DOI QR코드

DOI QR Code

사회적 자본과 건강정보, 의료 커뮤니케이션 요인이 농어촌 지역의 건강상태에 미치는 영향에 대한 구조모델

Structural Model of health status in Rural Community: Social Trust, Medical Communication, and Health Information

  • 장한진 (한림대학교 대학원 인터랙션디자인) ;
  • 노기영 (한림대학교 대학원 인터랙션디자인)
  • Jang, Han-Jin (Dept. of Interaction Design, Graduate School, Hallym University) ;
  • Noh, Ghee-Young (Dept. of Interaction Design, Graduate School, Hallym University)
  • 투고 : 2015.05.28
  • 심사 : 2015.08.20
  • 발행 : 2015.08.28

초록

농어촌 지역은 산업화 도시화로 도시보다 건강관리가 미흡하며 이에 따른 지역 간 건강불균형 문제가 중요한 사회적 아젠다가 되었다. 이 연구는 사회적 자본과 건강정보, 의료 커뮤니케이션 요인들이 지역사회의 건강상태에 어떠한 영향을 미치는지를 구조방정식 모델을 통해서 검증하고자 하였다. 먼저 사회적 자본은 의료진과의 의사소통성에 영향을 미치는 것으로 나타났고, 의료진과의 의사소통성은 건강상태에 영향을 미치는 것으로 나타났다. 또한 건강정보추구는 건강행위, 인터넷 건강정보이용에 영향을 미치는 것으로 확인되었으며, 인터넷 건강정보이용을 매개로 건강상태에 영향을 미치는 것으로 나타났다. 마지막으로 인터넷 건강정보이용과 건강행위는 건강상태에 영향을 미치는 것으로 확인되었다. 이 연구는 사회적 요인과 커뮤니케이션 요인이 농어촌 건강상태에 영향을 미치는 선행 경로구조를 형성하고 있다는 점을 검증함으로써 지역사회 건강상태의 결정요인에 대한 설명력을 한층 풍부하게 하는 데 기여하고 있다.

Industrialization and urbanization have caused health inequality between rural areas and cities. Health care in rural area is insufficient comparing to urban areas. This study examined the effects of social capital, Health Information, and medical communication factors on Health status in rural community using structural equation modeling. First, social capital has an effect on medical communication with physicians and medical communication impacts on health status. Second, health information orientation has an impact on health behavior and Internet health information. Lastly, health information orientation influenced by Internet health information as a mediator affects health status. As a whole, this study contributes to theoretical explanation about determinants of health status in communities by examining structural path of the effects of social factors and communication factors on health status in rural area.

키워드

참고문헌

  1. S. M. Lee, C. M. Seo, M. J. Kim, S. H. Kim, Effect of health calisthenics program of body composition, blood pressure and serum Lipid Living in the rural elderly women, KAHPERD, Vol.45, No.6, pp.514-554, 2007.
  2. J. M. Lee, G. S. Kwon, J. H. Lee, G. S. Jeon, A Study on Health Behavior of the Populations in Urban and Rural Area. Korean Society for Agricultural Medicine and Community Health, Vol.30, No.2, pp.213-225, 2005.
  3. R. D. Putnam, The Prosperous Community: Social Capital and Public Life. The American Prospect Vol.13, pp.35-52, 1993.
  4. Ajzen, From intention to actions: A theory of planned behavior. In J. Kuhr, J. Beckman(Eds.), Action-control: From cognition to behavior(pp.11-39). New York: Springer-Verlag, 1985.
  5. R. D. Putnam, Bowling alone: the collapse and revival of American community. New York, Simon & Schuster, 2000.
  6. J. H Lee, C. J. Kim, Effect of Patient-centered Communication of Doctor on Patient Participation : Focusing on Moderating Effect of Trust, Doctoral Dissertation, Chunbuk National University, pp.278-279, 2013.
  7. T. Peter, Doctor's Communication Handbook, Radcliffe Medical Press, 2014.
  8. P. S. Seo, The Impact of Doctors' Communication Styles on Patient Satisfaction: Empirical Examination, Dong-A University, pp.12-13, 2011.
  9. J. H. Park, .B. Y. Joe, Y. I. Kim, Y. S. Shin, Y. Kim, Assessing the quality of internet health information based on DISCERN. The Korean Society of preventive medicine. Issue 78, 2004.
  10. Y. C. Jung, Self-regulation of a Health Information On the Internet, Korean Academhy of Health Policy and Management, Vol.12, No.2, pp.92-114, 2002. https://doi.org/10.4332/KJHPA.2002.12.2.092
  11. R. Hornik, S. Parvanta, S. Mello, D. Freres, B. Kelly, S. Schwartz, Effects of Scanning (Routine Health Information Exposure) on Cancer Screening and Prevention Behaviors in the General Population. Journal of Health Communication, Vol.18, No.12, pp.1422-1435, 2013. https://doi.org/10.1080/10810730.2013.798381
  12. J. Niederdeppe, R. Hornik, B. Kelly, D. Frosch, A. Romantan, R. Stevens, F. Barg, J. Weiner, & Sanford, J., Examining the Dimensions of Cancer-Related Information Seeking and Scanning Behavior. Health Communication, Vol.22, No.2, 153-167, 2007. https://doi.org/10.1080/10410230701454189
  13. R. Czaja, C. Maanfredi, J. Price, The Determinants and Consequences of Information Seeking Among Cancer Patients. Journal of Health Communication, Vol.8, No.6, pp.529-562, 2003. https://doi.org/10.1080/716100418
  14. M. O. Gang, Consumer Satisfaction According to Consumer's Information search Elements, Konkuk University Ph. D. Dissertation, pp.8-9, 1997.
  15. G. J. Huang, D. F. Penson, Internet health resources and the cancer patient. Cancer Invest, Vol.26, No.2, 202-207, 2008. https://doi.org/10.1080/07357900701566197
  16. J. C. Shim, J. H. Jang Testing the Links between Health Belief Model, Optimistic Bias, and Behavioral Intention: The Case Study of Foot-and-Mouth Disease, Mad Cow Disease, and H1N1 Flu. Korean society for journalism & communication studies, Vol.57, No.1, pp.111-137, 2013.
  17. M. G. Lee, Y. E. Kim, A Study on effects of disease information use on the internet: Based on the protection motivation theory. Korea regional Communication Research Association, Vol.9, No.4, pp.506-539, 2009.
  18. S. K. Hong, The Effects of Cancer-related Information Search From Media as Communication Cues on Health Behavior. Korean Academy of Nursing Administration, Vol.19, No.1, pp.76-86, 2013. https://doi.org/10.11111/jkana.2013.19.1.76
  19. J. J. Oh, Comparative Study on the Health Behaviour and Related Factors of the Korean Elderly and non-elderly Adults. The Journal of Korean Academic Society of Adult Nursing, Vol.9, No.2, pp.286-296, 1997.
  20. J. E. Ware, On health status and quality of life assessment and the next generation of outcomes measurement: Interview by Marcia Stevic and Katie Berry. Journal Healthc Qual, Vol.21, No.5, 12-17, 1999. https://doi.org/10.1111/j.1945-1474.1999.tb00984.x
  21. L. O.‐Pallas, A. Baumann, G. Donner, G. Y. Murphy, J. L. Gerlach, M. Luba, Forecasting models for human resources in health care. Journal of Advanced Nursing, Vol.33, No.1, pp.120-129, 2001. https://doi.org/10.1046/j.1365-2648.2001.01645.x
  22. J. J. Jun, Y. H. Kim, Correlational Study of Health Promoting Life Stlyes, Self Esteem and Perceived Health Status of Adulthood. The Journal of Korean Academic Society of Adult Nursing, Vol.8, No.1, pp.41-54, 1996.
  23. S. V. Kasl, S. Cobb, Health behavior, illness behavior, and sick-role behavior. I. Health and illness behavior, Arch. Environ. Health, Issue 12, 246-266, 1966.
  24. Y. S. jun, Health status of the Elderly in korea According to the Type of Household, Ewha Womans University, 2009.
  25. L. Breslow, N. Breslow, Health practices and disability: Some evidence form Alameda County. Preventive Medicine, Vol.22, No.1, 89-95, 1983.
  26. M. E. Duffy, E. McDonald, Determinants of functional health of older persons. The Gerontology, Vol.30, No.4, 503-509, 1990. https://doi.org/10.1093/geront/30.4.503
  27. N. W. Kang, An Inquiry into Conceptual and Methodological Aspects of Trust as a Dimension of Social Capital. The Journal of Public Policy & Govermance, Vol.2, No.1, pp.1-19, 2008.
  28. C. David, C. Kisha, C. M. Susan, D. Terisa, D. Sarah, S. Richard, Health Information National Trends Survey 2007. Westat, 2009.
  29. M. J. Dutta-Bergman, Primary sources of health information: Comparisons in the domain of health attitudes, health cognitions, and health behaviors. Health Communication, Vol.16, No.3, pp.273-288, 2004. https://doi.org/10.1207/S15327027HC1603_1
  30. C. M. Ock, A study on the relationship between the health practices and health status among university students in Seoul. Unpublished master's thesis. Ewha Womans University, Seoul, 2001.
  31. R. S. Burt, Interpreting Confounding of Unobserved Variables in Structural Equation Models. Sociological Methods and Research, Vol.5, pp.3-52, 1973.
  32. C. Fornell, D. Larcker, Evaluating structural equation models with unobservable variables and measurement error, Journal of Marketing Research, Issue 18, 39-50, 1991.
  33. K. E. Fisher, C. M. Naumer, J. C. Durrance, L. Stromski, T. Christiansen, Something old, something new: Preliminary findings from an exploratory study about people's information habits and information grounds. Information Research, Vol.10, No.2, pp.223, 2003.