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KMID : 0358119780040010061
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Journal of the Korean Public Health Association
1978 Volume.4 No. 1 p.61 ~ p.73
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Health Behavioral Pattern- of Rural Koreans Measured by Knowledge, Attitude and Practice on Health Care
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Abstract
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Health behaviors of people are determined by numerous factors.. The ultimate objective of this study was to understand the health behavioral pattern of rural people measured by concepts of health disease causes, knowledge, attitude, and practice on health care. It was . also attempted to determine some contributing´ factors -which determine the health behavior by means of multiple´ regression analysis in order to increase an efficiency of on-going community health program.
Three areas of Chunseong Gun were selected purposefully based´ on magnitude of health services rendered -by the community health program of School of Public Health, SNU, e.g., Dongnae area of Shindong Myon with full contents of services for 3 and half years, Shinnam area of the same Myon with limited services for 2 years and Dongsan Myon with no deliberate service.
Household interview method was employed with structured questionnaire by trained nursing, school students and graduates.The results of the study obtained are as followings:
1. Almost all of the subject (94.9%) responded to the interview acknowledged the WHO concept of health among other alternative situations as the healthy state. Nevertheless, 54.5% of them considered as healthy state also on the minor emotional and/or physical stress as long as it did not interfere with daily activities.
2. On the concept of disease causation, the majority of the respondents (80%) believed that unsanitary environments, poor nutritional status, and severe mental stress were responsible for disease incurrence. One fifth of them, however showed superstitious belief such as Gods revenge or punishment against their sins.
.3. On the perception of disease entity, majority (85%) of respondents conceived disease such conditions as severe cold with fever bleedy discharge in urinary tract and diarrhea with-abdominal pain. 50% of subjects, however, believed disease in case of continuous physical weakness or loosing appetites for 10 days. The greater tendency to visit medical facilities for care (80 %) showed among former group than the latter .group (20%)
4. The proportion of the group characterized by more
than. 61% of family had vaccinated increased with. program input increased (Dongnae: 41.5. Shinnam:
30.7%, Dongsan: 29.6%)
5. Majority (90%) of people showed positive attitudes towards the effects of prenatal care for mother and child. The practice rate of prenatal care and average number of care received were higher among respondents in the program area than the area with no- program (47.´6% -and 3.5 in Dongnai area, 45.1% and 3.1 in
Shinnam area and 35.2% and 2.3 in Dongsan area)
respectively.) The practice´ rate of postnatal- carried average number of care received were 18.9% and 3.0 times.
6. The score of knowledge, attitude and practice level on health center showed higher in program area (knowledge: - 81.8%, attitude: 90.2%, practice: 72.2%)than the area with no program. (k: 77.8%, a: 89.3 %, and p: 68:2%)
7. On multiple regression analysis to determine attributes to health behavior, the amount of variance which could be explained by the selected independent, variables, age and educational level of respondents, age of last baby, and magnitude of intervened health program, were relatively small: the independent variables which were expected to be closely and
linearly related to health behavior turned out to be unsatisfactory. In relative terms of correlation, however, the attitude and practice on pre & postnatal care were explained more by these four independent variables than for other items of health behavior; the magnitude of service intervened B-coif: 0.082) and level of education (B-coif: 0.816) contributed the most.
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