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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
Psychosocial Factors and Health Behaviors in Elderly People
Park, Mi-Kyoung ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 1~11
The main purposes of this study were to investigate the content of health behaviors and to examine factors influencing the health behaviors of the elderly. Data regarding the health behavior of 126 people over 65 years of age living in community settings were used. All subjects were interviewed using a semi-structured questionnaire. The questionnaire consisted of sociodemographic variables, health behaviors, present chronic disease, subjective health status, a scale for worthy life, a scale for self-esteem, and a scale for loneliness. Health behaviors included 27questions on diet, exercise, stress-coping, smoking, drinking, a regular medical check-up, social activities, etc. The data analysis procedure included stepwise regression using health behavior as the dependent variable, and sociodemographics, illness, and psychosocial variables as independent variables. Stepwise regression revealed that factors such as feelings of worthy life(
＝-0.350, p＜0.0001), communicating with otjers or the lack there of (
＝0.183, p＜0.05), and self-esteem(
＝0.196, p＜0.05) were independently and significantly associated with health behaviors. For example, individuals who showed higher levels of worthy life and who had confiding relationships with others tended to practice more health behaviors. Subjects who had a higher level of self-esteem showed the same tendency. These results suggest the necessity of a intervention that considers psychosocial aspects should be included in care of the elderly so as to promote positive health behavior.
Correlates of Depressive Symptoms among College Students on Jeju Island in Korea
Kim, Moon-Doo ; Lee, Chang-In ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 13~26
Objectives： The aim of the present study was to determine the prevalence depressive symptoms, and the correlates of depressive symptoms, and to propose countermeasures for individual depression risk factors among college students. Methods： One university and three colleges in Jeju-do were selected as the study population and a total of 1000 students were selected by multiphasic cluster sampling to represent each department and year within each college. Of the 945 total respondents, 421 were men and 524 were women. The Beck Depression Inventory was used to evaluate depression and the BDI STEN score was used to assess depressive symptoms. Multiple logistic regression analysis was performed for comparisons. Results： 1. The prevalence of depressive symptoms among men was 14.4%, while among women the level rose to 26.8%. 2. Those with poor life satisfaction scores were significantly more likely to have depressive symptoms than those with good life satisfaction (odds ratio (OR) ＝ 2.62； (95% confidence interval (95%CI), 1.483-4.629). 3. Students over 23 years old were significantly more likely to have low levels of depressive symptoms than those under 18 (OR ＝ 0.439； 95%CI, 0.247-0.779). 4. Groups with poor body image satisfaction had higher levels of depressive symptoms when compared to respondents who had good body image (OR = 2.847; 95%CI, 1.341-6.045). 5. Students with poor perceived health status were significantly more likely to have high levels of depressive symptoms than those with good perceived health status (OR ＝ 2.029； 95%CI, 1.157-3.557). Conclusion： Universities and colleges should provide education programs, such as health education that facilitates the development of a healthy body image. In addition, they should focus on various scholarships that could improve satisfaction with student life, especially for alienated students. Furthermore, colleges should help direct students towards engagement in more productive work, and lead social policies away from the dominance of appearance.
A Survey of Medical Students' Opinions about Complementary and Alternative Medicine
Song, Hywan ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 27~40
Objective： To determine second, third and fourth-year medical students' opinions and knowledge related to complementary and alternative medicine (CAM) in a school with no requirement or elective course on the subject. Study Design： A questionnaire was offered to second, third and fourth-year medical students of the Medical College of Kosin University from August 7th, through August 30th, 2003. Results： Most students had been exposed to CAM therapies, knew that the majority of the South Korean public was using CAM, believed that some CAM interventions were useful, and did not believe CAM therapies were a threat to public health. Only one fifth of the students(22.5％) disagreed that they had to have requirement or elective course on CAM in their curriculum. Most students had insufficient knowledge or understanding of the safety or lack of it for ten of the more common CAM modalities. Most respondents thought these interventions were useful, but would not refer a patient nor dissuade a patient from seeking out such interventions. Conclusion： Medical students in this school self-identified an interest about the clinical usefulness of ten CAM modalities, but did not have sufficient knowledge about the safety for ten of the more common CAM modalities. Including CAM topics in the medical school curriculum would better prepare physicians to respond to patient inquiries about CAM and thereby to fulfill their role as patient advocates.
Longevity Factors of Centenarians in Korea
Kim, Jong-In ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 41~50
Objectives： The purpose of this paper is to analyze longevity factors of 507 centenarians in the Republic of Korea. Methods： This paper is designed to survey physical, mental, socio-demographic and dietary factors of 507 centenarians. The data was collected by means of telephone interview from 1999 to 2001. The survey directly contacted centenarians who were able to communicate, or contacted the centenarians caregivers. The association between longevity factors of centenarians was verified by odds ratio of logistic regression. Results： Female centenarians appeared to be non-smokers more often than males (OR＝4.06, CI＝2.06, 7.98). The longevity of persons with a small waist circumference was attributed to health promotion through eating lightly as well as keeping active including walking(OR＝2.37, CI＝1.36, 4.14). A higher probability for longevity is found among optimists who live a happy life and 1aught every day (OR＝26.15, CI＝11.61, 58.89). Among centenarians, vegetarians were shown to be light eaters. More ratios of vegetarians among centenarians included those who reside in a rural district, eat bean paste soup everyday, and consume small quantities of meat (OR＝5.12, CI＝3.24, 8.08). Conclusion： Women, manual workers, under poor to middle economic status, rural residents, optimists, light eaters, vegetarians and non-smokers seemed to have a higher probability of becoming centenarians in The Republic of Korea.
Korean Regional Mortality Differences According to Geographic Location
Lee, Sang-Gyu ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 51~65
Objectives： To examine the regional mortality differences in The Republic of Korea according to geographic location. Methods： All 232 administrative districts of the Republic of Korea in 1998 were studied according to their geographic locations by dividing each district into three categories； "metropolis," "urban," and "rural". Crude mortality rates for doth sexes from total deaths as well as the three major causes of death in Korea (cardiovascular disease, cancer, and external causes) were calculated with raw data from the "1998 report on the causes of death statistics" and resident registration data. Standardized mortality ratios (SMR) were calculated using the indirect standardization method. Poisson regression analyses were performed to examine the effects of geographic locations on the risk of death. To correct for the socioeconomic differences of each region, the percentage of old (
65 years old) population, the number of privately owned cars per 100 population, and per capita manufacturing production industries were included in the model. Results： Most SMRs were the lowest in the metropolis and the highest in the rural areas. These differences were more prominent in men and in deaths from external causes. In deaths from cancer in women, the rural region showed the lowest SMR. In Poisson regression analysis after correcting for regional socioeconomic differences, the risk of death from all causes significantly increased in both urban (OR＝1.111) and rural (OR＝1.100) regions, except for rural women, compared to the metropolis region. In men, the rural region showed higher risk (OR＝1.180) than the urban region (OR＝1.l51). For cardiovascular disease and cancer, significant differences were not found between geographic locations, except in urban women for cardiovascular disease (OR＝1.151) and in rural women for cancer (OR＝0.887), compared to metropolis women. In deaths from external causes, the risk ratios significantly increased in both urban and rural regions and an increasing tendency from the metropolis to the rural region was clearly observed in both sexes. Conclusions： Regional mortality differences according to geographic location exist in The Republic of Korea and further research and policy approaches to reduce these differences are needed. to reduce these differences are needed.
An Evaluative Study on the Quality of Papers on the Effects of the Smoking Prevention Programs in Korea
Park, Eunok ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 67~78
This investigation was performed to summarize a few prominent features of smoking prevention program studies and to evaluate the quality of smoking prevention program studies using the Quality of Study Rating Form (QSRF). 24 school-based smoking prevention programs were subjected to an evaluation of study quality using QSRF. Study quality was 57.29 points out of 100 points on average, so it cannot be said that study quality was good. Most of the studies described the subjects and the intervention contents and intervention time. 50% stated where the intervention occurred specifically, 50% of the studies either discussed a specific theory that justified the use of one or more intervention methods, or they cited literature said to support the chosen intervention method. Only one study assigned subjects randomly to experimental groups or control groups and 50.0% of the studies showed baseline equality. There was no study where subjects were blind to being in the treatment or control group or where subjects were selected randomly by random sampling procedure. 79.2% of the studies had non-treated control groups and 20.8% of the studies had comparison groups with other treatments in the form of either other delivery methods or other contents. Sample sizes were larger than 21 in the experimental group for all studies. 75% of the studies stated face validity of outcome measure or cited from previous literature. 58.3% of the studies tested reliability and 45.8% reported the reliability measure was a figure of .70 or greater. There was no study where those rating outcomes were rated blind, because researchers generally collected data by themselves. Outcome measures were taken only after the intervention was completed and tests of statistical significance were generally referred to statistical method and p value in all studies. All studies met the criteria that follow-up was greater than 75%. The implications for the future studies were discussed.
Promoting Safety Behaviors Among Korean American Students in USA： Evaluation of the Risk Watch
Gong, Deukhee ; Orpinas, Pamela ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 79~93
Childhood injuries are the primary cause of death and disability among children aged 5 to 14. Consistent practice of learned safety behaviors can reduce the occurrence of severe injuries among children. However, safety behavior concern is low among Korean-American children specifically and American children, in general. The objective of the study is to evaluate the impact of an unintentional injury prevention curriculum, Risk Watch among Korean-American children. A quasi-experimental design with a nonequivalent control group was used for the designed of the study. Two intervention and two control Korean schools in Atlanta participated in this study. The intervention consisted of weekly lessons in traffic, bicycle, pedestrian, and fire safety. One hundred and two students completed a pre-test and a post-test. The main outcomes were safety behaviors (seat belt use or helmet use), behavioral intentions, and safety knowledge. Analysis of covariance was used for the statistical analyses. Strong intervention effects were found for increasing knowledge of all safety topics in the intervention group. Additionally, statistically significant intervention effects were detected for increasing seat belt and helmet use, as well as behavioral intentions of wearing a seat belt and wearing a helmet, among pre-kindergarten and kindergarten students. For students in grades 1 and 2, intervention effects were found for increasing helmet use. Among students in grades 3 to 8, the intervention group showed statistically significant increases for seat belt use. Limitations of the study and recommendations for modifying and supporting unintentional injury prevention programs for school children are discussed.
Evaluation of Visual Perception in Smoking Cessation Websites and Construction of Antismoking Website
Lee, Yoon-Hyeon ; Shin, Soon-Ho ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 95~109
Tobacco use is the most readily preventable cause of premature death； it is a worldwide problem, with a significant impact on heath and well-being. In order to design an effective tobacco education program, it is important to understand smoking patterns and the underlying factors associated with smoking in different generations such as adults or young people. Despite a general decline in the prevalence of regular smoking among adults, recent surveys commissioned by the Ministry Heath ＆ Welfare for the Republic of Korea have shown no evidence of any decline in smoking rates among young women and adolescents. The Republic of Korea has the highest adult male smoking percentage (65.1%) in the world and smoking in adolescents is still an increasing trend. Smoking in adolescents and young women is especially more dangerous, thus health education of anti-smoking directed at these groups is an important area that will benefit from using internet content that they can easily access. The purpose of this study is the evaluation of visual perception and effectiveness analysis in smoking cessation websites in promoting smoking cessation in adolescents and young women through Internet content. As a result of this project, at first we evaluated the Internet content of cyber smoking cessation programs by the evaluation criteria of web design interface. The Internet site of http：//nosmokeguide.or.kr received the most superior evaluation in the domestic Internet content for smoking cessation and the Internet site of the National Center for Tobacco-Free Kids received the most superior evaluation in the foreign Internet content for smoking cessation. This evaluation was surveyed by an expert in Internet content and user. Secondly, we developed the Internet content for cyber smoking cessation program, namely, "Dr. Smoking" that contained several menus and a database regarding anti-smoking designed in accordance with the results of this evaluation. The domain address of Dr. Smoking is http：//www.dmosmoking.com and our webpage has assorted kinds of news, information, self-diagnosis, prescription, consulting, a no-smoking mall etc. In conclusion, this project is designed to develop Internet content for the most effective smoking cessation program and to contribute to eliminating smoking from our society. We also will try to develop and upgrade this web-site in order to help a smoker who want to quit smoking and diminish the physical and socioeconomic harm from smoking.m smoking.
A Study on the Effect of National Anti-Smoking Policies in Korea
Suh, Mee-Kyung ;
Korean Journal of Health Education and Promotion, volume 20, issue 4, 2003, Pages 111~127
The government of Korea enacted the National Health Promotion Act in 1995, and set aside funds for national health promotion, endeavoring to reduce the smoking rate of its citizens. Consequently, smoking rates in all age groups of both sexes were lowered during the period of 1999-2003 when legal backing and financial support for no-smoking policies from the national health promotion funds were provided. The decrease in the smoking rate is attributed to the combined effort of the fact that enactment of related acts, their implementation, financial support, and education and publicity 'campaigns on no smoking. However, at the current pace of decreasing the smoking rates, it will be difficult to achieve the Health and Welfare Ministry's smoking rate goal of30％ among adult males by 2013. Thus, related acts should be reshaped, corresponding support should be increased, and financial support should also be provided to implement comprehensive no-smoking policies. Also, budgets should also be alloted to establish a system of providing feedback on the monitoring and evaluation of both short-term and long-term no-smoking business planning and implementation.