• Title/Summary/Keyword: Community-based mental health

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Trends and implications of Jjok-Bang research in South Korea based on the perspective of Community-Based Participation and the Social Ecological Model (지역사회기반 참여와 사회생태적 관점에서 본 국내 쪽방지역 주민의 건강증진 역량강화 방안)

  • Kim, Jin Sung;Heo, Hyun-Hee;Chung, Haejoo
    • Korean Journal of Health Education and Promotion
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    • v.32 no.4
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    • pp.79-92
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    • 2015
  • Objectives: The purpose of this study is to identify the trends of jjok-bang research based on the perspective of Community-Based Participatory Research and Social Ecological Model and to provide information for future public health interventions, policy designs, and policy implementations. Methods: Studies used in the systematic review are published from 1999 to 2014 and searched using key words such as 'jjok-bang' and 'single room occupancy' using domestic and international electronic databases. However, there were no studies from abroad published during this period. Search in domestic databases such as KCI, KISS, RISS generated 119 studies. In this paper, 20 cases which meet the criteria of the systematic review were included in the final analysis. Results: The contents of research included are the life of jjok-bang inhabitants(9 cases), the demand for welfare services(4 cases) and welfare need(2 cases), mental health(1 cases), and the history of jjok-bang formation(4 cases). Fourteen cases of empirical study were analyzed focusing Community-Based Participatory Research and Social Ecological Model. Some of research was carried out forming a partnership with various community partners and this trend increased since 2008. There are high frequency of intrapersonal level and interpersonal level studies. However, studies looking at the organization, community or policy level were relatively few. Conclusions: Future studies of jjok-bang area should consider the various social determinants which affect the health delivery system, community organization and policies, as well as individual or community level.

Development and Effectiveness of the Interpersonal Caring Program for Young North Korean Defectors (탈북청소년을 위한 대인간호중재 프로그램의 개발 및 효과)

  • Choi, Jeong Im;Choi, Eun Joung
    • Research in Community and Public Health Nursing
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    • v.31 no.3
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    • pp.310-321
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    • 2020
  • Purpose: The purpose of this study is to evaluate the effectiveness of the interpersonal caring program for young North Korean defectors which we developed based on Kim's interpersonal caring technique. Methods: This study employs a non-equivalent control group pretest-posttest design. The subjects of this study are 36 young North Korean defectors living in three areas. The participants are recruited through alternative schools, churches, and acquaintances. The experimental group consists of 20 participants and the control group consists of 16 participants. Experiments are conducted by four days. Specifically, the experiments are conducted eight times and each takes about 120 minutes. Furthermore, we run the camp for two nights and three days. We test our hypothesis by using Kolmogorov-Smirnov, Independent t-test, Paired t-test, and Independent t-test. Results: All the test statistics support our hypotheses such as self-esteem (t=1.87, p=.035), mental health (t=-1.69, p=.049), interpersonal relationships (t=1.93, p=.031), and quality of life (t=1.88, p=.034). Conclusion: We found that the interpersonal caring program developed in this study is effective in improving North Korean defectors' self-esteem, mental health, interpersonal relationships, and quality of life.

Association between Mental Health with Oral Health Behaviors in Korean Adolescents (우리나라 청소년의 정신건강이 구강보건행태에 미치는 영향)

  • Lee, Won-Jeong;Jung, Tae-Eun;Park, Jin-Kyung;Sim, Sang Hyo
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.1
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    • pp.13-29
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    • 2017
  • Objectives: The purpose of the study was to investigate the effect of stress, depressive mood and suicide ideation with oral health behavior in Korean adolescents. Methods: The subjects were 57,904 adolescents who were selected from the web-based survey of the 10th(2014) Korean Youth Risk Behavior of Korean Center for Disease Control. Data were analyzed by SPSS 18.0. A web-based self-reported questionnaire was completed by 72,060 middle and high school students. The subjects consisted of 28,269 man students(48.8%) and 29,635 women students(51.2%) from 500 middle schools and 400 high schools. Results: Multiple logistic regression analysis after adjustment to demographic characteristics and stress, depressive mood and suicide ideation by man and women of middle, high school students the subjects whose have had different oral health behaviors. low level of stress, do not think about suicide ideation, they were increased their oral brushing frequency of yesterday($$3{\geq_-}$$) with brushing after lunch(p<0.05). alternatively subjects whose do not have depressive mood, they were decreased their oral health behaviors(p<0.05). Conclusions: According to gender by middle and high school students are mental health of the youth, which has direct and indirect effects on physical health, is closely associated with their oral health according to oral health behaviors.

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Determinants of Mental Health Care Utilization in a Suicide High-risk Group With Suicidal Ideation

  • Kim, Hyun-Soo;Lee, Moo-Sik;Hong, Jee-Young
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.1
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    • pp.69-78
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    • 2016
  • Objectives: The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide. Methods: Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization. Results: The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size. Conclusions: It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.

The Study of the Risk and Buffering Factors Related to Maltreatment -Focusing on Parenting Mothers in Korea and Japan- (부적절한 양육행동에 대한 위험 요인과 완충 요인 -한국과 일본의 유아를 둔 어머니를 대상으로-)

  • Park, Chun Man;Okada, Setsuko
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.2
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    • pp.115-130
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    • 2015
  • Objectives: This study aimed to review the relationship between parenting daily hassles (PDHs), parenting burden and maltreatment as perceived by Korean and Japanese mothers raising children. In addition, the influence of parenting support, efficiency and satisfaction on child maltreatment were also reviewed. Methods: Data were gathered through self-administered questionnaires given to the mothers using the childcare center in both countries. As for the final procedure, 820 Korea and 700 Japan mothers were statistically processed, and data were analyed through factor analysis and path analysis. Result: The results showed that in both countries, parenting burden caused by PDHs significantly affected physical and mental maltreatment. parenting efficiency and satisfaction as a buffering factor could inhibit mental maltreatment. However, among buffering factors, Korean parenting mothers chose parenting efficiency and Japanese parenting mothers did parenting satisfaction. Conclusions: Based on the findings, it is needed parenting mothers are offered on opportunity to take health education programs and to understand their child's behaviors and learn parent's roles of parenting. In addition, local community support is desired.

Mental Health Intervention for Adolescents : A School-Based Program to Address Social Anxiety (청소년을 위한 정신건강 개입 : 사회불안을 중심으로 한 학교-기반 프로그램)

  • Heo, Eun-Hye;Nam, Ji-Ae;Ko, Boo-Sung;Kim, Jeong-Eun;Lee, Chang-Hwa;Choi, Kyeong-Sook
    • Anxiety and mood
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    • v.14 no.2
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    • pp.88-98
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    • 2018
  • Objective : The purpose of this study was to establish a school-based mental health intervention. The success of which was indexed by its effects on the social anxiety symptoms of the enrolled adolescents. Methods : This program for promoting mental health among adolescents in the community was adopted by three middle schools that volunteered to participate in the project. The program included screening for emotional problems related to social anxiety, depression, suicide, and post-traumatic stress disorder. Case management was provided for groups considered high-risk for depression, suicide, or post-traumatic stress disorder; cognitive-behavior therapy was provided for those at high-risk of developing social anxiety. Additionally, educational programs for the prevention of suicide, a "loving life" module, and mental health promotional campaigns were also included. In total, 1,100 middle school students completed self-report questionnaires. Twenty-five students in the high-risk group for social anxiety participated in a cognitive-behavior therapy program, comprising eight sessions, and conducted by two clinical psychologists. Results : Following the suicide prevention education program, suicide awareness among students increased and coping strategies were improved. In addition, the loving life program was associated with positive self-perceptions by many students. Furthermore, social anxiety symptoms showed a statistically significant difference after the cognitive-behavior therapy program. After the therapy, not only did social anxiety symptoms improve, depressive symptoms and suicidal ideation decreased significantly, while self-esteem and psychological resilience significantly increased. Conclusion : A school-based mental health intervention was successfully implemented in three middle schools and improved the mental health of the participating students. Therefore, this intervention could be widely implemented to promote positive mental health among middle school students.

Health Status of Elderly Persons in Korea (한국노인의 건강상태에 대한 조사연구)

  • 최영희;김문실;변영순;원종순
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.307-323
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    • 1990
  • This Study was done to design and test an instrument to measure the health status of the elderly including physical, psychologyical and social dimensions. Data collection was done from July 18 to August 17, 1990. Subjects were 412 older persons in Korea. A convenience sample was used but the place of residence was stratified into large, medium and small city and rural areas. Participants located in Sudaemun-Gu, Mapo-Gu, and Kangnam-Gu, Seoul were interviewed by brained nursing students, and those in Chungju, Jonju, Chuncheon, and Jinju by professors of nursing colleges. Rural residents were interviewed by community health practioners working in Kungsang-Buk-Do, Kyngsang- Nam - Bo, Jonla Buk -Do, and Kyung Ki- Do. The tool developed for this study was a structured questionnaire based on previous literature and then tested for reliability and validity. This tool contained 20 physical health status items, 17 mental-emotional health status items and 38 social health status items. Physical health status items clustered in to six factors such as personal hygiene, activity, home management, digestive, sexual, sensory, and climination functions. Mental-emotional health status items clustered into two factors, mental health and emotional health. Social health status items clustered into seven factors, grandparent, parent, spouse, friend, kinships, group member and religious role functions. Data analysis included percentage, average, S.D., t-test and ANOVA. The results of the analysis were as follows : 1. The tool measuring the health status of the elderly and developed for this research had a relatively high reliavility indicated by a cronbach=0.97793. 2. Average score of the subjects physical health status was 4, 054 in a 5 point likert scale, mentalemotional health status was 3.803, social health status was 2.939 and the total average was 3.521. The social status of the subjects was the lowest and the next was mental-emotional health status ; physical health status was the highest. 3. Educational background, perceived health status, the amount of pocket money were related to physical and mental-emotional health status and family structure was related mental-emotional physical and social health status. Occupation was related to physical and mental-emotional status. Area of residence was related to metal-emotional and social status. Source of living in the expeneses was related to physical and mental-emotional health status marital status to mental-emotional and social health status, and the number living in the home physical health status and religion to social health status. The following conciusions were derived from the above results ; 1. The health status of Korean elderly was relatively sound but social health status was the most vulnerable. The Social activity for Korean elderly is needed to improve social health. 2. Educational background, perceived health status and the amount of pocket money must be considered in the health assessment criteria of the elderly, Family structure, marial status, occupation, residence variables and sources of living expense must also be considered as significant. 3. A health education program based on the educational background of the elderly, and provision of an occupational socioeconomic welfare policy will be useful in order to increase social health status of Korean elderly.

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Factors Influencing Depression in Naju-Si Using Multi-Year Data: Comparison Focusing on Urban and Rural Areas (다년도 자료를 이용한 나주시의 지역 내 우울증 영향요인: 도시와 농촌 지역을 중심으로 비교)

  • Jo, Kyung-Hee;Ryu, So Yeon
    • Health Policy and Management
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    • v.32 no.1
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    • pp.14-20
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    • 2022
  • In this study, we distinguished urban and rural areas in Naju-si, Jeollanam-do, grasped the characteristics of those areas, and investigated the depression-related factors in Naju-si based on this. This study used Community Health Survey data from 2017 to 2019. To investigate the factors affecting the depression in Naju-si local residents, the odds ratio was calculated using a complex sample logistic regression model. As a result of confirming the factors affecting the prevalence of depression in Naju-si residents, the risk of depression was significantly higher at 1.59 (95% confidence interval [CI], 1.02-2.50) for women, 2.14 (95% CI, 1.20-3.83) for recipients of basic livelihoods, 2.35 (95% CI, 1.46-3.79) for those who did not practice walking, and 2.00 (95% CI, 1.23-3.26) for those who slept less than 5 hours. It is necessary to select high-risk groups as a regional-specific project to resolve the mental health disparities in Naju-si and to intervene in early depression prevention through support for mental health support services.

The Effects of Perceived Stress on Cognition in the Community Elderly (지역사회 노인의 지각된 스트레스가 인지기능에 미치는 영향)

  • Chu, Su-Kyung;Yoo, Jang-Hak
    • Research in Community and Public Health Nursing
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    • v.19 no.3
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    • pp.368-377
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    • 2008
  • Purpose: The Purpose of this study was to investigate the effects of perceived stress on cognition in the community elderly. Methods: This was a descriptive study. Data were collected using individual-based interviews from 40 senior residents at the hall for the elderly in S City. The period of data collection was from June 19 to July 7, 2006. The tools of data collection were Mini-Mental State Examination (Folstein, Folstein, & McHugh, 1975) and Perceived Stress Scale (Cohen, Kamarck, & Mermelstein, 1983). Results: Cognition showed significant differences according to gender education, and regular exercise. Cognition was significantly correlated to stress and age. Stress was significantly correlated to orientation, recall, and attention/calculation. In the results of stepwise multiple regression, factors affecting cognition were stress, age, and gender. Conclusion: It is necessary to prepare health promotion programs that can reduce stress level in the community elderly.

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A Systematic Review of The Health Promotion for Workers; Participatory Action Research and Community Based participatory Research (근로자의 건강증진에 대한 체계적 문헌고찰 참여적 실행연구와 지역사회기반 참여연구 중심으로)

  • Hwang, Won Ju;Ha, Ji Sun;Jo, Hyun Hee
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.459-466
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    • 2018
  • This study investigated a systematic literature review on local and international literatures focusing on Participatory Action Research(PAR), Community Based Participatory Research(CBPR) in workplace and community. Eighty percent of the 10 studies reviewed included research involving health professionals, community networks, workers, and university researchers. Health promotion programs varied from health and safety awareness, smoking cessation, diabetes management, physical activity, self-efficacy enhancement, cardiovascular disease, musculoskeletal disorders and mental health. PAR, CBPR are required to participate actively in research through community collaboration to promote health. We can solve problems at the community level. And identified sustainable effects when developing and implementing a health promotion program. PAR and CBPR are expected to continuously pursue change by adjusting the scope of individuals, organizations, communities, and institutional dimensions. They are also expected to be implemented for workers in the various workplace.