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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of agricultural medicine and community health
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Journal DOI :
Korean Association of Agricultural Medicine and Community Health
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Volume & Issues
Volume 25, Issue 2 - Dec 2000
Volume 25, Issue 1 - Jun 2000
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Public perception of environmental health due to small-scale industries in a rural community
Kim, Jeong-Youn ; Jung, Yun-Jae ; Sung, Yu-Mi ; Ha, Eun-Hee ; Wie, Cha-Hyung ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 1~9
A public perception survey of environmental health due to small-scale industries was conducted in Sudong Myun, Namyangju City, Kyungki Do, recently being changed to industrialized rural community. This survey had the purpose to ascertain public interest, to identify public needs, and to assess participation for environmental health programs of rural community. The results of survey were as follows: 1. The rate of the respondents with factory worker 19.4% and half(53.1%) of respondents had lived nearby the factory. 2. Some respondents were not favor their neighboring factories(30.1%) and have discussed about its environmental problems in community meeting(14.4%) especially in neighborhood adjacent factories. 3. The respondents have perceived that: (1) major problems were water contamination, air pollution, nasty odor, dust, and noise (2) health problems were more serious in employees than in other residents (3) the employers were responsible for environmental problems (4) the health service should provided by public health center channel and participated by the residents (5) most important service for workers was improvement of working conditions. We hope the community environmental and/or occupational health delivery system for the employees and residents will be developed true public health center channel in a rural community on the basis of this result.
The Study of Effects of Musculoskeletal Risk Factors on Farmer's Syndrome
Park, Jae-Beom ; Lee, Kyung-Jong ; Lee, Se-Wi ; Kim, Jong-Goo ; Chung, Ho-Keun ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 11~21
This study was conducted to reveal the effects of musculoskeletal risk factor on farmer's syndrome. We sampled 97 farmers aged above 30 in 3 villages of Kyunggi-do. Self-administered questionnaire for general characteristics, farmer's syndrome, musculoskeletal risk factor, blood pressure, and laboratory tests were conducted. According to the score of musculoskeletal risk factor, we divide the subjects high risk group and low risk group. The most common musculoskeletal risk factor is repetitiveness, bending of waist and rapid movement in order. The prevalence of farmer's syndrome of all subjects is 28.9%. In female the prevalence of farmer's syndrome(45.2%) is higher than in male(16.4%) significantly. High musculoskeletal risk group had higher score of farmer's syndrome(5.9) than low musculoskeletal risk group(4.4). The most common symptom is lumbago(76.3%), the second was numb limb and shoulder stiffness(54.6%, 54.6%). The prevalence of numb limb and shoulder stiffness higher in high musculoskeletal risk group than low musculoskeletal risk group, but that of lumbago did not show significant differences. In linear regression, score of farmer's syndrome was related to musculoskeletal risk factor as well as gender. Blood pressure and laboratory test did not show significant differences between two groups. These results suggest that musculoskeletal risk factor would influence farmer's syndrome. Further ergonomic evaluation and intervention of farmer's works and musculoskeletal diseases are needed.
Erythrocyte Cholinesterase Activity and Demographic Factors in Healthy Human
Lee, Won-Jin ; Kim, Cheong-Sik ; Kim, Jin-Seok ; Chang, Soung-Hoon ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 23~27
Study on Health Behavior of Hypertensive Patients and Compliance for Treatment of Antihypertensive Medication
Kim, Joo-Yeon ; Lee, Dong-Bae ; Cho, Young-Chae ; Lee, Sok-Goo ; Chang, Seong-Sil ; Kwon, Yun-Hyung ; Lee, Tae-Yong ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 29~49
Objectives: To estimate the prevalence rate of hypertension, the changes of health behavior, and compliance for the drug treatment after diagnosed as hypertension. Methods: 7,030 persons who live in Cheonan City of Chungnam Province were selected by the cluster sampling method, and 5,372 persons were surveyed by questionnaire and health examination. This data is analyzed by Chi-square test on each variable. Results: 49.8%- of men and 38.8%- of women had been diagnosed as hypertension, and the prevalence rate of hypertension was significantly increased with aging in both gender. The prevalence rate tended to decrease in highly educated women group. Unemployed persons or obese persons showed relatively higher prevalence rate. The prevalence rate of hypertension increased in groups with higher total cholesterol levels over 240 mg/dl, and groups with glucose level over 200 mg/dl. 53.1%- of male patients and 66.6%- of female patients showed compliance for antihypertensive treatment. Compliance for treatment was higher in aged group or lower educated group in both gender. Among men, proportion of compliant subjects was higher in unemployed group(49.3%-), and lower in labor or primary industry than the others but among women, there was not any significant difference. And men with compliance for treatment had higher monthly income than the others, but women did not show any. Conclusion : This population had a high prevalence rate of hypertension which may lead to cardiovascular disease. Therefore health education programs and distribution of information must be emphasized in order to increase compliance to treatment and encourage the change of health behavior to promote health.
A Study on Relationship between Degree of Stress and Dyspepsia, Sleeping, Satisfaction of Adult Women in Rural Area
Kim, Yeong-Hee ; Cho, Soo-Yeul ; Kang, Pock-Soo ; Lee, Kyeong-Soo ; Kim, Seok-Beom ; Kim, Sang-Kyu ; Kang, Young-Ah ; Hwang, Young-Lork ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 51~63
Ten Dongs were selected according to the systematic cluster sampling in Koryong Gun, and the survey was conducted on 571 women in the age between 30-69 years. The first survey was performed for 6 days between August 27 to September 1, 1999 with the investigation rate of 60.3%, and the second survey was performed in November with the investigation rate of 91.8%. The contents of survey included demographic characteristics, health behaviors, dyspepsia symptom score, sleeping induction time and the degree of sleep satisfaction, and degree of stress in the subjects. The dyspepsia symptom score was in the average 13.4 points out of a total 44 points and was the highest in the 50-59 year-old age group with 13.9 points. The sleep induction time was in the average of 35 minutes and was the highest in the 50-59 year-old age group with 40.9 minutes; the degree of sleep satisfaction was in the average of 7.9 points and was the lowest in the 50-59 year-old age group with 7.5 points. The stress score was in the average of 18.3 points and was highest in those subjects in their 40's and 50's with 18.7 points. When the correlation among the stress score, the degree of sleep satisfaction and dyspepsia symptom score was analyzed, the results showed that he stress score and the degree of sleep satisfaction showed a significant negative correlation and that the stress score and dyspepsia symptom score showed a significant positive correlation. Also, a significant negative correlation was found between the degree of sleep satisfaction and dyspepsia symptom score. According to each age group, a significant correlation was revealed among the stress score, dyspepsia symptom score and the degree of sleep satisfaction in those subjects over 40 years of age compared to those subjects who were younger than 40 years of age. As for educational level, the correlation among the stress score, the degree of sleep satisfaction and dyspepsia symptom score was higher in those subjects with less than middle school education compared to those subjects with more than high school education. When those factors that effects on the dyspepsia symptom score were analyzed with multiple regression, the results showed that the level of stress and chronic diseases were selected as significant variables. When those factors that affected on the degree of sleep satisfaction were analyzed, the sleep induction time and presence of chronic diseases and stress were selected as significant variables. Those women in their 50's who live in rural areas showed the highest level of stress, lowest the degree of sleep satisfaction, and highest level of dyspepsia, indicating that they need stress management. Also, since stress was showed to be a significant variable effecting on dyspepsia or the degree of sleep satisfaction, it is concluded that health promotion is possible through stress management. More studies are needed in the future on coping resources that would strengthen coping against stress, and by conducting studies on stress and related factors on community people, the measures of mental health promotion need to be developed.
Activities of Daily Living and Instrumental Activities of Daily Living of Elderlies in Chollabuk-Do Area
Lee, Ki-Nam ; Jeung, Jae-Yeal ; Jahng, Doo-Sub ; Lee, Sung-Kook ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 65~83
To know the relationship of general characteristics with activities of daily living(ADL) and instrumental activities of daily living(IADL), we carried out the study on the elderies living in Chollabuk-Do area during 6 months, from June to December in 1999. Study subjects were 281, women and men were 195(69.6%) and 85(30.4%) respectively. Mean ages of women and men were 71.9 and 70.8 respectively. 81.1% elderies has disease and 18.9% were disease free. Disease prevalences of movement joint disease, others, circulatory disease, digestive disease, dental disease, respiratory disease were 50.1%, 25.0%, 10.5%, 9.4%, 8.5%, and 6.3% respectively. The percentages to the use of medical institution in recent were 40.0% for hospital, 16.8% for oriental hospital, 14.5% for public health center, 10.9% for drug store, 10.0% for others, and 7.8% for dental service. The percentages to the improvement of symptom after the use of medical institution were 62.3% for normal, 19.4% for improvement, and 18.2% for non-improvement. The percentages to the health situation were 37.1% for bad, 35.7% for good, and 27.1% for normal. Activities of daily living were 67.1% for 6 scores, 27.9% for 5 scores, 2.1% for 4 scores and ADL of women was lower than the men's. Instrumental activities of daily living were 50.4% for 5 scores, 19.3% for 3 scores, 12.1% for 4 scores and IADL of women was lower than the men's. Frequencies of disability in ADL were 28.9% for incontinence, 6.1% for bathing, 2.9% for meal, 2.5% for walking around house, 1.8% for toilet use, 1.4% for dressing and disability frequencies of women in 6 items of ADL were higher than the men's. The percentages of high, intermediate, low ADL in activities of daily living were 67.1%, 32.5%, 0.4% respectively and decrease of high ADL, increase of intermediate ADL were found with the increasing of age. Frequencies of disability in IADL were 42.9% for payment in and out, 31.8% for payment of written claim, 21.1% for shopping, 16.4% for preparation of meal, and 11.8% for use of bus. All items of women in IADL was higher than the men's but preparation of meal. The percentages of high, intermediate, low IADL in instrumental activities of daily living were 50.4%, 42.5%, 7.1% and decrease of high IADL, increase of intermediate IADL were found with the increasing of age. Mean of ADL with the general characteristics was 5.56 and 2 variables of level of education, health situation were statistically significant. Mean of IADL with the general characteristics was 3.76 and 8 variables of age, sex, level of education, occupation, presence of spouse, duty of living cost, health situation, category of ADL were statistically significant. With the result of stepwise regression, ADL was statistically related with religion, health situation and ADL was statistically related with level of education, living together with family, duty of living cost, health situation.
Assessment of Depression and Relates in Rural Elderly
Sohn, Seok-Joon ; Shin, Jun-Ho ; Shin, Hee-Young ; Chung, Eun-Kyung ; Bum, Min-Sun ; Kweon, Sun-Seog ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 85~98
The questionnaire survey using the Center for Epidemiological Studies-Depression Scale(CES-D) was conducted to determine the prevalence of depression and related factors in the rural elderly. The subjects were 922 individuals of 60 years of age and over, living in Chonnam province. The results of this study were as follows. The prevalence rates of depression were 14.6% in male and 24.4%, in female. As the age increased, the prevalence rate increased and the rate was higher in non-educational and widowhood group. The prevalence rate was lower in the group of having good health habits and having a good health status. In the regression analysis, significant predictors of the depression were sex, education, physical activity, perceived health status and body image. In conclusion, main, characteristics which had close relationship to depression in the rural elderly were physical function and self-rated health status.
A Survey on Utilization of Health Center and Health Service Demand of Residents in a Urban and Rural Unified Community
Lim, Bu-Doll ; Lee, Ju-Young ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 99~112
This survey was conducted to assess the utilization of health center including health sub-center and community health post and the health service demand of residents in a urban and rural unified community. Officials in Up·Myun·Dong offices visited randomly sampled 4,027 households(4.6% of total households in unified City) which included 3,337 households in urban area(4.9% of total households) and 690 households in rural area(3.7% of total households) and interviewed with heads or housewives of the households in September, 1995. There were significant differences in health-related demographic characteristics including age-sex distribution, educational level, period of residence in the community and medical insurance status of the interviewees between urban and rural areas. Of the respondents, 64.8% in urban area and 55.6% in rural replied that they had utilized the health center in the past. The most common purpose for visiting the health center was to get vaccination in urban area and to get outpatient care in rural area. The top priority health center activity that needs to be reinforced was communicable disease control and over 90% of the respondents preferred to have mobile clinic and home health care service in were also highly demanded. Eighty-six percent of the urban respondents replied that a health sub-center must be established in urban area. In the rural area, 90.3% of the respondents replied that they wanted to maintain the health sub-center and 88.3% wanted to maintain the community health post. Along with the improvement of facilities and equipments of the health center by Rural Health Service Improvement Project, new health service programs must be developed to meet the demand of the community.
Distribution and Interrelationship of Smoking, Drinking, and Physical Exercising among Some Rural Adult, an Application of the Transtheoretical Model
Lee, Moo-Sik ; Lee, Young-Sung ; Shin, Hyun-Hwa ; Lee, Kun-Sei ; Yoon, Seok-Jun ; Jung, Ki-Hweon ; Kim, Eun-Young ; Chun, Byung-Chul ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 113~131
Transtheoretical model of change has been proven very effective in explaining both the acquisition and cessation of many health related behaviors. The objectives of this study were to describe the distribution of smokers by stage of change of smoking, alcoholic drinking, and exercising in rural residents and to develope health promotion strategies. This study was done in Okchun County of Chungbuk Province. The representative sample were 892 residents over 30 years old. The questionnaires of interview included socio-demographic, the six stage distribution of smoking, alcoholic drinking, and exercising. In male, 50.6% of smokers were in the precontemplation stage, 32.5% in the contemplation. In female, corresponding figures were 60.6% and 28.8%. Precontemplation and contemplation stage of drinker were 72.8%, 19.3% in male and 80.3%, 15.5%. Distribution of exercise were 80.6%, 1.8% in male, 87.6%, 1.2% in female, respectively. The stage distribution of smoker, alcoholic drinker, and exerciser was shift to left of the distribution. And the stage distribution was slightly differ with each health behavior. The stage of change with smoking, drinking and exercising was correlated with each other but not concordant. So interventions in rural residents need to take into account the large proportion of precontemplators repeatedly observed among smoker, drinker, and non-exerciser. And intervention strategies of each risk behavior should be different approach. Result of concordance analysis suggest reconstruct validity of the transtheoretical model in our country due to ethnic and sociocultural difference. This results and theory should be tested in prospective intervention studies for seeking the possible gateway of health behavior.
The Utilization Rate of Community Health Practitioner Post by Some Rural Residents and Its Associated Factors
Lee, Woon-A ; Ryu, So-Yeon ; Park, Jong ; Kim, Suk-Il ; Kim, Ki-Soon ;
Journal of agricultural medicine and community health, volume 25, issue 1, 2000, Pages 133~147
To provide data for the improvement of primary health care through the study on the utilization rate of community health practitioner(CHP) post and its related factors toward some rural residents in Mooan County Chollanamdo, a questionnaire survey was made from 382 persons during August 1999. Comparison was made between persons at the seaside area under difficult transportation and persons at the railroad area under convenient transportation. The results are as follows: 1. For the last one year, 83.3% of seaside area residents and 67.0% of railroad area residents used CHP post. As the purpose of visit to CHP post at seaside area, 94.3% visited for medical care, 25.3% for chronic disease control and 22.2% for health counselling and 14.1% for chronic disease control. 2. By simple analysis, sex, age, marital status, educational level, residence area, distance from living village to CHP post, presence of chronic diseases, satisfaction with CHP and confidence on CHP were related significantly with the utilization of CHP post for the last one year. 3. By multiple logistic regression, statistically significant variables related with the utilization rate of CHP post for the last one year were analyzed as age, sex, residence area and distance from living village to CHP post.