• 한국아동복지학
• /
• 제56호
• /
• pp.33-68
• /
• 2016

본 연구의 목적은 지역아동센터 종사자의 아동청소년정신건강 문제에 관한 대처경험을 이해하고자 하는 것이다. 이러한 목적을 달성하기 위해 지역 아동센터에 근무하는 종사자 10명을 2집단으로 나눠, 총 4회에 걸쳐 초점집단면접(focus group interview)을 통하여 자료를 수집하고 분석하였다. 분석결과, 지역아동센터 이용 아동청소년의 정신건강에 관한 종사자들의 경험은 4개의 주제, 12개의 하위주제로 구성되었다. 4개의 주제는 '아이들의 정신건강과 마주한 현실', '정신건강 문제를 인식한 종사자의 대처와 제한점', '마음으로 전해지는 노하우, 눈에 보이는 변화', '남겨진 과제, 아낌없이 줄 수 없는 종사자' 등이었다. 이러한 연구결과에 근거하여 지역아동센터를 이용하는 아동청소년의 정신건강 증진을 돕기 위한 방안을 제언하고자 하였다.

• 보건교육건강증진학회지
• /
• 제27권4호
• /
• pp.1-6
• /
• 2010

Objectives: This paper aims at addressing the importance of community-based health promotion. It would identify the origin of community health programs in Korea, which emphasized community involvement. And it would reveal the discontinuity of community-oriented health programs in the current health promotion activities. Finally, the methods of attaining community-based health promotion would be suggested. Results and Conclusion: Community-based health promotion had been implemented in rural areas by medical schools in the 1970s and 1980s, which emphasized the role of village health workers. But their roles has disappeared since the government-initiated health promotion policies and programs have been implemented in the mid-1990s. This paper addressed the factors contributing to this discontinuity, such as the expansion of heath insurance system, the change of health care discourses, the monopoly of resources for health promotion by government, and the bureaucratic approach to health promotion, etc. This paper suggested the utilization of voluntary and civic organizations in community for realizing the goal of community-based health promotion.

• 한국산업보건학회지
• /
• 제8권1호
• /
• pp.155-161
• /
• 1998

This study reviewed on the occupational health status of female workers in China, where the half of female population are workers in occupational settings and realizes the importance of occupational health among them, to establish the occupational health management system in Korea as Korean female workers have been increasing for the last few decades. Results of the study were as follows. 1. The proportion of female workers in total workers have increased from 7.5% in 1949 up to 37.6% in 1990. As for the distribution of female workers by industry, manufacturing part has the highest proportion of female workers in total and out of total female workers, the rank was health social welfare (53.2%), community personal service(45.4%) and agriculture forestry fishing(44.1%). 2. The system of occupational health management for female workers was related to superior organization well by administrative district & work place and professionals were distributed to one per ten thousand persons or more, depending on each region's conditions. 3. The regulations of occupational health management for female workers are defined in a variety of fields. Considering the physiological characteristics of female workers, government has tried to minimize the loss due to menstruation, pregnancy, delivery and lactation and has let them have vacations, guaranteeing the health facilities at the same time. Also government has defined the scope of prohibited work to protect legal right of them.

• 한국보건간호학회지
• /
• 제9권2호
• /
• pp.1-16
• /
• 1995

This study was conducted to propose a model for nursing performance in group occupational health service. To achieve such a goal, the writer choose and analysed two kinds of journals which were thought to be the most suitable for that purpose and authoritative on community health nursing: The Journal of Korean Community Nursing and the Journal of Korean Academic Society of Industrial Nursing. The total number of the articles analysed in this study was 16 and in the analysis of them the writer was specially concerned with the following questions: 1) Have there been any different performances in occupational health management between staying nurses and visiting ones? 2) What are the levels of knowledge, attitude, and practice of workers and how can we, on the basis of them, develop the program that workers are able to participate positively in ? the obtained conclusions are as follows. 1) Different performances are revealed between staying nurses and visiting ones: Common symptom management frequently appeared in staying nurses. Counseling, health education and follow-up care after medical examination were more frequently revealed in visiting nurses. 2) As for the lovel of knowledge, attitude, and practice of occupational health, workers have average one respectively. The major factors influencing the level of KAP of workers were area, age, sex and status. Counseling, health education, follow-up care after medical examination, and health promotion should be reinforced as core programs in group occupational health services. And for the part of visiting nurses, it is necessary to put more emphasis on efficiency training using the method of nursing process.

• 지역사회간호학회지
• /
• 제17권4호
• /
• pp.530-541
• /
• 2006

Purpose: This study attempts to understand workers' need for health promotion programs in their workplace and factors influencing the need. Method: The subjects of this study were 1,626 workers employed at Korean enterprises throughout the country. The instrument was composed with the '2001 National Heal Nutrition Survey.' Data were analyzed using SAS 8.12 by applying $x^2$ and multivariate logistic regression. Results: Need for stress management programs was highest. The need for stress management programs was affected by career and exercise, and the need for exercise programs by marital status and exercise. In addition, the need for alcohol management programs was affected by regular diet, and the need for fatigue prevention programs by fatigue, and the need for non-smoking programs by health status and regular diet. Conclusion: Workers' need for health promotion is related to their health lifestyle, so it is necessary to study various health promotion methods and develop concentrated intervention programs in order to promote health lifestyle.

• Journal of Preventive Medicine and Public Health
• /
• 제11권1호
• /
• pp.24-30
• /
• 1978

This study was designed to analyse effects of Family Health Workers' activities on the performance of a child immunization program as part of the evaluative research in the community health demonstration project in Kang Wha. Frequent shortcomings of evaluative research are problems in setting evaluative indices, difficulties in interpreting influences of socioeconomic changes due to lack of control and failure of demonstrating association between activity input and program performance. Specific objectives of this study was to improve the frequent shortcoming of evaluative research by isolating the effects of Family Health Workers' activities on the performance of the program through controlling other variables which also influenced the program performance. The target population consisted of 1240 children who were born between Jan. 1971 and Dec. 1975 in Sunwon Myun, and Naega Myun in Kwang Wha Gun, Kyonggi Province. The data were collected in part through 20 Family Health Workers who interviewed the mothers of these children in their villages during Nov. 1977. Part of the data were obtained by summarizing Family Health Workers daily activity records. All data were grouped for each birth cohort according to the 20 villages. Dependent variable of the model is the measle immuinization rate of each village and the independent variables are characteristics of baby, mother, household, travel time to the health subcenter, to Kang Wha Town, and the mean member of visits to the household by Family Health Workers as well as their other related activities and the year of birth of children according to village. The model was analysed by stepwise multiple regression technique. The summarized results show that overall $R^2$ were 39.3% and mean number of Family Health Worker household visits, mean age of mother and mean economic status were significant variables in explaining the immunization rate. Therefore Family Health Workers' activities are one of the significant variables in influencing the increased immunization rate of children in villages of the project area.

• Journal of Preventive Medicine and Public Health
• /
• 제24권3호
• /
• pp.339-355
• /
• 1991

The concept of workers' participation in occupational health was introduced to Korea recently in relation to primary health care in occupational health. But there is confusion and debate about workers' participation concept. The purpose of this study was to review the concepts of workers' participation and to conduct evaluation the workers' participation status in occupational health and safety, 394 workers and 54 employers (5.6%) in north area of Kyunggi-Do, were selected and interviewed with a questionnaire by a trained interviewer from August to September 1990. In general, the concept of workers' participation is based on industrial domocratisation and Declaration of Human Rights which had been powerful ideologies in labor movement. Contrary to workers' participation, community participation is rooted in the Health Rights. So, it is necessary to consider concept of workers' participation to improve participation. The results of survey were as follows. 1. Most of companies (71.75) carried out occupational health education to workers in study area. 2. The Occupational Safety and Health Committee (OSHC) were set up in 24.1% among the study companies, and 72.7% of workers among respondents thought that OSHC was helpful to workers health. 3. The workers signed his name to personal health report in 43.1% and the rate of participation in occupational environment examination was 54.9%. 4. The workers prefer the OSHC (39.3%), owner (35.1%) and union (25.8%) as a occupation health organisation, but owners prefer OSHC (54.5%), manager (43.2%) and union (2.3%). 5. Among the factors of the general characteristics, the existence of labor union was a major determinant of workers' attitude and level of workers' participation. As we have seen, most levels of workers' participation are low in occupational health. The variable of existence of labor union among the factors was a ma determinant of workers attitude and level of workers' participation. Therefore, in order to promote workers health, it is necessary to ponder long deeply on occupational health care system under the viewpoint of workers' participation.

• 지역사회간호학회지
• /
• 제16권2호
• /
• pp.167-176
• /
• 2005

Purpose: The purpose of this study was to identify factors to predict of condom use for the prevention of sexually transmitted diseases (STDs) among sex workers in a Korean community. The theoretical ground of this study was the Interaction Model of Client Health Behavior. Method: A descriptive, cross sectional and retrospective research design was employed in this study. A total of 100 sex workers who take a clinical check-up on STDs regularly at W Public Health Center were recruited by convenient sampling, and with consent to participate in this study. All of the measures were piloted, and the reliability of each scale ranged from 0.7 to 0.9. Data were analyzed using discriminating function analysis with SPSS-PC. Results: Five independent measures (partner preference for using condoms, subjects desire to prevent STD, age, type of relationship and sexual self-determination) contributed significantly to the best discriminating function. The discriminating function analysis resulted in correct classification of 83.1% of the respondents into their corresponding groups. Conclusion: Condoms are a main means of STDs prevention. Risk-reduction interventions that enhance communication skills and intrinsic motivation will be effective in increasing condom use to prevent STDs among sex workers.

• 대한지역사회영양학회지
• /
• 제18권5호
• /
• pp.467-477
• /
• 2013

This study examined the health-related factors and nutritional status of 89 single women workers in their 20's who work night and day shift at the take-out coffee shops and the 89 single women office workers. The results of the study are summarized as follows: The shift-workers showed lower rate of office tenure (p < 0.001), income (p < 0.001), job satisfaction (p < 0.05), weight (p < 0.05), and higher rate of weight change (p < 0.001) than the non shift-workers. The shift-workers showed lower rate of of exercise (p < 0.001), sleeping hours (p < 0.01), and good health condition (p < 0.01), and higher rates of smoking (p < 0.001), presence of disease (p < 0.001), gastric and intestinal illnesses (p < 0.001) than the non shift-workers. More than 88.8% of the shift workers answered that they ate alone (p < 0.001). The shift workers showed lower rate of regularity of meal (p < 0.001), balanced diet (p < 0.001), and mealtime (p < 0.001), and higher rate of skipping breakfast (p < 0.001), consumption of salty and spicy food (p < 0.001), and overeating (p < 0.01) than the non shift-workers. The shift workers consumed (p < 0.001) less frequently rice, soup and side dishes, and more frequently noodles and snack, bread than the non-shift-workers. The shift workers showed lower rate of consumption of beer (p < 0.01), and higher rate of consumption of coffee (p < 0.001), tea (p < 0.01) and soju (p < 0.001) in once a week or more intakes than the non-shift-workers. The shift workers showed higher rate of consumption of carbohydrates (p < 0.05), and calcium (p < 0.05) and lower rate of consumption of protein (p < 0.05), fiber (p < 0.05), vitamin C (p < 0.05), and folate (p < 0.05) intakes than the non-shift-workers.

• 지역사회간호학회지
• /
• 제17권2호
• /
• pp.153-165
• /
• 2006

Purpose: The purpose of this study was to develop and test a structural model on cardiovascular disease risk factors among male manufacturing workers. Methods: Data were collected through questionnaires and health exams from 201 workers in a local electronic company during September 2004. Data analysis was done with SAS 9.1 for descriptive statistics and PC-LISREL 8.54 for covariance structural analysis Results: The overall fit of the hypothetical model to the data was moderate, it was modified by deleting five paths. The modified model had a better fit to the data($x^2=504.23$(p<001, df: 180), $x^2/df=2.80$, GFI=.95, RMR=.07, NFI=.90, PGFI=.64). Health behaviors and psychosocial distress were found to have significant direct effects on the cardiovascular disease risk factors. Self-concept had direct effect on psychosocial distress or health behaviors. Self-concept, work environment, and work condition had direct effect on social support. Work environment had indirect effect on psychosocial distress. Social support had indirect effect on health behaviors. But work environment and work condition were found to have little direct effect on health behaviors, psychosocial distress or cardiovascular disease risk factors. Conclusion: A cardiovascular health promotion program should therefore include psycho-social factors as well as health behavioral determinants in worksites.