• Women's Health Nursing
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• v.17 no.2
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• pp.109-117
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• 2011

Purpose: This study examined the impact factors of cesarean section based on the ecological approach in Korea. Methods: Population-based data (Korea Institute for Health and Social Affairs) were used from 2,849 delivery cases during 2003~2009. Data were analyzed using geographic statistics with STATA 10.0 and hierarchical logistic regression with SPSS/WIN 12.0. Results: The range of cesarean section rate was 28.8~44.7% with geographic distribution. The proportion of mother's problem was increasing in choice of cesarean section. According to the ecological model, age of mother (OR=1.08), time of birth (OR=0.79), delivery in hospital (OR=1.83), delivery in clinic (OR=1.46), and education of mother (OR=2.61) had significant impact on cesarean section. Conclusion: This study contributes to provide the impact factors of the high cesarean rate in Korea ecologically. Policy maker and health care provider can consider these results to reduce cesarean section rate.

• Journal of the Korean Society of School Health
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• v.26 no.2
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• pp.104-113
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• 2013

Purpose: The aim of this study was to investigate prevalence and ecological characteristics of excessive television viewing among elementary school students in Seoul. Methods: Secondary data, representative sample of 11,082 subjects in Seoul was used. After prevalence of the excessive television viewing was identified by using factor analysis, 6 main factors explaining the ecological indicators was founded. After identifying prevalence of the excessive television viewing, by using factor analysis, we found 6 main factors explaining the ecological indicators. After categorizing factors into socio-psychological and lifestyle characteristics, we were investigated the odds ratio of excessive television viewing per characteristics by using multiple logistic regression. Results: The prevalence of excessive television viewing was 29.7% among the elementary school student in Seoul. The prevalence were higher in male, higher grade, and non-South of the Han River. Socio-psychological indicators which expressed excessive television viewing were annoying or bullying, scolding from teacher, depressed mode, thought for a runaway from home, an experience of diet, and negative body image. Life style indicators were a lower intake of fruit and vegetables, a higher intake of Ramyun and soft drink, a worse life style of hand washing, and wearing safety equipment. Conclusion: Lifestyle of television viewing was the comprehensive results from family, school, and society rather than a personal preference. Therefore, it is necessary to educate the hazard of excessive television viewing, to reenforce the students' health competence, to activate a safe leisure program as an alternate of television viewing, and to develop a recommendation.

• Korean Journal of Health Education and Promotion
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• v.32 no.4
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• pp.79-92
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• 2015

Objectives: The purpose of this study is to identify the trends of jjok-bang research based on the perspective of Community-Based Participatory Research and Social Ecological Model and to provide information for future public health interventions, policy designs, and policy implementations. Methods: Studies used in the systematic review are published from 1999 to 2014 and searched using key words such as 'jjok-bang' and 'single room occupancy' using domestic and international electronic databases. However, there were no studies from abroad published during this period. Search in domestic databases such as KCI, KISS, RISS generated 119 studies. In this paper, 20 cases which meet the criteria of the systematic review were included in the final analysis. Results: The contents of research included are the life of jjok-bang inhabitants(9 cases), the demand for welfare services(4 cases) and welfare need(2 cases), mental health(1 cases), and the history of jjok-bang formation(4 cases). Fourteen cases of empirical study were analyzed focusing Community-Based Participatory Research and Social Ecological Model. Some of research was carried out forming a partnership with various community partners and this trend increased since 2008. There are high frequency of intrapersonal level and interpersonal level studies. However, studies looking at the organization, community or policy level were relatively few. Conclusions: Future studies of jjok-bang area should consider the various social determinants which affect the health delivery system, community organization and policies, as well as individual or community level.

• Journal of Preventive Medicine and Public Health
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• v.41 no.2
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• pp.100-106
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• 2008

Objectives : We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. Methods : A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1 - May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. Results : Among 985 survey respondents(380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. Conclusions : In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.

• Journal of Forest and Environmental Science
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• v.37 no.4
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• pp.280-291
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• 2021

The study examined the influence of climate and soil dynamics on vegetation health across the ecological zones in Rivers State, Nigeria. MODIS imagery was used to assess the vegetation health through NDVI and point grid pattern of meteorological data for total precipitation (TP), air temperature (AT), soil moisture (SM) and soil temperature (ST) of 2000, 2003, 2006, 2009, 2012 and 2015 were used for the study. Descriptive and inferential statistics were used for data analysis. Findings showed that NDVI ranged between 0.420 and 0.612 in the freshwater swamp (FWS) while between 0.465 and 0.611 in the rainforest and the NDVI in the mangrove was generally low. The highest mean AT was experienced in the mangrove ecological zone and the least was experienced in the rainforest. The mean SM was generally highest in the rainforest with highest value in 2000 (774.44 m³/m³). The ST was highest in the mangrove and the least was experienced in the rainforest while the TP was highest in the mangrove. NDVI correlated significantly with SM (r=0.720; p<0.05) and ST (r= -0.493; p<0.05). NDVI, SM, TP and ST significantly varied among the ecological zones. Regression analysis showed that vegetation health was significantly related to the combination of soil temperature and soil moisture (R²=0.641; p=0.000). Thus, monitoring the factors that affect vegetation health in a changing climate and soil environments is highly required.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.24 no.3
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• pp.325-335
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• 2017

Purpose: This study investigated the factors influencing mental health among university students based on ecological perspectives. Method: The subjects for this study were 416 students in two colleges in K province. The instruments used for measurement were: Symptom Checklist (Derogatis, 1977), Ego Resilience Scale (Block & Block, 1980), Perceived Stress Inventory (Cohen, Kamarck, & Mermelstein, 1983), and Social Support Scale (Park, 2002). The data was analyzed using the IBM SPSS program. Result: Ego resilience and perceived stress as intrapersonal factors and friends' support as interpersonal factor were the significant predictors of mental health. It was showed that these factors explained 47% of mental health. Conclusion: This study suggests that the factors influencing mental health are both intrapersonal and interpersonal factors. Thus, the findings of this study provide the basic data to develop a program for mental health of university students based on ecological perspectives.

• Safety and Health at Work
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• v.14 no.1
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• pp.10-16
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• 2023

Whilst Ecological momentary assessment (EMA) can provide important insights over time and across contexts among rotation workers whose work periods alternate with leave at home, it can also be challenging to implement in the resources and construction sectors. This review aimed to provide a summary of the methodological characteristics of EMA studies assessing health outcomes and related behaviors in rotation workers. Systematic searches in PubMed, Medline, EMBASE, CINAHL, PsycINFO, and Scopus were done to include 23 studies using EMA methods in assessing health-related outcomes and behaviors. EMA designs included daily diary: assessments once per day typically fixed at the end of day (47.8%), within day fixed interval time-based design: assessments on multiple times per day at certain times of day (17.4%) and combination of both designs (34.8%). Studies employed paper and pencil diaries (73.9%) and one or more electronic methods (60.9%): wrist-worn actigraphy device (52.2%) and online-based diaries (26.1%) for data collection. Most of the studies (91.3%) did not report prompting -EMAs by schedule alerts or compliance. Daily diary and within day fixed interval dairies designs are common, with the increasing use of electronic EMA delivery techniques. It is unclear how well participants adhere to assessment schedules, as these are inadequately reported. Researchers should report compliance-related information.

• Child Health Nursing Research
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• v.19 no.1
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• pp.59-68
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• 2013

Purpose: This study was conducted to identify current health care management and barriers in health care management according to ecological systems, and to develop an ecological model for enhancing health care in child care centers. Methods: Focus group interviews were conducted with directors and teachers of child care centers, and with parents of children enrolled in child care. Data were analyzed by the latent content analysis method. Results: Twelve categories of health care management were identified. Barriers to child health care included knowledge deficit and lack of competence in health care by teachers, lack of useful health care manuals, non-existence of professional child health care personnel in child care centers, lack of mutual information sharing and disagreement on child health conditions between child care personnel and parents, lack of specific health related child care inspection criteria and time flexible child care centers with a lack of policy on collaboration with health care facilities. The ecological model developed included specific strategies to improve health care management in child care. Conclusion: The proposed ecological model to improve child health care management should be useful to plan future health care program considering both the immediate and indirect social environment surrounding children in child care.

• 대한예방의학회:학술대회논문집
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• 1996.10a
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• pp.135-136
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• 1996

• Journal of Korean Society on Water Environment
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• v.24 no.5
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• pp.592-597
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• 2008

Current water quality standard (WQS) in Korea is based on the protection of human health, not considering the protection of aquatic organisms. Most of chemicals can be toxic to ecological biota as well as human. Health of aquatic biota is closely related to the human health via food chain, therefore ecological risk based-WQS needs to be developed to protect the aquatic ecosystem. In this study, we selected the 31 chemicals in the Project entitled 'Development of integrated methodology for evaluation of water environment'. The methodology for calculating water quality criteria was derived from the Australian and New Zealand processes for deriving guideline trigger value for aquatic ecosystem. The available ecotoxicity data were collected from US EPA's ECOTOXicology Database (ECOTOX), TOX-2000 Database, European Chemicals Bureau (ECB)'s International Uniform Chemical Information Database (IUCLID) and Environmental Protection Agency (US EPA)'s report 'Ambient Water Quality Criteria (AWQC)'. The aquatic toxicity data for the Korean species were selected for risk assessment to reflect the Korean water environment. The monitoring values were calculated from the water quality monitoring data four main Korean rivers. We suggested the order of priorities of chemicals based on ecological risk assessment. We expect that these results can be useful information for establishing the WQS for the protection of aquatic ecosystem.