• 제목/요약/키워드: Demographic change

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한국 성인의 8년간 체중, 허리둘레, 비만 유병률의 변화 및 체중증가와 관련된 식이 요인 : 한국인유전체역학조사사업의 종단연구 자료 (Changes in weight, waist circumference, prevalence of obesity, and dietary factors associated with weight gain over 8 years in Korean adults: Longitudinal data from the Korean Genome and Epidemiology Study)

  • 손임휘;한영희;현태선
    • Journal of Nutrition and Health
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    • 제50권4호
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    • pp.336-349
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    • 2017
  • 본 연구에서는 한국인유전체역학조사사업에서 수집한 2001~2002년 기반조사 자료와 2009~2010년 4차 추적조사의 자료를 이용하여 건강한 한국 성인 3,506명의 8년 동안의 체중 변화를 파악하고, 체중 증가와 관련된 사회인구학적 요인과 식이요인을 분석하였다. 신장은 8년 동안 남자의 경우 평균 0.3 cm, 여자의 경우 0.4 cm가 감소하였으며, 체중은 남자 0.35 kg, 여자 0.65 kg 감소하였다. 허리둘레는 남자 1.71 cm, 여자는 1.85 cm 증가하였고, BMI는 남자에게서는 차이가 없었으며, 여자는 $0.2kg/m^2$ 감소하였다. BMI $25kg/m^2$ 이상의 비만율 수치가 남자는 34.5%에서 33.5%, 여자는 38.0%에서 36.7%로 감소하였으며, 복부비만율은 남자가 14.8%에서 22.2%, 여자는 28.8%에서 35.4%로 증가하였다. 기반조사에서 BMI를 기준으로 정상체중군, 과체중군, 비만군으로 분류된 집단 중 정상체중군과 비만군의 약 80%는 8년 후에도 분류 집단이 유지된 반면, 과체중군은 60% 미만이 유지되고, 약 20% 내외가 각각 정상군 또는 비만군으로 바뀌었다. 8년 동안의 체중증가에 영향을 준 일반적 특성은 남녀 모두 연령이었으며, 남자의 경우 흡연과 관련이 있었다. 또한 여자의 경우 도시거주자, 40대, 대졸이상, 소득수준이 높은 집단, 음주군의 체중 감소량이 적었다. 허리둘레는 남자의 경우 거주지역, 연령, 교육수준, 소득수준, 직업, 흡연 여부에 따라, 여자의 경우 거주지역, 교육수준, 소득수준, 직업, 흡연여부에 따라 차이가 있었다. BMI 변화에 따라 체중감소군, 체중유지군, 체중증가군으로 분류하였을 때, 8년 동안 BMI가 $1kg/m^2$이 증가한 집단은 전체의 19.5%이었으며, BMI가 $1kg/m^2$이 감소한 집단은 23.0%이었고, 남녀 모두 비슷한 분포이었다. 체중증가군은 체중, 허리둘레, BMI가 모두 증가한 집단으로 이들의 에너지 섭취량을 에너지필요추정량의 비율로 계산하여 비교한 결과 남녀 모두 유의적인 차이가 없었다. 그러나 당이 많이 들어 있는 가공식품 또는 음료의 섭취량을 비교한 결과 체중증가군의 커피믹스와 우유의 섭취량이 체중 감소군의 섭취량에 비해 유의적으로 많았다. 본 연구에서는 우리 국민들이 선호하는 커피믹스와 장기간의 체중증가와의 관련성을 제시하여 앞으로 비만 예방을 위한 영양교육과 건강증진 전략에 기초자료로 활용될 수 있을 것으로 생각한다.

국내 외국인 유학생의 음악 활용 (Use of Music by International College Students in Korea)

  • 신완주;박혜영
    • 인간행동과 음악연구
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    • 제15권1호
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    • pp.51-68
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    • 2018
  • 본 연구는 국내 외국인 유학생의 음악 활용을 살펴보기 위해 B시에 소재한 5개의 4년제 대학에 유학 중인 외국인 학부생을 대상으로 조사 연구를 실시하였다. 이를 위해 음악 활용 현황, 음악 활용 목적, 개인 변인 등 총 25문항으로 구성된 설문지 150부를 배포한 후 회수된 81부의 설문지 중 불충분한 12부를 제외한 총 69부를 분석한 결과는 다음과 같다. 첫째, 국내 외국인 유학생은 노래부르기나 악기연주에 비해 음악감상 활동을 선호하였으며 주로 혼자 기숙사에서 대중음악을 감상하는 것으로 나타났다. 또한 사랑을 주제로 한 음악을 선호하였으며 한국의 음악 보다는 본국의 음악에 대한 활용도가 높았다. 둘째, 음악 활용 목적은 편안함, 기분전환, 즐거움, 소속감, 성취감의 순으로 나타났다. 셋째, 국내 외국인 유학생의 개인변인(성별, 한국거주기간, 음악교육경험 유무)별 음악 활용에는 전반적으로 차이를 보이지 않으나, 한국거주기간에 따른 선호 음악분위기와 음악을 통해 소속감을 얻는 정도가 다른 것으로 확인되었다. 이에 본 연구는 국내 외국인 유학생의 음악 활용 현황 파악을 통해 이들의 문화적응 및 심리 정서적 지원을 위한 음악프로그램을 개발하는 데 기초자료를 제공할 수 있을 것이다.

병원근무 전문의 소득에 영향을 미치는 요인분석 (Analysis of influencing factors on hospital-employed physician's income)

  • 박웅섭;김한중;손명세;박은철
    • 보건행정학회지
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    • 제9권3호
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    • pp.1-20
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    • 1999
  • This study reviews the literature of influencing factor on hospital-employed physician's income, and it describes general distribution of hospital-employed physician's income, and analyzes influencing factor of hospital-employed physician's income. A total of 1.795 persons responded to the mail survey. through stratified sampling by 23 branches of medical society in Korean RBRVS study. The design of the study is cross sectional study. and the unit of analysis is a physician. To examine the change of average income per month. multiple regression was used to test the change according to physician's characteristics. demographic characteristics. scale of hospital. average intensity of ordinary work. and specialty. The major findings of this study are as follows; 1. As for physicians working in first referral hospital. the average income of neurosurgeon per month was the largest. being 1.34 times larger than that of the family physician, and that of the emergency physician was the smallest, being 0.78 times smaller than that of the family physician, but that of the ophthalmic and Orthopaedic physician was significantly larger than that of the family physician under the control of control variables. And average income per month was significantly larger for physicians who worked in Seoul metropolitan area than physicians who worked in rural area. 2. The year of physician's career, number of average out-patients per month significantly positively associated, but the number of hospital beds and average intensity of therapy significantly negatively associated with average income per month. 3. As for physicians working in second referral hospital. the average income of the psychiatric physician per month was the largest, being 1.33 times larger than that of the family physician, and that of the emergency physician was smallest, being 0.74 times smaller than that of the family physician., but no significant difference was seen under the control of control variables, and average income per month was significantly larger for physicians who worked in Seoul metropolitan area than physicians who worked in large municipal area. 4. The year of physician's career and number of hospital beds significantly positively associated, but average working hours per month significantly negatively associated with average income per month. In conclusion, the year of hospital-employed physician's career is the largest influencing factor on hospital-employed physicians. But the difference of average income per month according to working regions and to number of hospital beds existed in employed physicians under the control of control variables. So this study has implementation that we must consider the influence of working regions and the number of hospital beds on the income of hospital-employed physicians in making policy for hospital. Being a cross-sectional study, this study can not suggest causal explanations. In the future, experiment or cohort study is needed for causal explanations.

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병원 간호조직문화 규명을 위한 연구(I);조직문화 개념에 대한 문헌고찰 (A Study for Examine into Nursing Organizational Culture (I);Review of the Literature about the Concept of Organizational Culture)

  • 김문실;한수정;김정아;박현태
    • 간호행정학회지
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    • 제4권1호
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    • pp.89-105
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    • 1998
  • Modern organizations, both complicated and complex, operate in an economic climate of· turbulence and rapid change. And Today's healthcare environment is changing, driven by demographic, environmental. social, political and technological forces. In actual practice, the organization usually depend on several factors such as economic state of organization, managerial strategies, a synthesis of several theories that reflect individual biases, specific circumstances, and practical realities. These rapidly changing healthcare environment and professional nursing practice need a strategy for the organizational development and goal attainment. An understanding of organizational culture could help managers enhance or expand their management strategy, thus increasing the probability of their success in the organization. Organizational culture is an abstract, yet potent managerial concept. With roots in several disciplines, several perspectives and definitions of organizational culture have emerged. The concept of organizational culture has been rapidly introduced into the academic and organizational world, with the much attention to the excellent companies that have continued rapid grow th despite the overall world economic recession in the late of 1970s. Organizational culture is the combination of the symbols, language, assumptions, and behaviors that overtly manifest an organization's norm and values. It is the taken-for-granted and shared meanings people assign to their social surroundings that can have a profound effect on an organizaitonal decision making and performance. For attaining a organizational goal and developing organization, it is necessary to put emphasis on developing organizational culture. It has to set organizational culture well understood by its members as an instrument to achieve the organizational goals. Both Manager and staff can focus and act on the values identified. Also, managers will exhibit better decision making capabilities because they are guided by perception of the organizational values. Therefore, understanding of organizational culture could give a strategy for organizational development that assist hiring personnel, orienting new comers, facilitating organizational change and promoting learning and so on. But their is few study on nursing organizational culture in Korea. Moreover they have not had a clear definition of Korean nursing organizational culture. Therefore, it is necessary to lay down definition of Korean nursing organizational culture and fine out real factor of Korean nursing culture. For defining a definition of Korean nursing organizational culture, this study assessed several definitions of organizational culture, factors of culture, types of culture, and functions of culture through book review.

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윤리적 소비성향이 윤리적 화장품에 대한 태도와 구매의도에 미치는 영향 (Influence of ethical consumption proprieties on the attitude and purchasing intention of ethical cosmetics)

  • 백지은;이영주
    • 한국의상디자인학회지
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    • 제22권1호
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    • pp.73-84
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    • 2020
  • Recently, there has been a change in consumer culture. The paradigm is changing from a consumption model that used to emphasize rationality to an ethical consumption model that focuses on sustainability. Such a change in consumption patterns has also been seen in the cosmetics industry, but studies to empirically assess this trend are incomplete. Therefore, the purpose of this study is to empirically identify the impact of ethical consumption proprieties on attitudes and purchasing intentions for ethical cosmetics. To achieve the aim of this study, 506 adult women residing in Korea were selected as subjects and surveyed. To identify the demographic characteristics of the study participants, a technical statistical analysis and frequency analysis were conducted. To check the validity and reliability of the measuring tools, an exploratory factor analysis was performed, and the Cronbach's α factor was calculated. The analysis method was analyzed using the SPSS 25.0 and the Amos 25.0 statistical analysis programs. The results of this study are as follows. First, ethical spending tendencies had a positive impact on attitudes toward ethical cosmetics. Specifically, interest in ethical issues, altruism, and business ethics perception have had a positive impact on attitudes toward ethical cosmetics. However, consumer effectiveness had no significant impact on attitudes toward ethical cosmetics. Second, attitudes toward ethical cosmetics had a positive effect on purchasing intentions. This study found that for the spread of ethical cosmetics and ethical consumption trends varied according to the age and that attitudes toward ethical cosmetics and differences in purchasing intentions should be kept in mind. It also showed that attitudes toward ethical cosmetics affect purchasing intentions. The results of this study suggested that the analysis of adult women, the main consumers of cosmetics, by age was meaningful for finding the factors for growth in the macroscopic ethical cosmetics industry and that the industry could raise its ethical awareness. If such tasks are systematically established, ethical cosmetics are thought to be able to actively solve social problems and lead a mature cosmetics industry.

소아천식에 대한 임상적 고찰 (A Clinical study on Pediatric Bronchial Asthma)

  • 김윤희
    • 대한한방소아과학회지
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    • 제16권1호
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    • pp.133-148
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    • 2002
  • Objective : This study was to investigate more effective oriental medical treatment for Pediatric Bronchial Asthma Method : Aroma therapy and Herbal medicine was given to 28 pediatric bronchial asthma patients(19 males and 9 females) for about 5months from the First, August 1999 The Fifth, January 2002. Results: 1. Demographic factor : The sample consisted of 28 persons among whom 19 were male, 9 were female. The age ranges from 1 year old to 6 year old. Less than 2 year old were 4 and 2-6 year old were 20. 2.Residence : Apartment and villar dwellers were 19(67.9%), Residential street divellers were 9(32.1%). 3.Age distribution at on set : 6(21.4%) fell ill befor 1 year old and 22(78.6%) fell ill after 1 year old 4. The period of illness : 9(32.2%) suffered during 1-3 year and 6(21.4%) suffered during 6 mouth-1year and 6(21.4%) suffered during more than 3 year. 5. Frequency of the symptoms : The symptoms appeared 2-3 times a year in the case of 16(57.2%), one time a year in the case of 1, 4 times a year in the case of 6(21.4%). 6. Concomitance symptoms : All experienced coughing sign, wheezing, 23(82.1%) experienced epistaxis, nose dripping, 13(46.4%) got fever, anorexia. 7. Past history of illness : 16(57.1%) got brochiolitis, brochitis, 12(42.9%) suffered pneumonia, 9(32.1%) had allergic rhinitis. 2 had allergic rhinitis, sinusitis, atopic dermatitis, bronchial asthma, 3 got atopic dermatitis, bronchial asthma and 7 had allergic rhinitis, sinusitis, bronchial asthma, 8. Family disease : In the case of family disease, 21(75%) had allergic dermatitis, 9(42.9%) had bronchial asthma, 8(38.1%) had allergic dermatitis. 9. The symptoms became very severe in the change of season in the case of 13(46.4%) and in the case of 11(39.3%), the change of season made no difference 10. Associated caused of induction symtoms : 28(100%) got sick by common cold, infectional disease, 8(28.6%) got sick by cold food, cold air 11.The kind of therapy : 15(53.6%) got oriental therapy after occidental therapy, 11(39.3%) took only oriental therapy. 12. Improvement degree of each symptoms : In the case of cough and wheeze that are the main symptoms of bronchial asthma, 78.6% and 64.3% of the patients replied < improvement > and in the case of dyspnea, tachypnea 41.7% of the patients replied . In other symptoms, all replied 13. Degree of satisfaction : 19(67.9%) replied , 2(7.1%) replied . Conclusion : Herbal medicine and aroma therapy proved to be a very effective oriental medical treatment for pediatric bronchial asthma.

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부대 전투력 향상을 위한 군 교육훈련 일정계획 최적화 모형 (Military Training Schedule Optimization Model for Improving the Combat Power of Troop)

  • 박철언;정창순;김경섭
    • 한국산학기술학회논문지
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    • 제21권10호
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    • pp.240-247
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    • 2020
  • 우리나라 군은 인구절벽 현상으로 인한 병력 부족, 병사들의 의무복무기간 단축, 획일화된 교육훈련에 대한 거부감 등을 이유로 전투력 유지에 어려움을 겪고 있다. 최근 군 내부적으로도 이러한 문제를 인식하여 전투력 유지에 결정적 역할을 하는 군 교육훈련 체계 개선에 대한 논의가 많이 이루어지고 있다. 본 연구에서는 부대 전투력 향상을 위한 군 교육훈련 일정계획 최적화 모형을 제안한다. 이를 위해 부대 전투력에 영향을 미치는 요소인 교육훈련 과제에 대한 망각 및 학습효과, 과제별 개인점수를 정량화하여 모형에 적용한다. 일정계획 기간은 실제 야전부대의 순환식 부대훈련 주기인 4주로 설정하며, 부대 전투력 측정은 4주 후 부대 구성원의 과제별 개인점수 총합에서 낙제가 발생한 총 횟수를 가중차감하여 계산한다. 교육훈련 여건 및 일부 과제의 초기 개인점수로 시나리오를 구성하고 실험을 수행한 결과 부대 전투력이 최소 10%, 최대 77% 상승하였는데, 이는 전역 및 전입하는 인원을 감안할 때 적어도 부대 전투력 유지가 가능할 만큼의 수치에 해당한다. 또한 부대 전투력 상승률 및 과제별 낙제 발생 횟수 결과를 통해 교육훈련 여건의 조성, 특히 전투기술훈련 과제를 충분히 계획하는 것이 부대 전투력에 큰 영향을 미치는 것을 확인하였다. 본 연구모형을 통해 군 교육훈련 관리자가 효과적으로 부대 전투력을 유지 혹은 향상시킬 수 있는 교육훈련 일정을 수립할 수 있을 것으로 기대한다.

컴퓨터 사용 시간에 따른 초등학생의 시력저하 요인 분석 (Analysis on Key-factors in Worsening of Eyesight for Schoolchildren as a Consequence of Computer Usage Time)

  • 주헌식
    • 한국콘텐츠학회논문지
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    • 제11권3호
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    • pp.477-486
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    • 2011
  • 본 논문에서는 컴퓨터 사용 시간과 시력 저하 관계를 분석했다. 우선 첫째로, 조사에 참여한 학생들을 성별, 학년, 시력과 안경 착용으로 인구학적 특성에 따라 분류 하였다. 설문은 컴퓨터 사용 시간, 시력 저하의 요인들, 그리고 컴퓨터 사용 목적에 관한 질문들을 하였다. 학생들의 연간 시력 변화와 시력 변화의 원인에 대해서 교차 분석한 결과, 설문에 참가한 165명의 학생 중 63.6%가 한 해 동안 시력이 나빠졌다. 컴퓨터 사용시간과 시력 저하 상관관계를 나타내기 위해 회귀 분석한 결과 일일과 주간 컴퓨터 사용에서는 시력저하를 나타냈고, 년 컴퓨터 사용에서는 시력저하를 나타내지 않았다. 또한 독립 표본 T검정으로 안경 착용과 미착용자의 컴퓨터 사용 시간과 시력 저하를 분석한 결과 일일과 주간 컴퓨터 사용에서는 시력저하를 나타냈고, 년 컴퓨터 사용에서는 시력저하를 나타내지 않았다. 그런데 안경 미 착용자가 안경 착용자에 비해서 시력 저하를 더 나타냈다. 본 논문에서는 24.5%의 학생들이 컴퓨터 사용으로 시력저하를 나타냈다. 컴퓨터 사용 용도의 빈도분석 결과에서는 컴퓨터 게임이 36.4%로 가장 많았고, 그 다음으로 학습목적이 32.1% 나타났다. 본 논문에서는 컴퓨터 사용 시간과 시력 저하의 요인 분석을 통해 컴퓨터 사용 시간이 시력저하에 상관관계가 있음을 나타낸다. 따라서 학생들의 컴퓨터 사용에 대한 학부모님들의 관심이 필요하다.

윤리적 쟁점을 중심으로 한 보건의료정책 변화의 고찰 (A Review on the Change of Health Policy Based on Ethical Issues)

  • 이동현;김소윤;손명세
    • 보건행정학회지
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    • 제28권3호
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    • pp.222-225
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    • 2018
  • Health policy is a historical product in the process of development, including the political and economic factors of the state as well as the social and cultural elements of the country. Bioethics began to debate the ethical questions that arise in the overall process of life's birth and death, and gradually evolved by presenting ethical directions for various social phenomena. Especially, according to the moral awakening of 'scientific medicine' which caused in some human problems in the rapidized scientific society from the late 19th century to the early 20th century, as a result of distress including the concept of various social relations, it is possible to say that it has reached the bioethics. Although health policy and bioethics are different in terms of starting and concept, they can be found in common with social, cultural, and political diversity in the times. In 2004, 'Bioethics Law' was enacted through the issue of research ethics in the life sciences. Therefore, in order to examine ethical aspects of current health policy direction and major issues, it can be divided into before and after enactment of 'Bioethics Law' in 2004. The authors would like to examine how the evolution of the ethical viewpoint on the health policy has changed in line with the enactment of the 'Bioethics Law' and how it is trying to solve it from an ethical point of view. Through the various events that took place in the 1990s and the 2000s, various discussions on bioethics were conducted in Korea. Prior to the enactment of the 'Bioethics Law,' ethical judgments of professions, distribution of healthcare resources, if the discussion focused on the ethical judgment of abortion, and the various events that appeared in the early 2000s became the beginning to inform that the ethical debate about the life, death, and dignity of human beings began in earnest in Korea with the enactment of the 'Bioethics Law.' Since then, 'Hospice and Palliative care Law' which was enacted in 2017, is based on the fact that the health policy of our country focuses on the treatment of the past diseases, health promotion, and delivery of health care services. It was an opportunity to let them know that even the quality problems were included. Therefore, considering the various circumstances, the ethical issue facing Korea's health care system in the future is the change of the demographic structure due to aging and what is to be considered as the beginning and the process of life in the overall process of life. It is the worry about how to die and when it sees as death. This has far exceeded the paradigm of traditional health care policies such as disease prevention and management and health promotion, and calls for innovative policy response at the national level that reflects the new paradigm, which in many cases creates a predictable ethical environment. And health policy should be shifted in the direction of future ethical review considering sustainability in the development process of future health care rather than coercive management.

Relationship of Smoking with Self-perceived Health and Selected Health Behaviors

  • Choi Eun-Jin
    • 보건교육건강증진학회지
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    • 제21권4호
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    • pp.35-49
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    • 2004
  • The purpose of this study was to analyze variables associated with smoking and selected health behaviors. This study targeted adult men and women over 20 of age. The sample population was drawn from the national sample, and the samples were chosen from the telephone book. A total of 1,500 cases were collected through a telephone based interview survey. As a tool for this study, a structured questionnaire was developed. the variables included self-perceived health status, and selected 7 health behaviors; smoking behavior, physical activities, eating habit, weight control, alcohol consumption, stress management, and cancer exam. The healthy life practice actions of Trans-theoretical model have been classified into five stages. Smokers were more likely than non-smokers to positive attitudes toward smoking and the impact of smoking in this study. This means that smokers's awareness toward the impact of smoking is very week. Smoking behavior was significantly related to other health related behaviors based on the correlation analysis. However, gender, engaging in regular physical activities, moderate consumption of alcoholic beverages, and receiving a cancer examination were the variables that can explain and predict a person's stages of adopting a non-smoking behavior. Self perceived health status was closely related to other health behaviors. Gender, age, and monthly household income were important demographic variables that have significant relationship with the self-perceived health status. Among the health behaviors, regular physical activities and weight control were significant predictable variables. Similar results have been found in the National health and Nutrition examination survey in Korea. As a result of this study, it was found that among the selected health behaviors, engaging in physical activity was an important variable to increase positive sense of health and non-smoking behaviors. Educational and policy level input is needed to increase awareness and provide chances to participate in fitness activities. To those who maintain exercise, the environmental support and diffusion of knowledge information and education data should be strengthened. To change attitudes toward smoking, more in-dept awareness campaign and education should be provided according to people's different behavioral status. In addition, not only diffusing health education data and delivering knowledge information through related programs, but also environmental support system that helps an individual maintain his/her action is required. Such a support system means settlement of the health enhancement base of school, workplace and community should be carried out, and the policy level support and regular programs should be provided and spread to the unit of community.