• 한국산학기술학회논문지
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• 제17권6호
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• pp.495-509
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• 2016

이 연구는 노인의 건강증진태도와 생리적 지수에 대하여 클린다이어트 프로그램의 중재효과를 파악하고자 비동등성 대조군 전 후 실험설계로 2015년 6월 24일부터 2015년 9월 18일까지 12주간 실시되었다. 연구대상자는 대구광역시 C 노인대학에서 만성질환이 있는 65세 이상 노인 60명을 선정하여 실험군과 대조군으로 각각 30명씩 배정하였다. 클린다이어트 프로그램은 실험군에만 적용되었으며 웰니스, 건강행동, 주관적 건강감, 우울 및 생리적 지수(혈압, 혈당, TG/TC, BMI)에 대하여 실험군과 대조군의 사전 사후 차이를 비교하였다. 연구결과 실험군의 웰니스(t=7.069, p<.001), 건강행동(t=6.196, p<.001), 주관적 건강감(t=6.624, p<.001) 수준이 향상되었고, 우울(t=4.038, p<.001)은 완화된 변화를 보였다. 그리고 생리적 지수는 BMI(t=5.974, p<.001)에서만 감소된 것으로 분석되었다. 이와 같은 결과는 클린다이어트 프로그램의 중재효과를 입증한다. 따라서 노인에게 클린다이어트 프로그램을 적용하면 삶의 질을 높이는 총체적인 생활방식이나 건강을 유지하기 위한 생활양식 그리고 우울증 완화와 BMI관리에 효율적인 것으로 판단된다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권1호
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• pp.305-310
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• 2016

Background: Given the association between drinking hot tea and the risk of esophageal squamous cell carcinoma, this study was designed to determine the effectiveness of an educational campaign based on the Theory of Planned Behavior (TPB) in reducing hot tea consumption among a sample of Iranian female students. Materials and Methods: In this quasi-experimental study, 130 primary-school female students in Salas Babajani, Kermanshah, Iran were randomly selected. A two-month campaign based on TPB constructs was developed and conducted for the intervention group. Combined mass media approaches (such as posters, pamphlet, and brochure) with small group and individual activities were used to transfer the campaign messages. Also, five 40-minute instructional sessions for the students and one session for their parents and teachers were held. The hot tea consumption, attitude, subjective norms, perceived behavioral control and no intention to drink hot tea were variables which were measured at baseline and again after 4 weeks. Results: There was a significant improvement in the perceived behavioral control and intention to drink no hot tea variables in the intervention group as compared to the control group following the campaign. In addition, significant reductions were found for the hot tea consumption and favorable attitude toward drinking hot tea in the intervention group as compared to the control group. Conclusions: Conducting educational campaigns based on TPB variables may reduce hot tea consumption among Iranian students.

• 보건교육건강증진학회지
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• 제17권1호
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• pp.95-113
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• 2000

The purpose of this study is to investigate the state of the dental health of adults, used self-reporting qestionnaire as objects of 923 residents living in nine districts at random among the sites of eleven town located in a County. The level of knowledge on dental health of adults in a County was 65.6 points out of 100 points, comparatively low. Accodingly, it is necessary for entire adults to have a dental health-related education and get high standard of knowledge. Especially, educational approach should be performed for groups of 40-49 years old, 50-59 years old, above 60 years old, male, no educational background, having only elementary and middle school education, not having any jobs, engaging in agriculture, doing business on their own and so on. When planning the contents of health education, one actually has to include the habit of amalgam, the factor in influencing on dental health as well as show an example such as how to brush teeth, checking point of proper brushing, how to grip toothbrush. The attitude score related to dental heath was 71.2 points out of 100 points, relatively low. Consequently, the change of attitude related the dental health among entire adults is necessary, particularily, the strategical approach is essential to change dental health connected to attitude positively for groups of male, having high school education background, office workers and the civil service. Besides, among dental health related symtoms, more that 30-40％ of objects showed negative attitude toward as the following cases; in case that plaque or food debris are attached to the teeth (40.8％), upper and lower teeth do not fit together(40.3％), you cannot sleep well because of toothache(31.0％), more than one tooth fall out(31.0％), you have loosing teeth(30.6％), the approach should be conducted to form attitude that dental care is necessry. The state of dental health through dental health related symtoms was 33.3 points out of 100 points, which was fairly satisfactory. However, dental treatment for the state of dental health should be executed in case of comparison of the dental health state according to general characteristics, the group who are above 60 years old, have elementary school education background, engage in aggriculture who are not good in dental health state as opposed to other groups. Furthermore, there should be dental care needs according to dental health related symtoms, particularly, more than 60-70％ of objects have experienced symtoms that plaque or food debris attached to the teeth, tartar is on the teeth so dental treatment should be peformed for a large number of adults. In addition, for the people who have indications that there was a cavity, more than one tooth loss, chilled teeth, toothache when chewing, loose teeth, upper and lower teeth do not fit together, you cannnt sleep well due to the toothach, etc, there should be care through dental treatment. The actual conditions of the hygine of the mouth was relatively good and the difference of the actual state of dental health care in terms of general characteristics showed in only gender; female was more careful in dental health. Comparing the state of oral health synthetically, when they have symtoms, only 34.8％ of objects go to a dentist, 60.7％ are using passive or negative care such as gargling, tolerating or ignoring. There was many symtoms to care through dental therapy such as plaque or food debris get in between the teeth, tartar on the teeth, teeth are very cold, more than one tooth fallout, loose teeth, there is wrong amalgam, and so on, among symtoms to care passively or negatively. Therefore the education for proper treatment program should be performed. As a result of dental health-related knowlege, attitude, health state, verification of correlation between the actual condition of care, the higher the dental heath-related knowldege becomes, the more positive the dental health-related attitude is, and the state of dental health, that is, the standard of the symtom of dental health diminishes. the care for dental health executed through more active method and the more positive dental health-related attitude is, the more active means they performed. Consequently, the high level of dental health-related knowledge should be necessary, the more positive the dental health-related attitude was, the more active method they adopted, therefore, the program is needed to form attitude related to the dental health positively. As the knowledge on dental health is increasing, the attitude is also positive, after all, the plan to increase the standard of knowledge on dental health should be contrived through education program related to dental health.

• 보건교육건강증진학회지
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• 제24권3호
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• pp.35-49
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• 2007

Objectives: This study examines the relationship between social capital and suicidal impulse for the Metropolitan Seoul residents, paying particular attention on individual and area level risk factors using multilevel analysis techniques. Methods: Data are obtained from the 2005 Seoul Health Indicators Survey and the Seoul Survey. At the individual level, we analyze demographic variables including sex, age, marital status, educational attainments, family income, field of economic activities, having close friends or relatives, and having participating groups or organization. To measure the area level social capital, happiness index, attitude toward minority, the percent of volunteer activity, the percent of having close friends or relatives, and the percent of participating groups or organization are considered. A multilevel logistic regression analysis is conducted utilizing the SAS 9.1. Result: Results show that non-aged, female, not currently married, unemployed individuals tend to have relatively high motivation of suicide. Controlling for individual level covariates, the relationship between social capital and suicidal impulse is neither significant nor substantial. Further, the consideration of area social capital does not explain the variances in suicidal impulse across 25 Kus. Conclusion: Suicidal impulse among Seoul residents is mainly attributable to the composition of individual characteristics but little to the contextual social capital.

• 한국융합학회논문지
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• 제12권11호
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• pp.347-357
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• 2021

코로나 19가 발생한 이래 각국은 국민들을 코로나19로부터 보호하기 위해서 다양한 정책을 펴고 있고, 가장 유력한 방안으로 백신접종을 권장하고 있다. 이에 본 연구는 대학생들의 대상으로 백신접종에 어떤 요인들이 영향을 미치는지를 규명하기 위해 다차원건강통제소재의 3가지 건강통제소재와 건강신념모형의 지각된 취약성과 심각성을 융합하여 백신접종 의도를 탐색하였다. PLS경로모형 분석을 실시한 결과 최종적으로 우연 건강통제소재(CHLC)가 취약성 지각을 매개하여 백신접종의도에 영향을 미치고 있었다. 이는 코로나 19에 대해 운명론적 태도가 클수록 코로나 19에 대해 더 취약하다고 인식하고 백신을 접종하려는 의도가 더 커진다는 것을 의미한다. 따라서 예방접종율을 높이기 위해서는 보건당국은 다양한 방안을 활용하여 국민들의 질병에 대한 감수성 인식을 활성화 하도록 동기를 부여할 필요가 있다. 이 과정에서 사람들의 숙명론적 경향이 선행변인 역할을 할 수 있음도 고려해야 한다.

• 지역사회간호학회지
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• 제13권4호
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• pp.719-731
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• 2002

Purpose: The purpose of this study was to identify knowledge, attitude, and practice of middle-aged women breast self-examination, and to develop a breast self-examination promotion program for them. Method: The subjects of the study were 365 middle-aged women in Seoul, Busan, Daegu, Daejeon, Gyeongbok, Gyeongnam, Jeonbuk, Gangwon, and Kyonggi. The instruments used in this study included knowledge (l6items), attitude (22items) by Choi (1996) and practice (1item). The data were collected from September 15 to October 31, 2001 by using self-administered questionnaire. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, $x^2$ test, t-test, ANOVA and Scheffe test with SPSS program. Results: 1) 78.4% of the subjects were educated for breast self-examination. The most common source of knowledge for the breast self-examination was mess media. 2) The average score of knowledge on breast self-examination was 8.52 points. The average score of attitude toward breast self-examination was 3.08 points. 58.3% of the subjects practiced breast self-examination. But only 9.4% of the subjects practiced breast self-examination with a monthly basis. 3) Knowledge on breast self-examination was correlated with demographic variables including residence (F=2.923, p=0.004), education (F=5.145 p=0.000), number of children (F=5.125 p=0.002), family income (F=6.128 p=0.002), and menopause (t=-2.330, p= 0.020). Attitude toward breast self-examination was correlated with demographic variables including residence (F=3.611, p=0.000), age (F=2.731 p= 0.029), education (F=4.480 p=0.004), and family income (F=5.963 p=0.003). Practice of breast self-examination was correlated with demographic variables including residence ($x^2$=51.342, p=0.000), education ($x^2$=19.896, p=0.000), and menopause ($x^2$=9.841, p=0.000). 4) In terms of correlations among the scores of breast self-examination related knowledge, attitude, and practice, there was a correlation between knowledge and attitude. But there was no correlations between knowledge and practice, and between attitude and practice of breast self-examination. Conclusion: This study suggests that programs about the practice of breast self examination need to be developed in the future.

• 농촌의학ㆍ지역보건
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• 제25권2호
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• pp.397-411
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• 2000

초등학교 학생을 대상으로 1년간의 보건교육 interevntion을 제공하고 이에 의한 보건지식, 태도 및 건강증진행위의 변화의 정도를 분석하고, 비만 식이에 대한 지식과 태도, 실천 행위점수의 변화에 영향을 미치는 요인을 규명하고, 건강지식과 건강증진행위의 변화에 따른 건강수준의 변화정도을 분석하고자 시행하였다. 1999년 4월 경주시 도시지역 초등학교에 재학중인 3, 4학년 학생과 학부모 각 354명을 대상으로 사전조사를 시행한 결과 학생과 학부모 각각 301명이 응답하여 회수율은 85%였다. 301쌍 중에서 1년 후 2000년 4월 추적조사를 실시하였으며, 전학한 학생, 조사 당일 조퇴자, 복부지방 측정 누락자와 추적설문조사에서 학생과 어머니의 설문이 불완전한 대상자를 제외한 231쌍을 최종분석 대상으로 하였다. BMI를 기준으로 비만군과 정상체중군으로 구분하고 이에 따른 비만 식이에 대한 지식, 태도 및 실천행위점수와 복부비만율을 intervention 전후의 변화를 비교한 결과, 지식 점수의 변화는 정상체중군에서 유의하게 증가하였고, 태도점수는 비만군에서는 유의하게 증가하였으나 정상체중군에서는 유의하게 감소하였고(p<0.01), 실천행위 점수는 양군 모두에서 유의하게 증가하였다. 복부비만율은 비만군에서는 변동이 없었으나 정상체중군에서는 유의하게 증가하였다(p<0.01). Intervention 전후의 비만 식이에 대한 지식점수 변화는 사전조사 점수를 기준으로 3분위 한 후 1년 후 점수의 변화를 보면 l분위의 경우 intervention 전후의 지식점수변화가 2.4점 증가하였고, 2분위는 0.6점 증가하였고, 3분위는 0.6점 감소하여, 사전지식 점수가 낮을수록 건강증진프로그램에 의한 효과가 큰 것으로 나타났다. 비만 식이에 대한 실천행위점수는 세 군 모두에서 유의하게 증가하였고, 점수의 변화량은 1분위가 7.0점, 2분위가 4.4점, 3분위가 1.8점으로 세 군간에 유의한 차이가 있었다. 어머니의 교육수준이 대졸 이상군에 속하논 학생의 BMI증가가 고졸 이하군에 속하는 학생의 BMI 증가에 비하여 유의하게 높았고, 어머니의 연령이 30대인 학생군에서 비만 식이에 대한 실천행위점수 변화는 높았다. 어머니의 비만 식이에 대한 지식점수와 태도점수를 3분위로 구분하여 비교한 결과 태도점수 수준에 따른 학생의 지식점수변화는 유의한 차이가 있었다. 비만 식이에 대한 지식점수변화량에 영향을 미치는 요인분석을 위한 다중회귀분석에서는 학생변수로는 비만에 대한 심각성 인지도와 비만 식이에 대한 사전지식점수가 유의하게 영향을 미치는 변수였고, 어머니 변수 중에 자녀식습관지도 정도와 교육수준이 유의한 변수였다. 비만 식이에 대한 태도변화량에 영향을 미치는 요인분석을 위한 다중회귀분석에서는 학생변수로는 BMI 비만 식이에 대한 사전지식 정수와 비만 식이에 대한 사전 태도점수가 유의한 변수였으나, 어머니 변수는 태도점수 변화에는 영향을 미치지 못하는 것으로 나타났다. 비만 식이에 대한 실천행위점수변화에 영향을 미치는 요인분석을 위한 다중회귀분석에서는 학생변수로는 BMI와 비만 식이에 대한 사전 태도점수, 비만 식이에 대한 태도점수 변화량이 영향을 미치는 것으로 나타났다. 결론적으로 비만 식이에 대한 지식수준이 낮고, 건강 실천행위정도가 낮은 학생에서 intervention에 의한 효과가 크게 나타났다. 그러나 1년간의 보건교육과 운동 등의 건강증진 프로그램을 통한 intervention에 의해서는 BMI나 복부비만율 등의 건강수준의 변화에는 거의 영향을 미치지 못하는 것으로 나타나 장기적인 intervention이나 교육-대조군 연구활 통한 건강증진효과를 계량적으로 분석하는 것이 필요하다. 아동의 비만 식이 태도와 행위 변화에 어머니의 연령과 교육수준 등의 영향을 미치고, 어머니의 비만 식이에 대한 태도점수도 영향을 미치므로 어머니도 학생의 비만 식이의 관련된 교육 프로그램의 대상에 포함시켜야 한다.

• 보건교육건강증진학회지
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• 제21권1호
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• pp.1-23
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• 2004

The purpose of this study is to examine the effects of job-related characteristics on alcohol consumption among female workers. The Data was collected from a sample of 1,000 female workers by a stratified proportional quota sampling method derived from those who were working in Seoul. Drinking behavior pattern includes total amount of pure alcohol consumed during the last month (AC) measured by graduated quantity-frequency. Job-related characteristics (JRC) were measured by job-related stress, work characteristics, and organizational structure including length of working hours, number of times dining out together with workers per year, number of staff to supervise, employment status, occupational category, and proportion of female workers to male counterpart. Confounding variables include sociodemogrphic and socio-cultural attitudes toward alcohol expectancy, subjective norm of drinking, and gender-role attitude. Hierarchical multiple regression models show that the variability of AC was accounted for by some JRC including number of times dining together and employment status, with confounding variables held constant. However, the relationship between AC and JRC varied across occupational categories. Some implications were discussed in terms of health policy for female workers and further study for female drinking behavior.

• 보건교육건강증진학회지
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• 제27권2호
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• pp.79-93
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• 2010

Objectives: This study aims to identify the factors associated with the stages of change in colorectal cancer screening, and develop a model explaining these stages of change by using structural equation modeling analysis. Methods: On the basis of literature review and expert advice, we constructed our hypothetical model that consisted of five theoretical constructs(process of change, pros, cons, self-efficacy, stage of change). In 2009, data was collected from 486 participants aged between 50 and 69. The data were analyzed by SPSS 15.0 and AMOS 6.0. Results: In the case of stage of adoption, the contemplation stage was the most common (37.4%), followed by the action stage (26.5%). In the final model of the stage of change for colorectal cancer screening, there was a direct influence of the process of change ($\gamma$=.562, p<.001), and cons ($\gamma$=.132, p<.01) on the stage of change with the terms of GFI .931, AGFI .904, RMR .038, NFI .930, and NNFI .936. Conclusion: It is necessary to produce and disseminate evidence-based cancer screening information, which can mitigate the negative attitude among the public toward cancer screening. Also, it is essential to provide a safer and more comfortable environment at cancer screening center.

• Asian Pacific Journal of Cancer Prevention
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• 제15권5호
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• pp.2231-2238
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• 2014

This study investigated how self-rated health and socioeconomic status are associated with behaviour of cancer survivors regarding desire for information. For this association, we compared survivors who did not seek information about cancer with those who did. We examined how sociodemographic, socioeconomic, cancerrelated, and health information factors are associated with self-rated health (SRH) by health information seeking/avoiding behavior in a survey of 502 post-treatment cancer patients. In the information seeking group, all four factors exhibited significant relationships with SRH. SRH values were significantly high for women (p<0.05), non-Hispanic White (p<0.05), and educated (p<0.01) participants, and for those who had high self-efficacy to use health information by themselves (p<0.01). Furthermore, in the information avoiding group, not only were there no significant relationships between socioeconomic status (SES) and SRH, but there were negative associations between their attitude/capacity and the SRH. In terms of communication equity, the promotion of information seeking behavior can be an effective way to reduce health disparities that are caused by social inequalities. Information avoiding behavior, however, does not exhibit a negative contribution toward the relationship between SRH and SES. Information seeking behavior was positively associated with SRH, but avoiding behavior was not negatively associated. We thus need to eliminate communication inequalities using health intervention to support information seeking behavior, while simultaneously providing support for avoiders.