대도시 지역주민들의 건강정보 이용경로 관련 요인 분석 - 서울특별시 J구를 중심으로 -

Factors Associated with Channels of Health Information Used by Metropolitan City Residents

  • 배상수 (한림대학교 사회의학연구소) ;
  • 조희숙 (강원대학교 의학전문대학원 의료관리학교실) ;
  • 이혜진 (강원대학교병원 예방의학과)
  • Bae, Sang-Soo (Health Services Research Center, Hallym University) ;
  • Jo, Heui-Sug (Department of Health Policy and Management, School of Medicine, Kangwon National University) ;
  • Lee, Hey-Jean (Department of Preventive Medicine, Kangwon National University Hospital)
  • 투고 : 2010.11.19
  • 심사 : 2010.12.11
  • 발행 : 2010.12.30

초록

Objectives: This study was designed to understand the association between sociodemographic characteristics, health behaviors and channels retrieved for health information. Methods: Questionnaire survey was performed from April 2007 to May 2007 through household visiting. Sample was selected according to gender, household income, and residence district. We got 1,009 respondents and subgroups were as follows; 508 people had health insurance, 250 people were medical indigent group, and 251 people were medicaid beneficiaries. Results: People seemed to be separated into subgroups by channels used for health information. One was active and the other was passive group. Characteristics of passive group were older age, worker or inoccupation, less income, subjective poverty, lower education, loss of spouse, medical indigent or medicaid group. They usually got health information through mass media like TV and radio or medical professionals. Characteristics of active group were younger age, professional, more income, subjective affluence, higher education, single or married, and member of health insurance. They mainly got health information through printed media like newspaper or the Internet. Conclusion: We suggest to provide health information through various channels customed to individual needs and literacy. Public health stakeholders seems better to focus on people with low education, insufficient health literacy, poor health status, and short information technology.

키워드

참고문헌

  1. 김남중. 케이블 15개 건강프로 방송중지명령, 지상파 TV 프로도 집중상의. 국민일보 2004년1월30일자
  2. 김 영, 정상혁, 이혜진. 의료기관 이용자의 인터넷 이용행태 관련요인-서울지역의 한 종합병원을 중심으로-. 대한의료정보학회지 2003;9(4):457-468
  3. 김수미. 인터넷 건강정보 이용이 행동계기, 자아효능감, 주관적 규범과 행위의도에 미치는 영향. 한국사회체육학회지 2008;34:1605-1614
  4. 김신정, 이정은. 텔레비전 뉴스에 보도된 건강정보 내용분석.동남보건대학논문집 2003;21(2):159-173
  5. 김정은. 소비자건강정보학 개념에 대한 한국과 미국 의료정보학 전문가 의견 비교분석. 대한의료정보학회지 2005;11(1):17-25
  6. 김희진, 김성원. 우리나라 신문의 과학기사에 대한 20, 30대 일반인의 의식조사. 한국과학교육학회지 1994;14(3):344-355
  7. 박동진, 정의철. 헬스커뮤니케이션의 역사, 정의, 과제. 헬스커뮤니케이션연구 2009;1(1):33-48
  8. 박선희, 장혜정, 권영대. TV 오락 프로그램의 건강정보 실천에 미치는 영향에 관한 연구. 보건교육건강증진학회지 2003;20(1):
  9. 박정의, 손명세. 공중보건과 의학보도. 한국언론재단 연구서 2001-13, 서울: 커뮤니케이션북스
  10. 백진경, 송진아. 종합병원 홍보용 인쇄물에 관한 연구. 디자인학연구 2003;16(4):453-462
  11. 서울특별시. 서울통계. http://stat.seoul.go.kr/jsp/WWS8/WWSDS8111. jsp?cot=017
  12. 안인식. 신문에 나타난 교육관련 기사분석(1960-1979년까지).1986 동국대학교대학원 석사학위논문.
  13. 안지현. 의사에게 쉬운 용어, 환자에게도 쉬울까? 닥터스뉴스 2010년12월3일자
  14. 우형진. 텔레비전 뉴스 시청이 시청자의 건강증진의지에 미치는 영향에 관한 연구. 한국언론학보 2007;51(2):308-520
  15. 이동수 외 6명. 내용분석을 통한 일간신문 암관련기사의 적절성 연구. 가정의학회지 1996;17(2):159-165
  16. 이영숙, 정면숙. 의료소비자의 건강 라이프스타일과 정보탐색 이 의료서비스 만족과 재이용 의도에 미치는 영향. 보건경제연구 2003;9(1):97-116
  17. 이영호, 박지송, 김종훈, 이병문. 관상 동맥성 심장질환 관리를 위한 개인 맞춤형 식단 추천서비스. 한국정보기술학회논문지 2010;8(5):189-197
  18. 정주현. 지속적인 건강관리를 위한 정보인터페이스 기기 디자인 연구-수동적 태도군의 동기부여를 중심으로-[석사학위논문]. 서울: 홍익대학교 대학원, 2009
  19. 진기남. 의학정보의 스트레스 완충역할에 관한 연구. 대한의료정보학회지 1995;1(1):31-40
  20. 최은진. TV방송을 통한 건강정보 보급의 현황과 정책방향. 보건복지포럼 1999 31 :74-83
  21. 한국정보화진흥원. 2009 국가정보화백서. 한국정보화진흥원 2009
  22. Bernhardt JM. Communication at the core of effective public health. American Journal of Public Health 2004;94:2051- 2053 https://doi.org/10.2105/AJPH.94.12.2051
  23. Berland GK 외 12명. Health information on the Internet: accessibility, quality, and reliability in English and Spanish. JAMA 2001;285(20):612-621
  24. Bonfadelli H. The Internet and knowledge gaps: A theoretical and empirical investigation. European Journal of Communication 2002;17:65-84 https://doi.org/10.1177/0267323102017001607
  25. Campo S, Mastin T. Placing the burden on the individual: Overweight and obesity in African American and mainstream women's magazines. Health Communication 2007;22:229-240 https://doi.org/10.1080/10410230701626885
  26. Cho KW, Kam S, Chae YM. Analysis of Internet usage patterns of health consumers for Internet health information assessment criteria. J Korean Society Health Educ & Promot 2007;24(2): 15-28
  27. Choi Y, Kim JR. Understanding Health Information Channel Use with Education and Self-efficacy for Health Information. The Korean Journal of Advertising and Public Relations 2009; 11(2):193-213
  28. Davis, TC, Gazmararian J, Kennen EM. Approaches to improving health literacy: lessons from the field. Journal of Health Communication 2006;11:551-554 https://doi.org/10.1080/10810730600835517
  29. Dutta-Bergman M. Primary sources of health information: Comparisons in the domain of health attitudes, health cognition, and health behaviors. Health Communication 2004;16:273-288 https://doi.org/10.1207/S15327027HC1603_1
  30. Engelberg M, Flora JA, Nass CI. AIDS knowledge: Effects of channel involvement and interpersonal communication. Health Communication 1995;7:73-91 https://doi.org/10.1207/s15327027hc0702_1
  31. Hamburg BA, Inoff GE. Coping with predictable crises of diabetes. Diabetes Care 1983;4:409-416
  32. Jo HS, Kim HJ, Song YL. The analysis of health related behavior after using health information on the Internet. Journal of Preventive Medicine and Public Health 2008;41(2):121-127 https://doi.org/10.3961/jpmph.2008.41.2.121
  33. Jo HS, Hwang M, Lee H. Market segmentation of health information use on the Internet in Korea. International Journal of Medical Informatics 2010;79:707-715 https://doi.org/10.1016/j.ijmedinf.2010.07.006
  34. Koren G, Klein N. Bias against negative studies in newspaper reports of medical research. JAMA 1991;266(13):1824-1826 https://doi.org/10.1001/jama.266.13.1824
  35. Maibach EW, Weber D, Massett H, Hancock GR, and Price S. Understanding consumers' health information preferences: Development and validation of brief screening instrument. Journal of Health Communication 2006;11:717-736 https://doi.org/10.1080/10810730600934633
  36. Maynard AM. Preparing Readable Patient Education Handouts. J of Nurses in Staff Development 1999;5(1):11-18
  37. McInnes DK, Gifford AL, Kazis LE, Wagner TH. Disparities in health-related Internet use by US veterans: results from a national survey. Informatics in Primary Care 2010;18(1): 59-68
  38. Meade CD, Byrd JC. Patient Literacy and the Readability of smoking Education Literature. Public Health Briefs 1989;79(2): 204-206
  39. Meissner HI, Potosky AL, Convissor R. How sources of health information relate in knowledge and use of cancer screening exams. Journal of Community Medicine 1992;17(3):153-165
  40. Rice R, Atkin C. Public Communication Campaign, 2nd Edition. London: Sage, 1989, 한정호, 이현우(옮김). 공익캠페인. 서울: 나남, 1999.
  41. Rodgers S, Chen Q, Duffy M, Fleming K. Media usage as health segmentation variables. Journal of Health Communication 2007;12:105-119 https://doi.org/10.1080/10810730601150064
  42. Shieh C, Mays R, McDaniel A, Yu J. Health literacy and its association with the use of information sources and with barriers to information seeking in clinic-based pregnant women. Health Care for Women International 2009;30(11): 971-988 https://doi.org/10.1080/07399330903052152
  43. Shim M. Connecting Internet use with gaps in cancer knowledge. Health Communication 2008;23:448-461 https://doi.org/10.1080/10410230802342143
  44. Wilson FL. Patient Education Materials Nurse Use in Community Health. Western J of Nursing Research 1996;18(2):195-205 https://doi.org/10.1177/019394599601800207