• Journal of Preventive Medicine and Public Health
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• v.41 no.2
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• pp.100-106
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• 2008

Objectives : We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. Methods : A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1 - May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. Results : Among 985 survey respondents(380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. Conclusions : In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.

• Journal of Korean Public Health Nursing
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• v.25 no.1
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• pp.61-72
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• 2011

Purpose: To investigate the behavioural factors of the health promotion for caregivers based on a socio-ecological model. Methods: This study was a cross-sectional descriptive study using a self administered questionnaire. The survey was conducted in 219 people chosen through convenient sampling between September and December 2008. The collected information included general characteristics, individual, interpersonal, community, policy level. Results: For the statistical analysis, the t-test was used for the health promotion according to the general characteristics and to each level of the socio-ecological model, by assessing the high and low values and dividing them into mean points. The influence elicited by different health promotion factors was determined using the hierarchical multiple regression. At the individual level, the factors influencing health promotion in caregivers included perceived seriousness, perceived benefits, and self efficacy. Social support was important at interpersonal level, and the use of community resource was relevant for the community level. We found no statistically significant factors relating to the policy level. Conclusions: In conclusion, the socio-ecological models seems appropriate for explaining health promotion and its associated factors in caregivers. We suggest that, for caregivers, strategies should be developed for their social support and to offer information about how to use community resources in relation with factors relating to the individual level.

• Journal of Korean Public Health Nursing
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• v.35 no.3
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• pp.415-429
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• 2021

Purpose: The purpose of this study was to explore the health-related factors of the elderly in rural village in-depth and comprehensively based on the socio-ecological model. Methods: The data were collected from 22 elderly people through four focus group interviews and analyzed by deductive content analysis using four themes of the socio-ecological model (SEM) as an analysis matrix. Results: A total of 10 categories corresponding to the four themes of SEM were derived as follows: Intrapersonal level, "Awareness of Aging and Health", "Inefficient practice of health behavior", and "Daunted self-efficacy", Interpersonal level, "Social relations maintenance", and "Changing sense of community", Community level, "Local resources requiring improvement", "Problems caused by regional characteristics", "Disadvantaged group", and "Leadership and residents participation", Public policy level, "Health-related facilities and programs". Conclusion: We proposed the development and application of intervention programs that combined individual activities to improve self-management capacity and group activities to enhance social support and solidarity for rural villagers.

• Korean Journal of Health Education and Promotion
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• v.25 no.3
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• pp.1-19
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• 2008

Purpose: The research was performed to distinguish the group of users of the health promotion programs in health care center, to identify the characteristics of this group, and to investigate the factors that have influence on the use of the health programs. The specific research purposes are: First, to compare the group which uses the health promotion program of health care center and that which does not. Second, to analyze the factors that have influence on the use of the health promotion program. Method: This study was done from November 15th 2006 and March 30th 2007. The study subjects were Seoul and Provinces. Seoul was divided into 4 areas of eastern western, northern, and southern area. Provinces were Gimchon, Gumi and Sosan. From each area, one health care center was chosen from the ones that wanted to participate. Total number of observations was 994. The survey questionnaire consisted of individual, interpersonal, organizational, community, policy factors based on socio-ecological model. The analysis method was logistic regression. Results: Odds ratios of individual factors is sex(1.39), age(1.05), marriage status(1.71) severity(1.20). Odds ratios of interpersonal factors is use and support of family(1.96), use and support of resource persons like friends and neighbor(4.58). Odds ratios of organizational factors is the comfortness of space(0.74), the satisfaction of health care center facility(1.40), kindness of employ(1.97). Odds ratios of community factors is health care center program recognition(1.70). Odds ratios of policy factors is advertisement(4.69) and expense(1.42). Conclusion: Socio-ecological model of health promotion in health care center is obtained based on five factors and health planners should consider these determinants of health promotion program in health care center and develop intervention methods.

• Korean Journal of Health Education and Promotion
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• v.32 no.2
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• pp.39-52
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• 2015

Objectives: Residents of a single room occupancy (Jjok-bang) in Seoul are at high risk of having mental health issues. The majority of residents live in single households with past traumatic experiences including self-deprivation and social exclusion. This study was to investigate the association between mental health and socio-ecological factors at the intrapersonal and community levels. Methods: We conducted face-to-face surveys in Dongja-dong Jjok-bang area in June, 2014. Of 78 participants, 76% were male and the mean age was 60 years (SD=11.53). A multiple regression was used to analyze the association among depression, a sense of well-being, socio-ecological factors, and perceived empowerment and community solidarity. Results: Perceived empowerment (${\beta}=0.83$; 95% CI=0.40, 1.26) and community solidarity (${\beta}=0.52$; 95% CI=0.04, 1.01) were positively associated with a sense of well-being. Participants with empowerment (${\beta}=-2.55$; 95% CI=-4.86, -0.23) and those with community solidarity (${\beta}=-2.36$; 95% CI=-4.94, 0.21) were negatively associated with being depressed. Conclusion: Mental health of the residents in Jjok-bang was more influenced by empowerment and community solidarity than socio-demographic factors. It is necessary to improve public health infrastructures that can enable the residents to enhance empowerment and community solidarity utilizing socio-ecological perspectives.

• Journal of Korean society of Dental Hygiene
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• v.24 no.2
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• pp.175-185
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• 2024

Objectives: This study examines the association between emotional support and tooth brushing according to family cohabitation in the socio ecological model. Methods: The study used data from face-to-face interviews of 719 adults aged 30-90 years, living in Gangwon State. The dependent variables were tooth brushing after lunch and dinner (including before going to bed). The independent variables were living conditions and emotional support. Multiple logistic regression analysis was conducted to confirm the association between emotional support and tooth brushing. Results: The results showed that 81.4% of people lived with their family, and 85.9% had family (friends) with whom they could share oral problems (p<0.01). Among those living with their family, 82.3% (p>0.05) brushed after lunch and 81.9% (p>0.05) brushed after dinner. Tooth brushing after lunch was 1.5 times more likely among those who shared oral problems with their family (friends); however, this was not statistically significant (95% CI: 0.92-2.29). Tooth brushing after dinner was 1.0 times more likely among those who shared oral problems with their family (friends); however, this was not statistically significant (95% CI: 0.43-2.35). Conclusions: Emotional support may help to promote tooth brushing practice among adults.

• Journal of Korean Society of Rural Planning
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• v.27 no.3
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• pp.35-46
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• 2021

Ecosystem services play a role in promoting sustainable development by contributing to human welfare. For sustainable development, a balance between supply and demand for ecosystem services must be made. In this regard, in this study, factor analysis was performed using the results of measuring ecosystem services for the supply of ecosystem services and national statistical data representing socio-economic factors for demand for ecosystem services The results of analysis for Gyeong-gi Province are as follows. The service supply based on the result of ecosystem services was divided into the mixed service provisioning as factor1, the food provisioning as factor2, and the P retention service provisioning area as factor3. As for the demand for services based on socio-economic factors, factor1 is divided into urbanized areas, factor2 is forest development area, and factor3 is agricultural activity development area. Local governments that maintain balance were evaluated as Pocheon, Yangpyeong, Icheon, Pyeongtaek, Goyang, Suwon, Gwangmyeong, and Osan, and imbalanced local governments appeared in Gimpo, Uiwang, Anseong, and Yeoju. A management plan to maintain the balance between supply and demand of ecosystem services was suggested. The analysis method and results of this study are expected to be applicable to various local governments through regional expansion.

• 한국체육학회지인문사회과학편
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• v.55 no.2
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• pp.47-67
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• 2016

The purpose of this study was to understand barriers and problems associated with physical activity of older adults in a small town and to provide improvement plans based on socio-ecological model. This study employed three independent phases including survey, accelerometer study, and photovoice. Three phases were analyzed based on nesting design among diverse mixed method designs. Among 134 older participants, 73 older individuals reported that their physical activity per week was less than 150min in the first phase. Among the 73 older individuals, 40 older individuals participated in the second phase. In the second phase, 32 older individuals does not meet at least 150min of moderate-to-vigorous physical activity(MVPA) suggested by DHHS. Finally, 6 older adults participated in the third phase. Five major themes emerged including 1) lack of proper information and service regarding physical activity, 2)lack of support from people close to them, 3)some limits due to chronic disease, 4)lack of appropriate facility, and 5)lack of opportunity due to existing inactive lifestyle. Based on these five themes, this study attempted to provide the improvement plans with socio-ecological model.

• English Language & Literature Teaching
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• v.18 no.1
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• pp.115-132
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• 2012

In order to confirm ecological validity of D$\ddot{o}$rnyei's second language motivational self, the present study investigated 495 South Korean secondary school students' L2 learning motivation and motivated behavior by using a questionnaire survey. The participants' ideal L2 self, ought-to L2 self, integrativeness, and instrumentality were examined and compared to identify which motivational factor had the most effect on their motivated L2 learning behavior. Among Korean secondary school students, the concept of integrativeness was replaced with the ideal L2 self as a more appropriate concept for understanding Korean secondary school students' L2 learning motivation. As for instrumentality, promotional aspects demonstrated a significant correlation with both the ideal and ought-to L2 selves, whereas preventional aspects showed a relatively high correlation with the ought-to L2 self. The ideal L2 self had the most impact on the motivated behavior, and the ideal L2 self and ought-to L2 self reflected the students' different motivational characteristics. It is suggested that D$\ddot{o}$rnyei's (2005, 2009) L2 motivational self system can be a better psychological model than Gardner's (1985) socio-educational model for understanding Korean secondary school students' L2 learning motivation.

• Research in Community and Public Health Nursing
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• v.32 no.4
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• pp.540-554
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• 2021

Purpose: Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.