• Title/Summary/Keyword: School health promotion policy

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An ecological study on factors associated with community mortality rates (지역사회 사망률 관련 요인에 대한 생태학적 연구)

  • Chi, Tae-Keun;Kwag, Kyung Hwa;Jekarl, Jung;Park, Min Su;Kim, Kwang Kee
    • Korean Journal of Health Education and Promotion
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    • v.32 no.3
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    • pp.11-22
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    • 2015
  • Objectives: This study was to examine the influences of community characteristics on the mortality rates. Community characteristics included socioeconomic environmental characteristics, health care resources, and health lifestyle practice. Methods: This study used secondary data whose units of analyses were 249 administrative districts. Mortality rates were estimated with hierarchical regression models entered in the order of (1) socioeconomic environmental characteristics, (2) health care resources, and (3) health lifestyle practice. Results: About 70% of mortality rate was explained by socioeconomic environmental characteristics, health care resources, and health lifestyle practice. In particular, socioeconomic environmental characteristics showed the strongest impact on mortality rate. Among socioeconomic characteristics, community with lower rate of households headed with college or more, lower number of inhabitants per on-premise license, higher rate of population in poverty, and rural region showed higher mortality rate. Among health care resources, community with higher number of inhabitants per doctor and lower number of inhabitants per hospital bed showed higher mortality rate. Among health lifestyle practice, community with higher current smoking rate and lower moderate physical activity practice rate showed higher mortality rate. Conclusions: The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

Municipal Disease Burden Attributable to Heat Wave (기초자치단체의 폭염으로 인한 온열 및 심뇌혈관질환 부담)

  • Lee, Suehyung;Shin, Hosung
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.51-62
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    • 2014
  • Objectives: The objective of study was to calculate the municipal level environmental burden of disease (EBD) due to heat wave. Methods: The data used were Korea National Health Insurance 2011 claim data and 2011 death registry. Heatwave related diseases included hypertensive heart diseases, ischemic heart diseases, cerebrovascular disease, and heat related illness. According to the method that WHO proposed, the study computed population-attributable fraction with relative risk which come from previous study and proportion of exposure which the study calculated with historical meteorology data. Results: The Average of 251 municipal EBD was 2.11 per thousand persons. The value of years lost due to disability was 11 times higher than that of years of life lost. On average EBD of county and southern geographical areas tended to be higher than those of District or city areas. The relationship between municipal deprivation index (composite deprivation index) and EBD showed the positive association, which means that the worse deprived municipal is, the higher EBD takes. Conclusions: Climate change is getting one of the major risk factors of cardio-cerebrovascular disease, which is the second leading cause of death. The study results suggested the urgent policy planning and reaction of climate change adaptation.

Status of and Challenges for Physical Activity in Korean University Students (대학생들의 신체활동 현황과 과제)

  • Kim, Jung-Min;Koh, Kwang-Wook;Kim, Yoon-Ji;Shin, Yong-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.28 no.5
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    • pp.51-60
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    • 2011
  • Objectives: This article intends to describe the status of and challenges for physical activity in Korean university students. Methods: National level secondary data and related articles were reviewed including KNHANES(Korea National Health and Nutrition Examination Survey) and Online Youth Health Behavior Survey. Four tables and two figures were generated from original data and related articles. Results: The proportion of Korean university students practicing regular physical activity appear to be about half of that in American students. Gender difference in physical activity practicing rate seems to be maintained in university years. The main reason for physical inactivity was that physical activity was bothersome. The trends of physical activity practice in Korean students since middle school years needs further research. Conclusions: To increase the rate of physical activity in Korean university students, evidence-based comprehensive approaches are needed including campaign and informational approaches, behavioral and social approaches and policy and environmental approaches adapted to Korean university students.

A Literature Review on the Public Program of Walking Promotion for Active Living (활동적 생활을 위한 걷기증진 공공사업에 관한 고찰)

  • Kim, Dong Ha;Kang, Jaewook;Yoo, Seunghyun
    • Journal of agricultural medicine and community health
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    • v.46 no.2
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    • pp.98-108
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    • 2021
  • Objectives: This study aimed to describe the current public programs for community walking in Korea and to discuss their challenges. Method: We identified the literature related to community walking including five laws, 22 white papers from government departments and 84 program reports from the Seoul Metropolitan Government. Results: Korean law guarantees legal rights and validity to create safe, convenient and equitable environments for community walking. The government department, which has jurisdiction over legislation relating to community walking, has dominated community walking programs, and the role of public health department has been insufficient. Almost all sectors in the department of Seoul Metropolitan Government were involved in community walking programs. However, inter-sectoral cooperation system for community walking was insufficient. Conclusion: It is necessary to revise the condolences of the National Health Promotion Act to establish the role and perspective of public health in community walking promotion. Institutional efforts should be made to expand the network structure between sectors of community walking programs by establishing an organizational, budget, and performance sharing system for inter-sectoral approach.

Factors Affecting Colorectal Cancer Screening Behaviors : Based on the 4th Korea National Health and Nutrition Examination Survey (대장암 조기 검진 행위에 영향을 미치는 요인 -제4차 2기(2008년) 국민건강영양조사 자료를 중심으로-)

  • Lim, Ji-Hye;Kim, Sun-Young
    • Korean Journal of Health Education and Promotion
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    • v.28 no.1
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    • pp.69-80
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    • 2011
  • Objectives: This study aims to identify the factors associated with colorectal cancer screening behaviors. Methods: The nation-wide representative samples of 2,928 adults aged ${\geq}50$ years for colorectal cancer screening were derived from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). This study investigated socio-demographic, health behavioral and contextual factors associated with colorectal cancer screening using descriptive statistics and multivariate logistic regression analysis. Results: In terms of socio-demographic factors, gender, age, marital status, occupation, monthly income, and resident region were significantly different between screening group and non-screening group. Among health behavioral and contextual factors, regular physical checkup, weight control, physical activity, smoking, drinking and having other cancers were significantly different. From the multivariate logistic regression analysis, marital status, education level, regular physical checkup and weight control were associated with colorectal cancer screening behavior. Conclusions: It is necessary to understand the importance of early detection and cancer screening. Appropriate health education and active promotion about the cancer screening should be developed based on the study findings in order to motivate people to have cancer screening. Also, these findings should be reflected in the health policy.

Self-rated Health and Individual Level Social Capital Across the Administrative Sections (행정구역(동.읍.면)에 따른 개인 수준의 사회적 자본과 지각된 건강수준)

  • Lee, Jin-Hyang;Paeng, Ki-Yeong;Kim, Jang-Rak;Jeong, Baek-Geun;Park, Ki-Soo
    • Korean Journal of Health Education and Promotion
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    • v.29 no.2
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    • pp.59-70
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    • 2012
  • Objectives: The purpose of this research is to measure the level of individual social capital, and to reveal the associations between social capital and self-rated health status and how the administrative section(dong, eup, and myeon) might modify the relationships. Methods: This study used the data from Gyeongsangnam-Do health survey (2008). The study subjects were 6,500 adults randomly sampled from 20 counties. Trained interviewers conducted the interviews in the interviewees' houses using structured questionnaires. The association of social capital with self-rated health was analyzed using hierarchical logistic regression. Results: The proportion of trust and social participation were the highest at eup region and the lowest at myeon, The significant social capital associated with self-rated good health were both social participation and trust in the subgroups of dong. The significant social capital associated with self-rated good health were social participation and trust in the subgroups of eup. The significant social capital associated with self-rated good health was trust in the subgroups of myeon. Conclusions: This study highlights that self-rated good health was associated with social capital measured by social participation and trust, and the direction is different in the administrative section. But, health policy encouraging social capital to improve health should be considered.

An Exploratory Study on the Policy for Facilitating of Health Behaviors Related to Particulate Matter: Using Topic and Semantic Network Analysis of Media Text (미세먼지 관련 건강행위 강화를 위한 정책의 탐색적 연구: 미디어 정보의 토픽 및 의미연결망 분석을 활용하여)

  • Byun, Hye Min;Park, You Jin;Yun, Eun Kyoung
    • Journal of Korean Academy of Nursing
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    • v.51 no.1
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    • pp.68-79
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    • 2021
  • Purpose: This study aimed to analyze the mass and social media contents and structures related to particulate matter before and after the policy enforcement of the comprehensive countermeasures for particulate matter, derive nursing implications, and provide a basis for designing health policies. Methods: After crawling online news articles and posts on social networking sites before and after policy enforcement with particulate matter as keywords, we conducted topic and semantic network analysis using TEXTOM, R, and UCINET 6. Results: In topic analysis, behavior tips was the common main topic in both media before and after the policy enforcement. After the policy enforcement, influence on health disappeared from the main topics due to increased reports about reduction measures and government in mass media, whereas influence on health appeared as the main topic in social media. However semantic network analysis confirmed that social media had much number of nodes and links and lower centrality than mass media, leaving substantial information that was not organically connected and unstructured. Conclusion: Understanding of particulate matter policy and implications influence health, as well as gaps in the needs and use of health information, should be integrated with leadership and supports in the nurses' care of vulnerable patients and public health promotion.

A Study on Jeju High School Students' Health Perception and Health Promotion Behavior (제주지역 고등학생의 건강지각과 건강증진 행위에 관한 연구)

  • Kim, Ok-Sun;Choi, In-Sook
    • The Journal of Korean Society for School & Community Health Education
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    • v.3
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    • pp.79-110
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    • 2002
  • The purpose of this study was to provide basic data necessary for creating a more successful health enhancement program, health education and health policy which can enhance health management abilities and enable a healthy school life by examining relations between high school students' health perception, who are in early adolescence, and their health promotion behavior. The subjects in this study were 813 students from 8 high schools on Jeju Island. The collected data were analyzed with t-test and one-way ANOVA through questionnaires by researcher on the basis of advance research. The findings of this study were as belows : 1. When general characteristics were considered, health perception was more significantly affected by those who were boys, whose family income was on a higher level, who scored better in school, whose parents were more concerned about their children's health, and who had experiences of being hospitalized. Especially, the more parents were concerned about their children's health, the higher the child's self-confidence on health(p<.05), anxiety on health(p<.05), practicality on disease prevention(p<.05), self-confidence on future health(p<.01), health care ability(p<.01), and family roles on health(p<.05). The less parents were concerned about their children's health, the higher the child's anxiety on disease(p<.01) and uncertainty on future health(p<.01). 2. When students' health promotion behavior was concerned, in the area of Eating Habits, having regular meals(72.9%), moderate consumption of meat(89.7%) and a balanced diet(64%) were common, whereas having a regular breakfast(37.4%) and eating vegetables and fruits(43.6%) were rare. In the area of Exercise, all subareas such as exercising 3 or 4 times a week(76.7%), more than one hour of exercise at a time(74.9%), a short distance walk(51.8%), exercise within one hour after meals(87%), and whether wanning up or not(88.6%) were above average. In the area of Personal Hygiene, all subareas such as drinking boiled water(57.3%), washing hands after using the bathroom(71%), brushing teeth after eating(42.4%), washing up after going out(50.3%), and washing hair and taking a frequent bath(77.2%) were rare. In the area of Control of Personal Relations, consulting personal problems with family(78.7%) had a positive response, whereas meeting someone new(59.8%), maintaining sound relations with the opposite sex(47.3%), having respect for one's opinion(51.5%), and maintaining peaceful relations with people(58.4%) had rare negative results. In the area of Stress Management, not being competitive(69.4%), releasing problems(62.4%) and sleeping soundly(66.2%) were common, whereas having your own ways to relieve stress(46.8%) and having your own dreams and hopes(58.5%) were rare. 3. When general characteristics were considered, as far as relations of health promotion behavior were concerned, the boys were significantly different in the area of Eating Habits(p<0.01) and Exercise(p<0.01), and the girls were in the area of Personal Hygiene. As family economic status was high and parents were concerned about their children's health, the entire areas of health promotion behavior were significantly different. Whether or not they were hospitalized made no significant difference in statistics. 4. When their regions were considered, it comparing city to town, there was no statistically significant difference in health perception and relations of health promotion behavior according to general characteristics. As seen in the results above, high school students' level of health perception and level of practicing health promotion behavior were generally low. In conclusion, by enhancing health perception, a plan for activating health education, which can implement positive health promotion behavior, should be made.

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Determinants analysis of uninsured herbal medicine utilization in the Korean Medicine outpatient service (한의 외래에서 첩약을 포함한 비급여 조제 한약 이용결정요인 분석)

  • Kim, Dongsu;Kim, Hyunmin;Lim, Byungmook
    • Journal of Society of Preventive Korean Medicine
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    • v.22 no.1
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    • pp.1-14
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    • 2018
  • Objectives : This study aimed to analyze the characteristics of uninsured herbal medicine(UHM) users and the economic and social barriers of UHM utilization. Methods : We used the Korea Health Panel Data, representative national survey on medical utilization and cost, provided by National Health Insurance Service and Korea Institiute of Health and Social Affairs. The frequency analysis was used to identify the characteristics of the respondents, and the cross-analysis (${\chi}^2-test$) was used to verify the relationship between their characteristics and the usage of UHM. In order to analyze the determinants of using the UHM considering the individual's characteristics, logistic regression analysis and multiple regression analysis were conducted for those who used the Korean medicine (KM) outpatient service in 2015. Results : The usage of UHM was significantly lower for those (1) who's age of 20 to 65; (2) who have the university or higher education degree; (3) who live in Jeju province, and (4) who bought the herbal medicine for other health related purposes. On the other hand, the usage of UHM for those (1) who have the first quintile of household income; (2) who have the chronic respiratory disease; (3) who have been taking the medicine for health promotion purpose for more than 3 months and (4) who have purchased the food which has health promotion function was significantly higher than others. The patients who have chronic musculoskeletal diseases accounted the most among the UHM users. Conclusions : There was the considerable inequality in the usage of UHM among household income groups, which provides policy rationale for UHM to be covered by national health insurance. To facilitate the coverage expansion, restrictive covering model can be considered for children and adolescents, or for patients with muskuloskeletal diseases who have the high demand for UHM.

Analysis of Health Promoting Schools: Focusing on Large-sized Elementary Schools in Urban Areas (건강증진모델학교 분석: 도시 지역 대규모 초등학교를 중심으로)

  • Kim, Miju
    • Journal of the Korean Society of School Health
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    • v.30 no.3
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    • pp.306-316
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    • 2017
  • Purpose: The purpose of this study was to investigate the operational status and operational problems of health promoting model schools, particularly of the large-sized elementary schools in urban areas. Methods: The study analyzed the data of 14 large-sized elementary schools in urban areas selected from 85 health promoting model schools, an initiative led by the Ministry of Education from 2012 to 2014. Results: The study examined the operation process of health promoting schools in five stages; system development, needs survey & current status survey, school health policy development, program development & execution, and evaluation. In addition, the study discovered three key factors in operating health promoting schools and examined the status of each factor; connection with the curriculum, connection with the community, and consensus among members. Four problems were identified as operational problems: lack of research on faculty health issues, school physical environment and community resources, inadequate presentation of performance indicators, no close coordination in core task development and lack of linkage with the curriculum. Conclusion: It turned out the concept of health promoting school suggested by WHO was relatively faithfully realized in this study. Compared to small-sized elementary schools in rural areas, health promoting schools in this study showed better aspects overall. The connection with the community was good, but the connection with the curriculum was poor.