Epidemiology is the key element of public health and preventive medicine. Reversely, public health and social equity are the basic ground for epidemiologists. Current progress in the various fields of epidemiologic study in Korea calls for the increased participation of the trained epidemiologists. Expanding epidemiologic concepts to the wide spectrum of health and medical programs, active participation to the diversified health service fields and strengthening the role of epidemiology in the social and political decision making should be included in the perspectives of epidemiology in Korea. The future of epidemiology is certainly depend on the efforts of present epidemologists.
Although it has been well known that smokimg is one of the major cause of various disease and conditions, the smoking rate is still very high in Korea. A variety of smoking cessation program are provided by public organization and also by healthcare institutions. In this social enviroment, the smoker's intension and trial rates for smokimg cessation increasing, but it is also true that the succes rate is low about 30%. Therefore this study was conducted to suggest the strategies for providing the effective smoking cessation programs by exploring the factors related to recognition and behavioral intention or programs. To explain the health behavior for smoking and smoking cessation programs, the behavioral model was constructed. The model is composed of five-stages such as recognition of the program, past exprience, present smoking status, intention for smoking, and behavioral intention for cessation programs. It is results that there were very low recognition and and purchase rates for most of smoking cessation programs. Evidenced-based and effective smoking cessation progrms need to be encouraged to smokers by medical doctors, and the strategies of eucationm public realtions, and advertisement are recommended. In addition, cotinuing legal and systematic supports for smoking cessation would lower the smoking rate and ultimately ontribute to the nation;s health promotion, Recognitionm Behavioral Intention.
Purpose: The aim of this study was to analyze health promotion programs utilizing forests by reviewing regional healthcare program plans in Korea. Methods: We analyzed 227 regional healthcare program plans from 2011 to 2014; seven health promotion programs of the 16 major healthcare programs were prescribed by public health law. Results: Our analysis revealed that only 35 health promotion programs from 29 sites were utilizing forests. Furthermore, of 21 known categories of health promotion programs, only nine incorporated the use of forests. Atopy-asthma healthcare programs were the most common forest health promotion programs, which also included specialized disease management programs (e.g., for atopy prevention and healing, patients with metabolic syndrome or cancer) and specialized mental health management programs (e.g., for addiction or dementia prevention). Others included programs on the development of forest roads or industrial development using forest products. Conclusion: Health programs using forests in Korea are still very limited and primarily comprise atopy-asthma prevention/management, health behavioral change, and mental health programs. This study provided useful information for developing health policies and forest health promotion programs further in Korea.
This study was carried out to investigate awareness and attitude of monitors in 206 small sized industries in Seoul and Kyeonggi area toward the occupational health programs using a specially prepared questionnaire. The industries had been running Government-Funded Subsidiary Program since 1998. The questionnaire was designed to be self-administered by respondents. Data were collected for two months from November to December, 1998. Major results are as follows: 1. Between two groups of industries, there were no significant differences in classification, scale, methods of production, existence of trade union, but in type of working pattern and facility ownership there were significant differences. 2. Between two groups of monitors, there were no significant differences in gender, age, marital status, rank, years of education, but in duration of working there was a significant difference. 3. In awareness and attitude of monitors toward their activities and occupational health programs, there was no significant difference by groups of industries, but a significant difference by type and scale of industry, gender, age, years of education 4. It was found that newly subsidized industries were more necessary to provide education programs on occupational health than old industries, and there was a significant difference between two groups of industries in the contents of education needed. In conclusion, it is desirable that the government should develop specific training programs for monitors on occupational health to provide them practical knowledge and specific skills which monitors can apply to their specific situation, and implement the training programs and continue Government-Funded Subsidiary Program for years until small scale industries would have been able to develop and keep their own health management system spontaneously.
Hazardous wastes released into the general environment are of concern to the public and to public health authorities. In response to this concern, the Comprehensive Environmental Response, Compensation, and Liability Act, as amended (commonly called Superfund), was enacted in 1980 to provide a framework for environmental, public health, and legal actions concerning uncontrolled releases of hazardous substances. The Agency for Toxic Substances and Disease Registry (ATSDR) was created by Superfund to address the public health issues of hazardous wastes in the community environment. Two key Agency programs, Public Health Assessments and Toxicological Profiles, are designed to assess the risk to human health of exposures to hazardous substances that migrate from waste sites or through emergency releases (e.g., chemical spills). The Agency's public health assessment is a structured process that permits ATSDR to identify which waste sites or other point sources require traditional public health actions (e.g.. human exposure studies, health studies, registries, health surveillance, health advisories). The ATSDR qualitative public health assessment complements the U.S. Environmental Protection Agency's quantitative risk assessment. For Superfund purposes, both assessments are sitespecific. ATSDR's toxicological profiles are prepared for priority hazardous substances found most frequently at Superfund sites. Each profile presents the current toxicologic and human health effects information about the substance being profiled. Each profile also contains Minimal Risk Levels (MRLs), a type of risk assessment value. This paper covers ATSDR's experience in conducting public health assessments and developing MRLs, and it relates this experience to recommendations on how to improve chemical risk assessments.
The purpose of study was to offer devices to activate the dental health class of community health center and to evaluate the present programs and to propose adequate guidelines for future public dental health program of dental health care in health center. For this study, the mail quastionnaire survey was carried out from the 116 dental hygienists who are working in community health center. Present condition and direction of public dental health service are as follows: dentist's office was 90% by area and work department. Dental health department was equipped in 91.7% of 'public health center', but 'health branch office' was 57.9%. Dental hygienist education condition of Public health center was the most frequency in 'At large city'. 'Have no entirely' of dental health education number of times was 35.8% in 3 years. That is 44.5% in supplement insturction. Most Dental hygienist's business was most 'teeth-sealant' and 'Old man false teeth prosthetic dentistry business'. Therefor, The Obstacle factors of dental health service activity were 'manpower tribe(average 3.92)', and next 'lack of understanding and support insufficiency of law(average 3.47)'. Curriculum for educational practice should be also designed for brightening the dental health service business. The most important thing for dental health service is 'expanding and improving the facilities Legal system' and next 'Opportunity enlargement and activation that can take dental hygienist's residency'.
This research was based on using status and factors associated in public health centers survey in 703 local residents from September 1 to 25, 2015. Data were analyzed with chi-square test, t-test, one way ANOVA, and Stepwise Multiple Regression analysis using SPSS WIN 21.0 program and significance level was set at p<0.05. It was investigated that Incheon city health centers' utilization of residents were 38.8%, the annual average of utilization was 3.92 times. Health centers were mainly used by themselves (25.3%) or recommendation of the people around them (17.8%). The reason why they don't use was no need (27.0%) and don't know well (9.4%) or long distance (7.8%). The average of awareness about the total health programs was 41.2%, the average of utilization rate was 8.1%, both higher rate of awareness and utilization about health programs were vaccination (86.6%, 36.9%), and health examinations (67.2%, 18.7%). The average of satisfaction about health programs was 3.88 out of 5, sealant (4.26 points) and rationing fluoride solution (4.07 points) indicated a high level of satisfaction. The most common factor which represents the impact on public health use and use frequency were the time it takes to move, also gender, age and form of home ownership were major factor in common. Based on this, we have to seek concrete measures of national health programs which conducted to improve the health of local residents can be implemented successfully.
Objectives: This study attempts to identify and categorize the types of collaboration that community health centers in Seoul planned to form in order to conduct health promotion programs. Methods: A content analysis was performed by reviewing the Phase 4 Community Health Plans for 2007-2010 of the 25 districts in Seoul. Results: In total, 614 cases of collaboration were identified which the community health centers in Seoul had planned for 2007-2010. These cases were grouped into 10 categories of collaboration activities: offering direct services through external venues utilizing external facilities; providing health education materials to partner agencies promoting health messages through media; running committees with collaborators inviting external experts; participating in external events; referring clients to external health services; connecting services; and miscellaneous. These types and cases were compared across community health promotion programs. Conclusion: Collaboration and partnership should be clearly defined for community health research and practice. Further research is needed to investigate the potential gap between plans for collaboration and actual collaboration activities, and to develop Korean models for collaboration building for community health promotion.
Demand for appropriate health care has gradually increased in Korea. In addition, developments of community- and school-based oral health programs have also focused oral health care for the oral health promotion. Especially, school-based oral health programs are the underpinnings of promoting oral health and preventing oral diseases among schoolchildren. School-based oral health programs have had three major components: oral health education, oral health services, and a healthful environments. These included oral health education(one-to-one communication, group communication, and use of mass communication), oral examination, fluoride mouthrinsing, pit-and-fissure sealants, fluoride gel application, mechanical plaque control, and chewing xylitol candy. In this study, we evaluate the effects of oral health programs among primary schoolchildren by comparing the oral health knowledge, oral health behaviors, and perception of caries prevention procedures. Data for this study were obtained from 699 primary schoolchildren at the two primary school in Daegu, Korea. One is experimental group, N primary school, that was established school-based oral health center under supervision of Nam-gu Public Health Center, the other is control group, N' primary school, that was yet to establish school-based oral health center. We surveyed children's oral health knowledge and behaviors, and perception of caries prevention procedures using self-administrated questionnaire and then analyzed differences of each item among two groups. The brief findings of this study were summarized as follows. There are several advantage to a comprehensive school-based oral health program. (1) School-based oral health programs facilitate and increase the effectiveness of teaching oral health subjects. (2) Schoolchildren are available for prevention or treatment procedure. (3) School-based oral health center may be less threating than private dental clinic. (4) With comprehensive school-based oral health programs the decayed, missing, and filled teeth(DMFT) of schoolchildren should demonstrate a substantial and steady decrease over time(Choi et al, 2004). In conclusion, treatment is not the answer to solving children's oral health programs; rather primary prevention is the key. Many countries and communities are focusing on hoe millions of underprivileged children can be provided with health care. Schoolchildren gain the knowledge and behaviors to attain and maintain good oral health in schools. For these reasons, the role of school-based oral health center is not only important but also a necessity.
Purpose: This study was conducted to identify the barriers and improvements to promoting physical activity among children using community child care centers. Methods: A qualitative research using focus group interviews was employed. Three focus group interviews were conducted with a total of 18 service providers, and open-ended questions were used. All interviews were recorded as they were spoken and transcribed and data were analyzed using qualitative content analysis. Results: Two main themes in the barriers to promoting physical activity were 'lack of resources' and 'limitations of program composition'. In addition, five sub-themes emerged as a result of analysis: 1) lack of human resources, 2) lack of finance, 3) lack of space, 4) one-off and short-term physical activity programs, 5) learning-oriented programs. Conclusion: The results indicate that it is necessary to have adequate human resources and a realistic government subsidy that allow community child care centers to provide sufficient services to children. In addition, promoting physical activity can be achieved through physical activity programs focused on peer group advisors, habituation, and development of programs suited to the needs of children and their environment.
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