DOI QR코드

DOI QR Code

Study on Opt-in of School-Based Student Health Screening

학교기반 학생 건강검진 참여 결정에 대한 연구

  • Cho, Ki-Bum (Division of Sport Science, Hanyang University) ;
  • Lee, Ho-Jun (Department of Human Movement Science, Seoul Women's University) ;
  • Kim, Seung-Yong (Major in Physical Education, Graduate School of Education, Kyonggi University)
  • 조기범 (한양대학교 스포츠과학부) ;
  • 이호준 (서울여자대학교 체육학과) ;
  • 김승용 (경기대학교 교육대학원 체육교육전공)
  • Received : 2020.03.04
  • Accepted : 2020.05.20
  • Published : 2020.05.28

Abstract

This study was to explore factors determining school-based student health screening participation. Participants were six health coordinators in West Virginia, the United States. They have responsibilities in the student health screening and conducted a phone interview. The results are as follows. First, opt-in of health screening came from the interest in students' health, peer pressure, and free screening. Second, opt-out of health screening came from the indifference to a school newsletter, anxiety about an information disclosure, and the fear of drawing blood. Third, the advantage of health screening was provided for free. Fourth, the primary decision-maker was parents, but sometimes was children. Fifth, non-family members also influenced on the participation in the health screening. Therefore, a school newsletter, parents and teachers education, and free screening may be required to improve the participation rate.

본 연구는 학교를 기반으로 하는 학생 건강 검진 참여를 결정하는 요인들이 무엇인지를 밝히는 연구이다. 연구대상은 미국 웨스트버지니아주의 건강 관리사 6명이며, 자료 수집은 전화 인터뷰를 활용하였다. 연구 결과는 다음과 같다. 첫째, 자녀 건강에 대한 관심과 외부적인 압박, 그리고 무료 검진에 의해 동의하는 것으로 나타났다. 둘째, 건강 검진에 대한 지식 부족, 가정 통신문에 대한 무관심, 그리고 자녀의 정보 노출에 대한 불안감, 피를 뽑아야 하는 두려움이 동의를 하지 않는 것으로 나타났다. 셋째, 건강 검진의 장점으로 모든 절차가 무료로 진행된다는 점이었다. 넷째, 학부모가 동의를 결정하는 주된 결정권자이지만 때로는 자녀에게 그 결정권이 존재하고 있었다. 다섯째, 학생 주변에 존재하는 교사, 동료학생, 학교 모두 참여를 결정지을 수 있음을 확인하였다. 그러므로 가정 통신문 개선, 학부모 및 교사 교육, 무료 검사가 필요할 것이다.

Keywords

References

  1. E. A. Kramarow & B. Tejada-Vera. (2019). National Vital Statistics Reports. National Vital Statistics Reports, 68(2), 1-18.
  2. T. D'lsanto, A. Manna & G. Altavilla. (2017). Health and physical activity. Sport Science, 10(1), 100-105.
  3. F. U. Jung & C. Luck-Sikorski. (2019). Overweight and lonely? A representative study on loneliness in obese people and its determinants. Obesity Facts, 12(40), 440-447. DOI : 10.1159/000500095
  4. C. V. Harris & W. A. Neal. (2009). Assessing BMI in West Virginia schools: parent perspectives and the influence of context. Pediatrics, 124(Supplement 1), S63-S72. DOI : 10.1542/peds.2008-3586i
  5. S. A. Carlson, D. Densmore, J. E. Fulton, M. M. Yore & H. W. Kohl. (2009). Differences in physical activity prevalence and trends from 3 US surveillance systems: NHIS, NHANES, and BRFSS. Journal of Physical Activity and Health, 6(s1), S18-S27. DOI : 10.1123/jpah.6.s1.s18
  6. M. Y. Kubik, M. Story & G. Rieland. (2007). Developing school-based BMI screening and parent notification programs: findings from focus groups with parents of elementary school students. Health Education & Behavior, 34(4), 622-633. DOI : 10.1177/1090198105285373
  7. P. Branscum & M. Sharma. (2012). After-school based obesity prevention interventions: a comprehensive review of the literature. International Journal of Environmental Research and Public Health, 9(4), 1438-1457. DOI : 10.3390/ijerph9041438
  8. K. Resnicow. (1993). School-based obesity prevention: population versus high-risk interventions. Annals of the New York Academy of Sciences, 699(1), 154-166. DOI : 10.1111/j.1749-6632.1993.tb18847.x
  9. M. Rukstalis & C. Hauer. (2011). C-B5-05: early childhood obesity prevention in primary care: opt-in versus opt-out recruitment strategies. Clinical Medicine & Research, 9(3-4), 163-164. DOI : 10.3121/cmr.2011.1020.c-b5-05
  10. E. M. Taveras et al. (2011). Randomized controlled trial to improve primary care to prevent and manage childhood obesity: the High Five for Kids study. Archives of Pediatrics & Adolescent Medicine, 165(8), 714-722. DOI : 10.1001/archpediatrics.2011.44
  11. S. Bellman, E. J. Johnson & G. L. Lohse. (2001). On site: to opt-in or opt-out? it depends on the question. Communications of the ACM, 44(2), 25-27. DOI : 10.1145/359205.359241
  12. Ministry of Education. (2019). 2018 Student health screening results, Seoul : Ministry of Education Publishing.
  13. The Board of Audit and Inspection of Korea. (November, 2018). Ministry of Health and Welfare. http://www.mohw.go.kr/reach/modules/download.jsp?BOARD_ID=1020%CONT_SEQ=347391&FILE_SEQ=245132
  14. J. P. Spradley. (2016). The ethnographic interview. Illinois: Waveland Press.
  15. C. Y. Lee, J. A. Kim & S. H. Kim. (2013). Comparison of preventive health behaviors in adults aged 50-64 in Korea and the United States. Journal of Korean Academy of Community Health Nursing, 24(2), 161-171. DOI : 10.12799/jkachn.2013.24.2.161
  16. Y. J. Jeun. (2013). EMR system and patient medical information protection. The Korean Journal of Health Service Management, 7(3), 213-224. DOI: 10.12811/kshsm.2013.7.3.213
  17. Y. J. Kim. (2018). Multicultural education in the United States: looking into a case of an elementary school. Asia-pacific Journal of Multimedia Service Convergent with Art, Humanities, and Sociology, 8(6), 517-526. DOI : 10.21742/AJMAHS.2018.06.83
  18. Y. J. Oh. (2018). Role of multicultural family support center for school adaptation of elementary school children of multicultural families. The Journal of Cultural Exchange, 7(3), 79-99. DOI : 10.30974/kaice.2018.7.3.79
  19. T. R. Wagner & C. Manolis. (2012). The fear associated with blood and organ donation: an explication of fright and anxiety. Progress in Transplantation, 22(2), 200-206. DOI : 10.7182/pit2012467
  20. C. Maitland, G. Stratton, S. Foster, R. Braham & M. Rosenberg. (2013). A place for play? the influence of the home physical environment on children's physical activity and sedentary behaviour. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 99. DOI : 10.1186/1479-5868-10-99