20세기 보건정책의 발자취

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Development of the Korean Academy of Medical Sciences Guideline for Rating Physical Impairment

Systematic and effective welfare for the disabled is possible when there are scientific and objective criteria demonstrating either presence or severity of the impairment. We need our own scientific criteria suitable for our culture and society, since the impairment is influenced by them. In 2007, we established the Developing Committee of Korean Academy of Medical Sciences (KAMS) Guideline for Impairment Rating under KAMS supervision. We included all fixed and permanent physical impairments after a sufficient medical treatment. The impairment should be stable and medically measurable. If not, it should be reevaluated later. We benchmarked the American Medical Association Guides. The KAMS Guideline should be scientific, objective, valid, reasonable and practical. In particular, we tried to secure objectivity. We developed the KAMS Guideline for Impairment Rating

AIDS-related perceptions and condom use of prostitutes in Korea

The purpose of this study was to assess the impact of AIDS-related knowledge and attitudes of prostitutes on condom use from diverse 'sex markers' in Korea. The data were collected by interviewers at five different 'sex markets'. During March 1993, research assistants at the Institute of Health Services Research interviewed 371 prostitutes visiting sexually transmitted disease (STD) clinics. Multiple regression method was used in identifying the determinants of condom use. The level of condom use was regressed on personal characteristics of prostitutes, AIDS-related perceptions, and market type. Prostitutes' level of condom use turned out to be different across the markets featuring diverse types of services and fees. Neither perceived vulnerability nor perceived seriousness of AIDS had significant effects on condom use. Our findings suggested that the many AIDS-preventive educational efforts by STD clinics are ineffective. Hence, individual STD clinics need to develop AIDS-preventive education programs which are suitable for the unique circumstances of their respective 'sex markets'. PIP: This study evaluates the impact of AIDS-related knowledge and the attitudes of prostitutes on condom use in diverse ¿sex markets¿ in Korea. The data were collected by interviewers at five different ¿sex market¿ sites, namely: Miari and Chunhodong in Seoul, Bujundong and Wanwalldong in Pusan, and Inchon. The dependent variable in this study was the level of condom use, specifically the level of condom use request. A multiple regression method was used in identifying the determinants of condom use. The following independent variables were included in the multiple regression equation: sociodemographic variables, health variables, AIDS-related perception variables, and market-related variables. Prostitute level of condom use turned out to be different across the markets, which featured diverse type of services and fees. Neither perceived vulnerability to AIDS nor perceived seriousness of it had significant effects on condom use. The many AIDS-preventive educational efforts by STD clinics had turned out to be ineffective. Individual STD clinics need to develop AIDS-preventive education programs which are suitable for the unique circumstances of their respective ¿sex markets.¿ Local health care specialists should be encouraged and trained to develop a comprehensive understanding of the sociocultural rituals as well as the clinical health conditions of each market.ope