TOP
Purpose: This study aimed to identify the prevalence of alcohol and cigarette use and assess its relationship withsocio-environmental, psychological, violent and behavioral factors among a sample of high school students fromLima and Callao, Peru. Methods: We utilized the data from a cross-sectional study conducted by the Yonsei GlobalHealth Center in collaboration with the Korea International Cooperation Agency (KOICA) Peru office in November2016. The total sample size of this study was 1,477 students. For analysis, we used bivariate and multivariate logisticregression to calculate the unadjusted and adjusted odds ratios and their respective 95% confidence intervals.
Results: The current prevalence of alcohol and cigarette use among adolescents was found to be 24.2% and 12.1%,respectively. Alcohol use was affected by age, friends' alcohol use, experience of physical fighting, and involvementin other risk behaviors (smoking, drug use, and sexual intercourse). Cigarette use was affected by perceivedacademic performance, friends' cigarette use, and involvement in other risk behaviors (drinking, drug use, andsexual intercourse). Furthermore, students who received affection from their parents and whose parents monitoredtheir activities were less likely to report using both alcohol and cigarettes. Conclusion: Alcohol and cigarette useamong Lima and Callao adolescents is affected by socio-environmental, violent and behavioral factors. Alcoholand cigarette use prevention initiatives should promote positive parenting practices, family togetherness, and asupportive school climate. In addition, it is needed to establish peer-led programs that promote behavioral changesin students and strengthen social relations without the presence of alcohol, cigarettes, and other harmfulsubstances.
Objectives: Experts have predicted that infectious diseases such as the Coronavirus will reproduce continuously.
Therefore, it is necessary to expand the role of health educators in incorporating non-communicable diseases
and infectious diseases. Methods: The social prescription policy trends in the UK were reviewed, and a social
prescribing case study was reviewed in Korea. Results: In the current situation, health educators should be
qualified to deliver accurate information about COVID-19. To this end, it will be needed to expand the scope
and include jobs such as ‘Social Prescriber’ in the UK. Conclusion: Health Promotion and Education should
be institutionalized changing the current health center-oriented method to emulate the UK’s Social Prescribing
system. Also, it is necessary to develop a ‘new health education program’ that includes strategies such as
keeping social distance, tele counselling in a pandemic era and online distance learning for health education.
Objectives: The World Health Organization’s Healthy City Project was established to increase the health
commitment of citizens in urban settings and to improve deteriorating health conditions. Cuba’s Cienfuegos
city introduced the “Healthy City Project”, adapting the concept with projects based in primary healthcare. The
study aimed to review the implementation of this project in Cienfuegos City, Cuba. Methods: Cuba’s Healthy
City Project was reviewed by analyzing the experiences of Cienfuegos city. Relevant literature related to the
implementation of the Healthy City Project was also reviewed and web-based gray literature was assessed,
searched, and selected. Additionally, reports from Google Scholar and the Scientific Electronic Library Online
were used to gather complementary information. Results: Initiated in 1989, the city of Cienfuegos used the
Healthy City Project as a strategy for health promotion, lifestyle modification, and disease prevention. It
undertook this initiative as the local government’s plan to help reduce non-communicable diseases and the
associated initiatives to transform the city into a healthier one has proven to be successful, especially by
involving the community and engendering the government’s political commitment. The Project has involved
schools and hospitals to improve personal and community health. Conclusion: The Project has been proven
effective by involving the community, yet there are some considerations, such as upgrading the evaluation
system, that would improve the overall outcome of the Project.
Purpose: The purpose of this study is to identify the current status and use of Gyungrodang located
in Heungeop-myeon, Wonju-si and to present improvement and implication for community care in
rural area. Methods: The survey of the current status was conducted with interview and observations.
The use status of Gyungrodang was surveyed for the elderly over 65 years old who live in
Heungeop-myeon using questionnaire. A face-to-face interview was conducted to complete a
questionnaire and 181 samples were collected for the study. Results: In the current status, some of the
Gyungrodang did not operate during farming season. The external environment, in terms of
accessibility, 74.2% of Gyungrodang were located more than 60 minutes on foot from community
center, health post, and pharmacy. In addition, the interval between buses run minimum 15 minutes
to 120 minutes on average. The internal structure, 35.7% was divided room and toilets. In the use
status, the reason for non-use of the Gyungrodang was discomfort(29.0%), and the reason for using
was because friends go to the Gyungrodang(44.6%). The most satisfying program was te health care
program(65.6%). Implications: First, it is necessary to develop and operate customized health
promotion program for target population and seasons. Second, it is necessary to make a plan focused
on consumers’ needs through satisfaction and demand survey. Third, it is necessary to divide the space
of each Gyungrodang by gender when planning the expansion or new construction of Gyungrodang.
본 연구의 목적은 한국의 농촌지역 거주 노인의 경로당 이용 관련 특성을 파악하고, 노인의 사회참여에 영향을 미치는 요인을 파악하며 이를 바탕으로 농촌지역 거주 노인의 사회참여 활성화 방안을 검토하는 데 있다. 본 연구의 대상은 강원도 원주시 흥업면에 거주하는 만 65세 이상 노인 1,624명 중 181명이며, 2019년 5월 13일부터 24일까지 (12일 간) 1대1 면접방식을 통한 설문조사를 통해 자료를 수집하였다. 사회참여를 종속변수로 하여 경로당 이용요인, 인구사회학적요인 및 건강요인이 미치는 영향을 위계적 다중회귀분석을 통해 확인하였다. 연구결과, 분석에 활용된 연구모형은 사회참여를 39% 설명하였고, 경로당 이용 여부(p<.001), 우울감(p<.01), 돌봄이 필요한 가족 유무(p.<05), 흡연 경험(p.<05)가 통계적으로 유의한 변수인 것으로 확인되었다. 연구결과를 바탕으로, 노인의 우울감 감소를 위한 사회참여 증진 정책으로 경로당 중심의 사회적 처방 프로그램 도입과, 가족돌봄의 역할을 맡고 있는 노인의 사회참여 증진을 위한 재가방문 서비스 확충 등의 서비스 확충이 필요한 것으로 나타났다.
Background: In 2015, the United Nations set the sustainable development goals (SDGs) with a focus on the maternal mortality ratio (MMR), to decrease the mortality rate of newborns to 70 per 100,000 by 2030. Despite efforts to achieve the SDGs, the MMR in the Democratic Republic of Congo (DRC) was 693 per 100,000 in 2015?the sixth highest in the world and higher than the average (547 per 100,000) of sub-Saharan Africa.
Objectives: The primary aim was to identify effect factors of 4+ antenatal care (ANC) of the maternal and child health care (MCH) project focused on reproductive women in the DRC.
Methods: This study used a before and after study design and focused on ANC utilization of reproductive age women in Kenge, DRC. This study provided the MCH intervention based on three phases of the Three Delays Model from 2014 to 2017. We interviewed 2,663 participants from 2014 to 2017. This study used the decision tree node for prediction of 4+ ANC utilization.
Findings: The decision tree showed that hand-washing (1.000) was the most important factor for receiving 4+ ANC services in the midline I survey, followed by writing skills (0.891), satisfaction with health facilities (0.869), age (0.782), and awareness of interventions (0.621). The results of the midline II decision tree demonstrated that MCH promotion by signboard (1.000) was the most important factor for 4+ ANC services, followed by income (0.970), and abortion (0.894). In the third year, distance (1.000) was the most important factor, followed by abortion (0.940) and knowledge of exclusive breastfeeding (0.806).
Conclusions: The most important factors were related to awareness. We recommend conducting interventions focused on improving awareness increase 4+ ANC utilization. Sustainability intervention for improving the 4+ ANC utilization requires that focus on the infrastructure, such as accessibility and knowledge, of reproductive women.
본 연구에서는 국군의무사령부 예하 국군병원에서 의무병으로 복무한 병사 96명을 대상으로 설문조사를 통하여 그들의 일반적 특성, 환자로부터의 경험한 무례함, 직무 스트레스를 분석하였다. 분석 결과 군병원 에 종사한 의무병들이 환자들로부터 받는 무례함은 직무스트레스에 통계적으로 유의한 양의 상관관계로 나타났으며, 이 중 병사 환자와 민간인 환자로부터의 무례함은 직무 스트레스에 영향을 주지 않았으나, 간 부 환자로부터의 무례함과 군무원 환자로부터의 무례함은 직무 스트레스에 통계적으로 유의미한 영향을 준 것으로 나타났다. 이러한 결과를 바탕으로 본 연구에서는 군 병원 의무병들의 직무스트레스 감소를 위 해 힘희롱 예방교육의 실시, 부정청탁 금지에 대한 홍보, 힘희롱 근절을 위한 제도 개선을 제언하였다.
Background: The purpose of this study was to identify the status of Successful Aging among the elderly aged 65 and over in rural areas and to compare factors related with Successful Aging between “kyung-ro-dang” users and non-users.
Methods: A total of 181 elderly aged 65 or older were selected from four districts (Heung-upri, Mejiri, Sajerri, and Daeanri) of Wonju city. A survey method using face to face interviews was applied to collect information. Successful aging was measured on a 5-point Likert-type scale using the successful aging scale developed for the Korean elderly, which indicates the higher the score, the higher the level of successful aging. Descriptive statistics, bivariate, and multivariate analyses were computed; the level of significance was set at 5%. Hierarchical polynomial regression was applied to find out the factors associated with successful aging.
Results: Of the total, 112 elders used kyung-ro-dang and 69 elders who did not use kyung-ro-dang. The level of successful aging of the elderly was higher among kyung-ro-dang users than non-users. The factors related to successful aging among kyung-ro-dang users were walking and social participation. Users who walk more than 4 times per week and social participation activities have a higher level of satisfaction. In the case of non-users, a higher level of monthly income, having a spouse, social support, and social participation associated with a higher level of successful aging.
Conclusion: Monthly income, social participation, and social factors were found to be related to successful aging along with physical and mental health conditions among the elderly in rural areas. Therefore, it can be concluded that income, social as well as mental and physical factors, are more critical for successful aging in the rural community care in Korea.
연구목적: 뮤직스토리텔링 프로그램이 농촌지역 노인의 우울감 감소 및 노인의 사회적 관계 변화에 미치는 효과 정도를 파악하는데 있다.
연구방법: 본 연구는 2019년 8월 14일부터 9월 4일까지 4주 간 연구대상지역인 강원도 원주시 흥업면 소재 임대아파트 단지 내 주민복지관에서 실시한 사회적 처방 효과를 평가 하는데 있다. 이를 위해, 뮤직스토리텔링 프로그램에 참여한 만 65세 이상 남녀노인 총 14명을 대상으로 프로그램 전후 우울증 감소 정도를 파악하기 위해 사전-사후 검증을 하였고 포커스 그룹 인터뷰를 통한 질적연구를 병행 실시하였다.
연구결과: 뮤직스토리텔링 프로그램 실시 후 대상 노인의 평균 우울감 점수가 12.38점에서 8.30점으로 감소하였다(p.=008). 또한, 포커스그룹 집단 인터뷰 결과 노인들은 뮤직스토리텔링 프로그램에서 즐거움을 느꼈고, 자존감 향상, 세대 교류에 의한 젊음의 활력을 얻고, 사회적 관계 확장 등의 효과가 있는 것을 알 수 있었다.
결론: 본 연구 결과는 사회적 처방 프로그램인 뮤직스토리텔링 프로그램이 농촌지역 노인에 대하여 우울감 감소 효과가 있고 노인들의 자존감 향상과 젊음의 활력을 높임에 긍정적인 영향이 있을 뿐 아니라 사회적 관계 확장 효과를 얻을 수 있는 새로운 건강증진사업으로서의 가능성이 있음을 시사한다.
