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        경기도 위스타트 사업을 위한 미취학 빈곤 아동 건강 및 양육 실태

        방경숙 ( Kyungsook Bang ),양수 ( Soo Yang ),현혜진 ( Hyejin Hyun ),김지수 ( Jisoo Kim ) 한국모자보건학회 2008 한국모자보건학회지 Vol.12 No.1

        Objectives : This study was performed to investigate the differences in the levels of a child's general health status and child rearing status between households of average income and poverty-level income. Methods : The population surveyed was of low socioeconomic status and was selected from 3 cities with the We Start program. Data from these surveys were used for this study. Data from 186 households having infants or preschoolers, and 118 households in the general status population of the same district were analyzed using the χ<sup>2</sup>-test and t-test with SPSS Win program. Results : Children under 2 years of age from poverty-level households showed more health-related problems such as hospital admission (p=0.054), congenital disease (p= 0.068), and pre-term (p=0.087) than those of the average group. Also children from the same group 2~6 showed more developmental delay (p=0.048), allergy (p=0.072), dental problems (p=0.001), and emotional problems (p=0.078) like anxiety or fear. There was a significant difference between incomes groups in the mother's child health management. The former group's ratio of prenatal check-up (p=0.004) and homemade baby food made (p=0.006) were lower than the latter group. Both had a trouble with child rearing and there was no difference. Conclusions : These results suggest that children in low socioeconomic status are likely to have more health problems and health risks. According to these finding, it seems that the involvement of health professionals in the low socioeconomic group would be beneficial. Our research can assist future healthcare planning and the target interventions for the health of children in poverty.

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      • KCI등재

        보육시설의 영유아 건강관리 순회방문 서비스 모형개발

        한경자 ( Kyungja Han ),방경숙 ( Kyungsook Bang ),권미경 ( Mikyung Kwon ),김지수 ( Jisoo Kim ),최미영 ( Miyoung Choi ),허보윤 ( Boyun Huh ) 한국모자보건학회 2010 한국모자보건학회지 Vol.14 No.1

        Objectives: The number of children at child day-care centers is rising and the entering age is getting younger, and it requires better management of health care by health professionals. The purpose of this study was to develop visiting nurse's service model in child day-care centers for promoting child's health and preventing and detecting health problems. Methods: Visiting nurse's service program in child day-care centers was developed based on the survey result on child health need, and nonequivalent control group pretest-posttest design study was performed to analyze the service effect. Three facilities were assigned to each experimental and control group. About 100 children of each group, their mothers, and their teachers were participated. Finally this program was evaluated with structure, process, and outcome framework. Results: This program was served once a week for 12 weeks. Service took about 115 minutes and routine check up, providing health information, infection prevention occupied nurse's activities mostly. This service program was effective in finding health problems, reducing accident and safety risk factors. Parents' and teachers' satisfaction on this program were high. Facilitating factors were independent space for exam, collaboration with staff in providing this program. On the other hand, barrier was interrupting the regular program when nurse visited daycare centers. Conclusion: This study showed the possibilities of effective child health care model in child day-care centers and suggests this new model as a strategy in policy making for child health promotion.

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