• Title/Summary/Keyword: Rural Health

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The Effects of Dance Sports Program on Health Promotion in Rural Women (댄스스포츠 프로그램이 농촌여성의 건강증진에 미치는 효과)

  • Kim, Dong-Oak;Lee, Hyeon-Soon;Kwon, Young-Sook
    • Journal of Korean Biological Nursing Science
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    • v.14 no.2
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    • pp.84-93
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    • 2012
  • Purpose: This study was performed to identify the effects of dance sports programs on the parameters of health promotion (blood pressure, pulse, glucose, blood lipids, musculoskeletal pain, fatigue, self-efficacy, and depression) in rural women. Methods: A non-equivalent control group pretest-posttest experimental design was used. The study subjects were 38 women who were aged 45-78 and cultivating perilla leaves in a rural area. An experimental group (n=20) received the dance sports program from December 3rd, 2009 to June 3rd, 2010 and a control group (n=18) did not. Data was collected 3 times (before the program, 12 during and 24 weeks after the program) and were analyzed with $X^2$ test, t-test, and Repeated Measures ANOVA using SPSS/WIN 18.0. Results: For the experimental group, significant improvement was found in high density lipoprotein cholesterol (HDL-C), low density cholesterol (LDL-C), triglyceride (TG) musculoskeletal pain, fatigue, self-efficacy, and depression as compared to the control group. Conclusion: The findings of the study indicates that the dance sports program is effective on health promotion for rural women. Therefore, dance sports programs can be recommended for health promotion of rural residents.

A Frailty Management Program for the Vulnerable Elderly in Rural Areas (농촌 지역거주 노인을 대상으로 한 허약관리 프로그램의 효과)

  • Ahn, Heeok;Chin, Young Ran
    • Journal of Korean Academy of Rural Health Nursing
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    • v.16 no.1
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    • pp.18-28
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    • 2021
  • Purpose: This study attempted to confirm whether the suicide prevention effect could be achieved by managing the frailty of the elderly in rural areas. Methods: This study is a single-group pre-post study design. The frailty management program was applied twice a week for 12 weeks for the vulnerable elderly in the rural area from 16th April to 31st May in 2020. The program consisted of physical exercise, health education on nutrition management and disease control, cognitive training, and protein drink provision. Results: The average age of the participants was 77.1 years, and they lived alone (88.6%). As a result of providing the program, there were positive results such as increase in body strength (pre 12.27: post 13.27) and weight (pre 58.51: post 59.13), and decrease in depression (pre 4.66: post 1.20), and there was no statistically significant change in quality of life, Time Up & Go, and BMI. Conclusion: Frailty should be managed to prevent suicide in the elderly. It is necessary to expand and apply various programs that combine physical functions and emotional interventions such as health education, and exercise to maintain muscle strength.

A Comparison of Fast foods and Soft drink Consumption among Korean Adolescents by Geographical Regions (우리나라 중 고등학교 학생들의 패스트푸드 및 탄산음료 섭취에 관한 지역별 비교연구)

  • Lee, Gyu-Young;Ha, Yeong-Mi;Kim, Sung-Hee
    • Journal of the Korean Society of School Health
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    • v.21 no.2
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    • pp.47-60
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    • 2008
  • Objectives: The purpose of this study was to compare Fast foods and Soft drinks consumption of Korean adolescents in a large city, a medium city, and a rural area. Methods: This was a descriptive comparative survey using a convenience sample of 2,261 8th and 11th grade students. The data were analyzed by X2-test and ANOVA using SPSS 10.0 statistical program. Results: For fast food consumptions, the higher in a large city than in a medium city and a rural area(p=.000). For soft drinks in a school, cafeteria or vending machines was higher in a large city and a medium city then in a rural area(p=.000). For eating snacks including cookies and popcorns was higher among students in a rural area than those in a medium city and large city(p=.008). Conclusions: 1. Overall, the health information among rural students is lower than those among other areas, as well as taking a health education course among rural students is also lower. Thus, the health inequality by regional differences should be considered. To decrease health inequality among different regions, health professionals who can systematically teach a health education course for middle and high school students and undertake students' health are needed. 2. Soft drinks sold in schools are higher in a large city and medium city than in a rural area. Therefore, there is a need of strong regulations and policies about the restriction of soft drinks sold in vending machines or school cafeterias.

The Effects of a Living-Lab Program on the Musculoskeletal Health Problems of Rural Women (농촌 여성의 근골격계 건강 문제 해결을 위한 리빙랩 프로그램의 효과)

  • Kim, Mieun;Heo, Myounglyun;Lee, Kwangmin;Kim, Minjung;Jeong, Suyeon;Kwon, Jieun;Yoo, Youngjae
    • Journal of Korean Academy of Rural Health Nursing
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    • v.16 no.2
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    • pp.29-36
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    • 2021
  • Purpose: The purpose of this study is to develop a living lab program to solve the musculoskeletal health problems of rural women and analyze its effects. Methods: The subjects included eight rural women and this study involved pretest and posttest designs for a single group. The program ran from July to August 2020 and consisted of one in-person training session and three weeks of management. The effectiveness of the program was evaluated by the change in the degree of pain experienced in the wrists, shoulders, and back, along with the general health status of the subjects. The Wilcoxon Sign-Rank test was used in the analysis. In addition, the program satisfaction was analyzed with five items based on the factors of the health belief model. Results: While the program seemed to have no significant impact on the health status of the subjects, all the participants did report reduced pain in their wrists, shoulders, and lower back. The 'sensitivity' and 'cue to action' metrics also increased with participation in the program. Conclusion: This program was effective in relieving some pain associated with the musculoskeletal problems in rural women. Therefore, such programs should be sustained and spread around community organizations

A sampling and estimation method for monitoring poultry red mite (Dermanyssus gallinae) infestation on caged-layer poultry farms

  • Oh, Sang-Ik;Park, Ki-Tae;Jung, Younghun;Do, Yoon Jung;Choe, Changyong;Cho, Ara;Kim, Suhee;Yoo, Jae Gyu
    • Journal of Veterinary Science
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    • v.21 no.3
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    • pp.41.1-41.12
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    • 2020
  • Background: The poultry red mite, Dermanyssus gallinae, is a serious problem in the laying hen industry worldwide. Currently, the foremost control method for D. gallinae is the implementation of integrated pest management, the effective application of which necessitates a precise monitoring method. Objectives: The aim of the study was to propose an accurate monitoring method with a reliable protocol for caged-layer poultry farms, and to suggest an objective classification for assessing D. gallinae infestation on caged-layer poultry farms according to the number of mites collected using the developed monitoring method. Methods: We compared the numbers of mites collected from corrugated cardboard traps, regarding with length of sampling periods, sampling sites on cage, and sampling positions in farm buildings. The study also compared the mean numbers of mites collected by the developed method with the infestation levels using by the conventional monitoring methods in 37 caged-layer farm buildings. Results: The statistical validation provided the suitable monitoring method that the traps were installed for 2 days on feed boxes at 27 sampling points which included three vertical levels across nine equally divided zones of farms. Using this monitoring method, the D. gallinae infestation level can be assessed objectively on caged-layer poultry farms. Moreover, the method is more sensitive than the conventional method in detecting very small populations of mites. Conclusions: This method can be used to identify the initial stages of D. gallinae infestation in the caged-layer poultry farms, and therefore, will contribute to establishment of effective control strategies for this mite.

Related Factors between Health Status, Health Behaviors, Health-related Quality of Life by of Elderly (거주 지역에 따른 노인의 건강수준, 건강행태, 건강관련 삶의 질 관련 요인)

  • Ryu, Jung Im;Choi, Hye Seon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.9 no.2
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    • pp.59-70
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    • 2014
  • Purpose: The present study was to done ascertain variables related to health-related quality of life (HRQOL) and their related factors in elders from urban or rural areas. Methods: Data were collected from raw material of the 2009 community health survey. Participants were 2,140 elders. Health related quality of life (HRQOL) was measured using EQ-5D. Data were analyzed with SPSS 13.0. Results: Mean EQ index score for urban elders was $0.78{\pm}0.23$, Mean EQ index score for rural elders was $0.82{\pm}0.16$. Rural elders had significantly higher EQ-5D index value compared to urban elders. The urban elder HRQOL model accounted for 33.6% of the variance due to depression, age, stress perception. The rural elder HRQOL model accounted for 23.5% of the variance due to exercising walking, skipping breakfast, depression in that order. In comparison, depression, skipping breakfast, livelihood, arthritis, stress perception, hours of sleep and age are strongly associated with HRQOL in both groups. Conclusion: Results indicate that significant differences in HRQOL between elders from the two areas and thus, confirm claims that welfare services for elders should be provided with consideration of the different needs of elders in the two areas, and in particular for addressing depression in elders.

PROSPECTS OF AGRICULTURAL MEDICINE (한국농촌의학(韓國農村醫學)의 장래(將來))

  • Chung, Hae-Sik
    • Journal of agricultural medicine and community health
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    • v.2 no.1
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    • pp.5-8
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    • 1977
  • As, in Korea, rural economy has a rapid growth and medical health care becomes more necessary for rural inhabitants, we are planning to enlarge the medical care networks and aid childbirth free of charge and perform lower cost medical care in order that more inhabitants are benefited and more available for medical care in rural society. Further, we will make it a basement of the policy to equalize benefits of medical care and medical insurance system.

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A Study on the Acceptability of Health Education Methods in Urban and Rural Area (지역사회주민의 보건교육 매체에 대한 수용도 조사연구)

  • 박귀동;차철환;염용태
    • Korean Journal of Health Education and Promotion
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    • v.4 no.1
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    • pp.65-75
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    • 1987
  • This study was conducted (i) to recommend the high-scored education method as a adaptable method, and (ii) to find the most influential factor among the three acceptability components (feasibility factor, stimulation factor and reliability factor) to urban or rural residents. The accept-ability score of each health education method currently existing in urban and rural area was estimated. A total of 257 households in Guro 6-dong, Seoul, and 233 households in Jeomdong-myeon, Yeoju-gun, were sampled by interview survey using questionnaire. The four types of health education methods used in this study are; printed matter method, mailing service method. personal contact method, and group contact method. The major findings obtained from this research are as follows; 1) In urban area, the highest-scored in terms of acceptability is the personal contact method, followed by the mailing service, the printed matter, and the group contact. The mailing service method is found to be effective especially for the intelligent group people. 2) In rural area, the highest-scored in terms of acceptability is also the personal contact method, followed by the group contact, and printed matter method. In general, the group contact method is effective toward both urban-poor and rural housewives (especially in stimulation factor). To improve the health consciousness of the residents, there arises the need for the existing education program into better organized and diversified one and for educating health-educators by providing in-depth health knowledge.

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Innovative approaches to the health problems of rural Korea (한국농촌보건(韓國農村保健)의 문제점(問題點)과 개선방안(改善方案))

  • Loh, In-Kyu
    • Journal of agricultural medicine and community health
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    • v.1 no.1
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    • pp.5-9
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    • 1976
  • The categories of national health problems may be mainly divided into health promotion, problems of diseases, and population-economic problems which are indirectly related to health. Of them, the problems of diseases will be exclusively dealt with this speech. Rurality and Disease Problems There are many differences between rural and urban areas. In general, indicators of rurality are small size of towns, dispersion of the population, remoteness from urban centers, inadequacy of public transportation, poor communication, inadequate sanitation, poor housing, poverty, little education lack of health personnels and facilities, and in-accessibility to health services. The influence of such conditions creates, directly or indirectly, many problems of diseases in the rural areas. Those art the occurrence of preventable diseases, deterioration and prolongation of illness due to loss of chance to get early treatment, decreased or prolonged labour force loss, unnecessary death, doubling of medical cost, and economic loss. Some Considerations of Innovative Approach The followings art some considerations of innovative approaches to the problems of diseases in the rural Korea. 1. It would be essential goal of the innovative approaches that the damage and economic loss due to diseases will be maintained to minimum level by minimizing the absolute amount of the diseases, and by moderating the fee for medical cares. The goal of the minimization of the disease amount may be achieved by preventive services and early treatment, and the goal of moderating the medical fee may be achieved by lowering the prime cost and by adjusting the medical fees to reasonable level. 2. Community health service or community medicine will be adopted as a innovative means to disease problems. In this case, a community is defined as an unit area where supply and utilization of primary service activities can be accomplished within a day. The essential nature o the community health service should be such activities as health promotion, preventive measures, medical care, and rehabilitation performing efficiently through the organized efforts of the residents in a community. Each service activity should cover all members of the residents in a community in its plan and performance. The cooperation of the community peoples in one of the essential elements for success of the service program, The motivations of their cooperative mood may be activated through several ways: when the participation of the residents in service program of especially the direct participation of organized cooperation of the area leaders art achieved through a means of health education: when the residents get actual experience of having received the benefit of good quality services; and when the health personnels being armed with an idealism that they art working in the areas to help health problems of the residents, maintain good human relationships with them. For the success of a community health service program, a personnel who is in charge of leadership and has an able, a sincere and a steady characters seems to be required in a community. The government should lead and support the community health service programs of the nation under the basis of results appeared in the demonstrative programs so as to be carried out the programs efficiently. Moss of the health problems may be treated properly in the community levels through suitable community health service programs but there might be some problems which art beyond their abilities to be dealt with. To solve such problems each community health service program should be under the referral systems which are connected with health centers, hospitals, and so forth. 3. An approach should be intensively groped to have a physician in each community. The shortage of physicians in rural areas is world-wide problem and so is the Korean situation. In the past the government has initiated a system of area-limited physician, coercion, and a small scale of scholarship program with unsatisfactory results. But there might be ways of achieving the goal by intervice, broadened, and continuous approaches. There will be several ways of approach to motivate the physicians to be settled in a rural community. They are, for examples, to expos the students to the community health service programs during training, to be run community health service programs by every health or medical schools and other main medical facilities, communication activities and advertisement, desire of community peoples to invite a physician, scholarship program, payment of satisfactory level, fulfilment of military obligation in case of a future draft, economic growth and development of rural communities, sufficiency of health and medical facilities, provision of proper medical care system, coercion, and so forth. And, hopefully, more useful reference data on the motivations may be available when a survey be conducted to the physicians who are presently engaging in the rural community levels. 4. In communities where the availability of a physician is difficult, a trial to use physician extenders, under certain conditions, may be considered. The reason is that it would be beneficial for the health of the residents to give them the remedies of primary medical care through the extenders rather than to leave their medical problems out of management. The followings are the conditions to be considered when the physician extenders are used: their positions will be prescribed as a temporary one instead of permanent one so as to allow easy replacement of the position with a physician applicant; the extender will be under periodic direction and supervision of a physician, and also referral channel will be provided: legal constraints will be placed upon the extenders primary care practice, and the physician extenders will used only under the public medical care system. 5. For the balanced health care delivery, a greater investment to the rural areas is needed to compensate weak points of a rurality. The characteristics of a rurality has been already mentioned. The objective of balanced service for rural communities to level up that of urban areas will be hard to achieve without greater efforts and supports. For example, rural communities need mobile powers more than urban areas, communication network is extremely necessary at health delivery facilities in rural areas as well as the need of urban areas, health and medical facilities in rural areas should be provided more substantially than those of urban areas to minimize, in a sense, the amount of patient consultation and request of laboratory specimens through referral system of which procedures are more troublesome in rural areas, and more intensive control measures against communicable diseases are needed in rural areas where greater numbers of cases are occurred under the poor sanitary conditions.

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Comparision of Family Environment, Health Behavior and Health State of Elementary Students in Urban and Rural Areas (도시.농촌 지역 초등학생의 가족환경, 건강행위 및 건강상태에 관한 비교)

  • Bae, Yeon-Suk;Park, Kyung-Min
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.502-517
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    • 1998
  • This research intends to survey family environment, health behavior and health status of the students in urban-rural elementary schools and analyze those factors comparatively, and use the result as basic material for school health teacher to teach health education in connection with family and regional areas. It also intends to improve a pupil's self-abilitiy in health care. The subjects involve 2,774 students of urban elementary schools and 583 student in rural ones, who were selected by means of a multi -stage probability sampling. Using the questionnaire and school documents, we collected data on family environment, health behavior and health status for 19 days. Feb. 2nd 1998 through Feb. 20th 1998. The R -form of Family Environment Scale (Moos, 1974) was used in the analysis of family environment(Cronbach's Alpha =0.80). Questionnaires of Health Behavior in School-aged children used by the WHO in Europe(Aaro et al., 1986) and the ones developed by the Health Promotion Committee of the Western Pacific(WHO, 1995)(adapted by long Young-suk and Moon Young-hee(1996)) were used in the analysis of health behavior, as well documents on absences due to sickness, school health room-visits, levels of physical strength, height, weight and degree of obesity were used to determine health status. In next step, We used them with an $X^2$-test, t-test, Odds Ratio, and a 95% Confidence Interval. 1. In two dimensions of three, family-relationship (t=3.41, p=0.001) and system -maintenances(t= 2.41, p=0.0l6) the mean score of urban children were significantly higher than those of rural ones. In the personal development dimension however, there was little significant difference. Assorting family environment into 10 sub-fields and analyzing them, we recognized that urban children were superior to rural children in the sub-fields of expressiveness (t =3.47, p=0.001), conflict (t=0.48, p=0.001), active-recreational orientation (t = 1.97, p=0.049) and organization (t=4.33, p=0.000). 2. Referring to the Odds Ratios of urban-rural children's health behaviors, urban children set up more desirable behavior than rural children wear ing safety belts (Odds Ratio =0.32, p=0.000), washing hands after meals(Odds Ratio = 0.43, p= 0.000), washing hands after excreting (Odds Ratio = 0.39, p=O.OOO), washing hands after coming - home ( Odds Ratio = 0.75, p = 0.003), brushing teeth before sleeping(Odds Ratio =0.45, p=0.000), brushing teeth more than once a day (Odds Ratio =0.73, p=0.0l2), drinking boiled water (Odds Ratio = 0.49, p=0.000), collecting garbage at home(Odds Ratio=0.31, p=0.000) and in the school(Odds Ratio =0. 67, p=0.000). All these led to significant differences. As to taking milk(Odds Ratio = 1.50, p=0.000), taking care of eyesight(Odds Ratio=1.41, p=0.001) and getting physical exercise in(Odds Ratio = 1.33, p=0.0l9) and outside the school(Odds Ratio = 1.32, p=0.005), rural children had more desirable behavior which also revealed a significant difference. There was little significant difference in smoking, but the smoking rate of rural children(5.5%) was larger than that of urban children(3.9%). 3. Health status was analyzed in terms of absences, school health room-visits, levels of physical strength, and the degree of obesity, height and weight. Considering Odds Ratios of the health status of urban-rural children, the health status of rural children was significantly better than that of the urban ones in the level of physical strength(t=1.51, p=0.000) and the degree of obesity(t=1.84, p=0.000). The mean height of urban children ($150.4{\pm}7.5cm$) is taller than that of their counterparts($149.5{\pm}7.9$), which revealed a significant difference (t =2.47, p=0.0l4). The mean weight of urban children($42.9{\pm}8.6kg$) is larger than that of their counterparts($41.8{\pm}9.0kg$), which was also a significant difference(t=2.81, p=0.005). Considering the results above, we can recognize that there are significant differences in family environment, health behavior, and health status in urban-rural children. These results also suggestion ideas for health education. What we would suggest for the health program of elementary schools is that school health teachers should play an active role in promoting the need and importance of health education, develop the appropriate programs which correspond to the regional characteristics, and incorporate them into schools to improve children's ability to manage their own health management.

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