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지역사회건강조사 신체활동 실천율의 한계 및 개선 방안

The limitation and Improvement Measures of the Physical Activity Prevalence in Community Health Survey

김완수
한국지역사회학회 (Korean Association Of Regional Studies)|2023.12|지역사회연구 (Journal of Regional Studies)|제31권 제4호|pp. 211-241|DOI 10.22921/jrs.2023.31.4.008

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키워드

지역사회건강조사Community Health Survey지표indicator분석 방법신체활동 실천율조사 내용physical activity prevalenceanalysis methodsurvey contents
주제분류국제/지역개발

초록

지역사회건강조사 신체활동 실천율은 “한국인을 위한 신체활동 지침”에 부합하지 못하는 한계를 갖고 있다. 본 연구는 지역사회건강조사 신체활동 실천율의 한계 원인을 확인하고, 실천율 지표와 조사 내용을 검토한 후 개선 방안을 제안하는 것이다. 연구를 위해 인용 문항인 국제신체활동설문과 비교하고, 연구 주제와 관련된 보고서, 연구 논문 및 각종 자료를 검토하였다. 연구 결과, 실천율의 한계 원인은 신체활동 양 평가 목적의 문항으로 강도별 실천율을 평가하고 있었다. 따라서, 확인된 문제점들을 근거로 개선 방안은 다음과 같다. 실천율 지표는 “유산소 신체활동 실천율”로, 지표 정의는 “주당 총 600 MET‧min‧wk-1 이상의 신체활동 실천 비율”로 변경되어야 한다. 조사 내용 및 지침은 강도 표기 변경, 강도별 정의 수정, 격렬한 강도 직업 활동 예시 수정, 중등도 문항의 걷기 제외 의도 재고, 조사 지침의 신체활동 종류 재고, 걷기 문항의 신체활동 영역 추가 및 최소 신체활동 시간 삭제가 필요하다. 그러므로, 정책 담당자는 본 연구에서 확인된 문제점과 개선 방안들을 고려한 후, 지역사회건강조사 신체활동 평가 목표를 재수립하고 실천율 분석 방법, 지표 및 조사 내용을 개선해야 한다.

Abstract

The physical activity prevalence in Community Health Survey(CHS) has limitation that do not meet “the Physical Activity Guide for Koreans”. The purpose of this study is to identify the cause of limitation and suggest the improvement measures after reviewing the indicator of prevalence and survey contents in CHS. For the study, the questions, results, and analysis methods of the annual CHS were compared with the International Physical Activity Questionnaire and reports, research papers and various materials related to this study. As a result of this study, the limiting factor of the CHS was assessed by intensity rather than by the amount of physical activity. The improvement measures based on the problems are as follows. The indicator should be changed to “aerobic physical activity prevalence” and the definition of indicator should be changed to “percentage of physical activity among adults with a total of 600 MET‧min‧wk-1 or more”. In addition, the survey contents and guideline should be changed the intensity notation, definition of each intensity, and example of vigorous-intensity occupational activity, the intention to exclude walking from the moderate-intensity question, and the type of physical activity in the survey guideline should be reconsidered. Also, the domain should be added to the walking question, and the minimum physical activity time should be deleted. Therefore, the policymakers should be consider the problems identified in this study, then reestablish the goal of physical activity evaluation in CHS and also improve the analysis method, indicator of prevalence and survey contents.

참고문헌 (63)

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