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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of agricultural medicine and community health
Journal Basic Information
Journal DOI :
Korean Association of Agricultural Medicine and Community Health
Editor in Chief :
Volume & Issues
Volume 22, Issue 2 - Dec 1997
Volume 22, Issue 1 - Jun 1997
Selecting the target year
A Study on Community Nutritional Survey for the improvement of National Nutritional Survey - Knowledge, Knowledge Practice, Attitude, Food Practice -
Kang, Ji-Yong ; Wie, Cha-Hyung ; Ha, Eun-Hee ; Kwak, Jung-Ok ; Kim, In-Sook ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 147~158
The purpose of this study is to develop the nutritional survey indices such as the Knowledge(K), Knowledge Practice(KP), Attitude(A), and Food Practice(FP) as effective materials of the nutrition education and evaluation in spreading community nutrition service. These materials were applied to two groups(126 rural people and 117 urban people) from August 1st to September 10th, 1996. We investigated actual conditions of objects about K, KP, A, FP by interviews. Also we measured serum cholesterol levels of all objects by Accutelend G.C. The results of the research turned out as follows; 1). In the comparison of the nutritional Knowledge scores, the average score of urban people was much higher(
) than rural people(
). 2). In the scores of the Knowledge Practice, urban people had also significantly higher score than rural people. But only 19.5% of urban people had high scores between 80 and 100, and 42.4% of urban people and 87.3% of rural people had scores between 0 and 40. 3). The average scores of the Attitude were not significantly different between urban and rural people. The average scores of the Food Practice were not significantly different between urban and rural people. 4). In cholesterol measurements, only three of 243 people were in the abnormal high levels(more than 250mg/dl), and they are all over 60 years old, and two of them were rural people. 5). The people who were younger in age, higher in educational level and spent more money for foods had higher scores on K, KP, A and FP. And the people who were younger in age in age and more money spent for foods had higher scores on FP. Regression analysis showed that the serum cholesterol levels were not associated with the scores of FP.
Health Habits and Health Promotion Among Rural Workers in Korea
Lee, Myung-Sun ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 159~167
A Study on the KAP for Prevention of Hypertension and Diabetes in a Rural Area, Korea
Kim, Young-Bok ; Wie, Cha-Hyung ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 169~181
The desirable change of KAP aimed at the prevention and early diagnosis of the disease. In Korea, Hypertension and Diabetes have been the major chronic disease. Especially, Hypertension and Diabetes are related to over-weight and diet behavior, which can be prevented through weight control and dietary treatment. Therefore this study the KAP for Hypertension and Diabetes in a rural area. The survey of the KAP were performed to a rural population of 288 in Namwon, Cheonbuk, Korea. The self-questionnaire was consisted of 15 questions of knowledge, 10 questions of attitude, and 15 questions of practice. To analyze the data, the score of knowledge was taken 1 when they were right. The scores of attitude and practice were taken from 4 to 1 by 4 scale. The results were as follows. 1. The mean of knowledge for Hypertension was 10.4(sd=3.28) and that of attitude was 31.5(sd=4.05), that of practice was 42.3(sd=6.14). In Diabetes, knowledge mean was 9.1(sd=3.51) and that of attitude was 31.2(sd=3.81), that of practice was 41.6(sd=6.21). The knowledge for Diabetes was lower than that for Hypertension. 2. To compare the scores by sex, the score of male's knowledge was higher than female's. However, in case of practice score, female's was higher than male's. And the scores of attitude were not different between male and female. This results were shown that the practice did not always derived from the knowledge. Although they have a little knowledge for disease, they are able to conduct the desirable practice when the importance for disease are increased. Therefore we thought that desirable practice derived from the combination of significance and knowledge for Hypertension and Diabetes.
The health behaviors of the residents in a rural area
Cho, Byung-Mann ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 183~193
The status of health behaviors was surveyed in the random sample of 824 farmers (men 318, women 506) aged 40 years and older in Ulju-Gun, Kyungsangnam-Do. The data were collected by personal interview using structured questionnaire. The prevalence of individual health practices by sex(men/women) was 44.4%/45.0% in sleeping 7 or 8 hours; 92.7%/89.9% in eating breakfast almost every day; 82.7%/83.8% in eating between meals rarely or once in a while; 40.6%/88.1% in no drinking; 37.4%/86.6% in no smoking; 4.7%/5.6% in doing physical exercise regularly; 89.0%/80.0% in maintaining desirable weight for height (body mass index<25kg/
); 3.9%/23.2% in doing these health practices six or more The level of practicing health behaviors and perceiving their own health status was lower than the data from the residents in Pusan City. Therefore it could be expected to improve the health status of the residents in rural are through the effort to make them taking more interest in practicing health behaviors.
Effects of Smoking And Alcohol-drinking on the Health of Rural Residents
Kim, Doo-Hie ; Lim, Hyun-Sul ; Yu, Sun-Hee ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 195~213
This study was carried out to investigate several effects of smoking and alcohol-drinking on the health of rural residents. The subjects were 710 people (325 males and 385 females) in rural area, Young-Duk Gun, Kyungbuk, Korea. The data were collected by medical students trained for this study during 4 days from 31 August, 1996. Questionnaire contents were general social characteristics, period of the agriculture, smoking history, alcohol-drinking history, some psychosomatic symptoms and self-evaluation for health. The results obtained are as follows : 1. Positive rates of the some psychosomatic symptoms and self-evaluation for health were higher in female than in male and were significantly increased as the as increased(p<0.05). 2. Smoking rate was 56.9% in male and 4.9% in female. In positive rates of the some psychosomatic symptoms and self-evaluation for health in male, 'insomnia' was only significantly lower in ex-smoker than in smoker and non-smoker(p<0.05). Other items were significantly not different. 3. Prevalence rate of alcohol drinker was 54.8% in male and 17.1% in female and the alcoholism was 8.3% in male and 0.8% in female. Positive rate of the some psychosomatic symptoms and self-evaluation for health in male were significantly not different. 4. The scores of self-evaluation for health was divided into two groups under two point and over three. And the analysis of multiple logistic regression shows that there were significant relationship with age and sex. This study suggests that some psychosomatic symptoms and self-evaluation for health were significant relationship with age and sex but not smoking and alcohol-drinking.
Mineral Contents in Scalp Hair in Patients with Non-insulin Dependent Diabetes Mellitus
Chung, Kyeong-Dong ; Kwon, Sam ; Kim, Doo-Hee ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 215~223
To estimate association of minerals relating to non-insulin dependent diabetes mellitus(NIDDM) the contents of essential minerals and toxic heavy metals in the scalp hair were measured during the period from March 1993 to June 1993. The cases were selected 69 (32 male, 37 female) from the patients who visited Kyungpook University Hospital during the period from March 1993 to June 1993 and 74 controls (47 male 27 female) from normal population. zinc, copper, manganese, lead, cadmium and aluminum were analyzed by atomic absorption spectrophotometer(IL. 551). The results were summarized as follows. In NIDDM group, mean contents of zinc and copper were
ppm respectively; where as
ppm in control group. The mean of above two mineral content showed significant difference statistically (p<0.01). But, in manganese the content of NIDDM group;
ppm were significantly higher than the control group;
ppm(p<0.05). A thesis submitted to the Council of the Graduate School of Kyungpook National University in partial fulfillment of the require ements for the degree of Ph.D. in Medical Science in June 1994. The mean contents of toxic metals - lead, cadmium, aluminum - in NIDDM group were
ppm in control group. The mean of above three mineral showed significant difference statistically(p<0.01). Cadmium, zinc and copper were selected statistically significant variables with presence of the NIDDM by multiple logistic regression analysis; copper, zinc and cadmium may be associated with NIDDM.
The Cognition and Attitude for Internal and External Organizational Behavior of Health Centers Staff
Cha, Byung-Jun ; Park, Jae-Yong ; Kim, Gui-Young ; Kam, Sin ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 225~237
This study was conducted to the cognition and attitude for internal and external organizational behavior of health centers staff. An analytical model employed in this study was developed by modifying 'organizational behavior model'. Data was collected a mail survey of officers at health center, including 66 directors and 1,768 staffs of the health centers in southern region. The major findings are as follows : Among directors of the health centers 47% of them stated that legislators and chief executive officer(CEO) of local governments are highly concerned about the public health program. However only 15.2% of health center directors reported that legislators and CEO put public health high priority. For leadership type of directors 39.0% of them was classified as controller, 30.3% as participant, 22.7% entertaining and 7.6% comprehending. Regarding sociopsychological characteristics of the health center staffs, about a quarter of them had high degree of group cohesion, while 10.7% had low degree. Those staffs who are older, high educational level, or working in the rural health centers showed higher degree of cohesion than those who are young, low educational level, or working in urban health center. A third of them were less likely to be satisfied by what they are doing at the health centers. The higher educational level, the likely to be satisfied by what they are doing at the health centers. The higher educational level, the more satisfied with their job. Considering these results, policy implication was discussed and suggested. It is suggested that educational efforts be made to improve leadership of the health center directors and concern with public health program by the CEOs and legislators of local governments.
The Prevalence of Clonorchis sinensis and Its Related Factors at Goksung Area in the Basin of Sumjin River
Hwang, Min-Hong ; Kim, Suk-Il ; Park, Jong ; Ryu, So-Yeon ; Lee, Chul-Gab ; Ahn, Hyun-Ok ; Kim, Yang-Ok ; Kim, Ki-Soon ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 239~252
A questionnaire survey including stool examination for the parasite ova, skin test, and enzyme-linked immunosorbent assay (ELISA) of the liver fluke to find the factors related with the prevalence of the parasite infestation was done toward 118 residents living in three villages of Song-jung, Yi-jung, and Chim-gok of Okok-myun, Goksung County, South Cholla Province. The results are as follows : 1. The prevalence of Clonorchis sinensis ova by the stool examination was 46.6%. The sensitivity and specificity of skin test to egg-positive cases were 63.5% and 68.9%. The sensitivity and specificity of ELISA to egg-positive clonorchiasis were 100% and 34.9%. 2. The prevalence of Clonchiasis was higher in male than in female. 45~64 year old group was the highest among age groups, and the longer the duration of living in the present residence was, the higher the prevalence was shown statistically significantly (p<0.01). 3. The present drinker had higher prevalence of Clonorchiasis significantly than the past drinker or non-drinker, and the more the frequency of drinking the higher the prevalence was shown significantly (p<0.05). 4. Those who took raw fish had significantly higher than persons who didn't take it or take cooked fish(p<0.05) and prevalence showed the tendency to be increased as the frequency to take raw fishes increased significantly(p<0.05). 5. Those who had taken a raw sweet fish(Plecoglossus altivelis) or snake-headed fish(Ophicephalus argus) showed significantly higher prevalence of infection with liver fluke than persons who didn't take the raw fish. 6. While 56.4% of persons infected with Clonorchiasis answered that they were healthy, only 13.0% of the subjects were careful for their health, and 41.8% experienced tests to diagnose liver flukes before they were examined by this survey. 7. While 56.4% of infected persons thought the prevalence was high in their community, 54.0% were afraid to be infected, 47.1% thought the infection might destroy their health, 25.5% took treatment drugs, and 18.2% took raw fish continuously after treatment. The above results confirmed that Goksung area was highly prevalent in Clonorchiasis, so it was necessary to push effective preventive program against liver fluke infection together with the program to diagnose and treat existing infected persons.
Utilization pattern of health care resources of resident in a designated rural area
Kim, Jin-Soon ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 253~263
Home Care Nursing of Senile Dementia Patient in the House
Yoo, Kwang-Soo ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 265~276
The best way to care senile dementia patients is understanding the nature of disease. Care-givers can't understand the patients because the patients can't properly communicate with care-givers. Thus, care-givers are supposed to find out ways to understand them in the nature of disease. From this view, there seems no exception in essential attitude of care-givers toward the patients. Without positive understanding the nature of disease and respecting patient's rights as a human even though they are badly disorder in their word and behavior. There seems no expectation for thousands quality of care-giving.
A Study on the Status of Utilization of Health Care Institution by Geriatric Patients -Focus on the Utilization of Physical Therapy-
Lee, Jong-Sub ; Song, Myung-Soo ;
Journal of agricultural medicine and community health, volume 22, issue 2, 1997, Pages 277~293
This study was conducted to provide basic materials required to enforce and develop welfare policies, as well as the health system, for the aged, by surveying the status of health care utilized by the daily increasing old population and the importance of receiving physical therapy. Data that need in this research was gathered from over ages of 65, during the period from Jan 4, 1996 to Jan 31, using the inquiries previously made by geriatric researchers and through literatures investigator by this writer. The data were analyzed by
, Z-test, Likert scale. The findings were as follows : 1) General characteristics of subjects. People in the age group between 65 and 69 were 55.6% and the highest number, while male were 37% and female 63%. Analysis of income group disclosed 60.6% whose monthly income, including the pocket money given by children, was less than 200,000 won. 91.1% of the elderly people surveyed owned houses; only 36.4% live with spouses; while 15.6% live alone. 2) Characteristics with respect to utilization of health care institution. 56% of the total medical institutions used by the elderly people were clinics and the rates of chronic disease and musculoskeletal disease were 73.2%. 3) Characteristics with respect to approach of health care institution. 45.1% of the respondent stated it took 20 minutes to arrive at hospital, and bus accounted for 48.6% of all transportation means used to go to hospital. 4) Degree of cognition with respect to the rights of geriatric patients. (1) There is no financial support from the government for geriatric patients(71.4%). (2) Government financial support is needed for geriatric patients(95.3%). (3) Have never been regionally surveyed or called upon for interviews with respect to treatment desire and problems relating to geriatric patients(87.2%). (4) Health and medical policies for geriatric patients must be established rapidly(98.4). (5) Expansion and construction of specialized medical facilities for geriatric patients such as elderly hospital and medical center are needed(90.2%). (6) Government's welfare policies for the elderly people is insufficient(82.0%) 5) Degree of cognition on importance of physical therapy with respect to geriatric patient. (1) Physical therapy is considered most effective in treating geriatric patients(82.9%). (2) Physical therapists specializing in only elderly people must be need of separately(76.2%). (3) It is desirable for medical specialists to visit geriatric patients at home to provide physical therapy(82.9%). (4) Hospitals specializing in physical therapy for geriatric patient are required(85.6%). Based on the result for this research, the following suggestions are presented to facilitate the utilization of health care institution for the welfare of geriatric patients. Medical facilities such as elderly hospital and geriatric patient's medical center specializing in elderly people must be constructed as early as possible; and home-visiting physical therapist system must be important to treat chronic geriatric patients; our government must establish policies to provide the old ages with means for the health care and curing chronic diseases, and carry out the plans of reasonable distribution and effective untilization of medical resources.