• Title/Summary/Keyword: Health Promotion Theory

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Adolescents' Use of Harmful Environment and Correlates of Risk Health Behaviors (청소년의 학교주변 유해환경 이용과 건강위험형태 분석)

  • 이호진;이명선
    • Korean Journal of Health Education and Promotion
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    • v.18 no.2
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    • pp.129-140
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    • 2001
  • Harmful environment around school area have been increased with socio-economic development in Korea. Those entertainment facilities have caused a negative effect on the learning environment in many schools. As a result of increased entertainment harmful facilities in school area, the numbers of deviant behaviors such as drinking, smoking, substance abuse and sexual activity among junior high school students have been significantly increased. Given this situation, the aim of this study was to describe the distribution of the facilities; to access applied(experience) of the facilities according to students demographic variables; and to identify the relationship between use of the facilities and students risk health behaviors such as smoking, drinking, substance abuse and sexual activity. The field theory was used to study the relationship between the use of the facilities and risk health behaviors among students. A self-administered questionnaire survey was conducted in Korea. 2,114 junior and senior high school students(middle and high school students) were recruited by the method of proportional stratified random sampling from June to July 2000. Results indicated that: 1) The rates of using game centers, PC rooms, Song rooms and comic rooms were 78.3%, 75.6%, 71.6%, and 34.3% respectively. 2) High school students visited the entertainment facilities significantly more than middle school students(p〈0.001). 3) The rates of using facilities near schools were significantly associated with parents job(p〈0.05). 4) The rates of drinking, smoking, drug abuse, and sexual activity were 21.6%, 11.9%, 4.3% and 1.6% respectively. 5) Risk health behaviors such as smoking(p〈0.001) and drinking(p〈0.001), amount of smoking and drinking(p〈0.001) and sexual activity(p〈0.05) were associated with the experience of using the facilities. Those who had drinking experience were more likely to go the facilities than those without drinking experience. Also, those who were smoker had higher probability of going using the facilities than non-smokers.

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The Internal Marketing Strategy for the Performance of Medical Service -A Focus on the Compensation Package for the Internal Customers- (의료서비스의 내부마케팅 전략수립을 위한 내부고객세분화와 보상정책의 적용에 관한 연구)

  • Paik, Soo-Kyung
    • Korea Journal of Hospital Management
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    • v.6 no.3
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    • pp.90-108
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    • 2001
  • This research examines the compensation package maximizing the utilities of internal customers by applying the market segmentation theory. Data were collected from four Korean hospitals in Seoul, Pusan and Kyunggi-do. The research is designed to seek the compensation package maximizing the utility of doctors and nurses by applying the market segmentation theory. The compensation package for doctors and nurses was classified into 5 attributes which are level of salary, payment method, education, promotion, reward method. The test results were as follows. First, the relative importance of each attribute in the compensation package is different. The level of salary is the most important, reward method is the next. Second, the utility of doctors increases by 8.7%, when they are segmented on the basis. of their preference for compensation attributes while that of nurses increases by 39.8%. The results of this study imply that the utility of doctors and nurses increases with differentiated compensation package for internal customer segmented by their preference.

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Perception on Optimal Diet, Diet Problems and Factors Related to Optimal Diet Among Young Adult Women Using Focus Group Interviews - Based on Social Cognitive Theory - (포커스 그룹 인터뷰를 이용한 젊은 성인 여성의 식생활 실태 및 관련 요인 - 사회인지론에 근거하여 -)

  • Kim, Hye Jin;Lee, A Reum;Kim, Kyung Won
    • Korean Journal of Community Nutrition
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    • v.21 no.4
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    • pp.332-343
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    • 2016
  • Objectives: Study purpose was to investigate perception on diet, diet problems and related factors among young adult women using focus group interviews (FGI) based on the Social Cognitive Theory (SCT). Methods: Eight groups of FGI were conducted with 47 female undergraduate or graduate students. Guide for FGI included questions regarding perception on optimal diet, diet problems and cognitive, behavioral, and environmental factors of SCT. FGI were video, audio-taped, transcribed and analyzed by themes and sub-themes. Results: Subjects showed irregular eating habits (skipping breakfast, irregular meal time) and selection of unhealthy foods as the main diet problems. Regarding cognitive factors related to optimal diet, subjects mentioned positive outcome expectations (e.g., health promotion, skin health, improvement in eating habits, etc.) and negative outcome expectations (e.g., annoying, hungry, expensive, taste). Factors that promoted optimal diet were mainly received from information from mobile or internet and access to menu or recipes. Factors that prevented optimal diet included influence from friends, lack of time and cooking skills. Behavioral factors for optimal diet included behavioral capability regarding snacks, healthy eating and smart food selection. Subjects mentioned mass media (mobile, internet, TV) as the influential physical environment, and significant others (parents, friends, grandparents) as the influential social environment in optimal diet. For education topics, subjects wanted to learn about healthy meals, basic nutrition, disease and nutrition, and weight control. They wanted to learn those aspects by using mobile or internet, lectures (cooking classes), campaign and events. Conclusions: Study results might be used for planning education regarding optimal diet for young adult women. Education programs need to focus on increasing positive outcome expectations (e.g., health) and behavioral capability for healthy eating and food selection, reducing negative outcome expectations (e.g., cost, taste) and barriers, making supportive environments for optimal diet, and incorporating topics and methods found in this study.

Integrating the Theory of Planned Behavior and Social Ecological Model to Explain Exercise Intention (운동의도 설명을 위한 계획된 행동이론과 사회생태학적 모델의 통합)

  • Lee, Yoon-Gu;Suh, Kwang-Bong
    • 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.

An Analysis of the Effect of Public Advertisement on Smoking Prevention Education (공익광고를 통한 금연교육 효과 분석)

  • 서미경
    • Korean Journal of Health Education and Promotion
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    • v.17 no.2
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    • pp.151-163
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    • 2000
  • Adopting the theory of enter-educate, this study was conducted to prevent the smoking by middle school students who had not started smoking yet. A famous pop music singer with high popularity among teenagers was cast on the public sponsored advertisement (PSA) on smoking prevention. This PSA was televised through major TV stations for two months. The effectiveness of this project was evaluated seven times. The effectiveness of the PSA, the role of the cast singer, the rate of seeing the PSA, and the impression about the PSA were evaluated. The viewer survey since the second period of the PSA revealed that most of the middle school students (79~94 percent) watched it. Among TV stations, MBC recorded the highest viewer rate as 69.6~72.0 percent of the middle school students watched the PSA at least once from this station. Also, the viewer rates of such cable TV stations as Mnet and OCN were quite high for their advertisement prices. The overall impression about the PSA was favorable. The contribution of the singer to this positive outcome was 60 percent and over. The effect of smoking prevention was also high as 93.7 percent of the middle school students replied that they would not start smoking. However, since this study dealt with the general public, it was not possible to control the effect of other factors systematically. Also, we could not measure the differences bewteen the pre-PSA and the post-PSA periods, so that the interpretation of the results has some limitation.

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An evaluation of benefit extension strategies of the Korea National Health Insurance (우리나라 건강보험 보장성 개선 정책에 대한 평가)

  • Huh, Soon-Im;Kim, Chang-Bo
    • Health Policy and Management
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    • v.19 no.3
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    • pp.142-165
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    • 2009
  • Although providing universal coverage for health care through the National Health Insurance(NHI) is a remarkable achievement, the issue of limited benefit coverage of the NHI has been at the core of national debate over how to improve its coverage. This study aims to evaluate benefit extension strategies and implemented policies with regard to the NHI since 1989 using 'policy window theory' proposed by John W. Kingdon. Understanding problem stream, policy stream, political stream, and coupling streams regarding the NHI, in particular benefit extension, would contribute to broaden policy debates and to develop more effective strategies for the future. Historically, political stream had opened policy window in the past two decades and policy streams can be characterized by three waves. Three streams have been coupled since 2003 and the government had a strong will to fulfill better performance of NHI coverage. Study findings indicate that identification of problem structure regarding NHI benefit was not connected with policy stream tightly. In addition, there has been limited discussion on policy goal and principles for extension coverage of the NHI. Policy strategies to improve coverage of the NHI should be linked to characteristics of problem and sought solutions under the principle which is expected to be sustainable through consensus in the society.

The Process of Female University Students' Experiences in Healthy Dieting (여대생의 건강 다이어트 경험과정)

  • Kim, Jeong-Soo
    • Research in Community and Public Health Nursing
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    • v.23 no.3
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    • pp.244-255
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    • 2012
  • Purpose: This study was to describe and develop the female university students' healthy dieting. Methods: The data were collected from 9 female students sampled from two universities. The grounded theory of Strauss and Corbin (1990) was applied. Results: As a result, 40 concepts, 16 subcategories, and seven categories were deduced from open coding. Emerged seven major categories were as followings: (1) Recognizing of general health condition, (2) Try to actively participate on social activities, (3) Searching for continuous healthy exercising methods, (4) Utilizing of social support system for healthy dieting, (5) Making an individual healthy rhythms, (6) Exhibiting abilities of self-control, (7) Charging self-confidences. The periods of process were divided into 4 stages, the phase of facing self-health, the phase of searching living conditions, the phase of developing individual strategies, and the phase of forming self-confidence. The core variable, "discovering self competencies" incorporated the relationship between and among all categories and explained the process. Conclusion: This study had described the process of healthy dieting of female university students in Korea. These findings have important implications for health promotion of the female university students and can be utilized as material for developing health programs.

Factors Influencing Intention to Quit Smoking of High School Students in a Community (일 지역 고등학생의 금연의도 영향 요인)

  • Jeong, Chu-young;Choi, Eun-Jung;Seo, Young-sook
    • Journal of Korean Clinical Health Science
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    • v.5 no.3
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    • pp.963-972
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    • 2017
  • Purpose. This study uses Ajzen's theory of planned behavior to investigate predictors associated with the intention of smoking cessation in smokers among high school students in a community. Method. The study population consisted of 138 smokers from high school students in a community. Between May to April 2015, Data was collected through questionnaires. Data analysis was performed using the PASW 21.0 program, and one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis. Results. The mean intention of smoking cessation of this study was 3.98/5. The significant correlates of the intention of smoking cessation were attitudes toward smoking cessation (${\beta}=.36$, p=.003), self efficacy for smoking cessation (${\beta}=.44$, p<.001), satisfaction of school life (${\beta}=.22$, p=.009), number of friends smoking (${\beta}=.76$, p<.001), and previous experience of smoking cessation (${\beta}=.92$, p<.001). These variables explained 75.6% of variance in the intention of smoking cessation. Conclusion. The study suggests that various factors including previous experience of smoking cessation, number of friends smoking, self efficacy for smoking cessation and attitudes toward smoking cessation were important variables in explaining the intention of smoking cessation among high school students. Therefore, these variables are crucial in determining the promotion and intention of smoking cessation among high school students.

The Study on the Contents and Satisfaction of Oriental Medicine Examination Program (한방건강검진 프로그램의 내용과 참가자들의 만족도에 관한 연구)

  • Lee Eun-Kyoung;Jahng Doo-Sub;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.6 no.1
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    • pp.51-95
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    • 2002
  • 1. As a point at issue of occidental medicine examination, followings have been indicated, 1) Occidental medical examination is performed by mainly test and instrument and therefore, role of doctors could be excluded and it could be diagnosed only for target disease and 2) in Korea, it could not be conducted in public medical system and therefore improvement effect of public health promotion could not be made due to increase of total medical expenses and infirmity of post management. These points are substantial limit of paradigm resided in occidental medicine and also problem caused by unique characteristics of medical system of Korea. In Korea, result of occidental medical examination show increased health risk from aged thirties and major diagnosed diseases are circulatory disease or chronic disease such as hepatic, hyperlipemic, hypertensional disease and diabetes, etc. Accounting that those chronic disease make a role as major public health risk, it is difficult that medical examination by only occidental medicine make effect on public health promotion. 2. Characteristics of oriental medicine examination could be summarized as diagnosis (information acquisition based on the facts) and demonstration (speculation based on acquired information) and in addition, quadruple diagnosis, as a medical examination method, include test as well as basic examination. Accounting on oriental medical examination, principally it is performed by independent herbalist and therefore, herbalist could acquire systemic result during first medical examination. Based on the theory of inner-outer examination, oriental medical examination has a principle of universe theory, systemic analysis of quadruple diagnosis, demonstration & reasoning. In addition, root of oriental medical examination could be found in pre-disease theory, a principal theory of oriental medicine. Pre-disease service could prove the advantage of oriental medicine in medical examination activities and therefore, it is needed that content of oriental medical examination should be actualized in current medical system. 3. In this study, oriental medical examination program, comprised of pulse-diagnosis, contrast muscular taking and medical consultation of herbalist is progressed communally with occidental medical examination. As pre-examination, questionary was given of general characteristics, health promoting life style, physical constitution and subjective symptom of musculoskeletal system. In addition, post-examination notification was given to subjects about health promoting control, physical constitution regimen and management of musculoskeletal system. During this study program, verification was conducted for input of acquired information and difference of each information after analysis and in addition, performed was analysis of factor influencing health promoting life style and musculoskeletal subjective symptom and evaluation of relationship of physical constitution and health promoting life study. In addition, it was verified of difference between musculoskeletal subjective symptom and result of muscle contrast picture evaluation. 4. Evaluation of oriental medical examination model is divided into 2 categories of oriental medical examination-consultation and result evaluation -post management. Oriental medical examination-consultation demands establishment of examination system, standardization of examination and establishment of examination form and in addition, it should be admitted as enlarged examination assists systemic quadruple diagnosis of herbalist not a key of oriental medical examination. In addition, information acquisition for research purpose should be performed according to the systemic research plan based on the separation of questionary for examination purpose and research purpose. For evaluation of the result, it was concluded that needed are result evaluation meets oriental medical system and post-notification system, informing health management information, based on examination result. 5. Accounting on satisfaction for oriental medical examination model, affirmative reply was much higher (66%) than negative (8.64%). Satisfaction of each area was in order of consultation of herbalist, systemic muscle contrast taking, pulse examination, post-notification and questionary fill-up and dissatisfaction was in order of post-notification, questionary fill-up, consultation of herbalist, systemic muscle contrast taking and pulse measurement. Satisfaction for collaborative examination of occidental and oriental medicine was over 60% and over 75% hope oriental examination would be included in later medical examination program. Based on this result, collaborative examination including occidental and oriental medicine could increase satisfaction of subjects for medical examination program.

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The Experiences of Mother's of Children with Epilepsy

  • Kim, Sohee
    • International Journal of Advanced Culture Technology
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    • v.6 no.3
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    • pp.27-36
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    • 2018
  • This is qualitative research using grounded theory to examine the experiences that mothers of children with epilepsy can have. Data were collected through in-depth interviews, observation, and memo-taking with a total of 13 participants in this study-10 mothers taking care of children with epilepsy and 3 principal informants-and the data were analyzed using the method developed by Strauss and Corbin (1998). As a result of data analysis, 163 concepts, 26 subcategories and 8 categories were formed through open coding. Such categories were analyzed by the paradigm of the grounded theory, and as a result the experiences of the mothers of epileptic children were based on a causal condition of 'confrontation' and the central phenomenon of 'Wandering around the forest under a yoke'. The contextual conditions, which exerted influence on phenomena, were 'stigma cognition', 'personality traits' and 'health of children.' The action/interaction strategy selected by participants was 'Quietly pulling through: Bracing myself, Getting to know my enemy and myself, Taking care while hiding, Putting out one step at a time, Establishing a foothold. The intervening condition affecting action/interaction was 'the support system', and its result was 'watching.'