• Korean Journal of Health Education and Promotion
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• 제2권1호
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• pp.1-19
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• 2000

With rapid economic development, the emphasis of the public health movement in Korea has shifted towards addressing the burden of chronic disease. With this shift in direction comes a greater focus on health behaviour and the need for planning models to assist in lifestyle modification programs. The Health Belief Model (HBM), which originated in the US, has generated more research than any other theoretical approach to describe and predict the health behaviour of individuals. In recent years it has been applied in many different cultures and modifications have been suggested to accommodate different cultures. Given the centrality of language and culture, any attempts to use models of health behaviour developed in a different culture, must be studied and tested for local applicability. The paper reviews the applicability and suitability of the HBM in Korea, in the context of the Korean language and culture. The HBM has been used in Korea for almost three decades. The predictability of the HBM has varied in Korean studies as in other cultures. Overall, this literature review indicates that the HBM has been found applicable in predicting health and illness behaviours by Korean people. However if the HBM is used in a Korean context, the acquisition of health knowledge is an important consideration. Most new knowledge in the health sciences is originally published in English and less frequently in another foreign language. Most health knowledge in Korea is acquired through the media or from health professionals and its acquisition often involves translation from the original. The selection of articles for translation and the accuracy of translation into language acceptable in the Korean culture become important determinants of health knowledge. As such translation becomes an important part of the context of the HBM. In this paper modifications to the HBM are suggested to accommodate the issues of language and knowledge in Korea.

• 보건교육건강증진학회지
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• 제18권3호
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• pp.89-102
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• 2001

Background: Many chronic diseases are associated with the lifestyle such as smoking, alcohol drinking and exercise. Attention is increasingly paid on the effect of exercise for the management of chronic disease these days. Objective: The purpose of this study was to evaluate the status of the smoking habit, alcohol drinking and physical exercise of the patients with chronic diseases. Methods: Total 793 persons(normal:422, chronic disease patients:371) in a hospital were questioned regarding the habits of smoking and alcohol drinking, and a practice of physical exercise in 1999. The patients with chronic illness were divided into three groups(Group I included the patients of hypertension and diabetes mellitus. Group II includes respiratory disease and cancer. Group III included liver disease). The rate of exercise, the rate of smoking cessation and the rate of abstinence were assessed. In logistic regression analysis with each independent variables in each disease groups (I, II and III, odds ratio for the presence of disease was controlled for age and education. Results: The rate of exercise, the rate of smoking cessation and the rate of abstinence was 31.5%, 27.3% and 9.5% in the patients with chronic disease, respectively. In control group, those were 31.5%, 21% and 2.1%, respectively. In logistic regression analysis with exercise as independent variable, odds ratios(95% CI for age and education were significantly high, with smoking cessation, odds ratio for age was high and with abstinence, odds ratio for disease with high in all disease groups. Conclusion: It was suggested that an effort for proper changes of lifestyle related to disease such as smoking, alcohol drinking and exercise should be intervened in the patients with chronic diseases.

• 대한물리치료과학회지
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• 제13권3호
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• pp.55-64
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• 2006

Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors on physical activity & health-related quality of life outcomes in older adults. The physical activity promotion program guided participants to choose activities that took into account their health, preferences, and abilities. It offered information on ways for them to exercise safely, motivate themselves, overcome barriers, and develop a balanced exercise regimen. A six-month comparison-group trial was conducted with older adults in community senior center. Changes in self-reported physical activity & health-related quality of life(SF-36) by group & within group were evaluated using t-test. Of 30 subjects, 22(73%) completed the trial. Subjects were aged 63 to 75 years(mean=$68.36{\pm}4.02$); 86% were female. The intervention group increased estimated caloric expenditure by 1975 calories/week in moderate intensity activities(MET${\geq}3.0$; p=.008), and by 2312 calories/week in physical activities of any intensity(p=.005). Between-group analyses showed that the changes were significantly different in both measures(p=0.17; p=032). The intervention group also significantly better scores on general health perception(p=.031) & vitality(p=.002). Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

• 보건교육건강증진학회지
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• 제28권1호
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• pp.93-101
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• 2011

Objectives: The aim of this study was to investigate the prevalence of metabolically obese, normal-weight (MONW) phenotype and the association between lifestyle factors and the risk of MONW in Korean adolescents. Methods: Normal-weight (BMI, 5th to 85th percentile) subjects with ${\geq}1$ metabolic abnormalities were categorized as MONW phenotype. Data from adolescents aged 12 to 18 years who have participated in the Korean National Health and Nutrition Examination Survey in 1998 (n=751) and 2008 (n=455) were analyzed. Physical activity and dietary intakes were assessed. Results: The prevalence of hypertension and hyperglycemia in 2008 decreased compared with that in 1998 (P<0.001) but the prevalence of abdominal obesity, hypertriglyceridemia and low HDL did not changed. The overall prevalence of MONW in Korean adolescents declined over 10 years (P<0.001). Adolescent boys and girls engaging regular exercise significantly increased over 10 years (P<0.01). Physically active adolescents had a lower risk of being MONW in 1998. Dietary intake patterns were not associated with a risk of MONW. Conclusions: The prevalence of MONW among Korean adolescents declined over 10 years which may be due to the decreased prevalence of hypertension and hyperglycemia. The risk of MONW would be lower in individuals who are physically active.

• 보건교육건강증진학회지
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• 제33권1호
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• pp.33-40
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• 2016

Objectives: The study aimed to determine the prevalence of and the relationship between stress and musculoskeletal symptoms among undergraduate students. Methods: The convenience sampling method was used for this cross-sectional survey that was conducted from June 16, 2014 to June 21, 2014. A total of 223 subjects (88 men, 135 women) participated in the study and completed a comprehensive self-administered questionnaire requesting information on demographics, medical history, lifestyle, and musculoskeletal symptoms. The Depression Anxiety Stress Scale (DASS) was also administered to the subjects. A total of 223 subjects from 12 universities completed the questionnaires; the data obtained was used for the final statistical analysis. Results: Women had a higher prevalence of stress and musculoskeletal symptoms. Adjusting for sex and age, subjects who were stressed had a 2.85-fold higher risk of musculoskeletal symptoms than subjects who were not stressed. Stratified analyses by sex also showed that women had a higher risk of musculoskeletal symptoms (Modified OR 2.98, 95% CI 1.38-6.45). Conclusions: We found a positive association between stress and musculoskeletal symptoms in undergraduate students; sex differences were present. Further dose-response relationship between stress and musculoskeletal symptoms will be identified by a longitudinal study with a larger sample size.

• 지역사회간호학회지
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• 제32권3호
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• pp.404-414
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• 2021

Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

• 보건의료생명과학 논문지
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• 제10권1호
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• pp.119-127
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• 2022

본 연구는 농촌지역 거주자의 주관적 건강수준에 영향을 미치는 요인을 파악하고자 수행되었으며, 2019년 지역사회건강조사자료를 기반으로 농촌지역을 무작위로 선정한 후 분석하였다. 주관적 건강수준에 영향을 미치는 요인을 분석한 결과 생물학적요인으로는 연령, 질병력, 성별이, 환경요인으로는 교육수준, 소득수준이, 생활습관요인은 운동, 음주, 수면시간. 흡연, 주관적 스트레스가 그리고 보건의료요인으로는 예방접종, 보건기관이용경험 및 연간 미충족의료경험이 통계적으로 유의하게 나타났다. 생물학적요인의 설명력이 가장 높았고, 생활습관요인이 가장 낮았는데, 특히 흡연, 음주를 하는 경우, 예방접종, 보건기관이용경험이 없는 경우 주관적 건강수준이 높아 건강증진사업을 통해 개선해야 할 부분으로 보인다.

• 대한예방한의학회지
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• 제24권1호
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• pp.15-25
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• 2020

Objective : The purpose of this study was to analyze the frequency and contents of each 'Yangseng(養生)' category appeared in 『The Annals of Joseon Dynasty』, based on the Yangseng-related terms used in the records. Method : We selected 11 terms with the same meaning as 'Yangseng(養生)' and searched each of them on the website of the Annals of Joseon Dynasty online search service. Among the total of 679 records, 343 were classified into five categories: 'Mind Yangseng(精神養生)', 'Food Yangseng(飮食養生)', 'Doin-angyo(導引按蹻)', 'Lifestyle Yangseng(生活養生)', and 'Herb Yangseng(藥草養生)'. The contents and characteristics of each Yangseng category appeared in the 『The Annals of Joseon Dynasty』 were studied. Results : The term 'Jo-seop(調攝)' was most frequently used in the same meaning as Yangseng(養生), followed by 'Jo-ri(調理)', 'Jo-ho(調護)', 'Jo-yang(調養)', and 'Seop-yang(攝養)'. The frequency of records categorized into specific Yangseng methods(養生法) was in the order of 'Lifestyle Yangseng', 'Mind Yangseng', 'Food Yangseng', 'Herb Yangseng' and 'Doin-angyo(導引按蹻)'. The contents of 'Mind Yangseng' included 'control of emotions and thoughts', 'control of self-interest', 'emphasis on the cultivation of mind', and 'avoidance of stress'. The contents of 'Food Yangseng' were related to the amount of food intake and types of food. The contents of 'Lifestyle Yangseng' were related to 'work-rest balance(勞逸)', 'seasons(季節)', 'residence(居處)', 'bath(沐浴)', 'sexual life', 'sleep', and 'clothing'. The frequency of 'work-rest balance(勞逸)' was among the highest. Conclusion : Emphasis on mental health and work-rest balance appeared in 『The Annals of the Joseon Dynasty』 can have significant implications on people of today.

• 지역사회간호학회지
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• 제18권4호
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• pp.562-571
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• 2007

Purpose: The purpose of this study was to develop a health education program on the health promoting behavior and self-efficacy in university students and evaluate its effects. Method: A nonequivalent control group pretest-posttest design was used. The subjects were 148 students [experimental(N=80) and control(N=68) groups] from a university in J City. The experimental group members participated in thirteen sessions of a health education program for fifteen weeks and the degree of their health promoting behavior and self efficacy was evaluated. The instruments for this study were the health promoting lifestyle profile developed by Walker et al.(1987) and self-efficacy scale developed by Sherer & Maddux(1982). Data were analyzed by descriptive statistics, Chi-square tests, t-tests, and paired t-test using SPSS 10.0. Result: The experimental group had a significantly higher health promoting behavior score(F=10.389, p=.002) than the control group, while no significant difference was found in the self-efficacy score(F=.481. p=.489). Conclusion: The results suggest that the health education program can be utilized as an effective program to promote health promoting behavior in university students.

• 한국학교보건학회지
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• 제28권3호
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• pp.220-228
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• 2015

Purpose: The purpose of this study is to investigate changes in health promoting life style and weight control behavior among nursing students during their two years of college, and to identify the relationship between the changes and their perceived health status. Methods: The subjects were 264 female students in a three-year nursing college in Seoul, Korea. Data was analyzed by paired t-test, Wilcoxon signed-rank test, and multiple logistic regression using SPSS ver.21. Results: Of the six sub-categories regarding health promoting life style, five except spiritual growth showed improvement after two years, but their perceived health status did not change significantly. The number of students who engaged in weight control behavior increased, but there was no change in the number of students who engaged both in weight control and in diet. The group which recorded high scores in perceived mental health status showed 1.2 times greater positive changes in health promoting lifestyle (OR=1.202, p=.023). Conclusion: The results showed although health promoting behavior changed positively throughout the nursing curriculum, physical activities were still low and few students used constructive methods to control their weight. Therefore, it is recommended that nursing colleges build specific programs into their curriculum to correct students' undesirable health promoting behavior.