• Korean Journal of Health Education and Promotion
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• v.27 no.4
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• pp.177-188
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• 2010

Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.

• 한국체육학회지인문사회과학편
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• v.55 no.5
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• pp.117-125
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• 2016

Most of health behavioral research were conducted with only individual psychological variables. The purpose of this study was to integrate the theory of planned behavior and social ecological model to explain exercise intention through multilateral approaches. 50s male 252 exercise participants were used in the final data analysis. Reliability analysis, confirmatory factor analysis, correlation analysis, structural equation modeling were used to analyze. The results indicated that physical environment has a positive influence on the subjective norm. Attitude, subjective norm and perceived behavioral control have positive influence on intention. Lastly, Social environment has a positive influence on the attitude. According to the results of this study, it will be able to contribute to integration of theoretical model for various health behavior and also help to develop intervention for physical activity promotion.

• Journal of Korean Public Health Nursing
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• v.35 no.3
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• pp.415-429
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• 2021

Purpose: The purpose of this study was to explore the health-related factors of the elderly in rural village in-depth and comprehensively based on the socio-ecological model. Methods: The data were collected from 22 elderly people through four focus group interviews and analyzed by deductive content analysis using four themes of the socio-ecological model (SEM) as an analysis matrix. Results: A total of 10 categories corresponding to the four themes of SEM were derived as follows: Intrapersonal level, "Awareness of Aging and Health", "Inefficient practice of health behavior", and "Daunted self-efficacy", Interpersonal level, "Social relations maintenance", and "Changing sense of community", Community level, "Local resources requiring improvement", "Problems caused by regional characteristics", "Disadvantaged group", and "Leadership and residents participation", Public policy level, "Health-related facilities and programs". Conclusion: We proposed the development and application of intervention programs that combined individual activities to improve self-management capacity and group activities to enhance social support and solidarity for rural villagers.

• Journal of the Korean Home Economics Association
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• v.42 no.12 s.202
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• pp.77-92
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• 2004

The purpose of this study was to investigate the selected predictors of the health promotion behavior of the elderly in Kangseo-ku, Kangnam-ku, Seoul. The study used an ecological perspective approach in that a microsystem (i.e. self-esteem, locus of control, introversion-extraversion and socio-demographic characteristics), and the environment such as a mesosystem (i.e. marriage satisfaction) and a macrosystem (i.e. social support, participation of social activities, social image of the elderly, social attitude of the elderly) were explored. A structured questionnaire was used to interview a sample of 188 elderly. Hierarchicai regression analysis yielded the results that the magnitude of the importance of the microsystem was found to be larger than any other systems investigated. The most powerful predictor of the health promotion behavior of the elderly was 'age', followed by 'participation of social activities', 'education', 'social support', 'locus of control', 'marriage satisfaction', and 'sex'. The research model accounted for $55\%$ of the health promotion behavior of the elderly.

• Journal of Preventive Medicine and Public Health
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• v.41 no.2
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• pp.100-106
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• 2008

Objectives : We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. Methods : A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1 - May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. Results : Among 985 survey respondents(380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. Conclusions : In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.

• Korean Journal of Health Education and Promotion
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• v.3 no.1
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• pp.83-98
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• 2001

Although periodic health examination has been one of the most common practices of preventive medicine, its effect on modification of risk behavior has been seldom assessed. Thus, this study attempted to demonstrate the influence of a health examination on modification of cardiovascular disease related health risk behaviors such as smoking, physical inactivity, and obesity. Data of 893 adults were derived from two types of a popular and highly acclaimed health examination program. With a conceptual model constructed using Persuasive Communication variables, McNemar tests examined Source-Outcome association, hypothesizing that different health examination programs would yield different levels of behavior change in smoking, physical inactivity, and obesity. No significant behavior change was found in any of the two health examination programs. Instead, previously established Receiver-Outcome relationship was reconfirmed by logistic regression modeling where gender was the most prominent predictor of all three behaviors. Men were more likely to be current smokers (OR=0.029), exercisers (OR=2.629), and obese (OR=0.237). The importance of followups after health examination is highly stressed as well as that of gender-specific health education strategies. This study recommends applying the social-ecological approaches in health examination, which emphasizes the support and collaboration at individual, family, organizations, community, and policy level to improve health. Long term and qualitative evaluation of health examination may provide more foundation for increasing the effectiveness of health education and communication in health examinations.

• Korean Journal of Health Education and Promotion
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• v.27 no.2
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• pp.141-149
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• 2010

Objectives: This paper aims to compare the intervention development steps of the revised PRECEDE-PROCEED model and the Intervention Mapping model. Methods: Concepts and structure of the intervention development step of each model are reviewed with examples. Results: The revised PRECEDE-PROCEED model and the Intervention Mapping model share characteristics in intervention development in employing PRECEDE assessments, applying a social ecological framework and behavior theories for intervention building, emphasizing multi-interventions at multiple levels, and involving stakeholders and existing resources in intervention development. A detailed explanation of the intervention alignment and matrix building is provided with illustration of examples. Conclusion: Intervention development should not be done compartmentally but in line with other steps in a planning model to sustain the program logic. For successful application of planning models for intervention development, solid understanding of the models and behavior theories are required. Multisectoral collaboration is also critical for the successful application.

• Journal of Korea Game Society
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• v.22 no.1
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• pp.99-108
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• 2022

Despite the widespread use of digital games as a means of promoting physical activity, little is known about the factors that affect active video gaming. Based on the ecological model of health behavior, this study examined how personal, environmental, and social factors would influence active video gaming and general physical activity. The results showed that while all three factors significantly influence general physical activity, social factor is the only factor that affects active video gaming. The finding highlights the importance of social factors in predicting the use of active video games.

• 한국노년학
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• v.30 no.4
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• pp.1129-1143
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• 2010

The purposes of this study were to investigate the major determinants influencing on health promoting behaviors(HPB) of the elderly living in Seoul. The conceptual framework of the study was Pender's health promoting model and the ecological perspectives. The study was conducted with 495 elderly persons whom 60 years old. For the analysis of data, descriptive statistics and hierarchical regression were used for the statistical analysis with SPSS program. The results were as following: 1) The mean score of the HPB was 3.11(SD=0.41). 2) Hierarchical regression analysis found that ModelIV accounted for 55.7% of the variance in HPB. 3) The Major determinants on HPB among the elderly persons were prior related perceived benefits of action, social support, perceived self-efficacy, community environment, perceived health status, education, and age. In conclusions, first, we should develop to various levels of educational and supportive programs for the HPB among the elderly persons. Second, we should examine more with environment, the accessibility to senior welfare agencies. Third, we should be organized the self-help groups for the elderly persons to improve health promoting behaviors. Fourth, the government should established more secure environment for the HPB, and find better solutions that are provided by various social welfare agencies connected with the coordination of the services in the local communities. Finally, we should develop professional education training programs of the HPB for the practitioners in the field of Gerontological Social Work.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.68-78
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• 2017

The purpose of this study was to identify the influence of the individual-level and community-level factors in the ecological model on walking and to provide the basic data for a strategy that can increase walking for health promotion of adult workers. By combining the primary data of community health survey (CHS) (2011-2013) with the Korea national statistics annual book (2011-2013), the regional level variables were extracted from 253 municipal districts and the convergent big data with the hierarchical structure was produced. As a result, the increase in budget expenditure for public order and safety in social and cultural environment factors, the increase in budget expenditure for national and community land development in the leisure environment factors, and the number of buses in the transportation environment were increased by walking. In conclusion, walking was increased by the development of a community environment and bus transportation besides individual characteristics and behavior. Therefore, improving environment and public transportation will increase physical activity, such as walking, which will increase the health expectancy in community citizen workers.