• 치위생과학회지
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• 제9권2호
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• pp.197-202
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• 2009

본 연구의 목적은 청소년들의 구강건강증진행위를 조사하여 구강건강사업의 정책개방과 아울러 향후 성인이 된 후 구강건강증진을 도모하기 위한 방안을 모색하기 위함으로 인천 경기에 소재한 고등학교 학생 704명을 대상으로 2007년 10부터 11월까지 설문조사를 실시하였다. 수집 된 자료는 SPSS 11.5를 사용하여 연구의 목적에 따라 통계분석을 실시한 결과는 다음과 같다. 1. 구강건강증진행위 중 구강영양행위가 $3.20{\pm}.63$으로 가장 높게 나타났으며, 구강건강책임행위는 $2.35{\pm}.64$, 구강스트레스관리행위 $2.28{\pm}.70$, 구강사회적지지행위 $1.87{\pm}.70$의 순으로 조사되었다. 2. 구강건강증진행위의 세부항목 중 구강영양행위에서는 '섬유질이 풍부한 식품을 많이 먹는다.'가 $3.61{\pm}.92$, 구강사회적지지행위에서는 '구취가 난다고 느낀다.'가 $2.24{\pm}.97$, 구강건강책임행위에서는 '식사 후에는 반드시 잇솟질을 한다.'가 $3.71{\pm}1.03$으로 가장 높게 나타났으며, 구강건강스트레스관리행위에서는 '양쪽으로 저작하려고 노력한다.'가 $3.15{\pm}1.14$로 가장 높게 조사되었다. 3. 연구대상자의 사회학적 특성에 따른 구강건강증진행위의 결과는 1학년 학생이 구강영양행위가 가장 낮은 것($3.34{\pm}.66$)으로 조사되어 통계적으로 유의한 차이를 보였다(p < 0.001). 4. 월평균 가계수입에 따른 구강건강증진행위의 결과는 200만원 미만에서($2.13{\pm}.78$) 구강사회적지지행위가 가장 낮게 나타났으며, 수입이 많을수록 자신의 구강에 대한 사회적지지가 높은 것으로 조사돼 통계적으로 유의한 차이를 보였다(p < 0.05). 5. 구강건강증진행위와 관련 변인간 상관관계 결과는 각 변수들 간에는 대체적으로 서로 유의한 정의 상관관계가 있었으며, 특히 구강건강책잉행위가 높을수록 구강스트레스관리행위가 높게 나타나 가장 높은 정의 상관관계를 보였으며(p < 0.001), 일반적 특성에서 구강건증진행위의 영향인자로는 구강영양은 학년과 아비지의 교육수준, 구강사회적지지는 수입 정도로 나타났다.

• 대한예방한의학회지
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• 제6권1호
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• pp.1-14
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• 2002

The proportion and role of public sector in health care industry is very small in Korea. Asymmetric distribution of health care resources is one of the major health care concerns. This issue is so important that it raises a question of accessibility, availability, continuity of care and equity of rural area people's health care utilization. To solve these problems and to satisfy the basic demand of oriental medical service in rural areas, the oriental public health doctors were placed in rural health centers since 1998. The main objectives of this study are twofold: to measure the cognition and attitude of health center directors on the strategies for utilizing oriental public health doctors and to provide basic data for improving the health manpower management program. Data have been collected by way of the self-administrative questionnaires. Developing the questionnaire, the literature review on the previous studies and delphi method were carried out. The response rate was 38.7%. The results of this study are summarized as follows; 1. community people respond positively on the oriental medical service activity in health center. 2. In regard to workloads of oriental public health doctor, 'appropriate' was 81.1% and 'burdensome' was 18.2%, respectively. 3. The 94.0% of respondents thought that the oriental medical service will be continued. 4. To activate oriental medical service in health center, the sufficient budget and provision of aid workers is a necessity. 5. The 75.5% of health center directors respond positively on the allocation of oriental public health doctor to health sub-centers. 6. Health center directors agreed that oriental public health doctor should perform the clinical service as well as prevention and health promotion activity. These results recommend that oriental medical service in health center should be continued gradually, and oriental public health doctors working at health center perform their work efficiently. Undoubtedly, their activity should be more focused on health promotion and disease prevention than daily patient care. For achieving this objective, more support of governmental policy is essential for utilizing oriental public health doctor and better health of the rural area community people.

• 한국학교ㆍ지역보건교육학회지
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• 제14권3호
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• pp.1-14
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• 2013

Objectives: The purpose of this study was to investigate the possible impact factors(oral health level, oral health promotion behaviors, health level, health behaviors, and mental health) on oral health related quality of life using OHIP-14 of health allied college students. Methods: A total of 363 self-administered questionnaires were collected from university student in Seoul. To investigate the casual relationship between each variable presented in the research model, descriptive statistics, t-test, one-way ANOVA(Scheffe's test), man-whitney, kruskal wallis, multiple regression analysis were carried out by using SPSS ver. 21.0 Results: The study shows that the students reported mean score of OHIP-14 ($8.32{\pm}7.51$), of which physical pain was the highest score($1.88{\pm}1.45$) and social disability was the lowest score($0.69{\pm}1.13$). Multiple regression revealed that the score of OHIP-14 was shown to be significantly higher for the following people: who were get more self-reported symptom of periodontitis, halitosis, negative self-perceived general health and oral health, no received dental scaling treatment, and participants who had no experience awareness of distress in two weeks. The explanatory power was 18.2%. The most powerful factor regarding to self-reported symptom of periodontitis was shown to be negatively relations oral health-related quality of life. Conclusions: In order to enhance the students' life quality, there need to be considered for a comprehensive oral health-related quality of life program for the students through health education policy.

• Journal of Preventive Medicine and Public Health
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• 제45권4호
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• pp.267-275
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• 2012

Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks. Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report. Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics. Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

• 보건행정학회지
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• 제25권4호
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• pp.264-276
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• 2015

Background: Healthy cities of Korea have engaged in various activities regarding the Korea Healthy Cities Partnership, and research activities on healthy cities is one of the important area. In the present context, due to the current policy to pursue Sustainable Development Goals locally and globally, it is essential to emphasize the importance of healthy city. Therefore, it is important to identify the research trend related to healthy city. The aim of this study was to find out research trend of healthy city studies from 1990 to 2014 by reviewing published papers and studies systematically. Based on the finding of the study, the necessary implications on future research directions of the healthy city are obtained. Methods: The area of this study is domestic journal (Korea), international journal, thesis, and research report focusing on healthy city from 1990 to 2014. The selection of data was performed using keyword is based on domestic and international database. The analysis criteria were divided into year of publication, type of study, subjects, study methods, and study area. Results: One hundred twenty papers were selected for the analysis. Papers related to the healthy city issue were published 4.8 times in an average in a year during that the period. However, the number of papers published increased dramatically in the recent 4 years. Of total, 28 papers (44.4%) focused on the healthy city policy and urban environmental improvement, 18 papers (28.6%) focused on health promotion, and the remaining were program centered. Most papers (71 out of 120) used quantitative study methods. Of total studies, studies have conducted in Jinju city (9), Wonju city (8), Changwon city (6), and Gangnam-gu (5), respectively, as a study area of healthy city. Conclusion: First, domestic healthy city researches has been gradually increasing every year, over the past 10 years which has heightened interest in healthy cities. Second, the expansion of the various areas of research is required in order to contribute to future sustainable healthy city. Third, in recent years, by taking advantage of a variety of research methods, conducting the qualitative and mixed method research is considered to be a desirable change.

• 한국보건간호학회지
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• 제23권2호
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• pp.186-198
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• 2009

Purpose: To identify relationship between the life styles and optimistic bias about colorectal cancer (CRC) of adults. Methods: The participants were 338 adults who live in Seoul. The measurements were consisted optimistic bias about CRC and life styles. The life styles were included smoking, alcohol consumption, dietary habits, and CRC screening. Results: 30.5% of the participants regarded their possibility of CRC to be less than others, while 69.5% viewed their likelihood of CRC as at least the same as others. The optimistic bias about CRC was associated with alcohol consumption and dietary habits, but not with smoking and CRC screening. Conclusion: It is difficult to relate optimistic bias about CRC with life style since CRC inspection and alcohol consumption are negatively related with optimistic bias while displaying a positive relation in other aspects. Since the relationship between optimistic bias and life style can change, promotion of a healthy life style as part of a health program could be influential in lessening CRC.

• 한국융합학회논문지
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• 제12권9호
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• pp.261-271
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• 2021

학교 폭력, 왕따 등 학교 안전과 관련된 사건 및 사고는 학교 안전이 지역사회 보건 및 복지에 심각한 위협에 노출되어 있음을 시사한다. 학교 안전사고들은 오랜 기간 동안 다양한 정책과 프로그램이 시행되어 왔기 때문에 큰 문제점으로 대두되고 있다. 따라서 지역사회와 정부가 예방책을 마련하는 것이 중요하다. 본 연구는 독일, 영국, 캐나다, 미국, 프랑스 등 다양한 국가에서 시행되는 학교 폭력을 비롯한 학교안전에 관한 교육, 정책, 프로젝트, 프로그램의 성공적인 사례연구를 논의하며 이 논의를 통해 국내적 함의 및 시사점을 제시하였다. 우리나라 학교안전의 질적 보완을 도모할 수 있는 가장 현실적이고 구체적인 방안으로는 지역사회 공동체가 적극적으로 참여하는 것이다. 또한 국제적 프로그램 성공의 가장 효과적인 조정전략은, 학교 밖과의 강력한 연계를 가진 학교안전 프로그램 이었다는 점이다. 즉 지역사회 공동노력으로 건강하고 안전한 학교를 만드는 지역사회 건강증진과 학교안전의 융합적인 접근이었다.

• Journal of Preventive Medicine and Public Health
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• 제44권5호
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• pp.201-209
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• 2011

Objectives: This study examined the use of health impact assessment (HIA) as a tool for intersectoral collaboration using the case of an HIA project conducted in Gwang Myeong City, Korea. Methods: A typical procedure for rapid HIA was used. In the screening step, the Aegi-Neung Waterside Park Plan was chosen as the target of the HIA. In the scoping step, the specific methods and tools to assess potential health impacts were chosen. A participatory workshop was held in the assessment step. Various interest groups, including the Department of Parks and Greenspace, the Department of Culture and Sports, the Department of Environment and Cleansing, civil societies, and residents, discussed previously reviewed literature on the potential health impacts of the Aegi-Neung Waterside Park Plan. Results: Potential health impacts and inequality issues were elicited from the workshop, and measures to maximize positive health impacts and minimize negative health impacts were recommended. The priorities among the recommendations were decided by voting. A report on the HIA was submitted to the Department of Parks and Greenspace for their consideration. Conclusions: Although this study examined only one case, it shows the potential usefulness of HIA as a tool for enhancing intersectoral collaboration. Some strategies to formally implement HIA are discussed.

• 디지털융복합연구
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• 제11권12호
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• pp.537-549
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• 2013

본 연구는 주요 선진국의 군인 건강조사 실태 및 특징을 살펴보고, 우리나라 군인 건강조사의 나아갈 방향을 제시하는 것이다. 이를 위해 군인 건강조사를 실시하고 있는 미국, 호주, 캐나다의 군인 건강조사 현황을 파악하였다. 구체적으로 건강조사의 배경, 목적, 대상, 참가인원 수, 방법, 내용, 관련기관, 주기 등을 심층 고찰하였다. 고찰결과 주요 선진국의 군 건강 설문조사의 특징은 다음과 같다. 첫째, 군인 건강조사는 건강 위험요인을 줄이는 방향으로 단계적으로 발전해왔다. 둘째, 정신건강에 대한 관심과 중요성이 강조되고 있다. 셋째, 외국의 군 건강조사는 정부의 협력뿐만 아니라 전문조사기관이나 대학과의 협력을 통해 데이터 수집 및 분석에서 익명성과 전문성을 보장하고 있다. 마지막으로, 제도화를 통해 건강 설문조사를 정기적으로 시행하고 있다는 것이다. 앞으로 군 보건의료 관계자뿐만 아니라 국가적 차원에서 군 건강조사에 대한 필요성과 중요성을 인식하고 법적, 제도적 환경을 구축하는 것이 중요하다 하겠다.

• 여성건강간호학회지
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• 제5권1호
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• pp.65-79
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• 1999

The purpose of this study was to figure out a direction for midwifes' expanded roles for integrative woman's health care focused on health promotion & maintenance and primary prevention of women's health disorders including family health in the new millenium as a primary women's health practitioner. Data sources used for analysis were the book published from International Confederation of Midwives including role, code, situation and others from the international aspects : the empirical data from direct contact by participation in the ICM held in Manila, Philipine, May 22-26, 1999 : and documentation of Korean Midwives Association. Historical and current changing perspectives toward woman's health & nurse-midwifery and the reality women's health & nurse-midwifery and the reality of expand role that should be acquired toward the new millenium are discussed. In conclusion, Nurse-midwives are the very primary women's health care providers who can provide not only the exact needs of women who have health related problems, which are developed in the unique socio-cultural context women are belonged to, but also reproductive affairs including labor and delivery as it was midwive's traditional role, not just as practitioner, educator, counselor but conscious raiser for women's right. Futhermore, for this, thorough preparation through various kind of active and contemplated approach such as remodeling roles and education and continuing education system, training for high skilled & technical action, making laws and policy, and others is absolutely required.