• 지역사회간호학회지
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• 제25권3호
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• pp.217-224
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• 2014

Purpose: This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population. Methods: This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients. Results: In the regression model, diabetes knowledge (${\beta}=.322$, p<.001), exercise (${\beta}=.337$, p<.001), and experiences of diabetes education (${\beta}=.241$, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled. Conclusion: To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.

• 지역사회간호학회지
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• 제28권1호
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• pp.44-54
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• 2017

Purpose: The purpose of this study is to analyze health status of women working in traditional marketplace and their needs for public healthcare services. Methods: A descriptive survey of 500 women working at three traditional marketplaces was conducted. Results: street vendors' health status were much poorer than store merchants'. Furthermore, psychosocial factors like job stress and depression were increased in street venders. Thus, the public healthcare programs required by them included exercise programs (28.2%) and health checkup (26.8%). In addition, 31.2% of the participants reported that they needed visiting nursing care services. The rate of occupational health and safety or employment insurances was as low as 10.8%. Conclusion: Effective interventions including psychosocial factors for women workers at traditional marketplaces need to be developed based on these results. Also, it is recommended that public health care services such as outreach services and visiting nursing care services for women working at traditional marketplaces be provided. Furthermore, institutional provisions such as insurances for protecting these vulnerable groups' health are needed.

• 대한지역사회영양학회지
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• 제6권4호
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• pp.645-656
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• 2001

The relationship between socio-economic status and food and nutrient consumption patterns was studied in 7,370 Koreans aged 20 years and older in the 1995 Korean Health and Nutrition Survey. The aim of this study was to investigate the effect of rapid economic growth on food and nutrient consumption for Korean adults in the last 30 years. Monthly household income, and individual's educational level and occupation were chosen as variables of socio-economic status for individuals. A one day 24 hour recall method was used for the dietary survey. One way analysis of varience was adopted to test tole association between socio-economic variables and food and nutrient consumption patterns. Individuals who had a high socio-economic status had significantly higher daily intake of most of the nutrients including calcium, vitamin A, vitamin B$_2$which reached above the recommended dietary allowances(RDA) and a higher percentage energy consumption from fat. In addition, individual who belonged to a low socio-economic status consumed less animal foods, including meat, egg, milk and consumed low proportion of energy from fat. The results suggest that in spite of rapid economic growth during the last 30 years in Korea, individuals who belonged to low sorio-economic status categories are still nutritionally vulnerable. Among the sorio-economic variables, income and education except occupation were the influential factors on the food and nutrient consumption of Koreans. Therefore, nutrition policy should focus on influencing the dietary patterns of lower social class individuals to improve the health status of the population as a whole.

• Journal of Community Nutrition
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• 제7권3호
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• pp.141-148
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• 2005

Food handling practices playa key role in the prevalence of food-borne illness. Despite the fact that pregnant women are high risk groups for food-borne disease, little is known about their actual food handling practices at home. The objective of this study was to investigate behaviors regarding food-related hygienic practices of pregnant women. The questionnaire included questions in five major areas : personal hygiene ; adequate cooking ; avoiding cross contamination ; keeping food at safe temperatures ; and avoiding food from unsafe sources. Analysis of 488 questionnaires showed the respondents were unaware of the importance of safe food handling practices. Especially, pregnant women in our study should be encouraged to be careful about either risk of adequate cooking $(2.08\pm0.66)$ and keeping foods at safe temperatures $(2.69\pm0.63)$. Residency and number of children were consistent independent predictors of food handling behaviors. Previous food safety education also was found to have significant effect on food handling practices. TV news and newspapers were considered the most usable sources of food safety information by respondents. The behaviors identified in this study represent ones of particular importance for high-risk populations, like pregnant women. These population characteristics identified in this study could be incorporated in development of food safety educational programs for pregnant women being vulnerable on food-borne illness. Our results could have implications for the design of effective food safety educational efforts. This study indicates the need for continued and improved food safety education and for enforcing systematic food safety education for pregnant women.

• 지역사회간호학회지
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• 제12권1호
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• pp.261-268
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• 2001

Recently, social concerns about addiction problems not only to substances like alcohol and drug but also to gambling or internet have been increasing. Addiction is caused by a combined influence of biological, psychological. and social factors. However, addiction may also occur due to weak will-power or poor education on addiction. Even though addicted behavior provides temporal mood change such as euphoria, satisfaction. or relaxation. it leads to serious physical and mental disorder of the addicted person and its family members, which possibly results in fatal consequences. Nurses are in an environment to meet and take care of those who are addicted or vulnerable to addiction in order to help the clients to recover or to prevent people from addiction. Despite the importance of nurses role in addiction problems, there is a lack of consistency of addiction is often interchangeably used with other similar concepts in the society. In this study, a concept analysis of addiction was performed to more clearly and comprehensively understand addiction and to develop effective nursing intervention methods for addicted clients. The analysis is conducted according to a series of processes described by Walker and Avant. The defining attributes of addiction identified in this study are as follows: 1) existence of object 2) control loss 3) withdrawal symptoms 4) continued use despite adverse consequences.

• 지역사회간호학회지
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• 제28권2호
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• pp.165-172
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• 2017

Purpose: Smoking cessation interventions are important because university students are vulnerable to smoking and good health practices during their university lives greatly affects their health status. The purpose of this study is to investigate the factors affecting smoking cessation success among the university students who participated in the 4-week smoking cessation program. Methods: This study was conducted with 101 university student smokers. To identify the factors affecting the success of smoking cessation, a logistic regression analysis was performed. Results: In Model 1, without the smoking cessation aids variable, when the frequency of face-to-face counseling was greater, the success rate of smoking cessation was 1.70 times higher. In Model 2, including the smoking cessation aids variable, when the nicotine dependence score was higher, the success rate of smoking cessation was 0.72 times lower, and when the number of smoking cessation aids used was greater, the success rate of smoking cessation was 1.40 times higher. Conclusion: Smoking cessation aids are essential to increase the success of short-term smoking cessation, and face-to-face counseling and telephone counseling should be provided continuously to maintain long-term smoking cessation.

• 지역사회간호학회지
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• 제28권2호
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• pp.182-195
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• 2017

Purpose: This study explores school nurses' emergency care experiences and their needs for systemic institutional support. Methods: Data were collected in 2016 from the interviews with five focus groups comprising thirty school nurses. Qualitative content analysis was then performed using the collected data. Results: The study found that school nurses were vulnerable to over-reaction in uncertain situations as the school's sole health service provider. The study's findings are divided into ten categories. 1) Major obstacles to overcome as the sole health service provider, 2) Assessing an uncertain situation and making appropriate decisions, 3) Providing limited first aid while maintaining control over the situation, 4) Referring or transferring a student to a hospital that creates tensions and raises cost, 5) Becoming an advocate for information disclosure and treatment, 6) Ensuring follow-up actions and proper transfer of responsibility, 7) Making preparations for future emergency, 8) Responding to conflicts arising from over-reaction as a safeguard and professional expertise, 9) Need for the development of standardized manual for school emergency care, 10) Need for practical case-based training. Conclusion: The findings of this study should contribute to the development of the programs aimed at improving school emergency care and the professional competence of school nurse.

• 한국학교ㆍ지역보건교육학회지
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• 제18권3호
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• pp.45-53
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• 2017

Objectives: This study aimed to analyze the association between adolescent depression and personal factors such as interpersonal relationship and personal characteristics. Methods: The data used for this study was taken from the 2014 Korean Children and Youth Panel Survey. Of those 2,351 subjects in a data set, data of 1,938 subjects were analyzed after excluding 413 subjects with missing information. Hierarchical regression analysis was conducted for multi-variate analysis. In addition, controlling effects of ego-resiliency was analyzed. SPSS 22.0. was utilized for statistical analyses. Results: The study found that the depressive index was higher in women than men, and lower in adolescent who has a good relationship with parents and friends. This study also found that adolescents with high ego-resiliency are more vulnerable to depression. Conclusions: It is recommended to understand and to utilize ego-resiliency of adolescents, in order to reduce adolescents depression. Promoting good relationship with parents and friends will also positively impact to lower adolescents depression.

• 디지털산업정보학회논문지
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• 제17권4호
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• pp.161-175
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• 2021

This study analyzed the efficiency and influence factors according to the main research institute type of R&D Program for the local community problem-solving. This study applied data envelopment analysis (DEA) method and Tobit regression analysis by using 20 institutions that participated in R&D Program. The results are summarized as follows. First, Analysis results according to the research institute type of R&D project, Efficient DMUs showed more regional innovation institutions than social economy enterprises. But regional innovation institutions were the lowest in the CCR and BCC model. However, efficiency dose not differ between regional innovation institutions and social economy enterprises. Second, as a result of the analysis relation between efficiency and allocation characteristics of R&D input, the participation of regional innovation organizations as participating organizations has a negative effect on efficiency. It was found that the higher the proportion of government subsidies and the higher the employment rate of the vulnerable, which is a social achievement, the positive effect on efficiency. The implication of this study is that the participation of social economy enterprises as the main R&D institution and government R&D support can provide social economy enterprises with opportunities to accumulate R&D capabilities and experience successful commercialization.

• 보건의료산업학회지
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• 제12권2호
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• pp.15-26
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• 2018

Objectives : This study aimed to evaluate the factors related to the experience of unqualified dental practice. Methods : We interviewed 19,961 adults aged 30 years and over using the 2013 Community Health Survey data. To determine the independent factors related to experience of unqualified dental practice, odds ratios and 95% confidence intervals were calculated using multiple logistic regression analysis. Results : The experience of dental treatment by unqualified dentists was significantly higher in women, older people, families with less than 1 million won household income. It was lower scores in diabetes health education while The worse the subjective oral health and the required dental care was significantly higher in those who did not experience dental treatment. Conclusions : The likelihood of experiencing unqualified dental practice was higher in diabetes patients from vulnerable classes, such as women, the elderly, and those with poor educational background or low income.