• 보건교육건강증진학회지
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• 제23권3호
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• pp.99-119
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• 2006

Objectives: This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target. Methods: Data were obtained from self-administered questionnaire of 8,688 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, social support(family support, other support, quality of support), physical health state(subjective health status, number of chronic disease), physical function state(activities of daily living; ADL, instrumental activities of daily living; IADL), cognition state(mini-mental state examination-Korean; MMSE-K) and depression state(short form of geriatric depression scale; SGDS), health behaviors(smoking, drinking, exercise, eating habit). Univariate, multinominal logistic regression and covariance structure analysis were employed to analyze factors affecting on the social support of the elderly. Results: When considering the degree of social support by the sociodemographic characteristics of the older adults, the family support, other support and quality of support is better when the old is male, young, high education and self-reported living status is good and it has significance statistically. When considering the relation between social support and health status, the family support, other support and quality of support is better when the old's subjective and objective physical health status is good. The family support, other support and quality of support is better when the old's subjective health status is better. The other support and quality of support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good. The family support, other support and quality of support is better when the old's cognitive function and depression state is better. When considering the relation between social support and health behaviors, in case of smoking and drinking, the quality of support, family support and other support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the family support, other support and quality of support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically. From the result of performing covariance structure analysis by structural equation modeling(SEM) with two endogenous variable(health behaviors and health status) and one exogenous variable(social support), factor loading of health status is 0.74 and factor loading of health behaviors is 0.05. The social support explains health status of 55.4% and health behaviors of 2.9%. Conclusions: This study has the meaning that it finds the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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• pp.396-396
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• 2005

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 1999년도 제51차 추계 학술대회 연제집
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• pp.41-41
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• 1999

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.487-494
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• 2023

Objectives: Community organization is a resident-led movement aimed at creating fundamental social changes in the community by resolving its problems through the organized power of its residents. This study evaluated the effectiveness of health community organization (HCO), Gangwon's Health-Plus community program, implemented from 2013 to 2019 on residents' health behaviors. Methods: This study had a before-and-after design using 2011-2019 Korea Community Health Survey data. To compare the 3-year periods before and after HCO implementation, the study targeted areas where the HCO had been implemented for 4 years or longer. Therefore, a total of 4512 individuals from 11 areas with HCO start years from 2013 to 2016 were included. Complex sample multi-logistic regression analysis adjusting for demographic characteristics (sex, age, residential area, income level, education level, and HCO start year) was conducted. Results: HCO implementation was associated with decreased current smoking (adjusted odds ratio [aOR], 0.73; 95% confidence interval [CI], 0.57 to 0.95) and subjective stress recognition (aOR, 0.79; 95% CI, 0.64 to 0.97). Additionally, the HCO was associated with increased walking exercise practice (aOR, 1.39; 95% CI, 1.13 to 1.71), and attempts to control weight (aOR, 1.36; 95% CI, 1.12 to 1.64). No significant negative changes were observed in other health behavior variables. Conclusions: The HCO seems to have contributed to improving community health indicators. In the future, a follow-up study that analyzes only the effectiveness of the HCO through structured quasi-experimental studies will be needed.

• 한국학교보건학회지
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• 제14권2호
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• pp.215-225
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• 2001

The purpose of this study was to identify factors related to High School Students' Attitudes(prejudice) toward HIV-infected classmates. 980 self-administrated questions were completed by high school male students. Stepwise Multiple Regression Analysis was performed with the following independent variables: knowledge about HIV/AIDS transmission, prevention, and HIV-antibody, interests, preventive behaviors, predicting level to peer HIV-related risk behavior, knowledge about information sites, perceived susceptibility, perceived severity, self-efficacy to prevention, related to AIDS/HIV, thought about premarital sexual behavior and homosexuality. The Regression Model is significant(R2=.1719, F=33.517, p<0.05) The significant factors are knowledge about HIV/AIDS transmission, intention of the preventive behaviors, knowledge of information sites, perceived severity, ideas about homosexuality, predicting level of peer HIV-related risk behavior. The results of this study provide information for effective education program development and health policy about AIDS prevention and management.

• Nutrition Research and Practice
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• 제9권4호
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• pp.425-432
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• 2015

BACKGROUND/OBJECTIVES: Food insecurity has been suggested as being negatively associated with healthy behaviors and health status. This study was performed to identify the associations between food insecurity and healthy behaviors among Korean adults. SUBJECTS/METHODS: The data used were the 2011 Community Health Survey, cross-sectional representative samples of 253 communities in Korea. Food insecurity was defined as when participants reported that their family sometimes or often did not get enough food to eat in the past year. Healthy behaviors were considered as non-smoking, non-high risk drinking, participation in physical activities, eating a regular breakfast, and maintaining a normal weight. Multiple logistic regression and multinomial logistic regression analyses were used to identify the association between food insecurity and healthy behaviors. RESULTS: The prevalence of food insecurity was 4.4% (men 3.9%, women 4.9%). Men with food insecurity had lower odds ratios (ORs) for non-smoking, 0.75 (95% CI: 0.68-0.82), participation in physical activities, 0.82 (95% CI: 0.76-0.90), and eating a regular breakfast, 0.66 (95% CI: 0.59-0.74), whereas they had a higher OR for maintaining a normal weight, 1.19 (95% CI: 1.09-1.30), than men with food security. Women with food insecurity had lower ORs for non-smoking, 0.77 (95% CI: 0.66-0.89), and eating a regular breakfast, 0.79 (95% CI: 0.72-0.88). For men, ORs for obesity were 0.78 (95% CI: 0.70-0.87) for overweight and 0.56 (95% CI: 0.39-0.82) for mild obesity. For women, the OR for moderate obesity was 2.04 (95% CI: 1.14-3.63) as compared with normal weight. CONCLUSIONS: Food insecurity has a different impact on healthy behaviors. Provision of coping strategies for food insecurity might be critical to improve healthy behaviors among the population.

• 보건교육건강증진학회지
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• 제14권1호
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• pp.147-160
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• 1997

Nowadays according to the complexity of our daily life due to the development of industry and transportation various kinds of injuries happen. Since 1993 the death rate among 5-14 age children by injuries amount to about 57%. Furthermore, the injury of children can give a direct damage to their own family and it can also bring a serious loss to the country as well as the community where they live in accord with degree of an injury. From this reason, the importance of safety education has been increasing. In this study, it is aimed to clarify the effect of injury preventive behaviors on injury incidence of the 6th grade students in the elementary school. This study is accomplished by the survey sampled from 9 elementary schools in seoul, each of which belong to different district. The survey took for 15 days from the date of september 10th 1996 to september 25th 1996 and the results were as follows; 1. For demographic characteristic, sexual distribution was 48.7% of male students and 47.1% of female students. The required time from home to school was 10-19 minutes(51.8%), and the most way of their going to school is to walk(89.7%). Mothers who graduated from high school were 46.6% and 49.4% of fathers were above university graduated level. The most vocation of mothers was housewife as 56.7%. 2. The results of analysis on the injury rates, 75.8% of children experienced more than one injury and the most was play injury. With regards to sites where injuries happened, the room, the kitchen, and the living room in the house ranked first(38.3%) and then injuries at school such as on the playground, in the classroom, and on the stairs was 34.1%. 3. Considering the rate of injury incidence in accordance with demographic characteristics, male students experienced more injuries than female students(p〈0.05). For the way from home to school, children who went to school by bicycle experienced the most injuries and then on foot, by bus in order of which differences were statistically significant(p〈0.05). 4. From the comparison of parents' safety education practice and the injury incidence, the less often parents practice safety education, the more often children experience injuries(p〈0.05). 5. The results of analysis on the effect of injury preventive behaviors on accidents children who didn't act injury preventive behaviors experienced much more injuries than those who did injury preventive behaviors of which differences were statistically significant(p〈0.01). 6. From the results of analysis of factors effecting on the elementary school children's injuries, children without injury preventive behaviors had more effect on accidents than those who had injury preventive behaviors as odds ratio 2.06(p〈0.01), and the odds ratio of male students compared with female students was 1.47(p〈0.05).

• 한국임상보건과학회지
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• 제3권4호
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• pp.456-465
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• 2015

Purpose. The purpose of this study was to determine the effects of oral health belief on oral health behaviors for marriage immigrant women in multi-cultural family and provide basic data that could help develop programs necessary to improve oral health awareness and change attitude. Method. Self-administered questionnaire was used in marriage migrant women using eight multi-cultural centers in Yeongnam region from October to December, 2013 and 256 copies were finally analyzed. The statistically analysis was performed using SPSS 18.0, with the statistical significance level set at p<.05. Results. As for the effects of oral health belief on oral health behaviors, the experience of scaling was affected by sensitivity(${\beta}=2.787$), by seriousness(${\beta}=.568$), and the experience of oral health education status was affected by seriousness(${\beta}=.214$), usefulness(${\beta}=.155$). Conclusions. It is necessary to analyze the effects of oral health belief on oral health behaviors, making positive efforts to develop preventive oral health management and oral health education programs, and make fundamental policies for improving oral health in multi-cultural family so that marriage immigrant women can make efficient oral health management.

• Journal of Preventive Medicine and Public Health
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• 제40권2호
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• pp.177-184
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• 2007

Objectives : This study was conducted to investigate the levels of psychosocial stress, job stress and their related factors among medical doctors practicing at local clinics. Methods : A survey using a self administered questionnaire was administered to 1,456 doctors practicing at private clinics via post for 2 months (2006. 1 - 2006. 3). Psychosocial stress, job stress, demographic factors, job related factors and health related behaviors were investigated. Among the eligible study population, the respondents were 428 doctors (29.4%). Results : The average scores of psychosocial stress and job stress were 2.19 and 3.13, respectively. The levels of psychosocial stress and job stress were statistically lower in older respondents, those who worked shorter or who were more satisfied with their job, and those with higher socioeconomic status. The level of psychosocial stress was related with smoking status, drinking status and exercise. The level of job stress was related with smoking status and exercise. In multiple linear regression analysis using psychosocial stress as a dependent variable, age, working hours per day, job satisfaction and perception on socioeconomic status were significant independent variables. In analysis using job stress as a dependent variable, age, working hours per day and job satisfaction were significant independent variables. Conclusions : Stress affects the doctor-patient relationship, productivity and overall health level of people. Therefore, it is important to manage and relieve the stress of doctors. It is suggested that more advanced studies on stress level and related factors and ways to improve the stress and health related behaviors of medical doctors should be conducted.

• Journal of Preventive Medicine and Public Health
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• 제52권2호
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• pp.92-100
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• 2019

Objectives: Young adulthood represents a critical developmental period during which the use of tobacco may begin or cease. Furthermore, differences in smoking behaviors between younger (aged 18-24 years) and older (aged 25-34 years) young adults may exist. This study aimed to characterize patterns related to current smoking in younger and older young adults. Methods: This study used data acquired from the Sixth Korea National Health and Nutrition Examination Survey conducted from 2013 to 2014. A total of 2069 subjects were categorized as younger (712 subjects) and older (1357 subjects) young adults. The chi-square test was used to assess the relationships between smoking status and socio-demographic, health-related, and smoking-related factors. Multivariable logistic regression models were constructed to assess the factors affecting current smoking in these age groups. Results: The current smoking prevalence was 18.3% among the younger young adults and 26.0% among the older young adults. Sex, education level, occupation, perceived health status, alcohol consumption, and electronic cigarette use were related to current smoking in both age groups. Secondhand smoke exposure at home and stress levels showed significant relationships with smoking in younger and older young adults, respectively. Conclusions: Strong correlations were found between the observed variables and smoking behaviors among young adults. Determining the factors affecting smoking and designing interventions based on these factors are essential for smoking cessation in young adults.