• 한국학교보건학회지
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• 제22권1호
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• pp.145-153
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• 2009

International Safe School(ISS) model has focused as a public health approach to develop safety intervention to address injury problems in school setting. It needs school members involvement in partnership with community resources to address the needs for school based injury prevention and safety promotion. The characteristics and principles of ISS model discussed in this paper emphasizes participation, capacity and partnership building, evidence based process, and so on. A 7 criteria is introduced as ISS implementation strategy. Multilevel and multi-facet approaches are valuable on ISS as well as process evaluation. For the application of ISS model in Korea, finding evidence, building public health partnership between school and other public or private resources in community are necessary conditions for succesful ISS for health promotion in school setting.

• 보건교육건강증진학회지
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• 제26권1호
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• pp.141-158
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• 2009

Community-Based Participatory Research(CBPR) has gained attention as a public health approach to develop community health interventions to address health disparities in recognition of the community relevance of specific health issues associated with social determinants of health. It emphasizes community involvement in equal partnership with researchers and public health professionals to address community-identified needs. The characteristics and principles of CBPR discussed in this paper highlight participatory nature, capacity development, partnership building, and process-orientation of CBPR. A 6-step process model for community empowerment is then introduced as a CBPR operationalization strategy. Mixed methods research approaches are valuable in CBPR as well as process evaluation. For the application of CBPR in Korean contexts, the Diffusion of Innovation theory is suggested as a theoretical framework for implementation. Building public health partnerships between public and private sectors to create partnership synergy is a necessary condition for successful CBPR for health promotion in Korea. Accompanying critical factors for the CBPR application include: common understanding of CBPR and its values, establishment of the definition of 'community,' 'community-based' and 'participation' in community health, development of accommodating research infrastructure for CBPR, recognition of the importance of program evaluation (particularly process evaluation), and training CBPR specialists.

• 보건교육건강증진학회지
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• 제28권3호
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• pp.99-111
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• 2011

Objectives: This study aims at evaluating performance of the Healthy Cities in Korea during the period of 2008-2010. Furthermore, it will explore future direction for qualitative growth of the Healthy Cities in Korea. Methods: A survey has been conducted annually with current healthy cities; 46 in 2009, 56 in 2010 and 60 in 2011. Survey instrument consists of 13 questions to evaluate general status, implementation system and sub-programs, and the result of the survey was analyzed by using PASW Statistic 18.0 focusing on categorizing healthy cities and looking at sub-programs trends. Results: In 2010, there are 60 Healthy Cities in Korea, whose number grows continuously. The most noticeable characteristic is that administrative bodies in urban area strongly promote the Healthy Cities Project, while the projects are usually associated with other health promotion projects rather than independently carried out. Also, their sub-programs are concentrated on 'healthy-setting' and 'healthy lifestyle programs'. Conclusions: To improve the quality of the Healthy Cities in Korea, a number of requirements should be met. The most urgent requirement is sector-wide comprehensive policy fostering Healthy Cities development strategy. Moreover, it is expected that over-arching theme should be set up under the framework of National Healthy Cities Network.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.177-188
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• 2010

Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.

• 보건교육건강증진학회지
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• 제7권2호
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• pp.22-31
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• 1990

The Purpose of this study was to define the School Health Education Concepts, to establish the learning objectives and contents for school health education, and to diagnose the phenomenal aspects related to current school health Education in Korea. The results of its diagnosis indicated that the Education Ministry had never had any open opportunities for the teachers to get health education licence, and. universities had never issued health education teacher′s licence to the perspective students in Korea. Under such condition, there was "Korean nursing teacher′s association" for school health education, which had lectures, for two to three years, in order to learn how to develop, teach and evaluate the school health program. Currently, School boards in cities recommended that all nursing teachers should teach school health education in classes for six hours in a week without any fixed health program. Also, There was only "Korean Society for Health Education" for the purpose of dealing with school health education, which had been publishing annual journal. This study demonstrated how to develop school health education curriculum, which composed of the methods for needs assessment and PRECEDE Model(Predisposing, Reinforcing, and Enabling Causes in Educational Diagnosis and Evaluation).

• 보건교육건강증진학회지
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• 제33권4호
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• pp.89-100
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• 2016

Objectives: Life style modification leads to decrease health risk and change of health status for person at health risk. This study aimed to suggest essential components and effective strategies for customized health management service to provide individual and risk group in public and private health care organizations. Methods: To systematic review the essential component of health management service, I performed to collect political legislation, research papers, reports, publication and public release for heath management service from 2008 to 2016. Essential components of heath management service were service scope, service design, organizations and applied technology. Results: Service cope was composed of health risk factors, such as smoking, drinking, nutrition, physical activity and weight control. Main strategies were customized health management services, personalized behavior modification programs, evidence-based service protocol, utilization of information and communications technology (ICT), multi-dimension and multi-level approach, and public and private organizations partnership through health policies and health care system. Conclusions: To make the most of the limited resources, it should require a systematic approach that focuses on continuous monitoring and partnership of health management service.

• 보건행정학회지
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• 제17권4호
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• pp.54-81
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• 2007

The paradigm of health promotion requests community participation and its active problem-solving. Community is conceptualized as a resource pool to be organized. Such resource is called community capacity. Community participation is a process of capacity building. Community voluntary associations are considered as valuable resource to be used for health promotion. This paper tried to identify the network structure among community voluntary associations and to infer the possibility to make such network of organizations participate in health promotion programs. Two survey data were used for this research: 1) Measurements and Evaluations of Community Capacity on Dobong-gu (N=94) 2) A development plan of health medicine service to be Healthy Gangdong-gu (N=69). The questionnaire included such variables measuring community capacity as leadership, membership, organizational resources, and inter-organizational network, etc. Both regions had the following common characteristics: 1) There were positive correlations between the organization's budget and membership. 2) Organizational types were associated with their founded years. Two regions showed the following differences: Dobong displayed the high density of community organizations, but Gangdong showed the low density. Dobong community organizations were able to be classified into three network clusters such as women & environments, youth & adolescent, and sports organizations. Each cluster of organizations favored the different type of health promotion programs. Gangdong community organizations were less developed, and not possible to be clustered. Depending upon the level of community capacity or community organizations' differentiation, the strategy of community participation could be settle down in different ways. Particularly the health agency had to pay more attention to support the growth of civil organizations.

• 보건교육건강증진학회지
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• 제18권1호
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• pp.127-137
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• 2001

The study of home injury and injury prevention has been a neglected area of research and practice. This study has the following purposes: 1) to describe the pattern of home injuries; 2) to analyze the differences in injuries by social characteristics; and 3) to compare the impact of safety structure and action. The data were collected by person-to-person interviews with 450 residents living in Wonju area. The statistical methods used for the analysis were $\chi$2-test and multiple logistic regression. The results are as follows: 1) Whether or not a certain injury has occurred varies by household type. The elderly household reported more injuries than other types of household. 2) Using logistic regression method, we found that safety-related behavioral habit was statistically significant in predicting injury occurrence. However, residence type was not a statistically significant variable. This indicates that cognitive change strategy is more important than structural change strategy.

• 성인간호학회지
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• 제18권1호
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• pp.10-21
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• 2006

Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly people on self efficacy, health problems, farmers syndrome and quality of life. Method: The study was a nonequivalent control group pre-post experimental design. The data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. Fortyfour elders were included in the experimental group and 45 elders were included in the control group. The 16-week health promotion program was given to the experimental group. Data were analyzed by descriptive statistics, $X^2-test$, t-test, paired t-test with SPSS/Win 10.0 program. Result: The experimental group showed a lower scores of health problems and farmers syndrome than the control group, and higher scores of quality of life than the control group. There were no significant differences in self efficacy. Conclusion: From the above results, it can be concluded that the health promotion program for rural elderly is an effective intervention for improving the rural elderly's quality of life and reducing health problems and farmer's syndrome. Therefore, development of strategy that can spread the health promotion program for rural elderly to the elderly of other rural areas are needed.

• 한국융합학회논문지
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• 제12권10호
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• pp.321-331
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• 2021

본 연구는 우리나라 고등학생의 건강증진행위 실천 경험을 이해하고 그 의미를 밝히는 것이다. 연구대상자는 자신의 경험을 충분히 표현할 수 있는 고등학생 12명을 편의표집 하였다. Strauss와 Corbin(1998)의 근거이론방법을 적용한 질적 연구이며, 참여자 진술로부터 312개의 의미 있는 문장을 도출하여 22개의 주제로 구분하여 13개로 범주화하였다. 연구결과, 중심현상은 '건강증진이 배제된 라이프스타일'이었으며, 이를 조율해 나가는 중재조건은 '부모님의 생활습관 지도', '건강행위를 함께 할 수 있는 친구', '운동시설 접근의 제약'이었으며 이를 대처하도록 고안된 작용/상호작용전략은 '건강증진 실천과 유지를 위한 의지 다지기', '멋진 몸매를 가진 친구를 모방하기', '부모님의 건강행동 배우기'로 나타났다. 이상의 결과들은 청소년의 건강증진행위 과정에 대한 본질을 이해하는데 도움이 될 것이며, 이를 통해 고등학생의 건강증진행위 실천을 위한 건강증진 프로그램 개발의 기초자료가 되길 기대한다.