지역사회 거주 노인을 위한 건강증진 프로그램의 효과

양미정,윤경순,조숙희,Yang, Mi-jeong,Yun, Kyung-soon,Cho, Sook-hee 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.2

Objectives: The purpose of this study was to examine effects of health promotion program based on self-efficacy theory on physiological indicators, self-efficacy, grits, and health promotion behavior in community elderly. Methods: A non-equivalent control group pre-post test design was used. The intervention group received the health promotion program based on self-efficacy theory for 8 weeks from October 8 to November 26, 2020. Results: t-test showed that systolic blood pressure (t=-2.12, p=.040), self-efficacy (t=3.78, p<.001), grit (t=3.75, p<.001) and health promotion behavior (t=2.89, p=.002) were significant differences between the two groups. In other hands BMI (t=-1.26, p=.213), diastolic pressure (t=-1.07, p=.287), total cholesterol (t=-1.67, p=.102), LDL-cholesterol (t=-0.76, p=.451), HDL-cholesterol (t=-0.57, p=.567) and triglyceride (t=-1.76, p=.094) were no significant difference between two groups. Conclusions: The health promotion program based on self-efficacy theory was found to be an effective nursing intervention program in improving physiological indicators, self-efficacy, grit and health promotion behaviors of community elderly.

구강건강지표를 활용한 건강수명 연구경향 분석: 최근 10년간의 논문분석(2010-2020)

정현우,양정연,박희정,Jung, Hyunwoo,Yang, Jungyeon,Park, Hee-Jung 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.2

Purpose: The purpose of this article is to clearly describe research trends on health life expectancy using oral health indicators that have been published from 2010 to 2020 then suggest the direction of future research. Methods: Online academic databases in English (PubMed, Web of Science and Embase) were used to find those articles by applying a variety of keywords, including terms (adjusted life year, adjusted life expectancy, dental and oral). We identified relevant articles based on the following classification method of Mathers: (1) health gaps, (2) health expectancies. Results: Among 1,728 articles from the online databases, the final 13 studies satisfied the inclusion criteria and were selected for analysis. Health life expectancy studies indicate that research growth was recently achieved overseas. Among the literature collected in this study, 10 studies using health gap indicators yielded seven Disability-Adjusted Life Year (DALY), and three calculated Quality-Adjusted Life Year (QALY), which differed in the nature of the survey data used in the study measuring DALY and QALY. There are only three health expectancies and the number of papers were smaller than the health gap study. Conclusion: Establishing a foundation to calculate health life expectancy indicators through the development and improvement of oral health level are needed. More studies in the area of health life expectancy estimation research is based on actual prevalence and oral health-related quality of life are also needed.

일본의 학교보건교육 교과과정 고찰

오은환,Oh, Eun-Hwan 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.2

Objectives: In Japan, there are many disasters such as earthquakes and tsunamis, and because of the high temperature and humid climate, health education for food poisoning may be particularly important. In addition, sexual problems caused by precociousness of adolescents, smoking and drinking are already serious socially important problems, and addiction problems are also emerging. Methods: Various publications from Japanese governments, interest groups such as government officers, health center workers, and people from health educators. For the information of Korean health education conditions, a current health educator and people from middle and high schools. Results: In 2012, based on the "Investigation Report on the Mind Care of Children in Emergency Disasters" from the Ministry of Education, Culture, Sports, Science and Technology, the Post-traumatic stress disorder (PTSD) situation of children in East Japan affected areas was discovered, and health education became important. In 2014, the "School Health and Safety Act Enforcement Rule" was amended, and health checkups are emphasized as part of school health. Conclusions: School health education in Japan differs from other health care systems in many ways with the system of Korea in the context of non-existence of official health education curriculum. Therefore, the purpose of this study is to develope how the curriculum of school health education in Korea.

COVID-19로 인한 가정경제 악화가 청소년의 자살경향성에 미치는 효과 분석: 성향점수매칭 분석의 적용

이미선,한승희,강주연,김준범,Lee, Mi-Sun,Han, Seunghui,Kang, Jooyeon,Kim, Joonbeom 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.2

Objectives: The study aimed to analyze the effects of household financial difficulties caused by COVID-19 (2019 coronavirus disease) on suicidal tendencies of adolescents. Methods: We selected 54,948 middle and high school students who were surveyed based on the Korean Youth Risk Behavior Web-based Survey 2020. To analyze the data, we used the STATA 16.0 program to conduct propensity score matching (PSM). Results: After controlling for selection effects by using PSM, the household financial difficulties caused by COVID-19 maintained a significant predictive effect on increasing suicidal ideation, suicide attempts, and decreasing tendency in hospital-treated after suicide attempts. However, depressive symptoms and suicide plan did not show a significant correlation with household financial difficulties associated with COVID-19. Conclusions: It was found that the rate of suicidal ideation and suicide attempts among adolescents who experienced a household financial difficulties due to COVID-19. Therefore, It can provide empirical evidence for estimating the impact of COVID-19 on adolescent suicide rates.

한국 20대 여성의 성에 대한 태도와 자궁경부암 예방행위와의 관련성 연구

김재우,김성호,강정규,Kim, Jae Woo,Kim, Sung-Ho,Kang, Jung-Kyu 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.2

Objective: The purpose of this study is to examine the Korean women's attitude toward sex in their 20s in order to investigate the relationship between attitude toward sex and preventive behavior against cervical cancer. Method: The data was collected by conducting a survey in parts of Chungcheongbuk provinces from November 1st to the 10th, 2017, with a total of 353 respondents. Frequency analysis, chi-square test and logistic-regression analysis were conducted. Result: A result of logistic-regression analysis, the degree of preventive behavior against cervical cancer of those who were 'conservative' toward sex was 1.866 times greater, significantly. As the attitude toward sex becomes more liberal, the awareness of the necessity for preventive behavior against cervical cancer may possibly become lower. Conclusion: Therefore it is necessary to work in tandem with the school health program to increase preventive behavior against cervical cancer for the women in their 20s through early education and promotion.

고등학생의 사회적지지가 정신건강과 진로준비행동에 미치는 영향: 자기효능감의 매개효과

이현주,Lee, Hyun-Ju 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.2

Objectives: This study aims to understand the mediating effects of self-efficacy on the effects of social support on mental health and career preparation behavior of academic high school students. Methods: A survey was conducted targeting total 297 respondents from May 27 to May 30th 2019. The collected data was analyzed by using the PASW Statistics Ver. 18.0. Results: When the school life satisfaction was lower, and when the personality was more introverted, the students with lower school grade showed significantly low scores of mental health and career preparation behavior. In the effects of social support on mental health, the self-efficacy showed mediating roles. In the effects of social support on career preparation behavior, the self-efficacy showed mediating roles. Conclusion: If the education for strengthening social support is preferentially performed, the self-efficacy could be increased, which would have more positive effects on mental health and career preparation behavior. Regarding the subjects of education, t would be more effective to provide selective and concentrative education to the group with significantly low scores of mental health and career preparation behavior.

청소년의 건강행위와 과체중 및 비만과의 관련성

윤병준,Yoon, Byoung Jun 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.3

Objectives: The purpose of this study was to examine whether demographic and socio-economic characteristics, health behaviors are related overweight and obesity in Korean adolescents. Methods: Data from the 15^th Korea Youth Risk Behaviors web-based Survey(KYRBWS) administered in 2019 were analyzed: 60,100 students in middle and high school participated in the survey. But except 1,555 missing value, 55,748 students were analyzed. It was conducted frequency analysis, Rao-Scott chi-square test and multiple logistic regression analysis. Results: The significant influencing factors on overweight and obesity of adolescents were gender, economic status, father's educational background, alcohol experience, fastfood consumption, muscle strengthening exercise, stress perception(p<.001). The odds ratio for overweight and obesity of male adolescents compared to female adolescents were 1.19(p<.001). and The odds ratio for overweight and obesity of perceived stress adolescents compared to those who without stress were 1.13(p<.001). Conclusions: I found that adolescents' some undesirable health behaviors affect their overweight and obesity, I recommend that school health promotion programmes should be implemented in schools to form good health behaviors such as healthy eating habits, physical exercise and managing stress.

간호대학생의 성인지 감수성, 성역할 갈등이 간호전문직관에 미치는 영향

우정희,유승연,Woo, Chung-Hee,Yoo, Seung-Yeon 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.3

Objectives: This study aimed to confirm the degree of gender sensitivity, gender role conflict, nursing professionalism of nursing students and the factors that affect nursing professionalism. Methods: During Jan. 19 to Feb. 5 in 2021, the structured questionnaire was used for 187 nursing students by on-line research methods. Data were analyzed by descriptive analysis, mean comparison(t-test, ANOVA), correlation analysis(Pearson's correlation coefficient) and multiple regression using SPSS/WIN 25.0. Results: The gender sensitivity had positive relationship with nursing professionalism, and gender role conflict had negative relationship with nursing professionalism. And the prediction factors influencing nursing professionalism were major satisfaction, gender sensitivity and gender role conflict. The total variance was 8.2% by predictors. Conclusions: In order to improve the nursing professionalism of nursing students, various ways to increase the satisfaction level of major should be sought, and program should be prepared to improve gender sensitivity and reduce gender role conflict.

청소년이 지각한 사회적 자본이 유데모니아에 미치는 영향: 인권의식을 매개로

김은혜,손한결,Kim, Eun Hye,Sohn, Han Gyeol 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.3

Objectives: The purpose of this study was to examine the mediating effect of human rights consciousness on the relationship between social capital and eudaimonia perceived by adolescents. Methods: The participants of this study were 9,021 adolescents, with data taken from the 6^th year(2018) panel survey. All variables were evaluated by self-report of adolescents. The data were analyzed by SPSS 21.0 and AMOS 21.0. Results: First, social capital perceived by adolescents had a direct effect on eudaimonia. Second, social capital perceived by adolescents had an indirect effect on the eudaimonia through human rights consciousness. Conclusions: This study highlighted that human rights consciousness was identified as important mediator in the relationship between capital perceived by adolescents and eudaimonia. These results can be used as an important contribution to further research and educational practices for promoting the eudaimonia in adolescents.

장애인과 비장애인 독거노인의 자살생각 영향요인 분석

김예순,남영희,Kim, Ye-Soon,Nam, Young-Hee 한국학교ㆍ지역보건교육학회 2021 한국학교지역보건교육학회지 Vol.22 No.3

Purpose: This study purposed to analyze of factors related to suicidal ideation among people with and without disabilities in elderly living alone Methods: The study examines the factors of suicidal ideation using over 65 years of age who participated in the 2017 National Survey of Older Koreans of the elderly living alone data. Subjects were 2,265 person among elderly living alone over 65 years of age. Data were analyzed using descriptive statistics, X²-test, t-test, logistic regression analysis with the SPSS win 26.0 program. Results: Suicidal ideation of the elderly living alone with disabilities were 13.6% and 9.0% of the elderly living alone without disabilities, and the elderly living alone with disabilities had higher suicidal ideation (p<.05). The significant predictors of the suicidal ideation in elderly living alone with disabilities were employment and depression. The significant predictors of the suicidal ideation in elderly living alone without disabilities were age, gender, number of chronic disease, economic state, SLCA(Society, leisure, culture, and activities) and depression. Depression was analyzed as a common factor related to suicidal ideation in disabled and non-disabled elderly living alone. Conclusion: Based on the results of this study, it is necessary to develop a program for people with and without disabilities. It is necessary to prepare various programs and community support systems to prevent and manage depression for people with and without disabilities in elderly living alone.