Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Obesity Stress and Health Belief on Weight Control Behavior among Nursing Students

간호대학생의 비만스트레스와 건강신념이 체중조절행위에 미치는 영향

  • Received : 2017.07.14
  • Accepted : 2017.11.03
  • Published : 2017.11.30
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Abstract

This study investigated the factors influencing how obesity stress and health belief impact weight control behavior among nursing students. Data were collected from nursing students in U city between September 1 and October 10, 2016 and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical multiple regression. Among the general characteristics of the subjects, gender (t=2.30, p=0.044) and health status (F=8.03, p<0.001) significantly influenced weight control behavior. There were negative correlations between diet therapy of weight control behavior (r=-0.26, p<0.001), exercise therapy (r=-0.25, p<0.001), behavior modification therapy (r=-0.29, p<0.001), and perceived barriers in health belief. In addition, acquiring special knowledge for weight control behavior showed positive correlations in obesity stress (r=0.42, p<0.001), perceived susceptibility (r=0.25, p<0.001) and perceived benefits (r=0.19, p<0.001). Furthermore, the significant factors influencing weight control behavior were perceived barriers (${\beta}=-0.30$, p<0.001) and obesity stress (${\beta}=0.20$, p<0.05) in health belief, and these factors explained 17.2% of the variance. Based on the study results, it is necessary to develop and apply effective educational programs that can influence weight control behavior through gender, health status, obesity stress and health beliefs, which determine weight control behavior of nursing students.

본 연구는간호대학생의 비만스트레스와 건강신념이 체중조절행위에 미치는 영향을 파악하기 위해 시도되었다. 자료 수집은 2016년 9월 1일부터 10월 10일까지 U시에 소재한 대학교에 재학 중인 간호대학생을 대상으로 설문조사를 실시하였으며, 수집된 자료는 SPSS 23.0프로그램을 이용하여 t-test, ANOVA, Scheffe test, Person's correlation coefficients와 위계적 다중회귀분석(Hierarchical multiple regression analysis)으로 분석하였다. 대상자의 일반적 특성 중 성별(t=2.30, p=.044), 건강상태(F=8.03, p<.001)가 체중조절행위에 유의하게 영향을 주었다. 체중조절행위의 식이요법(r=-.26, p<.001), 운동요법(r=-.25, p<.001)과 행동수정요법(r=-.29, p<.001)이 지각된 장애성과 유의한 음의 상관관계가 있으며, 체중조절행위의 전문지식획득은 비만스트레스(r=.42, p<.001), 지각된 민감성(r=.25, p<.001)과 지각된 유익성(r=.19, p<.001)이 유의한 양의 상관관계가 있는 것으로 나타났다. 또한, 간호대학생의 체중조절행위에 유의한 영향을 준 것은 건강신념 중 지각된 장애(${\beta}=-.30$, p<.001)와 비만스트레스(${\beta}=.20$, p<.05) 순으로 나타났고, 이들 변인들의 총 설명력은 17.2%이었다. 이상의 결과를 토대로 간호대학생의 체중조절행위에 영향을 주는 성별, 건강상태 및 비만스트레스와 건강신념의 변인들을 이용하여 체중조절행위를 실천할 수 있는 효율적인 교육 및 프로그램의 개발과 적용이 요구된다.

Keywords

References

  1. World Health Organization. Obesity and Overweight [Internet]. 2016 [cited 2016 June]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/
  2. G. A. Bray. "Medical Consequences of Obesity", The Journal of clinical endocrinology & metabolism, vol. 89, no. 6, pp. 2583-2589, 2004. DOI: http://dx.doi.org/10.1210/jc.2004-0535
  3. W. H. Yoo, "Effects of body composition, blood lipids and fitness factors as the polymorphism in the ${\beta}3$-AR gene and ACE gene of obese children on aerobic exercise", Sookmyung Woman's University, Master's Thesis, 2006.
  4. G. A. Bray. "Medical Consequences of Obesity", The Journal of clinical endocrinology & metabolism, vol. 89, no. 6, pp. 2583-2589, 2004. DOI: http://dx.doi.org/10.1210/jc.2004-0535
  5. J. M. Clark. "The epidemiology of nonalcoholic fatty liver disease in adults", Journal of clinical gastroenterology. vol. 40, no. 3, pp. S5-S10, 2006. DOI: http://dx.doi.org/10.1097/01.mcg.0000108638.84840.ff
  6. D. W. Haslam, W. P. T. James. "Obesity", The Lancet, vol. 9492, pp. 1197-1209, 2005.
  7. T. A. Wadden, M. L. Butryn, D. B. Sarwer, A. N. Fabricatore, C. E. Crerand, P. E. Lipschutz, L. Faulconbridge, S. E. Raper, N. N. Williams. "Comparison of psychological status in treatment-seeking women with class III vs. class-I-II obesity", Obesity. vol. 14, no. S4, pp. 90S-98S, 2006. DOI: http://dx.doi.org/10.1038/oby.2006.288
  8. B. R. M. Ahn, E. S. Park. "Perception of body weight control, life styles, and dietary habits according to the obesity index of female college students." Korean Association of Human Ecology, vol. 18, pp. 167-179, 2009. https://doi.org/10.5934/KJHE.2009.18.1.167
  9. E. Y. Chang, J. S. Kim, S. J. Shin, "Health promotion lifestyle according to self-perception of obesity and objective status measured by bioelectric impedance analysis in college women", Journal of Korean Academy of Nursing, vol. 39, pp. 693-699, 2009. DOI: https://doi.org/10.4040/jkan.2009.39.5.693
  10. S. K. Chaung, S. Y. Min. "Body satisfaction and weight loss in women college students", Journal of Korean Academy of Fundamentals of Nursing, vol. 13, pp. 485-492, 2006.
  11. H. Clemens, D. Thombs, R. S. Olds, K. L. Gorden. "Normative beliefs as risk factors for involvement in unhealthy weight control behavior', Journal of American College Health, vol. 56, pp. 635-641, 2008. https://doi.org/10.3200/JACH.56.6.635-642
  12. W. O. Lee, Y. Y. Hwang. "A study on high-school girls' obesity, attitudes towards body and weight control", Korea Institute of Youth Facility & Environment, vol. 7, no. 3, pp. 3-11. 2009.
  13. E. J. Kim, B. K. Cha. "Weight control behaviors in female college students", Journal of Korean Academy of Womens Health Nursing, vol. 13, pp. 320-326, 2007.
  14. Y. K. Jung, Y. S. Tae. "Factors affecting body weight control behavior of female college students", Korean Journal of Adult Nursing, vol. 16, pp. 545-555, 2004.
  15. Y. S. Jeun, J. R. Lee, C. M. Park. "A study on the development of weight controlling health behavioral model in women", Journal of Korean Society for Health Education and Promotion, vol. 23, no. 4, pp. 125-153.
  16. Y. H. Kwak. "A testing the expanded theory of reasoned action in prediction of weight control behavior among mid-aged obese women", Chung-Ang University, Doctorial's Dissertation, 2006.
  17. M. H. Becker. "The health belief model and personal health behavior", Health Education Monographs, vol. 2, no. 4, pp. 324-473, 1974. https://doi.org/10.1177/109019817400200401
  18. S. J. Song "The health belief variable analysis according to the stage of weight loss behavior of adult male workers", Sungshin Women's University, Master's Thesis, 2008.
  19. Y. R. Choi. "Obesity stress and depression in elementary school students", Yunsei University, Master's Thesis, 1997.
  20. Y. S. Jeon, H. S. Ahn. "Influence of subjective perception of body image and weight management on obesity stress in college women", Journal of the Korean Society of Esthetic & Cosmeceutics, vol. 1, no. 2, pp. 13-26 , 2006.
  21. M. S. Jeon. "The study on weight-related attitudes and behaviors of women", Daegu Haany University, Master's Thesis, 2004.
  22. J. H. Kim. "A study on factors related to self-weight control practice in adult women", Sungshin women's University, Master's Thesis, 2010.
  23. Y. J. Kang, M. S. Sohn, K. N. Jin, H. J. Kim, H. C. Ohr, S. J. Suh. "Factors influencing weight control behavior and intention of obese children and adolescents", Korean Journal of Preventive Medicine. vol. 31, no. 2, pp. 1999-214, 1998.
  24. H. S. Jung. "A study on the relationship between their health beliefs and compliance with weight control behavior in adults", Hanyang University, Master's Thesis, 1987.
  25. J. J. Kim. "Predictors of weight control behavior according to college students' BMI, perception of body shape, obesity stress, and self-esteem", Journal of the Korean Academia-Industrial cooperaton Society, vol. 17, no. 6, pp. 438-448, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.6.438.
  26. Y. S. Jeon, H. S. Ahn. "Influence of subjective perception of body image and weight management on obesity stress in college women", Journal of the Korean Society of Esthetic and Cosmonautics, vol. 1, no. 2, pp. 13-26, 2006.
  27. I. Rosenstock, Historical origins of the health belief model. Health Education Monographs, vol. 2, no. 4, pp. 328-335, 1974. DOI: http://dx.doi.org/10.1177/109019817400200403