PHI Research Report 2014-02
PHI 연구 보고서 2014-02
아동건강권 사업 보고서 2012
* 아동건강권사업은 시민건강증진연구소의 Child Health Initiative 연구기금으로 진행되었습니다.
Child Health Initiative
Child Health Initiative는 우리 연구소의 활동을 지지하는 뜻 있는 회원의 기부로 조성된 연구기금입니다.
출판일 ∥ 2014년 06 월 09 일
편집인 ∥ 서 상 희 (시민건강증진연구소)
공동저자 ∥ 전 경 자 (순천향대학교 간호학과)
김 명 희 (시민건강증진연구소)
서 상 희 (시민건강증진연구소)
장 민 희 (시민건강증진연구소)
펴낸 곳 ∥ (사) 시민건강증진연구소
서울시 서초구 방배로 201 보성빌딩 4층
전화: 070 8658-1848 팩스: 02 581-0339
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< 차 례 >
요약 ················································································i
1. 연구의 필요성 ································································1
2. 배경 ············································································3
2.1 어린이 건강을 바라보는 엇갈린 시선들 ································3
2.1.1 미래의 일꾼이라서? 아니 불쌍하니까? ······························3
2.1.2 성인기의 건강불평등을 해소하기 위한 출발점? ····················4
2.1.3 어린이, 건강한 삶, 존재론적 가치 ·····································5
2.2 어린이 건강과 지역사회 ···················································8
2.2.1 왜 지역사회에서 시작 하는가 ··········································8
2.2.2 어린이가 건강하게 자랄 수 있는 지역사회란························10
3. PHI 아동건강권 사업 소개 ··················································12
3.1 아동건강권 사업의 목표와 추진계획 ····································12
3.1.1 천안에서 시작하다. ······················································13
3.1.2 “미래를 여는 아이들”과 함께 ···········································14
3.2 첫 해, 우리는 이렇게 활동했다. ···········································14
3.2.1 준비회의 ····································································14
3.2.2 진행일정 ····································································16
4. 어린이 건강에 대한 지역주민의 인식: 집단면담 결과 ···················18
4.1 집단면담 준비 과정 ··························································18
4.2 그룹별 집단면담 내용 ························································21
4.2.1 ‘건강한 아이들’에 대한 참여자들의 인식 ·······························21
4.2.1.1 건강한 아이들이란? ······················································21
4.2.1.2 아이들을 ‘불건강’하게 만드는 현실에 대한 인식 ·····················27
4.2.1.3 아프진 않지만 ‘불건강’한 아이들-놀지 못하는 아이들 ···············31
4.2.1.4 아프진 않지만 ‘불건강’한 아이들-즐겁지 않은 아이들 ···············33
4.2.1.5 건강한 아이들의 조건-신체적, 정신적 건강의 조화 ···················35
4.2.1.6 건강할 수 없는 아이들-형평성의 문제 ···································38
4.2.1.7 부모 교육의 필요성 ·························································42
4.2.2 ‘건강한 지역’에 대한 참여자들의 인식 ······································45
4.2.2.1 천안지역에 대한 참여자들의 인식 ········································45
4.2.2.2 천안에 대한 기대-건강한 환경 조성과 어린이에 대한 지원 확충 ······48
4.2.2.3 천안에 대한 기대-공동체에 대한 희망, 실천을 위한 실마리 ············50
4.3. ‘건강한 아이들, 살고 싶은 천안’을 위한 과제 : 워크샵 결과 ················54
4.3.1 워크샵 과정 및 내용 보고 ·······················································55
4.4. 소결 ···················································································59
5. 어린이들이 말하는 건강관련 경험: 어린이 면담 결과 ···························61
5.1 자료수집방법 ·········································································61
5.1.1 집단면담 ·············································································63
5.1.2 개별심층면담 ········································································66
5.2 참여 어린이 소개·······································································68
5.3 어린이 면담 내용 ······································································76
5.3.1 총체적 박탈 경험 “집 밥” ···························································78
5.3.1.1 스스로 챙겨먹거나 그냥 굶기 ···················································79
5.3.1.2 외롭고 맛없는 밥 ···································································91
5.3.1.3 체념 ··················································································95
5.3.2. 새로운 경험 구축 “학교 밥” ························································100
5.3.2.1 기다려지고 맛있는 학교급식 ····················································101
5.3.2.2 편하고 즐겁게 함께 하는 점심시간 ·············································104
5.3.3. 어중간함 속에 존재하는 가치 “공부방 밥” ······································105
5.3.3.1 맛있거나 혹은 맛없거나 ·························································106
5.3.3.2 간식의 긍정성 ······································································109
5.3.4 사라져버린 공동체 “이웃(동네)밥” ················································111
5.3.4.1 이웃사촌이 없음 ···································································112
5.3.4.2 친구 집에 놀러간 경험 ····························································113
5.3.5 인식(생각)을 넘어서는 경험 ························································115
5.3.5.1 ‘밥’에서 중요한 것 ·································································116
5.3.5.2 ‘밥’ 보다 중요한 것 ································································120
5.3.5.3 먹을거리에 대한 다양한 경험이 없음 ···········································122
5.4 소결 ·······················································································128
6. 결론 ·························································································130
