• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.1713-1716
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• 2016

Background: Liver fluke infection is associated with cholangiocarcinoma; the bile duct cancer found frequently in the northeast and north of Thailand. Prevention and control particularly requires health education and behavior change. Objective: This study aimed to improve health behavior among village health volunteers (VHV) regarding liver fluke exposure in an epidemic area. Materials and Methods: A quasi-experimental study was performed during July 2015 to January 2016 in Sang Kha district of Surin province, Thailand. A total of 67 VHVs underwent a health education program (HEP) and data were collected on knowledge, attitude, and practice (KAP) before and after participation for HEP 3 months with a pre-designed questionnaire. The Students paired T-test was used for comparisons of mean KAP levels before/after the intervention. Results: The results revealed that knowledge (P-value=0.004), attitude (P-value=0.004), and practice level (P-value=0.000) were significantly improved after participation in the HBP. Attitude was significantly associated with knowledge (r=0.266, p<0.05), and practice (r=0.348, p<0.01). Conclusions: The implementation of health education among VHVs is feasible and increases their KAP. This improvement should have potential in liver fluke prevention and control in local communities in rural Thailand.

• 한국융합학회논문지
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• 제8권10호
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• pp.147-153
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• 2017

본 연구의 목적은 공공병원을 대상으로 감염병 예방관리의 관점에서 법 제도, 감시체제, 대응관리체계가 조직시민행동에 어떠한 영향을 미치며 조직신뢰의 조절효과를 검증하고자 한다. 연구의 절차로 이론적 논의와 실무적 관점에서 감염병의 예방적 대응과 시민들의 협력적 행동의 인과적 관계에서 조직신뢰의 조절효과를 확인하는데 의미가 있다고 본다. 분석결과 감염병 예방관리에서 감시체계와 비상대응체계보다 강한 관계를 나타내고 있으며, 그 중요성이 높다고 보고 있다. 그 이유는 해외여행과 교류가 과거보다 훨씬 증가하였고, 이에 대한 감염경로 비중이 다소 많은 비중을 보이기 때문으로 본다. 따라서, 향후 공공병원을 운영하면서 조직신뢰의 중요성이 주목받고 확고한 이론적인 기반을 토대로 현장에서 실효적인 조직관리가 이루어지기를 기대한다.

• Journal of Preventive Medicine and Public Health
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• 제37권3호
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• pp.220-224
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• 2004

Objectives : To investigate the sexual behavioral characteristics and HIV/AIDS knowledge among men who have sex with men(MSM), one of the HIV high risk groups. Methods : A three month survey among individuals who were able to be contacted was carried out over the entire Republic of Korea, between May and August, 2001. 348 individuals completed a self-administered question-naire. The data collected included demographic informa-tion, sexual behavior and AIDS knowledge. Results : Eighty-seven and ninety-two per cent of the 348 MSM were aged 20-39 years and had never been married, respectively. Fifty-five per cent of participants reported at least one sexual contact with women, and a quarter of the MSM surveyed had engaged in high-risk sexual behavior (more than 6 partners) during the previous year. About twenty per cent of the MSM had anal sex as their favorite way of having sex, and seventy-four per cent did not use condoms regularly due to loss of enjoyment, and were more likely to be engaged in risky behaviors. Only ten per cent had a regular HIV test history, and most had obtained knowledge or information on HIV/AIDS through the mass media. Conclusions : A large proportion of the MSM in Korea still remain at an elevated risk for contracting HIV infection. Change in high-risk sexual behaviors will prevent the spread of HIV infection among the MSM population, which requires public health education for preventive interventions, and should be culturally and socially specific in order to be effective.

• Journal of Korean Biological Nursing Science
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• 제20권4호
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• pp.252-260
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• 2018

Purpose: This study aimed to investigate the relationships between the level of knowledge, attitude and compliance of preventive behaviors of the Middle East respiratory syndrome (MERS) among nursing students. Methods: The study sample consisted of 219 nursing students. Through the use of a structured questionnaire, data collection was conducted from June 1st to June 30th 2015. The descriptive statistics, independent t-tests and Pearson's correlation coefficient were employed to analyze the data. Results: The score of the MERS-related knowledge was 9.15 out of 13. The participants had a positive attitude toward the MERS. The level of MERS-related knowledge was high in the case of temporary school closure or break in clinical practice because of the clinical training in hospitals that MERS occurred (t= 2.42, p= .016). The compliance level of the preventive behavior for MERS was high in female students (t= -2.11, p= .036), in the case of temporary school closure or break in clinical practice due to the clinical training in hospitals that MERS occurred (t = 3.29, p= .001), and in students that had MERS-related education for prevention (t = 2.80, p= .006). The MERS-related knowledge was positively correlated with the level of compliance for preventive behavior (r= .18, p= .009). Conclusion: To prevent MERS infection in nursing students, the level of knowledge on MERS should be enhanced so that they can practice preventive behaviors against it. Additionally, the MERS infection control education should include etiology and treatment products based on the MERS response guideline issued by the Centers for Korea Disease Control and Prevention.

• 의학교육논단
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• 제18권2호
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• pp.99-105
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• 2016

The purpose of this study was to inquire into the knowledge of medical students on the Middle East respiratory syndrome (MERS) and evaluate whether infection prevention education impacts students' level of knowledge and individual hygiene practices. This study also investigated the route by which medical students obtain disease-related information. The study involved a survey conducted in August of 2015 at two medical schools in Busan. In the first year to fourth year, a total of 345 students are enrolled (111 students in A school and 234 students in B school). Before the study was carried out, university A performed infection prevention education related to MERS, but B did not. We used self-developed questionnaires to survey the demographic characteristics, routes of acquisition of MERS information, degree of knowledge of MERS, educational satisfaction, and personal hygiene practices before and after education. Knowledge level differences according to gender and year in school were not statistically significant. Students obtained their information about MERS from various news media sources and the Internet, and through social network sites. Students practiced sanitary control behaviors in an average of 2.2 manners (standard deviation=0.95). The level of knowledge of MERS revealed a positive correlation with the frequency and total numbers of personal hygiene practices. This finding suggests that the infection prevention education program played a role in knowledge acquisition and personal hygiene practices for the medical students. In order to provide accurate and reliable knowledge of disease and preventive health behavior to medical students, continuous and well-planned education programs are necessary.

• 한국컴퓨터정보학회논문지
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• 제26권12호
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• pp.213-220
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• 2021

코로나 바이러스 감염증-19(COVID-19) 펜데믹이 선포되고, 세계 각국에서 확진자와 사망자와 증가함에 따라, 전 세계가 두려움에 휩싸여 있다. 이에 본 연구에서 건강 믿음 모형(Health Belief Model)을 이론적 기반으로 소방공무원과 해양경찰공무원의 감염예방행동의 심리적 요인을 분석하였다. 두 집단 사이의 COVID-19 감염 예방 행동의 유의한 차이는 없었지만, 일반적 특성에서 지각된 질병 감염 가능성, 지각된 심각성, 지각된 효과와 COVID-19 감염 예방 행동 사이에는 유의적인 양의 상관관계를 보였다. 지각된 장애요인과는 유의미한 차이를 보이지 않았다. 이 연구는 건강 믿음 모형으로 소방공무원과 해양경찰공부원을 대상으로 한 첫 번째 분석으로 그 의의가 있고, 신종 전염병 예방 행동의 수행을 위한 기초자료로 활용될 수 있다는 점에서 큰 의의가 있다고 볼 수 있다.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.334-344
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• 2018

본 연구는 메르스 대유행시 요양병원 종사자의 메르스에 대한 지식, 태도 및 감염예방행위 실천도와의 관계를 파악하기 위하여 시도되었다. 연구대상자는 J도 소재 요양병원 종사자 211명으로 구조화된 설문지를 이용하였으며, 자료수집기간은 2015년 6월 15일부터 7월 15일까지였다. 자료 분석은 SPSS/WIN 24.0을 이용하여 independent t-test, ANOVA, Welch test로 분석하였고, 사후 검정은 scheff test, Grames-hawell test 방법으로 시행하였다. 요양병원 종사자의 메르스에 대한 지식점수는 간호사와 간호조무사, 감염관리 교육경험이 있는 경우, 지난 해 인플루엔자 예방접종을 한 경우, 손소독제 사용이 용이한 경우에 높았으며, 메르스에 대한 태도는 간호사가 간호조무사와 간병인보다 긍정적이었다. 메르스 감염예방행위 실천도는 일상생활에서는 지난 해 인플루엔자 예방접종을 한 경우, 환자 간호 시에는 지난 해 인플루엔자 예방접종을 한 경우, 손소독제 사용이 용이한 경우에 높았다. 요양병원 종사자의 메르스에 관한 지식, 태도 및 감염예방행위 실천도와의 관계는 지식이 높고, 태도가 긍정적일수록 감염예방행위 실천도가 높게 나타났다. 이에 메르스와 같은 신종감염병이 유행할 때, 요양병원에서는 메르스 질병 특성 및 전파, 예방법이 포함된 감염관리 교육을 실시해 메르스에 대한 지식수준을 높이고, 태도를 긍정적으로 유도하여, 감염예방행위 실천도를 향상시킬 필요가 있을 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1687-1692
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• 2012

Background: Few studies have examined theoretically informed constructs related to hepatitis B (HBV) testing, and comparisons across studies are challenging due to lack of uniformity in constructs assessed. The present analysis examined relationships among Health Behavior Framework factors across four Asian American groups to advance the development of theory-based interventions for HBV testing in at-risk populations. Methods: Data were collected from 2007-2010 as part of baseline surveys during four intervention trials promoting HBV testing among Vietnamese-, Hmong-, Korean- and Cambodian-Americans (n = 1,735). Health Behavior Framework constructs assessed included: awareness of HBV, knowledge of transmission routes, perceived susceptibility, perceived severity, doctor recommendation, stigma of HBV infection, and perceived efficacy of testing. Within each group we assessed associations between our intermediate outcome of knowledge of HBV transmission and other constructs, to assess the concurrent validity of our model and instruments. Results: While the absolute levels for Health Behavior Framework factors varied across groups, relationships between knowledge and other factors were generally consistent. This suggests similarities rather than differences with respect to posited drivers of HBV-related behavior. Discussion: Our findings indicate that Health Behavior Framework constructs are applicable to diverse ethnic groups and provide preliminary evidence for the construct validity of the Health Behavior Framework.

• 보건교육건강증진학회지
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• 제20권3호
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• pp.281-299
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• 2003

Even though the rate of infection of HIV is very low compared to other countries, data show a steady rise in HIV infection rates among young people in South Korea. A peer education program was provided to prevent the incidence of AIDS in young people. The program used peer leaders to provide AIDS related information and counseling for middle school students. Peer leaders received special training in AIDS related education and counseling to assist their friends. Peer leaders worked with their mends in one-to-one or small group settings. A pretest-posttest control design (six months after intervention) was used to evaluate the effects of the peer education program for prevention of AIDS. A post-intervention survey found that do you mean six months after the program or after six months of programs of peer program activities, the experimental groups(groups with peer educators) showed better knowledge, more positive attitudes, and less sexual activity when compared to control groups of non-participants(groups without peer educators). Peer leaders showed significant gains in knowledge about HIV transmission, more positive attitudes and self-efficacy not to engage in high-risk behaviors. Peer education was an effective tool for increasing knowledge, improving attitudes and self-efficacy, and encouraging appropriate behavior change.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.1811-1815
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• 2016

Wetland geographical areas have a higher incidence of Opisthorchis viverrini-associated cholangiocarcinoma (CCA), confirmed by data from geographic information systems, than other areas. Behavioral data also indicate that people in these areas traditionally eat uncooked freshwater fish dishes, a vehicle for O. viverrini infection. The best approach to reducing CCA incidence is decreasing risk factors together with behavior alteration. Evaluation of CCA risk and its related factors are first needed for planning the prevention and control programs in the future. We therefore aimed to evaluate the CCA risk and explore its related factors among people in wetland communities of Ubon Ratchathani, Thailand. A cross-sectional study was conducted between July and August 2014. In total 906 participants, with informed consent, completed questionnaires. Overall risk of CCA was determined by multiplying odds ratios (ORs) of the risk factors for CCA from literature reviews. A mean score of 5.95 was applied as the cut-off point. Assessment of factors related to overall risk of CCA was accomplished using conditional logistic regression. Of all participants, 60.15% had a high level of the overall risk of CCA. Factors related to the overall risk of CCA were gender (p<0.001), marital status (p<0.001), perceived susceptibility (p=0.043) and prevention behavior for CCA (p<0.001). In conclusion, most participants in this community had a high level of overall risk of CCA. Therefore, integrated prevention and control programs continue to be urgently required.