보건행정학회지 (Health Policy and Management)

  • 제19권4호
  • /
  • Pages.1-17
  • /
  • 2009
  • /
  • 1225-4266(pISSN)
  • /
  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

일부 농촌지역 주민들의 건강결정 관련요인

Factors Affecting Health of the Rural Residents

  • 손동국 (서울의료원 아토피환경건강연구소) ;
  • 이규식 (연세대학교 보건행정학과) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실 및 유전체코호트연구소) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실 및 직업및환경의학연구소) ;
  • 진기남 (연세대학교 보건행정학과) ;
  • 남은우 (연세대학교 보건행정학과) ;
  • 이해종 (연세대학교 보건행정학과)
  • Son, Dong-Koog (Atopy Research Institute, Seoul Medicine Center) ;
  • Lee, Kyu-Sik (Deparmenr of Health Administration, Yonsei University) ;
  • Park, Jong-Ku (Deparmenr of Preventive Medicine and Insititute of Genomic Cohort, Yonsei University Wonju College of Medicine) ;
  • Koh, Sang-Baek (Deparmenr of Preventive Medicine and Insititute of Occupational and Environment Medicine, Yonsei University Wonju College of Medicine) ;
  • Jin, Ki-Nam (Deparmenr of Health Administration, Yonsei University) ;
  • Nam, Eun-Woo (Deparmenr of Health Administration, Yonsei University) ;
  • Lee, Hae-Jong (Deparmenr of Health Administration, Yonsei University)
  • 발행 : 2009.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The purpose of this study was to find factors affecting health of the rural residents. The data were collected from a sample of 2,587 people aged from 40 to 70 in the year 2005-2006, Wonju City and Pyeongchang County, Gangwon-do, Korea. The theoretical model adopted in this study was the Lalonde's health field(human biology, environment, lifestyle, and health care organization). SF-12 was used to measure subjective health status. In the category of human biology, men were healthier than women. Age and BMI showed negative relation to health status. Income, education and social support showed positive relation to health status in the environment category. In the category of life style, stress showed negative relation to health status. Medical expenses showed negative relation to health status in the category of health care organization. After converting SF-12 score to percentage score, the health determinants portions were 47% lifestyle, 26% environment, 18% human biology and 9% health care organization. These findings suggest that life style, environment and biology are main factors in determinants of health. Especially stress in the life style category is more focused for the community health promotion. We also may be able to improve income, education and social support in the environment category with self empowerment efforts, community supports and government helps. Finally greater attention must be payed to life style in the future health planning and budget allocation priority in the healthcare area.

키워드

참고문헌

  1. 남은우. 건강일본 21에 대한 고찰. 보건교육·건강증진학회지 2004;21(2):233-252.
  2. 배상수. 국민건강의 결정요인 3: 질병예방 및 의료이용행태. 예방의학회지 1993; 26(4); 508-533.
  3. 송재석, 박웅섭, 최홍순, 서종철, 곽연희, 김상아 등. 강원도 고랭지 농업인의 농약 노출 및 SF-12를 이용한 건강수준 평가. 농약과학회지 2005;9(4):287-291.
  4. 오희철. 국민건강의 결정요인 1: 건강생활습관. 예방의학회지 1993; 26(4):469-479.
  5. 이경미, 박동훈, 안은미, 강승완, 유상호, 장유수 등. 건강기능식품 섭취 실태와 관련인자. 대한임상건강증진학회지 2006;6(2);88-95
  6. 이규식, 서미경, 한달선. 국민건강증진종합계획 2010의 기획모형과 실제. 보건교육·건강증진학회지 2006; 23(3);149-167.
  7. 임현술. 국민 건강의 결정요인 2: 환경요인. 예방의학회지 1993; 26(4);480-507.
  8. 정영호, 서미경, 이종태, 정형선, 고숙자, 채수미 등. 우리나라 국민의 건강결정요인 분석. 한국보건사회연구원;2006.
  9. Berkman LF, Syme SL. Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. American Journal of Epidemiology 1979;109(2):186-204. https://doi.org/10.1093/oxfordjournals.aje.a112674
  10. Birch S, Jerrett M, Eyles J. Heterogenity in the determinents of health and illness: the example of socioeconomic status and smoking. Social Science and Medicine 2000;51:307-317. https://doi.org/10.1016/S0277-9536(99)00455-4
  11. Burdine JN, Felix MRJ, Abel AL, Wiltraut CJ, Musselman YJ. The SF-12 as a population health measure: and exploratory examination of potential for application. Health Services Research 2000;35(4):885-904.
  12. Chen HC, Chou FH, Chen MC, Su SF, Wang SY, Feng WW, et al. A survey of quality of life and depression for police officers in Kaohsiung, Taiwan. Quality of Life Research 2006;15:925-935. https://doi.org/10.1007/s11136-005-4829-9
  13. Cott CA, Gignac MA, Badley EM. Determinants of self rated health for Canadians with chronic disease and disability. Journal of Epidemiology and Community Health 1999;53:731-736. https://doi.org/10.1136/jech.53.11.731
  14. Evans RG, Stoddart GL. Producing health, consuming health care. Social Science and Medicine 1990;31(12):1347-1363. https://doi.org/10.1016/0277-9536(90)90074-3
  15. Feldstein PJ. Health Care Economics, 5th ed. Delmar Publishers;1999. pp.26-27.
  16. Garrido PC, Dies JM, Gutierrez JR, Centeno AM, Vanquez EG, Miguel AG, Carballo MG, Garcia RJ. Negative impact of chronic obstructive pulmonary disease on the health-related quality of life patients. Results of the EPIDEPOC study. Health and Quality of life Outcomes 2006;4:31:1-9. https://doi.org/10.1186/1477-7525-4-1
  17. Gerdtham U, Johannesson M. New estimates of the demand for health: results based on a categorical health measure and Swedish micro data. Social Science and Medicine 1999;49:1325-1332 https://doi.org/10.1016/S0277-9536(99)00206-3
  18. Hernandez LM, Blazer DG. Genes, Behavior, and the Social Environment. Washington, D.C:The National Academies Press. 2006.
  19. Johnson JA, Coons SJ. Comparison of the EQ-5D and SF-12 in an adult US sample. Quality of Life Research 1998;7:155-166. https://doi.org/10.1023/A:1008809610703
  20. Kanage M, Abe Y, Honda S, Takamura N, Kusano Y, Takemoto TI, et al. Determinants of self-rated hearlth among community dwelling women aged 40 years and over in Japan. The Tohoku Journal of Experimental Medicine 2006;210:11-19. https://doi.org/10.1620/tjem.210.11
  21. Lalonde M. A new perspective on the Health of Canadians: A working document. Government of Canada;1974.
  22. Larson CO. Use of the SF-12 instrument for measuring the health of homeless persons. Health Services Research 2002;3(3):733-750.
  23. Leigh JP, Schembri M. Instrumental variables technique: cigarette price provided better estimate of effects of smoking on SF-12. Journal of Clinical Epidemiology 2004;57:284-293. https://doi.org/10.1016/j.jclinepi.2003.08.006
  24. Luo Z, George ML, Kakouras I, Edwards CL, Pietrobon R. Richardson W, Hey L. Reliability, validity, and responsiveness of the Short Form 12-item survey(SF-12) in patients with back pain. Spine 2003;28(15):1739-1745. https://doi.org/10.1097/00007632-200308010-00020
  25. McCollum M, Hansen LB, Lu L, Sullivan PW. Gender differenced in diabetes mellitus and effects on self-care activity. Gender Medicine 2005;4(2) :246-254.
  26. McGinnis JM, Foege WH. Actual causes of death in the United States. Journal of the American Medical Association 1993;270(18);2207-2212. https://doi.org/10.1001/jama.270.18.2207
  27. McGinnis JM, Russo PW, Knickman JR. The case for more active policy attention to health promotion. Health Affairs 2002;21(2);78-93. https://doi.org/10.1377/hlthaff.21.2.78
  28. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. Journal of the American Medical Association 2004; 291(10);1238-1245. https://doi.org/10.1001/jama.291.10.1238
  29. Nortvedt MW, Riise T, Sanne B. are men more depressed than women in Norway? Validity of the hospital anxiety and depression scale. Journal of Psychosomatic Research 2006;60:195-198. https://doi.org/10.1016/j.jpsychores.2005.07.002
  30. Peppard PE, Kindig D, Jovaag A, Dranger E. An initial attempt at ranking population health outcomes and determinants. Wisconsin Medical Journal 2004;103(3):52-56.
  31. Qi V. Phillips SP, Hopman WM. Determinants of a healty lifestyle and use of preventive screening in Canada. BMC Public Health 2006;6:275-282. https://doi.org/10.1186/1471-2458-6-275
  32. Viswanzthan H, Anderson R, ThomasⅢ J. Nature and correlates of SF-12 physical and mental quality of life components among low-income HIV adults using and HIV service center. Quality of Life Research 2005;14:935-944. https://doi.org/10.1007/s11136-004-3507-7
  33. Ware JE, Kosinski M, Turner-Bowker DM, Gandek B. How to Score Version 2 of the SF-12 Health Survey: Quality Metric Incorporated Lincoln, Rhode Island and Health Assessment Lab Boston, Massachusetts;2002. pp.3-8.
  34. Wilson K, Rosenberg MW. Exploring the determinants of health for First Nations people in Canada: can existing frameworks accommodate traditional activities? Social Science and Medicine 2002;55:2017-2031. https://doi.org/10.1016/S0277-9536(01)00342-2
  35. Windsor TD, Rodrers B, Butterworth P, Anstey kJ, Form AF. Measuring physical and mental health using the SF-12: implications for comminity surveys of mental health. Australian and New Zealand Journal of Psychiatry 2006;40:797-803. https://doi.org/10.1080/j.1440-1614.2006.01886.x
  36. Zimmer Z, Martin LG, Lin HS. Determinants of old-age mortality in Taiwan. Social Science and Medicine 2005;60:457-470. https://doi.org/10.1016/j.socscimed.2004.06.006

피인용 문헌

  1. Health status and related factors in farmers by SF-12 vol.27, pp.1, 2015, https://doi.org/10.1186/s40557-014-0046-8