Purpose: The purpose of this study was to identify health promotion behaviors of elementary school teachers and investigate the factors influencing the health promotion behaviors. Methods: Data were collected from 234 elementary school teachers in the B Metropolitan City Office of Education from 5th to 30th October, 2016. The collected data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Mann-Whitney test, Kruskal-Wallis test, Spearman correlation coefficient and multiple regression analysis, using SPSS/WIN 23.0. Results: The elementary school teachers' health perception scored 2.94 out of 4, health status 1.59 out of 3, and health promotion behaviors 2.66 out of 4. The level of mental health status (1.67) was higher than that of physical health status (1.54) and the most practiced health promotion behavior was spiritual growth (3.15) and the least was health responsibility (2.00). Significant negative correlations were found between health perception and health status (r=-.59, p<.001) and between health status and health promotion behaviors (r=-.41, p<.001). A significant positive correlation was found between health perception and health promotion behaviors (r=.32, p<.001). The significant factors influencing health promotion behaviors were job stress and health status. These factors explained 19.6% of the health promotion behaviors. Conclusion: It is necessary to establish measures to increase the health perception and health promotion behaviors of elementary school teachers and improve their health status. In addition, since job stress and health status are factors influencing health promotion behaviors, it is necessary to actively manage job stress and health status in order to increase health promotion behaviors.
Purpose: This study was carried out to investigate the effects of improvement in self-rated health, self-efficacy, perceived benefit and health promotion behavior by running a health promotion program through the coalition of industries, universities and districts. Methods: This study was designed as non-equivalent control group research. Data were collected from 62 participants in a health promotion program who were enrolled in a community center (experimental group: 29, control group: 33). The program was applied from October to November, 2008. The health promotion program was composed of value, competence, action, and policy based on a multi-level health promotion model. Collected data were analyzed through $x^2$ test, t-test, and Wilcoxon test. Results: After participating in the health promotion program, the experiment group showed statistically significant increases in self-efficacy, perceived benefit and health promotion behavior but not in self-rated health. Conclusion: It was proven that the health promotion program enhanced the health promotion level in the community.
Health behavior of the people is not satisfactory and it is recommended that proper health education methods be utilized for health promotion of the people. In order to accomplished health promotion objectives. it is necessary to assign teachers specialized in health education to schools and health educators to communities. Health promotion bill is prepared by members of national assembly and the government has to develope a sound policy for the health promotion of the people. In developed countries. health educator are serving communities and help people for health promotion. It is recommended that health educators be assigned to local health departments and local health centers throughout Korea, and to general hospitals. It is recommended that public health related associations, health education association and professors of health care departments in colleges work together for better health services through health education. The most important variable to affecting KAP level of people on environmental health was education level.
The ultimate goal of national health promotion services is the improvement of quality of life and health longevity through the implementation of health promotion services. The approach strategy for national health promotion summariged as follows: 1) A model for health promotion should be developed by the level of government. 2) Roles and functions between central government and autonomous local governments should be defined to carry out the health promotion services effectively. 3) New manpower for health promotion such as health educator should be trained and activated at hospitals, health centers, industries, school, and related community agencies. 4) School health education should be strengthened in order to teach: various health subject(smoking & alcohol, drug abuse, accident and safe, nutrition, environmental pollution and preservation, population & family planning, personnel hygiene, physical growth, stress, sex education, communicable disease, physical exercise etc) students through appointing health teachers at school base. 5) Health promotion services in industries should be activated using manpower such as health educator, exercise instructor, dietist and counsellor, 6) Health promotion services for the elderly should be activated. 7) Health screening services in the medical insurance and his/her family should be activated for health promotion services. 8) Health education material development center for health promotion should be established and the materials should be made to distribute to related groups, agencies and institutions (health conte.5, hospitals, schools, pharmacies, industries etc). 9) The pilot health promotion center in each automous local governments(large cities, provinces, Guns and Gu level) should be established and operated for community people. 10) The mass media such as TV, radio, newspapers and magazines should be used effectively. 11) Periodic evaluation of health promotion services should be carried out in order to help effective and successful planning for community health promotion in the future.
Health education aims at behavior change rather than just delivering health knowledge to people. In Korea health education activities in public sector began in 1960 and they were included in the primary prevention program in communities. This article reviewed current health education programs in healthy living practice programs provided by local public health centers in Korea and drew implications for the future role of health education in community setting. Health education has been a core function of the National Health Promotion programs in the nation since the enactment of the National Health Promotion Law in 1995. The National Health Promotion programs are funded by the National Health Promotion Fund which are drawn from tobacco tax. The National Health Promotion programs include healthy living practice programs (smoking prevention and cessation programs, moderate alcohol use programs, physical activity promotion programs, and nutrition programs), chronic disease prevention programs, oral health programs and public hygiene programs. Methods of the National Health Promotion programs include health education, health counseling, health class, health information management, survey and research. Smoking prevention and cessation programs include smoking cessation clinic, smoking cessation education, non-smoking environment program, and non-smoking campaign. Moderate alcohol use programs include alcohol use education, moderate alcohol use campaign, alcohol use counseling, and alcohol free environment programs. Physical activity promotion programs include obesity control, targeted exercise program, and exercise civic group programs. Nutrition programs include nutrition management, obesity management, nutrition education, breakfast eating program, and nutrition counseling and treatment programs. The health education programs in community are not efficient today because there are many overlapping contents and short term goals. Community health education programs needs to be more comprehensive. Workforce development is another big issue at the moment because the National credential program will begin in 2009. Variety of community health education programs should be developed and funded by the national health promotion fund.
Nursing's traditional concern for human well being includes concern for health promotion. Until recently textbooks of preventive medicine, public health and community health nursing have defined health prevention- the prevention of disease and health protection or maintenace, but not health promotion. Lack of clear definitions inhibit effective communication among health related disciplines. Therefore, this studys task was the analysis and definition of the concept of health promotion using Walker & Avant's concept analysis methodology. This characteristics of the concept of health promotion are 1) orientation toward well - being, 2) empowering, 3) subjectivity, 4) change and 5) expanded connecteness. Antecedent of health promotion are 1) attaining of a healthy state, 2) having purpose and will to act, 3) persistent and realistic behaviour. The consequences of health promotion are 1) prolonged life, 2) self-actualizing potential, 3) increased well-being and a high level quality of life. The future direction of health promotion research should include that identification of the differences in the definition of between health professionals and health clients and research related to nursing theory of health promotion.
Objectives : The purpose of this study was to identify the main variables of difference in high school students' oral health promotion behaviors among adolescents and to improve their academic and oral health promotion behaviors. Methods : The research subjects consisted of 311 high school students in Jeonju. Results : The adequacy of the hypothetical model accounted for 46.9 % of the oral health promotion behavior. The Redundancy of all variables showed the value of the positive values, indicating that the Goodness of fit was greater than the optimum value of the model, and the model of the PLS was a desirable model. The effects of perceived benefits, self efficacy, and social support on oral health promotion behaviors were found to be higher in oral health promotion behaviors. Conclusions : This study is expected to have a significant impact on the perception of the oral health promotion for adolescents in the future and will contribute to the expansion and generalization of Pender's oral health promotion model.
Objectives : The purpose of this study is to investigate factors influencing on health promotion behaviors in public health course of college students. Methods : Subjects were 325 dental hygiene students and they completed self-reported questionnaires including health promotion behaviors, self efficacy, self esteem, and general characteristics from May 13 to 24, 2013. Students were recruited by sample convenience extraction. Data were analyzed using SPSS version 18.0 for descriptive statistics, t-test, one way ANOVA and multiple regression analysis. Results : Health promotion behaviors were closely related to concern for health care (p<0.001) and concern for health related goods (p<0.01). High self-efficacy and high self-esteem showed concern for health care (p<0.001). 2. Health promotion behaviors had significantly positive correlation with self efficacy, self esteem, and perceived health condition. 3. The most powerful predictor in health promotion behaviors was self efficacy. Self efficacy, self esteem, and major, concern for health-related goods, perceived health condition accounted for 40.8% of the total variance in health promotion behaviors. Conclusions : The result revealed that undergraduate students should take exercise and diet control for their health. Self-efficacy is the most important predictor of health promotion behaviors. Health promotion behavior programs should put emphasis on exercise and diet control and can be improved by behavioral change.
Objectives: This study was conducted to analyze problems and priority of university health services through analysis of health promotion programs and administrative system of university health clinics. Methods: In first telephone survey, 349 colleges and universities nationwide were surveyed to find out whether they operate health clinic or not. The administrative system and health promotion services of university health clinics were analyzed in 198 schools which had health clinic in it. Results: 160 schools were included in the final analysis. The most common name of university health clinic was 'health clinic' (35.2%), and heads of 52 university health clinics were non-medical school professors. 20.9% of the school provided details of the rules and implement guidelines of health care service. Health promotion services of university health clinic were set the non-smoking area (90.6%), health counseling (81.8%), providing health information (74.8%), health check-up (65.4%), health education (61.4%), partnership with health institutions in a community (61.4%), and immunization (48.1%) in order of that. Conclusion: It is urgent to establish the regulatory and guidelines for university health clinic. Each member of school should have interests in their health clinic and acknowledge health promotion services which they can get at the university health clinic.
Purpose: The purpose of this study was to define and clarify the concept of health promotion 'competence' in public health nurses (PHNs). Methods: A hybrid model was used to develop the concept of competence. The model included a field study carried out in Seoul, Korea. The participants in this study were 20 PHNs who were working in the health promotion area. Results: The concept of health promotion competence was found to be a complex phenomenon having a meaning in two dimensions: personal-relationship and environmental-relationship. Four attributes and eight indicators were defined. Conclusion: Health promotion competence was defined as the ability to have understanding and flexibility in practicing (personal-relationship dimension) and to have capacity for uniqueness and leadership in planning (environmental-relationship dimension). Therefore, PHNs who work in the health promotion area should be equipped with attributes and indicators of health promotion competence to enhance their competence in health promotion.
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