• Korean Journal of Health Education and Promotion
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• v.32 no.2
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• pp.75-84
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• 2015

Objectives: This study examines that the compatibilities between the health promotion programs in community health center and the leading health indicators in National Health Plan. Methods: We analyzed health promotion programs associated with three health indicators; smoking(smoking rate in male), alcohol use(alcohol use rate in adults), obesity(obesity rate) in twenty five community health centers in Seoul. First, we classified three groups(excellent, fair and poor groups) using average scores of Seoul, that of Korea and National Health Plan2010 goals in three health indicators. Afterwards, we examined the compatibility between contents of health promotion programs regarding leading health indicators and the specific program activities. Results: The compatibility levels between health indicators and contents of health promotion programs was 80 % for smoking among fair and poor groups while fair and poor for smoking reported 60% and 70%, respectively. For obesity, excellent group reported 80% and fair group had 91%. Conclusion: In conclusion, although all districts were able to access available data for health indicators and health statistics every year, it seems that they did not only utilize these data enough in conjunction with health promotion programs but also did not integrate specific activities according to National Health Plan systematically.

• The Journal of Korean Society for School & Community Health Education
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• v.22 no.2
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• pp.25-40
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• 2021

Objectives: The purpose of this study was to examine effects of health promotion program based on self-efficacy theory on physiological indicators, self-efficacy, grits, and health promotion behavior in community elderly. Methods: A non-equivalent control group pre-post test design was used. The intervention group received the health promotion program based on self-efficacy theory for 8 weeks from October 8 to November 26, 2020. Results: t-test showed that systolic blood pressure (t=-2.12, p=.040), self-efficacy (t=3.78, p<.001), grit (t=3.75, p<.001) and health promotion behavior (t=2.89, p=.002) were significant differences between the two groups. In other hands BMI (t=-1.26, p=.213), diastolic pressure (t=-1.07, p=.287), total cholesterol (t=-1.67, p=.102), LDL-cholesterol (t=-0.76, p=.451), HDL-cholesterol (t=-0.57, p=.567) and triglyceride (t=-1.76, p=.094) were no significant difference between two groups. Conclusions: The health promotion program based on self-efficacy theory was found to be an effective nursing intervention program in improving physiological indicators, self-efficacy, grit and health promotion behaviors of community elderly.

• Journal of the Korean Society of School Health
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• v.24 no.2
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• pp.181-189
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• 2011

Purpose: The purpose of this study was to identify the trend of overseas school health indicators and to investigate indicators comparable internationally. Methods: Using the key words, school, health, indicators and policy through formal literature and web sites, the resources were used after the completeness of resources such as the presence of author, year published and place, and reproducibility was evaluated. Results: In overseas, the interest of school health indicators has increased gradually since 1960. Quality indicators as well as quantitative indicators are important as the good school health indicators. The overseas school health indicators have been very comprehensive, not only including students, but also including the expanded population such as school personnel, parents, family and community, process and outcomes, policies, social and cultural environment. The trend of school health research is from traditional issue-based to indicatorbased which makes comprehensive interpretation including development of school health service and life satisfaction. Among internationally comparable indicators, Health Behaviour in School-aged Children (HBSC) and Global School-based Student Health Survey (GSHS) were chiefly for students' health and behavior level, and the School Health Service Survey (SHS) was for school health service personnel and policy. Conclusion: Characteristics of overseas school health indicators were expanded population, and comprehensive and internationally comparable indicators. Therefore, Korea school health indicators need to be comprehensive using expanded population and qualitative indicators, and consider standardized indicators comparable internationally.

• Korean Journal of Health Education and Promotion
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• v.20 no.1
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• pp.19-39
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• 2003

Purpose: Although there is a lot of secondary data available for comparing community health status and planning health policies in terms of large area such as metropolitan cities or provinces, there is restricted data for establishing community health policies of the small areas such as towns, Gun(i.e., districts), and Gu. Specifically, the problems of producing a valuable index for health promotion in small areas are three fold: First, there is not an appropriate index model for measuring a small community health status. Second, a large part of secondary data in the small areas has been produced in an irregular time interval. In addition, all valuable data can not be integrated without time consuming work. Thus this study tries to establish a health promotion index model for assisting community health promotion initiatives of local governments. Methods and materials: Literature review, community health specialist consultation and a questionnaire survey was performed. Results: Based on Dever's model, a prototype of health promotion indicators was proposed and modified by the community health specialists. 15 classification scheme of statistical yearbook reorganized into the six areas. Those six areas were comprised in 24 indicator class with 96 specific indicators. Through further modification processes by a questionnaire survey, we developed a health promotion indicator model that contains six areas with 23 indicator class encompassed by 87 specific indicators. Conclusions: This study proposed a model of health promotion indicator comprised in the six areas with 23 indicator classes for measuring small area health promotion status. However, more specific or additional data in human biology, environment, and socioeconomic data is essential for producing a stronger model for health promotion measurement.

• Research in Community and Public Health Nursing
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• v.13 no.3
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• pp.523-531
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• 2002

Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of six sensitive nursing outcomes selected from the Nursing Outcomes Classification. The outcomes in this study were Self-Care: Activities of Daily Living, Self-Care: Instrumental Activities of Daily Living, Treatment Behavior: Illness or Injury, Knowledge: Health Promotion, Caregiver Performance: Direct Care, and Caregiver Physical Health. Method: Data were collected from 97 visiting nurses working in public health centers located in a province and a capital city. The Fehring method was used to estimate outcomes and indicators for content validity. Simultaneous multiple regression and stepwise regression were used to evaluate relationships between each outcome and its indicators. Results: Results confirmed the importance and nursing sensitivity of the outcomes and their indicators. Multiple regression revealed key indicators of each outcome. Self-Care: Instrumental Activity of Daily Living needed to be revised. Neither all of the indicators nor the indicators showing the highest importance and contribution ratio were selected as independent variables for the stepwise regression model. The R2 of the regression models ranged from 29 to 56% in importance by selected indicators and from 56 to 83% in contribution. Conclusion: Further research is needed for the revision of outcomes and their indicators.

• Journal of Environmental Health Sciences
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• v.40 no.2
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• pp.71-80
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• 2014

Objectives: The main purpose of this review is to introduce the current status of environmental health indicators of Korea and to share our experience of the developmental process of Korean version of environmental health indicators. Methods: This paper describes 1) the background of environmental health indicators; 2) the ways how we developed environmental health indicators of Korea; 3) the current status of selected indicators; and 4) suggestions for the further policy development. Results: The 6-year long project for the development of environmental health indicator systems in Korea could provide outputs on three major distinct aspects on the indicator issues. Firstly, we have developed the rational process/manual so that the government can select and advocate the potential indicators with a relatively objective manner. Secondly, we have suggested the potential candidate indicators which can be implemented immediately. We also pooled all indicators in order to evaluate the summary index which we expect to tell the status of environmental health. Third, we provided suggestions on the further utilization of this indicator system. Conclusion: The mission of environmental health policy is to resolve the public health problems occurring because of hazardous environment. In order to identify the environmental determinants of the community health problems and to evaluate the effectiveness of the policy implemented, these environmental indicators can be used. Therefore, the government should implement this ready-prepared system of environmental health indicators.

• Journal of Community Nutrition
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• v.8 no.1
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• pp.38-43
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• 2006

There were numerous evidences that subjective health evaluation was a powerful indicator for morbidity and mortality in many countries. Since self-rated health (SRH) was a reasonable health measure, identifying predictors for SRH would be beneficial for assessment of overall health, monitoring health status, and development of health promotion programs. Health risks, health behavior, socioeconomic characteristics and social capital were potential indicators for SRH. We examined association. between SRH and indicators such as health risk factors, subjective living condition, income, education level and dietary variety score. Total 4,262 subjects, aged between 20 and 69 years old, were selected from KNHANES 2001; those who completed health examination, nutrition survey, and provided their socioeconomic information. Results of logistic regression showed that it was likely to have better SRH for those who were younger, male and have higher education, higher income, better living condition, no metabolic syndrome and higher dietary variety.

• Journal of Environmental Impact Assessment
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• v.29 no.2
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• pp.93-111
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• 2020

Health Impact Assessment (HIA) in Korea is conducted for specific development projects within Environmental Impact Assessment (EIA) system. However, as HIA is being carried out in the implementation stage of the development project, it sometimes has failed to take proper actions despite the significant adverse health impact. Considering an environment conflict regarding adverse health impact in developing industrial complex and the current application of HIA in EIA system, it is necessary to come up with an adequacy evaluation in the industrial complex development considering health impact. This study proposes an adequacy evaluation method considering health impact for the industrial complex development and embodies the method by applying it to actual cases. Referring to methodologies of US EPA's CalEnviroScreen 3.0 and US ATSDR's Public Health Assessment, this study proposed using indicators divided by community characteristic, background exposure and development burden as an adequacy evaluation method to consider health impact. Five indicators for community characteristic, three indicators for background exposure and seven indicators for development burden were selected through literature survey, and the weights for each indicator were calculated through Analytic Hierarchy Process's survey of experts related to HIA. Through a pilot application in the three government-led industrial complex development projects, the method was further elaborated by clarifying the evaluation data and subdividing the evaluation criteria for each indicator. Adequacy criteria of plan considering health impact could be presented in three ways to be linked to the government's policy stance on the industrial complex development criteria of total score, criteria of total score and community characteristic score, and criteria of total score and community characteristic allowed by development burden.

• Biomedical Science Letters
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• v.30 no.2
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• pp.56-64
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• 2024

In this study, 293 middle-aged and elderly people in Gwangju·Jeonnam were analyzed for prevalence of hypertension and diabetes and health behavior index using composite logistic regression analysis using SPSS ver 21.0. The prevalence of hypertension was significant in age, education level, and household type, and the prevalence of diabetes was significant in education level. The prevalence of hypertension according to health behavior related indicators was significant in subjective health awareness, prosthesis repair, and discomfort chewing, and the prevalence of diabetes was significant in subjective health awareness, oral examination, discomfort chewing. The variables affecting the prevalence of hypertension were age and prosthetic repair, and the variables affecting the prevalence of diabetes were age, prosthetic repair, discomfort chewing, and annual drinking frequency. The purpose of this study was to investigate the relationship between hypertension, diabetes mellitus prevalence and health behavior indicators of middle-aged and elderly people, and to help the importance of Community Care and oral health care improvement program.

• Research in Community and Public Health Nursing
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• v.17 no.3
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• pp.407-418
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• 2006

Purpose: The purpose was to examine the level of perceived stress, lifestyle, and health status indicators and identify the relationships among them in medical center employees. Method: This study utilized data from Cohen's Perceived Stress Scale, health survey developed by National Health Insurance Corporation, and laboratory tests (such as liver enzyme or lipid profile) on 873 medical center employees. The data were analyzed using the SPSS 12.0 program through descriptive statistics, $x^2-test$, independent t-test, ANOVA and ANCOVA. Results: Perceived stress was relatively high, but lifestyle and health status indicators were good. Age, gender, and job were significantly related to perceived stress, life style, and health status indicators: younger employees, men, nurses reported higher stress; older employees, men and medical technicians reported worse life style; older employees, men and doctors showed more abnormal health status indicators. There was a significant relationship between perceived stress and life style: the higher the level of stress was, the more drinking or the more smoking they had. However, there was no clear relationship between perceived stress and health status indicators. Conclusion: Although the subjects' lifestyle and health status indicators were relatively good, their perceived stress was seriously high. Therefore, programs for reducing stress are necessary for medical center employees.