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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
The Effectiveness of Smoking Cessation Program in Adults: Systematic Review of Randomized Controlled Trials
Park, Seong-Hi ; Hwang, Jeong-Hae ; Choi, Yun-Kyoung ; Kang, Chang-Bum ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 1~14
Objectives: The purpose of this study was to determine if smoking cessation programs (SCPs) are effective for adults through a systematic review of the results of such programs in large randomized controlled trials (RCTs). Methods: The PICO (Patient, Intervention, Comparator, Outcome) strategy was established, 1,160 literature from domestic and foreign electronic databases was reviewed, and 22 references were selected based on the inclusion and exclusion criteria. The quality of each reference was evaluated using the Scottish Intercollegiate Guidelines Network tool, and meta-analysis was carried out. Results: The SCPs were significantly effective for adult smokers. Smoking cessation counseling, education, and smoking cessation medications such as nicotine patch were more effective than the other interventions. However, the results showed short-term effects (within six months), and differences were observed among the SCPs. For the outcome measures for SCPs, the abstinence rate of seven days was mainly used, but differences were identified between the CO level and the cotinine-verified abstinence rate of smoking cessation. Conclusions: For a smoking cessation program for adult smokers, the strength of the evidence of the program's effectiveness in RCTs that provide the identified intervention strategies should be considered.
Factors Related to Blood Glucose Control in Patients with Diabetes
Pyo, Eun-Young ; Jung, Moon-Hee ; Kim, Yoon-Shin ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 15~22
Objectives: This study was conducted to determine factors related to glycemic control among Korean patients with diabetes. Methods: Data was collected from the Fourth (2007-2009) Korea National Health and Nutrition Examination Survey (KNHANES) which was a nationwide, cross-sectional survey. The study participants who are available for hemoglobin A1c (HbA1c) were 1,441 patients with diabetes aged 30 years and older. Poor glycemic control was defined as
. Data were analysed using logistic regression. Results: The proportion of patients with the poor glycemic control (
) was 49.5%. After adjusting for confounding factors, younger aged persons (30-49 years) were less likely to control the blood glucose than older aged persons (60-69 years) (Adjusted OR=0.533, 95% CI [0.295-0.960]) and longer duration of diabetes was positively related to poor glycemic control (Adjusted OR=2.018, 95% CI [1.418-2.873]). Conclusions: Age and duration of diabetes were significantly related to blood glucose control. Therefore, considering these factors is helpful for developing a strategy to improve blood glucose control in diabetes.
Comparison of Physical Activity Questions in the Korea National Health and Nutrition Examination Surveys
Kim, Wan-Soo ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 23~34
Objectives: This study aims to compare the contents of physical activity questions of Korean National Health and Nutrition Examination Survey(KNHANES), and to propose suggestions for improvement. Methods: Questions measuring physical activity prevalence of adults in the KNHANES from KNHANES I(1998) to the first year of KNHANES V(2010) were compared. Results: The questions used in each survey showed some problems in consistency and appropriateness. Major issues identified are as follows. First, the questions in each survey were not consistent, and would be inappropriate to make time series comparisons. Second, the purpose of physical activity was not clear. Third, the examples of physical activities suggested in the questions were not appropriate. Fourth, the intensity of physical activity were not adequately described. Fifth, by excluding walking from the moderate-intensity physical activity category, the prevalence of moderate-intensity physical activity could be underestimated. Sixth, it is difficult to measure the total amount of physical activity performed in one day because answers from the other domains cannot be clearly differentiated. Conclusions: The physical activity questions in the KNHANES questionnaire should be improved so that they are consistent with the purpose of survey, the respondents can easily understand the contents of the questions, and the questions can measure all physical activity performed in the different domains.
Ways to Improve Effectiveness of School-Based Smoking Cessation Intervention for Adolescents: Implications from Focus Group Interviews
Nam, Sung-Hee ; Chun, Jong-Serl ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 35~51
Objective: The objective of this study is to explore factors that contribute toward improving the effectiveness of school-based smoking cessation programs for Korean adolescents. Methods: Thematic analysis was done on the feedback gathered from a focus group interview of 5 instructors with ample service experience at smoking cessation programs provided in school settings. Results: This study has identified 9 categories of initiatives that may contribute to improving the quality of existing programs. These nine categories were grouped into the following 4 themes. 1) Improvement in the structure of intervention: the programs should be restructured to allow more instruction time and better instruction environment; 2) Improvement in the content of intervention: the programs should develop differentiated contents considering the characteristics of adolescence; 3) Importance of rapport, adolescents' interests and compensation: the program should be more interesting to adolescents and provide rewards based on the rapport between instructors and adolescents; 4) Cooperation among smoking cessation instructor, school, and community: instructors, teachers at schools, and communities should cooperate actively with one another. Conclusions: The school-based smoking cessation programs will benefit from implementing the findings of this study in improving its effectiveness in smoking cession in adolescents.
Exploring the Possibility of Using Public Institution's Health Message for Measuring Health Literacy
Hong, Kyung-Jin ; Ju, Young-Gi ; Jun, Sang-Il ; Yoon, Hye-Jung ; You, Myoung-Soon ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 53~61
Objectives: Improving public capability to obtain, understand, and use health information is important for decision-making and communication. This study attempts to measure adults' literacy of the information provided by a public health institution. Factors affecting different health literacy level are also investigated. The relation between public risk perception and health literacy is examined as well. Methods: A total of 800 korean adults were surveyed. To provide the participants health literacy questions, health messages of heavy metals released by KFDA as well as literacy questions developed by NIKL were used. A total of eight questions were developed to measure health literacy. The dimensions of risk perception proposed by Brewer et al.(2008) were modified to measure risk perception. Results: The average percentage of correct answer for all literacy questions was only 65.57%. Individuals at the older age, and with lower education/ income level were more likely to be low literate. In addition, health literacy was strongly associated with risk perception. Conclusions: Public literacy of health information is influenced by socio demographic factors. This study suggested a possibility that low health literacy may affect unrealistically high risk perception. Further studies with sophisticated methodologies to measure health literacy need to be developed.
Health Behaviors, Interpersonal/Organizational Health Environment, and Job Stress among Government Officials in Korea
Kim, Su-Young ; Kim, Hye-Kyeong ; Cho, Han-Ik ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 63~74
Objectives: We aim to investigate association between health behavior, interpersonal/organizational environment and job stress among government officials. Methods: Through health examination and a survey, this cross sectional study investigated 543 government officials working at Central Government Complex in Seoul, Korea. Health behaviors included alcohol drinking, smoking, moderate exercise and food frequency. Interpersonal environment was measured by health behavior practices of significant others and social support for health promotion. And the measures of organizational environment included facilities for exercise, health related norms and health supportive organizational systems. Job stress was assessed by short version of Korean Occupational Stress Scale(KOSS). Results: The level of job stress among female officials was higher than that of male officials. Multivariate logistic model suggested that higher job stress in male officials was significantly associated with lower position(OR=0.267, p<.01) less grain intake(OR=0.642, p<.05), lower level of social support(OR=0.810, p<.01) and abdominal obesity(OR=2.407, p<.05). On the contrary, female officials' stress level was negatively associated with healthy organizational environment(OR=0.725, p<.05). Conclusions: It is suggested that addressing job stress require tailoring intervention by gender characteristics and integration of interpersonal and organizational level approaches.
The Levels of Health Literacy and Related Factors among Middle-aged Adults in Seoul, Korea
Kang, Soo-Jin ; Lee, Tae-Wha ; Kim, Gwang-Suk ; Lee, Ju-Hee ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 75~89
Objectives: This study was performed to identify the level of health literacy and to investigate the relationship between the health literacy and preventive health care use in middle-aged adults in Korea. Methods: A total of 315 adults aged 40 to 64 years living in Seoul participated in the study. Data were collected from December 15-24, 2010 from outpatient hospitals, clinics, workplaces and other locations in the community. Health literacy was measured using the Functional Health Literacy and Self-rated Health Literacy Questionnaires. Preventive health service use was defined as receiving screening (general health checkups, gastric and colorectal cancer, mammogram, and pap smear) and influenza vaccination. Descriptive analysis, t-test, and ANOVA were used. Results: The mean of functional health literacy was 3.87 (score range 0-6) and the self-rated health literacy was 60.08 (score range 16-80). The most difficult items of the self-rated questionnaires were patient educational materials provided by health care providers and medical forms. The most difficult items of functional health literacy were information-based, including nutritional facts and clinical schedules. Association between health literacy and preventive health service use was not found. Conclusions: Further study is necessary with larger samples and with considerations for their education level, age, and preventive health care use.
Do Sociodemographic Factors, Smoking Status, and Beliefs about the Health of Others Predict Attitudes about Smoke-free Air Policies in Various Settings?
Agley, Jon ; Gassman, Ruth A. ; Kolbe, Lloyd ; Seo, Dong-Chul ; Torabi, Mohammad R. ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 91~101
Objectives: This study examined the extent to which attitudes about smoke-free air policies (SFAPs) in bars/restaurants, workplaces, all public places, and motor vehicles when minors are present can be explained by individuals' sociodemographic characteristics, smoking status, and beliefs about the health of others. Methods: Data were gathered from 359 individuals age 18 or older who attended the Lawrence County Fair in Indiana, United States, in July, 2009, an area where there were no SFAPs in place at the time of survey administration. Results: Multinomial logistic regression analyses indicated that perceived severity of secondhand smoke (SHS) on others, perceived responsibility of smokers for the harm their SHS causes to others, and perceived susceptibility of others to SHS exposure, along with education level and smoking status, significantly predict opposition to SFAPs in this population. Conclusions: The results of this exploratory study suggest the need for additional research related to attitudes about health policies as well as to the practical applications of these findings for smoke-free air advocacy.
Mental Health, Stress, Coping Ability, and Coping Strategies among College Students
Moon, Weon-Hee ; Chung, Kil-Soo ; Kim, Mi-Ja ;
Korean Journal of Health Education and Promotion, volume 29, issue 3, 2012, Pages 103~114
Objectives: The purpose of this study was to investigate the relationship between mental health status, stress, coping ability, and coping strategies of college students. Methods: The questionnaires were handed out to 162 college students in the Gyeonggi province. Data was collected using the Symptom Checklist-90-Revised (SCL-90-R) scale of the 90 items, the 'Person in the Rain' drawing test, and the 20-item coping strategies questions. Results: 17.3% of the respondents were belonged to the groups of abnormal or abnormal tendency in the mental health status according to the Global Severity Index (GSI) scores. The clinical/border groups were more commonly used in the 'emotion-focused' coping strategies compared to the normal group. This difference was also statistically significant. Both coping resource and coping ability were significantly associated with the mental health status. Conclusions: These findings suggest that future intervention for effective coping strategies should be carefully designed to promote better mental health among college students. It is also important to detect problematic and weak student's behaviors in the early stages.