• Proceedings of The Korean Society of Health Promotion Conference
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• 2005.09a
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• pp.197-230
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• 2005

일본의 Soyo town에서 진행된 건강도시사업은 건강증진 프로그램 모형을 통하여 건강한 도시를 건설하겠다는 슬로건을 가지고 주민들이 참여하여 자신의 건강관리능력을 함양하고 서로의 장점을 공유하는 것을 사명으로 하고 있다. 또한 삶의 질 향상, 주관적 건강상태 향상, 삶의 만족도 향상, 정서적 유대감 향상, 수입증가 그리고 조기사망의 감소를 구체적 목적으로 설정하고 있다. 이러한 목적을 달성하게 위한 매우 실제적이며 수량화된 목표들이 설정되어 있다. 1992년에 사전조사를 실시하고 1996년과 2002년에 사후 조사를 실시하였다. 프로그램 내용과 과정에는 보건의료전문가와 시설에 대한 정비, 평가에 대한 계획, 학교를 포함한 포괄적인 보건의료시스템이 포함된다. 모든 부문은 자신들이 설정한 보건정책 결과에 대하여 모니터링을 진행하며 적절한 정책을 다시 설정하고 수량화된 목표를 설정하며 프로그램을 수행한다. 프로그램 수행의 가장 중요한 원칙은 사업의 기획, 수행, 평가 과정에 주민이 최우선적으로 참여한다는 점이다. Soyo town은 사업을 위하여 학교 및 지역 내 사조직과 협력하고 모든 사업의 기획과정에 다양한 구성원들을 참여시켰는데 이는 건강자원 개발에 있어 매우 중요하게 실천되어야 하는 문제이다. 특히 모든 Soyo town의 주민들이 참여하는 것을 원칙으로 하였다. 주민들은 건강관련 자원의 배치상태와 과학적 근거를 고려하여 효과적인 사업을 선정하는 것을 포함한 모든 사업의 과정에 참여하였다. 바람직한 생활양식을 향상시키기 위하여 식품회사, 자원단체 그리고 사회적 관계망 그리고 지역의 단체급식시설, 식당 등이 파악되었으며, 요양원, 가사도우미, 공중보건간호사, 방문간호사, 사회사업가로 구성된 보건의료 시설과 인력들이 협력하였다. 사업이 주민의 건강을 향상시켰는가와 건강향상에 사업이 효과적이었는지를 판단하기 위해서 평가가 진행되었는데, 서비스 제공자 뿐 아니라 소비자와 주민들도 평가를 수행하였다. Soyo town의 건강도시사업의 평가 결과, 조기사망률이 1988년 22.1%이 1992년 18.2%로, 1998년 15.6%로 감소하였다. 또한 주관적인 건강상태는 1988년 48%에서 1992년 67.1%로, 1998년 71.5%로 증가하였다. 전반적으로 주관적 건강상태, 사회적 관계망, 보건의료서비스에 대한 접근성은 증가하였으며, 조기사망, 의료비용은 감소하였다. 한편 보건의료부문의 질적인 향상을 가져왔으며, Soyo town은 건강한 도시의 명성을 얻게 되었다. 사업의 효과성을 향상시킨 요인은 주민 개개인들에게 사업의 기획과정에 처음부터 참여할 기회가 주어졌다는 점과 자원개발에 있어 기존자원의 재개발에 우선순위를 두었다는 점이었다. 효과적인 사업의 수행을 위하여 행정부, 주민, 건강관련 단체들은 수단과 방법에 관한 정보를 교환하는 것이 중요하다. 사업의 기획단계에 모든 이해당사자들이 참여하여 각자의 역할분담을 명확히 하는 것이 필요하며, 건강증진은 개인의 노력 뿐 아니라 사회적 환경의 개선과 자원의 개발을 통해서 달성되는 것이므로 주민들은 건강증진을 위한 환경개선을 위해 노력도 병행되어야 한다.

• 건강소식
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• v.25 no.4 s.269
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• pp.6-13
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• 2001

자살은 인류 역사의 시작과 함께 시작되어 시대의 변화나 문화의 차이에도 불구하고, 인류와 함께 있어 왔다. 우리나라는 최근 급속한 자살 사망률의 증가로 인해 자살이 심각한 보건학적, 사회적 문제가 되고 있다. 특히 IMF 경제위기를 겪으면서 실업, 빈곤화, 가족해체 등은 IMF경제위기 이전보다 자살사망률이 급증하는 결과를 초래하였다. 또한 기존의 가족이나 사회문제, 교육문제 등으로 인해 취약한 정신건강상태로 인해 자살욕구에 대한 전염력이 강한 청소년과 젊은 청년층에게 ‘자살 사이트’라는 인터넷 매체로의 접근은 자살이라는 전염병의 새로운 감염경로가 되고 있다. 이것은 국민들의 정신건강 상태가 위험수위에 이르고 있음을 나타낸다. 온전한 정신 건강은 육체적 건강을 위한 필수조건일 뿐만 아니라 활기찬 생활의 바탕이 된다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.4
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• pp.494-503
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• 2017

This study was conducted to investigate the relationship between the Health Locus of Control (HLC), social support (SS), self-efficacy (SE) and Health Promoting Behavior (HPB) in middle-aged adults and the factors influencing their HPB. Data were collected from 137 middle-aged adults in the cities of Chungbuk and Chungnam for 2 months from July to August 2016 using structured questionnaires. The data collected were analyzed by descriptive statistics, the t-test, ANOVA, Pearson correlations, and multiple regression analysis. The results showed that the HPB varied significantly according to the subjective health (F=10.14, p<.001) and economic level (F=3.32, p= .039) among the general characteristics. In the relationship between the major variables, the HPB showed a significant positive correlation with the SE (r=.44, p<.001) and SS (r=.45, p<.001). A multiple regression analysis was conducted to examine the effects of the general characteristics, HLC, SE, and SS on the HPB, and the results showed that the factors influencing the HPB were the subjective health status (${\beta}=.24$, p=.002), SE (${\beta}=.29$, p<.001), and SS (${\beta}=.30$, p<.001), and these factors showed a combined explanatory power of 36.4%. The results of this study suggest that the SE and SS are important factors affecting the HPB. Therefore, it is necessary to develop and apply a health promotion program reflecting the SE and SS, in order to (promote) the (HPB) of middle-aged adults.

• Korean Journal of Health Education and Promotion
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• v.26 no.5
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• pp.71-84
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• 2009

Objectives: This research intended to examine the relationships among social capital, socioeconomic factors, and health-related lifestyles and the effect of these factors on self-rated health in the Republic of Korea. Methods: The data of the social statistics survey that the Korea National Statistical Office conducted in 2006 were chosen and 37,928 people from them, who were 25~59 years old were sampled. This paper made path analysis to examine the relationships among social capital, socioeconomic factors, and health-related lifestyle and the influence of these factors on self-rated health. Results: In relation to the overall influences of socioeconomic factors, social capital, and health-related lifestyle on self-rated health, the following factors had a significant positive direct effect: education(0.069), subjective class(0.108), marriage(0.054), satisfaction with family relationships(0.087), reliability of institutions(0.020), citizens' participation(0.021), exercise(0.037), and refrain from smoking(0.011). However, abstinence from alcohol(-0.067) had a negative direct effect on self-rated health Conclusion: Based on the results, this paper can suggest that the plan of keeping and building up social capital should be considered in the whole aspects of the society and the project promoting drinking moderation is required to consider social culture than individuals.

• The Journal of the Korea Contents Association
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• v.21 no.1
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• pp.662-673
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• 2021

This study is to investigate the mediating effects of social support on the relationship between acculturative stress and mental health of multicultural youth. The results of the study were as follows: 1.573 of the 4th(middle 1) to 6th(middle 3) of the multicultural youth panel were analyzed by AMOS 22.0. First, the acculturation stress of multicultural youths had a positive effect on mental health. Second, acculturation stress of multicultural youths had a negative effect on social support. Third, social support of multicultural youths had a negative effect on mental health. Fourth, social support of multicultural youths had a mediating effect on the effect of acculturation stress on mental health. This result shows that the stress of multicultural youths in the process of adapting to the dual culture negatively affects social support, and this social support has a positive effect on the mental health of multicultural youths.

• Korean Journal of Social Welfare Studies
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• v.43 no.1
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• pp.117-142
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• 2012

This research attempts to explain the influence of educational level inequalities on self-rated health and depression of the elderly. Also, we are focusing whether there is a mediating effect of social support between educational level inequalities and self-rated health depression of the elderly. The data was collected from July, 30 to August, 15, 2009. 631 persons who live in Gangnam-Gu area over 60 years of age were recruited. Frequency, percentage, mean, standard deviation and multiple regression were employed using SPSS 12.0. The result of this study shows that educational level inequalities have a influence on the self-rated health and depression. It is also verified that social participation variable has a partial mediating effect between educational level inequalities and mental health(self-rated health and depression). This study carried out a positive linear relationship between educational level and health: the higher education, the better the health. And also, the results present the importance of developing adequate intervention programs for the elderly having low educational level to improve social participation and to enhance mental health(self-rated health and depression).

• Journal of agricultural medicine and community health
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• v.35 no.2
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• pp.134-150
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• 2010

Objectives: This study was for analyzing the research about international marriage immigrant women and a trial to find the right direction for future research. Methods: Sixty articles published from June, 2004 to June, 2009 were reviewed and analyzed according to the general characteristics, major of author, and theme of health domains. Results: Most of them were master's thesis(71.7%) and journals(21.7%) and doctoral dissertation(6.7%) have been published mostly after thesis. Among 83.3% for quantitative research, descriptive(33.3%) and descriptive correlation(41.7%) methods were the most used and there were some qualitative researches(16.7%). The most frequently used data gathering method was questionnaire(81.7%) and the next was interview(16.7%). The major rates of the author were 61.7% for social welfare and 2.1% for nursing. The investigated variables in social health domain were adaptation(28.3%), and communication(1.7%). In psychological health domain, marriage satisfaction(16.7%), life satisfaction(11.7%), and depression(10.0%) were most researched. Utilization of medical center(5.0%) and health promotion behavior(1.7%) were investigated in physical health domain. Conclusions: Above this, most articles were researched about the adaptation of international marriage immigrant women. But the life in foreign countries can cause physical and psychosocial unhealthy conditions, so many-sided health related researches are supposed to be conducted for adaptation and prevention health problems of international marriage immigrant women.

• Journal of agricultural medicine and community health
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• v.34 no.1
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• pp.13-23
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• 2009

Objective: The objective of this study was to evaluate the association of social support with health status and health behavior. Methods:　This study was conducted with 79 elderly people in Gunja-ri, Dongsan-myun, Chuncheon. We performed face to face interview which was composed of socio-demographic characteristics, social support, health status and health behavior. The association between social support and result variables was analysed by Chi-square test and logistic regression. We used SAS ver9.1 for statistic analysis. Results: Mean age of the study population was 72.0$\pm$7.0, social support score was 14.3$\pm$4.7 with full marks of 20 and 36.25% of the total population were shown to have depression. When the social support score was changed, depression (p=0.0007) and physical exercise (p=0.0312) showed significant difference. The self-rated health status was significantly related to the relationship with family members (OR=0.25, 95% CI=0.07-0.95) and the quality of sleep was also significantly associated to the relationship with family members (OR=0.21, 95% CI=0.06-0.73). The physical exercise was done significantly less in the group without close friends than in the group with many close friends (OR=0.21, 95% CI=0.05-0.94) and the depression was significantly more in the group without community participation than in the group with community participation (OR=4.79, 95% CI=1.62-14.15). Conclusions: Through this study, we could conclude that the social support factors are associated with health status and health behavior. Therefore, to improve the health status of rural elderly, we need to approach to develop social support.

• Korean Journal of Social Welfare
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• v.61 no.2
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• pp.303-324
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• 2009

This study examines the mediating effects of social support on the relationship between health status and depression of the elderly in Korea. Through stratified multi-state random sampling, 1409 individuals aged 65 and over who lived in Seoul and Chunchen, and who had their own children were selected. Social support was composed of three types: emotional support, instrumental and financial support, and included both support-received from and provided to children. The multiple regression model proposed by Kenny and Baron was used. As the results, first, the elderly get more depressed when having lower health status and lower social support. Second, there is a partial mediating effect of social support in association with health status and depression. Comparing by gender, instrumental support received from children, and emotional and instrumental support provided to children are mediators in the link between health status and depression in the case of male. In the case of female, emotional, instrumental and financial support received from children, and instrumental and financial support provided to children shows the mediating effects between health status and depression. The results suggest that social support both received from and provided to children reduces the negative impacts of health status on depression of the elderly in Korea.

• Journal of Convergence for Information Technology
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• v.9 no.5
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• pp.180-189
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• 2019

The purpose of this study was to provide basic data necessary for revitalizing adult oral care by identifying the correlation between depression, social self-efficacy and self - perceived oral health. To collect data, people in their forties or older in North Jeolla Province were convenience sampling to complete a self-administered questionnaire from April 2 to May 21, 2016. The data were analyzed by SPSSWIN 20.0, Chi-square test, t-test and one way ANOVA, Scheffe' post hoc test, Pearson correlation. Depression was negatively correlated with self-efficacy and oral health. Social self-efficacy was positively correlated with oral health. In pursuit of steady prevention and management, therefore, it is necessary to develop an oral health promotion program reflecting social efficacy, giving another consideration to education related to psychological oral health cognition.