DOI QR코드

DOI QR Code

Factors Affecting Health Behaviors in Late School-aged Children from Multicultural Families

  • Received : 2019.08.28
  • Accepted : 2019.09.28
  • Published : 2020.01.31

Abstract

Purpose: This study was conducted to investigate factors affecting health behaviors in late school-aged children from multicultural families. Methods: This study included 401 children (112 from multicultural families and 289 from non-multicultural backgrounds) in grades 4~6 in 11 elementary schools. Data on health behaviors and related factors (school adjustment, the mother-child relationship, self-efficacy, etc.) were collected from the children using self-reported questionnaires between May and June in 2019. The collected data were analyzed through a univariate analysis and multiple regression analysis. Results: The health behavior score of multicultural children was lower than that of non-multicultural children (t=3.32, p=.001). In multicultural children, school adjustment (β=.55, p<.001), mother-child relationship (β=.25, p=.001), and perceived health status (very healthy=1; β=.19, p=.011) were significant factors affecting their health behavior and explained 47.0% (F=30.93, p<.001) of the variance. Conclusion: Multicultural late school-aged children are at risk to engage in a lower level of health behaviors than their non-multicultural counterparts. More attention should be paid to ways of improving multicultural children's perceptions of their health status, maternal relationships, and school adjustment in order to promote health behaviors.

Keywords

References

  1. Ministry of Education; Korean Educational Development Institute. 2018 Statistical yearbook of education [Internet]. Chungcheongbuk-do: Korean Educational Development Institute; 2018 [cited 2019 August 27]. Available from: https://kess.kedi.re.kr/publ/view?survSeq=2018&menuSeq=3894 &publSeq=2&itemCode=02&menuId=0&language=en#
  2. Korean Women's Development Institute. The national survey of multicultural familes 2018. Study Report. Sejong: National Ministry of Gender Equality and Family; 2019 March. Report No.: 2019-01.
  3. Kim HR. Health problems and policy implications in multicultural families. Health.Welfare Issue and Focus. 2013;12:1-8.
  4. Lally P, Gardner B. Promoting habit formation. Health Psychology Review. 2013;7(sup1): S137-S158. https://doi.org/10.1080/17437199.2011.603640
  5. Hockenberry M, Wilson D. Wong's nursing care of infant and children. 10th ed. St. Louis: Mosby; 2014. p. 569-583.
  6. Oh JA. Factors affecting the health behavior of elementary school children at a late school age. Journal of Korean Academy of Community Health Nursing. 2010:21(4);458-467. https://doi.org/10.12799/jkachn.2010.21.4.458
  7. Jeon GE, Kwon IS. Factors affecting health promotion behaviors of upper grade elementary students. Child Health Nursing Research. 2017;23(3):319-328. https://doi.org/10.4094/chnr.2017.23.3.319
  8. Jang BS, Kim DH. Health literacy and health behavior in late school-age children. Journal of Korean Academy of Community Health Nursing. 2015;26(3):199-208. https://doi.org/10.12799/jkachn.2015.26.3.199
  9. Park J. Predictors of health promoting behaviors among children from low-income families: An ecological approach [dissertation]. Seoul: Yonsei University; 2014. p. 1-181.
  10. Kim S, Choo J. Health Behaviors and health-related quality of life among vulnerable children in a community. Journal of Korean Academy of Community Health Nursing. 2015;26(3):292-302. https://doi.org/10.12799/jkachn.2015.26.3.292
  11. Kim EG, Yoo H. Health behaviors and health status by gender differences of adolescents in multicultural families. Journal of the Korean Society of School Health. 2018;31(1):10-17. https://doi.org/10.15434/kssh.2018.31.1.10
  12. Short SE, Mollborn S. Social determinants and health behaviors: Conceptual frames and empirical advances. Current Opinion in Psychology. 2015;5:78-84. https://doi.org/10.1016/j.copsyc.2015.05.002
  13. Schwarzer R, Luszczynska A. Perceived self-efficacy [Internet]. Washington, D.C: National Cancer Institute; 2008 [cited 2019 August 27]. Available from: https://cancercontrol.cancer.gov/brp/research/constructs/self_efficacy.html
  14. Yee AZ, Lwin MO, Ho SS. The influence of parental practices on child promotive and preventive food consumption behaviors: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity. 2017;14(1):47. https://doi.org/10.1186/s12966-017-0501-3
  15. Song SH, An HJ. Experience of child-rearing of filipino married immigrant women. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2011;20(2):167-179. https://doi.org/10.12934/jkpmhn.2011.20.2.167
  16. Joe SJ, Doh HS. The development and validation of a school adjustment scale for late school-aged children. Korean Journal of Child Studies. 2018;39(2):95-111. https://doi.org/10.5723/kjcs.2018.39.2.95
  17. Oh I. Relations between school bullying victimization and psychological problems among students from multicultural families: A focus on mediation effect of psychological well-being. Asian Journal of Education. 2014;15(4):219-238. https://doi.org/10.15753/aje.2014.15.4.009
  18. Shin KM, Cho SM, Shin YM, Park KS. Effects of early childhood peer relationships on adolescent mental health: A 6- to 8-year follow-up study in South Korea. Psychiatry Investigation. 2016;13(4): 383-388. https://doi.org/10.4306/pi.2016.13.4.383
  19. Kim SJ, Yang SO, Jeong GH, Lee SH. Level of health promotion behavior practice in elementary school students. Journal of Korean Academy of Child Health Nursing. 2007;13(4):407-415.
  20. Kim JH, Yun S, Hwang S, Shim JO, Chae HW, Lee YJ, et al. The 2017 Korean national growth charts for children and adolescents: Development, improvement, and prospects. Korean Journal of Pediatrics. 2018;61(5):135-149. https://doi.org/10.3345/kjp.2018.61.5.135
  21. Lee MK, Kim SH. Development of a parent-child relationships scale for upper grade elementary school students. Korea Journal of Counseling. 2011;12(3):997-1017. https://doi.org/10.15703/kjc.12.3.201106.997
  22. Lee YM, Schwarzer R, Jerusalem M. Korean adaptation of the general self-efficacy scale [Internet]. United Kingdom: NFER-Nelson; 1994 [Cited 2019 April 20]. Available from: http://userpage.fu-berlin.de/-health/korean.htm
  23. Schwarzer R, Jerusalem M. The general self-efficacy scale [Internet]. United Kingdom: NFER-Nelson; 1993 [Cited 2019 April 20]. Available from: http://userpage.fu-berlin.de/-health/engscal.htm
  24. Nam IS, Ahn S. Comparison of stress, social support, and marital satisfaction between married immigrant women in urban and rural areas. Korean Journal of Women Health Nursing. 2011;17(2): 99-108. https://doi.org/10.4069/kjwhn.2011.17.2.99
  25. Song JE, Roh EH, Park SM. Systematic review of quantitative research related to maternal adaptation among women immigrants by marriage in Korea. Korean Journal of Women Health Nursing. 2015;21(1):55-70. https://doi.org/10.4069/kjwhn.2015.21.1.55
  26. Hwang HH. Current status and implication of multicultural students. Issues Report. Seoul: National Assembly Research Service; 2018 November. Report No.: 131-20181114.
  27. Pearce A, Rougeaux E, Law C. Disadvantaged children at greater relative risk of thinness (as well as obesity): A secondary data analysis of the England national child measurement programme and the UK millennium cohort study. International Journal for Equity in Health. 2015;14:61. https://doi.org/10.1186/s12939-015-0187-6
  28. Lee KS, Ahn HR, Lee KH. Factors related to the overuse of mobile phone in elementary school students. Journal of Korean Academy of Psychiatric Mental Health Nursing. 2011;20(3):271-280. https://doi.org/10.12934/jkpmhn.2011.20.3.271