DOI QR코드

DOI QR Code

일부 대전시민의 영양상태와 지역사회 영양관리서비스 요구도에 관한 단면조사연구

Nutritional status of Daejeon citizens and needs of community nutrition care services: a cross-sectional study

  • 이다혜 (충남대학교 생활과학대학 식품영양학과) ;
  • 전민선 (충남대학교 생활과학대학 식품영양학과)
  • Dahye Lee (Department of Food and Nutrition, Chungnam National University) ;
  • Minsun Jeon (Department of Food and Nutrition, Chungnam National University)
  • 투고 : 2023.01.01
  • 심사 : 2023.02.22
  • 발행 : 2023.02.28

초록

Objectives: This study aimed to determine the nutritional status of residents, to examine the perception and needs of community nutrition care service, and to compare and analyze the results of females and males living in Daejeon, Korea. Methods: The subjects were 592 adults and elderly (278 men and 314 women) residents of Daejeon. The dietary quality was assessed using the nutrition quotient (NQ), and data of the perception and needs for community nutrition care service were obtained by a questionnaire survey. Descriptive analysis was applied to analyze the demographic characteristics, perception and needs of the respondents, and independent t-test and chi-square test were performed to analyze and compare the differences between female and male participants. Results: A nutritional status that required monitoring was established in 78.9% of the respondents in this study. The balance factor (29.1 points) was much lower than the national average. In the diversity factor, the NQ score of the female group was 47.6 points, which was 8 points lower than that of males; the NQ grade was 43.9%, showing a significant difference between females and males (P < 0.001). The respondents answered that those who needed community nutrition care services were residents experiencing health care difficulties. Additionally, dietitians (35.6%) were pointed out as the most suitable service providers. The most important factor of community nutrition care service operation was securing the budget (47.0%). Conclusions: The results of the present study show that Daejeon residents need overall nutrition support, and a demand for community nutrition care services exists. Our findings provide basic data and can serve as a foundation for the development and establishment of a community nutrition care service model.

키워드

과제정보

This study was supported by Social Economy Innovation Growth Business (R&D) funded by the Ministry of Trade, Industry and Energy (Grant No. 1415176788).

참고문헌

  1. Ministry of Health and Welfare. 「Basic Plan for Community Care (Draft)」 [internet]. Ministry of Health and Welfare; 2018 [cited 2022 Nov 28]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=2&CONT_SEQ=346683.
  2. Ministry of Health and Welfare, National Health Insurance Service. A study on the monitoring and effectiveness analysis of community care leading projects (3rd year). National Health Insurance Service; 2022 Mar. Report No. 11-1352000-003322-01.
  3. Daejeon Public Agency for Social Service. Daejeon community care pilot project operation manual. Daejoen: Daejeon Metropolitan City; 2020.
  4. Daejeon Public Agency for Social Service. A study on the development of Daejeon community care food and nutrition service. Daejoen: Daejeon Public Agency for Social Service; 2020.
  5. Ministry of Health and Welfare. Announcement of a regional selection plan for a pilot project for meal and nutrition management for community care [internet]. Ministry of Health and Welfare; 2020 [cited 2022 Nov 30]. Available from: http://www.mohw.go.kr/react/al/ sal0101vw.jsp?PAR_MENU_ID=04&MENU_ID=040101&page=1&CONT_SEQ=353386.
  6. Ministry of Health and Welfare. Guidebook for self-promotion of community care. Ministry of Health and Welfare; 2020 Jul. Report No. 11-1352000-002785-01.
  7. Kim YY, Lee SH. The welfare demand of rural villages and implications of community care. J Community Welf 2021; 76: 111-138. https://doi.org/10.15300/jcw.2021.76.1.111
  8. Kim HS, Ko Y, Son MS. Needs for integrated care for older adults in Seoul. J Converg Inf Technol 2020; 10(5): 177-187. https://doi.org/10.22156/CS4SMB.2020.10.05.177
  9. Oh HJ, Kim HS, Ko Y, Shin EY, Son MS. Comparison among wide-area local governments of needs for integrated care for older adults. J Converg Inf Technol 2020; 10(8): 194-202.
  10. Kim ES. A study on the need of community care in local government: Centering around Seosan city [master's thesis]. Hanseo University; 2020.
  11. Ministry of Health and Welfare, Korea Health Promotion Institution. 2019 Community Integrated Health Promotion Project Guide(Nutrition). Korea Health Promotion Institution; 2018 Apr. Report No. 11-1352000-000900-10.
  12. Korea Disease Control and Prevention Agency. 2020 Korea National Health Statistics [internet]. Korea Disease Control and Prevention Agency; 2022 [cited 2022 Dec 5]. Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do.
  13. Kim DE. Gender difference of nutrition quotient(NQ) and living environment factors in community dwelling elderly [master's thesis]. Kyung Hee University; 2020.
  14. Seo EH, Hwang YI, Park EJ. A study on the need for a nutritional care service and the role of a dietitian in silver town. The East Asian Soc Diet Life 2011; 21(4): 600-608.
  15. Jang KH, Kim YO. Comparision of priorities in health center nutrition service needs between provider and consumer. Korean J Community Nutr 2000; 5(3): 529-536.
  16. Ham SW, Kim KH. Evaluation of the dietary quality and nutritional status of elderly people using the nutrition quotient for elderly (NQ-E) in Seoul. J Nutr Health 2020; 53(1): 68-82. https://doi.org/10.4163/jnh.2020.53.1.68
  17. Kim JY, Kim SH, Ryu JS, Yoon KA, Jeong JW, Choi KH et al. A study on the development of Daejeon-type care service model. Daejeon Welfare Foundation; 2019 Feb. Report No. 978-89-98568-61-0.
  18. Korean Society for the Study of Obesity. 2020 Quick reference guideline. Seoul: Korean Society for the Study of Obesity; 2022.
  19. Lee JS, Kim HY, Hwang JY, Kwon SH, Chung HR, Kwak DK et al. Development of nutrition quotient for Korean adults: Item selection and validation of factor structure. J Nutr Health 2018; 51(4): 340-356. https://doi.org/10.4163/jnh.2018.51.4.340
  20. Chung MJ, Kwak DK, Kim HY, Kang MH, Lee JS, Chung HR et al. Development of NQ-E, nutrition quotient for Korean elderly: Item selection and validation of factor structure. J Nutr Health 2018; 51(1): 87-102. https://doi.org/10.4163/jnh.2018.51.1.87
  21. Kim KL, Lee YK. Association between sugar-sweetened beverage intake and dietary quality using nutritional quotient among adults in Daegu, Korea. Korean J Community Nutr 2021; 26(5): 350-362. https://doi.org/10.5720/kjcn.2021.26.5.350
  22. Choi YJ. Study on the dietary behaviors of some university students in Gangwon-do using the adult nutrient quotient (NQ) and effect of dietary education. J. Korean Soc. Food Cult 2019; 34(6): 683-696. https://doi.org/10.7318/KJFC/2019.34.6.683
  23. Gham MJ, Um MH, Kye SH. Evaluation of dietary quality and nutritional status based on nutrition quotient and health functional food intake in the Korea elderly. J. Korean Soc Food Cult 2019; 34(4): 474-485.
  24. Choi JH, Lee HS, Kim HY, Kim MH, Cho MS. The nutritional status and dietary pattern by BMI in Korean elderly. J Nutr Health 2002; 35(4): 480-488.
  25. The Korean Dietetic Association. Manual of medical nutrition therapy. 4th ed. Seoul: The Korean Dietetic Association; 2022. p. 16.
  26. Kang WM. Universal welfare state in the Korean welfare policy debate: Can Korean welfare policy be universality? Hyonsang-gwa-Insik 2018; 42(3): 41-72. https://doi.org/10.46349/kjhss.2018.09.42.3.41
  27. Lee MH. Changes in welfare attitudes in South Korea: Focused on determinants of individual attitudes towards social welfare. Korea Soc Policy Rev 2021; 28(1): 103-131.
  28. Gyeonggi Welfare Foundation. A study on the current status of leading projects in the community care in Gyeonggi-do. Gyeonggi Welfare Foundation; 2021 Jan. Report No. 9791155994375 93330.
  29. Lee DH, Jeon MS. A study of perceptions and needs for the establishment and vitalization of community kitchens in Daejeon. Korean J Human Ecol 2022; 31(5): 661-673. https://doi.org/10.5934/kjhe.2022.31.5.661