DOI QR코드

DOI QR Code

지역사회 취약계층 아동의 건강행태와 건강관련 삶의 질

Health Behaviors and Health-related Quality of Life among Vulnerable Children in a Community

  • 투고 : 2015.04.27
  • 심사 : 2015.09.23
  • 발행 : 2015.09.30

초록

Purpose: The purpose of this study was to examine the association between health behaviors and health-related quality of life (HRQOL) among vulnerable children in a community. Methods: Using data from 'The Obesity Prevention Framework for Vulnerable Children', a secondary analysis was conducted for 165 children (ages 8~12 years) and their parents who were recruited from 16 K-gu Community Child Centers in Seoul. Six types of health behaviors related to eating and activity were assessed. Each behavior was categorized into the non-recommended vs. recommended levels. The scores of the recommended levels of the six health behaviors were summed up for the composite score of health behaviors. HRQOL was measured by KIDSCREEN-52. Results: The groups with a non-recommended level of fast food intake and sedentary behavior had a significantly lower total score of KIDSCREEN-52 than those with a recommended level. Moreover, the lower composite score of health behaviors was significantly associated with the lower total score of KIDSCREEN-52. Conclusion: Among the vulnerable children, the six recommended health behaviors and their composite score were in significant positive associations with the HRQOL levels. Therefore, nursing strategies for enhancing the recommended levels of health behaviors are needed for vulnerable children.

키워드

참고문헌

  1. The Organization for Economic Co-operation and Development. Doing better for families [Internet]. Paris: The Organization for Economic Co-operation and Development. 2011 [cited 2015 July 29]. Available from: http://dx.doi.org/10.1787/9789264098732-en
  2. Statistics Korea. 2013 economic and financial data for Korea [Internet]. Seoul: Statistics Korea. 2013 [cited 2015 July 3]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/4/4/index.board?bmode=read&bSeq=&aSeq=310209&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=
  3. Kim HR, Lee SH, Choi JM, Oh YI. Children's obesity and underweight among low income families in Korea: Status, implications and policy options. Sejong: Korea Institute for Health and Social Affairs; 2011 July. Report No.: 2011-07.
  4. Craig LC, McNeill G, Macdiarmid JI, Masson LF, Holmes BA. Dietary patterns of school-age children in Scotland: Association with socioeconomic indicators, physical activity and obesity. The British Journal of Nutrition. 2010;103(3):319-334. http://dx.doi.org/10.1017/s0007114509991942
  5. Drenowatz C, Eisenmann JC, Pfeiffer KA, Welk G, Heelan K, Gentile D, et al. Influence of socio-economic status on habitual physical activity and sedentary behavior in 8- to 11-year old children. BMC Public Health. 2010;10(1):214. http://dx.doi.org/10.1186/1471-2458-10-214
  6. United States Department of Agriculture. Dietary guidelines for Americans 2010 [Internet]. Washington, DC: United States Department of Health and Human Services. 2010 [cited 2014 April 14]. Available from: http://www.cnpp.usda.gov/dgas2010-policydocument.htm
  7. Evans DR. Enhancing quality of life in the population at large. Social Indicators Research. 1994;33(1-3):47-88. http://dx.doi.org/10.1007/978-94-011-0171-4_2
  8. The KIDSCREEN Group Europe. The KIDSCREEN Questionnaires- quality of life questionnaires for children and adolescents. Lengerich: Pabst Science Publishers; 2006. 231 p.
  9. Mansour ME, Kotagal U, Rose B, Ho M, Brewer D, Roy-Chaudhury A, et al. Health-related quality of life in urban elementary schoolchildren. Pediatrics. 2003;111(6):1372-1381. http://dx.doi.org/10.1542/peds.111.6.1372
  10. Chen G, Ratcliffe J, Olds T, Magarey A, Jones M, Leslie E. BMI, health behaviors, and quality of life in children and adolescents: A school-based study. Pediatrics. 2014;133(4):e868-874. http://dx.doi.org/10.1542/peds.2013-0622d
  11. Wu XY, Ohinmaa A, Veugelers PJ. Diet quality, physical activity, body weight and health-related quality of life among grade 5 students in Canada. Public Health Nutrition. 2012;15(1):75-81. http://dx.doi.org/10.1017/s1368980011002412
  12. Dalton WT 3rd, Schetzina KE, Pfortmiller DT, Slawson DL, Frye WS. Health behaviors and health-related quality of life among middle school children in Southern Appalachia: data from the winning with wellness project. Journal of Pediatric Psychology. 2011;36(6):677-686. http://dx.doi.org/10.1093/jpepsy/jsq108
  13. Schlesinger S, Walter J, Hampe J, von Schonfels W, Hinz S, Kuchler T, et al. Lifestyle factors and health-related quality of life in colorectal cancer survivors. Cancer Causes & Control: CCC. 2014;25(1):99-110. http://dx.doi.org/10.1007/s10552-013-0313-y
  14. Choo J, Kim HJ, Yang HM, Kim S. An obesity prevention framework for vulnerable children based on a methodology of community-based participatory research: Using a strategy of training community lay health advisors. Seoul: Korea Health Promotion Foundation; 2013 November. Report No.: General 13-8.
  15. Ravens-Sieberer U, Gosch A, Rajmil L, Erhart M, Bruil J, Duer W, et al. KIDSCREEN-52 quality-of-life measure for children and adolescents. Expert Review of Pharmacoeconomics & Outcomes Research. 2005;5(3):353-364. http://dx.doi.org/10.1586/14737167.5.3.353
  16. Ministry of Health & Welfare. The Korean dietary guidelines for children [Internet]. Sejong: Ministry of Health & Welfare. 2009 [cited 2015 January 31]. Available from: http://www.mw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=031603&CONT_SEQ=224044&page=1
  17. Kvaavik E, Andersen LF, Klepp KI. The stability of soft drinks intake from adolescence to adult age and the association between long-term consumption of soft drinks and lifestyle factors and body weight. Public Health Nutrition. 2005;8(2):149-157. http://dx.doi.org/10.1079/phn2004669
  18. KIDSCREEN. Questionnaires [internet]. Hamburg: Germany. 2011 [cited 2014 December 23]. Available from: http://www.kidscreen.org/
  19. Lee BJ, Kwak GJ, Gu IH, Kim MH, Kim SS, Kim JH, et al. A nationwide survey: The status of Korean children and adolescents. Seoul National University Report. Sejong: Ministry of Health & Welfare; 2009 January. Report No.: 11-1351000-000228-01.
  20. Ministry of Education. Results of 2013 school health examination [Internet]. Sejong: Ministry of Education. 2013 [cited 2015 January 31]. Available from: http://www.moe.go.kr/web/45859/ko/board/view.do?bbsId=294&boardSeq=52706.
  21. Dave JM, Evans AE, Pfeiffer KA, Watkins KW, Saunders RP. Correlates of availability and accessibility of fruits and vegetables in homes of low-income hispanic families. Health Education Research. 2010;25(1):97-108. http://dx.doi.org/10.1093/her/cyp044
  22. Lee HY, Park YG, You SR, Jung SW, Ko JW. Report of longitudinal analysis III: Socially disadvantaged children and adolescents. Sejong: National Youth Policy Institute; 2012 December. Report No.: 12-R09.
  23. Morales PF, Sanchez-Lopez M, Moya-Martinez P, Garcia-Prieto JC, Martinez-Andres M, Garcia NL, et al. Health-related quality of life, obesity, and fitness in schoolchildren: The cuenca study. Quality of Life Research. 2013;22(7):1515-1523. http://dx.doi.org/10.1007/s11136-012-0282-8
  24. Young EM, Fors SW, Hayes DM. Associations between perceived parent behaviors and middle school student fruit and vegetable consumption. Journal of Nutrition Education and Behavior. 2004;36(1):2-8. http://dx.doi.org/10.1016/s1499-4046(06)60122-x
  25. Chen X, Sekine M, Hamanishi S, Wang H, Gaina A, Yamagami T, et al. Lifestyles and health-related quality of life in Japanese school children: A cross-sectional study. Preventive Medicine. 2005;40(6):668-678. http://dx.doi.org/10.1016/j.ypmed.2004.09.034
  26. June KJ, Kim JY, Park SM, Lee JY. Breakfast skipping and related factors in children in poverty. Journal of Korean Academy of Community Health Nursing. 2011;22(2):204-211. http://dx.doi.org/10.12799/jkachn.2011.22.2.204
  27. World Health Organization. Global health risks [Internet]. Geneva: World Health Organization. 2009 [cited 2015 January 31]. Available from: http://www.who.int/healthinfo/global_burden_disease/global_health_risks/en/
  28. Mathers M, Canterford L, Olds T, Hesketh K, Ridley K, Wake M. Electronic media use and adolescent health and well-being: Cross-sectional community study. Academic Pediatrics. 2009;9(5):307-314. http://dx.doi.org/10.1016/j.acap.2009.04.003
  29. Syvaoja HJ, Kantomaa MT, Ahonen T, Hakonen H, Kankaanpaa A, Tammelin TH. Physical activity, sedentary behavior, and academic performance in Finnish children. Medicine and Science in Sports and Exercise. 2013;45(11):2098-2104. http://dx.doi.org/10.1249/mss.0b013e318296d7b8
  30. Kwon YH, Kim CN. The relationship between computer game addiction and the impulsiveness, aggression, and emotional intelligence of elementary school students. Journal of Korean Academy of Community Health Nursing. 2004;15(3):460-470.

피인용 문헌

  1. 저소득가정 비만아동의 신체활동 증진 장애요인 : 지역아동센터 이용 아동을 중심으로 vol.31, pp.2, 2015, https://doi.org/10.5932/jkphn.2017.31.2.327
  2. 서울지역 학령기 취약계층 아동의 건강문제와 관련 요인 vol.30, pp.3, 2015, https://doi.org/10.15434/kssh.2017.30.3.181
  3. The Differences in Obesity Rates According to Status of Co-Residence with Their Parents in Korean Adolescents: The Implication of the Gender of Single Parent Living with Adolescents vol.18, pp.4, 2015, https://doi.org/10.15384/kjhp.2018.18.4.177
  4. Relationship between sedentary behavior and health-related factors in Adolescents : Based on 12th(2016) Korea youth risk behavior web-based survey(KYRBS) vol.6, pp.1, 2015, https://doi.org/10.24007/ajpess.2018.6.1.007
  5. 지역아동센터 종사자가 인식한 센터아동의 신체활동 증진 장애요인과 개선방안 vol.32, pp.1, 2015, https://doi.org/10.5932/jkphn.2018.32.1.109
  6. 저소득층 학령기 아동·청소년 대상 건강관련 중재에 관한 체계적 문헌고찰 vol.15, pp.2, 2015, https://doi.org/10.16952/pns.2018.15.2.92
  7. Factors Affecting Health Behaviors in Late School-aged Children from Multicultural Families vol.26, pp.1, 2015, https://doi.org/10.4094/chnr.2020.26.1.23
  8. 취약계층 초등학생 대상 산림치유 프로그램 개발 vol.17, pp.1, 2020, https://doi.org/10.16952/pns.2020.17.1.1