• 대한지역사회영양학회지
• /
• 제18권6호
• /
• pp.611-625
• /
• 2013

The purpose of this study was to investigate dietary behaviors and health-related lifestyles of adult visitors at a public health center in Gyeonggi urban area. A survey using questionnaire was conducted with 949 visitors at Seongnam public health centers from June to August, 2012. The data from 905 respondents were analyzed by gender, consisting of 322 males and 583 females, and age group, consisting of 243 low-age group (LA), 312 middle-age group (MA), 350 high-age group (HA), aged 20 to 30 years, 31 to 50 years, and 51 to 69 years, respectively. Average Body Mass Index was 23.0, which increased with age, and education level was high in LA. 59.0 percent of the subjects had various diseases, and the incidence of hypertension was the highest, followed by allergy, hyperlipidemia, diabetes mellitus, joint rheumatism. Incidence rates of chronic disease increased with age, which were lower than those from 2011 Korea National Health and Nutrition Examination Survey (KNHANES). Weekly drinking frequency rate and smoking rate decreased with age, and exercise performing rate was high at male and HA, which showed the same tendency as KNHANES. Female and HA showed more healthy dietary behaviors such as restricting salt, sugar, oily foods, foods containing food additives, calorie, caring for balanced diet, and referring to nutrition label. Subjects chose stress as the first factor, followed by diet, exercise, etc., among 13 suggested factors which strongly influence on human's life-span. In general, public health center visitors, especially female and HA, showed better dietary behaviors and health-related lifestyles compared with KNHANES.

• 한국의료질향상학회지
• /
• 제3권1호
• /
• pp.126-143
• /
• 1996

Background : Little work has been carried out regarding quality assessment research in a primary care setting, comparing with that of hospitals. This study aims to evaluate the process of diagnosis and management of hypertension by public health doctors on the basis of pre-established clinical guideline, and to identify several modifying factors associated with them. Methods : Hypertension was selected as the target disease, because it is a chronic disease which is of great public health importance. Self-administered questionnaires were mailed to public health doctors practicing at health centers and health subcenters across the nation. The response rate was 20.9%. The questionnaire included the diagnosis and management process such as measuring blood pressure, history taking, physical examinations, and treatment approches and potentially modifying factors such as level of training, duration of practice as a public health doctor, and education on management of hypertension. Results : Public health doctors pay little attention in measuring BP, hypertension related history taking, performing physical examination and laboratory examination. But they devoted much effort in diagnosing hypertension exactly and giving nonpharmacological treatment. Among various antihypertensive drugs, calcium-channel blockers were the most preferred agent(50.9%). Level of training, duration of practice ad a public health doctor, and education on management of hypertension made no difference on quality of care(p>0.05). Conclusion : These public health doctors showed poor compliance with the pre-established clinical guidelines, which leaves much to be desired in diagnosing and managing hypertensive patients by public health doctors. This study might be able to contribute to develop some strategies, such as educational programs, which would be able to improve the process of care in hypertensives.

• 한국멀티미디어학회논문지
• /
• 제21권4호
• /
• pp.499-512
• /
• 2018

The application of analytical techniques for the rational determination of problems arising from management science and corporate management. In a way that is the opposite of the repair plan that can predict accurate results is increasing utilization of the complex-based analysis methodology. In this study, we examined the application of physical space and the methodological utilization of the pedestrian model analysis that applied the simulation to the Health Checkup Center. The conclusions are as follows. First, the spatial analysis and measurement for empirical research has confirmed that the efficiency assessment through the pedestrian model simulation can lead to an objective evaluation. Second, it seems to be able to reduce the queue through a change in the number of services of the low-pressure and the hearing laboratory, the recovery room with a high proportion of male disturbances and relatively long use time. The third, the spatial density analysis and the time required to reduce the density change in comparative analysis, and the spatial layout changes, the increase in the capacity of 80 people, approximately 16 minutes to shorten the process duration.

• 대한통합의학회지
• /
• 제12권2호
• /
• pp.1-10
• /
• 2024

Purpose : Sarcopenic obesity is associated with adverse health consequences in females. Nevertheless, there has been limited research on the hazardous components and prevailing rates of sarcopenic obesity among younger women. This study aimed to identify the hazardous components and prevailing rates of sarcopenic obesity in younger females. Methods : This study utilized data based on 2008~2011 from the Korea National Health and Nutrition Examination Surveys by the centers for disease control and prevention. The analysis was concentrated on a subset of 1,520 women aged between 30 and 39 years of age. The participants answered a questionnaire to gather demographic information. They then underwent a physical examination to measure the human detention variables, which was conducted utilizing bioelectrical impedance analysis. The blood pressure and blood laboratory tests were determined using established laboratory protocols for evaluating blood parameters. Results : This study included 1,520 patients aged 30~39 years old. The mean age of the participants was 34.97 (years)±2.74 and the overall prevailing rate was 1.84 %. The hazard components in human dimensions were the height, weight, body mass index (BMI), waist circumference (WC) and skeletal muscle mass index (SMI). The hazard components in biochemical and blood pressure were high fasting glucose, increased triglyceride, elevated total cholesterol, high systolic blood pressure, and increased diastolic blood pressure with p-values <.05. Conclusion : This study examined the hazardous components and prevailing rates of sarcopenic obesity in younger women living in the community. The results contribute to the current body of knowledge on sarcopenic obesity and shed light on possible hazardous components in a younger female population. Based on these findings, there should be increased health and medical attention towards the prevention, management, and health promotion related to reducing risk factors for sarcopenic obesity in younger women.

• 대한간호학회지
• /
• 제30권5호
• /
• pp.1195-1206
• /
• 2000

The purpose of this study was to analyze womens' health problems using Green & Kreuter's 1991 PRECEDE model and to develop a model for a womens' health care center located in the community. The subjects were recruited from Wonju City. 1. The results showed that 23% of the sample population felt there was a need for a womens' health care center. The mean number of health problems was 3.1. The prevalence rate, was 44.4%, and the rate for an artificial abortion, was 36.4%. Also 30.5% did not have a health examination in the past year. Women using the hospital for medical care accounted for 45% of the sample, while 40% used the drugstore. The average score on the HPLP was 2.41, and this was influenced by self-efficacy, family support, sexual role, and health locus of control. There are a few educational programs in the city provided by the Wonju Health Center and by community health nurse practitioners. 2. The nursing center, as defined in North America, is a nurse-anchored system of primary health care delivery or neighborhood health center. Centers offer various services ranging from primary care to the more traditional such as education, health promotion, wellness screening, and coordination of services by advanced practice nurses. For examples in Sweden MCH centers provide total services for childbearing women and their families, sexual counseling and education for adolescents, and screening by midwives for cervical cancer. 3. The developed model combines purpose, target population, organization, and services, and is related to health resources. The purpose is primary health care and promotion of the quality of life. The target population can be grouped according to the life cycle, (premarriaged age group, the childbearing/child rearing age group, and middle aged and elderly women) and focuses on self-help. The organization of the center includes an advisory committee to plan and evaluate, and a health services team that will be multidisciplinary to provide health care, counseling education, and research. The model development suggested that a variety of women's health care centers are needed to insure adequate management of women's health. Follow-up research using PROCEED is needed to analyze health outcomes. Also a health nursing specialist system is required to develop health promotion, and improve the quality of life of women.

• 대한통합의학회지
• /
• 제12권2호
• /
• pp.25-32
• /
• 2024

Purpose: This study utilizes big data from the 8th (2021) National Health and Nutrition Examination Survey to determine first, the relationship between chewing discomfort in the elderly and some systemic diseases and second, whether oral diseases and oral health problems are related to systemic diseases. Since this may have an impact, we aim to provide basic data to facilitate the expansion and emphasize the importance of integrated health management education. Methods: Original data from the 8th (2021) National Health and Nutrition Survey, conducted by the Korea Centers for Disease Control and Prevention, were analyzed using SPSS Version 21.0 (IBM). A complex sample frequency analysis was conducted to confirm the general and health-related characteristics of the study subjects, and a complex sample cross-analysis was conducted to determine chewing discomfort according to both general and health-related characteristics. Complex sample multiple logistic regression analysis was conducted to determine the effect on chewing discomfort. Results: In order to analyze the factors that affect chewing discomfort, the general characteristics that showed significant differences in chewing discomfort were adjusted for age, personal income, education level, basic livelihood security, high blood pressure, subjective health status, and subjective oral health. It was found that the condition had a statistically significant effect on chewing discomfort. Conclusion: The findings of this study demonstrate that high blood pressure, subjective health status, and subjective oral health status affect chewing discomfort; hence, measures such as developing and operating programs to improve national oral health are needed. We hope that our study will be used as basic data for research into chewing discomfort and systemic diseases in the elderly.

• 보건교육건강증진학회지
• /
• 제27권2호
• /
• pp.1-15
• /
• 2010

Objectives: The purpose of this study was to examine the past and present status and roles of health education specialists in Korea, and to suggest future directions for developing health education profession. Results and conclusion: The Korean government has made various efforts for people's health. the National Health Promotion Law was enacted in Korea in 1995. As the results of Korean Association for Health Education' intensive efforts, the national certificate of health education specialist bill has been passed the National Assembly on September 29, 2003. According to The National Health Promotion Law, central and local government should recommend health promotion related corporaters, agencies and organizations to hire certified health education specialist. The first national examination for certificate of health education specialists was held in March, 2010. As the result, a total of 2,246 applicants was passed for certificate of health education specialists. It is a serious concern that community residents' knowledge level of health is very low. therefore, the role of health education specialists with the professional ability to carry out health education is essential. It is clear that the activity of health educators is essential, Then, It is necessary articles related to the appointment of health educators in the official appointment regulation or law. Thus the health education specialist must be appointed as a public officer in health centers, operaters or the health department of the government.

• 농촌의학ㆍ지역보건
• /
• 제26권2호
• /
• pp.147-159
• /
• 2001

유방자가검진 실천율 및 관련 요인을 규명하여 유방자가검진 실천율을 증가시키기 위하여 고령군 11개 동에 30세 이상 여성 568명을 대상으로 설문조사를 실시하였다. 유방자가검진 실천율은 28.2%이었으며 한 달에 1번 이상 실천하는 사람은 9.7%로 나타났다. 유방자가검진 실천율은 연령, 배우자 유무, 교육 수준, 직업, 경제상태, 흡연, 규칙적인 운동, 만성 질환에서 유의한 차이가 있었는데, 연령별로는 40-49세가 가장 높았고 60세이상이 가장 낮았으며, 배우자가 있을수록, 교육수준이 높을수록 높았다. 직업은 사무 관리직에서 57.1%로 가장 높았으며, 경제상태가 높을수록, 흡연을 하지 않는 경우, 규칙적 운동을 하는 경우, 만성질환에 이환되어 있지 않는 경우, 유방암 가족력이 있는 경우에서 유방자가검진 실천율이 높게 나타났다. 유방자가검진 실천 동기는 건강상의 이유로 스스로 결정한다가 가장 많았으며, 대중매체의 영향, 보건소 홍보 순으로 나타났다. 유방자가검진 미실천 이유에서는 필요성을 못 느껴서가 가장 많았으며, 어떻게 하는지 몰라서, 검사자체를 몰라서 순으로 나타났다. 유방자가검진 여부를 종속변수로 한 다중로지스틱 회귀분석 결과 60세 이상 연령, 교육 수준이 낮을수록, 유방조영술을 시행하지 않는 경우가 유방자가검진 실천율이 낮게 나타났다. 결론적으로 연령이 높고 교육수준이 낮은 농촌 지역의 유방자가검진 실천율과 주기적 검진 실천율은 각각 28.2%와 9.7%로 매우 낮았다. 따라서 보건소를 통한 바람직한 유방자가검진 방법의 홍보 및 보건교육의 강화가 시급하다. 대중매체의 발달로 대중매체를 활용한 홍보 및 보건교육을 실시함으로써 효과를 높일 수 있으며 유방자가검진 교실을 활성화하는 동시에 교육시 대상자가 실제로 실습을 할 수 있도록 함으로써 효과를 높일 수 있을 것이다. 이러한 노력들을 통해서 유방자가검진 실천율을 향상시킨다면 농촌지역 여성들의 건강증진 및 삶의 질 향상에 기여할 수 있으리라 생각한다.

• 한국산학기술학회논문지
• /
• 제15권10호
• /
• pp.6250-6257
• /
• 2014

본 연구의 목적은 중년여성의 건강관련 특성을 비교해 보고, 건강관련 노후준비에 영향을 미치는 요인을 규명하려는 것이다. 연구대상은 대구광역시 4개 지역의 문화센터를 이용하는 40세 이상부터 64세 미만 여성 중 391명을 대상으로, 2011년 3월 1일부터 3월 25일까지 설문조사하였다. 수집된 자료는 IBM SPSS Statistics 20을 이용하여, 기술통계와 로지스틱 회귀분석을 하였다. 연구결과, 노후건강을 대비해서 노력하고 있는 여성은 215명(55%)으로 건강관련 특성에서 전반적으로 분포의 차이가 있었다. 건강관련 노후준비에 미치는 변인들로 현재의 운동 여부(비차비: 4.990), 다양한 식품섭취(비차비: 3.563), 적정수면(비차비: 2.021) 등이었다. 중년여성을 위한 건강관리 교육프로그램과 환경조성이 연구결과처럼 다양하게 제공되어야 함을 시사한다.

• 대한방사선기술학회지:방사선기술과학
• /
• 제8권2호
• /
• pp.21-28
• /
• 1985

We serveyed the actual condition of business of the departments of radiology of 45 health conters (except 3) in the area of Seoul, Kyungki and Inchon from March, 1984 to November, 1984. The results are summarized as follows : 1. T.O. of the radiologic technologist is three persons in each health center of Seoul area, and one person in each one of Kyungki and Inchon area. P.O. is 2-5 persons in Seoul area, 1-2 persons in Kyungki or Inchon area. 2. The number of all the radiologic technologists employed now is 75 persons, and among all of them, when analized by position class 7th is 54.7%, class 8th 28.0%, class 9th is 13.3%, and class 6th is 2.7%, and by sex, female is 68.0%, male is 32.0%, by educational background, for the most part, junior college graduates come to 73.3%, by age group 60% of them is in their twenties, 16.0% is in their thirties and forties, 8.0% is in their fifties, and by career after certificate 60% have the career of 1-5 years, 13.3% have the one of 6-7 years or mor than 21 years, and 6.7% have the one of 11-15 years of 16-20 years. 3. All the diagnostic x-ray equipment being kept is 62, and among them flxing equipment is 71.0%, portable equipment is 29.0% and by rating of X-ray equipment, maximum tube current 100 mA is 46.8%, maximum KV 100KVP is 72.6%, the most part. 4. Photofluorographic camera and hood are equipped in every health center. While, as to the radiographic cassettes, $14{\times}14"$ cassetts are equipped in every health center, but cassettes of other sizes are in half of them. 5. Bucky's table is equipped in 11.9% health centers, the automatic processor is in 21.4%, the photofluorographic film changer is 9.5%, the grid is 73.8%, the protective apron is in 88.1%, and the protective glove is in 57.1% health centers. 6. The number of the people who got the x-ray examination for one year (by the year 1989) is the most, 1,000-6,000 in direct radiography of the chest, or 15,0001-45,000 in the health centers of Seoul area, 5,000-20,000 in Kyungki and Inchon area in photofluorography of the chest. Moreover, other radiographies are being taken extremely limitedly in all health centers. 7. In processing types of x-ray film, automatic processing is used in 9 health centers (21.4%), manual tank processing is in 30 (71.4%), and manual tray processing in 3 (7.2%). 8. As for collimation of x-ray exposure field, "continual using restricted by a subject size" has the most part, 78.6% "restricted using at every radiography" has 19%, and the case of "never considered" has 2.4% response. 9. As for the dosimeter used for radiation control, film badge (35.7%) and pocket dosimeter (26.2%) are used, and in 38.1% health centers the dosimeter is not equipped at all. Consideration of the previous radiation exposure is being done in only one health center. 10. Reading of radiographs is mainly depended on the radiologists electively (45.2%) or on the genral practitioners(45.2%).