• Journal of agricultural medicine and community health
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• v.30 no.1
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• pp.75-88
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• 2005

Objectives: This survey was intended to provide basic data which can be available as a baseline in the set up of dietary guidelines for assuring community-based self-support of the rural elderly, through investigation of the relationship of the various dietary consumptions with their ADL and IADL. Methods: The study subjects, 439 rural residents(male: 196, female:243) aged over 65 in Kumsan Kun and Chongyang Kun, Chungchongnamdo Province were interviewed, in June of 2004, about their sociodemographic characteristics, daily life styles, the variety of dietary consumption, ADL and IADL with the following major findings: Results: In terms of the scores' distribution to show variety of food consumption among all subjects, 68.3% got 1~3 points, 23.2% 4~6 points, and 8.4% 7~10 points with a decreasing proportion of subjects in higher points. In terms of their functional status, normal-range groups showed 93.2% of ADL and 72.9% of IADL whereas, impaired ADL group 6.8% of ADL and 27.1% of IADL, respectively. Concerning the relation of ADL and IADL with the variety of their consumed food, the greater scores for food variety was associated with the significantly higher proportion of normal ADL group and the lower proportion of impaired ADL group. Multiple logistic regression analysis with ADL and IADL as dependent variables, and food variety scores as explanatory variables, the relative risk of impaired-ADL group was 0.84 in the food variety group of 4~6 points, 0.63 in 7~10 points with no statistical significance. The relative risk of impaired- IADL group was 0.52(p<0.01) in the food variety group of 4~6 points, 0.41(p<0.05) in 7~10 points with statistical significance. Conclusions: These study results suggest that the lower dietary variety, the lower functional capacity of daily living, and the variety of dietary is associated with the functional capacity of daily living in rural elderly.

• Journal of agricultural medicine and community health
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• v.20 no.2
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• pp.133-148
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• 1995

This study was to identify the factors affecting the performance in health promoting lifestyle and measuring health promoting lifestyle. The subjects for this study were all adult in rural area, Kakbuk Nyun, Chung-do Gun, Kyungpook, Korea. The data were collected during the period from April 1 to April 30, 1995. The instruments used for this study were the health promoting lifestyle by Park(1995). The results of this study are as follows. Health condition felt by the subjects was worse in female group and was getting worse according as the age increase. According to health promoting life style implementation questionnaire, more than half of the subjects responded "never" in deep breathing 3 times a day item and non-smoking item; more than half of the subjects responded "yes" in 3 meal a day item, home-cooked meals item, never to omit breakfast item and frequent wearing of cotton underwear item. Health promoting life style implementation by health condition is higher in healthy group and frequency of consulting a specialist is higher in unhealthy group. Health promoting life style implementation by sex is higher in male group. Frequency, of consulting a specialist and non-excessive drinking are higher in female group. Health promoting life style implementation by age showed that the implementation of never omitting breakfast, keeping early hours and proper sleeping is higher in old age group ; that of enjoying hobby, pastime, cleaning as well as reading health books is higher in young age group. Health promoting life style implementation by religion showed that the implementation of deep breathing 3 times more a day, regular checking of blood pressure, never having non-healthful food and keeping right posture in sitting and standing is higher in religion group. Health promoting life style implementation by education is higher in highly-educated group ; the implementation of keeping early hours is higher in low-educated group. Health promoting life style implementation by marriage state showed that the implementation of deep breathing 3 times more a day, twenty minutes of brisk physical movement three or four times a week, enjoying his or her own time, relaxation to relieve from tension and pressure and equalized movement of each part of body is higher in unmarred group ; that of having elaborately cooked food, never omitting three meals a day and keeping early hours is higher in married group. Health promoting life style implementation by the number of family members showed that more-member-group has more plans and objectives for their future. Health promoting life style implementation by family type showed that the implementation of reading health books and articles, living with positive way of thinking and enjoying favorite hobby in pastime is higher in nuclear families ; that of having three meals a day never omitting breakfast is higher in large families.

• Journal of Agricultural Extension & Community Development
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• v.12 no.2
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• pp.137-150
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• 2005

Although the rate of women farmer's participation in agricultural activities have been increased upto 52.7 % as of year 2003, Korean society has not fully recognized their roles in rural society. According to the agricultural basic law, most of rural women were engaged in agriculture as full time job, however, only about 11% of them could have supporting evidence of themselves as farmer having legal right. If women farmers faced some unexpected things such as a traffic accident, insurance company would not reward them as farmers unless they provide written proof of their job as farm worker or farm owner. Based on lawyer's legal advice, the authors developed a diary called "Saenghwalilji", a daily diary based on their time use and bookkeeping to prove the fact of their contribution to income generation of the farm. After examination of the diary, 18 persons out of 29 volunteers kept two types of dairy for the period of two weeks, and they reported it was very useful. Finally the better one of two was selected after reflecting the suggestions from the respondents. The "Saenghwalilji", will be very useful proof of women farmer's contribution to income, at the same time improving their farm management through better use of daily life time.

• Journal of agricultural medicine and community health
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• v.20 no.2
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• pp.149-156
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• 1995

This study was performed for 182 rural persons of patients who had admitted at National Masan Tuberculosis Hospital from 21th Feb to 18th Aug, 1994. We investigated diseased history based on the data according to the kind of occupation. The results were summarized as follows : The most common occupation was no occupation(35.2%). The most common age group was 5th decade(25.3%). By the age, the most common group in cases of no occupation was over 7th decade and under 5th decade, and agriculture was over 7th decade and 6th decade. Male(83.5%) were more than female, but wasn't significantly different. The most common group in the level of education was over the graduate of high school. The group that have ever drunken(p<0.05) and smoked(p<0.01) was significantly different in labour, service, agriculture, others. Family history, combined disease, symptom were no significantly different by occupation. Both lung fields on the chest X-ray was the most common site of invasion(82.4%). In the tests of AFB smear and culture, the differences according to the occupation were not. At the time of admission, the most common group in the state of treatment was initial treatment. The multi-drug resistance tuberculosis was no significantly different by occupation.

• Proceedings of the KAIS Fall Conference
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• 2010.11b
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• pp.1000-1004
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• 2010

본 연구는 도시지역 1개 초등학교 5 6학년과 농촌지역 일개 군의 2개 초등학교 5 6학년을 대상으로 도시와 농촌 초등학교 5 6학년의 변비 유병률을 파악하고, 이와 관련된 배변행태, 식습관 및 운동 습관 요인, 스트레스 등을 분석하여, 학생들이 바람직하고 올바른 생활습관을 갖도록 하고 학생들의 변비 증상을 개선하고 예방하여 건강증진을 도모하는 기초자료로 활용하고자 시도된 단면조사연구이다. 연구대상자는 임의 추출방법에 의하여 선정된 3개 초등학교 5 6학년 재학생 총 585명을 대상으로 하였다. 연구방법은 2009년 10월에 임의로 선정된 3개 학교의 보건선생님을 통하여 연구대상자에게 설문지를 배포하여 대상자 스스로 기입하도록 하였다. 본 연구의 결과로 자가보고에 의한 변비의 유병률은 전체 22.1%로 남학생 16.9%, 여학생 27.0% 이었으며, 주중 3회 미만의 배변횟수를 변비로 정의하였을 경우 변비 유병률은 15.7%로 남학생 11.6%, 여학생 19.6%로 여학생의 변비 발생률이 높았다. 거주지역별로는 농촌 지역에 거주하는 대상자가 도시 지역에 거주하는 대상자보다 변비 발생이 높은 것으로 나타났으며 변비발생과 운동습관과의 관계에 있어서는 운동을 하지 않는 대상자가 변비 유병율이 높게 나타났다. 변비 분류에 의한 배변습관에서는 변비군에서 배변 시간이 10분 이상이 많았으며, 시험기간 중 변비경향 또는 변을 보지 못 한다가 정상군보다 높게 나타났다. 또한, 변비군의 치료관련 행태에서는 18.3%가 변비치료를 위해 변비약을 복용한 경험이 있는 것으로 조사되었으며, 배변 형태에 변화가 있을 경우 상담자로는 가족 또는 혼자 판단하는 경우가 대부분이었다. 변비 분류에 의한 배변 관련 증상의 분포는 변비군에서 항문통증 경험, 항문 출혈 경험 등이 정상군보다 높게 나타났다. 주중 3회 미만의 배변횟수를 변비로 정의 하였을 경우와 배변 관련 증상의 분포는 변비군에서 항문통증 경험, 배변 후 상쾌하지 못함 등이 정상군보다 높게 나타났다. 학교에서의 배변여부는 변비군에서 학교에서 배변을 하는 비율이 정상군보다 높았다. 변비여부를 종속변수로 하여 변비발생에 영향을 미치는 요인을 분석한 결과 성, 학년, 거주지역에서 변비발생의 위험요인으로 도출되었다. 주 3회 미만의 배변횟수를 변비라고 정의할 경우, 변비발생에 영향을 미치는 요인을 분석한 결과 성, 학년, 모직장 유무, 운동이 변비발생의 위험요인으로 도출되었다. 본 연구에서는 초등학교 5 6학년을 대상으로 배변 행태, 식습관, 스트레스, 학교에서의 배변습관 등을 조사해 본 결과 상당수 학생들의 배변 실태가 좋지 않은 것을 알 수 있었다. 바람직하지 않은 식습관, 운동 부족, 과다한 스트레스 등은 학생들의 변비 발생의 위험 요인이 될 수 있으므로 변비의 발생을 예방하기 위해서는 매일 적절한 운동을 하고 인스턴트음식과 패스트푸드섭취 등을 줄이고 올바른 생활습관 및 스트레스 관리 등이 필요하며 부모들의 자녀에 대한 관심이 더욱 필요하다. 이를 위해서 초등학교부터 변비 예방을 위한 체계적인 프로그램을 만들고, 실시하여야 하며 또한 보건교육을 통하여 건강한 생활습관을 습득하고 변비를 예방하는 노력이 필요하다 하겠다.

• Journal of agricultural medicine and community health
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• v.12 no.1
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• pp.54-62
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• 1987

This study was performed as a part of survey for the operation and interim evaluation of the on-going pilot project of community health in Jeomdong-Myon, Yeoju-Gun, Kyunggi-Province since 1982. Seven Villages (Ri) were selected purposively for the survey from a total of 26 villages in Jeomdong-Myon, target area, under the consideration of the socio-economic background and the distribution of health resources. The target population was the women in age group of 15-44 years in that area and a total of 156 women were interviewed. This study was done by the interview survey using questionnaire which was composed with questions about MCH and FP. The results were as follows; 1) ln the status of maternal health, (1) the proportion of receiving antenatal care was relatively high (67.1%) in this area, but the starting time of antenatal care was delayed to 7 months or more of gestational period in 22 percent. Therefore some intervention would be necessary for advancing the time of antenatal care. (2) The proportion of home delivery was decreased according to the rank of birth-order. And more than 50 percent of delivery attendants were mothers-in-law or neighbors. The fact indicates that the health education for non-professional delivery attendents would be necessary for improving home delivery and the content of education would be preferable to focussing to the method of hygienic delivery attending. (3) The comprehensive health service and education would be recommended for the postnatal care, because of the extremely low rate of postnatal care in this area. 2) In the status of child health, (1) the pro-portion of breast feeding was 90.2 percent, and the weaning started after 12 months of birth in 12.7 percent. This indicates the necessity of education about the weaning program. (2) The proportion of completed basic vaccination was 39.6% and the main reason of missing vaccination was poor accessibility in terms of time. For that, the supply of vaccine to primary health care units (health subcenters) should be continuous, not infrequent nor occassional. 3) The proportion of respondants who were using contraceptive methods currently was 79.8 percent and in 44.7 percent they accepted the permanent contraceptive methods. Those results are distinct in this area. But it seems a serious health problem that 53.2 percent of respondants were experienced the induced abortion for birth control.

• The Korean Journal of Food And Nutrition
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• v.10 no.3
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• pp.330-338
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• 1997

To examine the relationship between the causal infection of gastric cancer and lifestyle and nutritional status, we surveyed 183 persons, 102 female and 81 male, aged 40 years and over from August to October, 1996, in Chunchon area, Kang Won Do, Korea. For this purpose, we investigated Helicobacter pylori infection in the agricultural Korean adult and identified the effect of sex, age, smoking, alcohol consumption, economic status, occupation and lifestyle. Helicobacter pylori immunoglobulin G(IgG). Helicobacter pylori infection was present in 64.5% of total subjects, and 63.7% of female, 65.4% of male and its prevalence was increased with age, smoking, low education level, low monthly income, high childbirth. Some nutrients intakes were significantly difference between Helicobacter pylori infection positive(+) group and those negative(-) group. The negative Helicobacter pylori infection group were much more intaked energy, total protein, total fat(p<0.05), animal fat(p<0.05), Iron(p<0.001), vitamin A(p<0.01), vitamin C(p<0.05) than Helicobacter pylori positive infection group. But the calcium intakes were lower than positive(+) group.

• Journal of the Korean association of regional geographers
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• v.7 no.1
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• pp.21-34
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• 2001

Summarized results of this study that examined the characteristics of farm household in suburban areas classified by the fanning types are as follows. When it was looked into with the side of farm household and his family, the type of the farm household in suburban areas are related to the quality of fanning labor rather than the quantity of it. Regardless of the type of the farm household, it depends upon the family labor (usually men and wives). And the age of farm manager is an important part in the quality of fanning labor. The size of the farm household is related to the individual fanning labor. The size of self-sufficient crops(mainly rice) farm household will be small as the farmer gets to be old. But the size of commercial crops farm household has less tendency to change in terms with the age of farm manager. The fanning commercialism takes an important part in the maintenance and development of suburban agricultural areas. But, in fact, there is a shortage of farming labor. So the physical condition of farmland is the most important part in agricultural durability. After this study, we can conclude that we won't have enough chance to solve the problem of family member separation and shortage of fanning labor even though it is in the suburban area or in the profitable farm until we give them more enough chance to get a job(except fanning) and the better education infrastructure. To make matters worse, the aggravation of farm house-hold's economy due to unstable price of farming products' threatens the agricultural durability. Consequently, in order to get a development of agriculture and rural community, a qualitative change with improvement of agricultural conditions and of products distribution system is needed.

• Journal of agricultural medicine and community health
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• v.44 no.2
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• pp.73-81
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• 2019

This study aimed to assess the level of awareness on safe abortion among adolescent girls in rural area of Mahottari district of Nepal. A community based cross-sectional study was conducted in rural areas of Mahottari district of Southern Nepal between January and March 2019.A sample of 412 adolescent girls was selected using multi-stage cluster sampling. Multivariable logistic regression model was adapted to explore level of awareness among adolescent girls. This study found that 45.6% of adolescent girls had high awareness regarding safe abortion. The odds of awareness among the married adolescents was higher (AOR=2.16; 95% CI: 1.01-4.87) than unmarried adolescent whereas the odds of awareness among the adolescents who had education of secondary level and more had higher (AOR=2.21; 95%CI: 1.13-3.04) than those who had primary or lower secondary level of education. Similarly, the adolescents who had monthly family income of Nepalese Rupees (NRs.), 10,000-20,000 and more than NRs. 20,000 were respectively, 2.33 times (AOR = 2.33; 95% CI: 1.07-3.55) and 3.17 times (AOR = 3.17; 95% CI: 2.19-8.94) more likelihood to have high awareness regarding safe abortion than those their counterparts. The study showed that overall level of knowledge towards safe abortion was found low. Socio-demographic factors like marital status, level of education, and family income were the factors independently associated with level of awareness on safe abortion. Therefore, efforts should be exerted towards arising and improving the awareness of abortion care which may reduce unwanted pregnancy, abortion and other complications related to abortion.

• 한국노년학
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• v.39 no.3
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• pp.589-612
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• 2019

Korea has undergone rapid modernization and globalization process in the last few decades. The purpose of this study is to explore how shifting traditional values are impacting Korean elderlies and their perceptions of aging experience. In order to understand how changing social and cultural practices are affecting older adults, the similarities and differences among Korean elderlies living in three different geographical locations are examined in a multidimensional comparative framework. Life story interviews were conducted with 30 Korean elderlies (10 urban residents in Korea, 10 rural residents in Korea, and 10 residents in the US). Paying attention to within-group variation, this study particularly focused on analyzing the psychological, social, emotional, and spiritual experiences that made lives meaningful and resilient in old age in spite of physical decline. Based on analysis of narrative, the following major areas were identified as having positive or negative influence on aging experiences: physical health, emotional health, family relationship, work, leisure/social activity, and spirituality. Common themes of aging well across all settings included: "life not indebted to their offspring," "physical and mental health," and "dying well." Spirituality played a critical role in cultivating perspectives on life and accepting aging process, which were rooted in specific religious traditions participants identified (e.g., Christianity or Buddhism). Interesting differences in the meaning of work and leisure were also found between elderlies residing in Korea and the US immigrant context. One unique factor continuing to negatively affect Korean elderly in rural community was related to shame of not obtaining higher education. Implications for future research are also addressed.