Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
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Comparative Analysis of Behavior of Reducing Exposure to Endocrine Disrupting Chemicals between Mothers of Children with Precocious Puberty and Typically Developing Children

성조숙증 아동 어머니와 정상발달 아동 어머니의 내분비계 장애물질 노출저감화행동 비교

  • Min, Jung A (The Catholic University of Korea Daejeon St. Mary's Hospital) ;
  • Jun, Eun-Young (Department of Nursing, Daejeon University)
  • Received : 2024.03.31
  • Accepted : 2024.04.27
  • Published : 2024.04.30
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Abstract

Purpose: This study aimed to enhance health management and prevention strategies for precocious puberty by comparing the knowledge, motivation, and behaviors related to reducing exposure to endocrine disrupting chemicals (EDCs) between mothers of children with precocious puberty and those of typically developing children. Methods: Participants were 66 mothers of children with precocious puberty from a hospital and 71 mothers of typically developing children from an elementary school. The research questionnaire assessed knowledge of EDCs, motivation, self-efficacy, and behaviors towards reduced exposure to EDCs, in addition to general characteristics of children with precocious puberty. Data analysis utilized descriptive statistics, chi-square tests, t-tests, ANOVA, and Pearson's correlation. Results: There were statistically significant differences in self-efficacy (p=.015) and behavior (p=.001) regarding reduced exposure to EDCs between the two groups. Behaviors toward reduced exposure to EDCs were positively associated with knowledge of EDCs, motivation, and self-efficacy among mothers of children with precocious puberty. Additionally, these behaviors correlated positively with knowledge of EDCs, motivation, self-efficacy, and the child's birth weight and waist circumference among mothers of typically developing children. Conclusion: The results of this study revealed that mothers of children with precocious puberty exhibited less proactive behavior in reducing exposure to EDCs compared to mothers of typical children. Therefore, it is important to foster interest in the impact of environmental factors, beyond characteristic factors, on behaviors aimed at reducing exposure to EDCs.

Keywords

Acknowledgement

This research was supported by the Daejeon University Research Grants (2021).

References

  1. Jaruratanasirikul S, Sriplung H. Secular trends of growth and pubertal maturation of school children in Southern Thailand. Annals of Human Biology. 2015;42(5):447-454. https://doi.org/10.3109/03014460.2014.955057
  2. Seo MY, Kim SH, Juul A, Park MJ. Trend of menarcheal age among Korean girls. Journal of Korean Medical Science. 2020;35(49):e406. https://doi.org/10.3346/jkms.2020.35.e406
  3. Rhie YJ, Lee KH. Overview and treatment of precocious puberty. Journal of the Korean Medical Association. 2015;58(12):1138-1144. https://doi.org/10.5124/jkma.2015.58.12.1138
  4. Health Insurance Review & Assessment Service. Statistics on diseases and medical treatment in daily life. Health Insurance Review & Assessment Service Report. Wonju: Health Insurance Review & Assessment Service, 2023 December 20. Report No.: G000EP1-2023-143.
  5. Cho HH, Moon SH. Association of sexual maturation and parent-child communication on maturity fears in elementary school girls. Child Health Nursing Research. 2016;22(2):137-144. https://doi.org/10.4094/chnr.2016.22.2.137
  6. Kim SY. Etiology and treatment of central precocious puberty. Journal of the Korean Medical Association. 2018;61(10):591-598. https://doi.org/10.5124/jkma.2018.61.10.591
  7. Sung AD, Shin J, Lee S, Park S, Oh Y, Lee S. Low dose effect and non monotonic dose responses (NMDRs) and its medical meaning: focusing on a new paradigm of dose-response relationship. Journal of Society of Preventive Korean Medicine. 2016;20(1):145-159.
  8. Li A, Zhuang T, Song M, Cao H, Gao Y, Zheng S, et al. Occurrence, placental transfer, and health risks of emerging endocrine-disrupting chemicals in pregnant women. Journal of Hazardous Materials. 2023;459:132157. https://doi.org/10.1016/j.jhazmat.2023.132157
  9. Sifakis S, Androutsopoulos VP, Tsatsakis AM, Spandidos DA. Human exposure to endocrine disrupting chemicals: effects on the male and female reproductive systems. Environmental Toxicology and Pharmacology. 2017;51:56-70. https://doi.org/10.1016/j.etap.2017.02.024
  10. Windham GC, Pinney SM, Voss RW, Sjodin A, Biro FM, Greenspan LC, et al. Brominated flame retardants and other persistent organohalogenated compounds in relation to timing of puberty in a longitudinal study of girls. Environmental Health Perspectives. 2015;123(10):1046-1052. https://doi.org/10.1289/ehp.1408778
  11. Berghuis SA, Roze E. Prenatal exposure to PCBs and neurological and sexual/pubertal development from birth to adolescence. Current Problems in Pediatric and Adolescent Health Care. 2019;49(6):133-159. https://doi.org/10.1016/j.cppeds.2019.04.006
  12. Hashemipour M, Hovsepian S, Ansari A, Keikha M, Khalighinejad P, Niknam N. Screening of congenital hypothyroidism in preterm, low birth weight and very low birth weight neonates: a systematic review. Pediatrics and Neonatology. 2018;59(1):3-14. https://doi.org/10.1016/j.pedneo.2017.04.006
  13. Uhm JY, Jun EY. Influencing factors of behavior of reducing exposure to endocrine disrupting chemicals in pregnant women. Journal of Korean Academic Society of Home Health Care Nursing. 2023;30(2):202-215. https://doi.org/10.22705/jkashcn.2023.30.2.202
  14. Cho TJ, Lee HY. Current status and tasks of endocrine disruptor management in Korea: regulation of bisphenol A, phthalate and nonylphenol. The Korean Association of Law and Politics. 2018;18(2):73-107. http://doi.org/10.17926/kaolp.2018.18.2.73
  15. Park CJ, Kim W, Gye MC. Safty of alternatives for endocirne disrupting substances. Korean Society of Environmental Biology. 2015;33(4):361-374. https://doi.org/10.11626/KJEB.2015.33.4.361
  16. Kim MR, Kim HC. Recognition, Information acquisition behavior, knowledge, behaviors to decrease exposure and education need toward endocrine disruptors among middle and high school students. Journal of Home Economics Education Research. 2009;21(3):123-142.
  17. Kim SJ, Park CK, Kim CB. A study on the effects of eco-friendly information, motivation, and behavior skills on eco-friendly purchasing behavior applying the IMB Model. Korean Business Education Review. 2015;30(4):461-492.
  18. Lim JH, Kim JH. Mother's experience of having a girl with precocious puberty. Keimyung Journal of Nursing Science. 2013;17(2):23-34.
  19. Cho H, Min HY, Kim SJ. Knowledge, attitudes, and practices of infection prevention in mothers of young children. Child Health Nursing Research. 2018;24(2):138-147. https://doi.org/10.4094/chnr.2018.24.2.138
  20. Ham S, Lee H. The influence of mothers' health beliefs and attitudes on prevention of infectious diseases on preventive health behaviors of late school-aged children. The Journal of Korean Academic Society of Nursing Education. 2021;27(3):287-297. https://doi.org/10.5977/jkasne.2021.27.3.287
  21. Kim SK, Park SM. Factors related to endocrine disruptors exposing behaviors in mothers of infants. Korean Journal of Women Health Nursing. 2017;23(4):256-264. https://doi.org/10.4069/kjwhn.2017.23.4.256
  22. Fisher JD, Fisher WA. Changing AIDS risk behavior. Psychological Bulletin. 1992;111(3):455-474. https://doi.org/10.1037/0033-2909.111.3.455
  23. Kim HJ, Choi SY. Development and effect of a behavior program for reducing exposure to endocrine disrupting chemicals in unmarried women. Journal of Korean Maternal and Child Health. 2021;25(1):63-72. https://doi.org/10.21896/jksmch.2021.25.1.63
  24. Kim SH, Jun EY. Factors influencing behavior of reducing exposure to endocrine disrupting chemicals in breastfeeding mothers. Korean Journal of Women Health Nursing. 2018;24(4):426-434. http://doi.org/10.4069/kjwhn.2018.24.4.423
  25. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: construction and validation. Psychological Reports. 1982;51(2):663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  26. Jo MR. Functional study of susceptibility genes to precocious puberty identified by genome-wide association analysis in Korean girls. [master's thesis]. Suwon: Ajou University; 2019. 54 p.
  27. Gajdos ZK, Henderson KD, Hirschhorn JN, Palmert MR. Genetic determinants of pubertal timing in the general population. Molecular and Cellular Endocrinology. 2010;324(1-2):21-29. https://doi:10.1016/j.mce.2010.01.038
  28. Lee JY, Ju HO, Kwak MJ. Disease-related characteristics of children with precocious puberty and their mothers' educational needs in a general hospital of Korea. Journal of Korean Society of Maternal and Child Health. 2015;19(2):279-288. https://doi.org/10.21896/jksmch.2015.19.2.279
  29. Park JY. Prevalence of overweight and obesity in Korean children: the results of Korean children-adolescent cohort study 2005-2010. Public Health Weekly Report. 2011;4(47):857-862.
  30. Sung KS, Yoon YM, Kim EJ. Meta-analysis of the effects of obesity management program for children. Child Health Nursing Research. 2013;19(4):262-269. http://doi.org/10.4094/chnr.2013.19.4.262
  31. Lee HJ, You MA. Mothers' experiences of caring for children with precocious puberty: a Q-methodological approach. Journal of Korean Academy of Nursing. 2020;50(2):255-270. https://doi.org/10.4040/jkan.2020.50.2.255
  32. Kim JH, Choi YJ, Lim HS, Cheon JH. Effect of improving eating habits in children with precocious puberty and childhood obesity following nutritional counseling monitoring. Journal of the Korean Society of Food Culture. 2015;30(1):129-136. https://doi.org/10.7318/KJFC/2015.30.1.129
  33. Moon WJ, Kwon HJ, Hwang MK. The comparison of psycho-social behavior characteristics between girls with precocious puberty and normal girls. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(2):357-369. https://doi.org/10.5762/KAIS.2018.19.2.357
  34. Lee JS, Bae HJ, Kim HJ. Factors associated with behaviors that reduce exposure to environmental hormones among nursing students. Korean Journal of Occupational Health Nursing. 2019;28(4):285-292. https://doi.org/10.5807/kjohn.2019.28.4.285
  35. Kwon JY, Chung MR, Park SK, Yee BS. The factors explaining toddler mother's parenting self-efficacy. Korea Journal of Child Care and Education. 2013;77:179-201.
  36. Kim SO. Survey for health care needs of premature baby at home. [master's thesis]. Seoul: Yonsei University; 2001. 71 p.
  37. Choi HM. A study of the weaning experiences of premature babies mother. Journal of korean Health & Fundamental Medical Science. 2014;7(1):44-52.
  38. Daly-Wolfe KM, Jordan KC, Slater H, Beachy JC, Moyer-Mileur LJ. Mid-arm circumference is a reliable method to estimate adiposity in preterm and term infants. Pediatric Research. 2015;78(3):336-341. https://doi.org/10.1038/pr.2015.103
  39. Fisher MM, Eugster EA. What is in our environment that effects puberty? Reproductive Toxicology. 2014;44:7-14. https://doi.org/10.1016/j.reprotox.2013.03.012
  40. Lee HY, Choi EK, Kim HJ, Kim HS, Kim HS. Factors affecting the self-management of adolescents with type 1 diabetes mellitus based on the information-motivation-behavioral skills model. Child Health Nursing Research. 2019;25(2):234-243. https://doi.org/10.4094/chnr.2019.25.2.234