지역사회조직화 전략의 중간 결과평가: 경남 건강플러스 행복플러스 사업 3년 경험

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.