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Original Article Health Behaviors Before and After the Implementation of a Health Community Organization: Gangwon’s Health-Plus Community Program
Joon-Hyeong Kim1orcid , Nam-Jun Kim2orcid , Soo-Hyeong Kim2orcid , Woong-Sub Park1,2corresp_iconorcid
Journal of Preventive Medicine and Public Health 2023;56(6):487-494
Published online: August 17, 2023
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1Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine, Gangneung, Korea
2Community Health and Welfare Research Center, Catholic Kwandong University, Gangneung, Korea
Corresponding author:  Woong-Sub Park,
Received: 7 March 2023   • Revised: 28 April 2023   • Accepted: 1 May 2023

Community organization is a resident-led movement aimed at creating fundamental social changes in the community by resolving its problems through the organized power of its residents. This study evaluated the effectiveness of health community organization (HCO), Gangwon’s Health-Plus community program, implemented from 2013 to 2019 on residents’ health behaviors.
This study had a before-and-after design using 2011-2019 Korea Community Health Survey data. To compare the 3-year periods before and after HCO implementation, the study targeted areas where the HCO had been implemented for 4 years or longer. Therefore, a total of 4512 individuals from 11 areas with HCO start years from 2013 to 2016 were included. Complex sample multi-logistic regression analysis adjusting for demographic characteristics (sex, age, residential area, income level, education level, and HCO start year) was conducted.
HCO implementation was associated with decreased current smoking (adjusted odds ratio [aOR], 0.73; 95% confidence interval [CI], 0.57 to 0.95) and subjective stress recognition (aOR, 0.79; 95% CI, 0.64 to 0.97). Additionally, the HCO was associated with increased walking exercise practice (aOR, 1.39; 95% CI, 1.13 to 1.71), and attempts to control weight (aOR, 1.36; 95% CI, 1.12 to 1.64). No significant negative changes were observed in other health behavior variables.
The HCO seems to have contributed to improving community health indicators. In the future, a follow-up study that analyzes only the effectiveness of the HCO through structured quasi-experimental studies will be needed.

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