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사회생태학적 모형에 기반한 한국인 위암검진 수검의 관련 요인
배상수,조희숙,김동현,최용준,이훈재,이태진,이혜진,Bae, Sang-Soo,Jo, Heui-Sug,Kim, Dong-Hyun,Choi, Yong-Jun,Lee, Hun-Jae,Lee, Tae-Jin,Lee, Hye-Jean 대한예방의학회 2008 예방의학회지 Vol.41 No.2
Objectives : We measured behavioral factors associated with Koreans receiving gastric cancer screening based on a socio-ecological model, in part to develop strategies to improve cancer screening rates. Methods : A telephone survey was conducted with 2,576 people chosen through stratified random sampling from April 1 - May 31, 2004. Collected information included gastric cancer screening, socio-demographic factors, and socio-ecological factors at intrapersonal, interpersonal, community, and public policy levels. Results : Among 985 survey respondents(380 men and 605 women), 402 had received gastric cancer screening. Logistic analysis was performed to compare those screened and unscreened. 'Age' was the only demographic factor that showed a statistically significant association with getting screening. People in their fifties (OR=1.731, 95% CI=1.190-2.520) and sixties (OR=2.098, 95% CI=1.301-3.385) showed a higher likelihood of getting screened, compared to those in the forties. 'Accessibility to a medical institution' was a significant factor related to having gastric cancer screening at the intrapersonal level. At the interpersonal level, recommendations by family members to be screened and a family practice of routine cancer screening were significantly related. People with frequent education about cancer screening or with stronger social feelings that cancer screening is necessary also demonstrated significantly higher tendencies to be screened. Conclusions : In conclusion, a socio-ecological model seems appropriate for explaining gastric cancer screening behavior and associated factors. Health planners should develop integrated strategies to improve cancer screening rates based on socio-ecological factors, especially at the interpersonal and community levels.
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정헌재 ( Heon Jae Jeong ),조희숙 ( Heui Sug Jo ),배상수 ( Sang Soo Bae ) 한국보건행정학회 2004 보건행정학회지 Vol.14 No.1
본 연구는 보건사업전담 공중보건의사의 직무 실태를 조사하고 직무에 대한 만족도를 파악하여 이에 대한 개선방안을 강구하기 위하여 수행되었다. 설문조사 대상은 각 시·군 보건소에 근무하는 보건사업전담 공중보건의사로서 지역보건사업 중앙지원단에 등록되어 있던 138명의 보건사업전담 의사들이었고, 2003년 3월부터 4월까지 2개월간 e-mail을 통하여 조사가 이루어졌다. 조사 결과 총 96명이 응답하여 70%의 응답률을 나타내었다. 본 연구에서 얻어진 연구 결과는 다음과 같다. 보건사업전담 공중보건의사들의 근무 경력은 1년차인 경우가 61.6%로 가장 많았고, 전문의 자격을 가진 경우가 63.0%였다. 배치 과정에서 50.0%가 전혀 본인의사가 반영되지 않은 것으로 나타났다. 본인이 평가하는 보건사업 참여 정도는 응답자의 60.0%가 거의 없거나 낮다고 응답하였다. 제도의 필요성에 대하여는 66.7%에서 필요하지만 개선이 요구된다고 응답하였다. 본인의 직무에 대하여 70%에서 불만족하고 있었고 사업에 대한 계획수립과 활동에 참여가 용이할 수록, 배치 과정에서 본인의 의사가 잘 반영될수록 만족도가 유의하게 높았다(p<0.05). 전문의 경력을 가진 경우에서 직무 수행도가 높게 나타났고 제도 수행을 위한 지원에 있어서는 배치과정에서의 의사반영, 제도의 교육과 홍보, 행정적 권한 강화, 예산지원 등이 공히 직무 만족도와 직무 수행점수에 유의한 차이를 나타내었다. 업무 수행 동기 향상을 위한 대안에 관하여는 사업에 대한 행정적·재정적 권한의 강화, 사업 항목의 구체적 명시, 진료의 완전 배제 등이 높게 나타났다. 보건사업전담의사가 수행하기 적당한 보건사업으로는 방문보건사업의 시행, 지역사회진단, 건강증진 교육 프로그램의 개발 순으로 나타났다. 이상의 결과에서 보면 보건사업전담의사 제도에 대한 당위성과 필요성은 높게 제시되고 있으나 제도 운영에 대한 개선이 필요하며 실질적인 사업 참여를 가능하게 하기 위한 역량 강화와 동기부여 방안, 구체적인 사업 제시 등이 필요함을 알 수 있다. This study was carried out to investigate the activities and job satisfaction of public health doctors in charge of community health programmes. Subjects were 138 public health doctors charged with community health project, registered in the roll of public health doctors, made out by Central Supporting Team for the District Health Work in 2002. Data was obtained from Ninety-six public health doctors. The response rate was 70%. The survey was conducted from March to April in 2003 by e-mail. The items of the questionnaire consisted of general characteristics of participants, understanding of their activities, support system, job satisfaction, and suggestions to improve the system. Collected data was analyzed using PC-SPSS 10.1. Descriptive analysis, t-test, and ANOVA test were used. The results are as follows: Most of the respondents showed a low participation rate in community health services, but they agreed to the importance of their activities and the necessity to modify and improve the system. 70% of the respondents were dissatisfied with their jobs. The participation in health planning and programmes of health center, and the degree of acceptance of their opinion from health center workers were significantly related to their job satisfaction. The participation rate of the public health doctors having specialty, in community health services is higher than that of the others. In terms of the supports for system operation, the reflection of one`s intention in job arrangement process, education and public relation of this system, and the administrative and financial supports made significant differences in the job satisfaction and the accomplishment of their duty. The respondents hoped that the administrative and financial supports for public health doctors in charge of community health programmes should be reinforced to motivate them. They also wanted that they could keep from being overloaded with clinical services. They favored to conduct home visit, community diagnosis, health planning, and health promotion programs as their appropriate activities. From these results, we suggest some strategies to motivate and empower the public health doctors in charge of community health programmes.
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이선희,한성현,임여선,조희숙,채유미,유승현 韓國保健敎育.健康增進學會 2000 보건교육건강증진학회지 Vol.17 No.2
The purpose of this study is to analyse factors related to sex behavior and intention to premarital purity on the basis of theory of reasoned action. A structured questionnaire was developed on the basis of Triandis model. Survey was conducted to 1662 unmarried person in high school students, college students, and workers. The results are as follows. For the factor of sexual behavior, male, older age had higher experience to sexual relationship, but for the factor of premarital purity, female and workers than student had higher consciousness of purity. Positive attitude to premarital purity, expectation toward preservation of purity, parental and social normative influence and facilitating factor such as experiences of sex education showed significant relationship to intention of premarital purity. Also multiple logistic regression showed that health behaviors such as smoking and drinking, sex and job were statistically significant factor for sex behavior. The result of this study suggest that educational program to promote good attitude about sex as well as good health behavior should developed and emphasize importance of using theory-based models in conducting health education research.
ScienceON
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