• 보건교육건강증진학회지
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• 제33권1호
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• pp.1-12
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• 2016

Objectives: This study was to examine by gender the clustering patterns and correlates of healthy lifestyle clusters and the relationships between healthy lifestyle clusters and depressive symptoms in middle-aged and older adults. Methods: The observed/expected ratio of physical activity, smoking, and alcohol consumption were calculated to analyze clustering effects. The correlates of those healthy lifestyle clusters were evaluated using logistic regression models, and the relationship between those healthy lifestyle clusters and depressive symptoms was investigated using multiple regressions by gender. Results: Based on the guidelines this study adopted, we obtained three healthy lifestyle clusters: active healthy lifestyle; passive healthy lifestyle; and unhealthy lifestyle. All three clusters were found in men, but two in women, who did not have an unhealthy lifestyle cluster. High socio-economic status was positively related to healthy lifestyle clusters. Social participation and residence location (in men) and marital status (in women) were significant factors. Having an active or a passive healthy lifestyle was negatively associated with depressive symptoms in women, but such a relationship was not observed in men. Conclusions: The study findings imply that health promotion programs for middle-aged and older adults in Korea should be comprehensive and integrated, considering healthy lifestyle clusters and gender differences.

• 대한간호학회지
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• 제27권1호
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• pp.156-168
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• 1997

This study was undertaken in order to examine the relationship of self-efficacy, control, perceived health status. self-esteem, social support, and demographic characteristics to health promoting lifestyle of college students, and to determine factors affecting health promoting lifestyle of college students. The subjects were 92 students of one university in Taejon. The instruments used for this study were a survey of general characteristics, health promoting lifestyle(44 items), self-efficacy (28 items), self-esteem(10 items). control(8 items), perceived heath status(1 item), and social support(12 items). Analysis of data was done by use of mean, percentage, t-test. ANOVA, Pearson correlation coefficient and stepwise regression with SAS program. The results of this study are as follows. 1) The average item score for the health promoting lifestyles was low at 2.30. In the sub-categories, the highest degree of performance was interpersonal support(2.90), and the lowest degree was exercise(1.67). 2) Male students showed a significant higher score in exercise subscale than female students. Students who had more income had higher scores in self actualization subscale. Students who's family had experienced severe disease had higher scores in health responsibility and interpersonal support subscale. Students who had experienced exercise had higher scores in total health promoting lifestyle, exercise, interpersonal support, and stress management subscale. 3) Significant correlation between perceived health status and self-efficacy, perceived health status and self-esteem, control and self-efficacy, control and self-esteem, control and social support, self-esteem and self-efficacy was found. 4) Self-efficacy and control revealed significant correlations with total health promoting lifestyle and all subscales of health promoting lifestyle except self actualization, A significant correlation between perceived health status and self actualization subscale was found. Self-esteem revealed significant correlations only with self actualization and interpersonal support subscale. 5) Significant correlations were found between most of the subscales of total health promoting lifestyle. 6) Self-efficacy was the highest factor predicting health promoting lifestyles of college students (30.55%). Self-efficacy and control accounted for 36.55% in health promoting lifestyle of college students.

• 지역사회간호학회지
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• 제5권1호
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• pp.53-63
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• 1994

Health could be maintained and promoted by pursuing an active healthy lifestyle. Life-style include health habits and behavior pattern such as exercise, diatry change, weight control, stress management et al. The objectives of this studies are (1) to analyze recognition and practice of lifestyle between nurses and non-nurses, (2) to analyze health status of clients which presented healthy lifestyle, (3) to analyze factors that affected healthy lifestyle. The lifestyle assessment questionnaire is divided into ten sections: competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, self-actualization, sense of purpose, relation with others, environmental control, and use of health care system. The major results are as follows : (1) The level of recognition and practice of lifestyle was not high. Nurses showed more higher score than non nurses in lifestyle area such as competence in selfcare, stress management, environmental control, and use of health care system. (2) Good health status and lifestyle presented positive relation. (3) In mutiple classifiction analysis, competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, environmental control, and use of health care system had significant relation to independent variables. (4) Change of concept for healthy lifestyle after this survey was higher in nurses group and the most concern area was stress management. To sum up, lifestyle pattern of nurses as health professional was not desirably high. Therefore nurses ownself should effort to practice healthy lifestyle prior to others, and then educate importance of lifestyle for health promotion and disease prevention. In conclusion, it will be useful to consider significant lifestyle factors that was be identified in this study to develop health promotion program.

• 농촌의학ㆍ지역보건
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• 제23권2호
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• pp.157-174
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• 1998

인구사회학적 변수가 건강생활양식 실천도와 건강증진관련 행위의 실천율에 미치는 영향을 파악하기 위하여 1993년 6월 1일부터 2개월간 경주시에 거주하는 주민 1,903명을 대상으로 사전에 훈련된 조사원이 가구방문을 통하여 면접조사표에 의거 직접 면접식 설문조사를 실시하였다. 설문조사 내용은 인구학적 및 사회경제적 특성, 상병 및 의료이용양상, 그리고 건강증진과 관련된 행위(남자 24개, 여자 26개 항목)이었다. 조사대상자의 사회인구학적 특성별로 건강생활양식 실천도가 높은 경우한 남자의 고연령군, 유배우 기혼자와 사별한 자, 종교거 없는 사람, 아파트 및 연립주택 거주자, 남자의 저소득층과 여자의 고소득층, 공무원 및 사립학교 교직원 의료보험 가입자, 고학력자, 전문관리직 종사자, 만성질환 이환자 및 처체증자 등이었다. 건강증진 관련행위의 실천율에 있어 남자는 흡연, 음주, 청량음료음용, 육류섭취, 식염섭취 및 건강 진단율이 여자에 비해서 높았으며 여자는 과일 채소섭취율, 양치질수행률 및 우유음용률이 남자보다 높았다. 연령이 증가할수록 실천율이 높아지는 건강증진 관련행태로는 과일 채소섭취, 규칙적 식사, 아침식사, 식염섭취, 의사방문, 혈압측정 및 단골의사 보유였으며, 연령이 증가할수록 실천율이 낮아지는 것으로는 안전벨트착용, 양치질수행, 커피음용, 차음용, 청량음료음용, 우유음용 및 간염예방 접종이었다. 월평균 가구소득이 증가할수록 실천율이 높아지는 건강관련 행태로는 규칙적인 운동, 안전벨트 착용, 양치질수행, 커피음용, 차음용, 우유음용, 과일 채소섭취, 육류섭취, 건강진단, 간염예방접종 및 자궁암 검진이었으며, 반대로 소득이 낮을수록 실천율이 높은 것으로는 흡연을, 규칙적인 식사, 아침식사 및 유방암자가검진이었다. 생산직 및 농 어 축산업에 종사하는 사람은 다른 작업군에 비해 흡연율, 음주율, 의사방문율 및 단골의사 보유율이 높았고 안전벨트착용률, 양치질수행률 및 간염예방접종률은 낮았다. 판매 서비스직종의 경우는 커피음용률, 육류섭취율, 식염섭취율, 자궁암 검진율이 다른 직업군에 비해 높았던 반면, 충분한 수면을, 규칙적인 식사율, 아침식사율, 혈압측정률, 건강진단율은 낮았다. 사무직 및 전문 관리직이 다른 직업군에 비해 규칙적인 운동, 맨손체조, 안전벨트착용, 양치질수행, 차음용, 청량음료음용, 우유음용, 혈압측정, 건강진단, 간염예방접종 실천율은 높았으며, 식염섭취율과 자궁암 검진율은 낮았다. 교육수준이 높을수록 규칙적인 운동, 맨손체조, 안전벨트착용, 양치질수행, 커피음용, 차음용, 우유음용, 육류섭취, 간염예방접종 및 보조제 복용행위의 실천율이 높았으며, 음주율, 아침식사율 및 식염섭취율은 낮았다. 초졸 이하 군에서는 흡연율, 규칙적인 식사율, 의사방문율, 혈압측정률 및 단골 의사보유율이 높았다. 만성질환에 이환된 사람은 흡연, 음주, 규칙적인 운동, 맨손체조, 규칙적인 식사, 아침식사, 육류 섭취, 식염섭취, 의사방문, 혈압측정, 건강진단, 단골의사보유, 보조제 복용 등의 실천율이 높았으며, 만성질환에 이환되지 않은 사람은 안전벨트착용, 양치질수행, 충분한 수면, 커피음용, 차음용, 청량음료음용, 우유음용, 과일 채소섭취율, 간염예방접종, 자궁암 검진, 유방암 자가검진 등의 실천율이 높았다. 정상체중군에서는 흡연, 음주, 안전벨트착용 등의 실천율이 높았고, 과체중군에서는 규칙적인 운동, 맨손체조, 육류섭취, 식염섭취, 혈압측정, 건강진단, 단골의사보유율이 높았으며, 저체중군에서는 양치질수행, 우유음용, 보조제 복용률이 높았다. 결론적으로 인구사회학적 특성에 따라 건강생활양식 실천도와 건강증진 관련행위의 실천양상이 다양하게 나타났다. 따라서 건강증진 프로그램에 주민의 참여를 촉진시키고 건강관련행위의 실천을 권장하는 전략으로는 주민의 사회경제적인 특성을 고려한 건강증진 프로그램이 전개되어야 한다.

• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2005년도 국민건강증진법 제정 10주년 국제학술대회
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• pp.121-149
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• 2005

미국 캘리포니아 주의 건강문제로는 흡연, HIV/AIDS, 천식, 정신질환, 아동비만, 유방암, API, 건강한 생활양식 형성, 인종간의 건강격차 등을 들 수 있다. 이러한 건강문제를 해결하기 위해 캘리포니아주에서 진행되는 지역사회 중재전략은 지역사회 단체와의 협력이라는 특성을 지니고 있으며, 도시지역의 노인이나 다양한 인종들을 대상으로 하는 프로그램들의 경우는 교회를 통한 접근방법이 빈번하게 활용된다. 중재 프로그램들은 지역사회 조직모형과 역량강화의 개념을 활용하며, 문화적으로 다른 배경을 가진 인구집단을 대상으로는 이들의 요구에 맞는 프로그램을 진행하는 형태로 기존의 프로그램을 채택하는 것이 아닌 이들의 다양한 요구에 맞도록 수정된 프로그램을 제공하고 있다. 개인 간 의사소통을 활용하여 사회적 관계망의 활성화를 도모하며, 일반인이 건강지도자가 되는 교육모형도 활용하고 있다. 한국교민사회 자문위원회(Korean Community Advisory Board, KCAB)는 CDCPRC(CFCH)의 기금으로 진행되는 연구 프로젝트를 수행할 목적으로 1993년 설립되었다. 장기적인 지역사회 건강증진을 위하여 전문가와 일반인 지도자들이 지역사회에서 협력하는 방법을 활용하며 요구도 진단, 수행 평가, 건강옹호와 같은 다양한 사업을 진행한다. 회원들은 핵심 회원과 일반회원으로 구분되고 이들은 사업의 수행과 관련된 의사결정에 도움을 주게 된다. 한국교민사회 자문위원회가 수행한 프로그램은 'Health is Strength', 'Virtual Village Program'이 있으며, 현재는 'Quitting is Winning'이라는 미국거주 한국 남성을 대상으로 하는 인터넷 금연 프로그램을 수행하고 있다. 또한 캘리포니아 주 거주 한국인의 건강상태에 대한 조사를 진행하고 그 결과를 보고하는 프로젝트를 진행하고 있다. 이들이 하는 주요 업무는 지역에서 발생되는 건강문제에 대한 우선순위를 파악할 수 있도록 하여 한국교민들의 건강요구를 파악하고 사업의 우선순위를 설정하는데 도움을 주고 있다. 센터에서 진행되는 한국교민 대상 연구나 사업에 가장 효과적일 수 있는 방법에 대한 지침이나 정보를 제공한다. 또한 문화적으로 민감한 사항이나 적절성 여부에 대한 확인을 하며 연구결과를 보고하고 확산하는데 도움을 주고 있다. 캘리포니아 주는 다양한 인종들이 거주하는 지역이다. 따라서 문화적 민감성이나 문화적 대응전략, 문화적 적절성은 건강증진사업을 수행할 경우에 매우 중요한 이슈가 된다. 또한 이들은 소수민족인 경우가 많아 언어장벽으로 인하여 의료서비스 이용에 제한을 받게 된다. 따라서 보건의료전문가들은 이러한 문화적 요소들을 능숙하게 다루는 기술이 필요한데, 이러한 기술이란 문화가 다른 사람들 간에는 갈등이 존재한다는 점을 인식하고, 건강관련 믿음과 건강행동에 영향을 미치는 사회문화적 요인들을 파악하고, 대안적 해결책을 제시하며, 결과를 평가할 수 있는 능력을 의미한다. 이러한 영역에서 health care interpreter는 소수인종의 보건의료 서비스의 원활한 이용을 위하여 매우 활발한 역할을 수행하고 있다.

• 지역사회간호학회지
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• 제14권2호
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• pp.200-210
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• 2003

Purpose: This quasi-experimental study was performed to investigate the effects of a health promotion program(HPP) on self-efficacy, healthy lifestyle and blood lipid profile in employees with hyperlipidemia. Methods: The subjects were forty-three employees who were diagnosed as having hyperlipidemia during routine health examination at two worksites in Seoul in 2001. Of the forty-three subjects, thirty were allocated to the experimental group and the remaining thirteen were allocated to the control group. Data were collected from September 24, 2001 to March 16, 2002. The HPP was applied to the experimental group for 11 weeks and included health education, diet counseling, watching videos, conference, and so on. The health education included information about exercise, smoking cessation, and abstinence from drinking alcohol and seven sessions of hyperlipidemia education. The experimental group was requested to keep a daily health promotion lifestyle diary. This diary was analyzed by a dietician and subjects were instructed based on the results. As for data analyses, wilcoxon signed rank test and wilcoxon rank sum test and x2-test were carried out using SAS program. Results: 1. Self-efficacy scores of the experimental group were significantly more increased than those of the control group (experimental: 5.86 10.80, control: -4.04 11.91, p=0.018). 2. Healthy lifestyle scores of the experimental group were significantly more increased than those of the control group (experimental: 0.19 0.26, control: -0.05 0.29, p=0.024). 3. Blood total cholesterol values of the experimental group were significantly more decreased than those of the control group (experimental: -13.07 30.10mg/dl, control: 10.00 26.57mg/dl, p=0.033). 4. Blood triglyceride values of the experimental group were significantly more decreased than those of the control group (experimental: -29.17 192.40mg/dl, control: 63.31 107.53mg/dl, p=0.050). Conclusion: These findings indicate that the HHP could be effective in improving self-efficacy, healthy lifestyle and blood HDL cholesterol and decreasing blood total cholesterol in employees with hyperlipidemia. Therefore, the HHP could be suggested as an effective nursing intervention for employees in the worksite by ultimately preventing cerebral and cardiac vessel complications related to hyperlipidemia.

• 한국치위생학회지
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• 제12권3호
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• pp.621-629
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• 2012

Objectives : The purpose of this study was to examine the influential factors for the oral-health practice of adult workers and the relationship of their health-promotion life style to the factors of oral-health practice in an attempt to determine the impact of health-promotion life style. Methods : The subjects in this study were 160 workers who worked in Seoul, North-Jeolla and South-Jeolla Province, and were at the age of 20 and up. The survey was conducted from February 1 to July 20, 2011. Results : As for the relationship of the general characteristics of the workers to the factors of their health-promotion practice, gender made statistically significant differences to toothbrushing female (3.24), and there were statistically significant differences in education/concern according to more than college(2.72) scored higher academic credential(p<0.05). The group of the workers whose health-promotion life style was better in terms of all the toothbrushing(3.35), use of oral hygiene supplies(2.19), regular dental-clinic visit(2.70), dietary control(2.84) and education/concern(3.20) scored higher, and there were statistically significant differences in the factors of education/concern(p<0.05). Their health-promotion life style had an impact on regular dental-clinic visit among the factors of oral-health practice(p<0.05), and there was a positive correlation between health-promotion life style and tooth brushing, dietary control(p<0.05), regular dental-clinic visit, education and concern(p<0.01) the factors of oral-health practice. Conclusions : Workers should be stimulated to get into sound life habits to change their behavior, and they should be urged to improve their preventive health care, to get a dental checkup and ultimately to promote their health as well. Companies should take measures to accelerate the oral health promotion of workers and provide more dental checkup programs for them to be more concerned about their oral health, to promote their oral health and to maintain the best oral health.

• 여성건강간호학회지
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• 제8권2호
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• pp.201-211
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• 2002

The purpose of this study was to identify the relationship between self-empowerment and a health promoting lifestyle in climacteric women, and to provide the basic data for health promoting intervention. The subjects were 246 women who visited the sports center in Taegu, Korea and ranged in age from 40 to 59. The data was collected during the period from December 2nd to December 15th, 2001. The instruments were the revised health promoting lifestyle scale developed by Park, In Suk(1997) Originally the instruments were developed by Spreitzer(1995) and Jung Hea Joo(1998), who translated it into Korean. The data was analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression. The results of this study were as follows : 1. Mean score of total empowerment was 3.76 and the subcategory 'meaning', had the highest score at 4.08. 2.Mean score of total health promoting lifestyle was 2.83 and in the subcategory, the highest degree of performance was 'sanitary life', followed by 'harmonious relationships' and 'self actualization'. The lowest degree was 'professional health management'. 3. A significant statistical difference between age, education and self-empowerment was found. 4. A significant statistical difference between age, marital status, leisure time activity (hobbies/community service) and a health promoting lifestyle was found. 5. Health promoting lifestyle was positively related to self-empowerment(r=.4592). A health promoting lifestyle was the highest positively related to the subcategory 'impact' (r=.4329). 6. The most important variable affecting the health promoting life style was impact which accounted for 19% of the total variance in stepwise multiple regression analysed. Five variables, impact, age, meaning, marital status and leisure time activity(hobbies/community service) accounted for 26% in promoting a healthy life style. From the results of the study, the following recommendations are presented : 1) Adopting the concept of self-empowerment is required in broad nursing fields. 2) Using and making a self-empowerment promoting program which can cause positive effects on a health promoting lifestyle are required. 3) It is required to check the rank of the subcategories such as meaning, competence, self determination and impact according to the subjects. 4) It is required to check the effects of all variances of self-empowerment, self-efficacy and self-esteem variances through the repeated studies.

• 한국직업건강간호학회지
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• 제8권1호
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• pp.5-21
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• 1999

The purpose of this study is to evaluate the physical fitness status and health promoting life styles of the workers. For the purpose, 108 workers who attended the exercise program in Inchon branch of KISCO were selected as the subjects. From Oct. 20th to Nov. 30th, in 1998, they were firstly assessed their physical fitness. The items include cardio-respiratory endurance, flexibility, muscular strength, muscular endurance, agility, power, balance, body composition, etc. Secondly, the health promoting life styles were asked by questionnaires about daily life and dietary habits. Both of them were evaluated by 5 or 3 levels as A(very good) to E(very poor) or A (good) to C(poor). Those data were analyzed percentile, mean, standard deviation by SAS program. Major findings are as follows ; 1. The health promoting life styles were generally good, but 43.5% of the subjects didn't exercise at all. Most of them(93.5%) thought about their physical fitness status as lower than average level. About half of them(48.1%) didn't drink alcohol, non smokers were 70.4% of them. But they had poor dietary habits(lower than average level : 79.6%), females were a little bit better than males. The aged group had the poor body compositions, 21.4% of females and 10.0% of males were obese. 2. Physical fitness status of the workers were assessed as two areas, one is health related, the other is physical function related area. In the health related area, females were better than males, in view of age, forties aged group had the highest scores of all items except cardio-respiratory endurance. Among 'A' and 'B' level, muscular endurance was showed most frequently, followed by muscular strength, flexibility, cardiorespiratory endurance. In physical function related status, balance was ranked highly in the portion of over 'B', followed by power, agility. In view of sex, males were better than females for all items except balance, and there were various figures in the status by age groups. 3. Comprehensive assessment scores were poor(under 'D' leves were most frequent), females were better than males, and teenage group had the worst scores. In ages of the physical fitness, generally they had 1 year under their real ages, and females were better than males. In view of age, forties aged group was ranked highly and teenagers had lowest scores.

• 보건교육건강증진학회지
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• 제20권2호
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• pp.179-196
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• 2003

This study was aimed at examining the self-reported health-promoting life- style (HPL) and related factors among teachers assumed to be role models for students. The subjects were 300 teachers who were conviently drawn from nine elementary schools and three high schools. The conceptual framework for this study was based on the Pender's revised Health Promotion Model(1996). Data was collected by a mailed survey (response rate, 62.5％) with structured questionnaire. The score of health-promoting life-style was 2.8(full mark： 5.0), harmonized relationship was the highest(3.2), and professional helath management was the lowest(2.0). The related factors to health-promoting life-styles were age, marital stauts, career, perceived health status, self esteem, intermal locus of control, perceived benefit, perceived barrier, self efficacy, and social support in univariate analysis. In the final regression model, predictors of HPL were social support, self esteem, perceived benefit. self efficacy, and perceived health status after control the effects of demographic characteristics (p＜.0001, R2＝0.494). The results generally supported the Pender Model. It is recommended to develop the health promotion program for teachers based on these results, and to evaluate the effect of that program for teacher.