• 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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• 제24권4호
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• pp.99-114
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• 2007

Object: To analyze the effect of a media-campaign for "walking exercise participation improvement", which impacted walking-related awareness and behavior change of residents in Seoul. Method: This study used three campaign media including printing information, walking exercise indication board and a public advertisement of cable TV to lead a walking-related awareness change and practice frequency(number of days per week walking) and time(minutes per day walking) of walking exercise. To evaluate the exposure and message-recall levels of a campaign and effects of awareness change and walking practice, this study used a questionnaire survey(N=377). Result: 1) Group of exposure to campaign more participate and had the higher frequency(p=.015) and time(p=.023) in walking exercise and in comparison with group of nonexposure. 2) Group of changed awareness to campaign more participate and had the higher frequency and time in walking exercise and in comparison with group of no changed perception(p <.05). 3) Level of message recall of ${\ulcorner}$printing information${\lrcorner}$ was associated with number of days per week walking, and level of message recall of ${\ulcorner}$public advertisement of cable TV${\lrcorner}$ was associated with minutes per day walking at a statistically significant level(p <.05). Conclusion: These results suggest that media campaign can enhance the success of community-based efforts to promote awareness change and walking practice.

• 지역사회간호학회지
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• 제18권4호
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• pp.535-542
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• 2007

Purpose: The purpose of this study was to identify the effects of an overweight control exercise program on body composition and blood lipids. Method: This comparative study was conducted at an elementary school in Seoul, Korea. Pre and post body weight, BMI, PBF, and obesity degree as body composition and TC, HDL-C, LDL-C, and TG as blood lipids were tested. The aerobic exercise lasted 12 weeks from April to July, 2006. A total of 168 overweight 3rd grade to 5th grade school children attended and were divided into a walking exercise group (n=68) and a rope jumping exercise group (n=38). Data were analysed using SAS 8.12. Result: At the end of the program, the participation rate was higher in the rope jumping exercise group than in the walking exercise group. Body weight, BMI, PBF, obesity degree, TC, and LDL-C were lower than those before the program, and HDL-C was higher than before the program. Conclusion: The school-based overweight control exercise program was effective. Because of the participation rate was higher in the rope jumping exercise group than in the walking exercise group, rope jumping exercise is recommended for low grade children.

• 한국농촌간호학회지
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• 제14권2호
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• pp.47-53
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• 2019

Purpose: This case study was done to describe the health survey conducted by a community health practitioner. Methods: The community health survey was carried out from April 16 to May 31, 2018 with face to face interviews done by 48 trained senior nursing students. Results: Compared with other regions, rates for chronic disease prevalence, chewing discomfort, falls, and depression were higher than those of the relevant district/the relevant city, and the whole country. It is encouraging that the treatment rate for hypertension, diabetes, and hyperlipidemia, and walking practice rate were higher than those other regions. Those who participated in village events had low stress, and those who participated in health promotion programs had a higher quality of life. Conclusion: The community health practitioner in the public health center post needs to operate health promotion programs continuously. Programs including chronic disease management, fall prevention, depression control, and oral health management should be emphasized, and ways to increase social participation, including participation in village events should be developed.

• 한국산학기술학회논문지
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• 제19권1호
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• pp.497-505
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• 2018

이 연구의 목적은 중증질환자들을 대상으로 민간의료보험 가입자와 미가입자간의 특성을 파악하고, 가입 요인을 분석하기 위함이다. 연구도구는 2015년도 국민건강영양조사 자료를 이용하였으며, SPSS ver 23.0을 사용하였고, 연구 대상자는 19세 이상 중증질환자(암, 심장질환, 뇌혈관질환) 417명을 선정하였다. 분석방법은 민간의료보험 가입 현황과 차이를 파악하기 위해 교차분석을 실시하였고, 민간의료보험 가입에 미치는 요인을 분석하기 위해 이항 로지스틱 회귀분석을 실시하였다. 분석 결과 사회 인구학적 특성에서는 성별, 거주지, 혼인상태와 관계없이 나이가 젊을수록 높았다. 그리고, 사회 경제적 상태에서는 교육수준과 관계없이 가구소득이 높을수록, 의료급여대상자에 비하여 건강보험대상자의 가입률이 높았다. 건강행태에서는 주관적 건강 인식 및 걷기 실천과 무관하게 활동제한이 있는 집단의 민간의료보험 가입률이 낮았으며, 설명력은 51.7%이었다. 그러므로, 중증질환자 중 민간의료보험에 가입하지 못한 집단을 선별하여 생활환경 개선 및 지방자치단체의 지원을 촉구해야 할 것이다. 또한, 사회적 취약계층 및 건강행태에 제한 있는 집단을 대상으로 중증질환 예방을 위한 정부의 보건교육 또는 프로그램 제공 등 다양한 보건정책을 고려해야 할 것이다.

• 한국콘텐츠학회논문지
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• 제10권7호
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• pp.317-325
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• 2010

이 연구는 PPA 기법을 적용하여 민간경호경비원들의 여가활동 집중개선 여가활동을 도출하고, 나아가 여가제약이 참가지수에 미치는 영향을 규명하는데 주된 목적이 있다. 이러한 과정을 통하여 최종적으로 민간경호경비원들의 여가후생복지 개선을 위한 정책투자우선순위를 도출하고자 한다. 따라서 본 연구는 2010년 2월 서울 소재 6개소 민간경비업체를 대상으로 판단표집법을 적용하여 최종분석에 사용된 사례 수는 총 267명이다. 수집된 자료는 SPSSWIN 17.0 프로그램으로 요인분석, 신뢰도 분석, 대응표본 t검증, PPA 분석, 회귀분석을 실시하였다. 설문지의 신뢰도는 Cronbach's $\alpha$값이 .768 이상으로 나타났다. 결론은 다음과 같다. 첫째, 민간경호경비원의 여가활동 참가 지수인 선호도와 참여도는 차이가 있다. 중점개선 여가활동은 헬스, 산책/조깅, 숙박관광, 당일여행 등이며, 노력지속 여가활동은 영화, 국내유명관광지, 이성교재, 외식, 대인관계, 스포츠 관람, 독서, 노래방, TV 비디오 시청, 음주 등이다. 개선요망 여가활동은 수상스포츠, 등산, 자전거, 축구, 사진촬영, 구기운동, 항공스포츠, 바둑/장기, 인라인스케이트, 요리 등이다. 둘째, 민간경호경비원의 여가제약은 여가활동 참가지수에 영향을 미친다. 여가제약의 하위요인인 개인내적 제약, 주변의식적 제약이 클수록 선호하는 여가활동 참가지수는 감소하는 반면, 구조적 제약, 시간 경제적 제약과 같은 어려움을 극복할 경우 여가활동 참가지수는 증가한다.

• Physical Therapy Rehabilitation Science
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• 제6권4호
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• pp.176-181
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• 2017

Objective: The timed up and go (TUG) test is method used to determine the functional mobility of persons with stroke. Its reliability, validity, reaction rate, fall prediction, and psychological characteristics concerning ambulation ability have been validated. However, the relationship between TUG performance and community ambulation ability is unclear. The purpose of this study was to investigate whether the TUG performance time could indicate community ambulation levels (CAL) differentially in persons with chronic stroke. Design: Cross-sectional study. Methods: Eighty-seven stroke patients had participated in this study. Based on the self-reporting survey results on the difficulties experienced when walking outdoors, the subjects were divided into the independent community ambulation (ICA) group (n=35) and the dependent community ambulation group (n=52). Based on the area under the curve (AUC), the discrimination validity of the TUG performance time was calculated for classifying CAL. The Binomial Logistic Regression Model was utilized to produce the likelihood ratio of selected TUG cut-off values for the distinguishing of community ambulation ability. Results: The selected TUG cut-off values and the area under the curve were <14.87 seconds (AUC=0.871, 95% confidence interval=0.797-0.945), representing a mid-level accuracy. Concerning the likelihood ratio of the selected TUG cut-off value, it was found that the group with TUG performance times shorter than 14.87 seconds showed a 2.889 times higher probability of ICA than those with a TUG score of 14.87 seconds or longer (p<0.05). Conclusions: The TUG can be viewed as an assessment tool that is capable of classifying CAL.

• 대한지역사회영양학회지
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• 제27권4호
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• pp.296-308
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• 2022

Objectives: This study aimed to develop evaluation criteria for the elementary-school-based health promotion program using the RE-AIM framework and to examine their feasibility. Methods: Previous evaluation studies on health interventions for elementary-school students using the RE-AIM framework were reviewed systematically to identify appropriate evaluation criteria. A diet and physical activity intervention based on the transtheoretical model was implemented in a pilot study using the "Happy Me" application. The feasibility of using the RE-AIM framework to evaluate it was examined. Results: The review yielded the following evaluation criteria: "reach," the ratio of participants out of the total target population; "efficacy/effectiveness," the difference in outcomes between the intervention and control groups, or between a pre- and post-test; "adoption," the rate of use of the program and participation in the next stage of the program; "implementation," the progress on the program components; "maintenance," the participants' and teachers' intention to continue using the program. The pilot study reached 76.6% of the targeted population. The intake of sugar-sweetened beverages decreased (P < 0.0001), and the duration of walking increased (P < 0.0001). Other indicators could not be evaluated; therefore, potential indicators were suggested. Conclusions: This study produced feasible evaluation criteria for elementary-school-based health promotion using the RE-AIM framework. Nevertheless, the feasibility needs to be validated with a broader range of studies and long-term interventions.

• 대한간호
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• 제34권3호
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• pp.85-98
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• 1995

The purpose of this study is to provide basic data regarding effective learning opportunities in childbirth education classes. Also analysis of the data indicates the optimum conditions for the welfare and improvements in the promotion of health in childbearing mothers. The results of this study are as follows; 1) The average age of the subjects in this study was 30.6 years and the total number of subjects was 58 pregnant women. The average number of children was one and 84.5% of the subjects were unemployed even though 63.8% of them held over bachelor's degrees. It was found that 22.4% of the subjects were living in an extended family. Also 61.5% of them were living with parents-in-law. The number of pregnancies were calssified as one, two, or three to nine times with the percentages of 58.7%, 22.4% and 18.9%, respectively. Further, 72.4% of the subjects had no abortion experience and 15.5% had one aborion experience. While 89.7% of the subjects planned to feed their babies with breastmilk, mixed feeding were used by only 22.4% of the sample. These data were collected at about 6 months after delivery. Thus one can see that a low rate of breastfeeding was common. 2) The length of one period of childbirth education is four weeks. It was found that 36.2% of the subjects participated in childbirth education only once, where as 13.8% participated four times and 19% of the subjects participated in this class more than four times. pregnant at least once. Further, 75.9% of the participants were participated in this education through their own will. Their motivation for participation developed through information, advertisement and posters which contained information on childbirth education. Those with unplanned pregnancies 92.9% participated after a suggestion by the nurses. The number of participants in terms of percentage according to the childbirth education contents can be classified as following. The most active participation was shown in preparation of delivery(77.6%), postpartrm management(56.9%) fetal development(37.6%) and physiology of pregnancy(17.2%). It was found that 75.9% of the subjects were willing to participate again if they were given a chance. The reason can be summarized as following: The content of the education is very helpful(47.7%). Scientific knowledge can be obtained through this program(20.5%). Participation helps in achieving psychological stability(9.1%). Participation enables one to establish a friendly relationship with other participants(6.8%) of the sample. 24.1% of the participants did not want to participate again. The reasons can be as following: They do not want another baby(42.9%). The first paricipation in childbirth education gave enough knowledge about childbirth(21.4%). Another reason for not want to participate again was because they had a cesarean birth(14.3%). Only 7.1% of them responded with a negative view. A response that they do not need childbirth education after their operation can be traced back to the general belief that childbirth education is the place where one prepares for natural birth through the Lamaze breathing technique. Of the subjects, 91.4% suggested that this program could be recommended to other childbearing mothers, because this program gave educational content along with psychological stability for childbearing women. Of the subjects 41.4% did not see any efforts towards the welfare of the baby, where as 88.2% did. Among the subjects 58.6% made some effort to eliminate the discomfort of labor by breathing and imagination and breathing and walking. Further 41.7% of the 24 subjects did not do anything toward the welfare of the baby, because they did have a cesarean section so that they didn't have a chance even though they had been educated about childbirth. Also 33.3% of the subjects did not do anything toward the welfare of the baby, because they lacked a willingness. After leaving the hospital, only 75.9% of the subjects did some exercises. The subjects who tried participate this program with their husband accounted for 20.7% of the sample. Interviewing with the subjects solved some of the uneasiness and. fear of delivery, increased self-confidence in parenting and active coping in the delivery process.

• 농촌의학ㆍ지역보건
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• 제39권3호
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• pp.146-160
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• 2014

이 연구는 주민이 주도하는 건강증진사업으로서 지역사회 조직화 전략인 경상남도 건강플러스 행복플러스 사업 4년차 지역에서 건강행태를 중심으로 사업을 평가하고자 수행하였다. 건강플러스 행복플러스 사업은 건강불평등 완화를 목적으로 표준화사망비가 상대적으로 높은 17개 읍(면, 동)에서 2010년부터 추진되고 있으며, 15-20명으로 구성된 건강위원회가 보건소와 자문교수의 도움을 받아 우선순위 건강문제를 선정하고, 구체적인 세부 사업 실행을 주도하는 사업이다. 사업 대상 17개 읍(면, 동) 지역에서는 사업 시작연도인 2010년에, 이 중 6개 지역에서는 사업 4년차인 2013년에도 계통적 표본추출 가구의 19세 이상 성인(가구당 생월일이 가장 빠른 한 명)을 대상으로 가정방문 건강면접조사를 실시하였다. 실제 조사율은 2010년 73.9%(범위 45.9-93.2%), 2013년 75.9%(64.5-89.5%)였다. 최종 조사대상자는 2010년 1,320명(지역별 220명), 2013년 1,200명(지역별 200명)이었다. 조사는 2010년과 2013년의 8-10월 사이에 면, 동 지역별로 이루어졌다. 전체 대상자 및 6개 지역 각각에서 주요 건강행태 결과 변수인 남자의 흡연율, 일주일에 5일 이상 걷기 실천율, 2년 내 건강검진율, 40세 이상의 2년 내 위암검진율, 지역사회 행사 참여율, 그리고 인지된 통제력 설문으로 측정된 개인 및 지역사회 수준의 임파워먼트 점수[14]에 대해 2010년과 2013년을 비교하였다. 남자 흡연율은 전체 대상자에서 2010년 47.7%, 2013년 47.4%로 비슷하였다. 일주일에 5일 이상 걷기 실천율은 전체 대상자에서 2010년 46.2%, 2013년 35.6%로 유의하게 감소하였다. 최근 2년 내 건강검진율은 전체 대상자에서 2010년 57.7%, 2013년 63.6%로 유의하게 증가하였다. 40세 이상에서 최근 2년 내 위암 검진율은 전체 대상자에서 2010년 49.3%, 2013년 55.0%로 유의하게 증가하였다. 개인수준의 임파워먼트 평균점수는 전체 대상자에서 2010년 7.3, 2013년 7.0으로 유의하게 감소하였다. 지역사회수준의 임파워먼트 평균점수는 전체 대상자에서 2010년 12.6, 2013년 14.0으로 유의하게 증가하였다. 결론적으로 3년간의 지역사회조직화 전략은 지역주민의 흡연율 감소나 걷기 실천율의 증가에는 영향을 미치지 못했으나, 암검진을 포함한 건강 검진율의 향상에는 도움이 된 것으로 보인다. 신뢰성 있는 결론을 얻기 위해서는 더 많은 연구가 필요하다.