There has been 10 years since the Health Promotion Act was legislated. The government began to establish a health promotion fund on the basis of Health Promotion Act in 1995, and to manage and operate the fund from 1998. It is evaluated that health promotion program have had various outcomes in many aspects. First, there has been growing awareness of the impotance of health promotion through the establishment of Health Plan 2010 and the effort to actualize the Plan. Second, the importance of securing health equity and identifying health determinants have been recognized during the planning process of Health Plan 2010. Third, the health promotion program have mainly focused on improving healthy life style of the population. As a result, desirable health behavior change of the population could be expected from the result of 2005 National Health and Nutrition Survey. Fourth, public health centers began to play a crucial role in implementing health promotion programs, and began to build infrastructure for health promotion programs. Fifth, management efficiency of private health related organizations have been improved. Finally, training for health promotion personnel and their participation in the program could be the foundation for the higher level of outcome achievement from the health promotion programs. Important challenges for future health promotion would be identification of the determinants and risk factors of health, formulating plan of regional health promotion programs, building infrastructure for health promotion, creation of specific action model by public health center, development of health promotion program for the elderly, conducting research for evidence concerning major factors reducing the need for health care through prevention disease activities, and establishment of evaluation and feed back system for health promotion programs.
There has been 10 years since The Health Promotion Act was legislated. The government began to establish a health promotion fund on the basis of Health Promotion Act in 1995, and to manage and operate the fund from 1998. It is evaluated that health promotion program have had various outcomes in many aspects. First, there has been growing awareness of the impotance of health promotion through the establishment of Health Plan 2010 and the effort to actualize the Plan. Second, the importance of securing health equity and identifying health determinants have been recognized during the planning process of Health Plan 2010. Third, the health promotion program have mainly focused on improving healthy life style of the population. As a result, desirable health behavior change of the population could be expected from the result of 2005 National Health and Nutrition Survey. Fourth, public health centers began to play a crucial role in implementing health promotion programs, and began to build infrastructure for health promotion programs. Fifth, the outcomes of health promotion programs by public health centers and private health organizations have been increasing. Finally, training for health promotion personnel and their participation in the program could be the foundation for the higher level of outcome achievement from the health promotion programs. Important challenges for future health promotion would be identification of the determinants and risk factors of health in Korea, establishment of local health promotion plan, building infrastructure for health promotion, creation of specific action model by public health center, development of diverse health promotion programs and health promotion program for the elderly, conducting research for evidence concerning major factors reducing the need for health care through prevention disease activities, and establishment of evaluation and feed back system for health promotion programs.
The fundamental hypothesis of health promotion is that the modification of behavior to better fit practices associated with health will in fact increase health and longevity. Therefore, it is in general said that the most important thing to health promotion is the practice of health education which can result in the change of human behaviors. The National Health Promotion Fund is the financial resource of health promotion programs in Korea. The budget for health education of the fund accounted for 0.58 billion won out of the health promotion budget, 29.5 billion won in 1998. It has been the smallest out of 4 categories of health promotion programs from 1998 to 2000. What is worse, only 0.26 billion won was spent on health education in fact. It was less than a half of the budget for health education. In addition to it, the budget for the development of health education material was 0.17 billion won in 1998. But it was not spent on the project at all. And the project of educational material development got no budget in 1999. The Korean health promotion needs to enlarge the portion of community health education services drastically in order to attain the proper behavioral change of the people in the future.
Purpose: This study was performed to examine predictors of allied health science students' exercise behavior using Pender's Health Promotion Model. Method: The subjects were 203 university students majoring in nursing, emergency medical service, and exercise prescription. The hypothetical model was based on the HPM(Pender, 1996). Exogenous variables of the model were exercise habit and role belief. Endogenous variables were exercise-related affect, exercise self-efficacy, exercise barrier, exercise intention, and exercise behavior. The data were analyzed by SAS PC program and LISREL 8.12 program. Result: The degree of exercise behavior was low(mean 1.86, range 1~4). The overall fit of the model to the data was acceptable. Exercise habit, exercise self-efficacy and exercise-related affect were significant predictors of exercise intention and exercise behavior. Conclusion: This study shows the necessity of the program to increase the level of exercise participation of university students majoring in allied health science. The model constructed in this study is applicable to explain exercise behavior of university students majoring in allied health science, and suggests that we should focus on exercise habit, exercise self-efficacy and exercise-related affect to increase the level of exercise behavior of this group.
Objectives: The purpose of this study was to investigate safety consciousness (SC), cognitive-behavioral strategy (CBS), and safety behavior (SB) among university students living in dormitories on campus. Methods: The data was analyzed to compare the safety behavior by sex, safety related factors, and safety consciousness index in the SPSS 23 program using Chi-square test, t-test, Pearson correlation coefficients, and multiple regression. Results: The participants in the health and safety behaviors survey were 2,721 students who have been in dormitories on campus. On the mean of items, the Public Safety Consciousness Index (PSCI) was 93.1, SC was 26.9, CBS was 15.7, and SB was 50.4. It were significant correlations between SC, CBS, and SB among university students (r=0.74-0.78), and CBS was identified as the mediator. Finally, it was significant increase the SC, CBS, and SB by sex and participation on safety education, but decrease by age and experience of accident and disaster. Conclusions: It is necessary to develop safety education program enhancing safety consciousness and safety behavior in order to prevent accidents on campus. And it suggests that safety education should be included in regular curriculum of university to improve health status and achieve academic goals.
Objectives: This study is to identify the factors which affect children's preventive behavior for novel influenza A(H1N1) and to provide basic data to health education for children. Methods: The subject of this study were 551 children who were attending on the 4~6th grade in elementary school in Seoul. The data were collected using a self-reporting questionnaire for 5 days from October 12 through 16, 2009. Data were all digitized and analyzed using SPSS 17.0K. Results: As for relationship between preventive behavior and the other variables, correlations were observed with sensibility, self efficacy, respond efficacy and behavior intention, and it was statistically significant(p<.001). According to the result of analyzing factors affecting preventive behavior for Novel Influenza A(H1N1), it was affected by variables such as perceived threat, perceived efficacy, behavior intention. Behavior intention was the most influencing variable and has shown influence in order of self efficacy, sensibility, severity and respond efficacy as follows. Conclusion: The results showed effects on preventive behavior of perceived threat, perceived efficacy and behavior intention. It may be beneficial to improve empowerment for students to prevent influenza A(H1N1) by focusing on perceived threat, perceived efficacy, behavior intention.
Objectives: This study was conducted to investigate the correlation between the health-related quality of life assessment according to socio-demographic characteristics, health behavior, and BMI for Gyeonggi-do community population. Methods: The 2012 Community Health Survey data was used. The data were collected by using a cross-sectional study with face-to-face interview. The variables of smoking, AUDIT, exercise, BMI, and Euroqol EQ-5D instrument were selected for analyses. The Difference on the EQ-5D index among groups were tested with Mann-Whitney U test and Kruskal Wallis test. Results: The EQ-5D index for Gyeonggi-do community was 0.951(${\pm}0.104$). The index were significantly different by sex, age, marital status, education level, and occupation. The health-related quality of life showed lower EQ-5D index in women than men, older than young, and less educated. The index were significantly different by health behavior (smoking, drinking, moderate physical activity and exercise) for both men and women). For BMIs, the index was lower to under-weighted male and over-weighted female. Conclusions: The findings suggest that the future intervention of health promotion programs should be carefully designed and tailored by health behavior and obese groups.
Objectives: This study was to develop a reliable and valid instrument measuring the reproductive health promoting behavior of undergraduates. Methods: The initial questionnaires were made of 106 items from four domains through literature review. All questionnaire items were revised by an expert group and a pilot test. Data were collected using the revised initial questionnaire of men's 58 items and female's 64 items from 634 male and 685 female undergraduate students. The collected questionnaires were analyzed by factor analysis using varimax rotation to evaluate the construct validity. Results: According to the gender, two measurement were invented and analysed separately. Four common factors consisting of 'safe sex', 'sexual responsibility', 'genital health management' and 'STD prevention' were discovered in both groups. The 'genital hygiene' factor was added as a female factor. Male students' scale was made up 4 factors 16 items and female students' scale was made up 5 factors 18 items. Cronbach's alpha for male scale was estimated to be .892 and female scale to be .882. Conclusions: This scale will make it possible to measure the level of reproductive health among Korean university students. This scale may be useful for developing effective methods of education as well as policy programs for improving the reproductive health of Korean university students.
Purpose: This study was performed to determine the physical and psychological effects of an urban forest-walking program for office workers. For many workers, sedentary lifestyles can lead to low levels of physical activity causing various health problems despite an increased interest in health promotion. Methods: Fifty four office workers participated in this study. They were assigned to two groups (experimental group and control group) in random order and the experimental group performed 5 weeks of walking exercise based on Information-Motivation-Behavioral skills Model. The data were collected from October to November 2014. SPSS 21.0 was used for the statistical analysis. Results: The results showed that the urban forest walking program had positive effects on the physical activity level (U=65.00, p <.001), health promotion behavior (t= - 2.20, p =.033), and quality of life (t= - 2.42, p =.020). However, there were no statistical differences in depression, waist size, body mass index, blood pressure, or bone density between the groups. Conclusion: The current findings of the study suggest the forest-walking program may have positive effects on improving physical activity, health promotion behavior, and quality of life. The program can be used as an effective and efficient strategy for physical and psychological health promotion for office workers.
Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.
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