• Title/Summary/Keyword: 지역사회 건강

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Community Participation and Development of their Awareness for AIDS Control (AIDS홍보를 위한 지역주민의 참여와 의식개발)

  • 김명호
    • Korean Journal of Health Education and Promotion
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    • v.5 no.1
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    • pp.25-28
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    • 1988
  • 4000년전 고대 의학시대부터 의학은 환자를 대상으로 발달해 왔지만 실은 지역사회를 토대로 발달해 왔다고 본다. 특히 기원전 500년경 히포크라테스(Hippocrates)가 오늘날의 서양의학의 기반을 닦게 되었는데 그때도 질병 치유의 영역에서 뿐 아니라 예방까지 생각한 것을 알 수 있다. 그후 18~19세기에 와서 전염병의 범세계적인 대유행은 질병의 발생 후의 처치의 어려움에 봉착하자 이와같은 쓰라린 경험은 질병의 예방에 더욱 크나큰 관심과 노력을 가지고 오게 하였다. 동시에 신음하는 환자는 가족의 일원이며, 지역사회 주민의 일원이란 현실이 의학이 사회과학의 영역으로 옮겨질 정도로 사회성을 띠게 하였다.

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Collaboration Development Factors and Consideration for Community Health Promotion Practice (지역사회 건강증진을 위한 협력개발 요인과 논점)

  • Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.27 no.5
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    • pp.73-78
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    • 2010
  • Background: Although collaboration for community health is emphasized, the concept and process of collaboration are rather unclear. International research has classified the types of collaboration and focused on the factors influencing successful collaboration. Greater attention is needed for collaboration practice and research domestically. Findings: By the level of intensity, the types of collaboration range from simpler networking to more formal and sophisticated collaboration. A 4-stage collaboration development consists of formation, implementation, maintenance, and institutionalization stages. Influential factors for collaboration development include: shared goals; operational structure and process; sufficient resources; member and leadership characteristics; environment and climate for collaboration; and information exchange and communication. Discussion: Most of collaboration research so far has dealt with partnerships and coalition building with community-based organizations, and much attention is given to private-public partnership for health. Contextual understanding and collaborative environment are the foremost tasks for us to enhance collaboration for community health in our centralized public health system.

A Qualitative Study about the Function and Relationships of Social Community Welfare Centers and Health Family Support Centers for Family Welfare Practice (가족복지실천을 위한 종합사회복지관과 건강가정지원센터의 기능 및 관계에 대한 질적연구)

  • Lim, Hyoyeon;Lee, Sara
    • Korean Journal of Childcare and Education
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    • v.9 no.2
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    • pp.75-95
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    • 2013
  • This study searched for the common and different aspects of social community welfare centers and health family support centers for family welfare practice of the community. We also tried to find out the awareness of workers and the performance function for each institution. Through the interviews and review of literature, and comparative analysis of operating status, we looked for the common and different aspects, and the direction of development, which evolved family welfare into the community by way of function and relationships of both institutions. As a result, the participants of this study pursued common purposes. They however made aware of the issues of discrimination about social values and each institution's functions. We suggest that the social community welfare center focuses on individuals and families, in order to integrate the community. A health family support center should play the role to fulfill needs for family welfare according to family life cycle, and have good accessibility for individuals and families in the community.

A Study on the Poor Residing in the Deprived Areas : Double Poverty, Neighborship, and Mental Health (빈곤한 지역사회에 거주하는 빈곤층의 실태에 대한 연구 : 중첩된 가난과 이웃관계, 그리고 정신건강)

  • Tak, Jang Han
    • Korean Journal of Social Welfare Studies
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    • v.47 no.4
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    • pp.43-69
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    • 2016
  • This study explored whether there are differences in the lives of the poor when they reside in areas with different socioeconomic conditions. Especially the poor living in areas with high poverty are the main focus here, so this study demonstrated their levels of neighborship and mental health. In order to analyze it, 2012 Korean General Society Survey(94 areas, 1,396 individuals) was used and the interaction effect between area poverty and individual poverty was found. As a result, the poor living in deprived areas reported higher social ties with neighbors than the poor living in wealthy areas. Furthermore, double poverty status also increased their psychological well-being level so that it suggested the poor community could be the supportive base for the poor in terms of mental health as well. The meanings of relationships the poor have in poor areas were discussed, and the implications were followed.

The Effects of Health Promotion Programs for the Healthy Lifestyle in the Community Elderly: A Systematic Review (지역사회 노인의 건강한 라이프스타일을 위한 건강증진프로그램 중재효과에 대한 체계적 고찰)

  • Lee, Ji-Soo;Lee, Soo-Kyoung
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.371-380
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    • 2020
  • This study is a systematic review study to confirm the effectiveness of the health promotion program for the elderly in the community. The research method was to search for published papers using the domestic databases RISS, KISS, DBpia, and KoreaMed, analyze a total of 10 studies, and code them for 2 researchers. As a result, the characteristics of intervention in the health promotion program were often applied to the frequency of intervention more than twice a week, and the intervention time of more than 12 weeks, approximately 60 minutes once. In the composition of intervention, the study that applied exercise and education together and the study that mixed the types of exercise were mainly. The outcome measurement variables were muscle strength, body mass index, depression, self-efficacy, health promotion lifestyle, and quality of life. Through this study, it is necessary to develop a sustainable health promotion program and verify effectiveness in the lives of the elderly in the community.

Environmental Exposure and Health Inequality by Socio-economic Position among Older People (지역사회 노인의 사회경제적 위치에 따른 환경유해인자 노출과 건강 불평등)

  • Lee, Seyune;Kim, Hongsoo;Jung, Young-Il;Choi, Yoon-Hyeong;Lee, Kiyoung;Yu, Seung-do;Hong, Yun-Chul
    • 한국노년학
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    • v.34 no.2
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    • pp.349-367
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    • 2014
  • The purpose of this study is to investigate the relationships between socio-economic position(SEP), environmental exposures, and health of older people in Korea. This study used the data from 'Environmental Exposures and Their Health Effect in Korean Elderly Population'. The sample includes a total of 563 elderly people who were 60 years of age or older. Data on SEP, environmental exposure, and health impact were collected and analyzed using descriptive statistics and multivariate regressions. As a result, study participants' SEP including age, family type, monthly expenditure, type of house, and region was significantly associated with environmental exposure. Also, while adjusting for SEP, environmental exposure such as allowing indoor smoking was associated with self-rated health and depression of study participants. The study findings showed inequality in environmental exposure and health outcomes by SEP in Korean elderly. Environmental exposure was associated with health outcome even after adjusting SEP, and this implied that environmental exposure could be a critical factor in explaining heath inequality by SEP. Further studies are necessary to better understand the causal relationships among SEP, environmental exposure, and health outcomes.

Health Inequality of Local Area in Seoul : Reinterpretation of Neighborhood Deprivation (서울시 소지역 건강불평등에 관한 연구 : 지역박탈에 대한 재해석)

  • Kim, HyoungYong;Choi, Jinmu
    • Journal of the Korean association of regional geographers
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    • v.20 no.2
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    • pp.217-229
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    • 2014
  • This study was performed to identify neighborhood deprivation indicators associated with health and to test the contextual effects of those indicators on individual health. This study calculated SMR based on Dong district and see the differences of prediction across deprivation index and indicators. Then, a multi-level analysis using HGLM was conducted to test the contextual effect of neighborhood depreivation indicators on health after controlling for demographic and socioeconomic status of individuals. The results showed that regional SMR had strong correlations with land price, education, welfare recipients, female household proportion in Dong district but failed to show the correlation with individual health and neighborhood deprivation. Individual health was only associated with individual level of demographic and socioeconomic status. That is, spatial dispersion of illness is understood as the distribution of social classes in terms of socioeconomic status of individuals, not the contextual aspects of community.

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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.

건강 관련 삶의 질의 사회인구학적 상관요인에 대한 공간분석

  • Jo, Dong-Gi
    • Korea journal of population studies
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    • v.32 no.3
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    • pp.1-20
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    • 2009
  • 본 연구는 지리정보시스템(GIS)과 지리적 가중 회귀(GWR)를 이용하여 건강 관련 삶의 질(HRQoL)의 사회인구학적 상관요인에 대한 공간분석을 시도한다. 관찰의 독립성과 오차의 동분산성을 가정하는 전통적 회귀분석과 달리, 지리적 가중 회귀분석은 속성정보뿐만 아니라 공간정보를 활용하는 공간분석 기법이다. 분석모형은 건강 관련 삶의 질을 종합적으로 측정하는 EQ-5D를 종속변수로 하고 지역의 사회인구학적 특성인 노령인구비율, 조이혼율, 병상수, 재정자주도를 독립변수로 하여 구성하였다. 종속변수는 질병관리본부에서 실시한 <지역사회건강조사>의 자료를 이용하였고, 독립변수는 통계청 온라인 DB에 수록된 지역별 자료를 이용하였다. 모형을 추정해 본 결과 전반적으로 사회적 특성보다는 노령인구비율이나 조이혼율과 같은 인구학적 특성이 건강 관련 삶의 질에 더 많은 영향을 미치는 것으로 나타났다. 공간적 변이를 고려하는 지역모형은 전역모형에서 드러나지 않았던 중요한 유형을 보여주는데, 노령인구비율 변수와 조이혼율 변수의 지역별 추정치를 지도상으로 살펴본 결과 변수들의 효과가 공간적 위치에 따라 차이를 보인다는 점이 확인되었다. 분석 결과는 또한 지리적 가중 회귀분석이 전통적 회귀분석에 비해 공간적 자기상관의 문제를 극복하고 모형의 부합도를 증가시킨다는 것을 보여준다.