• 보건교육건강증진학회지
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• 제30권4호
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• pp.87-97
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• 2013

Objectives: Recent movements in urban planning propose a promotion of health condition as one of its emerging topics as growing body of evidence suggests that individual health is correlated with the built environment. The concept of healthy city was introduced in Korea and many local governments were tried to implement relevant policies. However, empirical studies were insufficient for understanding the relationship between health and the built environment. Most studies and policies were viewed and implemented from public health perspective. The purpose of this study is to estimate a value of healthy city as an activity-friendly environment. Methods: The 195-respondent survey data in Seoul Metropolitan Area was used for estimating the perception of healthy cities. Results: Survey results reported that more than 90% of respondents did walking and/or biking regularly. Moreover, they were willing to pay won3,695 per month for creating healthy cities. Conclusions: This study confirmed that the consideration of built environmental factor was necessary in policies of healthy city. This can offer insights into how to manage and develop the policies of healthy city to help promote individual health conditions.

• 한국시스템다이내믹스연구
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• 제13권3호
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• pp.23-46
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• 2012

The purpose of this paper is to estimate effects of healthy city policies on reducing social costs. The analyses were dune at the cities, counties, and communities levels in 2009, and covered Seoul Metropolitan Area(SMA). For estimation of reducing social costs, it developed a system dynamics(SD) model that analyzed causal relationships between physical inactivity rates, the number of deaths, medical expenses, and total social costs. Simulation period of SD was from 2009 to 2030. Three alternatives were proposed with combinations of length of bike lanes, number of bus routes, crime rates, self-reported good health status rates, and obesity rates. The total estimated cost of physical inactivities from 2009 to 2030 was 31.9 trillion won from the future forecast without policies. As a result of simulations with three alternatives, there were economic benefit approximately from 119.7 billion won to 1.16 trillion won. This study contributed to better understanding the economic benefits of healthy cities that were associated with design of built environment and physical activity. It also emphasized the importance of healthy cities planning as one of national welfare polices.

• 한국시스템다이내믹스연구
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• 제13권2호
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• pp.25-45
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• 2012

The purpose of this study is to estimate the effects of healthy city policies on residents' walking. In order to estimate promotion of walking rates by healthy cities policies, it developed System dynamics(SD)-based model which showed causal relationships among urban design, public health policies, and walking levels. SD technique is useful for future forecast and policy impact assessment. The spatial units of the SD-based system for policy impact assessment included 66 cities, counties, and communities in Seoul Metropolitan Area. The system simulation was planned to be run for 21 years from 2009 to 2030. For this study, 3 alternatives were proposed with combinations of length of bike lanes, number of bus routes, crime rates, self-reported good health status rates, and obesity rates. As a result of simulations, residents' participation rates for walking were increased from 1.00% to 9.98%. This study contributes to better understanding the benefits of healthy cities that are associated with individual walking. It further provided useful insights into planners' role in promoting health. The paper concluded with a discussion on future research opportunities and implications for public policies in urban and transportation and public health.

• 보건교육건강증진학회지
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• 제22권3호
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• pp.173-186
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• 2005

This paper develops the argument that the 'Healthy Cities Approach' extends beyond the boundaries of officially designated Healthy Cities and suggests that signs of it are evident much more widely in efforts to promote health in the United Kingdom and in national policy. It draws on examples from Leeds, a major city in the north of England. In particular, it suggests that efforts to improve population health need to focus on the wider determinants and that this requires a collaborative response involving a range of different sectors and the participation of the community. Inequality is recognised as a major issue and the need to identify areas of deprivation and direct resources towards these is emphasised. Childhood poverty is referred to and the importance of breaking cycles of deprivation. The role of the school is seen as important in contributing to health generally and the compatibility between Healthy Cities and Health Promoting Schools is noted. Not only can Health Promoting Schools improve the health of young people themselves they can also develop the skills, awareness and motivation to improve the health of the community. Using child pedestrian injury as an example, the paper argues that problems and their cause should not be conceived narrowly. The Healthy Cities movement has taught us that the response, if it is to be effective, should focus on the wider determinants and be adapted to local circumstances. Instead of simply attempting to change behaviour through traditional health education we need to ensure that the environment is healthy in itself and supports healthy behaviour. To achieve this we need to develop awareness, skills and motivation among policy makers, professionals and the community The 'New Health' education is proposed as a term to distinguish the type of health education which addresses these issues from more traditional forms.

• 농촌의학ㆍ지역보건
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• 제34권2호
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• pp.155-167
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• 2009

본 연구는 국내 건강도시사업을 추진하는 지역사회 담당자를 대상으로 세계보건기구의 건강도시 특성을 중심으로 건강도시 추진 현황을 살펴봄으로 국내 건강도시의 나아가야 할 방향을 위한 기초자료를 제공하고자 실시되었다. 2007년 2월부터 2007년 12월까지 우편설문조사를 하였는데, 설문문항은 건강도시 현황, 건강도시 담당자의 일반적 특성, 건강도시 기본 특성, 건강도시에 대한 자체평가, 건강도시 발전방향 등으로 구성하였다. 전체 23개 지역사회 중 도시가 11개(47.8%), 농촌이 12(52.5%)였으며, 건강도시 담당부서는 보건소가 73.9%로 대부분이었다. 건강도시 담당자는 여자가 60.9%, 연령은 40대가 65.2%, 건강도시 경력은 6~12개월인 경우가 34.8%로 가장 많았다. 건강도시 기본 특성을 살펴보면, 건강도시 자체 예산 확보(91.3%), 도시건강 프로파일 작성(91.3%), 협력대학 기술지원(82.6%), 건강도시 조례 제정(78.3%), 주민참여(78.3%), 운영위원회 구성(73.9%), 생활터 접근 사업(69.9%), 건강도시 네트워크에 적극적 참여(69.6%) 등이 높았으며, 부서간 협력 활성화(34.8%), 건강도시 장기 계획 수립(39.1%), 공약 및 시정방향에 건강도시 포함(43.5%), 취약 계층 대상 사업(47.8%), 전담조직 구성(47.8%), 건강도시 자체 세미나 실시(47.8%)가 낮았다. 도시농촌간 건강도시 전담조직의 경우 도시가 72.7%가 구성되어 있는 반면 농촌은 25.0%만 구성되어 통계적으로 유의한 차이를 보였다(p<0.05). 건강도시 전담조직 유무에 따른 건강도 기본특성을 살펴보면, 전담조직이 있는 경우 부서간 협력, 주민참여, 생활터 접근, 건강도시 네트워크가 잘 된다고 응답하였다(p<0.05). 건강도시 수행시 사업개발과 예산확보가 어려웠으며, 건강도시 사업시 우선 고려 사항으로는 부서간 협력이 34.8%로 가장 높았다. 건강도시성공을 위한 핵심인물로는 82.6%에서 단체장이라고 응답하였고, 국내 건강도시 활성화를 위해 향후 역할을 할 기관으로는 중앙정부인 보건복지가족부(52.2%)가 가장 높았다. 국내에서는 AFHC 회원도시 수가 급속히 증가하여 왔으나 건강도시를 위한 정치적 지원과 전담조직의 설립 등이 미진하며, 건강형평성을 고려한 사업 및 부문간 협력에 의한 포괄적인 건강도시 경험이 축적되어 오지 못하였다. 이를 해결하기 위해서는 건강도시의 정의와 선진 건강도시들이 제시하고 있는 원칙 및 특징에 충실하도록 노력하여야 할 것이다.

• 한국보건교육건강증진학회:학술대회논문집
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• 한국보건교육건강증진학회 2009년도 추계학술대회 자료집
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• pp.254-255
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• 2009

• 대한가정학회지
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• 제46권2호
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• pp.25-37
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• 2008

This study has investigated the perception of adults in relation to healthy family to help identify import issues. Gathered information were then incorporated to education programs for the Healthy Family Support Center. For this purpose, a survey was conducted in four cities in Kyungnam during March 2007. The responses of 213subjects have been used for the final analysis. The results of this analysis lead to three major findings. Firstly, the surveyed adults regarded positive interaction and domestic family functions as essential activities in healthy families. Secondly, the participants exhibited a very low knowledge-level of the 'Healthy Family Act', and the Healthy Family Support Center. Finally, the respondents said that they are more likely to specifically participate in educational program and counseling program if it helps them prevent family programs.

• 한국보건간호학회지
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• 제16권1호
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• pp.148-164
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• 2002

This study was performed to investigate the conditions of physical activity and exercise programs in Public Health Center. For this study 244 Public Health Centers in Seoul and all of the countries were surveyed from October 15 1999 to June 30 2000. The study was done by telephone, e-mail, fax and questionnaire. First, the 25 Public Health Centers in Seoul were investigated, and then 107 Public Health Centers in other cities were investigated. Public Health Centers in Seoul and Public Health Centers in other cities are very different in exercise program and equipment, budgets, personnel. There were many kinds of exercise program for people who have health problems, but a few exercise programs for healthy people. Exercise programs for people who have health problems were to prevent hypertension, arthritis. obesity, diabetes and back pain. Physical activity and exercise programs for healthy people were stretching for pregnancy and elderly. There were $24(96.0\%)$ Public Health Centers in Seoul which had physical activity and exercise program, $80(36.5\%)$ Public Health Centers in other cities which had physical activity and exercise program.

• 보건교육건강증진학회지
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• 제25권1호
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• pp.105-115
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• 2008

For the development of Korean health promotion projects, this paper appraised the capacities of health promotion projects and examined the latest international trend of the health promotion field, based on the appraisal of data made by the Ministry of Health and Welfare, 2005 and IUHPE relevant reports. The capacities of Korean health promotion should be strengthened as follows: First, it is urgent to give health education and to use the professionals of it. Secondly, setting approach is required when working on health promotion projects. Thirdly, it is necessary to strengthen the capacities of local communities through the central government's administrative and financial supports for the healthy cities project which is a strategy of general approach to new public health projects. The $21^{st}$ century is an age of new public health that the cause for deaths increasingly is centered on life style. So it is necessary to expand the scope of health education to the field of making the environment of local community healthy beyond the level of individual health education. And further, it is required to develop the curriculum of health and to work out new strategies for health promotion. In conclusion, Korea should train competent human resources in the fields of practice of healthy public policies, of knowledge-based projects, and of health promotion (like health educators). The political direction for it should be to promote various healthy city projects, not only health center-led health promotion projects, and further, to strengthen the capacities of the health promotion projects of local communities.

• 보건행정학회지
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• 제26권4호
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• pp.243-245
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• 2016

The 9th Global Conference for Health Promotion has been held in Shanghai after 30 years of the first Global Conference for Health Promotion in Ottawa, Canada. In the conference, the delegated members of the countries declared 'Shanghai Declaration on promoting health in the 2030 Agenda for Sustainable Development.' In the declaration, the delegated members of country had agreed that health is one of the 'most effective markers' of any city's successful sustainable development and contributes to make cities inclusive, safe, and resilient for the whole population and 'health literacy' empowers individual citizens and enables their engagement in collective health promotion action. And in a parallel session 'Mayors Forum,' they had consensus for health city and they adopted 'Shanghai Consensus on Healthy Cities.' They recognized their political responsibility to create the conditions for every resident of every city to lead more healthy, safe, and fulfilling lives and to support the full realization of human potential and capabilities at all ages in the city environment.