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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 29, Issue 5 - Dec 2012
Volume 29, Issue 4 - Oct 2012
Volume 29, Issue 3 - Sep 2012
Volume 29, Issue 2 - Jun 2012
Volume 29, Issue 1 - Mar 2012
Selecting the target year
Patterns of Medical Care Utilization Behavior and Related Factors among Hypertensive Patients: Follow-up Study Using the 2003-2007 Korean Health Insurance Claims Data
Song, Hyun-Jong ; Jang, Sun-Mee ; Shin, Suk-Youn ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 1~12
Objectives: Several practice guidelines recommended both medication and behavior modification to control hypertension. The objective of this study was to analyze ambulatory care utilization pattern and related factors. Methods: A retrospective cohort study was conducted among 45,267 new users who initiated treatment with hypertensive drugs in 2003. Korean National Health Insurance Claims Data was used to study the medical care utilization behavior and related factors after treatment initiation for up to four years. Taking prescription was considered as medical care utilization. Results: More than 20% of patients discontinued visiting physicians for prescription after initiating antihypertensive drug therapy. The average number of institutions visited by patients was about 1.3 annually. Clinic was the most frequently visited institution by patients. In GEE analysis, probability of continuous visit one institution after initiating antihypertensive drug treatment increased in patients who were women, old, have comorbidity, visited clinic or hospital mainly in previous year. Conclusions: Young hypertensive male patients who have no major comorbidity showed high possibility to discontinue medical service utilization. It is necessary to educate these targeted patients about importance of hypertension management in early stage after treatment initiation.
Effects of an Individual Health Counseling Program for Community: Health One-stop Service Program
Kim, Hyun ; Lee, Sok-Goo ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 13~21
Objectives: The aim of the study was to identify the effects of a community-level individual health counseling program for community. Methods: Data included baseline demographics, blood pressure, blood sugar, waist circumference, total cholesterol and health behavior index(body mass index, dietary practice guidelines score, physical activity, high-risk drinking) collected at public health centers in Chungnam province from January to September, 2011. Data obtained from the individual health counseling program in Chungnam province were analyzed using Wilcoxon Signed Rank Test and McNemar Test. Results: After the individual health counseling intervention, the results of health measurement index; systolic blood pressure, diastolic blood pressure, total cholesterol, waist circumference decreased in the health risk group, while total cholesterol and waist circumference decreased in the disease management group. Health behavior change in both groups. Body mass index, moderate physical activity, dietary practice guidelines scores were improved. Conclusions: These results indicate that the individual health counseling program for community was effective in improving health behaviors and status. The results demonstrate that step-by-step counseling program development and intervention studies are needed.
The Association Between Osteoarthritis and Health-Related Quality of Life in Women Aged 50 Years and Over: Using the Korea National Health and Nutrition Examination Survey (KNHANES) Data
Park, Hye-Jin ; Lee, Sung-Kook ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 23~32
Objectives: This study evaluated the association between osteoarthritis (OA) and health-related quality of life (HRQoL) in elderly Korean women. Methods: We selected participants (n=2,597) aged 50 years or older from Korea National Health and Nutrition Examination Survey [KNHANES] 2005-2008. Demographic and personal characteristics, medical history of OA, and EQ-5D were extracted from the KNHANES data. Results: We found that demographic variables, including age, education level, income, and personal characteristics, were important covariates associated with the prevalence of OA and with HRQoL. In this study, OA was an important factor affecting HRQoL in women. The adjusted odds ratio for HRQoL in participants with OA was 2.92 [(95% confidence interval (CI)=2.43-3.51, p<.001)] in mobility, 2.60 (95% CI=2.17-3.10, p<.001) in pain/discomfort, 2.17 (95% CI=1.78-2.65, p<.001) in usual activities, 1.65 (95% CI=1.22-2.24, p=.001) in self care, and 1.47 (95% CI=1.22-1.77, p<.001) in anxiety/depression. After adjustment of covariates, HRQoL was significantly decreased in participants with OA. Conclusions: Our findings reveal that there is a strong association between OA and HRQoL. Preventing and controlling OA may significantly improve the quality of life for elderly Korean women.
Female College Students' Experiences on Health Promotion
Kim, Jeong-Soo ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 33~45
Objectives: Many female college students today control their lifestyle not for the purpose to promote their health but to maintain slender figures. The purpose of this study was to explore and describe the lifestyle of female college students from their own perspectives. Methods: Data was collected through interviews of 25 female students and was analyzed by using Colaizzi's descriptive phenomenology(1978). The phenomenon of interest was described, followed by collecting participants' descriptions of the phenomenon and extracting concepts from significant statements. These concepts were then organized into thematic clusters, followed by exhaustive descriptions into which data was applied to extract the final categories. Results: The results were deduced into 226 re-statements, 38 constructed meanings, 23 themes, 11 theme clusters, and 5 categories. The five categories include 'Increased interest in physical health,' 'Selective dietary patterns influenced by lifestyle,' 'Lifestyle formed by social adaptation,' 'Health complications caused by self-body images,' 'Engages in healthy dietary behavior'. Conclusion: This study described the experiences of female college students' lifestyles after completing a course in health promotion. These findings have important implications on health education for college students which should be considered in developing health education programs in preparation for adult years of life.
An Exploratory Content Analysis of Beer Advertisements in Korea
Lee, Jae-Kyoung ; Chung, Sul-Ki ; Park, Jae-Eun ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 47~58
Objectives: The purpose of this study is to analyze contents of beer advertisements in Korea. Research has suggested the influence of alcohol advertisements on viewer's drinking behavior, attitude, and expectancies. Korea's policy on alcohol advertising relies on limited government regulation and self regulation among alcohol industries. This study is expected to lay a foundation for further discussion on regulating alcohol advertising in Korea. Methods: A total of 81 beer advertisements broadcasted between 2008 and 2011 were analyzed. The contents were categorized into themes (22 themes were used), models, and presentation techniques. Results: The themes most frequently appeared in beer advertisements were quality (66.7%), relaxation (44%), camaraderie (41%), and individuality (39.5%), respectively. Analysis of models revealed that most advertisements had more than three models (64.2%), and most of them were in their 20s (68%). As much as 82% of advertisements used celebrity models. Analysis on presentation techniques showed that 91.4% displayed drinking scenes, and 27% displayed gulping down the whole bottle or the glass. Finally, about 10% of ads showed drinking in hazardous situations such as during water sports. Conclusion: The results of the study reflect the minimal regulation of alcohol advertising in Korea. The need for joint effort by legislators, researchers, alcohol industries, and advertising agencies is discussed in order to establish healthier drinking environment.
Self-rated Health and Individual Level Social Capital Across the Administrative Sections
Lee, Jin-Hyang ; Paeng, Ki-Yeong ; Kim, Jang-Rak ; Jeong, Baek-Geun ; Park, Ki-Soo ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 59~70
Objectives: The purpose of this research is to measure the level of individual social capital, and to reveal the associations between social capital and self-rated health status and how the administrative section(dong, eup, and myeon) might modify the relationships. Methods: This study used the data from Gyeongsangnam-Do health survey (2008). The study subjects were 6,500 adults randomly sampled from 20 counties. Trained interviewers conducted the interviews in the interviewees' houses using structured questionnaires. The association of social capital with self-rated health was analyzed using hierarchical logistic regression. Results: The proportion of trust and social participation were the highest at eup region and the lowest at myeon, The significant social capital associated with self-rated good health were both social participation and trust in the subgroups of dong. The significant social capital associated with self-rated good health were social participation and trust in the subgroups of eup. The significant social capital associated with self-rated good health was trust in the subgroups of myeon. Conclusions: This study highlights that self-rated good health was associated with social capital measured by social participation and trust, and the direction is different in the administrative section. But, health policy encouraging social capital to improve health should be considered.
Developing Strategies to Improve Efficiency of School Health Education in an Outbreak of Pandemic Disease
Kim, Young-Bok ; Kim, Hye-Kyeong ; Kim, Myung ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 71~81
Objectives: Effective and efficient response for public health crisis necessitate planning how to respond and mobilize the resources in schools. We preformed this study to develop the strategies to improve efficiency of school health education in an outbreak of pandemic disease. Methods: We tried to review the policies, regulations and response systems of all related sectors, and advanced cases associated with pandemic disease control measures by searching databases and on-line networks connected with the Korean Ministry of Education, Science and Technology. Results: It was important to implement a consistent and systematic approach for educational offices and schools to prevent confusion resulted from the inaccurate information. First, the systems and action plans for school health should be established to prepare and respond to an outbreak of pandemic disease. Secondly, the strategies to improve the efficiency of school health education in public health crisis should be in place. Finally, the personnel pool would be needed to provide the crisis management programs. Conclusion: In order for staffs and students to have abilities to respond in an outbreak of pandemic disease, comprehensive school health approaches and efficient educational efforts should be prepared in collaboration with related sectors.
Effects of Policy and Environmental Characteristics of University on Drinking Problems among University Students
Kim, Kwang-Kee ; JeKarl, Jung ; Lee, Ki-Il ; Park, Jung-Eun ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 83~91
Objectives: This study is to examine that drinking problems among university students were accounted for not only by student's individual characteristics but alcohol policy and environmental characteristics of the university in which students were enrolled. Method: Secondary data analysis was employed in which variables under study were derived from a raw data of a nationwide representative sample in 2009. Raw data under analysis included 3,665 students from 63 universities across Korea. Organizational and environmental characteristics of the university were collected from university administrators while individual characteristics and drinking behavior from the students in using self-administrated questionnaire. Multilevel regression analyses were employed to describe alcohol policy effects on students's drinking problems measured by AUDIT by using HLM7.0. Results: ICCs indicate that variation in drinking problem depends on alcohol policy of university. Multilevel regression models identified statistically significant factors in explaining variance of drinking problems. Group means on drinking problem are affected by indicators representing alcohol policy with level of drinking problem of student being decreased in accordance to level of availability of alcohol on campus. Conclusions: It is concluded that drinking problems among university students were associated with both individual characteristics and alcohol policy of the university they enrolled. This study supports policy belief that interventions at environmental as well as individual level are required to prevent drinking problem among university students.
Clustering Patterns and Correlates of Multiple Health Behaviors in Middle-aged Koreans with Metabolic Syndrome
Jeon, Janet Ye-Won ; Yoo, Seung-Hyun ; Kim, Hye-Kyeong ;
Korean Journal of Health Education and Promotion, volume 29, issue 2, 2012, Pages 93~105
Objectives: The objective of the study was to examine the clustering patterns and correlates of multiple health behaviors (MHBs) in middle-aged Koreans with metabolic syndrome (MetS). Methods: Data on sociodemographics, clinical characteristics, health behaviors (vegetable intake, physical activity, cigarette smoking, and alcohol consumption), and psychological characteristics were collected by a self-reported survey and medical examination from 331 individuals with MetS. Clustering of MHBs was examined by measuring 1) the ratios of observed and expected prevalence of MHBs, and 2) the prevalence odds ratios. A binomial logistic regression were conducted. Results: Men were more likely than women to engage in multiple unhealthy behaviors. Clustering of smoking and heavy drinking was exhibited in the participants. Women with high vegetable intake were more likely to be physically inactive, and those with inadequate vegetable intake were more likely to be physically active. Those with lower self-regulation were more likely to engage in unhealthy behaviors. Conclusions: The findings support the multiple health behavior approach as opposed to the individual health behavior approach. Emphasis of self-regulation is necessary in developing multiple behavior intervention for individuals with MetS.