• Title/Summary/Keyword: 지역사회건강관리

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The Effect of Community- and Individual-Level Factors on Suicidal Ideation and Attempts: A Multilevel Analysis (2021년 지역사회건강조사를 활용한 지역사회 및 개인 수준의 요인이 자살 생각과 자살 시도에 미치는 영향: 다수준 분석)

  • So Young Ha;Jinhwan Kim;Haegyun Park;Youngsoo Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.32 no.1
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    • pp.24-33
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    • 2024
  • Objectives : The purpose of this study was to investigate individual- and community-level factors on suicidal ideation and suicide attempt among Korean adults. Methods : This study was conducted on 225,965 adults collected through data from the 2021 Community Health Survey and the Korean Statistical Information Service (KOSIS). The general characteristics, suicidal behavior (e.g., suicidal ideation, and suicide attempts), and community-level characteristics of the study subjects were analyzed using frequency (%) and mean (standard deviation). The effects on individual- and community-level factors on suicidal ideation and suicide attempts was analyzed using multilevel logistic regression models. Results : The community-level factor associated with suicidal ideation was unmet health care (Odds Ratio [OR]=1.053, 95% CI=1.035-1.071), and the community-level factor associated with suicide attempt was the aging rate (OR=1.015, 95% CI=1.001-1.030). Regarding health-related variables, the individual-level factors associated with suicidal ideation were stress status (OR=9.388, 95% CI=8.629-10.213), depressive experience in the past year (OR=6.737, 95% CI=6.454-7.032), and the predominantly individual-level factors associated with suicide attempt were also stress status (OR=5.213, 95% CI=3.699-7.347), and depressive experience in the last one year (OR=13.433, 95% CI: 11.247-16.044). Conclusions : We confirmed individual-level and community-level factors influencing suicidal ideation and suicide attempt. Through these findings, we need to establish suicide prevention policies, considering managing individual-level factors such as stress and depression as well as community-level factors such as unmet health care.

Comparision of Health Behaviors, Diabetes Mellitus(DM) Management and Health-related Quality of Life(HRQoL) between DM Groups with and without Diabetic Education Experience (당뇨병 환자의 교육 경험에 따른 건강행태, 당뇨병 관리, 건강관련 삶의 질 비교)

  • Lee, Sanghwa;Kim, Hyunli
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.85-96
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    • 2018
  • Purpose: This study was to compare health behaviors, DM management and HRQoL among Diabetic patients according to education experience. Methods: Data were obtained from Community health Survey(CHS) of 2015. The participants were 22,937 diabetic patients who had education experience or not. Data were analyzed on complex sample anaysis using SPSS 24 program. Results: The education experience group showed higher percentages of health behaviors and DM Management and higher HRQoL. The significant negative factors influencing HRQoL were Bed ridden experience, higher subjective stress, depression expereince, age, low education and positive factors were good subjective health status, walking, mod-exercise, drinking, employment, spouse, good subjective happiness. Conclusion: These results show that education experience is a way to help diabetic patients' health behavior, DM management, HRQoL.

담배연기 없는 맑은 화성 만들기 사업 평가

  • Lee, Hye-Gyeong;An, Mi-Yeon;Lee, Mi-Yeon;Go, Ji-Yeon;Lee, Ji-Seon;Go, Seung-Deok;Park, Nam-Su;O, Eun-Hwan
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2009.05a
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    • pp.87-87
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    • 2009
  • 2008년부터 화성시에서는 담배연기 없는 맑은 화성 만들기 사업에 착수하였다. 이는 흡연으로 인한 사망 및 질환 유병의 감소, 간접흡연에의 노출, 감소 개인행위 통제를 위한 역량 강화, 지역사회 협력체계 구축 및 지원적 환경의 조성을 목적으로 하고 있다. 포괄적 흡연통제프로그램 모델을 기반으로 하여 각기 적합한 환경을 위한 수행전략과 실행계획을 수립하였다 ; 담배연기 없는 환경조성, 홍보 및 캠페인, 금연클리닉을 통한 교육, 상담의 금연프로그램 운영, 모니터링과 평가, 사업관리를 위한 지침과 교육 등. 2008년 1년 동안 총 1714명이 금연클리닉을 방문하였으며, 이중 90%는 금연시도 4주간, 57%는 6개월 동안 금연상태를 유지하였다. 6개월 동안 금연상태를 유지한 대상 중 67%는 50세 이하 연령이었으며, 6개월 동안 금연상태를 유지한 대상 중 28%에게는 행동수정요법을 적용하였다. 금연환경 조성을 위해 지역사회내 건물과 시설을 모니터링하였으며, 경로당, 유치원, 초등학교, 문화재 등과 같은 특정 환경에 초점을 맞춘 교육과 관리를 수행하였다. 또한 2009년 사업추진방향설정을 위해 지역사회주민들 대상으로 하는 금연정책에 대한 전화조사를 실시하였다. 건강한 도시를 구축하기 위해서는 모든 지역사회구성원을 대상으로 하는 다양하고 효과적인 프로그램을 지속적으로 추진하는 것이 필요하다. 특히 학생, 가족, 학교, 지역사회와 정부간의 담배 없는 화성을 만들기 위한 협력적 관계 구축이 무엇보다 중요하다고 할 수 있다. 향후 보다 나은 사업추진을 위해 현상황에 대한 분석을 토대로 적절한 전략을 개발하는 것이 필요하다.

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Mediating Factors Affecting Mental Health Promotion Behavior of Nursing Students : Focusing on the Information-Motivation-Behavioral Skills Model (의료취약지역 간호대학생의 건강증진행위에 영향을 미치는 요인: 정보-동기-행동기술모델을 중심으로)

  • Seungmin Lee;Sunah Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.27-36
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    • 2023
  • The purpose of this study was to examine the relationships between health knowledge, health attitude, social support, self-efficacy, and health promotion behaviors among nursing students in medically underserved areas using the Information-Motivation-Behavioral Skills Model, as well as to identify the factors influencing health promotion behaviors. The study was conducted from October 1 to October 20, 2022, with 157 nursing students residing in medically underserved areas G. Data analysis was performed using SPSS 25.0 program, including descriptive statistics, t-test, one way ANOVA, correlation analysis, and multiple regression analysis. The results showed that the factors affecting health promotion behaviors were school life satisfaction, stress management, social support, and self-efficacy, with social support being the most significant factor. The total explanatory power was 84.9%. Based on these results, we hope to develop a health promotion program that can increase the interest of nursing students in health promotion and encourage active participation in health behaviors, which can contribute to becoming a healthy nurse.

다양한 종류의 특수영양식품을 적용한 상업성 체중관리 프로그램과 1300 kcal의 조절식단을 적용한 체중관리프로그램의 복부 지방율의 변화량과 비만도 및 건강위험 요인에 미치는 영향

  • 구선영;김상연;박민정;김인혜;장유경
    • Proceedings of the KSCN Conference
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    • 2004.05a
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    • pp.423.2-424
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    • 2004
  • 최근 들어 국내에서는 체중조절이 사회적인 문제로 다루어질 만큼 커다란 관심의 대상이 되고 있으며, 이에 체중조절을 시도하는 사람들의 급속한 증가와 아름다워지려는 여성들의 요구에 의해 무분별한 다이어트가 시행되어지고 있다. 이와 함께 이와 관련된 상업성 다이어트 업체들도 현저히 늘어나고 있는 실정이다. 그러나 특정 다이어트제품의 비만도(body mass index; BMI (kg/$m^2$)의 감소에 따른 효능평가에 관한 연구는 보고 되고 있으나 건강 위험인자의 개선에 대한 효과 평가는 미흡한 실정이다.(중략)

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The Convergence Factors Affecting on Incremental Oral Health Care Experience in Some Local Adults (일부지역 성인의 계속구강건강관리 경험에 영향을 미치는 융합적 요인)

  • Choi, Yu-Ri;Kim, Hyo-Jin;Choi, Eun-Mi;Lee, Young-Suk
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.131-138
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    • 2017
  • The purpose of this study is to investigate the effects of incremental oral health care perceptions and experiences on oral health care performance by analyzing the results of incremental oral health care management for adults. As age increased, incremental oral health care experience is significantly higher. The results have shown that as age increases, interest in incremental oral health care becomes even higher. And, the group using secondary oral care products has significantly higher incremental oral care experience(p<0.05). Also, those who visit dental clinic regularly continue to experience incremental oral health care(p<0.05). In addition, the group that had experienced preventive dental services continued to be significantly highly relevant to oral health care(p<0.05). Based on the results of this study, it is possible to analyze the experience and influence of incremental oral health management and it can be used as basic data for the construction of incremental oral health care program in dental clinic.

Interpersonal and Community Factors Related to Food Sufficiency and Variety: Analysis of Data from the 2017 Community Health Survey (식품충분성과 다양성의 개인간 및 지역사회 관련 요인: 2017년 지역사회건강조사 자료 분석)

  • Hong, Jiyoun;Hyun, Taisun
    • Korean Journal of Community Nutrition
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    • v.25 no.5
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    • pp.416-429
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    • 2020
  • Objectives: This study examined the personal, interpersonal and community factors related to food sufficiency and variety among Korean adults using data from the 2017 Community Health Survey. Methods: A total of 228,310 adults aged ≥ 19 years were classified into three groups: food sufficiency with variety, food sufficiency without variety and food insufficiency. Personal factors included sociodemographic characteristics, health behavior and health status. Interpersonal factors included social networking and social activities, and community factors included safety, natural environment, living environment, availability of public transportation and health care services. The association of food sufficiency and variety with interpersonal and community factors was assessed using multivariable logistic regression analyses. Results: Of the total sample, the food-sufficiency-without-variety group and food insufficiency group accounted for 31.5% and 3.2%, respectively. The sociodemographic factors associated with food insufficiency and non-variety were women, ≥ 65 years of age, with low education level, low household income, unemployed, single, and living in areas of small population sizes. There were significant differences in health behavior and health status, interpersonal and community factors among the three groups. Multivariable logistic regression analyses conducted after adjusting for confounding factors showed that lack of social networking and social activities and lower satisfaction derived from community environments were associated with the risk of food insufficiency and non-variety. Conclusions: Our results showed that interpersonal and community factors as well as personal factors were related to food sufficiency and variety. Therefore, public policies to help build social networks and participation in social activities, and improve community environment are needed together with food assistance to overcome the problems of food insufficiency and non-variety.