Kim Jung Min, Koh Kwang Wook, Yu Byeng Chul, Jeon Man Joong, Kim Yoon Ji, Kim Yun Hee
Department of Preventive Medicine, Kosin University College of Medicine, Busan, Korea.
J Prev Med Public Health. 2009 Sep;42(5):283-92. doi: 10.3961/jpmph.2009.42.5.283.
This study was performed to assess the community capacity building ability of health promotion workers of public health centers and to identify influential factors to the ability.
The subjects were 43 public officers from 16 public health centers in Busan Metropolitan City. Questionnaire was developed based on 'Community Capacity Building Tool' of Public Health Agency of Canada which consists of 9 feathers. Each feather of capacity was assessed in 4 point rating scale. Univariate analysis by characteristics of subjects and multivariate analysis by multiple regression was done.
The mean score of the 9 features were 2.35. Among the 9 feathers, 'Obtaining resources' scored 3.0 point which was the highest but 'Community structure' scored 2.1 which was the lowest. The mean score of the feathers was relatively lower than that of Canadian data. The significant influential factors affecting community capacity building ability were 'Service length', 'Heath promotion skill level', 'Existence of an executive department' and 'Cooperative partnership for health promotion'. According to the result of multiple linear regression, the 'Existence of an executive department' had significant influence.
Community capacity building ability of subjects showed relatively lower scores in general. Building and activating an executive department and cooperative partnerships for health promotion may be helpful to achieve community capacity building ability.
本研究旨在评估公共卫生中心健康促进工作者的社区能力建设能力,并确定影响该能力的因素。
研究对象为来自釜山广域市16个公共卫生中心的43名公职人员。问卷基于加拿大公共卫生署的“社区能力建设工具”编制,该工具包含9个维度。每个能力维度采用4分制评分。对研究对象的特征进行单因素分析,并通过多元回归进行多因素分析。
9个维度的平均得分为2.35分。在9个维度中,“获取资源”得分3.0分,为最高;而“社区结构”得分2.1分,为最低。各维度的平均得分相对低于加拿大的数据。影响社区能力建设能力的显著因素包括“工作年限”“健康促进技能水平”“是否存在执行部门”以及“健康促进合作伙伴关系”。根据多元线性回归结果,“是否存在执行部门”具有显著影响。
研究对象的社区能力建设能力总体得分相对较低。建立并激活执行部门以及健康促进合作伙伴关系可能有助于实现社区能力建设。