• Title/Summary/Keyword: 지역사회건강관리

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Children's Food Intake and Nutrition Levels, and Obesity by Maternal Employment: Based on the Korea National Health and Nutrition Examination Survey 2013-2015 (어머니 취업여부에 따른 자녀의 영양소 섭취 수준과 비만 유병률 비교 - 국민건강영양조사 자료(2013-2015년) 활용 -)

  • Kang, Geunyeong;Lee, Yoonna;UM, Mihyang;Kye, Seunghee
    • Korean Journal of Community Nutrition
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    • v.24 no.4
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    • pp.331-342
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    • 2019
  • Objectives: This study examines the intake of food and nutrients of children according to the employment and working hours of their mothers. Methods: The married women in the source data from the 6th National Health and Nutrition Survey were classified into full-time working mothers, part-time working mothers and housewives according to the working type and the data on their children from 3 to 18 years old were analyzed using SAS 9.4. Results: The group from 3 to 5 years old was the smallest group with 682 children (20.2%), followed by the group from 6 to 11 years with 1,345 children (39.8%) and the group from 12 to 18 years old with 1,355 children (40.1%). The lowest rates for having no breakfast and dinner were observed in the group with housewives (p<0.05). The calcium and phosphorous intakes were the highest in the group with housewives at 61.9% and 126.8%, respectively, and the lowest in the group with full-time working mothers at 54.7% and 115.3%, respectively (p<0.05). The group with full-time working mothers had the highest rate in the calcium and iron intake less than the dietary reference intake at 74.9% and 30.0%, respectively. It indicated that the group with full-time working mothers did not have sufficient nutrients as compared to the other two groups. Moreover, the group with the part-time working mothers showed the high vitamin A intake ratio of 41.4% (p<0.05). Conclusions: This study found evidence of a negative association between mother's employment status and children's diet quality. The employment and economic activity of married women will continuously increase in the future. Therefore, a national nutrition policy is required to provide quality nutrition care for children in the households.

Policy Supports for Informal Caregivers: Focusing on Policy Changes in the United States and United Kingdom (비공식 돌봄자를 위한 정책 지원 비교 연구: 미국과 영국 최근 정책 동향 고찰 중심으로)

  • Rhee, YongJoo
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.389-399
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    • 2020
  • Diverse official policies in community are available for caregivers to take care of the elderly in the US and the UK. This study aims to examine the recent changes in government supports based on The Recognize, Assist, Include Support and Engage (RAISE) in the US, and those by Carer Act 2014 in the UK, to take any good lessons for Korean policy. Caregivers will play a new role to develop innovative treatment for patient-centered care. The UK strengthens to provide various efforts for working carers while assuring economic efficiency in labor market with empirical evidence. The major four ways to support carers were developed agreed with the acknowledge of caregiving value and their human right; financial support, direct services for carers, flexible work time, and advocacy. Korean supports policies for carers in long-term care and social welfare will be more effective in community care system if more evidence based policies are prepared.

Process evaluation of a mobile healthcare program among employees with overweight and obesity: a 12-week intervention study investigating the role of engagement (과체중 및 비만 직장인 대상 모바일 건강관리 프로그램의 참여도에 따른 과정 평가: 12주 중재연구)

  • Imhuei Son;Jiyoun Hong;Young Hee Han;Bo Jeong Gong;Meng Yuan Zhang;Woori Na;Cheongmin Sohn;Taisun Hyun
    • Korean Journal of Community Nutrition
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    • v.28 no.6
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    • pp.466-479
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    • 2023
  • Objectives: A mobile health intervention program was provided for employees with overweight and obesity for 12 weeks, and a process evaluation was completed at the end of the program. We investigated participant engagement based on app usage data, and whether engagement was associated with the degree of satisfaction with the program. Methods: The program involved the use of a dietary coaching app and a wearable device for monitoring physical activity and body composition. A total of 235 employees participated in the program. App usage data were collected from a mobile platform, and a questionnaire survey on process evaluation and needs assessment was conducted during the post-test. Results: The engagement level of the participants decreased over time. Participants in their 40s, high school graduates or lower education, and manufacturing workers showed higher engagement than other age groups, college graduates, and office workers, respectively. The overall satisfaction score was 3.6 out of 5. When participants were categorized into three groups according to their engagement level, the upper group was more satisfied than the lower group. A total of 71.5% of participants answered that they wanted to rejoin or recommend the program, and 71.9% answered that the program was helpful in improving their dietary habits. The most helpful components in the program were diet records and a 1:1 chat with the dietary coach from the dietary coaching app. The barriers to improving dietary habits included company dinners, special occasions, lack of time, and eating out. The workplace dietary management programs were recognized as necessary with a need score of 3.9 out of 5. Conclusions: Participants were generally satisfied with the mobile health intervention program, particularly highly engaged participants. Feedback from a dietary coach was an important factor in increasing satisfaction.

A Study on the Factors Affecting the Air Environment in Chungnam Province - Focusing on Cheonan, Dangjin, and Seosan (충남 대기환경 영향요인에 관한 연구 - 천안, 당진, 서산 등을 중심으로)

  • Hwang, Kyu-Won;Kim, Jinyoung;Kwon, Young-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.118-127
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    • 2021
  • Recently, the public's interest in the air environment has increased, and public health is threatened by fine particulate matter. Furthermore, the government continues efforts to improve air quality by expanding the monitoring of air pollutants and reinforcing environmental standards. Since air quality differs depending on the region in the Korean Peninsula, it is currently necessary to identify the cause and search for influencing factors. In this study, the atmospheric environment and regional differences in cities located in the Chungnam Province were observed. As a research method, regression analysis was performed for weather conditions, such as temperature, wind speed, precipitation, and season and targeted at air pollutants, such as SO2, NO2, CO, O3, PM10, and PM2.5, as well as heavy metals contained in particulate matter, such as Pb, Cd, Cr, Cu, Ni, As, Mn, Fe, Al, Ca, and Mg. In the case of PM10, the concentrations of Mn(0.4884) in Cheonan, CO(0.3329) in Dangjin, and Mg(0.5691) in Seosan were highest. In the case of PM2.5, Cheonan NO2(0.4759), Dangjin CO(0.4128), and Seosan NO2(0.3715) were significantly affected. In summary, the influencing factors vary according to the region in Chungnam province in terms of air quality, and there is a difference in the degree of contribution. Therefore, it is considered that the Korean government's management of air quality is required for each region.

Development and validation of a nutrition literacy assessment tool for young adults (젊은 성인의 영양정보이해력 평가도구 개발 및 타당성 검증)

  • Ahn, Seokyoung;Kim, Bogyeong;Um, Mihyang;Park, Yookyung;Kye, Seunghee
    • Journal of Nutrition and Health
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    • v.53 no.2
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    • pp.175-189
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    • 2020
  • Purpose: This study was conducted to develop, validate, and assess the reliability of a questionnaire for nutritional literacy among young Korean adults. Methods: The draft questionnaire contained 65 items in 7 domains (i.e., dietary guideline, nutrition and health, nutrients, 5 food groups [food bicycle], nutrition labeling, portion size, and nutrition management for disease prevention). The authors developed a draft questionnaire based on a literature review. After multiple drafts, 52 items were retained and 13 were eliminated in the 7 domains according to professional advice from 5 nutrition experts. A panel of experts (n = 20) comprised of clinical dietitians and nutrition professors completed the content validity assessment, including quantitative and qualitative feedback. As the results, all items of the portion size were eliminated from the questionnaire. A sample of 211 young adults completed the test-retest reliability assessment. Test-retest reliability was evaluated using intra-class correlation coefficient (ICC) and inter-item reliability by Cronbach α coefficient. Results: The final questionnaire contained 30 items with 5 questions each on the dietary guideline, nutrition and health, nutrients, 5 food groups (food bicycle), nutrition labeling, and nutrition management for disease prevention. The Lawshe content validity ratio for domains ranged from 0.60 to 1.00. The ICC scores for questions ranged from 0.64 to 0.86. Cronbach's α for domains ranged from 0.83 to 0.90 and for the overall questionnaire was 0.87. Conclusion: The questionnaire showed strong content validity, test-retest reliability, and high inter-item reliability, indicating that it is a useful tool for assessing nutritional literacy of young adults.

A Study on the Refractive Power of School Children Who are Classified in Low Income Family (저소득층 분류에 따른 학동기 아동의 굴절력에 관한 연구)

  • Lee, Wan-Seok;Ye, Ki-Hun;Shin, Bum-Joo
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.373-383
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    • 2013
  • Purpose: In this study, we analyzed refractive power of school children in low income family. Methods: We have done a comparative analysis with 112 subjects of low-income of 17 elementary schools in the Yeongcheon area and low-income children less than -6 D of refractive errors from the Korean National Health and Nutrition Examination Survey Report 2010. Results: Spherical equivalent (SE) with low-income group of nation was -1.99 D for right eye and -1.81 D for left eye, while high income group of nation showed -1.26 D and -1.21 D for right eye and left eye respectively. The SE with low income group in Yeongcheon area was -1.85 D for right eye and -1.81 D for left eye. The SE with orphan was -2.75 D and -2.42 D. Single parent family was -2.10 D and -1.96 D, and two parent family was -1.75 D and -1.73. Conclusions: The lack of attention to children eye care may be one of cause for myopia, so the role of the parents and teacher is very important. However, limited role of parents to children due to low income, it is necessary to provide an institutional strategy and social interest to prevent children vision' in low income family.

Selection of New Particulate Matter Monitoring Stations using Kernel Analysis - Elementary Schools, Seoul, Korea (커널분석을 활용한 미세먼지 신규 측정소 선정 - 서울시 초등학교를 대상으로 -)

  • Jeong, Jong-Chul
    • Journal of Cadastre & Land InformatiX
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    • v.49 no.2
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    • pp.83-92
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    • 2019
  • The particulate matters show high values in winter and spring season, it has a bad influence on the outdoor people. That's why government needs to come up with countermeasures for social weak people like elementary school students. In this paper, new particulate matter stations select ed about elementary schools using spatial analysis. Seoul city areas were divided with 608 hexagon grids(500m), and then implement spatial analysis such as kernel analysis. Finally, new particulate matter stations select through the results of kernel density analysis and point displacement. The results show that, 10 hexagon grids about new particulate matter stations were selected and listed 15 elementary schools including 10 hexagon grids. The 15 elementary schools were including Gangbuk gu, Eunpyeong gu, Guro gu, Dong gu, Geumcheon gu, Dongdaemun gu, Gangdong gu, Songpa gu, Gwangjin gu and Gangnam gu. The results suggests a new management plan direction according to the spatial analysis, result in the process of selecting the measures for the '2018 School Fine Dust Comprehensive Management Measures' announced by the Ministry of Education. Also, this study can be expanded by adding specific buildings as well as the school.

Analysis of Dietary Habits by MDA(Mini Dietary Assessment) Scores and Physical Development and Blood Parameters in Female College Students in Seoul Area (서울 지역 여대생의 식생활 평가에 따른 식습관, 신체 발달 및 혈액 인자 비교 연구)

  • Choi, Kyung-Soon;Shin, Kyung-Ok;Huh, Seon-Min;Chung, Keun-Hee
    • Journal of the East Asian Society of Dietary Life
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    • v.19 no.6
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    • pp.856-868
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    • 2009
  • This study was conducted to investigate causes for health problems among college women by analyzing factors related to their dietary habits, physical development, health habits, and blood parameters. The subjects were ages 20 to 24 years, lived in the Seoul area and were randomly selected during March, 2008 to August, 2009. The average height and weight of the overall subjects were $162.02{\pm}4.89\;cm$ and $53.96{\pm}7.00\;kg$, respectively. According to a 3-point assessment scale for the subjects' dietary habits, the average point value was 21.2. The percentage of subjects that ate breakfast daily was only 30.5%, and they omitted regular meals at least once a week. Approximately 83.5% of the subjects reported eating out often or frequently, and preferred Korean foods when they ate out. The subjects had interim meals (snacks) one or two times daily, and 40.4% of them preferred unbalanced meals. As their interim meals, among the 'good' group, ate breaded potatoes (39.3%), carbonated beverages, and ice cream (36.8%), whereas the 'poor' group, drank milk and ate dairy products (38.0%) as well as fast food and fried food (22.8%). Intakes of energy, fat, vitamins $B_2$ and $B_6$, niacin, folic acid, calcium, iron, zinc, and phosphorus were higher in the 'poor' group. The average hemoglobin level ($13.77{\pm}1.00\;g/dL$) among the subjects was within normal range; while 2.7% of subjects had hemoglobin levels under 11.1 g/dL (standard value) and were examined as anemic. The degree of interest in health was 24.5% higher among the subjects who had poor dietary habits. In contrast, among those who had good dietary habits, 49.6% reported they had no interest in regular exercise. The subjects reported that regular meals, nutrient intake, sufficient rest, and sleep as necessary to maintain health. The average amount of sleep obtained by the subjects was 6~8 hours. Among the 'poor' group, 36.2% reported that they exercised regularly, whereas 18.5% of the subjects in the 'good' group reported regular exercise (p<0.05). In conclusion, it appears necessary to provide nutrition education through teaching and to promote nutrition and health to college women so they can control their individual health status and create practicable dietary plans.

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Meta-analysis of the Effects of Obesity Management Program for Children (국내 비만아동의 비만관리프로그램의 효과에 대한 메타분석)

  • Sung, Kyung-Suk;Yoon, Young-Mi;Kim, Eun-Joo
    • Child Health Nursing Research
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    • v.19 no.4
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    • pp.262-269
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    • 2013
  • Purpose: The aims of this study is to analysis the effects of obesity management programs for children and to measure the differences in the effects by type and dependent variables in order to analyze the structures of the programs. Methods: Sixty-one peer-reviewed journals including child obesity and intervention studies published between 2000 and 2010 were included for meta-analysis. Effect size and statistics of homogeneity were by STAT 10.0. Results: A total of 61 studies were used in the analysis, and the effect size of the independent studies was determined to be -0.23 (95% CI, -0.32 ~ -0.15). Serum Leptin and Insulin were the big effect size among the studies that used dependent variables. The theses used in the research did not display publishing bias. Conclusion: Obesity management programs that have been confirmed to be effective need to be developed into regional protocols. A continuous control of obese children and research for effective intervention program are in need.

The Prediction Model for Self-Reported Voice Problem Using a Decision Tree Model (의사결정나무 모형을 이용한 주관적 음성장애 예측모형)

  • Byeon, Haewon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.7
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    • pp.3368-3373
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    • 2013
  • The purpose of this study was to analyze the risk factors of self-reported voice problem. Data were from the Korea National Health and Nutritional Examination Survey 2008. Subjects were 3,600 persons (1,501 men, 2,099 women) aged 19 years and older. A prediction model was developed by the use of a exhaustive CHAID (Chi Squared Automatic Interaction Detection) algorism of decision tree model. In the decision tree analysis, pain and discomfort during the last 2 weeks, age, the longest occupation and thyroid disorders was significantly associated with self-reported voice problem. The findings of associated factors suggest potential ways of targeting counseling and prevention efforts to control self-reported voice problem.