• Title/Summary/Keyword: community health problem

검색결과 470건 처리시간 0.029초

Risk Perception and Correlates of Tobacco Use among Young People Outside of Formal School Settings in Lagos State, Nigeria

  • Odukoya, OO;Dada, MR;Olubodun, T;Igwilo, UA;Ayo-Yusuf, OA
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권6호
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    • pp.2833-2839
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    • 2016
  • Background: Tobacco use among youth is a major public health problem. Youth outside of formal school settings are often understudied but may be at increased risk. Materials and Methods: A descriptive cross-sectional study was carried out among 326 young people aged 15-24 years in four randomly selected motor parks in Lagos state. Interviewer-administered questionnaires were used to collect data. Results: The mean age of the respondents was $21.0{\pm}2.3yrs$. Many 252 (77.3%) dropped out before the end of the third year of secondary schooling. The majority were aware that active (78.2%), and passive smoking (77.3%) are harmful to health. Nearly two-thirds of the respondents disagreed with an outright ban of cigarettes (63.2%) and restriction of cigarette sales to persons below 18 years (67.9%) while 254 (66.8%) supported a ban on tobacco smoking in enclosed public places. One hundred and fifty (46.0%) respondents had experimented with smoking of which 106 (32.5%) had progressed to become current smokers. Half of the current smokers, 54 (50.9%), felt the need for a cigarette first thing in the morning. A multivariate analysis for smoking initiation, showed that for every increasing year of age, respondents were 1.08 times more likely to have initiated cigarette smoking; males and respondents who lived alone or with peers were 2.34 times and 1.77 times more likely to have initiated smoking respectively; those who consume alcohol and marijuana were 7.27 and 1.89 times respectively more likely to have initiated smoking while those who consumed alcohol were 6.17 times more likely to be current smokers.

간호사의 보건사업수행 경험과정 (The Process of Nurses Experience in Public Health Program Performance)

  • 김정수
    • 지역사회간호학회지
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    • 제21권4호
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    • pp.468-480
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    • 2010
  • Purpose: This study was to describe and develop public health nursing. Methods: Data were collected from 19 nurses sampled from 5 public health centers. The grounded theory of Strauss and Corbin (1990) was applied. Results: As a result, 48 concepts, 23 subcategories, and 11 categories were deduced from open coding. In axial coding, casual conditions 'facing difficulties of practical administration' and 'attaching importance to health support for residents' and context condition 'assessing of residents' service needs' impacted phenomenon 'searching for efficient performing methods.' Intervening conditions 'forming of support system' and 'working with positive,' and action-interaction conditions 'improving of resident's health and medical accessibility' and 'striving for self-development' lead to consequences 'carried out promptly for field-based problem solving,' 'mastered of successful program planning methods' and 'solving the issues with existing style.' The periods of process were divided into 4 stages, confirming program-contents, probing program-method, developing program-strategies, and applying program-competencies. The core category, ‘strengthening of practical-planning work competencies' incorporated the relationship between and among all categories and explained the process. Conclusion: This study described public health nurses' performance in Korea. These findings have important implications for the practice and must be considered to develop competencies for planning and practice of public health.

일 보건소 동단위 지역담당 방문간호서비스 성과 (A Study on Evaluation of District Visiting Nursing Services of Urban Health Center)

  • 유호신;황라일;진달래;석민현
    • 지역사회간호학회지
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    • 제16권2호
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    • pp.127-136
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    • 2005
  • Purpose: The purpose of this study was to present the outcomes of the district visiting nursing services. Method: We analyzed nursing records and inspected public health center data for evaluating nursing tasks. and conducted a telephone survey of 651 district inhabitants. Results: According to the result, the coverage of the district population, the rate of new registration and overall program activities increased. Meanwhile, accessibility of visiting health care, the level of health problem management, personal cognition and satisfaction concerning visiting nursing care increased, but there was little change in personal perception of health improvement. Furthermore, the status of client management was improved. In the analysis of participation in national cancer screening program, we found that there was twice higher participation in the district than others. Conclusion: We suggest that this district visiting nursing system takes responsibility for district inhabitant health management. Based on the study, we also suggest that the government and local autonomous entities should increase administrative and financial supports to execute the district-based visiting nursing system in wider areas.

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노인의 정신건강과 저작불편감의 관련성 (Relationship between mental health and chewing discomfort in older adults)

  • 김민영;장윤정
    • 한국치위생학회지
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    • 제24권3호
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    • pp.243-251
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    • 2024
  • Objectives: This study used secondary data from the 2021 Community Health Survey to identify the impact of dysphagia on mental health-related characteristics among older adults, selecting 73,970 individuals aged 65 years and older. Methods: Frequency analysis, χ2-test, and multiple logistic regression were conducted to identify risk factors affecting mental health-related characteristics among older adults. Results: Dysphagia was most common among individuals with the following demographic characteristics: female, aged 85 years and older, three-generation household and household income in the 1st quintile. Chewing discomfort according to mental health-related characteristics was higher in older adults with cognitive impairment and depression. Sex, age, education level, household income, and chewing discomfort were significant for cognitive impairment, whereas sex, age, household type, education level, household income, and chewing discomfort were significant for depression. Conclusions: The above results confirmed that chewing discomfort contributes to mental health issues such as cognitive impairment and depression. It is therefore necessary to recognize chewing discomfort as an important health problem affecting the mental health of older adults, and to develop a multifaceted dental hygiene approach to target community-dwelling older adults who suffer from chewing discomfort.

마을건강원 역할 및 업무내용에 관한 고찰 (A Review on the Role and Functions of the Village Health Worker)

  • 이명숙;한명화;이금련
    • 한국보건간호학회지
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    • 제7권1호
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    • pp.1-16
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    • 1993
  • The objective of this study is to review the role and function of the village health worker in the wake of the recent social changes in Korea. The stud}' also aimed at' elucidating' the characteristics of the village health worker organizations developed through community participation in this country. The study methods employed were: a review of literature and other existing information related to VHW's activities ; the use of Questionnaire and interview with VHW's on their activities in one selected county in 1992. The major findings obtained are as follows: 1. So far the community health care activities have been carried out by medical colleges, foreign aid agencies and religious organizations with a view to improving health care for the population in rural area. 2. The VHWs employed by the local community health services received remuneratiorin cash or in kind. However, presently no remuneration is paid to VHWs employed by the government village health projects. The training for VHWs is organized by County Health Center once a year for 1-2days regardless of pre-employment or refresher. 3. The needs of care for maternal and child health and family planning has been decline due to the decrease of the target population, but on the other hand, the needs of care by VHW for prevention of infectious diseases, health of the aging, management of geriatric diseases, prevention of poisoning of pesticides and environmental sanitation has beer increased. 4. It was felt strongly that the training for VHWs should be strengthened by means of developing a problem-solving oriented educational program in order to improve practical skills of VHWs.

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A RURAL HEALTH SERVICE MODEL FOR KOREA BASED OH A PRIMARY CARE NURSING SERVICE SYSTEM

  • Hong, Yeo-Shin
    • 대한간호학회지
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    • 제11권2호
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    • pp.5-8
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    • 1981
  • This study concerns itself with the development of a new model of comprehensive health service for rural communities of Korea. The study was conceived to resolve the problems of both underservice in rural communities and underutilization of valuable health manpower, namely the nurses, the disenchanted elite health personnel in Korea. On review of the current situation, the greatest deficiencies in the Korean health care system were found in the availability of primary care at the peripheries of md communities, in the dissemination of knowledge of disease prevention and health care, and in the induction of and guidance for active participation by the clientele in health maintenance at the personal, family and community level Abundant untapped health resources were identified that could be brough to bear upon the national effort to extend health services to every member of the Korean Population. Therefore, it was Postulated that the problem of underservice in rural communities of Korea can be structurcturally resolved by the effective mobilization and organization of untapped health resources, and that. a primary care Nursing Service System offers the best possibility for fulfillment of rural health service goals within the current health man-power situation. In order to identify appropriate strategies to combat the present difficulties in Korean rural health services and to utilize nurses and other health personnel in community-centered health programs, a search was made for examples of innovative service models throughout the world. An extensive literature survey and field visits to project sites both in Korea and in the United States were made. Experts in the field of world health, health service, planners, administrators, and medical and nursing practitioners in Korea, in the United States as well as visitors from other Asian countries were widely consulted. On the basis of information and inputs from these experts a new rural health service model has been constructed within the conceptual framework of community development, especially of the innovation diffusion Model. It is considered especially important that citizens in each community develop capacities for self-care with assistance and supports from available health professionals and participate in health service-related decisions that affect their own well-being. The proposed model is based upon the regionalization of health care planning utilizing a comprehensive Nursing Service System at the immediate delivery level The model features: (1) a health administration unit at each administrative level; (2) mechanisms for community participation; (3) a continuous source of primary health care at the local community level; (4) relative centralization of specialty care and provision of tertiary or super-specialty care only at major national metropolitan centers; and (5) a system for patient referral to the appropriate level of care. This model has been built around professional nurses as the key community health workers because their training is particularly suited and because large numbers of well-trained nurses are currently available and being trained. The special element in this model is a professional nurse-guided, self-care facilitating primary care Community Nursing Service System. This is supported by a Nursing Extension Service as a new training and support structure. (See attached diagrams). A broad spectrum of programs was proposed for the Community Nursing Service System. These were designed to establish a balance of activities between the clinic-centered individual care component and the field activity-centered educational and supportive component of health care services. Examples of possible program alternatives and proposed guidelines for health care in specific situations were presented, as well as the roles and functions of the key health personnel within the Community Nursing Service System. This Rural Health Service Model was proposed as a real alternative to the maldistributed, inequitable, uncoordinated solo-practice, physician-centered fee-for-service health care available to Koreans today.

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Chloroquine에 내성을 보인 수입성 열대열 말라리아 1예 (A Case of Imported Falciparum Malaria Resistant to CHLOROQUINE)

  • 이재구;강재황;최진현;최진학
    • 농촌의학ㆍ지역보건
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    • 제15권2호
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    • pp.130-133
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    • 1990
  • Indigenons malaria which was recognized as one of the unavoidable disease has almost eliminated from this country. Recently, we must attend to imported malaria cases because of an increase in overseas travelers and workers to tropical countries where malaria is endemic. Sometimes resistant to conventional drug therapy. So, imported malaria become a new health problem. We experienced a case of imported falciparum malaria. which is resistant to CHLOROQUINE and cured by QUINIE SULFATE and FANSIDAR.

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RAI(Resident Assessment Instrument)를 이용한 노인가정간호 및 재가복지서비스 정보시스템 개발 (Development of a Database System for Home Care Service Based on RAI (Resident Assessment Instrument))

  • 전경자;김은영
    • 지역사회간호학회지
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    • 제14권1호
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    • pp.75-82
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    • 2003
  • The purpose of this study was to develop an information system for home care service based on RAI(Resident Assessment Instrument). The standardization of service providing process was conducted using the steps of need assessment, triggers, application of CAPs, and care plan. The structure of MDsoft-HC was composed by MDS-CAPS system and system management system. A database on home care clients was accumulated by putting data, respectively, in general information, MDS-item, and MDS-result. Based on this data, the list of CAPs for the client was selected and monthly and annual statistics were calculated by problem result counts. It was suggested that standardization of a care plan would be integrated and short form of need assessment would be developed in the next stage.

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경상북도 문경군 산북면 국민학생의 머릿니 감염 상황(1985) (Head Louse Infestation among School Children in Sanbuk-myon, Mungyong-gun, Kyongsangbuk-do (1985))

  • 배기수;허선
    • Parasites, Hosts and Diseases
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    • 제25권1호
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    • pp.85-86
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    • 1987
  • In order to know the prevalence of head louse among the school children in rural area, we visited 3 primary schools and a kindergarten in Sanbuk-myon, Mungyong-gun, Kyongsangbuk-do in July 1985, and examined the children to identify the adult worms of head louse and/or its nits on the hair. The overall infestation rate was 91.9% among 420 children examined, and there was a difference between schools (P<0.05). The school girls' rate, 96.1% was higher than that of boys' 88.9%(P<0.05). By grade, the rate of infant school was 88.5% and 1st to 6th grade were 100, 100, 95.8, 90.4, 89.7, 80.0% respectively. Above result indicates that the head louse is an important health problem in this community. Therefore, the chemotherapy and the effort to improve the hygiene are necessary in this community by physicians, teachers and health administrators.

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일부 여대생들의 음주폐해 인식도 관련 요인 (Factors and Cognition about Harmful Use of Alcohol of Female University Students)

  • 조현태;문동철
    • 한국학교ㆍ지역보건교육학회지
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    • 제18권3호
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    • pp.97-106
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    • 2017
  • Objectives: The purpose of this study was to examine cognition about harmful use of alcohol among female university students. Methods: The data were collected by questionnaire from the 389 female university students. The analysis of the data was used by SPSS program(ver. 18.0). Technical statistics analysis was used in general characteristics and drinking related characteristics and drinking related cognition of objects. Logistic regression was used in factors affecting on cognitive degree of drinking evil. Results: Cognitive degree of drinking evil was low as more drinking related outlay expenses and was low as more moderation in drinking and publicity experience. Conclusions: University and the government authorities must consider the seriousness and importance of the problem and enforce moderation in drinking and publicity for female university students and develop education program and prepare the publicity material.

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