The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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Factors Influencing Healthy Living Practice by Socio-ecological Model

사회생태학적 모형에 의한 건강 생활 실천 관련 요인

  • Received : 2021.09.30
  • Accepted : 2021.10.18
  • Published : 2021.11.30
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Abstract

The purpose of this study is to provide basic data for resolving individual and regional health inequalities by identifying factors that affect healthy living practices, and to protect the access to health equity and the access to health equity and the people's right to health. Raw data from the 2019 Community Health Survey were used, and descriptive statistical analysis and multivariate logistic regression analysis were performed using SAS 9.4 and IBM SPSS ver. 21. The healthy living practice rate was 33.8% overall, and there was a difference of 11~20% by region. In terms of individual factors, healthy living practices were significantly different in gender, age, occupation, sleep time, subjective health status, and subjective stress level. In the interpersonal factor, there was a difference in social activity for healthy living practice, and in the community factor, positive attitude toward the local physical environment, annual unsatisfied medical care, and use of health institutions were significant. In order to increase the practice of healthy living by region based on the research results, comprehensive policies and cooperative measures that can be approached at the individual, social and national level should be implemented along with specific strategies.

본 연구의 목적은 건강한 생활습관에 영향을 미치는 요인을 규명하여 개인 및 지역의 건강불평등을 해소하기 위한 기초자료를 제공하고, 건강형평성 접근과 국민의 건강권을 보호하는데 있다. 2019 지역사회건강조사자료를 사용하였고, SAS 9.4와 IBM SPSS를 이용하여 기술통계분석과 다변량 로지스틱 회귀분석을 수행하였다. 건강한 생활실천율은 전체의 33.8%로 지역별로 11~20%의 차이가 있었다. 개인요인으로는 성별, 연령, 직업, 수면시간, 주관적 건강상태, 주관적 스트레스 정도에서 건강한 생활습관이 유의한 차이를 보였다. 개인 간 관계 요인에서는 건강한 생활실천을 위한 사회활동에 차이가 있었고, 지역사회 요인에서는 지역의 물리적 환경에 대한 긍정적인 태도, 연간 의료불만족, 의료기관 이용에 유의한 차이가 있었다. 향후 지역별 건강한 삶의 실천을 확대하기 위해서 구체적인 전략과 함께 개인, 사회, 국가 차원에서 접근할 수 있는 종합적인 정책과 협력방안을 추진해야 할 것이다.

Keywords

Acknowledgement

이 논문은 2021년도 동서대학교 "Dongseo Cluster Project" 지원에 의하여 이루어진 것임(DSU-20210006)

References

  1. Policy direction for improving health inequality. Korea Health Promotion Institute; 2018 March.
  2. Community health survey. Korea Centers for Disease Control and Prevention; 2019.
  3. Institute of Medicine. The future of the Public's health in the 21st century. Washington, DC: National Academies Press; 2002.
  4. Dahlgren G, Whitehead M. Polices and strategies to promote social equity in health. stockholm: Institute for Futures Studies; 1991.
  5. Bronfenbrenner U. Contexts of child rearing: Problems and prospects. American Psychologist. Vol. 34, No. 10, pp. 844-850, 1979. https://doi.org/10.1037/0003-066X.34.10.844
  6. Son KJ, Jo H, Kim CB, Kim SM, Min IG, Kong ID. An approach to reduce the regional gap of health equity: What factors influence walking practices between two districts by social ecological model? The Korean Journal of Health Education and Promotion. Vol. 35, No. 4, pp. 35-51, 2018. https://doi.org/10.14367/kjhep.2018.35.4.35
  7. Park EA, Choi SY. Analysis of factors influencing the utilization rate of public health centers in Korea. Journal of the Korea Academia-Industrial cooperation Society. Vol. 20, No. 3, pp. 203-215, 2019. https://doi.org/10.5762/KAIS.2019.20.3.203
  8. Korea Centers for Disease Control and Prevention.(2018). 2017 Community health survey at a glance. Osong: Korea Center for Disease Control and Prevention.
  9. Kim EK, Park JT, Kim BG, Koo JW, Kim HR, Factors affecting the health promotion activities of workers. Annals of Occupational and Environmental Medicine. Vol. 19, No. 1, pp. 56-64, 2007.
  10. Lee MS, Kim JM. The Effects of Health Promotion Program on Health belief, Health promoting Behavior and Quality of Life for Middle-aged Women:Based on Health Belief Model. International Journal of Advanced Culture Technology. Vol. 7, No. 3, pp. 25-34, 2019. https://doi.org/10.17703/IJACT.2019.7.3.25
  11. Korea Health Promotion Institution, Healthy life practice video contest [Internet] Seoul: Korea Health Promotion Institution, 2020 [cited 2021 July 31]. Available from: http://www.high-five.kr/highfive.php
  12. Oh YH, Go KW, Kim HG, Analysis of the health and medical cost effects of healthy living practices and the direction of prevention-oriented health management policies. Research Report. Korea Institute for Health and Social Affairs; 2019 December. Report No.: 2019-44
  13. Korean Society of Sleep Medicine, Proper sleep time [Internet] Seoul: Korean society of sleep medicine, 2019 [cited 2021 July 28]. Available from: http://www.sleepmed.or.kr/content/info/sleeptime.html
  14. Daily medi, Sleep is not just rest, but health that is directly related to maintaining life. Seoul: Daily medi, 2018 [cited 2021 July 31]. Available from: http://www.dailymedi.com/detail.php?number=832520
  15. Lampert T. Smoking, physical inactivity, and obesity. Deutsches Arzteblatt International. Vol. 35, No. 9, pp. 1-7, 2010.
  16. Park EJ, Jun J, Kim NS. The association of multiple risky health behaviors with self-reported poor health, stress, and depressive symptom. Health and Social Welfare Review. Vol. 35, No. 1, pp. 136-157, 2015. https://doi.org/10.15709/hswr.2015.35.1.136
  17. Korea Policy Briefing. Reinforcement of psychological support services for all people to cope with Corona depression. Seoul: Korea Policy Briefing, 2021 [cited 2021 July 5]. Available from: https://www.korea.kr/news/pressReleaseView.do?newsId=156435569
  18. Huh H. Non-face-to-face overcoming program 'Walking with one mind'. Pyeongtaek Newspaper. 2021 Aprl 21; Sect. 01.
  19. Kim YU. Shall we overcome the 'corona era' withnon-face-to-face campaigns?. Asian economy. 2021 May 21; Sect. 01.
  20. Kim JW. Study on Effect of Exercise Performance using Non-face-to-face Fitness MR Platform Development. The Journal of the Convergence on Culture Technology (JCCT). Vol. 7, No. 3, pp. 571-576, 2021. https://doi.org/10.17703/JCCT.2021.7.3.571
  21. Living Law Information. Practice green life! Usingpublic transport. Seoul: Living Law Information. 2021 cited 2021 July 5]. Available from: https://easylaw.go.kr/CSP/CnpClsMain.laf?popMenu=ov&csmSeq=661&ccfNo=1&cciNo=1&cnpClsNo=1&search_put=
  22. Jang BN, Joo HJ, Kim HW, Park EC, Jang SH. Unmet healthcare needs status and trend of Korea in 2019. Health Policy and Management. Vol. 31, No. 2, pp. 225-231, 2021. https://doi.org/10.4332/KJHPA.2021.31.2
  23. Park SK, Kim CB, Chung WG, Ahn YH, Kim NH. The utilization of oral health service incommunity health centers in Korea : A study using data from the 2011-2012 community health survey. Journal of Korean Academy of Oral Health. Vol. 38, No. 3, pp. 154-164, 2014. https://doi.org/10.11149/jkaoh.2014.38.3.154
  24. Park SJ. The factors affecting on the health service satisfaction of health center visitors. Journal of Korean Society for Health Education and Promotion. Vol. 22, No. 1, pp. 147-160, 2005.
  25. Kim HS, Park YH. Related factors on health service utilization and satisfaction of health center clients: Using 2010 community health survey. The Korean Journal of Health Service Management. Vol. 7, No. 3, pp. 95-109, 2013. https://doi.org/10.12811/kshsm.2013.7.3.095