• Journal of Korea Entertainment Industry Association
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• v.14 no.5
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• pp.267-276
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• 2020

The purpose of this study was to investigate the effects of physical activity in the elderly with osteoarthritis on stress and health-related quality of life (EQ-5D). This study performed data analysis using the SPSS 17.0 program in 104 elderly people with osteoarthritis over 65 years old using raw data from the 7th National Health and Nutrition Survey. The main results of this study are as follows: Males exercised more strength than women, and the better the subjective health status, the higher the rate of walking and aerobic activity. The group that felt stress showed a higher rate of walking and aerobic activity than the group that had no stress, and one group that felt a little stress practiced walking more than 3 days. The exercise ability of the elderly with osteoarthritis was better in the group who practiced walking, strength training, and aerobic activity than in the group without physical activity, and in self-management, the group practicing exercise and aerobic activity had problems with self-management. There was no daily activity, and the group that practiced walking and strength training also showed a high level of daily activity. In the area of pain/discomfort, the group practicing walking showed less pain/discomfort, and in the area of anxiety/depression, the group practicing walking showed less anxiety/depression. In conclusion, it is considered that in order to increase the quality of life of the elderly with osteoarthritis and to manage the stress, active efforts to increase the level of physical activity are necessary.

• Korean System Dynamics Review
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• v.13 no.2
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• pp.25-45
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• 2012

The purpose of this study is to estimate the effects of healthy city policies on residents' walking. In order to estimate promotion of walking rates by healthy cities policies, it developed System dynamics(SD)-based model which showed causal relationships among urban design, public health policies, and walking levels. SD technique is useful for future forecast and policy impact assessment. The spatial units of the SD-based system for policy impact assessment included 66 cities, counties, and communities in Seoul Metropolitan Area. The system simulation was planned to be run for 21 years from 2009 to 2030. For this study, 3 alternatives were proposed with combinations of length of bike lanes, number of bus routes, crime rates, self-reported good health status rates, and obesity rates. As a result of simulations, residents' participation rates for walking were increased from 1.00% to 9.98%. This study contributes to better understanding the benefits of healthy cities that are associated with individual walking. It further provided useful insights into planners' role in promoting health. The paper concluded with a discussion on future research opportunities and implications for public policies in urban and transportation and public health.

• Journal of Korean Academy of Nursing
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• v.53 no.4
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• pp.426-438
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• 2023

Purpose: Walking practice is a representative indicator of the level of physical activity of local residents. Although the world health organization addressed reduction in prevalence of insufficient physical activity as a global target, the rate of walking practice in Korea has not improved and there are large regional disparities. Therefore, this study aimed to explore the spatial variations of walking practice and its associated factors in Korea. Methods: A secondary analysis was conducted using Community Health Outcome and Health Determinants Database 1.3 from Korea Centers for Disease Control and Prevention. A total of 229 districts was included in the analysis. We compared the ordinary least squares (OLS) and the geographically weighted regression (GWR) to explore the associated factors of walking practice. MGWR 2.2.1 software was used to explore the spatial distribution of walking practice and modeling the GWR. Results: Walking practice had spatial variations across the country. The results showed that the GWR model had better accommodation of spatial autocorrelation than the OLS model. The GWR results indicated that different predictors of walking practice across regions of Korea. Conclusion: The findings of this study may provide insight to nursing researchers, health professionals, and policy makers in planning health programs to promote walking practices in their respective communities.

• Journal of agricultural medicine and community health
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• v.40 no.2
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• pp.62-71
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• 2015

Objectives: This study was performed to find the differences in physical activity according to general characteristics and factors related to physical activity between the elderly over 65 with hypertension living rural and urban areas. Methods: This study included 681 participants (221 rural, 460 urban) with hypertension from The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V). The collected data were analyzed through an $x^2$-test to examine the differences in physical activity and multiple logistic regression to assess factors related to physical activity between the elderly over 65 with hypertension living rural and urban areas. Results: The significant statistical factors related with physical activities for the urban hypertension group were education level, activities of daily living, and quality of life. However, the related factors for rural residents were activities of daily living and limitation of activity. Conclusions: The study results indicated that the factors that affected the level of physical activity revealed difference in case hypertension between the urban and rural groups. An awareness of the importance of physical activity will have a positive influence on improving the physical function and quality of life for elderly people with hypertension.

• Proceedings of the KAIS Fall Conference
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• 2011.05b
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• pp.1076-1079
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• 2011

본 연구는 일개 광역시 주민들 4000명을 대상으로 일반적 특성, 건강행태 관련 특성, 신체비활동 정도를 조사하여 신체비활동의 유발요인에 대해 알아보고자 시행되었다. 그 결과를 요약하면 다음과 같다. 걷기운동 미실천 수준의 경우 연령, 교육수준, 의료보장, 직업, 기초생활수급유무, 독감 예방접종, 체중조절시도, 고위험음주, 스트레스 인지정도, 지역사회 운동프로그램참여, 운동시설의 접근성이, 중등도 이상의 운동 미실천의 경우, 성별, 연령, 월 소득, 가구소유, 건강검진 여부, 체중 조절 시도, 현재 흡연 여부, 지역 사회 운동 프로그램참여가 통계적으로 유의했으며, 이 변수들을 이용하여 신체비활동 수준을 결과변수로 하는 로지스틱 회귀분석을 시행하여, 걷기운동의 경우 20대에 비해서 30대가 1.46배, 40대가 1.57배 미실천률이 높고, 사무직이 전문행정관리직에 비해 1.37배, 체중조절을 시도하지 않은 군이 한 군에 비해 1.70배, 스트레스를 많이 느낀 군이 안 느낀 군에 비해 1.58배, 조금 느낀 군에 비해 1.38배, 운동시설 접근성이 어려운 군이 쉬운 군에 비해 1.75배정도 높은 것으로 분석되었고, 중등도 이상 운동의 경우 여자의 경우 남자에 비해 미실천율이 1.74배, 체중조절시도를 안한 군이 한 군에 비해 1.63배, 지역사회운동프로그램참여 안한 군이 한 군에 비해 2.36배 높은 것으로 나타났다. 고령화 사회로 가고 있는 현 상황에서 여러 가지 만성질환이 대두되고 있고, 이에 따른 신체활동의 중요성이 대두되고 있다. 하지만 우리나라의 경우 신체활동 실천율이 낮은 것이 현실이다. 신체활동의 실천율을 향상시키기 위해서는 신체비활동 결정짓는 요인들에 대해 우선 파악해야 한다. 분석결과 가장 차이가 나는 것은 운동시설의 접근성과 지역사회운동프로그램의 불참군에서 가장 신체비활동이 큰 것으로 파악되었다.

• Journal of agricultural medicine and community health
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• v.39 no.3
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• pp.146-160
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• 2014

Objective: This study was performed to explore the effectiveness of community organization as a strategy for health promotion. Methods: We used data from community health interviews from 6 administrative sections (eup, myeon, or dong) with high mortality from August to October, conducted once in both 2010 and 2013 as part of the Health Plus Happiness Plus Projects based on the concept of community empowerment in Gyeongsangnam-do Province. For 2010, the study subjects comprised a systematic sampling of 220 adults from each of the six sections for a total of 1320 subjects, and for 2013, 200 from each section for a total of 1200 subjects. We compared main health behavior indicators and empowerment score between these two years. Results: Smoking prevalence in men was 47.4% in 2013, and 47.7% in 2010, respectively. Prevalence of walking 5 days or more per week was 35.6% in 2013, significantly lower than 46.2% in 2010. Also, during that period, both biennial health examination rate and biennial gastric cancer screening rate among those 40 years of age and over significantly increased from 57.7% to 63.6% and from 49.3% to 55.0%, respectively. Mean empowerment score at the community level significantly increased from 12.6 to 14.0. Conclusions: This study suggests that the three-year implementation of community organization might have helped to increase the participation rate of biennial health examinations including cancer screenings in the community. However, this was not the case for smoking cessation and walking. Further studies are needed for evidence-based health promotion.

• Journal of agricultural medicine and community health
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• v.39 no.4
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• pp.209-221
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• 2014

Objectives: The objective of this study was to identify the effects of area-based health promotion initiatives with community participation and partnerships conducted in Sabong-Myeon, Jinju City for three years. Methods: We used data from the '2008 Sabong-Myeon Health Survey' and the '2011 Health Plus Happiness Plus Community Health Survey'. The study comprised 520 systematically sampled individuals, composed of 300 adults in 2008 and 200 adults in 2011. We compared some health behavior and mental health indicators as well as social capital levels between these two surveys. Results: The prevalences of smoking and walking exercise in 2011 were significantly higher than those in 2008. The prevalences of high risk alcohol consumption in men, stress perception, depressive symptoms experience, and suicide ideation were significantly lower than those in 2008. The proportion of people having a high level of social capital in 2011 was significantly higher than that in 2008, regardless of sex or marital status. However, the difference in the proportion was not statistically significant among people with a high educational background. Conclusions: This study suggested that the 3 years' implementation of area-based health promotion initiatives conducted in Sabong-Myeon might help to improve the mental health and social capital level of this community. The long-term health effects of area-based health promotion initiatives with community participation and partnerships need to be studied further, and lessons from these initiatives can be obtained by adapting proper evaluation methods.

• The Journal of the Convergence on Culture Technology
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• v.7 no.4
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• pp.351-361
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• 2021

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.

• Journal of agricultural medicine and community health
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• v.45 no.2
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• pp.89-99
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• 2020

Objective: This study aimed to report the relationship between walking activity and perceived physical activity barriers after classifying the age group(≤64, 65-74, ≥75). Methods: The subjects were conducted on 1500 residents of two areas, and the walking activity was defined as five or more times a week, 10 minutes or more at a time, and 30 minutes or more per day. Perceived physical activity barriers were lack of time, lack of social support, lack of energy, lack of willpower, and fear of falling. Results: In the group under 64 year, the lack of time (exp(B)=0.819, p=0.002) and the lack of willpower (exp(B)=0.656, p<0.001) were significantly associated. In the 65-74 year old group, the lack of willpower (exp(B)=0.714, p<0.001) and fear of falling (exp(B)=0.787, p=0.003) were a significant association. In the group aged 75 years and over, lack ofwill power (exp(B)=0.734, p<0.001) and fear of falling (exp(B)=0.807, p=0.003) were significantly associated. Conclusion: In order to solve the lack of willpower and lack of time, a walking activity should be performed together at a certain time in the village, and the elderly in the late ages should reduce the fear of falling by performing a fall prevention exercise in parallel.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.7
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• pp.656-665
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• 2016

Objectives: This study examined the characteristics and related factors by comparing the lifestyles and health behaviors between Korean Seventh-day Adventists and the general population of Korea. Methods: A survey was conducted of 878 people more than 20-years-old Korean Seventh-day Adventists who live in the metropolitan area and 3,000 people more than 20-years-old who live in the metropolitan area in 4th (2nd year) National Health and Nutrition Survey. A comparison of health behaviors related to health screenings, smoking, drinking, physical activity, subjective stress, weight management, and oral health was analyzed using a chi-square test. Logistic regression analysis was used to identify the contributing factor to the health behavior. Results: Health screening rates among Korean Seventh-day Adventists were higher than the general population (p<0.001), but Korean Seventh-day Adventists showed lower rates of health screening in the 20-30 ages. Lifetime smoking experience rates and current smoking rates were significantly lower in the Korean Seventh-day Adventists than in the general population (p<0.001). The success rate of smoking cessation among ex-smokers of Korean Seventh-day Adventists were very high. In terms of the drinking rate, Korean Seventh-day Adventists were significantly lower than the general population (p<0.001). The drinking rate of men was higher than women (p<0.001). Moderate physical activity of men were higher than women in Korean Seventh-day Adventists (p<0.001). Conclusion: The lifestyles and health behaviors of Korean Seventh-day Adventists, such as tobacco smoking and alcoholic drinking, were eminently healthier than the general population. Nevertheless, further well-organized studies will be needed.