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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Korean Journal of Health Education and Promotion
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Journal DOI :
The Korean Society of Health Promotion
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Volume & Issues
Volume 20, Issue 4 - Dec 2003
Volume 20, Issue 3 - Sep 2003
Volume 20, Issue 2 - Jun 2003
Volume 20, Issue 1 - Mar 2003
Selecting the target year
The Process Quality Assessment of Health Promotion Programs at Public Health Centers
Seo, Young-Joon ; Jeong, Ae-Suk ; Park, Tae-Sun ; Kim, Ju-Kyung ; Park, Nam-Soo ; Lee, Hee-Won ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 1~17
This study purports to assess the process quality of health promotion programs at public health centers. The sample used in this study consisted of 242 public health centers in South Korea. Data was collected with self-administered questionnaires between September. 3rd to September. 23rd in 2002. The 95 returned questionnaires were analyzed by SPSS 11.0 version. The major findings are as follows; There is a need to improve (1) a procedure for reviewing and analyzing strategic planning, (2) the quality of the staff in charge of program management, (3) the function of planning and training for monitoring and evaluation, (4) the ability of program managers in advising and consulting with clients, and (5) a procedure for organizing resources and information. In conclusion, in order to improve the process quality of health promotion programs at public health centers, integrated support from various institutions such as public health centers, community, regional and national health authorities and administrative departments is required.
Development of Small Area Health Promotion Indicator for Community Health Initiative
Kim, Chun-Bae ; Go, Kawung-Uk ; Park, Jae-Sung ; Choe, Heon ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 19~39
Purpose: Although there is a lot of secondary data available for comparing community health status and planning health policies in terms of large area such as metropolitan cities or provinces, there is restricted data for establishing community health policies of the small areas such as towns, Gun(i.e., districts), and Gu. Specifically, the problems of producing a valuable index for health promotion in small areas are three fold: First, there is not an appropriate index model for measuring a small community health status. Second, a large part of secondary data in the small areas has been produced in an irregular time interval. In addition, all valuable data can not be integrated without time consuming work. Thus this study tries to establish a health promotion index model for assisting community health promotion initiatives of local governments. Methods and materials: Literature review, community health specialist consultation and a questionnaire survey was performed. Results: Based on Dever's model, a prototype of health promotion indicators was proposed and modified by the community health specialists. 15 classification scheme of statistical yearbook reorganized into the six areas. Those six areas were comprised in 24 indicator class with 96 specific indicators. Through further modification processes by a questionnaire survey, we developed a health promotion indicator model that contains six areas with 23 indicator class encompassed by 87 specific indicators. Conclusions: This study proposed a model of health promotion indicator comprised in the six areas with 23 indicator classes for measuring small area health promotion status. However, more specific or additional data in human biology, environment, and socioeconomic data is essential for producing a stronger model for health promotion measurement.
The Factors Associated with Health and Cancer Screening Using Preventive Programs from Health Insurance among Women of a Community
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 41~60
This study, performed to analyze the factors associated with health and cancer screening using preventive programs form health insurance among the women of a community, through a survey of about 923 women in Euijungbu-city. The subjects of the study were selected by a proportional cluster sampling method. The self-reported questionnaire was intended to fine factors associated with health screening and cancer screening. The results of this study were as follows: 1. In the case of health screening using health insurance, 14.1% of the subjects turned out to have been screened once or more in their respective life-time. Reasons given for non-participation in the screening were : 'lacking screening information', a belief that' it's not useful' and a belief that they' weren't sick'. 2. The factors associated with health screening behavior were age, educational level, number of doctor visits, BMI and health promotion behavior(p<0.01, p<0.05). Also, the factors associated with health screening behavior were cue to action and health status, and the predictors on health screening behavior were age and health promotion behavior(p<0.01, p<0.05). 3. In the case of cancer screening through the health insurance, 7.4% of the subjects turned out to have been screened once or more respectively in their life-times. Reasons given for non-participation in the screening were : 'lacking screening information', a belief they 'weren't sick' and that it's not useful'. 4. The factors associated with cancer screening behavior were age, educational level, income, alcholol intake, exercise, number of doctor visits and BMI(p<0.01, p<0.05). Aditional factors associated with cancer screening behavior were cue to action, health belief score and health status. Predictors for cancer screening behavior were: age, health belief score, screening attitude and health status(p<0.01, p<0.05). As indicated by the above results, a lack of information was an important factor for a lack of participation in screening. Age and cue to action were also important factors in promoting the cancer screening rate. Therefore, a dissemination of information about cancer screening contributes to the promotion of a screening rate, and cooperation between health insurance and local health cancer facilitates to be public the community-based cancer screening program.
Legal Measures for Handling Internet Health Information
Suh, Mee-Kyung ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 61~76
As people get broader access to health information through the internet, there is a greater need for measure to maximize the social advantages of the internet and to minimize negative side-effects. With this concern, this paper classifies internet health information services sites into : on-line supply of health information, on-line consultation, on-line diagnosis, and on-line sales. As well this paper analyzes domestic laws supporting and/or regulating these services. The efficient provision of internet health services requires comprehensive laws on individual privacy protection, prevention and handling of medical accidents, an electronic prescription form for internet diagnosis, electronic signing, payment for medical expenses, qualifications for internet medical practitioners. Additional laws are required to establish internet pharmacies and internet health goods stores. These new laws can be prepared either separately or through revision of existing laws governing medical practice, pharmacies, and public health promotion. However, as the legal control by the government on cyber processes and entities has a fairly minimal effect, consumers should be encouraged to improve their own capacity for wisely using internet health services and health-service providers should be encouraged to promote voluntary supervision and control of their own services and practices.
The Conditions and Problems of Anti-Smoking Education Programs of Governmental Offices
Lee, Sang-Wook ; Ohrr, Hee-Choul ; Yi, Jee-Jeon ; Kim, Tae-Wook ; Huh, Nam-Uk ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 77~90
The purpose of this study is to investigate the conditions and problems of anti-smoking education programs in government office for civil servants. A mail-in survey was carried out for the chief of the general affairs of 248 government offices. 1. There were 154 responses to the surveys. Only 34 governmental offices have carried out anti-smoking education programs for civil servants. 2. Only one office has a department to supervise and anti-smoking program. 17 offices have 1 worker and thirteen offices have no manpower to supervise anti-smoking program. 3. Only eight offices have budgeted for anti-smoking programs. The average budget was 3,750,000 Won. Expected budget for smoking cessation program was 7,500,000 Won. 4. 25 offices have an anti-smoking lecture program for civil servants. Only five offices have an anti-smoking counseling for smokers. 5. Only seven surveys responded that civil servants had a positive response to anti-smoking programs. 6. The most important problem of anti-smoking programs in governmental offices was the lack of concern of civil servants. Governmental offices have to provide the greatest administrative services and services concerning the quality of life for citizens. Anti-smoking education programs in governmental offices for civil servants was the beginning of an activity of the services concerning the quality of life for citizens. Governmental offices have to actively implement anti-smoking programs for civil servants.
Stomach Cancer Screening and Repeat Screening Behaviors among Adults in an Urban Area
Jeong, Ihn-Sook ; Bae, Eun-Sook ; Chen, Dong-Hwan ; Chun, Jin-Ho ; Lee, Hwa-Ja ; Park, Nam-Hee ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 91~109
The importance of repeat screening for stomach cancer is well known to decrease deaths from stomach cancer. This study was aimed at assessing practice behaviors and to identify related factors in the aspects of demographic factors, health status and cancer risk recognition, attitude to cancer screening, health behaviors, and inhibiting or facilitating factors to stomach cancer screening in an urban area. Data was collected through self-administered questionnaires from 403 people aged 40 to 69 years from April 23th to May 15th, 2002. Practice behaviors were classified as : "ever" or "never", and "repeat" or "not repeat" grouped based on a recent 5 year screening history. The results were as follows: 1. Among the 403 subjects: "the ever group" was 23.8% and "the repeat group" was 4.0%, The rates of screening were 20.5% for men, 27.8% for those women, and 27.3% for aged 40-49, 24.5% for those aged 50-59, 19.0% for those aged 60-69. The rates of repeat screening were 4.0% for men, 4.1% for women, and 2.9% for those aged 40-49, 6.3% for aged 50-59, 2.5% for those aged 60-69. 2. The main factors associated with adherence to gastric cancer screening were education(post high school vs below : OR=2.44), previous cancer screening(yes vs no : OR=2.61), belief in personal health(no vs yes : OR=2.72), health status(unhealthy vs healthy : OR=3.40), possibility of cancer compared to others(low vs not low : OR=2.56), and regular exercise(yes vs no : OR=2.94). The main factor associated with adherence to gastric cancer repeat screening was other cancer screening(yes vs no : OR=6.33). Consequently, there is a need to change the recognition of the importance and necessity of stomach cancer screening in healthy conditions through health education, and to perform multiple screening tests each visit.
A Study on the Quality of Life, Self-Efficacy and Family Support of Stroke Patients in Oriental Medicine Hospitals
Kim, Hye-Sook ; Kim, Yi-Soon ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 111~130
The purpose of this study was to analyze the relationship between quality of life, self-efficacy and family support of stroke patients in Oriental medicine hospitals. The subjects of this study were 211 hospitalized stroke patients in seven oriental medicine hospitals in the Busan Metropolitan, Gyeongsangnam-do and Gyeongsanbuk-do area. Data was collected through questionnaires from June 1st, 2002 to September 30th, 2002. 1) The relationship between general characteristics and other variables showed significant differences as follows : for general self-efficacy degree, age, occupation, and level of education ; for family support, level of education and occupation ; for quality of life, level of education, occupation, religion, and monthly income. 2) The relationship between disease-related characteristics and other variables showed significant differences as follows ; for general self-efficacy, level of paralysis, and periods of hospitalization ; for specific character of paralysis, level of paralysis, and periods of hospitalization ; for family support, care-giver, character of paralysis, level of paralysis, and periods of hospitalization related; for quality of life, level of paralysis, and periods of hospitalization. 3) There was a significant correlation between the quality of life and general self-efficacy, the quality of life and the specific self-efficacy, the specific self-efficacy and family support.
Properties of Blood Pressure and Routine Laboratory Test Results by the Status of Smoking and Alcohol Intakes in Male Workers
Yoo, Chang-Kyun ; Jeong, Yong-Jun ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 131~145
This study was conducted to estimate the incidence and the degree of cigarette smoking and drinking among working men, and then to investigate the effects on blood pressure, various hematological indices and blood chemistry. The sample consisted of 2,287 male workers who had undertaken a general health check-up during the two-year period from January, 2000 to December, 2001. Such factors as blood pressure, blood glucose, lipid profiles, and liver function tests were determined and then analyzed with respect to the subjects smoking and/or drinking status. The major findings from this study are: 1. The drinking and smoking status have shown that 52.7% of participants were in the habit of both drinking and smoking while 11.6% were not associated with either. On the other hand 25.4% were involved only in drinking and 10.2% only in smoking. In the group smoking over 21 cigarettes per day over 30, the age group occupied the largest proportion at 20.1%. 2. Regarding the relationship between smoking and/or drinking status, and blood pressure, hematology and blood chemistry, the smoking and/or drinking group had significantly higher levels of blood pressure, both systolic and diastolic, Hb & Hct, TG, LDL-C, SGOT, and
-GTP, than the non-smoking and/or non-drinking group. But HDL-C was significantly lower in the smoking group and significantly higher in the drinking group than the non-smoking/non-drinking group. 3. Regarding amount smoked, a larger number of cigarettes per day was significantly associated with the higher levels of blood pressure, systolic and diatolic, TG, TC, LDL-C, Hb, Hct, and
-GTP. As for the amount druck, an increasing amount of alcohol intake was associated with rising levels of blood pressure, systolic and diatolic, TG, TC, LDL-C, HDL-C, Hb, SGOT, and
-GTP. 4. Regarding the correlation among all the variables stated above, the smoking and drinking amount was shown to be in the positive correlation with blood pressure, both systolic and diastolic, TG, TC, Hb, and
-GTP. On the contrary, LDL-C and HDL-C was in a positive correlation only with the amount drunk amount, and Hct only with the amount smoked. 5. As with systolic and diastolic blood pressure, the odds ratio of the smoking group was 2.35 and 2.58 compared to the non-smoking/drinking group. whereas it was 1.47 and 1.75 in the smoking/drinking group. Concerning serum lipids, the smoking/drinking group had 1.97 times the levels of TG in the non-smoking/non-drinking group, though the smoking group had 1.55 times the levels of HDL-C in the non-smoking/non-drinking group. As with liver function test results, the drinking group had 2.50 times and the smoking/drinking group had 4.41 times the levels of
-GTP in the non-smoking/drinking group. respectively. The above results revealed that smoking and alcohol intake were effected the results of blood pressure and laboratory tests. Specifically, not only the smoking/drinking group but also those only smoking or only drinking were not as desirable as the non-smoking and non-drinking group to the results of blood pressure and laboratory tests.
Relationships Between Variables Belated to Skin Health and Skin Health Behavior in Female University Students in Seoul
Bae, Soo-Hyun ; Moon, In-Ok ; Kim, Yeon-Hee ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 147~158
The purpose of this study was to analyze the relationships between variables related to skin health and skin health behavior of female university students in seoul, and to plan effective educational programs for skin health. 322 university women attending women's universities and 363 university women attending co-educational universities were selected to conduct a questionnaire survey; the total number of examines was 685, and the examination period was from October 23rd to November 6th, 2002. The study results are as follows; 1. The score distributions of skin health behavior were as follows; 8.7% of examniees got 20-40 points, 51.6% got 41-60 points, 36.7% got 61-80 points, 0.4% got 81-100 points. The maximum score was 100 points; the lowest score was 22 points and the highest score was 97 points, the average score was 56.9 points. 2. The general characters were as follows; the older subjects were and the higher subjects income levels were : the higher their scores of skin health behavior were. Scores of skin health behavior of students who temporarily stay out of school were higher than those who were enrolled full time. Scores of skin health behavior of university women attending women's universities were higher than those of university women attending co-educational universities. The greater subjects were satisfied with their appearances, the better their health states were, the more subjects were concerned about health problems, the higher their health states were, the more subjects were concerned about health problems, the higher their scores of skin health behavior were. 3. Characters related to skin were as follows; the better subjects skin conditions were, the higher their scores of skin health behavior were. Scores of skin health behavior of university women whose skin types were 'sensitive' were higher than those of university women whose skin was "not sensitive". Scores of skin health behavior of university women who worry about their skin wrinkles or skin color were higher than those of university women who have different kinds of skin troubles. Scores of skin health behavior of university women who get skin-relate information through dermatology clinics or beauty salonspecialists in this area were higher than those of university women who get the information through other sources. Scores of skin health behavior of university women who have experienced adverse effects of beauty products were higher than those of university women who have not experienced adverse effects of beauty products. 4. The relationships between variables related with skin health and skin health behavior were as follow; Skin states, health status and health concerns all had statistically significant correlation with skin health behavior.
A Cross-Sectional Study of Dietary Habits and Eating Behavior amongst Elementary, Middle and High School Students in Wonju City
Hur, Hae-Kung ; Park, So-Mi ; Kim, Gi-Yon ; Kim, Chun-Bae ; Ahn, Joung-Sook ; Song, Hee-Young ; Kim, Ki-Kyong ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 159~172
Purpose : The purpose of this study was to investigated the dietary habits of students in order to identify risk groups according to their Body Mass Index (BMI), and to compare the eating behavior of students in the normal range (19
24) and those in risk groups (BMI
27, BMI>27). Method : 1176 elementary school students, 850 middle school students and 672 high school students in Wonju City, were the participants The instrument for this study was a structured questionnaire that included demographic data as well as dietary habits, and the eating behavior instrument developed by Stunkard & Messick(1985) and revised by Kim & Kim (1997). Result : 1) As students moved up ingrade level their dietary habits became more irregular and the degree that students chewed food was reduced 2) As students moved up in grade level, a greater number of the student did not eat breakfast. The reasons given were that there were not enough time before classes started(40.4%) and a lack of appetite in the morning(10.6%) in high school students. 3) As for supper, from 67.8 to 81.9% of subjects reported having regular supper. However the rest of the subjects did not eat supper because of anorexia and fear of weight gain. 4) The results identified risk groups according to their BMI showed that for elementary school students, 55.9% were in the low weight group, 5.5% in the overweight group, and 0.9% in the obese group. For middle and high school students, 40.6% and 35.5% respectively were in the low weight group, 7.4% and 6.3% in the overweight group, and 4.1% and 2.5% the obese group. 5) Comparisons of the eating behavior of students in the normal weight group with that of those in the three risk groups showed that there significant differences in 'hunger' and cognitive restraint of eating' in elementary school students, and significant differences in 'cognitive restraint of eating' in middle and high school students. Conclusion : The results of this study show that management of diet in school health should be addressed from both the aspect of lack of nutrition and that of excess nutrition. In other words, good diet is as important for students in the low weight group as it is for those in the overweight and obese groups. The establishment of good dietary habits and eating behavior in students, by nurses and dieticians should be done by providing repeated diet education and involvement in diet counseling.
Predicting Exercise Behavior in Female Workers: An Application of the Theory of Planned Behavior
Bae, Sang-Soo ; Lee, Hoon-Jae ; Lee, Chang-Ok ; Joe, Hee-Suk ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 173~186
The objectives of this study were to verify the determinants of regular exercise behavior in female workers by applying a modified Theory of Planned Behavior. The variables investigated for this study were health status, health concern, health habit, attitude (7 items), subjective norm (3 items), and perceived behavioral control(5 items). Data was collected from 204 female workers using a self-administered questionnaire. The results of this study were as follows. 1) Regular exercise behavior was significantly influenced by perceived behavior control for time, pleasurable attitude, and the subjective norm of their colleagues. 2) A modified Theory of Planned Behavior is particularly useful in explaining exercise behavior of female workers. We suggest that health care providers should focus on not only attitude and social norms but also perceived behavioral control in order to improve the exercise behavior of female workers.
Study on the Influence of Health Information from TV - Amusement Programs on Practice of Health Behavior
Park, Sun-Hee ; Chang, Hye-Jung ; Kwon, Young-Dae ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 187~202
The conveyance of health information through mass media is becoming more popular, even through recreation at television programs. This study aims to investigate the influence of health related TV programs for recreation on a practice action of health behavior. In particular, the relationship between attitude, belief, and behavioral practice of the TV audience is explored. Data was collected from 200 respondents for two weeks in May, 2002. The results showed that the motive of the TV audience for watching TV recreation programs was either entertainment or fun. They satisfied with the programs in general. However, the rate of desirable health behavior practice after watching those programs was low. The degree of practice was significantly correlated with belief, satisfaction, and application possibility of the TV audience to the program. In addition, two personal factors such as gender and subjective evaluation of personal health status were significant in influencing health behavior. The appearance of experts on programs was the most important factor influencing the belief of an audience. This implies that audiences want to have the health information fulfilling scientific evidences. It is suggested that TV recreation programs would be beneficial to most audience members for in receiving important health information, only if recreation and interest factors in the program as well as the evidence-based health information and knowledge are successfully combined.
A Study on the Development of Lifelong Educational Programs for the Promotion of Health and Welfare in Later Life: Centering around the Establishment and Management of Aging Center in University
Kim, Hyoung-Soo ; Lee, Won-Jae ;
Korean Journal of Health Education and Promotion, volume 20, issue 1, 2003, Pages 203~218
In aging Korean society, many elderly people have difficulty in the areas of health, economic insecurity, role-loss(both work & spouse), loneliness, and family conflicts. Above all, retirement from work is one of the most important stressful life events having influences an elderly's persons economic & social activities, mental state, health status, and Lifelong educational programs could help the aged cope with these situations in later life. Health and social welfare are commonly recognized as an important value of life. They also have an effect on each other. Most people agree that the promotion of health and social welfare is to take a short-cut toward achieving well-being. Thus we need to develop a substantially integrated program of lifelong education, before and after retirement, for the promotion of health and welfare. Universities have the advantage of practicing lifelong educational programs because they have more material, intellectual, and human resources than any other educational facilities. As a result, the purposed of this study is to suggest life-long educational programs for promoting both health conditions and the level of social welfare by utilizing an aging center affiliated with a university. Specifically, the developmental courses of pre-retirement, learning in retirement, elder-hostels, and the connection between pre and post-retirement educational programs are proposed in this study.