보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제26권5호
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  • Pages.15-26
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  • 2009
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

저소득층 노인의 건강증진을 위한 지역사회 참여형 연구에서 지역사회 주민 조직의 구성과 운영

Operation of Community Resident Groups in a Community-Based Participatory Health Promotion Program for Low-income Older Adults

  • Yoo, Seung-Hyun (seoul national university, graduate school of public health/center for health promotion research) ;
  • Butler, James (university of pittsburgh, graduate school of public health, department of behavioral & community health sciences) ;
  • Elias, Thistle I. (university of pittsburgh, graduate school of public health, department of behavioral & community health sciences)
  • 투고 : 2009.10.01
  • 심사 : 2009.12.12
  • 발행 : 2009.12.30
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초록

목적: 지역사회 참여형 보건 연구에서 현장의 지식과 경험을 토대로 주요 보건문제를 파악하고 대응하기에 중요한 역할을 하는 지역사회 주민 조직의 구성과 운영상의 특성을 논의하고자 한다. 방법: 미국 펜실베이니아 주 12개 저소득층 정부임대 아파트의 노인 입주자들을 대상으로 각 아파트마다 자발적인 주민조직을 구성하여 사회생태학 모형을 활용한 6단계 지역사회 역량강화 과정을 수행하였다. 주민조직의 과정과 성과를 기록한 200여건의 문건에 대해 질적 연구 분석을 실시하였다. 결과: 2년간 주민조직 월례회의를 통하여 낙후된 아파트 건물상태, 신선한 식재료 마련, 주민 간 관계개선 등을 지역사회 건강증진의 우선순위로 선정하고, 자체적인 해결방안을 구상하여 추진하였다. 주민조직 내의 리더십, 주민조직에 꾸준히 참여하는 핵심 회원, 주민조직 회의 개최의 일관성이 주민들에 의한 자치적인 지역사회 건강증진 활동의 주요 특성으로 드러났다. 리더십이 형성되고 회원의 참여와 회의의 개최가 꾸준한 주민조직일수록 지역사회 건강증진 목표 및 관련활동이 집중적인 경향이 있었다. 결론: 리더십, 참여, 일관성 등은 참여적이고 자치적인 지역사회 건강증진을 위한 역량요인이며, 이러한 역량을 개발하고 강화하는 과정에 대한 모니터링과 과정평가의 중요성이 강조된다.

Objectives: This paper is intended to illustrate and to discuss the organization and functioning of community resident groups (CRGs) in a community-based participatory health promotion program for healthy aging. Methods: CRGs were convened in 12 government-subsidized apartment communities for low-income seniors in Pennsylvania, U.S.A., to promote healthy aging. Researchers facilitated CRG meetings following a 6-step process of community empowerment and utilizing a social ecological model for assessment and planning. Almost 200 project-related documents were qualitatively analyzed using matrix analysis principles such as cross-classification of multiple dimensions to identify patterns in the data and matrix building for displaying such patterns. Results: CRGs were venues at which apartment building residents could interact, discuss health priorities, and become change agents in their building. CRG members' community health priorities were about their daily living, including building conditions, poor access to fresh food, and unhealthy resident relations. Specific patterns arose in analysis indicating that leadership withing the CRGs, consistency of meetings and participants' attendance, and ability to link health concerns to daily experience impacted the CRGs' capability to identify and accomplish their goals. Conclusion: Community health issues and solutions to those issues identified by CRGs were unique to community contexts and interests. Consistent participation by community members, a consistent pattern of group activities such as monthly meetings, and having established leadership to manage CRG activities were prominent characteristics of community group functioning.

키워드

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