Purpose: This review study analyzes the impact of the Korean Society for Customized Visiting Health Care on the development of Home Visiting Care in public health centers since its inception in 2007. It also suggests potential future directions for both the Korean Society for Customized Visiting Health Care and Home Visiting Care in public health centers. Methods: The investigation scrutinized various sources including the white paper detailing the activities of the Korean Society for Customized Visiting Health Care, academic conference materials, minutes from general meetings, research papers from the Ministry of Health and Welfare, and the Korea Health Promotion Institute. Results: The Korean Society for Customized Visiting Health Care has been actively involved in advancing and assessing home-visiting health care services. The society has been focused on developing and evaluating the effectiveness of home visit health care services offered by public health centers. Conclusions: The Korean Society for Customized Visiting Health Care has achieved progress by continuous interaction with field staff, rigorous personnel training, technical assistance, field research, and policy recommendations. In 2024, the home visit health care sector could be advanced and improved using AI technology.

본 연구는 COVID-19 팬데믹 상황에서 보건소 간호사로 근무한 경험을 심층적으로 이해하고, 본질을 규명하고자 시도되었다. C도의 3개 군 보건소에서 COVID-19 팬데믹 기간 동안 1년 이상 근무한 경험이 있는 대상자를 연구참여자로 선정하여 Colaizzi가 제안한 현상학적 방법에 따라 분석하였다. 연구결 과 ‘COVID-19에 대한 부정적 감정’, ‘직업적 소명의식 고취’, ‘신종 감염병 대응 체계 구축에 앞장’의 3가 지 주제모음이 도출되었다. 이를 바탕으로 간호사들을 위한 심리적 문제 지원 강화, 편중된 업무의 개선, 전문 인력 지원, 체계적 교육 지원, 적정 수준의 보상체계 마련 등의 필요성을 확인하였다. 따라서 본 연구 결과를 토대로 보건의료 체계 내 주요 인력인 간호사의 지지체계를 마련하고, 효율적인 감염병 대응 전략 을 마련하기 위해 다각도의 관심을 가지고 활발한 논의가 이루어져야 할 것이다.

Commercial condom advertisements usually emphasize the sexual pleasure of branded products, which leads to controversial public views. Some people agree that commercial condom advertisements can also benefit public health, whereas others disapprove of such commercial condom advertisements because their contents are usually offensive, low-tasted, and pornographic. Despite controversy over commercial condom advertising, we know little about the spillover effect of commercial condom advertisement. On one hand, sexual-related content in the commercial condom advertisement may have an arousal effect. That is, it can evoke sexual arousal, leading to more sex intercourses. More frequent sex behaviors, especially casual sex behaviors, may then lead to a risk of contracting sexually transmitted diseases (STDs). On the other hand, commercial condom advertisements may have an educational effect. That is, it can persuade people to use condoms, helping people get in the habit of using condoms, thus reducing the STD trends. In the short term when condom commercials are aired, the arousal effect and educating effect coexists, which motivates the net short-term effect as an open empirical question. In the long-term when the condom commercial no longer aired, the educating effect remains, which decreases the STD trends.

목적 : 본 연구는 보건대학원생을 대상으로 연구윤리에 대한 인지도, 자기효능감을 통해 지식수준을 파악하고 자 하였다. 방법 : 서술적 설문조사 설계를 사용하였다. 국내 보건대학원에서 총204명의 참여자를 모집하였다. 데이터 수 집 도구는 미국 National Science Foundation과 Association of Graduate School에서 제안된 Responsible Conduct of Research(RCR) 교육 핵심 영역을 기반으로 개발되었다. 참여자들은 연구윤리에 관한 질문으로 구성 된 자가보고식 설문지를 작성하였다. 데이터는 PASW Statistics 18 Window 프로그램을 활용하여 기술 통계로 분석하였다. 결과 : 대상자(평균 연령=30세)는 석사(77.5%)과 박사(22.5%) 과정 학생으로 구성되었다. 대상자의 25.5%만 연구윤리 관련 과목을 수강한 경험이 있었고, 26.5%는 연구책임자로서 연구를 수행한 경험이 있었다. 연구윤리에 대한 인지 수준(5점 만점에 평균 2.90점)과 윤리적 연구수행을 위한 자기효능감 수준(5점 만점에 평균 3.14점)은 보통 수준이었다. 가장 인지도가 낮은 분야는 ‘지적재산권 및 특허 보호’였으며, 그 다음은 ‘부당한 논문저자 표시’ 였고, 가장 지식이 부족한 분야는 ‘연구논문 작성’이었다. 연구윤리에 대한 인지도, 자기효능감, 지식 간에는 통계 적으로 유의미한 상관관계가 있는 것으로 나타났다(all p<0.050). 결론 : 본 연구에서는 학생들이 윤리적으로 건전한 연구를 수행할 수 있도록 보건대학원생을 위한 연구윤리 지 식 교육 프로그램이 필요하다고 사료된다.

In Korea, reliable and affordable individual health information is obtained through national health examinations, which can be actively utilized in community health services based on examination data. The purpose of this study is to analyze national health examination data in order to identify the health behavior and health status of the elderly, and to incorporate the examination results into home visiting healthcare services provided at health centers. Methods: This study is a cross-sectional survey that analyzed the national health examination data of 2018 using the National Health Insurance Service-National Health Information Database. Data analysis was conducted using the SAS program. The overall results of the health examinations were presented in terms of frequency and percentage. Results: The national health examination rate was 72.6%, and 97% of the examinees had health needs such as improving health behavior and managing diseases. It was found that 52.2% of patients had high blood pressure, followed by diabetes and dyslipidemia. The health data generated from the national health examination includes information relevant to home visiting healthcare services. Conclusion: By utilizing health data generated from national health examinations, the process of collecting data in home visiting healthcare services can be simplified. By focusing on providing customized services, it will be possible to increase the efficiency of home visiting healthcare services.

본 연구는 정신질환 범죄자들의 주요 범죄원인과 특성을 살펴보고, 공중보건모델에 따른 정신질환 범죄 예방대책을 탐색하는 데 목적을 두고 있다. 연구방법은 경찰청 범 죄통계, 검찰청 범죄분석과 선행연구들을 탐색하고 공중보건모델에 따른 정신질환 범 죄 예방대책을 모색하였다. 연구 결과를 살펴보면 다음과 같다. 첫째, 정신질환자들은 일반인에 비해 범죄율이 현저하게 낮았다. 하지만 정신질환이 약물 중독 등과 결합될 때 일반인보다 높은 범죄율을 보여주었다. 또한 정신질환의 원인은 유전적인 부분도 있으나 일부는 잘못된 성장환경과 아동기 학대 경험 등으로 인해 발생하며, 이런 경험 들이 폭력성을 높여주어 범죄로 이어지는 것으로 예측된다. 둘째, 공중보건모델에 따 른 정신질환 범죄 예방대책으로 가정과 지역사회 단계인 1차 예방, 경찰, 검찰 및 법 원의 수사와 공판단계에 해당하는 2차 예방 및 교정과 보호단계인 3차 예방으로 나누 어 살펴보았다. 본 연구의 의의는 현재 우리나라의 정신질환 범죄자에 대한 범죄와 재 범률을 낮추는 방안으로 공중보건모델을 제안하였다. 이 모델이 정신질환 범죄율을 낮추어 줄 것으로 기대된다

South Korea, one of the representative countries known for consuming dog meat, is experiencing a gradual decline in its consumption, and it is expected to be eradicated soon as there is no influx of new consumers. However, the cultural aspect of dog meat consumption is strong as it is deeply rooted in social traditions, and there is inadequate agreement on banning it legally. This article examines the laws related to dog meat and how it is currently managed. It also scrutinizes the animal welfare and food safety aspects of the process of dog meat breeding and distribution. The current legal management system for dog meat is inadequate, which poses risks in terms of food safety. In addition, the dogs used for food consumption are exposed to coarse environments from an animal welfare perspective. Until dog meat consumption is naturally eradicated, establishing a temporary hygiene management system to ensure food safety and improve animal welfare could be one solution.

This study examines the effects of the public’s perception of emergency medical service (EMS) on the public health system’s brand equity and the moderating effect of governance on this relationship using Keller’s customer-based brand equity model. It uses four EMS functions: rescue/first-aid and transfer activities; disaster prevention, preparation, and response activities; educational activities in urgent situations; and medical treatment in emergency rooms to examine the effects of them on brand meaning of the public health system. Our findings are important for understanding the public as customers of the public health system and devising and/ or adapting healthcare policies and marketing strategies to develop brand equity and increase customers’ loyalty to the public health system.

The purpose of this study is to investigate the effect of organizational safety and health management activities on safety and health performance by using the results of safety activity level evaluation of public organizations. To this end, a research model was established by using three fields as independent variables among the four areas of the safety activity level evaluation index: safety and health system, safety and health activity plan, and safety and health activity level, and the safety and health activity performance field as a dependent variable. Correlation analysis and regression analysis between major variables were performed. As a result of the correlation analysis, the safety and health activity performance had a significant positive (+) correlation with all of the safety and health system, safety and health activity plan, and safety and health activity level. The safety and health system had a significant positive (+) correlation with the safety and health activity plan and safety and health activity level, and the safety and health activity plan had a significant positive (+) correlation with the safety and health activity level. And as a result of the regression analysis, it was found that the organization’s safety and health system, safety and health activity plan, and safety and health activity level all had a significant positive (+) effect on safety and health activity performance.

본 연구는 공공보건자원이 지역사회의 정신건강수준에 영향을 미치는 과정에서 공공보건서비스 이용률이 조절 역할을 하는 지를 확인하고자 수행되었다. 연구대상은 144개의 지역사회이며, 자료는 제6기 지역보건의료계획과 2015년 지역사회 건강조사에서 확보하였다. 연구변수 중 공공보건자원은 공공보건예산, 공공정신보건예산 및 공공정신보건인력으로 구성하였으며, 정신건강수준은 스트레스 인지율, 우울감 경험률 및 자살률로 하였다. 조절효과 분석에 사용된 방법은 위계적 회귀분석이었다. 연구결과는 첫째, 공공보건서비스 이용률은 공공정신보건예산이 우울감 경험률에 영향을 미치는 과정에서 조절변수로 작용하고 있었다. 둘째, 공공정신보건인력이 우울감 경험률에 영향을 미치는 과정에서 공공보건서비스 이용률은 조절효과를 나타냈다. 셋째, 공공정신보건인력이 자살률에 영향을 미치는 과정에서도 공공보건서비스 이용률은 조절효과를 나타냈다. 넷째, 공공보건자원의 정신건강수준에 대한 영향이 공공보건서비스 이용률이 높은 집단과 낮은 집단에 따라 다르게 나타났다. 결론적으로 공공보건자원 강화가 지역사회 정신건강수준의 향상으로 이어지도록 하기 위해 지역사회 정신건강증진 방안에 공공보건서비스 이용률 개선을 위한 내용을 포함시킬 필요가 있을 것이다.

u-Health는 개인용 생체정보 측정 장치나 유무선 통신망 인프라를 사용하여 장소와 시간에 제약 없이 질병의 예방, 상태파악, 치료, 예후, 건강 및 생활 관리의 개인 맞춤형 보건의료서비스를 제공하는 기술이다. 본 연구는 K 보건소의 u-Health 기반의 대사증후군 관리를 위한 u-Healthcare 서비스에 대한 사례연구로 이용자들이 서비스에 어떠한 가치를 부여하고 있는지, 이용자와 제공자간 소통은 적합한지, 아울러 서비스에 대한 이용자의 개인적 관심에 대하여 서비스 제공자는 공감을 형성하고 있는지 등의 인본주의적 관점에서의 접근이다. 대상자의 건강정보이해능력, 서비스의 질, 서비스에 대한 가치부여, 서비스 제공자와의 의사 소통 및 공감형성, 서비스 만족도, 재이용의도를 살펴보았으며, 자료는 편의추출로 수집하였다. 건강정보이 해능력은 재이용의도와만 유의미한 상관관계를 보였으며, 그 외의 변수들은 서로 유의미한 상관관계를 보였다. 본 연구를 통해 보건소의 지역사회 기반 대사증후군 관리 u-Healthcare 서비스가 소득이 적은 대상자들에게 공공보건의료서비스로서 가치가 높다는 것과 의사소통 및 공감형성이 다른 변수들과 높은 상관관계를 나타내며 중요한 역할을 하고 있다는 것을 확인하였다. 따라서 u-Healthcare 서비스의 성공적 인 정착을 위해서는 이용자의 개인적 관심에 공감하고 맞춤형 서비스를 제공할 수 있도록 이용자와 의료진 간의 충분한 의사소통과 피드백이 반드시 필요하고 이를 위해 인적, 시스템적 지원이 지속적으로 필요하다.

This research investigated how neuromarketing can improve and determine the effectiveness of action-based public health and social cause marketing communications with social amplification platforms. Action-based advertisements (Ferrier, Ward, & Palermo, 2012) aim to encourage consumers to ‘act’, ‘share’, make a ‘pledge’ or complete a ‘challenge’ for a public health or social cause. Public health messages as non-commercial advertisements attempt to change public behaviour (Vecchiato, Cherubino, Trettel, & Babiloni, 2013). Research was conducted using a 64 channel EEG wet cap with electrodes placed according to the international 10/20 system (Gountas et al., 2014; Treleaven-Hassard et al., 2010). The study applied an exploratory design which involved 4 tasks where participants viewed 7 advertisements (6 action-based, 1 control) and their logos while EEG was recorded. Preliminary LORETA results from the first five seconds of the most effective advertisement indicated approach responses due to left prefrontal and right parietal cortex activation (Davidson & Irwin, 1999; Vecchiato et al., 2013). Results suggest that consumer’s decision making about an advertisement occurs within the first five seconds of viewing an advertisement.

본 연구는 간호보건계열 대학생의 전공만족도, 진로성숙도가 취업스트레스에 미치는 영향을 알아보기 위한 서술적 조사연구이다. 본 연구는 G시의 3개학과 간호보건계열 대학생 410명을 대상으로 2017년 9월 26일부터 10월 31일까지 설문조사하였다. 수집된 자료를 토대로 기술통계, ANOVA, ANCOVA, Pearson correlation coefficients, Multiple regression으로 분석하였다. 연구결과, 전공선택 동기에 따라 전공만족도(F=9.856, p<.001) 및 진로성숙도(F=6.005, p=.001)가 유의한 차이가 있었으며, 학점은 진로성숙도(F=2.755, p=.042) 및 취업스트레스(F=3.503, p=.016)와 유의한 차이가 있었다. 또한 토익점수는 전공만족도(F=4.514, p=.004)와 유의한 차이가 있었다. 취업스트레스는 전공만족도(r=-.314, p<.001)와 진로성숙도(r=-.514, p<.001) 간에 유의한 상관관계가 있었으며 취업스트레스에 영향을 미치는 요인으로는 전공만족도(β=-.125, p=.007), 진로성숙도(β=-.459, p<.001) 순으로 나타났다. 이를 토대로 간호보건계열 대학생의 취업스트레스를 줄이기 위해 저학년 때부터 학과별 특성에 맞는 전공지도 프로그램을 마련하고 그에 따른 진로지도가 필요하리라 사료된다.

The aim of this study was to evaluate the effects of a nutrition education program for the elderly at a public health center located in Jinhae city. The one group pretest and posttest design was conducted using self-administered questionnaire survey. Nutrition education lessons based on social cognitive theory (2 hours/lesson, 3 times) were provided to 27 female elderly(≥65 yrs) for a month. After the nutrition education, number of exercise increased and preference for sweetness decreased significantly (p<0.05). The outcome expectations, the knowledge of nutrition (p<0.001), and behavioral capability (p<0.05) score were significantly increased. There were significant increases in all nutrient intake. NAR was increased significantly in protein, calcium and vitamin C (p<0.01), dietary fiber, iron, zinc, thiamin, niacin and folic acid (p<0.001), and riboflavin (p<0.05). INQ was increased significantly in thiamin, vitamin B6 and niacin (p<0.05), and dietary fiber (p<0.01). The score of nutrition education satisfaction was high (4.52). The results of this study suggested that the nutritional education program based on social cognitive theory had a positive effect on dietary behavior changes, and nutrition intake status among female elderly even after short-term intervention.

This study was designed to investigate dietary life related to sodium of participants in hypertension and diabetes preventive education at the public health center located in Incheon Metropolitan City. Subjects were comprised of 301 adults (males: 102, female: 199) of age 50 years and above. The questionnaire for dietary life and salty taste assessment were performed on the subjects. Data were analyzed using SPSS package (ver. 18.0). According to the result of questionnaire for dietary behavior, 70% of the subjects were in the low salt intake group (p<0.001). In the result of questionnaire for dietary frequency, all ages groups were in the low salt intake group (p<0.01). The data of questionnaire for dietary behavior showed that the subjects of age above 75 years preferred salted seafood, soup, and kimchi (p<0.01). The data of questionnaire for dietary frequency showed that the subjects of age between 65 and 74, least chose fried kimchi, noodle, and soybean paste soup with clams (p<0.05), and the healthy adult groups chose kimchi stew, ssam and ssamjang (p<0.05). The score for dietary behavior in male subjects was higher than female subjects (p<0.01). In particular, the score for dietary frequency was the lowest in the subjects of age between 65 and 74 (p<0.01). The mean value of salty taste assessment in the subjects was 0.41% which is higher than the ideal value of 0.3% (p<0.01). Offering more nutrition education and continuous feedback of healthcare center may be needed to improve the health status of the adults.

Employing a 2 (Source disclosure: Health agency vs. Co-created) x 2 (Co-creator identity: General vs. Specific) between-subjects fractional factorial design, this research explores how the disclosure of consumer involvement in developing public health messages can increase advertising effectiveness. This effect is enhanced by revealing the co-creator’s identity and experience with the health issue.

목적 : 지역보건법에 근거한 보건소와 치매지원센터에서 지역사회중심재활(Community Based Rehabilitation; CBR) 업무를 담당하는 작업치료사들의 직무특성을 알아보고 직무지향에 영향을 미치는 요인을 파악하여, CBR에 서 작업치료사의 역할 정립과 작업치료 질 향상을 위한 기초자료를 제시하고자 함이다. 연구방법 : 국내 보건소 및 치매지원센터에 근무하는 작업치료사를 대상으로 자기 기입식 온라인 설문지를 배부하여 조사하였다. 수집된 설문자료는 기술통계, 상관관계 분석, 위계적 회귀분석 등을 실시하여 직무지향에 영향을 미 치는 요인을 분석하였다. 결과 : CBR에서 작업치료사 직무 내용은 환자평가, 예방교육, 일상생활활동훈련, 인지 및 지각능력 증진 순으로 많았 다. 현재 실시 중인 작업치료 직무 중 힘든 서비스 형태로는 행정적인 업무, 지역사회 교육하기 등이 있었고, 작업 치료 서비스 시행이 어려운 이유로 다른 전문 인력 부족, 프로그램 기획력 및 조직력 부족, 다른 전문가와의 의사소 통 등이 있었다. 고용안정성은 불안정한 편이었고, 자신의 직무에 대한 자율성은 어느 정도 보장되는 것으로 분석 되었다. 고용형태와 고용안정성, 근무처와 자율성, 환자수와 승진기회는 부적 상관성이 있었고, 한편 월 급여와 자 율성, 학력과 자율성은 정적 상관성이 있었다. 결론 : 본 연구결과를 바탕으로 첫째, CBR에서 근무하는 작업치료사 역할 정립의 필요성 둘째, 작업치료 업무 외에 행정적인 업무, 지역사회 교육하기, 프로그램 기획력 및 조직력, 다른 전문가와의 의사소통 등에 대한 교육 및 연구 의 필요성 셋째, 작업치료사의 고용안정성 및 자율성을 개선시키기 위한 법 제정이 필요하다.

This study was to assess the lifetime cancer and non-cancer risk on exposure to volatile organic compounds (VOCs) and formaldehyde of worker and user at public facilities in Korea. We measured the concentrations of formaldehyde and VOCs in indoor air at 160 public buildings that 5 kinds of public facilities (30 hotel, 30 fitness center, 25 gosiwon, 30 reading-room and 45 video-room) all over the country. There were estimated the human exposure dose and risks with averages of the using-time and frequency for facility users and office workers, respectively. Carcinogens (benzene and formaldehyde) were estimated the lifetime excess cancer risks (ECRs). Non-carcinogens (toluene, ethylbenzene, xylene, and styrene) were estimated the hazard quotients (HQs). HQs of four non-carcinogens did not exceed 1.0 for all subjects in all facilities. Higher HQs of toluene were observed at the reading-room. The average ECRs of formaldehyde and benzene for facility worker and user were 1×10^-4~1×10^-6 level in all facilities. The estimated ECRs for reading-room were the highest and the fitness center and gosiwon were the next higher facilities. Because lifetime ECRs of carcinogens exceeded 1×10^-4 for facility worker in the most facilities, risk management of formaldehyde and benzene in the facilities was necessary. IAQ guidelines should be determined strictly to prevent occurrence of disease caused by poor IAQ beforehand.

This study was performed in the 175 selected child-care facilities in the urban area (Seoul, Suwon, Daejeon, and Busan) and the industrial complex area (Sihwa and Yeosu) to measure of the characteristics of VOCs in the indoor air from August, 2007 to April, 2008. All samples were collected at the indoor and outdoor places to the child-care facilities in spring, summer, and winter seasons using the Tenex absorption trap and were analyzed through the GC/MSD. The mean concentration of VOCs in the 175 child-card facilities showed the highest levels of 73.68 ㎍/m³in the toluene and the lowest levels of 0.28 ㎍/m³in the chlorobenzene. In the concentration of the TVOC, it exceeded 2.5 times more as the indoor air quality guideline in Korea. The result of this study was found that the concentration of VOCs in the child-care facilities in Korea may influenced from the some factors such as the constructional period, traffic density, and ventilation rate. These findings may expected to imply that effective risk management strategies should be applied to minimize the public health effects for children in the child-care facilities in Korea.

Korean veterinary medicine is a member of a major health profession with its own system of education, licensing, organization, and ethics, and a pioneering profession in his or her scientific knowledge and skills for the benefit society through the promotion of animal health, the relief of suffering, the conservation of livestock resources, the promotion of public health, biomedical work for medicine including comparative medicine, and the advancement of medical knowledge. This manuscript is to emphasize the role of the Korean public health veterinarians preparing the twenty-first century in public health service for humans.