• Title/Summary/Keyword: Preventive Behaviors

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Revision of a Questionnaire to Assess Health Behaviors in Obese Children (비만 아동에 대한 설문지의 분석과 재구성)

  • Park, So Eun;Yom, Hye Won;Seo, Jeong Wan;Lee, He Jin;Park, Hye Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.2
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    • pp.215-227
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    • 2004
  • Purpose: The prevalence of childhood obesity has increased dramatically. It is important to know about life style and dietary habits of the obese children because the treatment of childhood obesity focuses on using behavioral modification techniques. We aimed to develop a questionnaire for the purpose of providing convenient and useful guidance to pediatricians who evaluate and treat obese children. Methods: Previously developed questionnaire was given to 94 obese children and their parents who had visited clinic for obese children and adolescents. We analyzed response rates on questions and reliability between children and their parents. Results: The response rates on questions were somewhat high. Agreement of paired questions of both parents and children was also moderately high (63~92%). It is acceptable to complete questions by either parents or children alone. Items for hours of playing video games or computer, maternal job, kind of consuming beverage and food outside home were added. Conclusion: We concluded that some questions are not needed to be given to both parents and their children. It would be better to have parents record life style of their children and to have children record their food intake with physical activity outside home.

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The Impact of Educational Status on 10-Year (2004-2014) Cardiovascular Disease Prognosis and All-cause Mortality Among Acute Coronary Syndrome Patients in the Greek Acute Coronary Syndrome (GREECS) Longitudinal Study

  • Notara, Venetia;Panagiotakos, Demosthenes B.;Kogias, Yannis;Stravopodis, Petros;Antonoulas, Antonis;Zombolos, Spyros;Mantas, Yannis;Pitsavos, Christos
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.4
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    • pp.220-229
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    • 2016
  • Objectives: The association between educational status and 10-year risk for acute coronary syndrome (ACS) and all-cause mortality was evaluated. Methods: From October 2003 to September 2004, 2172 consecutive ACS patients from six Greek hospitals were enrolled. In 2013 to 2014, a 10-year follow-up (2004-2014) assessment was performed for 1918 participants (participation rate, 88%). Each patient's educational status was classified as low (<9 years of school), intermediate (9 to 14 years), or high (>14 years). Results: Overall all-cause mortality was almost twofold higher in the low-education group than in the intermediate-education and high-education groups (40% vs. 22% and 19%, respectively, p<0.001). Additionally, 10-year recurrent ACS events (fatal and non-fatal) were more common in the low-education group than in the intermediate-education and high-education groups (42% vs. 30% and 35%, p<0.001), and no interactions between sex and education on the investigated outcomes were observed. Moreover, patients in the high-education group were more physically active, had a better financial status, and were less likely to have hypertension, diabetes, or ACS than the participants with the least education (p<0.001); however, when those characteristics and lifestyle habits were accounted for, no moderating effects regarding the relationship of educational status with all-cause mortality and ACS events were observed. Conclusions: A U-shaped association may be proposed for the relationship between ACS prognosis and educational status, with participants in the low-education and high-education groups being negatively affected by other factors (e.g., job stress, depression, or loneliness). Public health policies should be aimed at specific social groups to reduce the overall burden of cardiovascular disease morbidity.

THREE-YEAR LONGITUDINAL STUDY ON THE PREDICTABILITY OF THE RELATED FACTORS OF THE CARIES INCIDENCE ACCORDING TO THE DURATION (예측기간에 따른 영구치 우식발생 연관 요인의 예측능 평가)

  • Kim, Sung-Ki;Kim, Jin-Bom;Bae, Kwang-Hak;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.395-402
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    • 2010
  • The purpose of this study was to analyse the stability and validity of the related factors to the caries incidence according to the duration. The subjects were 249 elementary school students. Among them, the number of male students was 137 (55.0%). In the first year, all subjects gave the responses of the questionnaire composed of demographic variables and oral heath behaviors. They also received oral examination and tests of Dentocult SM and Dentocult LB. In the 2nd-4th year, they received second oral examination for the assessment of caries incidence on permanent teeth. The relation of oral health-related factors with caries incidence was analyzed by chi square method and adjusted Relative Risk (RR). In the caries incidence rate for 1 year, those who had 2 or higher score of dentocult LB was 2.3 times higher than those who had 1 or lower. The caries incidence rate for 2 years was highly associated with caries on deciduous molars and dentocult LB. The caries on deciduous molars showed strong association with the caries incidence for 3 years. It was suggested that the association between the caries incidence and the related factors was different according to the duration. Therefore, dentists could need to consider the visiting period in the education of the risk factors of dental caries.

Effects of a Self-management Program for Metabolic Syndrome - A Metabolic Syndrome Management Program in Seoul - (지역사회 대상의 대사증후군 자가관리 프로그램 중재 효과 - 서울특별시 대사증후군 관리 시범사업 -)

  • Kim, Hee-Sun;Yoon, Seok-Jun;Lee, Kun-Sei;Kim, Hyeong-Su;Oh, Sang-Woo;Ryu, Ho-Sihn;Choo, Jin-A;Lee, Kye-Heui;Ryu, Byung-Wook;Lee, Dong-Ok;Park, Dong-Rim
    • Korean Journal of Health Education and Promotion
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    • v.28 no.2
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    • pp.51-62
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    • 2011
  • Objectives: The aim of the study was to identify the effects of a community-level metabolic syndrome self-care management program. Methods: Data included baseline demographics, abdominal circumference, blood pressure, blood sugar, triglyceride, and HDL-cholesterol collected at 15 public health centers in Seoul from January to March, 2010. A data obtained(584 men and 410 women) from Metabolic Syndrome Management Program in Seoul was analyzed using Paired t-test and Linear mixed model. Results: The group with 6-month intervention resulted in significant decrease in abdominal circumference, systolic and diastolic blood pressure, blood sugar, and triglyceride. In moderate intervention group with 3-month follow-up showed tendency that abdominal circumference(-1.27(${\beta}$)) and diastolic blood pressure(-1.66(${\beta}$)) are significantly reduced. In the group with aggressive intervention, the more counseling led to significant reduction in abdominal circumference(-0.22(${\beta}$)). Conclusions: These results indicate that a self-care for metabolic syndrome management can improve metabolic syndrome status over a short-term period. Further structured research is needed to develop a systematic program on health behaviors focusing on exercise, diet, and intervention.

Job Stress and Psychosocial Factors and Its Association with Self Perceived Fatigue among White Collar Male Workers (사무직 남성 근로자의 직무스트레스 및 사회 심리적 요인과 피로수준과의 관련성)

  • Park, Seung-Pil;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.1
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    • pp.301-311
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    • 2011
  • This study was performed to determine the self-perceived fatigue and its association with job stress contents and psychosocial factors among white collar male workers. The self-administered questionnaires were given to 872 workers employed in 42 work places during the period from February 1st to April 30th, 2009. As a results, in terms of levels of self-perceived fatigue according to the job stress contents and psychosocial factors, under significantly higher level of self-perceived fatigue were those with higher level of job demand, lower job autonomy, lower supervisor support and higher locus of control than their respective counterparts. Multiple stepwise analysis revealed that the factors of influence on self-perceived fatigue included age, subjective status of health, job career, experience of sick absence, sense of satisfaction in work, regular exercise, sleeping hours, visiting out-patient department, job demand, supervisor support and self-esteem. The study results indicated that the level of self-perceived fatigue is so complicatedly influenced by variable factors as well as socio-demographic characteristics, job-related characteristics and health-related behaviors, to a greater extent, by JCQ and psychosocial factors.

Health Care Behaviors according to Ages in Farmers (농업인의 연령대별 건강관리 행태에 관한 연구)

  • Lee, Kyung-Suk;Kim, Hyo-Cher;Kim, Kyung-Ran;Song, Eun-Young;Rho, Sang-Chul;Oh, Gyung-Jae;Park, Ki-Soo
    • Proceedings of the Korean Society of Community Living Science Conference
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    • 2009.09a
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    • pp.82-82
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    • 2009
  • 농작업 활동시 건강유해요인 증가에 따라 농부증 및 농업인의 직업성 질환 유병률은 증가하는 실정이므로, 장기추적연구를 통한 실태분석 및 원인구명이 필요한 실정이다. 그 일환으로 본 연구에서는 농업인의 건강수준 평가를 위한 건강검진 항목 선정 및 측정방법 표준화, 농업인 건강 및 농작업 관련 행태조사를 위한 설문지를 개발하여 농업인 건강 및 작업수준을 평가하고자 하였다. 본 연구는 국내 농업인의 성별 연령대별 건강관리행태를 조사하기 위하여 2006년 5월부터 4개월간 18개 지역 남자농업인 550명(44.6%)과 여자농업인 683명(55.4%) 총 1,233명을 대상으로 직접면접조사를 실시하였다. 연령대는 50세이하, 51~60세, 61~70세, 71세 이상 4그룹으로 나누어 조사하였다. 주요 연구결과는 다음과 같다. 1. 농업인의 체지량지수(BMI)는 남성의 경우 연령대가 높아질수록 점차 낮아지는 경향을(p<.001), 여성의 경우는 다른 그룹에 비해 70세 이상 그룹이 가장 낮게 나타났다(p<.05). 2. 대상 농업인들의 주작물을 조사한 결과 시설작목과 특용작물의 경우 남성은 50대, 여성은 40대 그룹이 가장 많은 것을 제외하고 대부분의 작목은 60대 그룹이 가장 많았다. 3. 지난 1년간 의료기관 방문 횟수와 의료비를 조사한 결과 남성(p<.001)과 여성(p<.001) 모두 연령대가 높을수록 점차 증가하는 것으로 조사되었다. 4. 규칙적인 운동시행여부를 조사한 결과 여성은 연령대와 운동여부간에 유의한 관련이 있는 것으로(p<.001), 남성은 유의한 상관이 없는 것으로 나타났다. 5. 농부증정도(농부증 없음. 의증. 양성)를 조사한 결과 남성(p<.01)과 여성(p<.001) 모두 연령대와 농부증간에는 유의한 상관이 있는 것으로 조사되었다. 이상의 결과들을 바탕으로 농작업 재해 실태 파악과 원인구명을 위한 작업개선방안 제시하고, 예방할 수 있는 대책을 수립함에 있어서 국내 농업인의 작업부담을 경감시키고 건강수준을 증대시키기 위한 방안들이 모색되어야 할 것이다.

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Factors related to the Health Behavior of Rural Adolescents (일부 농촌지역 청소년들의 건강행태 관련요인 분석)

  • Jo, Heui-Sug;Lee, Sun-Hee
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.315-326
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    • 2000
  • Objectives : Health behaviors that contribute to the leading cause of mortality, morbidity, and social problems among youth and adults are mostly established during youth, extend into adulthood, and are interrelated. The purpose of this study is to investigate health behavior, juvenile delinquent behavior, mental status and to understand related factor to health behavior. Methods : The study items of life style were health related habit including smoking, drinking, breakfast, regular diet, regular exercise, sleeping time and weight status. Also, sexual evidence, violence, suicidal perceptions were surveyed. Questionnaire survey was conducted from January to February, 2000 by adolescence living in Kyunggi-Do. Data were collected by self-administered questionares. The collected data were analyzed using PC-SPSS 9.0 version. Results : Most students perceived to be healthy themselves but just two thirds students had concern for health. 64.9% ever drank alcohol, 26.4% ever smoked, and also and 2.9% had attempted suicide during preceding the survey. The rate of sleeping over 8 hours is 31.8%, 65.6% had breakfast. Multiple regression analysis to find related factor with adolescents health behavior were conducted. As a results, concern for health, sex, grade, spending money and attempt to suicide were related to health behavior. Conclusion : These results showed that many efforts to improve the health-concern are necessary and suggest the need for further studies including follow-up study, intervention study on the relationship of life style.

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Job Satisfaction and Psychosocial Stress among Public Officers; and Their Related Factors (일부 공무원의 사회심리적 스트레스 수준과 직무만족도 및 관련요인)

  • Kim, Jae-Yeon;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.1
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    • pp.341-351
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    • 2010
  • The administrative employees of government were analyzed on their levels of psychosocial stress and job satisfaction to reveal the various factors related to them. The self-administered questionnaires were performed, during the period between May 25th, 2007 and June 5th, to 550 individuals in the service of general administration located in Daejeon City. The Survey items included subjects' socio-denographic and job-related characteristics, health-related behavior pattern, locus of control, sense of self-esteem, psychosocial stresses and degree of job satisfaction. The study results indicate that the level of stress or job satisfaction is so complicatedly influenced by variable factors such as socio-demographic characteristics, job-related characteristics, health-related behaviors, or social psycologic factors like type A behavior pattern, internal locus of control, self-esteem or stress coping. Thus, the effective strategy for stress reduction and increase of job satisfaction among governmental employees requires additional programs.

Relationship between Psychosocial Stress and Coronary Risk Factors of Employees in a Research Institute (일부 남성 연구원들의 사회심리적 스트레스와 관상동맥질환 위험인자의 관련성)

  • Park, Chun-Ja;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.1
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    • pp.392-401
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    • 2010
  • The purpose of the present study was intended to assess psycosocial stress of male researchers working in a Research Institute, and to reveal the relationship between psycosocial stress and coronary risk factors. Data were obtained from 356 male researchers who underwent health package check-up at the health promotion center of a university hospital from May to June 2007, using by self-administered questionnaire & health check-up. For psycosocial stress, we used the questionnaire with 18 items developed as Psychosocial Well-bing Index(PWI). For coronary risk factors, systolic and diastolic blood pressure(SBP, DBP), triglyceride(TG), total cholesterol(TC), high and low density lipoprotein cholesterol(HDL, LDL), fasting blood sugar(FBS) and % fat rate were measured. As a results, the level of psycosocial stress is influenced by socio-demographic characteristics, job-related characteristics and health-related behaviors. Especially, it was found to have the inter-relational effects that the higher the blood pressure, the higher the level of psycosocial stress.

The Possibility of Regional Health Insurance Data in Blueprinting the Local Community Health Plan (지역보건의료계획 수립에 있어 지역의료보험자료의 활용가능성)

  • Lee, Sang-Yi;Kim, Chul-Woung;Moon, Ok-Ryun
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.4 s.59
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    • pp.870-883
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    • 1997
  • The health center has to play an important role in promoting community health and satisfying a variety of community health needs and demands in the decentralized Korea. The nearly enacted Community Health Act compels every health center to make its own health plans which intend to deal with local health problems and plan its future health care. This obligation is obviously a big burden to most health centers. They do not have experiences in and abilities of making local health care plans. In order to establish a systematic community health plan, health centers have to concentrate their efforts on enhancing the ability of making health care plan through gathering and analysing the local health informations. However, it is very difficult in reality. This is simply because it will take long time to accomplish these activities. It seems natural that various professionals and researchers participate in carrying out the process of making community health plan in the initial stage. No standardized methodology and analysing framework exist even in the health professional society. Nonetheless, it is common to introduce survey research methodologies in analysing consumer's health care utilization and cost, and in identifying factors influencing health behaviors. Many researchers and professionals have applied social survey methodologies in obtaining information on providers and health policy makers as well. The authors have found that few studies have ever utilized local health data stored at the self-employed medical insurance society as the data source of planning activities. The purpose of this study is to illustrate the usefulness of the data stored at the Sung-Dong Gu Self-employed Medical Insurance Society in establishing the community health plan. The major contents of this study are as follows ; 1. frequency of utilization by age, area, sex, type of medical care institutions, and some major diseases 2. Medical treatment by type of medical care institutions, by classification of 21 diseases, by frequency of three-character categories 3. Medical treatment of major neoplasm and some chronic diseases by age, sex, and area. The conclusion of this study is that it is of great potentiality to find out the local health problems and to use them in blueprinting the community health plan through comparing the frequency of medical utilization analyzed by a variety of variables with NHI health data or the health data from survey research.

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