s α= .85 였으며 평균 정답률은 39.3%로 나타났다. 본 연구에서 개발된 도구는 향후 청소년의 성매개 감염병 교육효과를 평가하는데 유용하게 사용될 수 있을 것이다.

This study was conducted to develop the Sexually Transmitted Infections (STI) Knowledge Scale for adolescents. Based on a literature review, the first preliminary 40 questions were created, which content validation by expert reviewers and a pilot study then refined into a draft scale of 29 items. To confirm the validity and reliability of this preliminary scale, data were collected from 141 adolescents between February 13 and 26, 2016: factor analysis resulted in a factor loading of more than .52, while convergent validity revealed that the group receiving STI education was significantly higher (p=.009). The final version of the scale contained 16 items, with a reliability measured by Cronbach’s α of .85 and the 39.3% of correct answers. The STI knowledge scale developed in this study is a valid scale that can be used to evaluate the effectiveness of STI education for adolescents.

이 연구는 현재 진행되고 있는 공공부문에서의 대중음악 지원정책에 대하여 분석하고, 해외 선진 사례를 비교 하여 살펴봄으로써 한국대중음악의 발전 방안을 제안하는데 목적을 두고 있다. 그리고 다른 예술장르와 마찬가지로 우수한 콘텐츠를 지속적으로 시장에 공급하여 소비자인 대중들에게 선택 을 받도록 하는 것이 한국대중음악의 지속적인 발전을 담보하는 최선의 방안이며, 그것이 가능하기 위해서는 우수 한 콘텐츠가 만들어질 수 있는 창작기반을 강화할 수 있도록 지원해야 한다는 전제를 가지고 연구를 진행하였다. 또한 문화산업적인 효용성과 함께 동시대인들의 압도적 지지를 받고 있는 예술의 한 장르로서의 대중음악의 창작 기반 강화는 공공부문에서의 보다 적극적인 정책적 지원을 통해 이뤄져야 한다는 입장을 가지고 연구에 임 하였다. 문화산업은 이제 개인이나 기업 차원에 한정하여 논의할 대상이 아니다. 문화산업은 국가 핵심 산업의 하나로 정부 차원에서 전략을 수립하고 체계적으로 지원하여야 하는 부분이다. 그리고 K-pop을 필두로 한국대중문화가 전 세계적으로 확산 움직임을 보이는 지금이 한국대중음악에 대한 정책적 관심과 지원이 집중되어야 할 때이다. 다만 이번 연구는 대중음악을 문화산업적인 측면에서 접근하는데 그치고 있어, 대중음악이 가지고 있는 본질 적인 요소인 예술적･사회적 가치와 효용성에 대하여 깊이 있게 논의를 전개하지 못한 미흡함이 있어 이후의 연 구에서 이를 보완하여야 할 것이다.

This study focuses on the support for popular music in public sector policy. In addition, it suggests development strategies for Korean popular music based on a comparative case study of the overseas popular music support policy. It explores how it is pivotal to continuously provide qualified content to be selected from the public, sustaining development of Korean popular music as is the case with other art genres. To perform this, it is the presupposition that there should be support to reinforce the creative foundation in order to create qualified content. Furthermore, this study states the perspective that it is necessary to have positive supporting policies in the public sector about the reinforcement of creative foundations for popular music, as popular music is considered an art form that has strong public interests and utility in the cultural industry. The cultural industry is not a subject to be discussed separately on the individual level or organizational level. It should be discussed as one of the national core industries establishing strategies and having systematic support on a government level. Furthermore, it is time to focus on political interest and support of Korean popular music as it globally expands from K-pop to Korean culture. The limitation of this study is only discussing popular music as the perspective of the cultural industry and not covering popular music’s artistic and social value and utility. Therefore, further research can be performed on these topics.

관계마케팅이라는 개념이 등장한 이래 고객의 충성도와 재방문이 중요한 목표가 되고 있는 서비스 산업에서 관계 혜택은 매우 중요한 이슈로 대두되고 있다. 특히 고객들이 기업의 어떤 측면에 가치를 부여하는지 파악하는 것은 매우 의미가 있으며, 가치를 인식한 고객들이 어떤 인지적, 행동적 반응을 보이는 가는 기업의 입장에서도 매우 중요한 사실이다. 따라서 다음과 같은 연구를 진행했다. 첫째, 은행 거래 고객을 대상으로 다양한 관계 혜택의 요인들(사회적, 특별대우, 확신적 혜택)이 자신과 기업 간의 동일시에 대한 지각에 어떤 영향을 미치는지 살펴보았다. 둘째, 고객-기업동일시가 고객의 자발적인 행동인 고객 참여를 어떻게 변화시키는지 규명하였다. 셋째, 고객-기업동일시와 고객참여간의 관계에 미치는 고객 역할 명확성의 조절효과를 제시하였다. 이를 통해 다음과 같은 결과를 도출하였다. 첫째, 관계혜택(확신, 특별대우)은 고객-기업동일시에 긍정적인 영향을 미치는 것으로 나타났으나, 사회적 혜택은 유의적인 관계가 없는 것으로 나타났다. 둘째, 고객-기업동일시가 고객참여(Co-production)에도 긍정적인 영향을 미치는 것으로 나타났다. 셋째, 조절변수인 고객의 역할명확성은 고객-기업동일시가 고객참여(Co-production)에 미치는 효과를 강화시키는 것으로 나타났다. 마지막으로 고객-기업동일시가 관계혜택과 고객참여 간의 관계에 미치는 매개역할을 검증하였다.

Increasing customer loyalty and retention has long been regarded as an important goal for service providers. There is a consensus that attracting a new customer costs three to five times more than retaining an existing one. Thus, it is meaningful to identify the specific aspects of company which customers give value to and distinct types of emotional and behavioral responses customers suggest. Based on this, using the sample of bank employees, this study examines three folds; distinct relational benefits which bank customers particularly put emphasis on; the effects of those perceived relational benefits on customer-company identification, which result in enhancing customer co-production; and the role of role clarity as a moderator between customer-company identification and customer co-production link. Data were collected from 500 bank customers in Seoul, South Korea. Using convenience sampling, we interviewed the sample customer face-to-face to test the hypothesis. We chose bank customers as the data collection sources so that we can find customer-service provider interactions and, as a result, customers’ perceived relational benefits. We used SPSS 21.0, LISREL 8.53, and SPSS Macro to analyze the measurement model and theoretical structure model. We did first confirmatory factor analysis (CFA) to test constructs and measured variables. Then, we tested moderating relationship of the hypothesize link using SPSS Macro and bootstrapping method. We lastly tested the moderating effect of role clarity by mean-centering the data and goodness of fit. We tested the hypothesis by following Cohen (1992)’s guidelines. The present study is specifically designed to accomplish three objectives; to test empirically the sequential effects of various types of relational benefits, which consist of confidence, social, and special treatment benefit on customer-company identification; to explore the link between customer-company identification and customer co-production; and to examine empirically the moderating role of customer role clarity to explain when customer-company identification has more positive effects on customer co-production. The results showed that confidence and special treatment benefits have positive impact on customer-company identification; however, social benefit has no significant impact on customer-company identification. Research finding also showed that customer-company identification has positive effect on customer co-production. Finally, we also found the positive moderating effect of customer role clarity on the link between customer-company identification and customer co-production. This study extends current literature by empirically testing the existing relational benefits (Hennig-Thurau et al., 2002) in view of customers. This study offers significant implications for both managers and researchers in that this first finds special types of relational benefits-special treatment and confidence benefit- function as a tool of competitive advantage. There are few previous studies that identified the moderating role of customers’ role clarity between customer-company identification and co-production. This study extends service marketing literature by linking relational benefits, customer-company identification, and co-production.

본 연구는 조기 2차 성징을 주호소로 내원하여 특발성 성조숙증으로 진단받은 여아의 진단 유형에 따른 신 체발육, 성호르몬 분비의 특성을 파악하고자 시도하었다. 2차 조기성숙을 주호소로 내원한 여아 중 기질적 원인으로 인한 경우를 제외한 성조숙증 여아들을 진성 성조숙증과 가성 성조숙증으로 분류하여, 내원 당시 연령, 출생 시 체 중, 2차 성징 발현 나이, 부모 및 조부모 키, 키, 체중, 골연령, 체질량지수 등을 조사하였다. 또한 성호르몬 분비정도 를 비교분석하였다. 수집된 자료는 SPSS 20.0 통계프로그램을 이용하여, 평균과 표준편차 그리고 Student t-test로 분 석하였다. 본 연구결과 진성 성조숙증이 47명(38.9%), 가성 성조숙증이 66(61.1%)였다. 진성 성조숙증집단에서는 신 장 및 체중 표준편차점수가 유의한 수준으로 증가되어 있었으며(p<.05), 성호르몬 검사 상 황체형성호르몬(LH), 난포 자극호르몬(FSH) 그리고 에스트라디올(Estradiol)의 기저치가 가성 성조숙증에 비해 유의하게 높았다(p<.05).

Recently, As the prevalence of precocious is increased in Korea This study was evaluated the physical growth and female sex hormone characteristics of girls with Idiopathic precocious puberty. Retrospective analysis about the medical record of 113 girls for evaluation of signs of precocious puberty except for organic causes was done. Physical growth features and Female sexual hormone were analyzed. Height SDS and Weight SDS were significantly increased in true sexual precocity compared to pseudo sexual precocity. Hormone studies showed that the level of basal LH, FSH, E2 was significantly higher in true precocious puberty. The finding of this study suggest that we need to develop intervention about physical and psychological problems for precocious puberty girls.

Integral part of the experience that it is only in recent years that it has become a subject of study in its own right. The purpose of this study is to effect of involvement of food tourists' on participation in food tourism and behavioral intention. The subject matter of this dissertation is food tourism participation in food related activities at a destination to experience its food tourists' attributes. The empirical objectives of this dissertation concerned identifying the underlying dimensions of food tourism, developing a conceptual framework that explains participation in food tourism. Survey was carried out among tourists visited in Gwangju & Jeonju region. Spsswin 12.0 statistical package were used for further analysis. The results were as follows: Firstly, Enduring involvement with food related activities is positively related to at least one dimension of food tourism. Secondly, There is a significant difference in tourists' participation in at least one dimension of tourism and their age & occupation. Thirdly, Food Tourists' on Participation had directly positive effect on satisfaction & Behavioral Intention.

본 연구는 의료기관이 제공하는 의료서비스의 품질을 측정하여 전반적 서비스품질의 결정요인들과 전반적 서비스품질 간 관계를 살피고, 전반적 서비스품질과 고객만족, 그리고 고객만족과 재방문의도(고객충성도) 간 관계를 파악하기 위한 실증연구이다. 분석 결과를 바탕으로 본 연구의 결과 및 시사점을 정리하면 다음과 같다. 첫째, 의료서비스 접점을 ‘도착’, ‘고객대기’, ‘의사진료’, ‘진료비’, ‘검사치료’로 구분하여 전반적 서비스품질에 미치는 영향을 분석한 결과, ‘도착’, ‘고객대기’, ‘의사진료’는 긍정적 영향을 미치는 것으로 나타났으나, ‘진료비’와 ‘검사치료’는 긍정적 영향을 미치지 않는 것으로 나타났다. 둘째, 전반적 서비스품질이 고객만족에 긍정적 영향을 미치는 것으로 나타났다. 셋째, 고객만족도가 재방문의도에 긍정적 영향을 미치는 것으로 나타났다. 연구 결과를 요약하면, 경쟁이 심화되고 있는 시장구조 하에서 의료서비스품질 제고가 의료서비스품질에 대한 만족을 제공하고 고객(환자)들의 재이용의도를 촉진함으로써, 기존 고객과의 관계를 강화할 뿐만 아니라 긍정적 구전을 통해 신규고객의 확보에도 기여함으로써 병원의 경쟁력 향상에 이바지할 수 있음을 확인할 수 있었다.

In this study, the writer measured the quality of medical service provided by medical organization, examined the relation between the decisive factors of overall service quality and service quality, and performed verification in order to grasp the relations between the overall service quality and customer satisfaction and the customers’ degree of fidelity. As a result of the analysis, the outcome of this study and the point of suggestion are as follows: First, the contact point of medical treatment is classified as ‘arrival’, ‘customers’ waiting’, ‘doctors’ diagnosis and treatment’, ‘the expense for diagnosis and treatment’, and ‘cure and taking medicine’. The result of analysis of how they influence on the overall service, showed that ‘arrival’, ‘customers’ waiting’, and ‘doctors’ diagnosis and treatment’ exerted influence meaningly. However the writer couldn’t mindful relation of influence in ‘the expense for diagnosis and treatment’ and ‘cure and taking medicine’. Second, it was showed that the overall service quality influenced customer satisfaction, so that it was investigated that there exists interrelation between the two constructs. Third, it was also showed that the relations between customer satisfaction and their revisit to the hospital has a mindful interrelations. In summary, under the current increasingly rapid competitive market, the quality of hospital service model can provide patients satisfaction on service quality, can generate continual customer expansion of current customer through the patients’ reuse intention and can contribute to the expansion of new customers through the positive word of mouth.

Objectives: The aim of this study was to identify the relation of sexual orientation and suicidal ideation. Methods: The study includes 33,309 Korean high school students: 31,213 of whom had no experience of sexual intercourse, 1,739 had heterosexual sexual intercourse, 191 had homosexual sex, and 166 had bisexual intercourse. The study used the 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables related to suicidal ideation of participants except for sexual orientation were analyzed, and suicidal ideation was higher in the homosexual and bisexual groups. These two groups showed a higher risk of suicidal ideation (homosexual: OR=2.28, 95% CI:1.54-3.39) (bisexual: OR=2.78, 95% CI:1.61-4.81). Conclusions: The study results showed sexual orientation was associated with suicidal ideation. Further studies and evaluations are needed.

Purpose: The aim of this study was to evaluate the influence of the mothers’ native country on influenza vaccinations in adolescents in multicultural families. Methods: Data were gathered from the 13th (2017) Youth Risk Behavior Web-Based Survey. Logistic regression analyses were conducted using a complex sample data analysis method. The participants in this study had a father who was born in Korea and a mother born outside of Korea. The sample included 481 adolescents. Results: The analysis of non-adjusted confounding variables showed that influenza vaccination was higher in multicultural adolescents whose mother’s native country had an annual minimum temperature less than 21°C (odds ratio [OR]: 1.81, 95% confidence interval [CI]: 1.20~2.74). Furthermore, when the analysis was adjusted for confounding variables, an annual minimum temperature less than 21°C in the mother’s native country had a statistically significant association with influenza vaccination (OR: 2.12, 95% CI: 1.36~3.29). Conclusion: Multicultural adolescents belong to a socioeconomically vulnerable class, and their health promotion behaviors are influenced by their mothers’ culture. Thus, healthcare providers and school nurses should provide adolescents with appropriate information related to influenza vaccination depending on their mothers’ culture and their family’s cultural background.

본 연구는 제주도에 소재한 중학교 재학생을 대상으로 학업스트레스와 학교생활적응의 관계에서 또래관계의 조절효과를 알아보고자 하였다. 자료 수집을 위해 제주도내에 소재한 중학교에 재학 중인 중학생 600명을 조사 대상으로 설문조사를 실시하고, 위계적회귀분석을 실시하였다. 그 결과 중학생의 학업스트레스와 학교생활적응의 관계에서 또래관계의 조절효과가 나타났다. 구체적으로 살펴보면, 첫째, 학업스트레스와 또래관계가 학교생활적응에 미치는 영향력이 유의미했다. 둘째, 학업스트레스의 하위요인(성적, 시험, 수업, 공부)과 학교생활적응의 관계에서 또래관계는 조절효과를 가지는 것으로 나타났다. 셋째, 성별에 따라 학업스트레스와 학교생활적응의 관계에서 또래관계는 조절효과가 나타났으나, 학년에 따라서는 조절효과가 나타나지 않았다. 마지막으로 본 연구의 의의와 제한점 및 후속연구를 위한 제언을 제시하였다.

This study aims to identify the moderating effects of peer relation between academic stress and school life adjustment based on surveying middle schoolers. This study conducted a survey research targeting 600 students who are attending the middle schools located in Jeju Self-Governing province and performed a hierarchical regression analysis. The result of this study is summarized as follows. First, academic stress and peer relation have effects on school life adjustment. Second, the moderating effects of peer relation exists between school life adjustment and sub-factors of academic stress such as academic performance, examination, class and study. Third, depending on gender, peer relation functions as moderating effect between academic stress and school life adjustment while it doesn’t function in grades. Lastly, the significance and limitations of this study as well as proposals for the follow-up study are suggested.

Purpose: Vitamin D is a fundamental element for bone metabolism. Recently vitamin D deficiency has been implicated in various diseases such as a cardiovascular disease, diabetes, and cancers. The aim of this study was to identify the risk factors associated with serum vitamin D deficiency among women office workers. Methods: We selected 369 women office workers using the secondary data of the 5th National Health & Nutrition Examination Survey 2010-2012. Data was analyzed by logistic regression of complex sampling design. Results: Women office workers with vitamin D deficiency, defined serum 25-hydroxyvitamin D concentration < 10ng/mL, were 12.5%. The risk factors for vitamin D deficiency were 20s aged group, married state and more than 40 working hours a week. The risk of vitamin D deficiency was decreased in those with alcohol drinking 1 to 4 times a month. The education level, income, region, smoking, physical activity and sun exposure time did not affect the risk of vitamin D deficiency significantly. Conclusion: Development of vitamin D deficiency prevention educational programs are required for women office workers who more than 40 hours a week in 20s. It should be considered health education including sun exposure duration and behavior.

이 논문은 미디어 속에 내포된 복지철학적 이슈, 즉 클라이언트(client, 예컨대 사회 적 약자나 취약계층)의 주체화 문제를 복지이론적으로 고찰하는 데 그 목적이 있다. 이를 위해 이 논문은 푸코(Michel Foucault)의 권력이론—대표적 비판사회이론의 하나로 꼽히는—에 입각하여 영화 <완득이>를 분석한다. 이 논문에서 영화 <완득이> 를 분석대상으로 삼은 건, 이 영화가 클라이언트를 ‘시혜의 대상’(객체)으로만 인식하 는 기존의 인식(주류사회의 시각)을 거부하고 있기 때문이다. 이 논문은 주로 미디어 에 대한 비판사회복지학적 분석을 수행하고 있는데, 그 핵심 주장은 주류사회의 비가 시적이고 미시적인 권력 작용이 복지서비스에서 클라이언트의 객체화를 야기하고 있 다는 것이다. 쉽게 말해, 복지서비스가 본디 클라이언트를 위해 존재함에도 정작 복지 서비스의 제공과정에서 클라이언트는 자기결정권과 선택권을 거의 갖지 못한 채 주변 적 존재로 머물러 있다는 것이다. 이 논문은 이 같은 문제를 극복하기 위해 대략 두가지 실천전략을 제시한다. 첫째, 권력은 잘 사용할 경우 부조리한 현실을 조금이라도 개선할 수 있는 강력한 무기가 될 수 있는 만큼, 실천현장에서 사회복지사의 권력이 클라이언트를 옹호하고 클라이언트의 자기결정권·선택권을 강화하는 데 쓰일 수 있도 록 윤리적·제도적 장치를 마련할 필요가 있다. 둘째, 미디어를 통한 사회적 인식의 재 고와 변화를 꾀함으로써 단기적으로는 실천현장에서 클라이언트의 주체화를 도모하 고, 장기적으로는 우리사회에서 사회권의 실체적 권리화가 이루어질 수 있도록 사회 적 분위기를 조성할 필요가 있다.

The paper aims to theoretically explore the subjectivation of clients in social work practice in the mass media. To do this, the paper analyzes the movie Wan-deuk-yi on the basis of Michel Foucault’s theory of power, a distinguished approach in critical social theories. The paper uses the movie Wan-deuk-yi as a subject of analysis, because the movie does not accept conventional wisdom (i.e. a viewpoint of the mainstream society) that clients are just beneficiaries of welfare services. The essential work of the paper is a Foucaultian approach to the mass media relating to social work practice, and the important point is that the exercise of invisible/microscopic power by the mainstream society generates the objectivation of clients in social work practice. That is to say, the paper indicates that clients actually lose control of social work practice with having no self-determination and choice in welfare services in spite of the fact that social work practice is for clients by its very nature. To overturn the objectivation of clients in social work practice, the paper offer a discussion of two practical strategies. First, some kind of ethical/legal mechanism is needed to ask social workers to use their professional power for advocating and consolidating clients’ self-determination in social work practice. Because power could be an efficacious weapon to ameliorate social irrationalities as long as power could be used for the right direction. Second, there is necessary to restate our previous social perceptions on social work practice, “Clients are just the object of welfare,” through the mass media. That would on the one hand secure the self-determination and choice of clients in the field of social work, and on the other foster social atmospheres to enhance the social right as a substantive right in our society.