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The Comparison of Psycho-Social Behavior Characteristics between Girls with Precocious Puberty and Normal Girls

성조숙증 여아와 정상발달 여아의 심리사회적 행동특성 비교

  • Moon, Woo-Jin (Department of Public Health, Graduate of Dankook University) ;
  • Kwon, Ho-Jang (Department of Preventive Medicine, Dankook University College of Medicine) ;
  • Hwang, Man-Ki (Seocho-Inuri Oriental Medical Clinic)
  • 문우진 (단국대학교 대학원 보건학과 보건학) ;
  • 권호장 (단국대학교 의과대학 예방의학과) ;
  • 황만기 (서초아이누리한의원)
  • Received : 2017.11.06
  • Accepted : 2018.02.02
  • Published : 2018.02.28

Abstract

This study was conducted to provide data pertaining to precocious puberty by comparing the psycho-social behavior of girls with precocious puberty to those with normal development. This study was conducted from 1 June 2016 to 25 February 2017. The subjects were 104 female patients of A group with precocious puberty visiting H Oriental medicine clinic and S clinic in Seoul, and 104 girls in control group A and 104 girls in control group B attending elementary school in gun. The psycho-social behavioral characteristics of girls with precocious puberty and those with normal development were compared among 312 girls matched for gender and age using a t-test, ${\chi}^2test$, and ANOVA. In addition, the factors influencing precocious puberty were analyzed through multinomial logistic regression. The results revealed that the primary influence factors were frequency of meat intake (p<0.01) and eating-out (p<0.05). These were followed by watching TV (p<0.001), hours of using smart phone (p<0.01) and number of private institutes attended (p<0.05). Additionally, emotional and physical indexes were lower in the precocious puberty group than the control group, indicating that they have more pathology.Finally, girls in the precocious puberty group have lower family and friendship indexes than those in the control group, which means they have more pathology. Overall, the results indicate that extensive research on the causes and frequency of precocious puberty is necessary.

본 연구는 성조숙증 여아와 정상 발달 여아의 심리사회적 행동특성에 대한 조사를 실시하여 성조숙증과의 관련성을 파악하고 비교분석하여 성조숙증 예방 및 기초 자료를 제공하고자 함이다. 연구대상 조사기간은 2016년 6월 1일부터 2017년 2월 25일까지였으며, 연구의 대상자는 서울시 소재 어린이전문 H한의원과 S한의원에 성조숙증으로 내원한 환자군 여아 104명과 대조군 A그룹 104명, 지방 군단위 소재 초등학교 여아의 대조군 B그룹 104명으로, 성별과 연령을 짝지은 총 312명과의 비교를 통해 성조숙증 여아와 정상 발달 여아의 심리사회적 행동특성을 파악하고자 집단 간 특성을 t-test, ${\chi}^2test$, ANOVA분석을 통해 비교하고, 성조숙증의 영향요인은 이항로지스틱(Multinomial logistic)회귀분석으로 분석하였다. 연구결과 성조숙증에 미치는 주요 영향요인은 첫째, 행동특성의 식습관에서 고기류 섭취횟수(p<.05)와 외식빈도(p<.05)인 것으로 나타났다. 둘째, 행동특성의 일상생활에서 TV시청(p<.001)과 스마트폰 사용시간(p<.01), 수강학원 수(p<.05)인 것으로 나타났다. 셋째, 심리적 특성에서 정서상 및 신체상의 지수가 대조군에 비해 낮게 나타남으로써 병리를 더 지닌 것으로 도출되었다. 넷째, 사회적 특성에서 가족 및 친구관계의 지수가 대조군에 비해 낮게 나타남으로써 병리를 더 지닌 것으로 도출되었다. 따라서 증가하는 여아의 성조숙증에 대해 부모와 학교 나아가 사회적 관심이 중요하며 성조숙증에 대한 발생원인과 발생빈도를 밝히는 광범위한 연구수행이 필요하다.

Keywords

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