지역사회조직화 전략의 중간 결과평가: 경남 건강플러스 행복플러스 사업 3년 경험
The Mid-Term Outcome Evaluation of Community Organization: Three-year Experience of Health Plus Happiness Plus Projects in Gyeongsangnam-Do
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Objective: This study was performed to explore the effectiveness of community organization as astrategy for health promotion. Methods: We used data from community health interviews from 6 administrative sections (eup, myeon,or dong) with high mortality from August to October, conducted once in both 2010 and 2013 as part ofthe Health Plus Happiness Plus Projects based on the concept of community empowerment inGyeongsangnam-do Province. For 2010, the study subjects comprised a systematic sampling of 220adults from each of the six sections for a total of 1320 subjects, and for 2013, 200 from each sectionfor a total of 1200 subjects. We compared main health behavior indicators and empowerment scorebetween these two years. Results: Smoking prevalence in men was 47.4% in 2013, and 47.7% in 2010, respectively. Prevalenceof walking 5 days or more per week was 35.6% in 2013, significantly lower than 46.2% in 2010. Also,during that period, both biennial health examination rate and biennial gastric cancer screening rateamong those 40 years of age and over significantly increased from 57.7% to 63.6% and from 49.3% to 55.0%,respectively. Mean empowerment score at the community level significantly increased from 12.6 to 14.0. Conclusions: This study suggests that the three-year implementation of community organization mighthave helped to increase the participation rate of biennial health examinations including cancer screeningsin the community. However, this was not the case for smoking cessation and walking. Further studiesare needed for evidence-based health promotion.
Abstract
Objective: This study was performed to explore the effectiveness of community organization as astrategy for health promotion. Methods: We used data from community health interviews from 6 administrative sections (eup, myeon,or dong) with high mortality from August to October, conducted once in both 2010 and 2013 as part ofthe Health Plus Happiness Plus Projects based on the concept of community empowerment inGyeongsangnam-do Province. For 2010, the study subjects comprised a systematic sampling of 220adults from each of the six sections for a total of 1320 subjects, and for 2013, 200 from each sectionfor a total of 1200 subjects. We compared main health behavior indicators and empowerment scorebetween these two years. Results: Smoking prevalence in men was 47.4% in 2013, and 47.7% in 2010, respectively. Prevalenceof walking 5 days or more per week was 35.6% in 2013, significantly lower than 46.2% in 2010. Also,during that period, both biennial health examination rate and biennial gastric cancer screening rateamong those 40 years of age and over significantly increased from 57.7% to 63.6% and from 49.3% to 55.0%,respectively. Mean empowerment score at the community level significantly increased from 12.6 to 14.0. Conclusions: This study suggests that the three-year implementation of community organization mighthave helped to increase the participation rate of biennial health examinations including cancer screeningsin the community. However, this was not the case for smoking cessation and walking. Further studiesare needed for evidence-based health promotion.
참고문헌 (24)
- Minkler M, "Health behavior and health education", pp.298~299 (2008), John Willey & Sons, Inc
- Gibson CH., "A concept analysis of empowerment", J Adv Nurs, 16(3), pp.354~361 (1991)
- Laverack G, "Building capable communities:experiences in a rural Fijian context", Health Promotion International, 18(2), pp.99~106 (2003)
- Eisen A, "Survey of neighborhood-based, comprehensive community empowerment initiatives", Health Education Quarterly, 21(2), pp.235~252 (1994)
- Laverack G, "Improving health outcomes through community empowerment: a review of the literature", J Health Popul Nutr, 24(1), pp.113~120 (2006)
- CART Project Team, "Community action for health promotion: a review of methods and outcomes 1990-1995", Am J Prev Med, 13(4), pp.229~239 (1997)
- 정백근, "<사례보고> 경상남도 지역 간 건강불평등 완화사업: 건강플러스 행복플러스 사업", 농촌의학.지역보건, 37(1), pp.36~51 (2012), 한국농촌의학.지역보건학회
- Raeburn J, "Community capacity building and health promotion in a globalized world", Health Promotion International, 21(S1), pp.84~90 (2007)
- Laverack G, "A planning framework for community empowerment goals within health promotion", Health Policy and Planning, 15(3), pp.255~262 (2000)
- 김장락, "<사례보고> 건강증진을 위한 참여 학습의 적용 사례", 농촌의학.지역보건, 36(2), pp.130~142 (2011), 한국농촌의학.지역보건학회
- 경상남도, 경상남도 건강증진사업지원단, "주민주도 건강증진 사업 건강플러스 행복플러스사업 사례집" (2012), 경상남도 건강증진사업지원단
- "ILO -Evaluation Unit. Midterm evaluations" (2013)[URL]
- 김장락, "사망률이 높은 지역사회에서 임파워먼트 및 사회적 자본과 주관적 건강수준의 연관성", 농촌의학.지역보건, 37(3), pp.131~144 (2012), 한국농촌의학.지역보건학회
- Israel BA, "Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control", Health Education Quarterly, 21(2), pp.149~170 (1994)
- "Atlanta:Centers for Disease Control and Prevention" (2013)[URL]
- Liao Y1, "Decreases in smoking prevalence in Asian communities served by the Racial and Ethnic Approaches to Community Health (REACH) project", Am J Public Health, 100(5), pp.853~860 (2010)
- Yoon T, "Healthy Upper Bansong Community Project for talking health inequalities in deprived area: the Roseto effect in South Korea?", Proceedings of the 21st IUHPE World Conference on Health Promotion (2013)
- 질병관리본부 만성질환관리과, "2008-2013 지역건강통계 한눈에 보기(지역사회건강조사)", 질병관리본부, 37~ (2014)
- 질병관리본부 건강영양조사과, "건강행태및 만성질환통계(국민건강영양조사 제5기 3차년도(2012) 및 제8차(2012) 청소년건강행태온라인조사)", 질병관리본부, 18~19 (2013)
- Windsor R, "Evaluation of health promotion, health education, and disease prevention programs. 2nd ed", pp.146~156 (1994), Mayfield Publishing Company
- Green LW, "Community health promotion:applying the science of evaluation to the initial sprint of a marathon", Am J Prev Med, 13(4), pp.225~228 (1997)
- Tones K, "Evaluating health promotion: a tale of three errors", Patient Education and Counseling, 39, pp.227~236 (2000)
- Judd J, "Setting standards in the evaluation of communitybased health promotion programmes-a unifying approach", Health Promotion International, 16(4), pp.367~380 (2001)
- Mackenzie M, "Health action zones", pp.43~66 (2005), Routledge