• Title/Summary/Keyword: Health Impact

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The impact of Health Risk Perception on Health Risk Behavior in Middle and High School Students (중고등학생의 건강위험지각이 건강위험행위에 미치는 영향)

  • Kim, Mi-Jung
    • Journal of the Korean Society of School Health
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    • v.12 no.1
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    • pp.45-56
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    • 1999
  • Adolescence is vulnerable to various Health Risk Behaviors (HRB). These behaviors can affect his remaining life as well as adolescence, thus prevention of HRB is a critical issue in health education. This study is aimed to provide basic information for prevention of HRB. Thus, this study was conducted to analyze the impact of peer group's health risk behaviors on health risk perception (HRP) and that of health risk perception on health risk behaviors based on 832 respondents. The 852 subjects were selected in six middle and high schools in Seoul through random sampling. Data were collected from September, 18-October, 21, 1998, and the 832 data were analyzed after excluding the 20 incomplete and inaccurate data. Questionnaire items and measures are based on an instrument to measure Perceived Health Risk Perception, which Hodge B.C. developed in 1992. Cronbach alpha is used to test the reliability. The reliability of HRP and HRB is 0.9473, 0.8768 in this study, Statistical analysis divided into four phases. First, the impact of socio-demographic characteristics on HRP is analyzed by oneway ANOV A. Male students have lower HRP than female students. As grade goes up, HRP is getting lower. Perceived higher concern of parents and HRP are correlated. And the experience of school health education and HRP are correlated. Second, the impact of peer group's HRB on the HRP is analyzed by linear regression. Peer group's HRB and HRP are negatively correlated, Third, the impact of HRP on HRB is analyzed by linear regression. There is a correlation between high HRP and low HRB. Fourth, Powerful impact factors on HRB are analyzed by stepwise multiple regression. Grade, gender, peer group's HRB, and related HRP is entered as independent variables. Because of correlation between entered variables, three interaction variables between grade, gender, peer group's HRB and related HRP also entered, In general, peer group's HRB is the most accountable factor to HRB. And Interaction variable between HRP and peer group's HRB and HRB are negatively correlated. These results indicate that HRP may reduce the impact of peer group's HRB on HRB. Some recommendations are as follows: First, health educational programs suitable for gender and grade are required. Second, a systematic cooperation between school and home is necessary for effective prevention of HRB. Third, the educational effect for decreasing HRB by increasing HRP is statistically assisted. However, peer group has much stronger impact on HRB than subjective HRP, thus special consideration and management are necessary for peer group which does HRB more frequently.

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Introduction Scheme of Health Impact Assessment in Korea (한국에서의 건강영향평가 도입 방안)

  • Kim, Im-Soon;Han, Young-Han;Han, Sang-Wook
    • Journal of Environmental Impact Assessment
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    • v.16 no.6
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    • pp.511-524
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    • 2007
  • Korea has 30 years of experiences in environmental impact assessment (EIA). Although EIA includes sanitation-public health factor, considering health impacts, among 74 unit projects of 17 sections, health impacts haven't been properly considered or have been ignored in many cases. The increasing awareness on the importance of health impacts has triggered this study to seek an optimal introduction scheme of health impact assessment (HIA). The processes of EIA already include screening, scoping, analysis, impact assessment, consultation, document review, decision making and monitoring, in which they would be the essential parts of HIA. In this context, integrating HIA into the existing EIA process could be the most effective way to use the benefits in both legal and procedural processes existed and to avoid the confusion and overlapping since the close relationships between environment and health impacts might be. Furthermore, it is desirable that the existing sanitation-public health factor should be substituted by and extended to environment-health factor with sufficient determinants to properly consider health impacts. When considering the first step of HIA, the prospective and qualitative approach is suitable more than the retrospective and quantitative one due to the lack of database accumulated. Similarly, an approach based on epidemiology and toxicology could analyze the limited evidences and impacts related to human disease, whereas one based on socio-science and psychology could provide the effective means available for predicting how the people and community will act by the change of surroundings. Checklist approach with various and comprehensive health determinants focused on prospective and qualitative methods will be very useful for more convenient and progressive dissemination of HIA. Various checklist approaches of toolkits could be found from HIA documents elsewhere, for example Westminster Toolkit, and they would be helpful to figure out how to develop common procedures and health determinants for checklist, in which the unique characteristics on korean cultural and political context compared to abroad should be carefully considered since checklist would be the most basic and essential part of HIA. After the establishment of checklist and procedural processes, the pilot projects should be conducted. Main purpose of pilot projects is to apparently prove the effectiveness and profitability of HIA. Pilot projects should be implemented to decide the effectiveness and suitability of HIA for future projects, programs and policies, and should be provided as the positive cases that can be achieved through the proper implementation and progress.

The Impact of Oral Health Impact Profile(OHIP-14) of Subjectively Reported Oral Status in the Elderly (일부지역 노인종합복지관 노인들의 주관적 구강상태와 구강건강영향지수(OHIP-14)와의 관련성)

  • Kim, Eun-Hee;Park, Min-Kyoung;Ku, In-Young;Moon, Seon-Jeong;Kim, Seung-Hyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4349-4358
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    • 2013
  • This study aimed to examine the relation between subjective oral hygiene status of the elderly and oral health impact profile and to present it as basic data for the improvement of quality of life and oral care. The study subjects were 231 elderly people aged 65 and over. This study measured the oral health behavior and subjective oral hygiene status based on cross analysis by calculating the median of OHIP-14 to divide the above-median group into a subgroup and the below-median group into a superordinate group. Correlation and regression analyses were performed to examine the effects on the oral health impact profile. The oral health impact profile according to oral health behaviors was not significant. The oral health impact profile based on the subjective oral hygiene states is currently affected by oral hygiene status, masticatory problems, toothache, xerostomia and halitosis. As a result of regression analysis to confirm the effect on the oral health impact profile, much experience of masticatory problems, toothache, xerostomia and gum diseases is the most influential. This shows that the subjective oral hygiene status is not healthy as the oral health impact profile is high. It is considered necessary to establish an oral health promotion program to improve the quality of life of the elderly and active oral care methods in the future.

A Case Study on the Evaluation of Environmental Health Status Focused on Multiple Impact and Environmental Justice (다중 영향 및 환경정의를 고려한 지역 환경보건수준 평가 사례연구)

  • Park, Choong-hee;Han, Hye-ji;Lee, Young-mee;Yoo, Si-eun;Jung, Da-young;Chu, Yeon-hee
    • Journal of Environmental Health Sciences
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    • v.46 no.1
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    • pp.22-34
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    • 2020
  • Objectives: Based on the concept of environmental justice, we developed an evaluation model for setting and adopting the direction of environmental health policy using environmental health indicators and statistics from the local governments of Seoul, including environmentally susceptible populations. Methods: We selected a total of 20 variables based on data officially released from national and local governments. After the classification of these variables into the five components of environmental pressure, environmental status, environmental disease, sensitive population, and socioeconomic status, a basic model was constructed to calculate the relative scores of the local governments. Results: The cumulative impact scores for assessment of environmental health status were similar to those of the environmental pressure and status components. The highest five cumulative impact scores fell between 114 and 147. Local government A reported the highest scores and had high environmental pressure, environmental status and socioeconomic status. In addition, the evaluation of the other four local governments indicated that they exhibited above average scores for environmental pressure and environmental status, two did so for environmental disease, and four for sensitive population. Conclusion: We constructed a model to evaluate the environmental health status of the local governments of Seoul based on cumulative impact scores under the concept of environmental justice. As an approach for studying environmentally vulnerable areas through relative ranking, this model was feasible for policy-setting. In addition, this approach would be an analytically useful tool for decision-makers.

Environmental Impact Assessment Using Vegetation Index (식생지수를 이용한 환경영향평가)

  • Han, Eui-Jung;Kim, Myung-Jin;Lee, Jae-Woon;Kim, Sang-Hun;Hong, Jun-Suk;Sea, Chang-Wan
    • Journal of Environmental Impact Assessment
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    • v.6 no.1
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    • pp.47-54
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    • 1997
  • Vegetation Index(VI) derived from remote sensing data is used to assess ecosystem factor in Environmental Impact Assessment(EIA) process. Ecosystem factor has been prepared by Degree of Green Naturality(DGN) mainly in Environmental Impact Statements. But DGN has room for improvement of assessing actual ecosystem situation. The objectives of this study are to define the relationship between field measure DGN and VI, and to develop methodologies to use VI for assessing the status and conditions of natural ecosystem. For verification of DGN and VI, 35 sites using global positioning system are selected and reviewed. Correlation coefficients of DGN and VI shows highly as 0.69. Also VI in EIA found it can be applied to assess ecosystem. It concluded that VI as well as DGN can be applied to assess ecosystem newly and largescale.

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Environmental Assessment Index Development (환경평가지표의 개발)

  • Choi, D.I.;Chang, C.K.;Kim, M.J.;Lee, J.W.
    • Journal of Environmental Impact Assessment
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    • v.1 no.1
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    • pp.31-40
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    • 1992
  • As the environmental concerns in Korea have shifted gradually from the environmental pollutions to the quality of life (QOL) enhancement, it has become increasingly important to implement comprehensive assessment of environmental quality as possible. This is the major reason to develop Environmental Assessment Index. This study focuses on indices development of factors in Environmental Impact Statement Preparation Regulation. Environment in this regulation is composed of natural environment, life environment and socio-economic environment, and it is composed of 22 factors. EAI(Environmental Assessment Index)studied in this research is integrated by 16 factors. It will contribute to public participation in Environmental Impact Assessment process and environmental policy.

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A Study on Family Caregivers' Burden of the Elderly with Dementia (가정내 치매노인간호자부담에 관한 조사연구)

  • Moon Hae Ree
    • Journal of Korean Public Health Nursing
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    • v.6 no.2
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    • pp.108-132
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    • 1992
  • The purpose of this study· is to identify sources of the caregiving burden, thereby suggesting social welfare alternetives for supporting family caregivers of the elderly with dementia. 23 family caregivers who participated in self-help group of family caregivers of dementia elderly at a welfare facility for the elderly in Seoul were seleted as the study sample. Zarit caregiving burden scale and Zarit functional impairment measurement for the elderly were adapted for this study and a number of additional variables were included in this study. Correlational analysis was utilized. The results of the study were summarized as follows : 1) The impairment of activities of daily living of the elderly was significantly related to the negative elderly. caregiver-family relationship(PADL:r=.6032 IADL : r=.5930 p<.05). 2) The impact on caregiver's health was very significantly related to the impact on the caregiver's task(r=.6233 p<.001). 3) The Impact on caregiver's health was very significantly related to the impact on the caregiver's social activity restriction(r=.6851 p<.001). 4) The impact on the caregiver's social activity was very significantly related to the impact on the caregiver's task(r=.6969 p<.001). 5) Caregiver's income was significantly related to the impact on the caregiver's task(r=.5252 p<.05). 6) Compensation(interpersonal relationship between the elderly and the caregivers, social praise and appreciation of the elderly) was important variables which affect to the feeling of the caregiving burden.

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Development of Act and Regulation in Environmental Impact Assessment (환경영향평가 제도변천)

  • Han, Eui-Jung;Kang, In-Goo;Mun, Hyun-Saing;Bang, Kyu-Chul;Jeong, Dong-Hwan
    • Journal of Environmental Impact Assessment
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    • v.3 no.2
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    • pp.85-92
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    • 1994
  • EIA has been developed as a tool for environmental protection into promulgation of the Environment Preservation Act in 1977, with the introduction of EIA concept in the Pollution Control Act amended in 1971. EIA system has been improved with the enlargement of project type, public participation, guiderline improvement, and amendment of Act and presidential decree. Also, this system has been developed to reduce adverse effects affecting environment and human beings for environmentally sound and sustainable development. This study is to analyze contents of Acts and regulations relative to Environmental Impact Assessment from 1971 to recently.

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Real-time Impact Evaluation of a Capacity-Building Health Project in Lao PDR

  • LEE, KYE WOO;KIM, TAEJONG
    • KDI Journal of Economic Policy
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    • v.37 no.4
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    • pp.75-88
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    • 2015
  • This study presents a real-time impact evaluation of a human capacity-building health project in Laos, financed by a Korean aid agency and executed jointly by Laotian and Korean higher educational agencies. The project aims to improve the health status of Laotians by enhancing practicing doctors' clinical performance capacity, to be attained by advancing academic achievement at the University of Health Sciences (UHS) in Laos. Therefore, this real-time impact evaluation adopted the difference-in-differences regression analysis method, showing that the project improved the academic achievement of the UHS students who were taught by the project fellowship awardees more, compared to the UHS students who were taught by non-fellowship faculty members. It remains to be evaluated whether these UHS students taught by the project fellowship recipients would also perform better clinically in public hospitals in the future.

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Impact Factors of Korean Women's Cesarean Section according to Ecological Approach (한국여성의 제왕절개술 영향요인에 관한 생태학적 접근)

  • Kim, Hyun-Kyoung
    • Women's Health Nursing
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    • v.17 no.2
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    • pp.109-117
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    • 2011
  • Purpose: This study examined the impact factors of cesarean section based on the ecological approach in Korea. Methods: Population-based data (Korea Institute for Health and Social Affairs) were used from 2,849 delivery cases during 2003~2009. Data were analyzed using geographic statistics with STATA 10.0 and hierarchical logistic regression with SPSS/WIN 12.0. Results: The range of cesarean section rate was 28.8~44.7% with geographic distribution. The proportion of mother's problem was increasing in choice of cesarean section. According to the ecological model, age of mother (OR=1.08), time of birth (OR=0.79), delivery in hospital (OR=1.83), delivery in clinic (OR=1.46), and education of mother (OR=2.61) had significant impact on cesarean section. Conclusion: This study contributes to provide the impact factors of the high cesarean rate in Korea ecologically. Policy maker and health care provider can consider these results to reduce cesarean section rate.