• 문화기술의 융합
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• 제8권6호
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• pp.59-65
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• 2022

최근에 신중년이라 불리는 1955년에서 1974년 사이에 태어난 베이비붐 세대는 거대 인구 집단을 형성하며 이전의 전통적 노인 세대와는 다른 특성을 보이고 있다. 전체 국가 인구의 33%를 차지하는 이들의 은퇴가 본격화되면서 신세대 노인인구집단의 등장과 이에 따른 정책변화가 요구되고 있다. 오팔세대라고 불리기도 하는 신중년층은 평균수명의 증가로 늘어난 노년기를 생산적이고 자율적으로 보내고 싶어 하며 노후에 해외여행을 즐기는 등 어느 정도 경제적 능력도 지니고 있지만, 다른 한편 여가·취미활동, 대인관계 등 활동적 노년에 대한 준비가 미흡해서 신세대로서의 신중년층을 위한 정책적 관심이 요구되고 있다. 본 논문에서는 베이비붐 세대를 중심으로 오팔세대의 정의, 그들의 소비생활을 비롯한 태도, 사회활동, 여가활동, 건강에 대한 노력 등의 라이프스타일에 대해 알아보고, 오팔세대에 맞는 고용창출, 사회적 재교육, 지역의료시설 구축, 여가문화 생활을 위한 사회적 배려 등 노후준비에 대해 실천적 방안을 제시하고자 한다.

• 한국학교보건학회지
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• 제32권3호
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• pp.165-174
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• 2019

Purpose: The purpose of this study was to identify the influence of eHealth literacy on health promoting behaviors, thereby providing basic data for the development of interventions for health promoting behaviors among university students. Methods: Data were collected from 242 university students aged 19 and over in a university located in K province in South Korea. Participants responded to structured questionnaires in September 2018. eHealth literacy and health promoting behaviors were measured by eHealth Litaracy (EHL) and a translated version of the Health Promoting Lifestyle Profile (HPLP-II), respectively. The correlation between eHealth literacy and health promoting behaviors were analyzed using Pearson's correlation, and multiple regression analysis was carried out to examine the influence of eHealth literacy on health promoting behaviors. Results: The participants had a moderate level of eHealth literacy with the greatest score recorded in the sub-domain of functional eHealth literacy and the lowest in the sub-domain of critical eHealth literacy. Female students and students who majored in healthcare had higher levels of eHealth literacy than male students and those with non-healthcare majors. The degree of health promoting behaviors was moderate or lower with the highest score being in the sub-domain of interpersonal support and the lowest in the sub-domain of health responsibility. Health promoting behaviors had significant relationships with eHealth literacy, exercise hours, subjective health status, and health concerns. Multiple regression analyses revealed that the participants engaged more in health promoting behaviors when they had greater eHealth literacy (β=.18, p<.001), interest in their own health (β=.33, p<.001), exercise hours (β=.18~.23, p<.001), and subjective health status (β=.17~.18, p=.007~.031). Conclusion: In order to facilitate health promoting behaviors of university students, interventions for health promoting behaviors need to be developed including strategies to improve competencies relevant to critical eHealth literacy and to increase exercise hours.

• 지역사회간호학회지
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• 제5권1호
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• pp.81-96
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• 1994

The primary purpose of this study was to identify factors affecting health promoting lifestyles of college students on the basis of Pender's Health Promotion Model. The subjects were 1,159 students of one university in Seoul. These data were collected by self reporting questionnaire from April 19 to May 3, 1993. This study examined health promoting lifestyles, cognitive-percep-tual factors: perceived health status, perceived importance of health, health locus of control, and health conception, and modifying factors: sex, grade, major, residence type, and attendance at a health care course. The instruments used in this study were Health Promoting Lifestyle Profile by Walker et al. (1987), Health Value Scale by Wallston et al. (1976), Health Locus of Control by Wallston et al. (1978), and Health Conception Scale by Laffrey(1986). The data were analyzed by Cronbach's $\alpha$, mean, standard deviation, percentage, t-test, ANOVA, Pearson's Correlation Coefficient, and Stepwise Multiple Regression with SPSS PC+ Program. The results were as follows : 1. The means of health promoting lifestyles revealed total 3.33, self actualization 3.74, health responsibility 2.72, exercise 2.80, nutrition 3.55, interpersonal surpport 3.76, and stress management 2.96. Interpersonal support showed the highest score and health responsibility showed the lowest score. 2. No significant differences between sex, grade, major, and residence type, and health promoting lifestyles Were founded(p>.05). Attendants at a health care course showed a significant higher score than nonattendants (p<.001). Male showed a significant higher score in exercise subscale, female showed significant higher scores in health responsibility, nutrition, interpersonal support, stress management subscales(p<.001), residence type showed a significant difference in nutrition subscale(p<.001). 3. No significant differences between perceived health status and sex, grade, major, residence type, and attendance at a health care course were founded(p>.05). Perceived importance of health showed no differences among sex, grade, major, and residence type(p>.05), showed only in attendance at a health care course (p<.001). Attendants at a health care course showed a significant higher score than nonattendants(p<.001). No significant differences between health conception and sex, grade, major, and residence type were founded (p>.05), only significant difference between health conception and attendance at a health care course was founded(p<.05). Nonattendants showed a significant higher score in clinical health conception, attendants showed a significant higher score in wellbeing health conception(p<.05). 4. A significant positive correlation between health promoting lifestyles and perceived health status was founded(r=.2415, p<.001). A significant positive correlation between health promoting lifestyles and perceived importance of health was founded (r=.1475, p<.001). The health promoting lifestyles revealed significant positive correlations in internal and powerful others locus of control (r=.3187, p<.001: r=.1475, p<.001), but revealed a significant negative correlation in chance locus of control(r=-.997, p<.001). A significant positive correlation between health promoting lifestyles and clinical health conception and wellbeing health conception were founded (r=.1241, p<.001 : r=.3047, p<.001). 5. Perceived health status was the highest factor predicting health promoting lifestyles of college students(R=.3415, $R^2=11.62$). Perceived health' status, perceived improtance of health, internal locus of control, wellbeing health conception, powerful others locus of control accounted for 28.19% in health promoting lifestyle patterns. In conclusion, college students who reported more helath promoting lifestyles evaluated their health positively, perceived importance of health highly, perceived their health as affected by theirselves, powerful others but not by chance or luck, and accepted health as high level wellness rather than merely the absence of illness. Those who attending at a health care course had healthier lifestyle patterns. And attendance at a health care course had significant. correlations in these cognitive-perceptual factors. Further studies are required to identify reasons of attending a health care course, and to compare health promoting lifestyles pre-post attending a course related to health care.

• Korean Journal of Health Education and Promotion
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• 제2권1호
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• pp.31-61
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• 2000

Introduction. Despite the fact that half of premature deaths are caused by unhealthy lifestyles such as smoking tobacco, sedentary lifestyle, alcohol and drug abuse and poor nutrition, there are no theoretical models which accurately explain these health promotion related behaviors. This study tests a new model of health behavior called the Model of Health Promotion Behavior. This model draws on elements and frameworks suggested by the Health Belief Model, Social Cognitive Theory, the Theory of Planned Action and the Health Promotion Model. This model is intended as a general model of behavior but this first test of the model uses amount of exercise as the outcome behavior. Design. This study utilized a cross sectional mail-out, mail-back survey design to determine the elements within the model that best explained intentions to exercise and those that best explained amount of exercise. A follow-up questionnaire was mailed to all respondents to the first questionnaire about 10 months after the initial survey. A pretest was conducted to refine the questionnaire and a pilot study to test the protocols and assumptions used to calculate the required sample size. Sample. The sample was drawn from 2000 eligible participants at two blue collar (utility company and part of a hospital) and two white collar (bank and pharmaceutical) companies located in Southeastern Michigan. Both white collar site had employee fitness centers and all four sites offered health promotion programs. In the first survey, 982 responses were received (49.1％) after two mailings to non-respondents and one additional mailing to secure answers to missing data, with 845 usable cases for the analyzing current intentions and 918 usable cases for the explaining of amount of current exercise analysis. In the follow-up survey, questionnaires were mailed to the 982 employees who responded to the initial survey. After one follow-up mailing to non-respondents, and one mailing to secure answers to missing data, 697 (71.0％) responses were received, with 627 (63.8％) usable cases to predict intentions and 673 (68.5％) usable cases to predict amount of exercise. Measures. The questionnaire in the initial survey had 15 scales and 134 items; these scales measured each of the variables in the model. Thirteen of the scales were drawn from the literature, all had Cronbach's alpha scores above .74 and all but three had scores above .80. The questionnaire in the second mailing had only 10 items, and measured only outcome variables. Analysis. The analysis included calculation of scale scores, Cronbach's alpha, zero order correlations, and factor analysis, ordinary least square analysis, hierarchical tests of interaction terms and path analysis, and comparisons of results based on a random split of the data and splits based on gender and employer site. The power of the regression analysis was .99 at the .01 significance level for the model as a whole. Results. Self efficacy and Non-Health Benefits emerged as the most powerful predictors of Intentions to exercise, together explaining approximately 19％ of the variance in future Intentions. Intentions, and the interaction of Intentions with Barriers, with Support of Friends, and with Self Efficacy were the most consistent predictors of amount of future exercise, together explaining 38％ of the variance. With the inclusion of Prior Exercise History the model explained 52％ of the variance in amount of exercise 10 months later. There were very few differences in the variables that emerged as important predictors of intentions or exercise in the different employer sites or between males and females. Discussion. This new model is viable in predicting intentions to exercise and amount of exercise, both in absolute terms and when compared to existing models.

• 보건교육건강증진학회지
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• 제16권2호
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• pp.157-171
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• 1999

This paper analyzed health practices of students in an university in Chollabukdo Province. It attempted to study how many university students had what kinds of health practices. Furthermore, it tried to find out what are the major problems in health practice among university students. To study health practices of university students, this study sampled 1,469 students randomly. Many of the students had poor practices of teeth care. In tooth-brushing, many students (35.8%) brushed their teeth before breakfast in the morning. Most of the students (95% or more) visit dental clinic only when they had problem(s) in their teeth. For weights, there exists a great gap between perception and BMI (Body Mass Index), especially among female students. Among the female students who perceived their weights were above average, 96.4% of them were normal according to BMI. Many of the students were drinking greater amount of alcohol than safe amount suggested by the National Health and Medical Research Council of Australia. The proportion of the students drinking harmful or hazardous amount of alcohol were 79.5% of the male students and 74.9% of the female students. It suggests that health promotion fund or tax need to be levied on alcohol to frustrate unhealthful drinking. More than half (59.0%) of the male students and about 6.0% of the female students were smoking cigarettes. The smoking initiation ages were 17.8 for male and 18.2 for female students. It means that many of the students started smoking in their junior high or high schools. It implies that smoking prevention and smoking cessation programs need to be emphasized in these schools. For perception on sex, 27.8% of the male students and 60.9% of the female students thought to keep their virginity before their marriage. The female students were more conservative in perception on sex. The average number of sexual intercourses per year of male students was 17.0 times with their lovers, 7.9 times with prostitutes, and 7.0 times with maids. The female students had sexual intercourses 5.0 times with their lovers and 4.0 times with waiters per year. The proportion of students who had experience of sexual intercourse with homosexual partners was 1.0%. The finding this study was that the university students were vulnerable to poor health practices. It is suggested that public health intervention program be provided for university students to keep them in good healthy lifestyle.

• 지역사회간호학회지
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• 제14권2호
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• pp.232-241
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• 2003

Purpose: To investigate the factors influencing health promoting behavior in college students and to provide a basic data for developing an effective health promotion program. Method: The subjects were 711 college students living in Jecheon city and were selected using a convenience sampling method. The instruments used in this study included the Health Promoting Lifestyle Profile developed by Walker et al.(987). Perceived Health Status developed by Lawston et al. (1982). Self-Esteem scale developed by Rosenberg(1965), Self-Efficacy scale developed by Becker et al. (1993), and Health Locus of Control developed by Wallston et a1.(1978). The data were analyzed by descriptive statistics, pearson correlation coefficient, and stepwise multiple regression using SPSS/WIN program. Results: I) The mean score of health promoting behavior was 2.39 point out of 4. In terms of sub-domains of health promoting behavior, self-actualization(2.78) showed the highest mean score, followed by interpersonal support(2.75), stress management(2.38), nutrition(2.11), exercise(2.04), and health responsibility (1.97). 2) The health promoting behavior had significantly positive correlations with self-efficacy, powerful others health locus of control, internal health locus of control, chance health locus of control, and perceived health status. 3) In the relationship between general characteristics and health promoting behavior, health promoting behavior was significantly different by gender(t=2.17, p=.03), and financial status of parents (F=10.79. p= .00). 4) The most powerful predictor of health promoting behavior was self-efficacy. A combination of self-efficacy, self-esteem, powerful others health locus of control, and sex accounted for 40.4% of the total variance in health promoting behavior. Conclusion: The findings of this study showed that health responsibility and exercise were the domains where the college student showed relatively lower scores than other domains, self-efficacy was the most important predictor of health promoting behavior. Therefore, it is suggested that health promoting programs should focus on health responsibility, and exercise. Nursing strategies that can enhance self-efficacy should also be developed in order to promote healthy lifestyles in college students.

• 동서간호학연구지
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• 제14권1호
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• pp.56-67
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• 2008

Purpose: This study was a descriptive survey study to examine the degrees of the health perception, health knowledge, and health promoting behavior in the elderly, and the relationship among the above factors. Methods: Subjects were 183 persons with the age over 65 years living in Seoul. Measures were Health Perception Questionnaire (HPQ) developed by Ware (1979), the health knowledge instrument developed by Ha Gwi-Yeom (2005), and the Health Promotion Lifestyle Profile (HPLP) developed by Walker, Sechrist & Pender (1987) and modified by Hong Young-Ae (2003). Data were collected from March 4 to April 12, 2007. Data were analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation using the SPSS program. Results: The mean level of health perception was 2.71(${\pm}0.77$), the mean level of health knowledge was 7.10(${\pm}1.82$), and the mean level of health promoting behavior $2.72{\pm}0.86$. Health promoting behavior showed a positive correlation with health perception (r=.715) and health knowledge (r=.543), and a positive relation was observed between health perception and health knowledge (r=.526). Conclusion: The enhancement of health perception and health knowledge are needed to improve health promoting behavior of the elderly. Also, the general characteristics of elderly should be considered to improve health promoting behavior of elderly.

• 여성건강간호학회지
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• 제7권3호
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• pp.293-304
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• 2001

The purpose of this study was to investigate the factors influencing health promoting lifestyles in college women thus providing the basic data necessary to establish a health promoting program. The subjects of this study were 274 college women, living in Seoul, Chung-Buk, and Kangwon, during the period from May 10 to July 15, 2000. The instruments for this study were the health promoting lifestyles scale developed by Bak, Insuk(1995), the self efficacy scale by Sherer et al. (1982), the social support scale by Su, Moonja(1988), the self-esteem scale by Rosenberg(1965) and the perceived health status scale by Lawton et al.(1982). The results of this study are as follows; 1. The average score for health promoting lifestyles was 2.45 on a 4 point scale. The health promoting lifestyles categories 'harmony relationships' (3.04) and 'sanitary life'(3.02) revealed higher scores, whereas scores for 'healthy diet' (2.32), 'exercise & activity' (2.14) and 'professional health management' (1.48) were lower. 2. The mean score for self-efficacy, social support, self esteem and perceived health status was 3.38 (on a 5 point scale), 2.88 (on a 4 point scale), 2.98(on a 4 point scale) and 3.08(on a 5 point scale) respectively. 3. Health promoting lifestyles showed significant positive correlation with self efficacy, social support, self esteem and perceived health status. 4. Stepwise multiple regression analysis revealed that the most powerful predictor of health promoting lifestyle was self efficacy. Self efficacy, social support, and perceived health status have significant effects on health promoting lifestyles. These predictive variables of health promoting lifestyles explained 25% of variance. Finally, the result of this study will provide important factors for the development of a nursing intervention program for the promotion of healthy lifestyles in college women.

• 대한예방한의학회지
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• 제5권2호
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• pp.8-28
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• 2001

This investigation grasps the level and relevant elements of performance of health promotional activities for the elderly in Korea. It provides fundamental data on health promoting projects targeting the elderly population from farming villages. Hence, this study gropes for an effective approach and measures of health promoting programs. The program needs to be developed with a focus on elderly people from farming villages. In addition, it was carried out in order to provide basic data for development of health projects for local communities. Data gathering was based on survey data targeting patients from the free clinic service. Service was rendered for the residents of farming villages, and conducted at the Offices of CheonBuk Province from October 2000 to December 2000. Analytical results were used to examine the health promotional method for the elderly in the aspect of Oriental Medicine. SPSS 9.0 version as well as T-test and ANOVA were used for survey data analysis. Piersons correlation coefficient was utilized for the relationship for each area, obtaining the following analytical results. 1. The average score for the activities of health promotion was 2.28. Looking at each subcategory, stress management was the highest at 3.65; interpersonal relationship, 3.00; nutrition, 2.55; health responsibility, 2.15; self-realization, 2.03; and exercise was the lowest at 1.89. 2. With respect to lifestyle of the health promotion secondary to general features of elderly people from farming villages, the level of activities of health promoting lifestyle was shown to be higher for males than that of females. Self-realization area was high among males in detailed particulars while the level of execution was high as age decreases in the stress area. 3. Regarding health promoting life style secondary to socioeconomic characteristics, the level of execution was higher for the individuals with a higher level of education and further utilization of spare time. With respect to occupation, the level was highest for people from the fishery. The level decreased in the order of other occupations such as trade, unemployed and agriculture, which was shown to be the lowest. In detailed particulars, it revealed that higher the individuals educational level, the higher the self-realization and stress management areas. The level of interpersonal relationship was the highest among people with little or no education. With respect to self-realization area, the level was highest among the cases where one paid living expenses along with their children. The lowest level of living expenses was seen in the cases where an individual pays for living expenses by himself/herself. There were significant results in all areas except for nutrition areas depending on occupation. The fishery was shown to be the highest. The level of activities was higher as one utilizes more spare time in all areas except for the area of interpersonal relationship.

• Korean journal of health promotion
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• 제18권4호
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• pp.159-168
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• 2018

연구배경: 중년기 여성은 젊은 여성에 비하여 과체중과 비만의 유병률이 높으며, 특히 여성이 남성에 비하여 비만과 관련된 건강관련 삶의 질이 나쁘다고 알려져 있다. 이에 건강관련 삶의 질에 취약한 과체중 중년 여성의 건강관련 삶의 질을 전략적으로 개선하는 것이 중요하겠다. 건강증진 행위는 건강관련 삶의 질과 밀접한 연관성이 있을 수 있다. 이에 본 연구는 과체중 중년 여성이 정상체중의 중년 여성에 비하여 건강증진 행위와 건강관련 삶의 질이 낮은지를 조사하고, 과체중 중년 여성에서 건강증진 행위가 일반적(generic) 혹은 비만특이적(obesity-specific) 건강관련 삶의 질과 유의한 연관성이 있는지 밝히고자 한다. 방법: 본 연구는 횡단적 비교 연구이다. 서울시 성북구에 거주하는 30-49세 중년 여성 119명을 대상으로 하였으며, 과체중군은 63명이고 정상체중군은 56명이었다. 건강증진 행위는 Health Promoting Lifestyle Profile II (HPLP II) 도구를 사용하여 측정하였다. 일반적 건강관련 삶의 질은 World Health Organization Quality of Life-brief version(WHOQOL-BREF)을 사용하였으며, 비만특이적 건강관련 삶의 질은 Impact of Weight on Quality of Life-Lite(IWQOL-Lite)를 사용하였다. 과체중군과 정상체중군 간의 건강증진 행위와 건강관련 삶의 질 차이를 분석하기 위하여 일반선형모델을 수행하였고, 과체중군 안에서 건강증진 행위와 건강관련 삶의 질과의 연관성은 다중회귀분석을 시행하였다. 결과: 과체중군은 정상체중군에 비하여 건강증진 행위의 스트레스 관리(P=0.029)를 포함하여 영양(P=0.004)과 신체활동(P=0.006)의 하부영역에서 유의하게 낮은 점수를 보였다. 또한 과체중군은 정상체중군에 비하여 일반적 건강관련 삶의 질 총점(P<0.001)과 비만특이적 건강관련 삶의 질 총점이 유의하게 낮았다(P<0.001). 더욱이, 과체중군에서 건강증진 행위 하부영역 중 스트레스 관리 점수가 높을수록 일반적 건강관련 삶의 질 총점이 높고(${\beta}=1.58$, P=0.003), 비만특이적 삶의 질 영역 중 자아존중감 점수가 유의하게 높았다(${\beta}=11.58$, P=0.034). 결론: 중년기 과체중 여성이 정상체중 여성과 비교하여 특히 건강증진 행위 중 스트레스 관리의 수준이 낮은 것으로 나타났다. 이에, 지역사회 중년기 과체중 여성의 일반적 혹은 비만과 관련된 건강관련 삶의 질 개선을 위해서는 스트레스 관리의 전략적 접근이 무엇보다 중요하겠다.