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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 26, Issue 5 - Dec 2009
Volume 26, Issue 4 - Oct 2009
Volume 26, Issue 3 - Sep 2009
Volume 26, Issue 2 - Jun 2009
Volume 26, Issue 1 - Mar 2009
Selecting the target year
The Influence of Personal Characteristics and Social Environment on Adolescent's Smoking
An, Eun-Seong ; Bae, Sang-Soo ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 1~13
Objectives: This study identified how personal characteristics, family environment, governmental policy for the prevention and cessation of smoking might influence on adolescent smoking. Methods: This study used data from the 2006 Korea Youth Risk Behavior Web-based Survey of 71,404 middle school and high school students, giving a response rate of 90.9%. We selected 61,508 adolescents subjects of the final analysis without missing data on independent variables and dependent variables which are used in this study. This study used
tests and logistic regression models. Variables were added to the regression model in three groups using a hierarchical approach.Results: Adolescents were significantly more likely to become current smokers if they were boys, were in a higher grade, and had lower academic achievement. Adolescents experiencing stress and depression were associated with increased risk of current smoking. Adolescents with single parents or students of non-living with parents comparing with students of living with parents showed the high possibility of smoking. Lower father's education was associated with increased likelihood of current smoking. Adolescents who were exposed to smoking at home were more likely to smoke. Adolescents without contacting with the antismoking media campaign was associated with increased likelihood of current smoking. Conclusion: Promoting antismoking media campaigns targeted at adolescent is required, and the smoking prevention education which are proper for subjects are required. Proper plans which could decrease the exposure of secondhand smoking should be established.
The Relationship between Physical Activity Function and the Stages of Self-Change for Exercise in a Rural Aged People
Shim, Young-Been ; Na, Baeg-Ju ; Lee, Moo-Sik ; Roh, Young-Soo ; Kim, Keon-Yeop ; Kim, Dae-Kyung ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 15~23
Objectives: This study was conducted to investigate the relationship between physical activity function and stages of self-change for exercise in the aged of a farming village. The object of this research was to make with the basic data for the exercise program for the aged of rural area. Methods: This study was a volunteer sample of 612 persons, 60 years and above, who were living at the 2 farming villages, in 2005 July. This instruments were analyzed using frequency analysis and descriptive statistics, multiple regression analysis. Results: The distribution of stages of self-change of the research object person showed that the pre-contemplation stage was most with 57.2%, and the contemplation stage : 8.1%, the preparation stage : 2.2%, the action stage : 22.5%, the maintenance stage : 10.0%. The person who having good physical function state and advanced stages of self-change of exercise were higher in the ratio of the educational level and the income level. Factors for physical function were effected by the aging and the woman negatively. Conclusion: Physical function scores were highly correlated with stages of self-change for exercise. So it will be helpful that the program which designed by one's physical function and stage of self-change for exercise would applied the one.
The Effect of Professional Tooth Cleaning and Plaque Control Instruction according to the Smoking Behavior
Han, Gyeong-Soon ; Bae, Kwang-Hak ; Kwon, Soon-Bok ; Han, Su-Jin ; Choi, Jun-Seon ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 25~33
Objectives: Smoking is related to periodontal disease and periodontal therapy. So the aim of this study was to investigate the effects of professional tooth cleaning and plaque control instruction (PT & PCI) for smoking behavior. Methods: A total of 151 adults were investigated using the O'Leary Plaque Index (PI),
& Silness gingival index (GI) and the number of sextants possessing periodontal pocket (SPP). And adults were given a through dental scaling and Watanabe method for dental plaque control. Follow up examination were conducted after 3 months and compared the pre and post- status. The collected data were analyzed with t-test, paired t-test and one-way analysis of variance. Results: Regardless of smoking behavior, improving effects were identified after PT & PCI on PI, GI and SPP in the whole population. However, the effects of GI improvement were significant in the smoking group alone; those of PI improvement were most significant in the non-smoking group; and those of SPP improvement were more significant in non-smoking and pre-smoking groups than in the smoking group. The shorter period of smoking and the smaller amount of smoking, the greater effects of PT & PCI by smoking-related characteristics. Conclusion: Smoking cessation instruction should necessarily be included in oral health education in that smoking is an important factor to consider in prevention of periodontal diseases and periodontal therapies.
Relationship among Chronic Disease, Health Status and Health Related Lifestyle of Rural Elderly by Gender
Cho, Yoo-Hyang ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 35~47
Purpose: The purpose of this study was to investigate the chronic disease, health status and lifestyle, and to test the chronic disease and health status and lifestyle of rural elderly by gender. Method: The interview survey was performed in September 2004 with structured questionnaires(Scale of Long-Term Health and Welfare Need Survey) to 770 of the elderly who lived in Muan-Gun of Chunnam Province. The percentage, Chi-squire test and regression method were used for some of the cross-sectional data. Results: The 770 elderly respondents were composed of 51.3% male and 48.7% female. 59.1% of the elderly had chronic disease. About the subjective health status that 54.3% of the respondents have been answered not good health status, 87.9% of the respondents have been health examination. The related variables of chronic disease and general characteristics were education and religious level in male, age, marital status, type of social security, education and religious level in female, and health status variables were subjective health status, cognitive function, ADL, IADL, and lifestyle factors was exercise in male, examination in female. Conclusion: These results suggested that special health promotion and education programs of the health habits such as physical exercise and health examination were necessities for the elderly of rural area.
Applicability of Theory of Planned Behavior to Smoking-Cessation Intention: An Empirical Analysis Using Structural Equation Model
Yoo, Hye-Ra ; Lee, Sun-Hae ; Yoo, Tae-Kyun ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 49~61
Objectives: The purpose of the study was to test the applicability of the Theory of Planned Behavior(TPB) to Korean adult smokers in order to obtain an enhanced understanding of their smoking-cessation intention and to establish strategies for effective smoking-cessation interventions at the community clinic. Methods: The data came from a survey that was conducted on adult male smokers who visited the smoking-cessation clinic at H community clinic in Korea from January to November in 2006 (N=434). Included in the survey were questions asking core variables and salient belief variables dictated by TPB. A structural equation model was established using TPB and data were analyzed to examine the applicability of the theory to the understanding of the structure of variables leading to intention. Results: The analysis of the structural model revealed that the study model was statistically significant(p<.001), suggesting the high validity of TPB in explaining the structure of the data. Among the relationships in the model, negative behavioral beliefs were not significant(p>.05), and negative control beliefs and subjective norm were significant(p<.05) but not as highly as other variables in the model(p<.001). Conclusion: TPB was useful in understanding smoking-cessation intention of smokers who visited community clinic to stop smoking. More specific strategies for counseling and education need to be developed to enhance attitude and perceived behavioral control (self-efficacy) toward smoking-cessation intention, such as emphasizing health benefits of quitting smoking, and eliciting values and life principles that can help increase the intention to stop smoking.
Associations among Internet Addiction, Personality, Characteristics of Family System, and Learned Self-Concept in Elementary School Students
Kim, Myoung-Hee ; Kim, Myoung-Sook ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 63~73
Objectives: The purpose of this study was to identify the degree of internet addiction and factors affecting internet addiction in elementary school students. Methods: A cross-sectional survey design was employed in this study. The subjects were 378 students who were recruited from 5th and 6th grade in five elementary schools in J city, Korea. Data were collected through a structured questionnaire. The data were analyzed using the SPSS Win 10.1 program. Results: Of the children, 51.9% reported being average online users, 45.5%, heavy online users, and 2.6%, internet addicted. The level of internet addiction of subjects correlated significantly with the behavioral activation system, behavioral inhibition system, family cohesion, and learned self-concept, but not family adaptability. Significant predictors influencing internet addiction were the behavioral activation system, learned self-concept, and family cohesion. These predictors accounted for 22% of variance in internet addiction. Conclusion: This study found that the behavioral activation system in personality aspects, family cohesion in the family system, and learned self-concept are primary factors that explain internet addiction among elementary students. We suggest these results be used to develop an online addiction prevention or treatment program.
Predictors of Intention to Undergo Mammography among Underutilizers
Kye, Su-Yeon ; Park, Kee-Ho ; Choi, Kui-Son ; Bae, Mi-Jin ; Moon, In-Ok ; Yun, Young-Ok ; Lim, Min-Kyung ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 75~86
Objectives: To identify the factors associated with the intention to undergo mammography among Korean women without a prior screening experience. Methods: Among 1,039 women of the general population, we selected 145 women (mean age: 54.2 years, age range : 40-78 years) without any prior experience with mammography. They were recruited for the 'Cancer Information Needs Assessment Survey' by using the method of random multi-stage cluster sampling. Data on the socio-demographic characteristics, intention to undergo mammography based on the Precaution Adoption Process Model, level of self belief and self efficacy for breast cancer screening, motivation for decision to undergo breast cancer screening were obtained by conducting a household survey. Results: Of the study subjects, 49.7% were classified as "unengaged" and "decided not to act" regarding breast cancer screening. Women with the intention to undergo mammography were more likely to be younger (OR 0.11, 95%CI 0.04-0.36), to have been recommended to undergo screening by others (OR 3.27, 95%CI 1.36-7.87), to have a high level of perceived sensitivity (OR 3.15, 95%CI 1.27-7.82), and to have a high level of self efficacy (OR 1.09, 95%CI 0.97-1.23). Exposure to campaigns and information regarding breast cancer screening, whether cancer patients are or not in around, perceived severity, perceived benefit, and perceived cost were factors that were not significantly associated with the intention to undergo mammography. Conclusion: It is necessary to develop tailored intervention strategies for women who have never undergone breast cancer screening on the basis of their demographic characteristics and factors that positively influence the intention to undergo mammography.
Implementation and Evaluation of a Health Promoting School Program
Lee, Eun-Young ; Choi, Bo-Youl ; Shin, Young-Jeon ; Kim, Seok-Hyeon ; Sohn, Ae-Ree ; Ahn, Dong-Hyun ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 87~101
Objectives: The purpose of this study was to develop strategies for creating health promoting school and to evaluate the implementation and its effect on the school. Methods: Based on WHO's Health Promoting School, we developed 5 strategies and implementing process for creating health promoting school and undertook The implementation process included workshops to raise awareness of the health promoting school, establishment of a school health team, review of the health needs of its community, development of an action plan, and practice of activities and reflect on program. Seventeen teachers (male 35.3%, female 64.7%) and 248 students (male 51.2%, female 47,6%) had completed pretest and posttest. Results: It was increasing in school's social environment, community relationship, personal skill and health service among components of HPS. However, there were no significant differences in self-reported health status and health behaviors among teachers. Although there were no significant changes in self-esteem, self-efficacy and BMI, there were significantly increasing in health knowledge, physical activities and fruit and vegetable intakes among students of a pilot school. Conclusion: Strategies for a creating health promoting school were appropriate to implement in school and they would also make a contribution to improve health knowledge and health behaviors in elementary school students.
Health-enhancing Physical Activity Guidelines for Koreans: the Status and Directions for Revision
Kim, Wan-Soo ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 103~117
Objectives: There have been no specific as well as evidence-based physical activity guidelines issued on the governmental level. There just have been physical activity recommendations and guidelines released from governmental agencies or organizations as well as individual researchers and these are not consistent, thereby giving the public and even some professionals quite a confusion. As such, this study was aimed to suggest key factors to include when issuing national physical activity recommendations for Koreans. Methods: Since chronological evolution of modern physical activity recommendations reflects key factors to consider when establishing those recommendations and guidelines, that released for several decades was reviewed. Results: The evolution was found to be based on the basis of strong evidence from both epidemiological and exercise physiology studies and the key concepts of such evolution were feasibility, efficacy, and safety. Conclusion: On the basis of three key factors found in the review process, this study concluded that the upcoming national physical activity guidelines should include the following to maximize the outcomes of the efforts which have long been put by the division of physical activity under the 'New Health Plan 2010'. First, guidelines for achieving health benefits (ie, preventing chronic diseases such as cardiovascular disease, diabetes, and cancers or weight management) as well as improving cardiorespiratory fitness should be included to enhance efficacy. Second, safety measures should be included to enhance safety. Third, various alternative forms of physical activity should be included to enhance feasibility.
Assessment of Individual, Organizational, Environmental Capacity for Healthy Cities
Kim, Jung-Min ; Koh, Kwang-Wook ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 119~133
Objective: The aim of this study was to asses individual, organizational and environmental capacity for members of Healthy Cities Partnership (KHCP) and exploring advanced suggestions for further developing. Methods: Participants were 27. The questionnaire was developed based on Health Promotion Capacity Checklist and it analyze capacity in 3 lelvels including individual, organizational and environmental. Each level is consist of 4 sections, individual: 'Knowledge', 'Skills', 'Commitment' and 'Resources', organizational; 'Commitment', 'Culture', 'Structure' and 'Resources', environment:'Public opinion', 'Political will', 'Supportive organizations' and 'Ideas and other resources'. Each section was assessed in 4 point rating scale and cross analyzed with basic information. Results: The mean score of 3 levels were 2.57. Among the 3 levels, 'Individual' marks 2.78 point which were top and 'Organizational' marks 2.59 and 'Environmental' marks 2.33. There were no significant factors affecting Healthy cities capacity of 'Individual' and 'Organizational' level, but just 'specialization' of 'Environmental' had significance. Conclusion: Above the results, this study suggested that just 'Individual' capacity is above median point and other levels were lower. Further efforts for developing Healthy cities capacity, especially focused on 'Organizational' and 'Environmental' levels, is strongly required.
The Comparison of Variables between Therapy Continuity Group and Therapy Discontinuity Group of Patients With Hypertension and Diabetes in Daegu Initiative
Park, Jeong-Sook ; Kwon, Young-Sook ; Oh, Yun-Jung ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 135~148
Objectives: The purpose of this study is to identify the characteristics between therapy continuity group and therapy discontinuity group and to develop management program for Korean patients with hypertension and diabetes. Methods: The subject of the study were 109 therapy continuity and 66 therapy discontinuity of Korea hypertension diabetes Daegu initiative. The data collection was performed from December 5 to December 30, 2008. Analysis of data was done by using descriptive statistics, chi-square test, t-test and ANCOVA with SPSS program. Results: 1) The groups were significantly correlated with such variables systolic BP(F=4.518, p=0.035) and diastolic BP(F=17.793, p=0.000). 2) The groups with hypertensive were significantly correlated with such variables perceived susceptibility of disease(
=25.053, p=0.000), perceived barrier of health behavior(
=12.584, p=0.006), drinking(
=27.545, p=0.000), diet(
=8.645, p=0.013), regular taking medicine(
=92.415, p=0.000) and regular measurement of BP(
=6.045, p=0.049). 3) The groups with diabetic were significantly correlated with such variables perceived seriousness of disease(
=6.128, p=0.047), perceived susceptibility of disease(
=8.079, p=0.018), health knowledge and attitude(F=8.418, p=0.006), drinking(
=6.276, p=0.043), diet(
=7.275, p=0.026), regular taking medicine(
=33.083, p=0.000) and regular measurement of glucose(
=7.233, p=0.027). Conclusion: The above findings indicate that it is necessary to develop and apply special management programs according to the therapy discontinuity group.
Metabolically Obese Normal Weight (MONW)
Kang, Hyun-Joo ;
Korean Journal of Health Education and Promotion, volume 26, issue 2, 2009, Pages 149~155
Metabolically obese but normal weight(MONW) syndrome is characterized, with potentially increased risks for development of the insulin resistance or metabolic syndrome despite their normal body mass index(BMI) < 25 kg/m2. Such characteristics could confer upon MONW individuals a type 2 diabetes mellitus and cardiovascular diseases(CVD) risk however, research on MONW is scarce. MONW individuals have metabolic disturbances typical of obese persons and are identified by having a high amount of visceral fat, a low BMI, a high fat mass, a low lean body mass, low insulin sensitivity, and high triglyceride concentrations. The purpose of this study is to review several markers as potential modulators in individuals displaying the "MONW". Body fat appears to be functionally comparable with a dynamic endocrine organ, producing and secreting various adipocy tokines, such as leptin, adiponectin, CRP, tumor necrosis factor(TNF-), interleukin(IL)-6, all of which play an important role in the onset of cardiovascular disease, and insulin resistance. Otherwise, physical activity and a lower inflammation state might be helped to reduce the number of persons at risk of diabetes, CVD complications, or premature mortality. We should provide a method to optimal treatments resolving the emerging public health problem to prevention of MONW by providing guideline for physical activity as an optimal treatment for the MONW Korean. Furthermore we expect to develop a new strategy to manage MONW Korean in this society in terms of reducing medical costs and enhancing public health care for uprising population with MONW.