Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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The Effects of Health Promotion Initiatives with Community Participation and Parterships: The Case of Sabong-Myeon in Jinju City

지역사회참여와 파트너쉽에 기반을 둔 지역건강증진사업의 효과: 진주시 사봉면 사례

  • Jeong, Baekgeun (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University) ;
  • Kim, Jang-Rak (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University) ;
  • Kang, Yune-Sik (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University) ;
  • Park, Ki-Soo (Department of Preventive Medicine, School of Medicine and Institute of Health Sciences, Gyeongsang National University)
  • 정백근 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 김장락 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 강윤식 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 박기수 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원)
  • Received : 2014.09.17
  • Accepted : 2014.12.09
  • Published : 2014.12.31
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Abstract

Objectives: The objective of this study was to identify the effects of area-based health promotion initiatives with community participation and partnerships conducted in Sabong-Myeon, Jinju City for three years. Methods: We used data from the '2008 Sabong-Myeon Health Survey' and the '2011 Health Plus Happiness Plus Community Health Survey'. The study comprised 520 systematically sampled individuals, composed of 300 adults in 2008 and 200 adults in 2011. We compared some health behavior and mental health indicators as well as social capital levels between these two surveys. Results: The prevalences of smoking and walking exercise in 2011 were significantly higher than those in 2008. The prevalences of high risk alcohol consumption in men, stress perception, depressive symptoms experience, and suicide ideation were significantly lower than those in 2008. The proportion of people having a high level of social capital in 2011 was significantly higher than that in 2008, regardless of sex or marital status. However, the difference in the proportion was not statistically significant among people with a high educational background. Conclusions: This study suggested that the 3 years' implementation of area-based health promotion initiatives conducted in Sabong-Myeon might help to improve the mental health and social capital level of this community. The long-term health effects of area-based health promotion initiatives with community participation and partnerships need to be studied further, and lessons from these initiatives can be obtained by adapting proper evaluation methods.

본 연구는 2008년부터 2011년까지 진주시 사봉면에서 진행된 '사봉면 건강한 마을 만들기 사업'과 '건강플러스 행복플러스 사업'이 사봉면민들의 건강에 영향을 미쳤는지를 주요 건강지표 및 사회적 자본의 변화를 통하여 파악함으로써 지역사회 조직화 전략의 타당성을 검증하고자 수행되었다. 본 연구에 활용된 자료원은 2008년에 실시된 '사봉면 지역보건지표 및 사회복지욕구 조사'와 2011년에 실시된 '건강플러스 행복플러스 사업 지역사회 조사' 자료이며 총 520명을 조사대상자로 설정하였다. 분석 대상 변수는 2008년 조사와 2011년 조사에서 모두 측정된 사회인구학적 변수와 건강행태 변수, 정신건강 변수, 사회적 자본 변수로 하였다. 사회인구학적 변수는 성, 연령, 교육수준, 결혼상태를, 건강행태 변수로는 흡연, 남자 고위험 음주, 중등도 이상 신체활동 실천 여부, 걷기운동 여부를 측정하였다. 또한, 정신건강변수는 스트레스 인지, 우울감 경험과 자살생각을, 사회적 자본 변수는 신뢰와 호혜를 측정하였다. 분석 결과, 흡연률과 걷기 실천율은 통계적으로 유의하게 증가하였으며, 남자 고위험 음주율은 통계적으로 유의하게 감소하였다. 스트레스 인지율, 우울감 경험률, 자살생각률은 모두 통계적으로 유의하게 감소하였으며, 신뢰, 호혜와 관련된 사회적 자본을 보유하고 있는 사람들의 비율은 통계적으로 유의하게 증가하였다. 또한, 사회적 자본 수준이 높은 사람들의 비율은 2008년 62.7%에서 2011년 85.5%로 증가하였고, 이는 통계적으로 유의하였다. 사회적 자본 수준이 높은 사람들의 비율은 성 및 결혼 상태와 관계 없이 통계적으로 유의하게 증가하였고, 중졸 이하의 학력을 가진 사람들에서 통계적으로 유의하게 증가하였다. 참여와 파트너쉽에 근거한 지역 기반 사업에 해당하는 사봉면의 사업들은 걷기 실천률과 남자 고위험 음주율을 개선하는데 긍정적인 기여를 하였으며, 지역주민들의 정신건강수준을 개선한 것으로 평가된다. 또한, 사회적 자본을 축적하는데 기여함으로써 향후 사업의 긍정적 효과를 만들어 낼 수 있는 기반을 마련한 것으로 판단된다. 이런 상황들이 진주시 사봉면의 다양한 건강지표들에 미치는 장기적인 영향에 대해서는 지속적인 연구가 필요하다. 또한, 이러한 종류의 사업에 적합한 평가 방법을 적용하여 참여와 파트너쉽에 근거한 지역 기반 사업으로부터 도출할 수 있는 교훈들을 확보해야 한다.

Keywords

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