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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Korean Journal of Health Education and Promotion
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Journal DOI :
The Korean Society of Health Promotion
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Volume & Issues
Volume 27, Issue 5 - Dec 2010
Volume 27, Issue 4 - Dec 2010
Volume 27, Issue 3 - Sep 2010
Volume 27, Issue 2 - Jun 2010
Volume 27, Issue 1 - Mar 2010
Selecting the target year
The Past and the Current Status of Community-based Health Promotion
Cho, Byong-Hee ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 1~6
Objectives: This paper aims at addressing the importance of community-based health promotion. It would identify the origin of community health programs in Korea, which emphasized community involvement. And it would reveal the discontinuity of community-oriented health programs in the current health promotion activities. Finally, the methods of attaining community-based health promotion would be suggested. Results and Conclusion: Community-based health promotion had been implemented in rural areas by medical schools in the 1970s and 1980s, which emphasized the role of village health workers. But their roles has disappeared since the government-initiated health promotion policies and programs have been implemented in the mid-1990s. This paper addressed the factors contributing to this discontinuity, such as the expansion of heath insurance system, the change of health care discourses, the monopoly of resources for health promotion by government, and the bureaucratic approach to health promotion, etc. This paper suggested the utilization of voluntary and civic organizations in community for realizing the goal of community-based health promotion.
School Smoking Rate as a Social Factor Affecting the Adolescent Smoking in Korea: Multilevel Analysis
Byeon, Jin-Ok ; Cho, Young-Tae ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 7~16
Objectives: To obtain a more intensive understanding smoking behaviors of young adolescent in the contexts of schools which they attend, this study examined the effects of individual and school level factors divided into psychological and social factors respectively. Methods: Multilevel logistic regression analysis was used to test the effects of school smoking rates on 1 year smoking experience of individual pupils in a sample of 3,449 students from 100 middle schools in Korea. Results: The results of multilevel analysis revealed the importance of social factors in three environments. Especially the social factors in school level, which were sense of school membership and school smoking rate, explained the variances between groups dropping the school effect from 0.194 to 0.046. Conclusion: This study suggests that adolescents' smoking behaviors are related to the multi dimensional and multi level factors. To reduce young adults' smoking rate, school level intervention should not be ignored.
The Effect of Activity-oriented AIDS Prevention Education on the Knowledge and Attitudes of Middle School Boys
Lee, Hyun-Jeom ; Hwang, Sun-Kyung ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 17~27
Objectives: The aim of this study was to compare the knowledge and attitudes about AIDS between an activity-oriented and a lecture-oriented AIDS prevention education in middle school boys. Methods: Each of 60 middle school boys in M city, Gyeongsangnam-do, was assigned to the experimental or control group. The activity-oriented AIDS prevention education in experimental group and the lecture-oriented education in control group were provided for a 45 minutes class per week for 4 weeks, respectively. Date were collected with questionnaires and analyzed through
-test, t-test, and repeated measures ANOVA. Results: The experimental group and control group were homogeneous in knowledge and attitudes about AIDS prevention before the study. In AIDS prevention knowledge, there was no significant interaction of times by groups (F=0.033, p=.930); but the main effect of times was significant (F=63.950, p<.001). In attitudes toward AIDS, there was a significant interaction of times by groups (F=8.892, p<.001). Conclusion: The activity-oriented AIDS prevention education was an effective teaching strategy to foster positive attitudes toward AIDS prevention in middle school boys. Therefore, systematic and sustained development of AIDS prevention education reflecting learners' characteristics is required.
A Comparison of Health Status and Health Behaviors between Korean Americans and Koreans
Lee, Yoon-Hyeon ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 29~38
Objectives: This study purports to comparatively study health condition, health behaviors, and health care utilization of Koreans living in Korea and in the US, and then, to analyze the factors influencing them. Methods: The collected data were analyzed on the basis of the 2005 Korea National Health and Nutrition Examination Survey. Of 25,196 adults aged 19 or older, 7,802 respondents to health behavior survey and 5,526 respondents to physical examination survey. The analyzed data of the Korean Americans were the results of the California Health Interview Survey (CHIS) conducted by the UCLA Center for Health Policy Research in 2005. This study analyzed the responses of 645 known Korean respondents to the 2005 CHIS. Results: In regard to differences in overall health condition between the two groups, it was found that both the male and female Korean Americans thought their own overall health conditions were relatively poor compared to Koreans, especially in relation to diabetes and cardiovascular diseases. For smoking status considered as one of health behavior factors, smokers of the Koreans account for 46.1% which is higher than that of the Korean Americans and the proportion of the Koreans smoking daily is also at least two times higher than that of the Korean Americans. Similarly, for alcohol drinking, the Koreans showed higher drinking experience rate and no less than three times higher drinking frequency than that of Korean Americans. Conclusion: It is expected that this study will contribute greatly to solving health problems among foreign immigrants and overseas Koreans in future by clarifying any differences in health status and health behaviors resulting from sociocultural differences despite of similar genetic factors.
The Factors Influencing the Mental Health of Middle School Students in Korea, China and Japan
Choe, Eun-Hee ; Nam, Eun-Woo ; Jin, Gi-Nam ; Lee, Kyu-Sik ; Houri, Daisuke ; Min, Liu Zhong ; Matsumoto, Kenji ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 39~49
Objectives: This study analyzed the factors that influence the mental health of adolescents in Korea, China, and Japan. Methods: The survey was conducted in each country between November 2008 and January 2009. The respondents were 1,390 Korean, Chinese, and Japanese students aged between 14 years and 16. The mental health was measured by the School Mental Health Scale of Ochanomizu University (2004), which is composed of six scales: physical symptoms, eating disorders, depression, interpersonal relationship, powerlessness, and impulsiveness. Results: The relationship with family and friends are strongly associated with mental health. As for Korean and Chinese female students experienced mental illness more than male. Regarding Korean students, the time to use TV computer game is related to relationship and impulsiveness. The mobile phone use more than three hours is related to depression and relationship for Japanese, and the number of family member less than three, is associated with powerlessness for Chinese. Conclusion: Regular and effective health education is required in order to improve students lifestyles and family and peer relationships. This study also offers the fundamental information for health promotion programs for Korean, Chinese and Japanese students.
Perceived Social Support as Influencing Factors on Quality of Life among Cancer Patients
Jo, Heui-Sug ; Kim, Bong-Gi ; Lee, Hey-Jean ; Lee, Bo-Young ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 51~59
Objectives: This study was designed to understand the association between the perceived social support and the quality of life among cancer patients. Methods: Questionnaire survey was conducted from July 10 to August 14 in 2008 among inpatients and outpatients visited Gangwon Cancer Center. Survey was done for 429 patients who were diagnosed as cancer longer than two years and 232 patients responded. We used Multidimensional Scale of Perceived Social Support(MSPSS) and Euro Quality of Life-5 Dimension(EQ-5D). Results: Prevalence of problem in Quality of life among cancer patients were as follows; 28.6% in mobility, 26.0% in pain or discomfort, 24.8% in anxiety or depression, 22.7% in usual activity, and 15.7% in self-care. Cancer patients with higher social support had significantly higher Quality of Life. Also more severe stage had significantly lower Quality of Life. Conclusion: Education, income, stage, and social support seemed influential to Quality of Life among cancer patients. Programs are necessary to promote social support for Quality of Life especially for cancer patients diagnosed as higher stage. Counseling and supporting can be useful not only for patients but also for families.
Associated Factors on Reproductive Health of Vietnamese Female Immigrants: Application of PRECEDE Model
Youn, Young-Ok ; Moon, In-Ok ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 61~72
Objectives: This study was peformed to identify the related factors on Vietnamese immigrant women's reproductive health problems. Survey Participants were 231 immigrant vietnamese woman who lived at six cities in Korea. Methods: The comprehensive PRECEDE model comprised of diagnosis and planning curricular targeted or immigrant women aged 15-49. Data collection was conducted by face-to-face interview survey. Results: 1. The influential variables of recognition of reproductive health problems from the logistic analysis were using contraceptives (p=0.002), relationships with partners (p=0.000), the need of family planning (p=0.007), social support (p=0.009). This means that they experienced reproductive health problems when they did not use contraceptives, did not need family planning, did not receive social support and had close relationships with their partners. Conclusion: The basic data were provided for prevention of reproductive health problems such as unwanted pregnancy and abortion, as well as improved understanding of the different views on pregnancy, birth culture and sexual and reproductive health between Korea and Vietnam.
The Effects of Walking Exercise Program on Aging-related Hormones in Elderly Men
Ko, Ki-Jun ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 73~81
Objectives: The purpose of this study was to evaluate the effects of 12 weeks walking exercise program participation on changes in aging-related hormones concentration in elderly men. Methods: 16 elderly men(above 65 years old) were participated in 12 weeks walking exercise program by group types(exercise group ; n=8 & control group ; n=8), and their aging-related hormones(GH, testosterone and melatonin) levels were assessed before program(0 week) and after program(12 weeks). Regularly walking exercise program(field walking exercise) performed for 12 weeks(3days/week, 60~70min/day, HRR 55~65%). All data were expressed as mean and standard deviation by using SPSS/
(ver. 13.0) program, and to evaluate the differences before and after treatment by groups, data were analyzed by paired t-test(a
.05) and 2-way ANOVA was performed to examine the differences between groups and within groups by variables. Results and Conclusion: The conclusions obtained from this study were as follows ; In growth hormone. testosterone and melatonin response after 12 weeks exercise was increased significantly in walking exercise group(p<.01; p<.001; p<.001). And in result of 2-way ANOVA analysis for group, exercise, group
exercise, as compared with the exercise, there is significant difference in all items. Interaction effect of between group and exercise is difference significantly on GH(F=5.915, p<.05), testosterone(F=15.117, p<.01) and melatonin(F=8.131. p<.01) in all groups. We observed a direct relationship(positive improvement) between the regular physical activity and aging-related hormones(growth hormone, testosterone and melatonin concentrations) in elderly men.
Medical Expenditure Attributable to Overweight and Obesity in Adults with Ischemic Heart Disease and Stroke in Korea
Kang, Jae-Heon ; Jeong, Baek-Geun ; Cho, Young-Gyu ; Song, Hye-Ryoung ; Kim, Kyung-A ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 83~90
objectives: This study was conducted to estimate medical expenditure attributable to overweight and obesity in adults with ischemic heart disease and stroke using Korea National Health and Nutrition Examination survey data and Korea National Health Corporation data. methods : The medical expenditure of ischemic heart disease and stroke related to overweight and obesity were composed of inpatient care costs, outpatient care costs and medication costs. The population attributable risk (PAR) of overweight and obesity was calculated from national representative data of Korea such as the National Health Insurance Corporation cohort data and 2005 Korea National Health and Nutrition Examination survey data. results: The medical expenditure attributable to overweight and obesity of ischemic heart disease were 97.4 billion won(74.1-122 billion won). and stroke were 64.6 billion won(33.1-98.1 billion won). Consequently, these costs corresponded to 11.4% of total medical expenditure due to ischemic heart disease and stroke. conclusion: We conclude that overweight and obesity have increased medical expenditure from ischemic heart disease and stroke in Korea. These findings provide important support for implementing overweight and obesity management strategies in Korea.
Factors Associated with Channels of Health Information Used by Metropolitan City Residents
Bae, Sang-Soo ; Jo, Heui-Sug ; Lee, Hey-Jean ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 91~103
Objectives: This study was designed to understand the association between sociodemographic characteristics, health behaviors and channels retrieved for health information. Methods: Questionnaire survey was performed from April 2007 to May 2007 through household visiting. Sample was selected according to gender, household income, and residence district. We got 1,009 respondents and subgroups were as follows; 508 people had health insurance, 250 people were medical indigent group, and 251 people were medicaid beneficiaries. Results: People seemed to be separated into subgroups by channels used for health information. One was active and the other was passive group. Characteristics of passive group were older age, worker or inoccupation, less income, subjective poverty, lower education, loss of spouse, medical indigent or medicaid group. They usually got health information through mass media like TV and radio or medical professionals. Characteristics of active group were younger age, professional, more income, subjective affluence, higher education, single or married, and member of health insurance. They mainly got health information through printed media like newspaper or the Internet. Conclusion: We suggest to provide health information through various channels customed to individual needs and literacy. Public health stakeholders seems better to focus on people with low education, insufficient health literacy, poor health status, and short information technology.
Effect of Lifestyle Modification Program on Blood Pressure Improvement in Patients with Hypertension
Lee, Sang-Uk ; Oh, Chang-Mo ; Oh, In-Hwan ; Yoon, Tai-Young ; Choi, Joong-Myung ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 105~112
Objectives: The purpose of this study was to know different effect with uncontrolled hypertension patients after providing health promotion program which consisted with medicine, exercise, nutrition. Methods: The subjects of this study was comprised by uncontrolled hypertension patients in spite of medication and didn't care the pressure by medication. The health promotion program was progressed by group exercise three times a week, nutrition education once a week and medical consultation once a month for 12 weeks. Subjects were measured for body composition(weight, fat mass, % body fat and body mass index), hemo-dynamics(systolic blood pressure(SBP), diastolic blood pressure(DBP), and resting heart rate), and physical fitness (cardiopulmonary endurance, muscular strength, muscular endurance, balance, and flexibility). Results: Groups showed significant improvement in every measure except resting heart rate. SBP is decreased both taking drug group about 18.4mmHg and without taking drug group about 19.4mmHg.(p<0.001) DBP is decreased both taking drug group about 8.7mmHg and without taking drug group about 9.0 mmHg.(p<0.001) Conclusion: There are no statistical significant differences of SBP and DBP decreasing effects by medication, Since effects of decreasing pressure are not different by medication, I think the health promotion program is effective to uncontrolled hypertension patients to decrease pressure.
Perception and Associated Factors of Primary Schoolchildren's Parents Concerning Approval on the Expansion Implementation of Community Water Fluoridation Program in Gimhae, Korea
Lee, Jung-Hwa ; Kim, Man-Kyong ; Kim, Min-Ji ; Kim, Jin-Sam ; Kim, Jin-Bom ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 113~121
Objectives: The study sought to identify the perception of schoolchildren's parents concerning an approval on the expansion implementation of community water fluoridation program in Gimhae, Korea. Methods: Questionnaires were distributed to schoolchildren's parents in Gimhae in 2008. Responses were collected from 1,703 parents. The standard questionnaire of Ministry of Health and Welfare was used and items were socioeconomic variables, water used for drinking and cooking, awareness on the fluoridation program and approval on the expansion implementation of fluoridation program at the region of Myeongdong water plant. Significance was analyzed by chi-square test and multiple logistic analysis. Results: Of parents, 1.9% used plain tap water and 39.8% used boiled tap water for drinking and 50.0% used tap water for cooking. 58.0% of parents were aware of fluoridation program with 27.1% being aware of the implementation of the program in Gimhae. 74.5% approved the expansion implementation of the program to the region of Myeong-dong water plant. Significant variables associated to approving the expansion implementation of program were age, gender, residence period in Gimhae, occupation and awareness of the program. Conclusion: The expansion implementation of fluoridation program in Gimhae is desirable for caries prevention because of the majority of schoolchildren's parents' approval.
Changes in Smoking Practices and the Process of Nicotine Dependence
Song, Tae-Min ; Lee, Ju-Yul ; An, Ji-Young ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 123~129
Objectives: The aim of this study is to seek an effective way to support smoking cessation by analyzing any change to the pattern of nicotine dependence according to the change in time. Methods: The study was conducted with 800 male smokers who had participated in smoking cessation programs at public health centers from July 16, 2005 to July 15, 2008. Latent growth curve modeling approach was used for data analysis. Results: From the developmental trajectory of individual nicotine dependence, while nicotine dependence of smokers with high nicotine dependence in the first year was slightly decreased in the third year, smokers with low nicotine dependence in the year showed dramatically lower nicotine dependence in the third year. Compared with those who did not successfully quit smoking, the initial value of nicotine dependence of those who successfully quit smoking in the first and the second year was low. Over the years, nicotine dependence was decreased. Conclusion: From this study it was demonstrated that nicotine dependence was reduced through the practice of smoking cessation and reduced nicotine dependence was a factor which affects successful smoking cessation. These results indicate that multiple attempts to quit smoking finally reduces nicotine dependence. Reduced nicotine dependence is likely to increase the possibility of successful smoking cessation.
Using Focus Group Interview to Explore the Effectiveness of Adolescent Smoking Cessation Program with Music Therapy
HwangMyung, Hee-Song ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 131~139
Objectives: This pilot study was designed to examine whether the adolescent smoking cessation program with harmonica therapy was effective or not. It was qualitatively explored perceived smoking consequences, cessation and relapse experience, specific harmonica help to overcome smoking urge, preference of harmonica toward cessation, and harmonica intervention planning to quit. Methods: The treatment program was conducted 30-minute, 6-session, and once a week basis. Qualitative data using Focus Group Interview were collected at the completion of the program with 6 participants, and analyzed by Krueger's systematic process. Results: Participants were smoking daily and consumed 3-10 cigarettes. They recognized undesirable smoking consequences in terms of cost, interpersonal relationship, and health that might lead to cessation attempts in the past. Participants who did not want to quit smoking at the program beginning changed their attitude to quit after exploring partial cessation efforts with the help of harmonica therapy. They believe harmonica's consistent help of quitting and leading to success. Conclusion: Adolescent attitudinal change toward smoking cessation has promising insight of motivation enhancement through harmonica therapy that was a major barrier to successful quit.
Health-related Quality of Life Assessment by Socio-Demographic Characteristics and Mental Health among Seoul Citizens
Sohn, Ae-Ree ; Yoon, Ju-Tak ; Ko, Seung-Duk ; Chun, Sung-Soo ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 141~152
Objectives: This study was conducted to estimate the health-related quality of life using EQ5-D by socio-demographic characteristics and mental health among Seoul citizens for developing health promotion programs. Methods: The study subjects using cluster-stratified sampling method were 1234 adults over 19 years old from 17 dong, S-Ku in Seoul City. A cross-sectional study with face-to-face interview was used to collect data. A questionnaire measuring socio-demographic variables, Symptom Checklist-90-Revised (SCL-90-R) and Euroqol EQ-5D instrument. The Difference on the EQ-5D index among groups were tested with Mann-Whitney U test and Kruskal Wallis test. Results: The mean EQ-5D index for all subjects was 0.946(
). The EQ-5D index were significantly different by sex, age, marital status, eduction level and income. The EQ5-D indexes among clinical mental health groups were the lowest scores and significantly different from other groups. Conclusion: The findings suggest that the future intervention of health promotion programs should be carefully designed and tailored by socio-demographic variables. Especially, the mental health programs need to be developed.
An Analysis on the Change of Health Status, Health Behavior, and Influencing Factors Among American College and University Students
Kim, Young-Bok ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 153~163
Objectives: Analysis and understanding on the health trend of college and university students are paramount to creating healthy campus communities. We evaluated the change of health status, health behavior, and influencing factors among them in the last ten years. Methods: Using the results of the ACHA-National College Health Assessment from 2000 to 2009, we reanalyzed the trend of health condition, health behavior, and health risk factors in linear regression model. Results: In general health of college and university students, major health problem were allergy problems, back pain, and sinus infection. Academic impacts were stress, sleep difficulties, cold/flu, concern for troubled friend or family member, relationship difficulty, and internet use or computer games. Although regular exercise was decreasing among them, it were more likely to have never smoking, no sexual partner, and eating of fruits/vegetables as time passed (p<0.05, p<0.01). Obesity and sleeping difficulty were increasing, while it were less likely to have feeling very sad, feeling hopelessness, and considering attempting suicide (p<0.05, p<0.01). Conclusion: These data expand the understanding of the health needs and capacities among young adults. For Korean college and university students, it is necessary to standardize the data-collection survey to set the college health and healthy campus.
Program Theory Evaluation of a Lifestyle Intervention Program for the Prevention and Treatment of Metabolic Syndrome
Yoo, Seung-Hyun ; Kim, Hye-Kyeong ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 165~175
Objectives: The purpose of this study is to evaluate the program theory of a lifestyle intervention program for the prevention and treatment of metabolic syndrome. Methods: The program evaluated is a tailored intervention for multiple health behavior associated with metabolic syndrome which is informed by theoretical constructs from the Intervention Mapping and Transtheoretical model. The program components include one-to-one health counseling, a self-management handbook, and a health diary. To evaluate program impact theory we examined the logic of program goals and objectives, intervention methods and strategies, and the theoretical constructs of program materials through document review and matrix building. Results: This evaluation has found that the intervention program applied social cognitive theory constructs to design intervention methods and strategies in addition to the Transtheoretical model: self-monitoring for goal setting and monitoring skill, outcome expectation for the benefits of health behavior change, and interaction with environment for observational learning through modeling. While the intervention addresses multiple determinants and behaviors, it is limited to an individual level and lacks social and environmental approaches. Following the Transtheoretical framework, the contents of the intervention materials were developed utilizing consciousness raising as a main strategy for earlier stages of change, and counterconditioning and stimulus control for later stages of change. Conclusion: Program theory evaluation can be a process of enhancing program validity. It would also be necessary for providing basis for efficient program implementation. When comparisons of program theory between similar programs are possible, program theory and validity will be strengthened when comparisons of program theories between similar programs are possible.
Development of Health Communication Strategies for Health Behavior Change: Application of Social Ecological Models to Smoking Cessation Intervention
Kim, Hye-Kyeong ;
Korean Journal of Health Education and Promotion, volume 27, issue 4, 2010, Pages 177~188
Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.