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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 23, Issue 5 - Dec 2006
Volume 23, Issue 4 - Dec 2006
Volume 23, Issue 3 - Sep 2006
Volume 23, Issue 2 - Jun 2006
Volume 23, Issue 1 - Mar 2006
Selecting the target year
The Effects of Diet Health Education Program for Prehypertension Group on the Diet Habit and Blood Pressure
Sim, Jeoung-Ha ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 1~12
Objectives: The aim of this study was to investigate the effects of DASH diet and law salt diet health education program on the blood pressure and the diet habit in the prehypertension group in Korea. Methods: The participants in this study were 141 people with prehypertension who were seen at a public health center. Data collection was done from March 11 to November 11, 2005 using interview with questionnaires. The participants took part in the diet health education program for 8 weeks. In order to evaluate the effectiveness of health education program, the variables of the diet such as hypertension, law salt diet and DASH diet were measured before and after the health education. The blood pressure was measured three times during the education. The collected data were analyzed with paired t-test and repeated ANOVA using SPSS 12.0 for Windows. Results: The diet habit variables after the education showed that their diet habit tend to the low salt diet and the DASH diet. The participants improved in their knowledge of hypertension and law salt diet, and they improved in the behavioral level of law salt diet and DASH diet after the health education for 8 weeks. Systolic and diastolic pressure were significantly decreased in prehypertension group after 8 weeks [10mmHg/6mmHg(p<0.001)]. Conclusion: These result suggest that the improvement in the level of behavior might be related with the change in blood pressure among the people having prehypertension in Korea.
Development of Hypertension Predictive Model
Yong, Wang-Sik ; Park, Il-Su ; Kang, Sung-Hong ; Kim, Won-Joong ; Kim, Kong-Hyun ; Kim, Kwang-Kee ; Park, No-Yai ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 13~28
Objectives: This study used the characteristics of the knowledge discovery and data mining algorithms to develop hypertension predictive model for hypertension management using the Korea National Health Insurance Corporation database(the insureds' screening and health care benefit data). Methods: This study validated the predictive power of data mining algorithms by comparing the performance of logistic regression, decision tree, and ensemble technique. On the basis of internal and external validation, it was found that the model performance of logistic regression method was the best among the above three techniques. Results: Major results of logistic regression analysis suggested that the probability of hypertension was: - lower for the female(compared with the male)(OR=0.834) - higher for the persons whose ages were 60 or above(compared with below 40)(OR=4.628) - higher for obese persons(compared with normal persons)(OR= 2.103) - higher for the persons with high level of glucose(compared with normal persons)(OR=1.086) - higher for the persons who had family history of hypertension(compared with the persons who had not)(OR=1.512) - higher for the persons who periodically drank alcohol(compared with the persons who did not)
Conclusions: This study produced several factors affecting the outbreak of hypertension using screening. It is considered to be a contributing factor towards the nation's building of a Hypertension Management System in the near future by bringing forth representative results on the rise and care of hypertension.
Using the PAPM to Examine Factors Associated with Stages of Adoption for Stomach Cancer Screening
Kye, Su-Yeon ; Choi, Kui-Son ; Sung, Na-Young ; Kwak, Min-Son ; Park, Su-Ho ; Bang, Jin-Young ; Park, So-Mi ; Hahm, Myung-Il ; Park, Eun-Cheol ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 29~45
Objectives: The aim of this study was to determine the distribution of stages of adoption in stomach cancer screening and elucidate differences among stages. Methods: A randomly selected sample of 712 Korean males and females aged 40 years or over were interviewed. Stomach cancer screening intention and behavior, sociodemographic characteristics, beliefs, self-efficacy and reinforcing characteristics were assessed. Results: The majority of participants were not on-schedule screening(unaware 3.2%, unengaged 20.8%, deciding about acting 24.0%, decided not to act 9.6%, decided to act 14.5%, acting 9.7%, maintenance 18.3%). Perceived susceptibility, perceived barriers, self-efficacy, other cancer screening experiences were significantly associated with higher compared to lower Precaution Adoption Process Model(PAPM) stages. Conclusions: This study appears to be applicable of the Precaution Adoption Process Model to understanding stomach cancer screening behavior. Our results suggest that it is needed to develop the tailored message for adherence of stomach cancer screening.
Relationships between Dental Fear and Dental Services Utilization with Respect to Oral Health Promotion
Choi, Jun-Seon ; Kim, Kwang-Kee ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 47~65
Objectives: This research is to provide the basic data for the improvement on oral health by examining the relationship between the dental fear and the dental service utilization, and to discuss a strategy for dental health in order to lower the level of dental fear. Methods: Data were collected by conducting a structured survey of 1,607 people between the age of 13 and 70 who have experiences in visiting a dental institution. Both univariate and multivariate analyses were employed to analyze the relationship between the number of times dental service and dental fears. Results: The average level of dental fear the respondents reported was
and 31.5% of the response was at the level of high dental fear. A strong physiologic response during the dental treatment was muscle tension and the stimulations that strongly arouse the dental fear were the anaesthetic needle and the sound of drill. A result of analysis on the relationship between the dental fear and the dental service utilization shows that as the level of dental fear became higher, the number of times for the dental service utilization for the last year had reduced. Also when a patient has an experience of putting off or canceling an appointment due to dental fear and as a physiologic response during the dental treatment became stronger, the result shows a tendency that the number of times for the dental service utilization for the last year had reduced. Conclusions: It has been observed that dental fear is one of the main barrier to use dental service. Therefore, a physio-psychological factor like the dental fear should be included in the task of promotion of dental health, and in analyzing the dental service utilization behavior. A discussion about how to lower dental fear was made with respect to oral health promotion. At individual level, improvement of communication skill by dental service providers should be made with rearrangement of clinic environment into more cozy one.
The Analysis of Primary Factors Affecting Health Knowledge and Health Behavior of the Elderly
Shin, Du-Man ; Choi, Sang-Bok ; Kim, Gi-Yeol ; Lee, Hi-Wan ; Kim, Seok-Soon ; Nam, Chul-Hyun ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 67~87
Objective: In order to provide basic data required to evaluate the knowledge and behavior of old people towards health promotion and primary factors that influence them, to develop a health educational program. Method: A survey was conducted from March 6th 2004 to June 10th 2004. A total of 949 senior citizens over 60 participated in the survey. Results: The old people was the lower the educational level they had, the lower the level of health education experience they had and the lower the frequency of regular health check-ups they had. In regards to health education and health promotion, seniors citizens were neglected because of a lack of health awareness and knowledge, wrong habits related to healthy living, low access to medical examination, poor economic state, and low educational level. In addition to social atmosphere and systematic efforts by the government, senior citizens tried to find their own ways to have healthy living by improving their educational level, health awareness, and level of health knowledge, and lifestyle. Conclusion: Therefore, not only their family members, but local communities, public organizations, and the whole nation should make every effort to provide a effective health education system by using health educators for senior citizens. There is also a need to prepare a practical and systematic health education program for senior citizens so that they can enjoy comfortable and healthy living in their old age.
The Association between Performance of Hepatitis B Vaccination and Health Belief Factors among Some Aged Persons
Choi, Chun ; Park, Jong ; Kang, Myung-Guen ; Kim, Ki-Soon ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 89~104
Objectives: This study was done to find factors related with performance of hepatitis B Vaccination among some aged persons through health belief model. Methods: A questionnaire survey was made during September 2004 toward 230 elderly persons using institutions for the elderly of Gwangju City. The relations between subjects characteristics including health belief, mass media contact, hepatitis B experience and performance of hepatitis B vaccination were tested by t test or X2 test. Multiple logistic regression analysis was done to find final significantly related variables. Results: 24.8% of the subjects were vaccinated against hepatitis B. By simple analysis of relation between performance of hepatitis B vaccination and subjects characteristics including health belief, significant variables were chosen as 6 variables including perceived susceptibility, perceived seriousness, perception of benefits, knowledge on hepatitis B, age, experience of hepatitis through family or friend. After adjusting for confounding variables by multiple logistic regression analysis, hepatitis B vaccine performance showed significantly higher rate as the perception of disease seriousness increased(OR: 1.08, 95% CI:
) and in the group contacted with TV or radio information about hepatitis compared with non-contact. The group who experienced hepatitis among family or friends showed significantly higher hepatitis B vaccination performance rate compared with non-experienced. Conclusion: These results suggested that hepatitis B vaccine performance was related with health belief including hepatitis susceptibility, disease seriousness perception, acquisition of information through TV or radio and indirect hepatitis experience from family or friends.
The Working Conditions and Reproductive Health of Female Hairdressers
Hong, Bo-Kyoung ; Lee, Hyo-Young ; Rhee, Seon-Ja ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 105~124
Objectives: This study examined the reproductive health status and the work-related factors of female hairdressers. Methods: This study conducted by structured questionnaire from April 21th to May 20th. The study population of 316 were female hairdressers aged 15 to 60 years in Seoul. This study analysed the influencing factors, health related factors and work related factors on reproductive health using chi-square and multiple logistic regression analysis. Results: 1. The 81.7% of the subjects aged under 29 years have unhealthy behaviors. The 47% of hairdressers experienced smoking. Among the total, 37% of them answered they are smoking at present. Those results reveal their working conditions were very stressful to cope as young females. 2. The use of hair dyes(OR=2.89, 95%CI:1.17-7.12), counteractive solutions(OR=3.20, 95%CI:1.04-9.83) and not wearing protective gloves(OR=2.81, 95%CI:1.11-7.12) are significantly associated with menstrual pains. 3. The hairdressers not using perm liquids were three times as likely to report regular menstruation compared with the hairdressers using perm liquids. Wearing protective gloves also was associated with regular menstruation. Conclusion: This study revealed various risky working conditions of hairdressers was associated with their reproductive health. This study suggests that we should pay more attention to the protective working conditions for reproductive health. More comprehensive health management program including reproductive health for female hairdressers is required as well.
A Study on the Development of Weight Controlling Health Behavioral Model in Women
Jeun, Yeun-Suk ; Lee, Jong-Ryol ; Park, Chun-Man ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 125~153
This study was intended to describe women's weight controlling by creating a hypothetic model on the weight adjustment behavior and by examining a cause and effect relationship, and to contribute to countermeasures for practicing their promotion of health and improving the quality of life through creating a predictable model. The subject of study was women who utilize the beauty shop located in Seoul, Busan and Daegu and the study period was 12 weeks from July 10 to September 30 in 2004. Gathered 1093 person's general specialty related with weight adjustment and analyzed covariance to prove the hypothesis using statistics compiled from authentic sources. Also proved coincidence of the hypothetical model. Exogenous variables of the hypothetical model are composed of recognition of her body shape, fatness level, age, stress, and self-respect. Endogenous variables are health- control mind, recognized health state, self-efficacy, intention, and behavior of weight adjustment. There were 5 measured variables for exogenous variable(x). There were 8 measured variable(y) for exogenous variable. And coincidence
, GFI=0.962, AGFI=0.917, NFI=0.875, TLI=0.794, CFI=0.889, RMSEA=0.075. The result of hypothesis had an epoch-making record that 20 out of 27 hypothesis was proved positive way. Generally weight adjustment has been highly seen in housewives, the married and the old age. Health control mind seems to be high as fatness level, age, and self-respect are high and low stress. Recognized health state is high as age and self-respect are high and low stress. However, it is not much related with recognition of her body shape and fatness level. If age, self-respect, health control mind, recognized health state and self-efficacy are high intention of behavior is also high, but intention of behavior has no relation with recognition of her body shape, fatness level and stress. If fatness level, age, self-respect, health control mind, recognized health state and self-efficacy and intention of behavior are high, execution of weight adjustment will be high. However, recognized health state and stress has no influence for weight adjustment. To increase the coincidence of hypothesis and take a simple model I modified a model and then I got the coincidence
, GFI=0.970, AGFI=0.931, NFI=0.902, TLI=0.901, CFI=0.915, RMSEA=0.070. This result is a bit better than original hypothetical model's so that this model might be more suitable. In this modification model, the factors of weight adjustment seems to be high according to this order self-efficacy, recognized health state, age, intention, health control mind, self-respect, fatness level and stress. With this result I suggest ; 1. Enforcement of IR that everybody can be controlled weight adjustment herself and continuous education, which is related with regular habit (food, exercise, restriction of a favorite food and behavior training etc.) is also needed. 2. Because self-efficacy is influenced to execution of weight adjustment specific program which can increase self-efficacy should have to develop and we need to utilize it to take care of herself. 3. To protect fatness and be active weight adjustment the peculiar program including the concept of self-respect, recognized health state, health control mind and intention must be developed and not only women but also all of people should be educated. 4. This hypothetical model is forecasting women's weight adjustment behavior and can be utilized for fundamental data to increase those people's health.
The Effect of Basic Cardiopulmonary Resuscitation Training Education Program for High School Students
Kim, Soon-Sim ; Kam, Sin ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 155~171
Objective: The purpose of this study was to apply the Basic CPR(Cardiopulmonary resuscitation) training education program and identify its effects on knowledge of Basic CPR and skills of Basic CPR in second grade high school students. Methods: The training program was conducted for 16 weeks between March 26 and July 9, 2005 using a non-equivalent control group pretest-post test design by dividing 60 students in a half for both the experimental group and the control group. General characteristics, the effect of the education were evaluated with
, t-test, ANCOVA, Repeated Measure ANOVA and Bonferonni with SPSS 11.0/pc. Result: After the CPR education program application, knowledge score in the experimental group increased to 20.57 right after the education from 9.32, the score measured before the training, 19.11 after 8 weeks and 18.29 after 12 weeks. On the contrary, the control group's score showed no significant before the training. According to the result of knowledge score comparison between the experimental and control group at each point in time, the experimental group had a significantly high score in knowledge at every point(p<0.001). In the effect durability for knowledge of the training education program in process time after the training program in the experimental group, the durability of effect was identified despite the elapsing time. Scores of skills for Basic CPR increased from 1.21, the score measured before the training program, to 30.07 right after the education, 23.50 after 8 weeks and 17.57 after 12 weeks in experimental group. On the contrary, the control group showed an immaterial increase. According to the result of skill score comparison between the experimental and control group at each point in time, the experimental group had a significantly high score in skill at every point(p<0.001). The score for skill increased significantly right after the education compared to the score prior to the education. Conclusions: These findings suggest that Basic CPR training education program facilitate knowledge of CPR and skill of CPR in high school students. Therefore, it would be necessary to include the Basic CPR training program in high school education curriculum. However, the effect of Basic CPR knowledge maintains for a few period, and the effect of maintaining the skill is shorter than the maintenance of knowledge so regular reeducation is considered to be needed.
Job Analysis of a Staff who Manage Quit-smoking Policy on Health Centers
Na, Baeg-Ju ; Lee, Moo-Sik ; Kim, Keon-Yeop ; Kim, Eun-Young ; Bae, Kyung-Hee ; Lee, Ju-Yul ; Oh, Kyung-Hee ; Oh, Jong-Doo ;
Korean Journal of Health Education and Promotion, volume 23, issue 4, 2006, Pages 173~192
Objectives: This job analysis of a staff in charge of quit-smoking policy at public health centers aims at providing fundamental information to establish strategies supporting various quit-smoking. Methods: The job analysis of a staff in charge of quit-smoking policy at public health centers was carried out through DACUM(Development of Curriculum) method from April through May 2006. Three experts had developed job description with staffs in charge of quit-smoking policy at public health centers through two workshops. The survey was practiced for staff in charge of quit-smoking policy at the other public health centers. The characteristics of the staffs such as age, years for working at public health center, years for charging with quit-smoking work, the proportion of responsibility for quit-smoking work, were surveyed. Results: The research has reached the conclusions below. 1. The job description have been developed considering input-process-outcome axis and plan-do-evaluation axis for quit-smoking policy at public health centers. The final job description is composed of 3 missions, 7 accountabilities, 20 sub-work items. 2. The quit-smoking activity mostly focused at direct education and counselling. But planing and evaluation activity for quit-smoking have been under-achieved. 3. The staffs for quit-smoking policy were feel it is easy to educate and counsel to comer to public health centers for quit-smoking. But having the high proportion of responsibility for quit-smoking policy have usually difficult to do that. So they want to education about counselling for smoker. 4. The staffs who worked over the 2 years for quit-smoking policy the public health center have responded that investigate the smoking rate of the jurisdiction community and the problem of the culture about smoking and smoking policy is important. Conclusions: The study helps reinforcing the initiatives of central government for quit-smoking policy at public health centers. Especially staffs want education in technology area for counselling smoker. And they want nationwide supporting for investigating smoking rate and related factors at the local level.