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The ecological factors affecting walking in korean adult workers

한국 성인 직장인의 걷기에 영향을 미치는 생태학적 요인

  • Kim, Myung-gwan (Department of Public Health, Graduate School, Kyungpook National University) ;
  • Suh, Soon-Rim (College of Nursing, Kyungpook National University)
  • 김명관 (경북대학교 대학원 보건학과) ;
  • 서순림 (경북대학교 간호대학)
  • Received : 2017.04.06
  • Accepted : 2017.05.12
  • Published : 2017.05.31

Abstract

The purpose of this study was to identify the influence of the individual-level and community-level factors in the ecological model on walking and to provide the basic data for a strategy that can increase walking for health promotion of adult workers. By combining the primary data of community health survey (CHS) (2011-2013) with the Korea national statistics annual book (2011-2013), the regional level variables were extracted from 253 municipal districts and the convergent big data with the hierarchical structure was produced. As a result, the increase in budget expenditure for public order and safety in social and cultural environment factors, the increase in budget expenditure for national and community land development in the leisure environment factors, and the number of buses in the transportation environment were increased by walking. In conclusion, walking was increased by the development of a community environment and bus transportation besides individual characteristics and behavior. Therefore, improving environment and public transportation will increase physical activity, such as walking, which will increase the health expectancy in community citizen workers.

본 연구는 성인 직장인의 건강증진을 위하여 생태학적인 요인에서 개인 수준 요인과 지역 수준 요인이 걷기에 미치는 영향을 주었는지를 파악하여 걷기를 증가시킬 수 있는 방안모색의 기초자료를 제공하고자 한다. 지역사회건강조사 원시 데이터(2011-2013)에 우리나라 지자체 통계연보(2011-2013년 기준)를 접목해 253개의 시군구 단위로 지역 수준 요인 변수를 추출하여 위계적 구조를 가진 융합 빅데이터를 생성하고 위계적 선형 모형으로 다수준 분석을 시행하였다. 개인 수준 요인의 인구 사회적 특성 및 건강행태에 따라 걷기에 유의한 차이가 있었고 이들 개인적 수준을 통제하고도 지역 수준의 사회 문화적 환경 요인 증에서의 공공질서 및 안전 세출예산의 증가, 여가 환경 요인 중의 국토 및 지역개발 세출예산의 증가, 운송환경 요인 중의 각 지자체별 공공 운송수단인 시내버스 등록대수가 걷기에 유의한 영향을 미쳤다. 이 결과로 볼 때 직장인의 걷기 향상에는 개인의 인구사회적 특성이나 행태 뿐 아니라 공공질서 및 안전 그리고 국토 및 지역개발 예산 증가를 통한 지역사회의 사회문화적 환경 개발과 시내버스 운송수단 증가가 중요함을 나타냈다. 그러므로 지역사회 주민인 직장인들의 걷기와 같은 신체활동을 자연스럽게 증가시킬 수 있는 환경조성과 공공 운송수단 개발을 강조할 필요가 있다. 이는 궁극적으로 직장인의 건강수명을 증진시킬 것으로 본다.

Keywords

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