<특집 종설> 보건교육과 건강증진의 국제적인 동향: 우선순위 사업에 대한 검토

남은우 한국보건교육건강증진학회 2008 보건교육건강증진학회지 Vol.25 No.1

For the development of Korean health promotion projects, this paper appraised the capacities of health promotion projects and examined the latest international trend of the health promotion field, based on the appraisal of data made by the Ministry of Health and Welfare, 2005 and IUHPE relevant reports. The capacities of Korean health promotion should be strengthened as follows: First, it is urgent to give health education and to use the professionals of it. Secondly, setting approach is required when working on health promotion projects. Thirdly, it is necessary to strengthen the capacities of local communities through the central government’s administrative and financial supports for the healthy cities project which is a strategy of general approach to new public health projects. The 21st century is an age of new public health that the cause for deaths increasingly is centered on life style. So it is necessary to expand the scope of health education to the field of making the environment of local community healthy beyond the level of individual health education. And further, it is required to develop the curriculum of health and to work out new strategies for health promotion. In conclusion, Korea should train competent human resources in the fields of practice of healthy public policies, of knowledge-based projects, and of health promotion (like health educators). The political direction for it should be to promote various healthy city projects, not only health center-led health promotion projects, and further, to strengthen the capacities of the health promotion projects of local communities. For the development of Korean health promotion projects, this paper appraised the capacities of health promotion projects and examined the latest international trend of the health promotion field, based on the appraisal of data made by the Ministry of Health and Welfare, 2005 and IUHPE relevant reports. The capacities of Korean health promotion should be strengthened as follows: First, it is urgent to give health education and to use the professionals of it. Secondly, setting approach is required when working on health promotion projects. Thirdly, it is necessary to strengthen the capacities of local communities through the central government’s administrative and financial supports for the healthy cities project which is a strategy of general approach to new public health projects. The 21st century is an age of new public health that the cause for deaths increasingly is centered on life style. So it is necessary to expand the scope of health education to the field of making the environment of local community healthy beyond the level of individual health education. And further, it is required to develop the curriculum of health and to work out new strategies for health promotion. In conclusion, Korea should train competent human resources in the fields of practice of healthy public policies, of knowledge-based projects, and of health promotion (like health educators). The political direction for it should be to promote various healthy city projects, not only health center-led health promotion projects, and further, to strengthen the capacities of the health promotion projects of local communities.

지방자치단체의 건강증진사업 활성화 방안 : An Educational Approach 교육적 접근을 중심으로

이명순 韓國保健敎育 ·健康增進學會 1999 보건교육건강증진학회지 Vol.16 No.2

This paper will discuss about how we can foster educational support mechanisms to facilitate health promotion programs at the local level. Health promotion in Korea is in the early developmental stage; it has only been since the Health Promotion Act was legislated in 1995, the health promotion programs have been planned and implemented. In the context of the recent decentralization process, local health departments have a major responsibility for developing and implementing health promotion programs at the local level. The short history of health promotion in Korea has meant that local public health departments have limited experience and organizational capacity for health promotion planning & practice. The results of one survey for investigating the progress of health promotion at the local level are instructive. The survey demonstrated that the public health workers recognized that the lack of personnels, insufficient budget, the lack of policy & the organizational support, the lack of skill & knowledge to be effective health promotors, the lack of guidance for health promotion practice were major barriers to implementing health promotion programs at the local level. The object of this paper is to suggest some ways of overcoming barriers to implementing health promotion programs at the local level This paper emphasizes on the importance of educational supports as well as environmental supports - legislative, policy, organizational, economical - inbuilding the organizational capacity and infrastructure of local health department for health promotion. It suggests some ways of providing educational supports to the public health workers at the local level. and supports the positions that educational opportunities for training in health promotion can be better provided to the public health workers at the provincial level rather than at the national level. It argues that the educational & training programs should be developed and based on the educational need assessment; that the application of the main educational principles & theoretical models for health promotion be used to develop educational programs for the public health workers; and that professional health organizations should make plans to provide more educational programs at their annual conferences or at other convenient times. These kinds of educational supports facilitate the ability of public health workers to improve their capacity for health promotion practice at the local level and help to alleviate some of the pressure on state resources.

비정형 빅데이터를 통해 본 국민건강증진종합계획 시기별 구강보건교육에 대한 사회적 인식

조한아,이정은 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.24

Objectives The purpose of this study was to suggest directions for the future oral health promotion through oral health education. We analyze changes in social awareness of oral health education according to the period from the 1st to the 4th National Health Promotion Comprehensive Plan. Methods The data for this study was collected through texts posted on Naver, Daum, Google, YouTube, and Twitter through a keyword search of ‘oral + education’. The period for collecting data was from January 1, 2002, when the 1st National Health Promotion Plan began, to December 31, 2020, when the 4th plan was completed. The frequencies of top 30 keywords were analyzed. In addition, the structural characteristics of the semantic network of keywords in each period were confirmed, and centrality analysis, QAP correlation analysis, and co-occurrence analysis were performed. Results There were changes in the priorities of key keywords depending on the timing of the National Health Promotion Comprehensive Plan. After the third period, the frequency of ‘education’ and ‘health’ increased, and the frequency, centrality degree, and eigne-vector degree of ‘public health center’ increased compared to ‘elementary school.’ All correlation coefficients for each period were statistically significant. As a result of analysis of the frequency of co-occurrence, ‘health→education’ appeared highly in the 1st, 2nd, and 3rd periods, while ‘education→implementation’ appeared highly in the 4th period. Conclusions The impact of oral health policies was reflected in social awareness related to oral health education. However, as the correlation between each period was significant, there was no significant difference in the level of public awareness according to the period of the National Health Promotion Comprehensive Plan. The level of education implementation is low compared to the public's awareness of the need for oral health education, so efforts are needed to implement more universal oral health education in the future.

중년여성의 보건교육프로그램 요구에 영향을 미치는 요인 분석

김요진,배장오 대한임상건강증진학회 2015 Korean Journal of Health Promotion Vol.15 No.2

Background: This study aimed to analyze the factors affecting health education program needs as defined by the World Health Organization (WHO) for promoting health in middle-aged women. Methods: Study subjects included 203 middle-aged women ranging in ages between 40 and 59 years, living in S-city. Data were collected from September 10 to 24, 2011. Descriptive statistics, independent t-test, and one-way ANOVA were used to analyze general characteristics and the need for health education programs related to the general characteristics. Hierarchical multiple regression was used to access the factors influencing the need for health education programs. All data were analyzed by SPSS/WIN 17.0 program. Results: The average score of the health promotion behaviors was 3.46 (±0.74). The average score of the need for health education programs (including physical, psychological, and social health education programs) was 3.88 (±0.13); and this was affected by age (psychological health education programs β=-0.21), self-actualization (physical, psychological, social health education programs β=0.28, β=0.30, β=0.30), health responsibility (social health education programs β=0.21), interpersonal support (physical health education programs β=0.18), and stress management (social health education programs β=0.18). Conclusions: Based on the study results, health education for middle-aged women should be impacted less by monthly income and educational background, and should have more specialized, accessible contents considering not only programs that middle-aged women prefer but also the factors influencing the needs of health education. 연구배경: 이 연구의 목적은 세계보건기구의 건강정의(신체적 ․ 정신적 ․ 사회적 건강)에 의한 중년여성들의 건강을 증진시키기 위한 보건교육프로그램요구에 영향을 미치는 요인을 분석하는 것이다. 방법: 연구대상자들은 S시에 거주하는 40세-59세의 중년여성 203명이다. 연구자료는 2011년 9월 10일부터 24일까지 수집되었다. 대상자들의 일반적 특성과 그와 관련된 건강교육프로그램요구 분석하기 위해 기술통계, t-검정, 일원배치 분산분석이 사용되었고 보건교육프로그램 요구에영향을 주는 요인 분석에는 위계적 다중회귀분석을 시행하였다. 모든 자료분석에는 SPSS/WIN 17.0 program을 사용하였다. 결과: 중년여성들의 건강증진행위 평균은 3.46 (±0.74), 보건교육 프로그램(신체적, 정신적, 사회적 보건교육) 요구의 평균은 3.88 (±0.13)으로 나타났다. 보건교육프로그램 요구에 영향을 주는 요인은 연령(사회적 보건교육 프로그램β=-0.21), 자아실현(신체적 ․ 정신적 ․ 사회적 보건교육 프로그램 β=0.28, β=0.30, β=0.30), 건강책임(사회적 보건교육 프로그램 β=0.21), 대인관계지지(신체적 보건교육 프로그램β=0.18), 스트레스관리(사회적 보건교육 프로그램 β=0.18) 로 나타났다. 결론: 연구의 결과로 볼 때 중년여성들을 위한 보건교육은 월수입과 학력여부의 영향을 적게 받을 수 있도록 이루어지는 것이 바람직하다. 또한 보건교육은 중년여성들의선호가 높았던 프로그램은 물론이고 보건교육프로그램요구에 영향을 주었던 요소들을 모두 고려한 특별하게 접근된 내용들로 이루어져야 함을 제안한다.

유아교사의 취학전 출산장려교육 인식 및 관련변인 연구

오원옥,김혜순,김인홍 한국아동권리학회 2014 아동과 권리 Vol.18 No.4

The purpose of this study was to examine preschool teachers' perceptions of childbirth promotion education for preschool children and the factors influencing their perceptions of childbirth promotion education. The subjects of this study were 208 preschool teachers. To assess the teachers' perceptions of childbirth promotion education for preschool children, a scale was developed using the Delphi method. The instruments for this study were the perceptions of childbirth promotion education, health of the family of origin, views on marriage, and views on childbirth. Teachers responded to questionnaires through self-reports. The data were analyzed using t-tests, a one-way ANOVA, the Duncan test, Pearson correlation coefficients and multiple regression with the SPSS program It was found that the teachers' perceptions of the childbirth promotion education for preschool children and the demand for teacher education on childbirth promotion for preschool children were high despite the fact that experience and information about childbirth promotion education for the preschoolers in the field were scarce. Second, the mean scores for teacher perceptions of childbirth promotion education, the health of the family of origin, views on marriage, and views on childbirth were greater than the `average' scores. In addition, there was a significant difference found in the levels of the teachers' perceptions on childbirth promotion education according to the number of class in kindergarten or day care center. Third, the factors influencing the teachers' perceptions on childbirth promotion education were identified as their views on childbirth, the number of class, their views on marriage, and the health of the family of origin, in that order. The model explained 23.2% of the variations. 본 연구는 취학전 출산장려교육에 대한 유아교사의 인식과 그 관련변인을 규명하기 위한 것이다. 연구대상은 서울, 경기도, 경상남북도, 울산시의 유아교육기관 교사 208명이다. 우선 3차에 걸친 델파이 조사로 취학전 출산장려교육 교사 인식 척도를 개발한 후, 원가족건강성, 결혼관, 자녀관 척도를 포함시킨 질문지 조사가 이루어졌다. 수집된 자료는 SPSS 18.0 program으로 빈도분석과 기술통계분석, t-test, 일원변량분석, 상관분석과 다중회귀분석이 실시되었다. 연구결과 첫째, 유아 교육현장에서 출산장려교육이나 관련 정보 지원이 거의 없었으나 취학전 출산장려교육과 이를 위한 교사 연수의 필요성에 대한 교사 인식은 높았다. 둘째, 유아교사의 취학전 출산장려교육 인식, 원가족건강성, 자녀관, 결혼관은 ‘보통 이상’으로 나타났다. 셋째, 취학전 출산장려교육에 대한 유아교사의 인식에는 자녀관, 소속기관 학급 수, 결혼관, 원가족건강성의 순으로 유의한 영향을 미치는 것으로 나타났고 이들 변인이 총 변량의 23.2%를 설명하였다.

보건교육건강증진학회지 1984~2021년 연구동향

윤난희,김영복,송현종,이지은,최정은 한국보건교육건강증진학회 2022 보건교육건강증진학회지 Vol.39 No.5

Objectives: This study aimed to analysis the trends of published papers between 1984 and 2021 in the Korean Journal of Health Education and Promotion, and draw the role of developing health promotion policies or program. Methods: 1,277 published papers were reviewed and categorized in terms of their subject, topic, research desin, data collection, and source of data and classified by publication time. Categories of subject and topic were set based on the Health Plan 2020 and Health Plan 2030. Frequencies and network centrality were analyzed for keywords of the papers published after 2000. Results: Among the topic of the papers in all published periods, the highest frequency was in the ‘Healthy lifestyles’, followed by ‘Health education’ before the 2000s, whereas in the 2000s, ‘Non-communicable disease prevention and management’, and after the 2010s, ‘Health-friendly environment and infrastructure’ followed. In the research subjects, before the 2000s and in the 2000s, papers on children/adolescents and adults accounted for the highest frequency, whereas after the 2010s, papers on adults accounted for the highest frequency. In particular, since 2010s, the proportion of papers using secondary data has increased significantly. ‘Health promotion’, ‘Health education’, and ‘Health behavior’ were most frequently presented keywords in published paper, and they also had highest centrality in their networks of keywords. Conclusion: Research papers published in the Korean Journal of Health Education and Promotion have been changing in a timely manner according to environmental changes and policy issues in the field of health education and health promotion, and have played a role in leading academic discussions and the development of related policies and systems. .

건강증진 보건교육 경험이 노인의 현재 건강상태에 미치는 영향

이흥훈,황은정 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.11

This study aims to identify the effects of experiencing health promotion education on the present health status of elderly people. The subjects of this study were a total 10,532 elderly people (aged 65 years or older), and who were selected from the data of the '2017 Community Health Survey'. The health promotion education experience consisted of handwashing education/campaign, a non-smoking campaign and non-smoking education. The chronic disease control education experience consisted of education on hypertension, diabetes mellitus and arthritis. Psychiatric counseling consisted of consultations on stress, depression and suicide. The present health status consisted of the patients' ability to exercise, their self-care ability, their activities of daily living, their pain/discomfort and their anxiety/depression. The data was analyzed utilizing the chi-square test, the Mann-Whitney test and multivariate logistic regression analysis. The general characteristics of the subjects were 4,075 males (38.69%) and 6,457 females (61.31%). The average age was 73.71(±6.18) years old. The significant factors influencing the elderly peoples' present health status were age (OR=0.909, 95% CI=0.886-0.933), handwashing education/campaign (OR=2.463, 95% CI=1.703-3.563), a stop smoking campaign (OR=1.624, 95% CI=1.146-2.301) and consultation for mental problems (OR=0.533, 95% CI=0.359-0.791). In conclusion, to modify the personal habits that the elderly have had for a long time and to show the effects of education, long-term continuous education that focuses on the characteristics of the people will be effective. 이 연구의 목적은 노인이 경험한 건강증진과 만성질환관리 보건교육, 정신문제 상담 경험이 현재 건강상태에 미치는 효과를 확인하는 것이다. 이 연구는 ‘2017년 지역사회 건강조사’ 자료를 활용하여 65세 이상 노인 10,532명을 최종 대상자로 선정하였다. 건강증진 교육경험에는 손씻기 교육 및 홍보 경험, 금연 캠페인 경험, 금연교육 경험으로 구성되었다. 만성질환관리 교육 경험은 고혈압, 당뇨병, 또는 관절염 관리 보건교육 경험으로 구성되었다. 정신문제 상담 경험은 스트레스, 우울, 자살을 포함한 정신문제 관련 상담 경험으로 구성되었다. 현재 건강상태는 운동능력, 자기관리, 일상활동, 통증/불편, 불안/우울 정도로 구성되었다. 자료분석은 Chi-square test, Mann-Whitney test, 다변량 로지스틱 회귀분석을 활용하였다. 연구대상자의 일반적 특성은 남자가 4,075명(38.69%)이고, 여자가 6,457명(61.31%)이었으며, 평균연령은 73.71(±6.18)세이었다. 노인 대상자의 현재 건강상태에 영향을 미치는 유의한 요인으로는 연령(OR=0.909, 95% CI=0.886-0.933), 손씻기 교육 및 홍보 경험(OR=2.463, 95% CI=1.703-3.563), 금연캠페인 경험(OR=1.624, 95% CI=1.146-2.301), 정신문제 상담 경험(OR=0.533, 95% CI=0.359-0.791)으로 나타났다. 노인들이 오랫동안 유지해온 개인적 습성을 수정하여 교육의 효과를 보이기 위해서는 대상자의 특성을 고려한 장기간 꾸준한 교육이 효과적일 것이다.

지역주민들의 보건교육(흡연, 음주, 영양)경험 유무에 따른 주관적 건강인식수준과 주관적 행복감

윤현서,박충무,전진호 대한통합의학회 2018 대한통합의학회지 Vol.6 No.4

Purpose : This study is based on the purpose of expanding health education to improve the subjective health of local residents and to improve their sense of happiness by identifying the relationship between health education experience and happiness. Method : T-test, one-way anova and correlation analysis were conducted in order to identify the levels of subjective health recognition and happiness followed by health education experience based on 2017 the Community Health Survey of Gyeongnam province. Result : The experience rate on non-smoking education, drinking education and nutrition education was high in all in case of dwelling in city area, of the lower age, of doing economic activity, of the high academic background, and of high income level. The subjective well-being was high in case of residing in county area, of the low age, of high terminal academic background, of doing economic activity, and of high income level. As for the subjective health awareness and the self-perceived oral health status, the recognition level was high in all in case of having the experience of non-smoking, drinking and nutrition educations. The subjective well-being was high in case of having the experience of non-smoking, drinking and nutrition educations. Conclusion : As a result of this study, the educations of targeting local residents are helpful even for enhancing quality of life in local residents without remaining in simply acquiring knowledge. Hence, arranging a place of public health education with diverse topics and expanding subjects are considered to be likely useful for upgrading local residents' quality of life. 본 연구는 2017년 경상남도 20개 시군을 대상으로 조사되어진 지역사회건강조사자료를 바탕으로 하여 지역주민들의 교육경험에 따른 주관적 건강인식수준과 주관적 행복감을 분석하여, 교육의 기회확대를 통한 건강에 대한 인식개선과 삶의 질 증진을 위한 기초자료를 제공하고자한다. 금연교육, 음주교육, 영양교육에 대한 경험률은 모두 시 지역에 거주고하고, 연령이 낮을수록, 경제활동을 하고, 학력이 높고, 소득수준이 높은 경우 높았다. 주관적 행복감은 군 지역에 거주하고, 남자, 연령이 낮고, 최종학력이 높으며, 경제활동을 하고 소득수준이 높은 경우 행복감이 높았다. 주관적 건강인식과 주관적 구강건강인식에서는 금연, 음주, 영양교육 경험이 있는 경우 모두 인식수준이 높았다. 금연, 음주, 영양교육경험이 있는 경우 주관적 행복감이 높았다. 따라서 본 연구결과 지역주민을 대상으로 한 교육들은 단순한 지식습득에서 그치지 않고 지역주민들의 삶의 질 향상에도 도움이 되므로 다양한 주제로 보건교육의 장을 마련하고 대상을 확대한다면 지역주민들의 삶의 질 향상에 도움이 되리라 사료된다.

전남 지역 일부 대학생의 구강건강증진행위와 관련요인

정은주 한국치위생학회 2018 한국치위생학회지 Vol.18 No.1

Objectives: The purpose of the study was to investigate the subjective oral health status, oral health promotion behaviors, and related factors in the university students in Jeonnam. Methods: A self-reported survey was completed by 480 university students in Jeonnam from June 1 to 15, 2016 based on convenience sampling. The questionnaires consisted of general characteristics of the subjects, subjective oral health status, and oral health promotion behaviors. The collected data were analyzed by frequency analysis, independent t-test, one-way ANOVA and multiple regression analysis among others. Results: The average of subjective oral health status was 3.36 and the oral health promotion behavior was 2.87. It was shown to have influence upon the oral health promotion behaviors in the more the use of oral care products, in the better the oral health condition, in the more dental visit experience, in the more you do not drink, and in the more experience in oral health education. Conclusions: To improve the oral health in the university students, interest, knowledge, attitudes, and behavior in the oral health should be changed through development of oral health education programs. Also, efforts to develop curriculum and establish the university policies will be necessary so as for the university students to have responsibility for general health care including oralhealth in the universities.

건강교육이 대학생의 건강증진행위에 미치는 영향

박현숙 ( Hyun Sook Park ),이가언 ( Ga Eon Lee ),홍연란 ( Yeon Lan Hong ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2000 정신간호학회지 Vol.9 No.3

This study was undertaken in order to test the effect of health education on the performance of health promoting behavior, and to determine factors affecting health promoting behavior in college students. The subject were 157 students of one university in K city. Analysis of data was done by use of mean, percentage, t-test, pearson correlation coefficient, and stepwise multiple regression with SAS program. The result of this study are as follows: 1. The average item score for the health promoting behavior was low at 2.25. In the sub-categories, the highest degree of performance was ``self-achievement``, following ``interpersonal support``, ``stress management``, ``nutrition``, and ``exercise``, and the lowest degree was ``health responsibility``. 2. There was not a statistically significant difference between the average of the pre-test and the average of the post-test for the health promoting behavior. In the sub-categories, there was a statistically significant difference between the average of the pre-test and the average of the post-test for the health responsibility 3. Performance of health-promoting behavior was positively correlated with self-efficacy, internal locus of control, powerful others locus of control, self-esteem, and perceived health status. Performance of self-achievement was positively correlated with self-efficacy, internal locus of control, self-esteem, and perceived health status and negatively correlated with chance locus of control. Performance of health responsibility was positively correlated with self-efficacy, powerful others locus of control, and self-esteem and negatively correlated with internal locus of control. Performance of exercise was significantly correlated with self-efficacy. Performance of nutrition was significantly correlated with self-efficacy and perceived health status. Performance of interpersonal support was significantly correlated with self-efficacy, internal locus of control, self-esteem, and perceived health status. Performance of stress management was significantly correlated with self-efficacy, internal locus of control, self-esteem, and perceived health status. 4. Self-efficacy was the highest factor predicting health promoting behavior. These results suggest that more effective health education programs need to be developed through by content analysis of health education.