• Title/Summary/Keyword: 지역사회 정신보건

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Multilevel Analysis on the Risk Factors for Depression in Jeollabuk-do (우울증 위험요인에 관한 다수준 분석: 전라북도 주민을 대상으로)

  • Jungwoo, Sohn
    • Journal of agricultural medicine and community health
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    • v.47 no.4
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    • pp.268-274
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    • 2022
  • Objectives: The purpose of this study was to identify the individual and regional risk factors on depression using community-based data in Jeollabuk-do. Methods: This cross-sectional study obtained data from the Community Health Survey 2018 in Jeollabuk-do. The dependent variable was depression measured by Patient Health Questionnaire-9 (PHQ-9). The prevalence of depression was defined if total score of PHQ-9 was 10 or higher. A multilevel analysis was conducted to consider individual and regional level independent variables that could be risk factors for depression. Results: In the individual level, female gender and smokers had significantly higher odds ratios (ORs) for depression of 1.58 and 1.72, respectively. Subjects with economic activity, higher income and higher education had significantly lower ORs of 0.53, 0.41 and 0.66. In the regional level, higher greening rates and lower levels of PM2.5 had statistically lower ORs at the significance level of 10%. Conclusion: By conducting this study, risk factors associated with depression were identified in individual- and regional-level. This study suggests that health projects are needed to control regional level risk factors including community networks for mental health management in addition to the traditional individual level risk factors.

Usefulness of Community Health Survey for Regional Disparity Study in Gunsan-si, Jeollabuk-do (지역건강 격차조사를 위한 지역사회건강조사의 활용 - 전라북도 군산시 사례 -)

  • Ko, Dae-Ha;Kwon, Keun-Sang;Lee, Ju-Hyung
    • Journal of agricultural medicine and community health
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    • v.44 no.4
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    • pp.185-194
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    • 2019
  • Objective: In Gunsan, Jeollabuk-do, Korea, we wanted to determine if the sluggish local economy could affect citizens' health behaviors, especially mental health. Methods: We divided Gunsan-si into 5 living areas and conducted Small-Area Estimations and confirmed the modified compound estimation value using the 2013-2017 Community Health Survey data and population data from Gunsan-si. Results: The health behaviors and mental health of the residents of the western living area(Soryong-dong, Misung-dong), which is an industrial hub of Gunsan, had deteriorated or decreased compared to those of other regions. Conclusions: Although there are limitations in analyzing the community health survey data using the small-area estimation method, it could be useful data for evaluating regional gaps and health level.

The Effects of Health Promotion Initiatives with Community Participation and Parterships: The Case of Sabong-Myeon in Jinju City (지역사회참여와 파트너쉽에 기반을 둔 지역건강증진사업의 효과: 진주시 사봉면 사례)

  • Jeong, Baekgeun;Kim, Jang-Rak;Kang, Yune-Sik;Park, Ki-Soo
    • 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.

Comprehensive Geriatric Assessment for Community Living Elderly in a Rural Area (일부 농촌지역 거주 노인들에 대한 포괄적 노인평가)

  • Rhee, Jung-Ae;Shin, Hee-Young;Chung, Eun-Kyung;Shin, Jun-Ho
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.21-31
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    • 2002
  • The aim of this study was to analyse and conduct the comprehensive geriatric assessment for the elderly in rural area. The subjects were 388 older people aged 65 years or older living in the community. Data for comprehensive assessment such as physical, mental, functional, social and environmental conditions were collected from January to February, 2001 through a person-to-person interview. Of the total 388 olders, 169(43.6%) were men and 219(56.4%) were women. Mean ages of men and women were $73.5{\pm}6.4$ and $74.0{\pm}6.2$ years respectively. Three common diseases of the elderly were arthralgia(51.6%), chronic back pain(33.2%) and hypertension(18.6%), and higher in women than in men. Impairment rate of vision, hearing and bowel or bladder control was 59.0%, 20.1%, and 28.4% respectively. But that of lover extremities 3.4%. In terms of cognitive function, short term memory loss was found in 33.7% of males and 44.7% of females. The percentage of fully independent in the six ADL items was 72.2% in men and 58.9% in women. In the social supportive system, 49.5% of the elderly were living with spouse, and 22.9% living alone, 26.3% having care giver. These results will provide basic data for the development of community-based health program, which gives appropriate health service for the elderly living in the community.

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The Burden of Main Caregivers in the Family with Schizophrenic Patient (정신분열병환자 가족 주보호자의 부담에 관한 연구)

  • Hur, Bok-Sim;Ryu, So-Yeon;Park, Jong;Kim, Ki-Soon;Kim, Yang-Ok;Kim, Hack-Ryul
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.351-368
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    • 1999
  • The objective and subjective burden was evaluated toward 115 main caregivers in the family with schizophrenic patient by interview with structured questionnaire and self-report using Family Burden Scale (FBS) of family with schizophrenic patient in Korea. The results were as follows : 1) The mean age of onset by schizophrenic patient were 23 years old in male and 26 in female. 2) The mean scales of objective and subjective burden were 1.5 and 1.6. 3) By Logistic regression objective burden was significantly affected by family support (P<0.001), religion (P<0.05), occupation (P<0.05). 4) Subjective burden was significantly affected by family support (P<0.01) and family total income (P<0.05). 5) Total objective and subjective burden was significantly affected by family support (P<0.001), religion (P<0.05). In conclusion, this study suggests that main caregivers need family support from other family members. For them religion and social support are also helpful to cope with the burden to take care of the schizophrenic patients.

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The Introduction of Dow′s Responsible Care Implementation

  • M.Y. Hwang
    • Proceedings of the Korea Society of Environmental Toocicology Conference
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    • 2000.05a
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    • pp.41-77
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    • 2000
  • Responsible Care는 모든 종업원, 경영자 및 관리자의 환경, 안전, 보건에 대한 사고(mind)를 바꾸는 것이다. Responsible Care는 실행지침(management Practices)을 완전히 실행하는 것이 궁극적인 목표가 아니고 각 개인이나 회사가 자발적으로 지속적으로 환경, 안전, 보건의 Performance을 향상시키고 이에 스스로 약속하는 것이다. Responsible Care는 일회성의 프로그램이나 운동이 아니라, 화학 산업계가 계속해서 사회와 더불어 사업을 지속하기 위해, 화학 산업계가 스스로 만든 환경, 안전, 보건의 Performance을 향상시키기 위한 하나의 도구이며, 약속이다. Responsible Care는 화학산업계가 스스로 만든 도구이고 사회에 대한 약속이므로 환경, 안전, 보건에 대해 신의와 정직을 바탕으로 사회와 더불어 공존하는 마음가짐에 그 기본 정신이다. Responsible Care는 우리자신의 Performance를 향상시키는 것 뿐 아니라 우리의 고객 또는 다른 화학 회사들의 Performance를 향상시켜 궁극적으로 사회나 정부로부터 화학 산업에 대한 선호도를 향상시키는 것이다. Dow Korea는 CMA(American Chemical Manufactures Association)Code를 기본으로 환태평양 문화에 맞게 실행지침(Management Practices, Key Activities)을 수정한 Dow Pacific Area Responsible Care Code를 1993년부터 시작하였다. 시작 초기에 1997년 말에 모든 실행지침이 실행(Practices In Place)되도록 목표를 설정하여 생산 공장 관련 Code(CAER, Distribution, Employee Health and Safety, Pollution Prevention, Process Safety)의 대부분이 목표에 달성되어 생산 공장의 안전 사고 방지, 종업원 건강 증진, 페기물 발생 억제 분야에 상당한 성공을 거두었으며, 지금도 지속적으로 유지 관리 및 미비한 부분(CAER, 등)의 향상에 노력하고 있다. Dow Korea의 수입 판매 부분에 주로 관련된 Product Stewardship 및 Distribution Code는 여러 사업부 및 여러 지역(미국, 유럽, 아시아 등)에 위치한 담당자가 관련된 까닭에 가장 복잡한 부분이어서 많은 인력과 시간을 소비하면서 노력하고 있으나 아직까지 소정의 목표에 도달하지 못했으며, 2000년 말에 모든 실행지침이 실행되도록 목표, 실행 계획 및 조직을 수정하여 노력하고 있다.

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A study on the school health education curriculum development focused on the health education course in primary school (국민학교 보건교육 교과과정의 개선방안에 대한 연구)

  • Kim, Hwa-Joong;Lee, In-Sook
    • Journal of the Korean Society of School Health
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    • v.5 no.1
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    • pp.36-63
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    • 1992
  • The purpose of this study was development of school health education curriculum in primary school based on analysis of the textbooks published in 1991. 1) The health education curriculum in primary school consisted of four major components such as health education aspects of the healthful school environments, health education aspects of school health services, health education course, and health instruction in related subjects. However, health instruction taught by physical education, biology, and other health related subjects was not systematic organization for health care. 2) A considerable amount of health knowledge and attitude, and some health practices was learned as the result of experiences in other courses, where there was little or no reference to health. It must be developed health edcation course separated from health related subjects. 3) Direct health insruction was represented by the health education course. The health education courses must be considered to be heart of the school health education curriculum. 4) The health education course developed by this study was consisted of eight health units and problems in the early elementary grade or health classes in the higher years. 5) The health education course developed by this study provided the opportunity for acquring new knowledge, attitude, and practice, for discarding the unhealtful attitude and strengthening the healthful attitude and practices of primary school students.

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Mediating Effect of Therapeutic Relationship with Mental Health Professionals in the Relation between Empowerment and Recovery of Community Dwelling Patients with a Mental Illnesst (지역사회 정신장애인의 임파워먼트와 회복 : 치료적 관계의 매개효과)

  • Oh, Mi-Hwa
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.211-220
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    • 2018
  • This study was conducted to identify the mediating effects of the therapeutic relationship with mental health professionals between empowerment and recovery in mental illness. The participants were 168 adults in two community mental health centers and three rehabilitation centers in Jeonbuk. The data were collected by structured questionnaires from April 15 to April 30, 2015 and analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple regression analysis with the SPSS 19.0 statistical program. The mean score of empowerment for mental illness, recovery and therapeutic relationship were $60.4{\pm}10.85$, $101.8{\pm}20.70$ and $74.5{\pm}14.30$, respectively. There were significantly positive correlations between recovery in empowerment and therapeutic relationship (r=0.33, p<0.001), as well as empowerment and recovery (r=0.51, p<0.001), while there were significantly positive correlations between therapeutic relationship and recovery (r=0.55, p<0.001). Therapeutic relationship had a partial mediated effect between empowerment and recovery, which was found to be significant by the Sobel test (z=3.706, p<0.001). The results of this study can be used as basic data for development of a practical recovery-enhancing program to promote therapeutic relationships and improve empowerment in relation to therapist of the mentally disabled.

Trauma Signature (TSIG) Analysis of Hebei Spirit Oil Spill, Taean, Korea : 2007 (허베이 스피리트호 유류 유출사고에 대한 Trauma Signature (TSIG) 분석)

  • Choi, Young-hyun;Lee, Moo-Sik;Lee, Jae-Kwang;Kim, Jee-A;Kim, Jung Sun
    • Journal of agricultural medicine and community health
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    • v.43 no.3
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    • pp.158-171
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    • 2018
  • This TSIG analysis regarding national actions for marine oil spills could be indicated and suggested improvements in the response system could be made based on the present study.

Factors Contributing to Death Preparation in Community-Dwelling Elderly: Using Korean National Survey on Elderly 2014 (지역사회 거주 노인의 죽음준비 영향 요인: 2014 노인실태 조사 활용)

  • Lee, Ga-Eon;Jeon, Hye-Jeong;Yu, Jung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.167-175
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    • 2018
  • The purpose of this study was to investigate the status and the factors associated with death preparation of in Community-Dwelling Elderlys. This study was secondary analysis using with 2014 National Survey on the Elderly in Korea. The number of respondents were 10,281. Data were analyzed with the x2 test, t-test and multiple logistic regression using the SPSS/WIN 23.0 program. 37.7% of respondents had done death preparation. The factors associated with death preparation were sex(CI=1.02-1.25), age(CI=1.90-2.28), living area(CI=1.21-1.45), education level(CI=1.16-1.42), spouse status(CI=1.50-3.22), economic level(CI=1.13-1.36), limit of activity(CI=1.11-1.40), life satisfaction(economic satisfaction(CI=1.17-1.35), children relationship satisfaction(CI=1.25-1.43), friends and neighborhood relationship satisfaction(CI=1.10-1.28)). Based on these results, it is necessary to develop programs for reinforcing elder's psychological death preparation for elders in community organization. To consider elder's characteristics like gender and living area.