• 보건교육건강증진학회지
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• 제27권3호
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• pp.59-66
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• 2010

Objectives: This paper aims to describe a public health planning model, Mobilizing for Action through Planning and Partnership(MAPP), and to discuss its application in Korea with a specific focus on the Local Public Health System (LPHS) component of MAPP. Methods: Literature content review was performed on research papers on MAPP development and application, MAPP handbook and guides, the guidelines for the 5th Phase Community Health Plan, and a research report on public health center evaluation system. Results: MAPP has been applied to public health planning (the 5th Phase Community Health Plan) and a performance evaluation system for public health center in Korea. The current application is limited to the early stages of the MAPP. Limited or partial application affects the integrity of the model. Follow-through should be strengthened especially for evaluation planning. Conclusion: Systems thinking approaches should be considered for the development of LPHS and strengthening logical and practical linkage between planning and evaluation of community health planning.

• Journal of Nutrition and Health
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• 제40권8호
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• pp.745-752
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• 2007

While metabolic syndrome(MS) is rapidly expanding and dietary pattern, the known risk factor of MS, goes through heavy transition to western diet, not many researches have been done on the association between dyslipidemia and dietary factors in Korean adults. The purpose of this study was to investigate the association between compliance with dietary guidelines and dyslipidemia among Koreans. The subjects of 399 adults who visited health examination center were classified into dyslipidemia(n=180) and control(n=219). Diagnosis of dyslipidemia was based on NCEP-ATPIII criteria(triglyceride>=150mg/d, HDL-C<50mg/dl for male, HDL-C<40mg/dl for female). A questionnaire based interview was done to collect information on compliance with dietary guidelines, general characteristics and health related behaviors. Anthropometric variables were measured during the survey. Mean compliance score of dietary guideline was significantly lower in dyslipidemia group than in control. It was associated negatively with waist circumference and positively with serum HDL-cholesterol(p<0.05). Risks of dyslipidemia were significantly decreased in the group with highest dietary guideline score, high serum triglyceride levels(OR=0.484, 95% CI=0.268-0.875), abdominal obesity(OR=0.296, 95% CI=0.159-0.553), and dyslipidemia(OR=0.481, 95% CI=0.266-0.869). These results indicated that increasing compliance with dietary guidelines could be an effective strategy to lower the risk of dyslipidemia among Koreans.

• 보건교육건강증진학회지
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• 제20권3호
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• pp.39-59
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• 2003

The aim of this study was to describe the status and needs of safety education in elementary schools and to develop a model of the comprehensive school safety education in Korea. A literary review was used to assess the status of safety education materials in Korea, the safety education program, and the laws and policies about safety education. A self-administered questionnaire survey was conducted in Seoul, Kyonggi Province, Kwangwon Province, and Jeonbuk Province to assess the status and needs of school safety education. Survey data was obtained in June 2002 from 83 teachers and 21 focus group consisting of experts. The primary goal of safety education is to help students to acquire knowledge, attitudes, and beliefs on safety. Comprehensive safety education has these primary goals： To provide an opportunity for students to develop their values, attitudes and beliefs about safety. This study will help assess the feasibility of applying safety education guidelines in elementary schools in Korea, including theoretical aspects of the field and practical aspects of safety education in relation to guidelines containing the diverse types of safety activities in Korea. In particular, it will suggest appropriate alternatives to current methods, protecting elementary school students in Korea, and how those can be created in the cultural context of Korea.

• Perspectives in Nursing Science
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• 제17권1호
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• pp.1-11
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• 2020

Purpose: The purpose of this study was to develop a forest-based health promotion program for vulnerable school children. Methods: The specific process for program development involved establishing a program goal, assessing the needs of the participants, analyzing existing programs and constructing a forest-based program. Results: Each session of the program, which consisted of a total of 10 sessions, included 40 to 50 minutes of indoor education for children's physical and psychosocial health and 60 to 70 minutes of forest experience activities with nursing student mentors. For the application of the program, guidelines for mentor selection and prior education, physical environment check, children's safety, criteria for evaluation of the program effects and operation of the program were developed. Conclusion: This study presents the specific procedures and contents for developing a forest-based program for vulnerable school children. The results of this study will provide useful data to develop a community-based program to promote the physical and psychosocial health of vulnerable school children.

• 보건교육건강증진학회지
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• 제30권3호
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• pp.75-84
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• 2013

Objectives: The purpose of this study was to identify the domestic research trends in health education published in journals and dissertations, and to provide recommendations for quality improvement. Methods: 277 papers published from 1960 to 2009 were reviewed using criteria of analysis. The results were displayed as frequencies and percentages. Results: The contents of the health education were very poor compared with the Health Promotion Act. In health education program developing and evaluation process, papers on the assessment stage occupied the largest portion. In research methodology; the survey study, school field, the questionnaire research tool and inferential statistics were the most applied. Master theses were the largest number. Conclusions: This review suggests that the published papers, in some instances, have been poorly done. However, this study may provide future guidelines for health education research, and it is hoped that higher level research can be accomplished.

• 보건교육건강증진학회지
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• 제19권4호
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• pp.45-60
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• 2002

The aim of this study was to assess adolescents' sexuality and to gather student opinions on current school-based sex education in South Korea. A self-administered questionnaire survey was conducted in Seoul, Incheon, and Kyunggi Province to assess the status and needs of high school sexuality education. Survey data was obtained from 1,130 senior high school students. The rates of sexual intercourse for boys and girls were 33.1% and 13.2% respectively. Boys were more likely to be sexually involved (p = .000) and experienced earlier at first sexual intercourse than girls (p = .006). Among students who had sexual intercourse, only 20.3% (21.1% of boys and 19.1% of girls) used contraceptives at first sexual intercourse. The proportion of respondents who had had sexual intercourse was higher among those with poor self-perceived academic performance (p = .000). The proportion was also higher among those with a boy or girl friend (p = .000). Other risk-taking behaviors such as smoking and drinking were associated with sexual activity (p = .000). This study found that most students were not satisfied with sex education because of teachers' lack of information and skills in delivering it. Most teachers providing sex education were not qualified and/or trained. They should receive adequate training and guidelines for the training. Training should also give teachers time to practice and become comfortable in delivering it.

• 보건교육건강증진학회지
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• 제28권3호
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• pp.57-65
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• 2011

Objectives: The purpose of the study is 1) to improve the previously developed KHLAT(Korean Health Literacy Assessment Tool) by testing two versions of KHLAT and 2) to develop guidelines to the grade range for KHLAT. Methods: The two versions of KHLAT(2) KHLAT(4) were administered to students from 1st grade to 12th grade in Busan. Data on 2673 participants were analyzed. Comparisons were made according to the grade range in REALM and the Korean grade range. Results: Both versions showed the increase of scores as the grade level increases. Female scored higher than male. However, the mean score (39.16) of KHLAT(2) was higher than that (29.6) of KHLAT(4). This result might be due to more specified responses of KHLAT(4). This difference was more clearly shown when the REALM grade range and Korean grade range were compared. The mean scores of KHLAT were lower than the means scores of the REALM in USA. Conclusions: The guidelines which were based on Korean school grad range were more suitable for Koreans.

• 보건교육건강증진학회지
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• 제24권4호
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• pp.181-200
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• 2007

Objectives: A content analysis was conducted to examine whether the current school textbooks providing smoking information are effective or not. Methods: The authors reviewed 111 qualified textbooks using elementary through high schools during 2006-2007 academic year in Korea. Educational components were coded with an analysis tool developed through the present research. Result: Tobacco education components were narrowly focused on long-term physiological consequences of tobacco use, addictiveness, and harmful ingredients and they were repetitively shown in the textbooks. Negative health consequences such as lung cancer were emphasized 10 times among 12 smoking-related textbooks. Educational messages or contents are mainly based on medical knowledge (72%) rather than psycho-social components. The US school-based smoking prevention programs, however, employ psycho-social approach with cognitive and life-skill components and they contain only 7-17% of smoking-related medical knowledge. In order to increase psycho-social smoking prevention components in Korean textbooks, the present study identified social subjects of textbooks (and relating core sessions) for elementary, middle, and high school. It also provided guidelines for school instructors to use. Conclusion: Adolescent smoking behavior is not caused by the deficit of health information, but mostly by social influences including media and peer pressure. School textbooks proving smoking information need to increase psycho-social context. One of the most effective ways as a psycho-social smoking prevention program is to use social subjects (or curriculum) of textbooks such as social studies, ethics, social cultures, social environment, and home management.

• 보건교육건강증진학회지
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• 제33권1호
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• pp.1-12
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• 2016

Objectives: This study was to examine by gender the clustering patterns and correlates of healthy lifestyle clusters and the relationships between healthy lifestyle clusters and depressive symptoms in middle-aged and older adults. Methods: The observed/expected ratio of physical activity, smoking, and alcohol consumption were calculated to analyze clustering effects. The correlates of those healthy lifestyle clusters were evaluated using logistic regression models, and the relationship between those healthy lifestyle clusters and depressive symptoms was investigated using multiple regressions by gender. Results: Based on the guidelines this study adopted, we obtained three healthy lifestyle clusters: active healthy lifestyle; passive healthy lifestyle; and unhealthy lifestyle. All three clusters were found in men, but two in women, who did not have an unhealthy lifestyle cluster. High socio-economic status was positively related to healthy lifestyle clusters. Social participation and residence location (in men) and marital status (in women) were significant factors. Having an active or a passive healthy lifestyle was negatively associated with depressive symptoms in women, but such a relationship was not observed in men. Conclusions: The study findings imply that health promotion programs for middle-aged and older adults in Korea should be comprehensive and integrated, considering healthy lifestyle clusters and gender differences.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.91-105
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• 2005

Purpose: The purpose of this study was to describe the current status of managing educational programs for tobacco use prevention at middle and high schools located in Busan. Methods: Using a survey method with a 29-item self-administration questionnaire, the data were collected from January 10 through February 18, 2005, from school nurses as well as teachers major in healthcare of 227 participant schools. Results: A strategic plan for school-based educational programs of tobacco use prevention was mainly developed by a school nurse at middle school and a teacher in charge of school discipline at high school. The educational programs for tobacco use prevention were implemented for approximately 40% of schools in Busan with the budget ranged from 110,000 won to 200,000 won a year. Eighty five percepts of the schools had anti-tobacco regulations and guidelines in place. Twenty two percents of the middle and high schools collected the data regarding adolescents' smoking status periodically. Over 70% of schools provided tobacco use prevention education programs as a part of regular semester curriculum. Conclusions: For making the management of educational programs for tobacco use prevention effective and consistent with government's anti-smoking policy, schools need (a) development of tobacco management guideline and regulations with participation of teachers, students, and parents, (b) clear job and role descriptions for personnel to plan and implement anti-tobacco programs, (c) compilation of the budget enough to implement the programs, (d) periodically assessment of adolescents' smoking status, and evaluation of the programs to monitor whether those are effective for adolescents' health promotion; and (e) to make an effort to less range of quality in educational programs for tobacco use.