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Factors Affecting Health Behaviors for Lifestyle-related Diseases of Public Officials Using Health Belief Model

건강믿음모형을 이용한 공무원의 생활습관병에 대한 건강행동 요인

  • Kang, Jeong-Suk (Department of Public Health, Graduate School of Chungnam National University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 강정숙 (충남대학교 대학원 보건학과) ;
  • 조영채 (충남대학교 의과대학 예방의학교실)
  • Received : 2017.08.11
  • Accepted : 2017.11.03
  • Published : 2017.11.30

Abstract

This study attempted to identify the health behaviors and related factors of lifestyle related diseases among some public officials. The study subjects were 729 administrative officers of the general public office of the government in D metropolitan city. The data collection was conducted by self-administered questionnaire from February 1 to March 31, 2016. As a result, the health behavior score for lifestyle related diseases showed a significant positive correlation with vulnerability, the effectiveness of health behavior and information obtained from the media about lifestyle-related diseases, while it showed a significant negative correlation with the barriers to health behaviors concerning lifestyle related diseases. As a result of the covariance structure analysis, vulnerability and seriousness about lifestyle related diseases were the most important factors affecting health behavior for lifestyle related diseases. The next most important factors were a family history of lifestyle related diseases, information obtained from the media, effectiveness of and barriers to health behavior, instrumental support, and emotional support. These results suggest that each factor constituting the Health Belief Model (HBM) (perceived vulnerability and seriousness about lifestyle related diseases, perceived effectiveness and barriers to health behaviors, family history of lifestyle related diseases, information obtained from the mass media about lifestyle related diseases, social support network for lifestyle related diseases) is an important factor to consider in practicing health behaviors for lifestyle related diseases. Therefore, it is important to accurately understand the factors related to the practice of the health behaviors of the subjects and to manage them continuously.

연구는 일부 공무원들의 생활습관병에 대한 건강행동과 HBM을 구성하는 인자(생활습관병에 대한 취약성, 중대성, 건강행동의 유효성, 장벽, 가족력, 매스컴으로부터의 정보, 사회적 지원 네트워크)와의 관련성을 규명하고자 시도하였다. 조사대상은 D광역시에 소재하고 있는 정부 공공기관의 행정공무원 729명으로 하였으며, 자료 수집은 2016년 2월 1일부터 3월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 생활습관병에 대한 건강행동점수는 생활습관병에 대한 취약성, 건강행동의 유효성 및 매스컴으로부터의 정보와 유의한 양의 상관관계를 보인 반면, 생활습관병에 대한 건강행동의 장벽과는 유의한 음의 상관관계를 보였다. 또한, 공분산구조분석 결과, 생활습관병에 대한 건강행동에 영향을 미치는 요인으로는 생활습관병의 취약성 및 중대성이 가장 큰 요인이었으며, 다음으로 생활습관병의 가족력 및 매스컴으로부터의 정보, 건강행동의 유효성 및 장벽, 수단적 지원 및 정서적 지원의 순이었다. 위와 같은 연구결과는 HBM을 구성하는 각 인자(생활습관병의 취약성 및 중대성, 건강행동의 유효성 및 장벽, 생활습관병의 가족력 및 매스컴으로부터의 정보, 수단적 지원 및 정서적 지원)는 생활습관병에 대한 건강행동을 실천하는데 중요한 요인이 되고 있음을 시사한다. 따라서 앞으로 생활습관병에 대한 효과적인 예방 지도를 위해서는 대상자 개개인의 생활습관병에 대한 건강행동 실천에 관련된 요인을 정확히 파악하여 지속적으로 관리해 나가는 것이 중요하다고 생각된다.

Keywords

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