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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Korean Journal of Health Education and Promotion
Journal Basic Information
Journal DOI :
The Korean Society of Health Promotion
Editor in Chief :
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
Factors Related to the Recognition and Behavioral Intention for Smoking Cessation Programs
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 1~18
This study was conducted to evaluate factors related to the recogniton and behavioral intention for smoking cessation programs. Five effective smoking cessation programs were considered： acupuncture, nicotine patch, clinic program, mass education, and alliance programs. To explain the health behavior for smoking and smoking cessation programs, a five-stage behavioral intention model was built, and 500 questionnaires were completed through a telephone survey. Stages of the model included recogniton of the programs, past experiences, present smoking status, intention for smoking, and behavioral intention for smoking cessation programs. The results showed that the recogniton rate of the programs were low in general, therefore strategies of education, public relations, and advertisement need to be pursued. Nicotine dependency resulted in the fact that success rates were low although trial rates of smoking cessation were high among smokers. The necessity for smoking cessation programs was suggested. And the significant factors related to the intention for smoking cessation were individual attitude and reluctancy to pay time and money. Others' attitude was insignificant to subjects' smoking cessation. Purchase rates for nicotine patches were 11.3％ for male and 27.3％ for female, those for acupunture were 7.6％ for male and 10.0％ for female. There were very low purchase rates for clinic, mass education, and alliance programs. In conclusion, evidence-based and effective smoking cessation programs need to be promoted by medical doctors. Strategies in education, public relations, and advertisement also need development. In addition, continuing legal and systematic support for smoking cessation would lower the smoking rate and ultimately contribute to the nation's health.
Effectiveness of Video- and Discussion-based Smoking Cessation Intervention for Adolescents
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 19~35
The purpose of this study is to examine the effectiveness of video-and discussion-based smoking cessation intervention for adolescents. And this study is intended to provide a basic database for the development of health education, to serve health promotion for adolescent. The subjects were 472 high school students in K yungkido. The data was collected from September 23th to October 31 st, 2002. The data was collected by the measurement of knowledge, attitude, and intention toward smoking. Pre-research was conducted before smoking cessation education and post-research was performed twice, immediately after the education and 4 weeks later. Collected data was analyzed by using the SPSS 10.0 which is a computational statistical program. The results of this study are as follows： 1. Total knowledge points in smoking cessation program-based group are higher than any other groups and the statistical difference is significant. 2. The students' attitude points in experimental groups are higher than that of the control group and the statistical difference is significant. However, the meaningful statistical difference disappeared after 4 weeks. 3. The non-smoking students' intention points do not show any significant difference. And the smoking students' intention points in experimental groups are higher than that of the control group but the statistical difference is insignificant. 4. There are correlations among knowledge, attitude and intention toward smoking： knowledge and attitude are negatively correlated, knowledge and intention are positively correlated for non-smoking students, and for smoking students, attitude and intention have a negative correlation.
Development of a Comprehensive Safety Education Model for Elementary Schools in Korea
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 39~59
The aim of this study was to describe the status and needs of safety education in elementary schools and to develop a model of the comprehensive school safety education in Korea. A literary review was used to assess the status of safety education materials in Korea, the safety education program, and the laws and policies about safety education. A self-administered questionnaire survey was conducted in Seoul, Kyonggi Province, Kwangwon Province, and Jeonbuk Province to assess the status and needs of school safety education. Survey data was obtained in June 2002 from 83 teachers and 21 focus group consisting of experts. The primary goal of safety education is to help students to acquire knowledge, attitudes, and beliefs on safety. Comprehensive safety education has these primary goals： To provide an opportunity for students to develop their values, attitudes and beliefs about safety. This study will help assess the feasibility of applying safety education guidelines in elementary schools in Korea, including theoretical aspects of the field and practical aspects of safety education in relation to guidelines containing the diverse types of safety activities in Korea. In particular, it will suggest appropriate alternatives to current methods, protecting elementary school students in Korea, and how those can be created in the cultural context of Korea.
The Effect of Substance Abuse Prevention Program on High School Students - focused on alcohol and smoking
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 61~76
Substance abuse among teenagers has been spreading widely and become a serious social problem. However, teachers hardly realize its importance. Recently, substance abuse prevention programs show a tendency towards one time education. This study aims to research the effect of substance abuse prevention on high school students using the Life Skills Training Program. Two classes(36 students in the experimental group, 35 in the control group) at W High School in Daejeon were randomly sampled for this study from May to June 2002. Substance knowledge and attitude, problem solving, and assertiveness were examined as Pre and Post-Tests. The data was analyzed using frequencies, t-test, means, and covariance(ANCOVA). The results of this study were as follows； 1. Compared with the control group, substance knowledge in the experimental group was significantly improved(F＝176.317, P＝.000). And compared with the control group, substance attitudes in the experimental group were improved significantly.(F＝207.682, P＝.000). 2. Compared with the control group, cognitions to problem solving in the experimental group was significantly improved(F＝100.937, P＝.000). 3. Compared with the control group, assertiveness behaviors in the experimental group were increased significantly(F＝207.255, P＝.000). The study showed that Substance Abuse Prevention of High School Students was effective in improving substance knowledge and attitude, cognition to problem solving, and assertiveness behavior. Some suggestions based on the result are as follows； 1. Substance abuse preventive programs must be practiced properly and systematically with high school students in their regular classes. 2. Various preventive education programs must be developed for substance abuse where high school students can join in a community center, such as Community Welfare Center, Alcoholic Counseling Center, and Mental Health Center. 3. For the furthering of substance abuse preventive education, there must be continued research about not only students with problems of substance misuse and abuse, but also students without them. 4. There must be early determination of students with problems of substance misuse to be able provide school social workers with the opportunity for intervention.
Predictors of the Compliance of Breast Self-Examination among Christian Women in Pusan and Ulsan Areas
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 77~90
The purpose of this study was to identify the influencing factors on the compliance of breast self-examination (BSE) among 205 Christian women living in Pusan and U1san areas. Structured self-administered questionnaires were used. Knowledge levels were measured by the instrument developed by Choi(l996). Self- efficacy and health belief were measured by the instruments developed by Champion (1993) and modified by Choi(1996). Women who did BSE more than once within 6 months were categorised as compliant. Data was analyzed by descriptive statistics, t- test, χ² test and logistic regression analysis using SPSS WIN program. The results of this study were summarized as follows； 1. 15.1％ of women performed the BSE at least once during the last 6 months. 2. Non-complier and compliant women showed statistically significant differences in the level of self efficacy and barriers. 3. Predictors of BSE compliance were ‘history of having breast disease’, ‘experience of receiving recommendation for BSE’, ‘barriers’, and ‘experience of meeting with breast cancer patients’ and explained 14.8％ of variance in compliance of BSE. For future clinical practice, health professionals, including nurses, need to actively suggest to women the importance of BSE, and to distribute the information through posters and pamphlets at clinics and public health centers. Including the opportunity to meet patients in health education centers can be another strategy to increase women's motivation for BSE. For future research, it is necessary to recruit women from broader geographic areas utilizing various sources such as community centers to increase generalizability of the findings.
Characteristics of Social Support at Work Affecting Work Stress
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 91~108
Psychological stress is a growing issue in work stress research because work stressors are closely related to depression； and depression, in turn, decreases organizational effectiveness. Considering such causal relationships of work stress, a comprehensive source to control work stress is needed for worksite mental well-being. This study was conducted to identify how social support at work controlled work stress and which characteristics of social support were effective on work stress reduction. The study participants were 240 workers employed in a public hospital in Georgia, U.S.A self-administered survey was given to employees with their pay slips, and followed by a hospital wide voice reminder for 7 days. Surveys were conducted over a 20-day period. The questionnaires asked about job demands, job control, social support at work, depression, job performance, absenteeism, and demographics. The social support construct was structured on the source of support at work and the kinds of support were provided. Statistical analyses were conducted in the structural equation modeling approach. Social support at work was directly related to high job control, low depression, and high job performance. High score of social support at work were significantly associated with high job control, low depressive symptoms, and high job performance. By source of support, only organizational support was positively related to high job control. Organizational support was more effective than supervisor and coworker support. Any stressors and their outcomes were not differenciated by the kinds of support. This result indicated that job control was influenced more by the source of support than the kinds of support provided at work； and the most efficient source of support was the organization. Organizational support was a strong factor in improving workers" perceived controllability of their jobs from a work stress reduction perspective.tive.
Factors Related to College Student's Problem Drinking
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 109~124
This study conducted multiple logistic regression to investigate what factors and how much they influence problem drinking. In this study, problem drinking was defined by AUDIT and NAST. Most of the studies on problem drinking focused on socio-demographic factors even though problem drinking is caused by bio-psycho- socio-cultural factors. The current study tried to estimate a logistric regression models including socio-demographic, environmental, psychological, economical, emotional, values, and MMPI factors. The best fit model suggested that problem drinking, which was determined by AUDIT, of college students were related to sociodemographic, environmental, psychological, and emotional factors. Students who were male, whose father, brother or sister had been abused alcohol or drug, students thought that his/her mother had not trusted him/her, who worried about his/her health, smokers, who had strong impulsivity, who had three or more feelings among the sorts of feelings, such as sadness, loneliness, boring making him/her feel to drink alcohol were more likely to had drinking problem. Students who were indulgers-who could not help buying things immediately after they saw goods they like, who were smokers, who had low ego-control, who had three or more feelings among the sorts of feelings, such as become excited, anxiousness, healthy were more likely to be dependent on alcohol. The study suggested intervention programs for college students to prevent problem alcohol drinking and alcohol dependency.
A study for Health Promotion Program of Public Health Center by using CRM
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 125~143
With the shift of cause of death from infection to chronic, the health expenditure has risen dramatically. To curb the increasing health expenditure, programs and campaigns to promote health were proposed and implemented. Most of them, however, were not successful in achieving satisfactory results. Customer Relationship Management has been gradually accepted as an innovative approach to health promotion. The objective of this research was to develop a Customer Relationship Management system for providing comprehensive health care services to the residents in the community. Detailed objectives were as follows： The first objective was the development of the CRM system for health promotion. The second objective was the satisfaction assessment for the health promotion program using the CRM system. The third was the proposal for the effective utilization of the CRM system. The development methodology of the CRM system was Rapid Warehouse Developing Method. As a CRM system equipment, a workstation with GIS of Windows 2000 was selected. SQL Server 2000 was used as a development tool and database. The subjects of study were diabetic mellitus patients, hypertension patients, and vaccin patients. The campaign channel of patients was an autocalling system. For the satisfaction assessment, a survey was performed. The main content of the survey was satisfaction level. The satisfaction level of the health promotion program using CRM system was 79.3%. In consideration of the above findings, we suggested ways of improving the Health Promotion Program by using CRM. The first was the efficient selection of the subjects of the Health Promotion Program. The second was the development for health promotion program using CRM system(life time health of individual etc).
Concept Analysis of Health Insensitivity using Hybrid Model
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 145~170
The purpose of this study was to clarity the concept of health insensitivity using Hybrid model, which consists of three phases： theoretical, empirical, and analytic. In the theoretical phase, the definitions of health insensitivity were searched in korean dictionary and examples used in the websites because the concept of health insensitivity has never been studied before. Two dimensions of health insensitivity emerged out from this investigation were cognitive and behavioral. And then a working definition of health insensitivity was established. The sub-concepts and related factors of health insensitivity were identified through the extensive reviews of the literature focusing on two dimensions of cognitive and behavioral. In the empirical phase, in order to obtain description of health insensitivity, face-to-face in-depth interviews were conducted with nine persons who are not related to professional health care. Grounded theory approach was applied to analyze these qualitative data. In the final analytic phase, theoretical results and empirical results were analyzed in the integrated way and a theoretical framework of health insensitivity was established. A refined definition of health insensitivity was that decreased health risk perception in cognitive dimension and conduction of the unhealthy behaviors in behavioral dimension. Sub-concepts of decreased health risk perception were optimistic bias and decreased general fear. Sub-concepts of unhealthy behavior were doing health threatening behavior and not doing desirable health behavior. The contact of health information was a causal condition of health insensitivity. Optimistic disposition, health locus of control, and avoidance coping style were intervening conditions of health insensitivity. Three types of health insensitivity were identified： unconcern or ignorance type, optimistic bias type, and cognitive dissonance type. Finally, The implications of these findings for further research and nursing practice are discussed.
Health Education Strategies for Adoption of Moderate Drinking Habits among Rural Residents
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 171~188
This study, based on stages of behavioral change, was aimed at suggesting strategies for the adoption of moderate drinking habits for community-based health education designed to help rural people. An interview survey was conducted during the period from March 4 to April 5, 2002 by sampling 467 rural people living in 6 villages covered by a public healthcare clinic. The results of this study can be summarized as follows； 1. The perceived non-moderate drinkers were less prepared for behavioral change. 2. The heavier drinking habits were ‘drinking alone’, ‘meals accompanied by drinking’ and ‘drinking twice or more at a time’. The agricultural off-season and the custom of brewing liquor at home were negative environmental factors for moderate drinking. 3. The predisposing factors affecting moderate drinking were recognition of health, expectation of the drinking effect, etiquette encouraging overdrinking and control of drinking. The reinforcing factors were stress from ordinary life and perception of being loved. The enabling factor was accessibility to the public healthcare clinic. 4. Rural residents are less motivated to participate in health education for moderate drinking. Based on the above findings, health education strategies for each stage can be suggested as follows： 1) Pre-contemplation stage： improvement of perception, motivation, sharing of experiences, and reawakening. 2) Contemplation/preparation stag e： measurement of value, departure from the inertia against a change, formation of a habit, and reinforcement of the behavior. 3) Action/maintenance stage： creation of a social atmosphere, encouragement of participation, change of life style, and improvement of environment.
Knowledge, Attitude and Experience on Smoking among Primary School Students
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 189~205
The purpose： This study was to get database of health service for smoking prevention through investigating the state of the students' experience, knowledge and attitude on smoking. Method： The subjects were cosisted of 545 students who were currently enrolled in 3, 4, 5 and 6th grade of 4 primary school in J community. The instruments for this study were Smoking Knowledge and Smoking Attitude questionaire (40 items) developed by WHO(l982). Frequency, percentage, t-test, ANOY A and Chi- square test with SAS program were used to analyze the data. Result： Among the students 10.8％ answered they had the experience of smoking, while 0.5％ said they are current smokers. The experience of smoking related to general characteristics were showed significantly different according to sex, grade and received or not received of smoking exhort. With regard to smokers smoking behavior, first beginning time of smoking was most by 29.8％ preschooler and the first motive of smoking was most by 80.8％ curiosity. The main smoking area is most by 31.1 ％ own house or friend's house. The main purchase route of tobacco appeared by thing which house(father or brother's tobacco) most by 34.9％. Smoking period was most less than 1 day and smoking frequency was most stops while bum sometimes. The amount for a day was less than one cigarette. Smoking time was appeared highest when curiosity occurs. Students' knowledge level about smoking prevention is high comparatively to mean 15.44(±2.66). Smoking prevention knowledge level related to general characteristics were showed significantly different according to the grade, academic score and learned or not of smoking prevention. Therefore, was expose that the smoking prevention knowledge level is high in students who results high grade, high academic score level and learned of smoking prevention. Students' attitude level about smoking prevention was high level to mean 55.90(±3.58). Smoking prevention attitude level related to general characteristics were showed significantly different according to academy score and received or not of smoking exhort(t＝2.33, p＝.020). Therefore, was expose that the smoking prevention attitude level is high in students who result high academic score level and received of smoking exhort group. Conclusion： It follows from this study that education for smoking prevention should be continued from lower grade students and teaching for refusal skill against smoking is needed.
The Effect of Self-help Programs for Hypertensives in Community Areas
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 207~219
This study was conducted to identify the effects of the comprehensive nursing aided self-help program for hypertensives. The program educates hypertensives in community areas about blood pressure, self-care, health promoting behaviors, and life satisfaction. For this purpose a one group time series design was used. Sixteen subjects were evaluated from S Community Health center of B city. Self-help programs developed by the author were given to the subjects. The program consisted of group education on hypertension and self-care including blood pressure self-monitoring, recording of self-care activities, and encouraging and reinforcing self-help. The whole program was carried out from October to December in 2002. Data was analyzed by repeated measure ANOVA, and post-hoc Turkey. The results were as follows： There were significant relationships between changes in systolic pressure(F＝10.638. P=.000), diastolic pressure(F＝6.783. p＝.013), self-care(F＝13.506. p＝.000), and health promoting behavior(F＝9.067. p＝.001) at the 6th week and the 9th week. There were no significant relationships between changes in life satisfaction at the 6th week or 9th week. From these results, it can be concluded that the self-help program is an effective nursing strategy to promote self-care of hypertensives in community areas.
Prevalence and Related Factors of Dementia in Elderly People in Jeju Island
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 221~237
As the population ages, health problems of the elderly, including functional disorders and cognitive impairment, have become some of the most important social issues in Korea. The purpose of this study is to discover the rate of prevalence and factors related to dementia among the elderly in Jeju Province. 2405 elderly in Jeju Province were interviewed, using a questionnaire consisting of sociodemographic characteristics： health behavior, quality of life, and MMSE-K. Prevalence of dementia was 9.4%(11.7% of females, 4.1% of males). Factors related to dementia, analyzed by multiple logistic regression, were age, working status, subjective health status, social support, and subjective economic status. In community health care for the elderly, factors relating to dementia have to be considered. When planning community health care, priority should be given to the elderly who： need care but live alone； lack social support； have a low standard of living； believe they are not in a good state of health； or whose life satisfaction is low.
Predictors of Smoking Cessation Counselling Activities among Community Health Practitioners
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 239~254
Purposes： The purposes of this study were to investigate the smoking cessation counselling activities among community health practitioners(CHP) and to identify the predictors of their smoking cessation counselling activities. Method： A descriptive-correlation study using self-administered questionnaires was conducted. Questionnaires were mailed to all the CHP in a community. A total of 330 CHPs participated in this survey. Results： Of the CHPs surveyed, 245(74.2％) returned completed questionnaires. Most CHPs(90.7％) believed that if a health professional advises their patient to quit, the patient's chances of quitting smoking are increased. While the majority of CHPs “asked, advised, and assessed” their clients, a minority of CHPs “assisted, arranged, and recorded”. In the final stepwise multiple regression model, attitude about smoking cessation policies and counselling activities, self-efficacy of smoking cessation counselling knowledge and skills, and perceived barriers of smoking cessation counselling activities were identified as significant predictors of smoking cessation counselling activities among CHPs. Conclusion： Smoking cessation counselling activities are not a routine part of CHP practice. Efforts should be made to increase the self-efficacy of smoking cessation counselling knowledge and skills among CHPs. Helping CHPs to overcome their barriers to smoking counselling may open up new channels for smoking intervention.
Affecting Factors on Self-Efficacy of Walking Exercise in Working Men
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 255~267
The purpose of this study is to analyze the affecting factors on self-efficacy of walking exercise. The subjects were 413 working men. Whose data and material were collected through an organized questionnaire from October, 1999 to May 2000. The major results of this were as follows； 1. 61.1％ of the subjects' major affecting factor was deep sleep, 65.0％ of the subjects' majo affecting facto was regular physical screening, 51.1％ of the subjects' regular exercise, 18.7％ of the subjects' walking exercise. 2. stages of change related to walking exercise of the subjects were as follows, 15.8％ of the subjects were in the precontemplation stage, 51.1％ of the subjects were in the precontemplation stage. 3. The average self-efficacy concerning walking exercise was 3.16 points. 4. With stepwise multiple regression, the most significant factor on self-efficacy related to walking exercise in stages of change was the preparation stage. According to the results of this study, a concrete practice program is needed to promote self-efficacy related walking exercise.
The Effects of Telephone Consulting Follow-up on Self care behaviors and Self-efficacy in Diabetic Patients
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 269~280
This study was conducted to identify the effects of telephone consulting follow- up on self care behaviors and self efficacy in diabetic patients after discharge. The subjects for this study were consisted of 39 patients and twenty subjects assigned to the experimental group received the telephone consulting follow-up after discharge once a week during 4 weeks with diabetic education before discharge and nineteen subjects assigned to the control group received diabetic education before discharge without telephone consulting follow-up. The results of this study are as follows： 1. The experimental group which received the telephone consulting had higher self care behaviors scores than the control group (t＝4.92, p＝.00). 2. The experimental group which received the telephone consulting had higher self efficacy scores than the control group (t＝4.71, p＝.00). 3. The relationship between self efficacy and self care behaviors showed a significant correlation in the subjects. In conclusion, the telephone consulting follow-up improved self care behaviors and self efficacy, therefore this intervention can be effective in promoting the care of diabetic patients
Effects of Peer Education Program for Prevention of AIDS for Middle School Students
Korean Journal of Health Education and Promotion, volume 20, issue 3, 2003, Pages 281~299
Even though the rate of infection of HIV is very low compared to other countries, data show a steady rise in HIV infection rates among young people in South Korea. A peer education program was provided to prevent the incidence of AIDS in young people. The program used peer leaders to provide AIDS related information and counseling for middle school students. Peer leaders received special training in AIDS related education and counseling to assist their friends. Peer leaders worked with their mends in one-to-one or small group settings. A pretest-posttest control design (six months after intervention) was used to evaluate the effects of the peer education program for prevention of AIDS. A post-intervention survey found that do you mean six months after the program or after six months of programs of peer program activities, the experimental groups(groups with peer educators) showed better knowledge, more positive attitudes, and less sexual activity when compared to control groups of non-participants(groups without peer educators). Peer leaders showed significant gains in knowledge about HIV transmission, more positive attitudes and self-efficacy not to engage in high-risk behaviors. Peer education was an effective tool for increasing knowledge, improving attitudes and self-efficacy, and encouraging appropriate behavior change.