• Journal of Preventive Medicine and Public Health
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• 제37권1호
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• pp.88-98
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• 2004

Objectives : The 3rd community health plan let health centers select and promote core projects considering budget and manpower. This study analyzed the content and selection processes of core projects, using the nationwide 3rd community health plans, to give relevant information on health center policies. Methods : Classification criteria for content analysis of core projects were established and verified through a literature review and by specialist discussions. Fifty plans were selected by stratified proportional random sampling for regional characteristics. And coding criteria standardized through coding repetition and discussion, by 2 persons (k>0.7). Using stratified proportional random sampling for 16 cities and provinces, regional characteristics, 117 plans were selected, and the contents of the core project selection processes and program contents analyzed. Results : The survey was used by 59.8 % of samples as a core project decision-making method. The partici- pants included 98.6, 81.4, 40 and 38.6% of the health staffs, residents, medical institutions, and administrators, respectively. Discussion was used by 15.4% of samples. The participants were health staffs by 100% as a great. The ranking of the frequencies of the selected core projects were, in order; chronic disease control, health promotion, elderly health, maternal-child health, and oral health at 16.4, 14.8, 14.3, 12.7 and 11.9%, respectively. Analyses on the chronic disease control and elderly health contents showed the diversity of object disease, high rates of visitors on patient detection programs, high rates of unclear target populations, and the provision of medical exams and treatments as the main services, with high variations in business per-formance. The national health budgets for health centers in 2003 were about 910 and 240 million won for chronic disease control and elderly health, respectively, which were less than for the other five priority core projects. Conclusions : The chronic disease control and elderly health at the health centers were not standardized for object disease, patient detection program, target population, service provision, and national support budget was insufficient. Thus it is necessary to develop standard guidelines, and increase financial support, for chronic disease control and elderly health

• 농촌의학ㆍ지역보건
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• 제34권3호
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• pp.324-333
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• 2009

본 연구는 우리나라 성인의 건강증진 생활양식을 파악하여 지역사회 자원 활용을 통한 현장중심 건강증진사업을 위한 기초조사의 일환으로 시도하였다. 자료는 2005년 10월 1일부터 12월 31일까지 G시에 소재한 일 교회 소속 성인 중 편의 표집법으로 성인 315명을 선정하여 Park 등[15]의 건강증진 생활양식 측정도구를 이용하여 수집하였다. 수집된 자료는 SPSS/PC 프로그램을 이용하여 일반적 특성은 빈도와 백분율을, 건강증진 생활양식 정도는 평균과 표준편차를 산출하였으며, 일반적 특성에 따른 건강증진 생활양식 정도는 t-test, ANOVA, Duncan test로, 건강증진 생활양식의 세부 영역간 상관관계는 Pearson's correlation coefficient로 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. (1) 건강증진 생활양식에서 스트레스 영역 점수가 가장 높았고, 흡연 영역 점수가 가장 낮았다. (2) 건강증진 생활양식 영역별 지식, 태도, 실천정도에서 운동과 영양 및 스트레스는 태도가, 음주는 지식이, 흡연은 실천이 높았다. (3) 대상자의 일반적 특성 중에서 연령별 건강 증진 생활양식 정도는 70대가 60대 이하보다 유의한 수준에서 높게 지각하였다. (4) 건강증진 생활양식의 세부 영역간 상관관계에서 운동은 영양, 스트레스, 음주와 영양은 스트레스, 음주와 음주는 스트레스, 흡연과 유의한 상관관계를 보였다. 본 연구는 일 교회의 성인에 국한하여 조사된 한계가 있으므로 다양한 규모의 교회와 타종교기관의 성인을 대상으로 한 반복연구가 필요하며, 본 연구의 결과 건강증진 사업 기획에는 영역별로 스트레스 관리 강화, 흡연 관련 지식과 태도 교육, 음주 관련 태도와 실천 교육, 영양 관련 지식과 실천 교육, 운동 관련 실천 교육 내용이 포함되어야 함을 제언한다.

• 보건교육건강증진학회지
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• 제20권3호
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• pp.61-76
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• 2003

Substance abuse among teenagers has been spreading widely and become a serious social problem. However, teachers hardly realize its importance. Recently, substance abuse prevention programs show a tendency towards one time education. This study aims to research the effect of substance abuse prevention on high school students using the Life Skills Training Program. Two classes(36 students in the experimental group, 35 in the control group) at W High School in Daejeon were randomly sampled for this study from May to June 2002. Substance knowledge and attitude, problem solving, and assertiveness were examined as Pre and Post-Tests. The data was analyzed using frequencies, t-test, means, and covariance(ANCOVA). The results of this study were as follows； 1. Compared with the control group, substance knowledge in the experimental group was significantly improved(F＝176.317, P＝.000). And compared with the control group, substance attitudes in the experimental group were improved significantly.(F＝207.682, P＝.000). 2. Compared with the control group, cognitions to problem solving in the experimental group was significantly improved(F＝100.937, P＝.000). 3. Compared with the control group, assertiveness behaviors in the experimental group were increased significantly(F＝207.255, P＝.000). The study showed that Substance Abuse Prevention of High School Students was effective in improving substance knowledge and attitude, cognition to problem solving, and assertiveness behavior. Some suggestions based on the result are as follows； 1. Substance abuse preventive programs must be practiced properly and systematically with high school students in their regular classes. 2. Various preventive education programs must be developed for substance abuse where high school students can join in a community center, such as Community Welfare Center, Alcoholic Counseling Center, and Mental Health Center. 3. For the furthering of substance abuse preventive education, there must be continued research about not only students with problems of substance misuse and abuse, but also students without them. 4. There must be early determination of students with problems of substance misuse to be able provide school social workers with the opportunity for intervention.

• 대한지역사회영양학회지
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• 제13권2호
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• pp.216-227
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• 2008

The purpose of this study was to develop a nutrition education program for dietary salt reduction using various nutrition education materials. The effect of a 5-week nutrition education program on salty taste assessment, nutrition knowledge, salt attitude for a high-salt diet, salt content in food, and individual satisfaction with the salt concentration of meals during the education period was evaluated. Nutrition education materials included two animations, a pamphlet, panels, and a website, as well as other training resources. Subjects participating in this study were 335 employees (164 male, 171 female) at 15 foodservice operations in Daegu. Preference for higher levels of salty taste and food containing higher amounts of salt were lowered. Knowledge regarding the necessity for dietary salt reduction was higher (p < 0.001) than before nutrition education, and salt content in a meal was reduced. As the program progressed, average salt concentrations of soups were significantly lowered (p < 0.05), and there was greater satisfaction with the lower concentration (p < 0.001). This was a positive indication of the program's success. In addition, it was found that subjects who participated in the program several times have changed their preference to lower levels of salty taste and have increased their nutrition knowledge (p < 0.05, p < 0.001). Thus, the positive effect of this 5-week nutrition education program developed for, and applied to, foodservice employees, concerning dietary salt reduction was confirmed.

• 지역사회간호학회지
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• 제8권1호
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• pp.45-60
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• 1997

Essential hypertension is a typical chronic disease requiring adequate and continuous management. Many studies supported that self-care was the essential factor to promote the wellbeing of hypertensives and self-efficacy increased healthy, behavior. The comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care performance for hypertensives in company. And this self-regulation program was recommended to apply for hypertensives in rural area. The purpose of this study is to identify the general characteristics affecting self-care and interrelationship among the factors including self-care, self-efficacy, HLOC, perceived benefits, barriers and family support. 40 subjects were interviewed from Dec. 1996 to Jan. 1997 and the data was analyzed by the SPSS PC+ program with t-test and multiple correlation to determine the variables affecting the self-care behavior. The results were as follows: 1) Level of self-care was significant difference according to sex(t= -2.27, p=.0l9). religion (t=1.57, p=.055) and smoking habit (t=4.42, P=.000). Perceived self-efficacy was more significantly high among the non-smoking group (t=3.25, P=.000) and female group (t=-2.534, p=.0l3). 2) There were significant positive correlation among the variables: self-care and self-efficacy (r=.5460, p=.000), external-LOC and self-care(r=.2548, p=.056), external-LOC and self-efficacy(r =. 2901, p=.035), self-efficacy and perceived benefits (r=3307, p=.019). And there were significant negative correlation between self-care and barriers (r=-.5438, p=. 000), self-efficacy and barriers (r= - .4153, p=.004). From the above results, it can be concluded that the self-care is more required in male hypertensives and self-efficacy is one of the important factors to increase healthy behavior in cluding self-care. Thus self-regulation program can be recommended in the management of the hypertensives in community settings.

• 지역사회간호학회지
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• 제20권2호
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• pp.152-160
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• 2009

Purpose: The purpose of this study was to analyze service occupation types and to develop training programs for the aged. Methods: This study used descriptive study design. The research process consisted of three stages: first, identified the demand of service manpower for the aged; second, investigated present jobs and education programs in Korea and Japan; and last, developed service jobs and education programs for the aged. Results: Potential users considered "health management" to be the most important area. They thought "providing job" as second most important. According to the result of analyzing Korean policies, there were 9 service occupations in 5domains. So, we derived 10 occupations such as 'daily living manager', 'care manager', 'care worker', 'health manager', 'education specialist', 'leisure manager', 'good manager', 'housing manager', 'financial specialist' and 'retirement consultant' in 5domains as healthcare, leisure, goods, housing and finance. Finally, we developed their tailored training programs. Conclusion: According to this study, there should be various occupations qualified by the government, and training programs should be settled. And healthcare providers must included in developing standardized training programs.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.15-23
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• 2021

Objective: The purpose of this study is to examine the Korean women's attitude toward sex in their 20s in order to investigate the relationship between attitude toward sex and preventive behavior against cervical cancer. Method: The data was collected by conducting a survey in parts of Chungcheongbuk provinces from November 1st to the 10th, 2017, with a total of 353 respondents. Frequency analysis, chi-square test and logistic-regression analysis were conducted. Result: A result of logistic-regression analysis, the degree of preventive behavior against cervical cancer of those who were 'conservative' toward sex was 1.866 times greater, significantly. As the attitude toward sex becomes more liberal, the awareness of the necessity for preventive behavior against cervical cancer may possibly become lower. Conclusion: Therefore it is necessary to work in tandem with the school health program to increase preventive behavior against cervical cancer for the women in their 20s through early education and promotion.

• 한국학교보건학회지
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• 제10권2호
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• pp.193-211
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• 1997

The study was designed to gain necessary basic data in order to grasp the health knowledge, attitude, and practice level of students and teachers of elementary, middle and high schools. This study was conducted through interviews of 3,400 students and 1,022 teachers attending 14 different schools large, middle and small cities and rural towns during a period of nine months (from Oct. 2 1995 to Jun. 30 1996). By the results of this study, the recommendations can be summarized as follows: 1. A school health development committee should be established of 10 members: school health related teachers (physical trainers, nurses, and teachers in charge of health), parents, persons related to health administration, local medical doctors, and student reprensentatives in order to support and immplement school health development plans. 2. Like advanced countries, a health class of 2~4 hours should beplaced in middle and high schools. A nurse majoring in health from a university should be the teacher. 3. A curriculum of health should contain the following: education on health, sex, alcohol, tabacco, the misuse of the drugs, the structure and function of human body, the growth of the body, mental health, safety and emergency care, the prevention of disease, proper eating habits and nutrition, daily health life, family health education, society health, community health, environmental pollution and individual responsibility. 4. Create a school health promotion center, with a nurse's office, and a sports center which has health machines (bars, aerobics, training, twist machine, belt massage, running machine, bench press, chest waist, hack hip extension machine) as well as a physical strength measuring machine (muscular strength, alertness, flexibility, endurance, lung functions and so on), so that the teaching staff and students can use them and train their bodies. 5. Through a refresher education program, urge teachers to understand school health promotion services. 6. Regulate a standard and establish a system of monitoring the physical enviroment of the school (the height of desks and chairs, illumination facilities, ventilation facilities, safe drinking water). 7. Create a check list of health to evaluate improvement.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.267-275
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• 2012

Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

• 통합자연과학논문집
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• 제4권2호
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• pp.143-148
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• 2011

This study was to promote the business of school dental health program in community area and to present the improvement of oral health between public health center's group of SungDong elementary school, one that started on March 1999, and the control group that is going to operate school oral health center from 2009 in primary school. It was based on the data of more than 10 years running school based oral health section. We compared the data of SungDong group with the one of control group to get a survey of dental caries experience. The preventive effect of the caries was estimated by the difference of DMFT indices between the sample group and control group. The experience rate of caries of the sample was 12.6 percentage lower than the control group and index of the experience rate of caries for the SungDong group was two times less. It showed that the sealing rate of the SungDong group composed of pit and fissure sealant was 67.7 percentage high. The prevention rate which was calculated by DMFT index was 46.34 percentage in the SungDong group that was the highest score for the fifth grade student as a 60.5 percentage. This program contributes to the improvement of the dental caries reduction in this school oral health promotion program.