• Journal of agricultural medicine and community health
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• v.45 no.3
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• pp.130-140
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• 2020

목적: 본 연구는 65세 이상 농업인과 비농업인의 노화에 따른 취약성을 파악하고 차이를 비교 분석하고자 하였다. 방법: 본 연구는 단면 연구로서 강원도에 거주하는 고령의 농업인 29명과 비농업인 25명이 연구에 참여하였다. 노화에 대한 취약성 평가를 위해 노쇠, 신체 구성, 인지·신체 기능, 심리 상태를 검사하였다. 결과: 집단 간 유의한 차이가 있었던 배우자 유무를 보정하여 편 상관 분석한 결과, 농업인에서만 나이와 취약성 요소 간 유의한 상관관계가 있었으며, 편 상관 계수를 비교하였을 때 body mass index(BMI, r = -0.625 vs 0.026, P < 0.01), 우울도(r = 0.521 vs -0.046, P < 0.05)에서 유의한 차이가 있었다. 결론: 고령의 농업인과 비농업인의 노화에 대한 취약성을 비교하였을 때 나이와 취약성 요소 간 유의한 상관관계는 농업인에서만 나타나 비농업인과는 차별적인 패턴을 보였다. 이러한 결과는 농촌의 고령 농업인에 대하여 건강한 노화를 위한 예방 및 관리 전략이 필요함을 시사한다.

• Spatial Information Research
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• v.20 no.2
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• pp.13-24
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• 2012

To prevent the damage to human health by climate change, vulnerability assessment should be conducted for establishment of adaptation strategies. In this study, vulnerability assessment was conducted to provide information about vulnerable area for making adaptation policy. vulnerability assessment for human health was divided into three categories; extreme heat, ozone, and epidemic disease. To assess vulnerability, suitable indicators were selected by three criteria; sensitivity, adaptive capacity, and exposure, spatial data of indicators were prepared and processed using GIS technique. As a result, high vulnerability to extreme heat was shown in the low land regions of southern part. And vulnerability to harmful ozone was high in the surrounding area of Dae-gu basin and metropolitan area with a number of automobiles. Vulnerability of malaria and tsutsugamushi disease have a region-specific property. They were high in the vicinity of the Dimilitarized zone and south-western plain, respectively. In general, vulnerability of human health was increased in the future time. Vulnerable area was extended from south to central regions and from plain to low mountainous regions. For assessing vulnerability with high accuracy, it is necessary to prepare more related indicators and consider weight of indicators and use climate prediction data based on the newly released scenario when assessing vulnerability.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.1
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• pp.7-15
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• 2022

Objectives : The purpose of this study is to identify the effect of office workers' stress level and stress vulnerability on heart rate variability (HRV), confirm the significance of objective stress indicators obtained through subjective stress and heart rate variability devices, and examine their effectiveness as an integrated stress measurement tool in community mental health projects. Methods : From June to July in 2020, 929 workers participated in the stress management and mental health promotion project carried out by K hospital, and their recorded database was used for study analysis with their agreements. Multiple linear regression analysis was performed to find out the effects of general stress level, and stress vulnerability on heart rate variability. Results : All general characteristics were found to have a significant effect on SDNN (ln), RMSSD (ln), LF (ln), and HF (ln), but work experience did not significantly affect RMSSD (ln). Stress level and stress vulnerability did not significantly affect heart rate variability, but stress perception, a sub-factor of stress level, was found to have a significant effect on RMSSD (ln) (β=0.118, p=0.023). Conclusions : In this study, stress perception, a sub-factor of stress level, was found to be a factor affecting RMSSD (ln). This indicates an association with the activity of parasympathetic nerves in stressful situations, and more follow-up studies are needed to use it as a direct indicator of chronic stress and integrated stress in the community mental health field.

• Proceedings of The Korean Society of Health Promotion Conference
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• 2004.10a
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• pp.111-129
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• 2004

This paper develops the argument that the 'Healthy Cities Approach' extends beyond the boundaries of officially designated Healthy Cities and suggests that signs of it are evident much more widely in efforts to promote health in the United Kingdom and in national policy. It draws on examples from Leeds, a major city in the north of England. In particular, it suggests that efforts to improve population health need to focus on the wider determinants and that this requires a collaborative response involving a range of different sectors and the participation of the community. Inequality is recognised as a major issue and the need to identify areas of deprivation and direct resources towards these is emphasised. Childhood poverty is referred to and the importance of breaking cycles of deprivation. The role of the school is seen as important in contributing to health generally and the compatibility between Healthy Cities and Health Promoting Schools is noted. Not only can Health Promoting Schools improve the health of young people themselves they can also develop the skills, awareness and motivation to improve the health of the community. Using child pedestrian injury as an example, the paper argues that problems and their cause should not be conceived narrowly. The Healthy Cities movement has taught us that the response, if it is to be effective, should focus on the wider determinants and be adapted to local circumstances. Instead of simply attempting to change behaviour through traditional health education we need to ensure that the environment is healthy in itself and supports healthy behaviour. To achieve this we need to develop awareness, skills and motivation among policy makers, professionals and the community. The 'New Health' education is proposed as a term to distinguish the type of health education which addresses these issues from more traditional forms.

• Research in Community and Public Health Nursing
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• v.26 no.3
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• pp.292-302
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• 2015

Purpose: The purpose of this study was to examine the association between health behaviors and health-related quality of life (HRQOL) among vulnerable children in a community. Methods: Using data from 'The Obesity Prevention Framework for Vulnerable Children', a secondary analysis was conducted for 165 children (ages 8~12 years) and their parents who were recruited from 16 K-gu Community Child Centers in Seoul. Six types of health behaviors related to eating and activity were assessed. Each behavior was categorized into the non-recommended vs. recommended levels. The scores of the recommended levels of the six health behaviors were summed up for the composite score of health behaviors. HRQOL was measured by KIDSCREEN-52. Results: The groups with a non-recommended level of fast food intake and sedentary behavior had a significantly lower total score of KIDSCREEN-52 than those with a recommended level. Moreover, the lower composite score of health behaviors was significantly associated with the lower total score of KIDSCREEN-52. Conclusion: Among the vulnerable children, the six recommended health behaviors and their composite score were in significant positive associations with the HRQOL levels. Therefore, nursing strategies for enhancing the recommended levels of health behaviors are needed for vulnerable children.

• 한국노년학
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• v.40 no.1
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• pp.197-216
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• 2020

This study aimed to suggest leisure activities and policy-level support in the light of the characteristics and needs among the elderly by examining constraint factors of leisure activities among the elderly. Data of 3887 elderly with the age of 65 and above with economic burden and health problems from the 6th Korean Retirement and Income study were used for the statistical analyses. Hierarchical linear models were tested by entering factors stepswise; demographic factors(age, gender, marriage status, single household, region, living expenses, health status) in the first step, leisure factors(leisure time, leisure motivation) in the second step, and lastly leisure activity factors(desired leisure activities, undesired leisure activities) in the third step. The results were as follows: First, major factors that constrict leisure activities of the elderly were financial burden and health problems. Second, there were significant differences among three(financial constraint, health constraint, and financial and health constraint) groups. Financial constraint group was the highest in the level of leisure satisfaction but leisure time was the shortest. The major reason to do leisure activities of the financial constraint group was to keep relationships with families and friends. In terms of desired leisure activities, health constraint group wanted resting, financial constraint group wanted hobbies and entertainment, and the financial-and-health constraint group wanted social activities. Third, financial constraint group demonstrated higher levels of leisure activity satisfaction when they wanted to take care of pets or gardens; however, they showed lower levels of leisure activity satisfaction when they wanted to domestic trips for desired leisure activities. In case of health constraint group, they demonstrated lower levels of leisure activity satisfaction whether or not they wanted resting like watching TV or listening to the radio. And, the showed higher levels of leisure activity satisfaction when they wanted social activities such as participation in religion or social gathering organizations. For the financial-and-health constraint group, whereas they showed lower levels of leisure activity satisfaction when they wanted walking around or watching TV, and domestic trips for desired leisure activities, they demonstrated higher levels of leisure activity satisfaction when they wanted entertainment doing the game of go, or chess, and hobbies like hiking and social activities. Practice and policy level suggestions to offer leisure activities that meet the needs of the elderly were made based on the study results.

• 건강소식
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• v.22 no.10 s.239
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• pp.5-7
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• 1998

15대 국회 후반기, 보건복지위원장으로 선출된 김찬우 의원. 보건의료계 출신으로 위원장에 선출된 만큼, 보건의료계에서 거는 기대도 남다르다. 11대에 정계에 입문해, 의사 정치인으로서의 길을 걸어 온 김찬우 위원장은, 세간의 기대 이전에 의사 출신으로서 국민 특히 취약계층의 건강과 복지를 꼭 실현하겠다는 확고한 신념과 계획을 가지고 있다. 김위원장의 취약계층에 대한 사랑은 젊을 때부터 몸소 실천해 온 일이기도 하다. 정치에 입문하기 훨씬 이전부터, 고향인 영덕에서 개원하여 지역주민을 위한 인술을 펼쳐왔던 것. 그를 국회로 보내기를 강력히 희망했던 고향사람들의 의지는, 그저 고향을 빛내기 위한 일이 아니었음을 짐작케 하는 이력이기도 하다. 그의 첫인상은 우선, 소탈하고 서민적이어서 우리 아버지 혹은 이웃과 같은 편안함을 느낄 수 있게 한다. 그러나 대화를 해 나갈수록 일에 대한 강한 열정과 적극성 또한 대단한 사람이 김 위원장이다. 사랑의 의술, 사랑의 정치, 사랑의 보건복지를 위해 한번 화끈하게 뛰어보겠다는 김찬우 위원장의 보건복지정책 구상을 들어본다.

• Proceedings of The Korean Society of Health Promotion Conference
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• 2004.10a
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• pp.89-109
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• 2004

The Korean Government has produced the Health Plan 2010 aimed at setting up healthy Korea objectives, policies on preventing chronic diseases, reshaping the country's health and medical infrastructure. The policy goal targets the people's healthy life expectancy at 75 by 2010, and includes healthy life practice measures including health education, health improvement services, and disease management measures, in achieving the objectives. Also, the plan provides life cycle-based health improvement and disease prevention services, as well as pushes ahead with projects with greater ripple effects in each area. To this end, the government is simultaneously pushing to operate an experts-centered health promotion committee and establishing the infrastructure including the augmentation of national health improvement funds. Through its Health Plan 20 I 0, the Korean Government will exert efforts to achieve its policy objectives as addressed in the measures by enhancing the national potential health and providing systematic disease prevention services.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.1
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• pp.435-445
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• 2018

This study was conducted to develop and apply the health conversation program to determine its effectiveness. The study employed a pretest-posttest nonequivalent control group design. There were 25 subjects in one intervention group and 22 subjects in the control group. The program included a 4-week, 12-session education program in health conversation for professionally retired elderly mentors and an 8-week, 24-session program for vulnerable elderly diabetics provided by mentors who were older persons trained in diabetes management. Data were collected from December 2015 to May 2016 and subsequently analyzed by an independent t-test using SPSS 20.0. Biochemical variables and physical variables were assessed by blood test and Inbody 230 (Biospace). Psychosocial variables were assessed by questionnaires. The health conservation program led to significantly decreased FBS (p<0.01), TC (p<0.01), TG (p=0.04), SBP (p=0.03), waist (p<0.01) and symptoms of depression (p=0.01), and significantly increased social support (p=0.02). These results indicated that the health conservation program is effective at increasing social support and decreasing FBS, TC, TG, SBP, waist, and symptoms of depression in community-dwelling vulnerable diabetic elderly; accordingly, health conservation programs should be applied to improve quality of life of vulnerable diabetic elderly.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.2
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• pp.71-81
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• 2024

Purpose: This study aims to identify research trends in papers related to the elderly and the disabled published in the journal of Korean society for school & community health education from 2000 to 2023 and seek the direction of the academic development of this journal in the future. Method: A total of 26 articles related to the elderly and the disabled, who are vulnerable groups, were analyzed by year by analyzing the specific subjects, research themes, research design, data collection methods, and keywords of papers published from 2000 to 2023. Results: Looking at the research subjects, studies on the elderly (18 studies) accounted for a larger proportion than studies on the disabled (8 studies). Research themes in the field of healthy living practices for the elderly (44.4%) and research in the field of mental health management (37.5%) for the disabled accounted for a high proportion. The design of research were mostly quantitative and cross-sectional studies. Data collection is mostly based on secondary data. In studies targeting the elderly, keywords appeared in the following order: 'Health' and 'Elderly'. And research targeting the disabled appeared in the following order: 'Disabilities', 'Health', and 'COVID-19'. Additionally, research on the elderly and the disabled has recently shown an increasing trend. Conclusion: Research on the elderly and the disabled has been conducted in line with the purpose of the Korean society for school & community health education, However, In terms of quantitative expansion and qualitative research, research themes, research designs, and data collection methods must be diversified. Methods, public perception. Additionally, research on vulnerable groups that fit the public health promotion and health education paradigm is needed.