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http://dx.doi.org/10.4040/jkan.19201

Factors Influencing Health Behavior Related to Particulate Matter in Older Adults  

Park, Min Kyung (Department of Nursing, National Police Hospital)
Kim, Gwang Suk (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University)
Publication Information
Journal of Korean Academy of Nursing / v.50, no.3, 2020 , pp. 431-443 More about this Journal
Abstract
Purpose: This study aimed to investigate health behavior related to particulate matter (PM) in older adults and examine the factors affecting it. Methods: A cross-sectional survey design was used. Data were collected from 150 voluntary older adult participants from Songpa-gu in Seoul. The survey questions measured service perception and experience related to PM, risk perception related to PM, attitude toward risk of PM, and health behavior related to PM. Results: The average score for health behavior related to PM was 79.37, ranging from 51 to 115. There was a significant positive correlation between health behavior related to PM and risk perception related to PM (r=.58, p<.001) as well as between health behavior related to PM and attitude toward risk of PM (r=.70, p<.001). Multiple linear regression revealed that health behavior related to PM was predicted by levels of the existence of disease related to PM (β=.14, p=.019), service experience related to PM (β=.20, p=.021), risk perception related to PM (β=.20, p=.019), and attitude toward risk of PM (β=.44, p<.001). The model including these variables accounted for 47.0% of health behavior related to PM. Conclusion: Korean older adults have the low level of health behavior related to PM. The findings of this study emphasize that risk perception and attitude toward risk of PM should be evaluated, and the underlying diseases related to PM and their service experience should be considered in developing intervention to improve health behavior related to PM.
Keywords
Aged; Particulate Matter; Health Behavior; Perception; Attitude;
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1 World Health Organization (WHO). Global health observatory (GHO) data [Internet]. Geneva: WHO; [cited 2019 May 10]. Available from: https://www.who.int/gho/phe/outdoor_air_pollution/en/.
2 Myong JP. Health effects of particulate matter. The Korean Journal of Medicine. 2016;91(2):106-113. https://doi.org/10.3904/kjm.2016.91.2.106   DOI
3 Ministry of Environment (ME). What is the particulate matter? Sejong: ME; 2016 Apr. Report No.: 11-1480000-001435-01.
4 Gong SY, Bae HJ, Hong SP, Park HY. A study on the health impact and management policy of PM2.5 in Korea (II). Seoul: Korea Environment Institute; 2013 Oct. Report No.: 2013-09.
5 Wong CM, Tsang H, Lai HK, Thomas GN, Lam KB, Chan KP, et al. Cancer mortality risks from long-term exposure to ambient fine particle. Cancer Epidemiology, Biomarkers & Prevention. 2016;25(5):839-845. https://doi.org/10.1158/1055-9965.EPI-15-0626   DOI
6 Di Q, Dai L, Wang Y, Zanobetti A, Choirat C, Schwartz JD, et al. Association of short-term exposure to air pollution with mortality in older adults. JAMA. 2017;318(24):2446-2456. https://doi.org/10.1001/jama.2017.17923   DOI
7 Songpa-gu Office. 2016-2025 environmental conservation plan of Songpa-gu [Internet]. Seoul: Songpa-gu Office; c2016 [cited 2019 Jul 19]. Available from: http://www.prism.go.kr/homepage/theme/retrieveThemeDetail.do?leftMenuLevel=110&cond_brm_super_id=NB000120061207100091168&research_id=6110000-201700007.
8 Won CW, Yang KY, Rho YG, Kim SY, Lee EJ, Yoon JL, et al. The development of Korean activities of daily living (K-ADL) and Korean instrumental activities of daily living (K-IADL) scale. Journal of the Korean Geriatrics Society. 2002;6(2):107-120.
9 Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist. 1969;9(3 Pt 1):179-186. https://doi.org/10.1093/geront/9.3_Part_1.179   DOI
10 Shin ES, Cho YC. Relationship between depressive symptoms and physical function (ADL, IADL) among the rural elderlies. Journal of the Korea Academia-Industrial cooperation Society. 2012;13(1):201-210. https://doi.org/10.5762/KAIS.2012.13.1.201   DOI
11 Songpa-gu Office Transportation & Environment Bureau. Comprehensive plan for particulate matter management and response [Internet]. Seoul: Songpa-gu Office Transportation & Environment Bureau; c2017 [cited 2019 Jul 19]. Available from: https://opengov.seoul.go.kr/sanction/13330123.
12 Song HR, Kim WJ. Effects of risk perception on risk attitude and risk acceptance of nuclear power plants. The Journal of the Korea Contents Association. 2012;12(6):238-248. https://doi.org/10.5392/JKCA.2012.12.06.238   DOI
13 Viklund M. Energy policy options-from the perspective of public attitudes and risk perceptions. Energy Policy. 2004;32(10):1159-1171. https://doi.org/10.1016/S0301-4215(03)00079-X   DOI
14 Komiya I, Torii H, Fujii Y, Hayashizaki N. Relationship between students' interests in science and attitudes toward nuclear power generation. Progress in Nuclear Energy. 2008;50(2-6):719-727. https://doi.org/10.1016/j.pnucene.2007.11.068   DOI
15 Choi HJ, Yoo JH. The effect of depression and self-efficacy on health promotion behavior among the elderly living alone in rural area. Journal of East-West Nursing Research. 2011;17(2):149-155. https://doi.org/10.14370/jewnr.2011.17.2.149   DOI
16 Di Q, Wang Y, Zanobetti A, Wang Y, Koutrakis P, Choirat C, et al. Air pollution and mortality in the medicare population. The New England Journal of Medicine. 2017;376(26):2513-2522. https://doi.org/10.1056/NEJMoa1702747   DOI
17 Ministry of Environment (ME). Particulate matter special law enacted on February 15, strengthening government inspection [Internet]. Sejong: ME; c2019 [cited 2019 Jul 9]. Available from: http://www.me.go.kr/home/web/board/read.do?menuId=284&boardMasterId=108&boardCategory-Id=&boardId=941170.
18 Joo J. Exploration of structural relations on health behavior related to particulate matter: Focused on multi-dimensional health locus of control, perceived susceptibility and severity, and health behavioral intention. Journal of the Korea Convergence Society. 2017;8(11):413-421. https://doi.org/10.15207/JKCS.2017.8.11.413   DOI
19 Majumder S, Sihabut T, Saroar MG. Assessment of knowledge, attitude and practices against inhaled particulate matter among urban residents in Dhaka, Bangladesh. Journal of Health Research. 2019;33(6):460-468. https://doi.org/10.1108/JHR-12-2018-0168   DOI
20 Kim Y, Lee H, Lee H, Jang Y. A study on differences between experts and lay people about risk perceptions toward particulate matter: A focus on the utilization of mental models. Communication Theories. 2016;12(1):53-117.
21 Government of Canada. Air quality health index [Internet]. Gatineau: Government of Canada; c2019 [cited 2019 Jul 9]. Available from: https://www.canada.ca/en/environment-climate-change/services/air-quality-health-index/about.html.
22 Government of Hong Kong Environmental Protection Department (EPD). Air quality health index [Internet]. Hong Kong: EPD; c2019 [cited 2019 Jul 9]. Available from: http://www.gov.hk/en/residents/environment/air/aqhi.htm.
23 Korea Internet & Security Agency (KISA). 2014 survey on the internet usage [Internet]. Seoul: KISA; c2015 [cited 2019 Jul 9]. Available from: http://www.kisa.or.kr.
24 Kim Y, Lee H, Lee H, Kim H. A study on the environmental risk information seeking and processing model about particulate matter: Focusing on the moderating effects of China attribution, health symptom experience, perceived information capacity, and relevant channel beliefs. Korean Journal of Communication Studies. 2017;25(2):5-44. https://doi.org/10.23875/kca.25.2.1
25 Wolf MS, Gazmararian JA, Baker DW. Health literacy and functional health status among older adults. Archives of Internal Medicine. 2005;165(17):1946-1952. https://doi.org/10.1001/archinte.165.17.1946   DOI
26 Lee TW, Kang SJ. Health literacy in the Korean elderly and influencing factors. Journal of the Korea Gerontological Society. 2008;28(4):847-863.
27 Park NN. A study on effecting of education about welfare care services for the elderly care on needs, awareness and using experience of elderly [master's thesis]. Seoul: Ewha Womans University; 2016. p. 1-74.
28 Chung SD, Oh EC, Kim GE. Age differences in safety perception: A comparison of babyboomer, pre-elderly, and the elderly. Journal of Korean Society of Hazard Mitigation. 2011;11(3):75-81. https://doi.org/10.9798/KOSHAM.2011.11.3.075   DOI
29 Maiman LA, Becker MH. The health belief model: Origins and correlates in psychological theory. Health Education Monographs. 1974;2(4):336-353. https://doi.org/10.1177/109019817400200404   DOI
30 Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-385. https://doi.org/10.1097/00006199-198611000-00017
31 Public Health England (PHE). COMEAP: Review of the UK air quality index [Internet]. London: PHE; c2011 [cited 2019 Jul 9]. Available from: https://www.gov.uk/government/publications/comeap-review-of-the-uk-air-quality-index.
32 Brewer NT, Tzeng JP, Lillie SE, Edwards AS, Peppercorn JM, Rimer BK. Health literacy and cancer risk perception: Implications for genomic risk communication. Medical Decision Making. 2009;29(2):157-166. https://doi.org/10.1177/0272989X08327111   DOI
33 Rimal RN, Real K. Perceived risk and efficacy beliefs as motivators of change: Use of the risk perception attitude (RPA) framework to understand health behaviors. Human Communication Research. 2003;29(3):370-399. https://doi.org/10.1111/j.1468-2958.2003.tb00844.x   DOI
34 Stern PC. New environmental theories: Toward a coherent theory of environmentally significant behavior. Journal of Social Issues. 2000;56(3):407-424. https://doi.org/10.1111/0022-4537.00175   DOI
35 United States Environmental Protection Agency (EPA). Air quality index: A guide to air quality and your health [Internet]. Washington, D.C.: EPA; c2014 [cited 2019 Jul 9]. Available from: http://www.epa.gov/airnow/aqi_brochure_02_14.pdf.
36 Fisher JD, Fisher WA, Amico KR, Harman JJ. An information-motivation-behavioral skills model of adherence to antiretroviral therapy. Health Psychology. 2006;25(4):462-473. https://doi.org/10.1037/0278-6133.25.4.462   DOI
37 Sim KH, Hwang MS. Effect of self-monitoring of blood glucose based diabetes self-management education on glycemic control in type 2 diabetes. Journal of Korean Academic Society of Nursing Education. 2013;19(2):127-136. https://doi.org/10.5977/jkasne.2013.19.2.127   DOI
38 Kim YW, Lee HS, Lee HJ, Jang YJ. A study of the public's perception and opinion formation on particulate matter risk - focusing on the moderating effects of the perceptions toward promotional news and involvement. Korean Journal of Communication & Information. 2015;72(4):52-91.
39 Kim Y, Lee H, Jang Y, Lee H. A cluster analysis on the risk of particulate matter focusing on differences of risk perceptions and risk-related behaviors based on public segmentation. Journal of Public Relations. 2016;20(3):201-235. https://doi.org/10.15814/jpr.2016.20.3.201   DOI
40 Gwak CS. A study on the risk perception of fine particle and strategy development for enhancement of wearing mask [master's thesis]. Seoul: Chung-Ang University; 2017. p. 1-70.
41 Nisengwe JFR. Risk perceptions, attitudes, and climate change adaptation behaviors: A case of farmers in Nyabihu District, Rwanda [master's thesis]. East Lansing (MI): Michigan State University; 2016. p. 1-81.
42 Park E, Oh HJ, Kim SH, Min A. The relationships between particulate matter risk perception, knowledge, and health promoting behaviors among college students. Journal of Korean Biological Nursing Science. 2018;20(1):20-29. https://doi.org/10.7586/jkbns.2018.20.1.20   DOI
43 An R, Yu H. Impact of ambient fine particulate matter air pollution on health behaviors: A longitudinal study of university students in Beijing, China. Public Health. 2018;159:107-115. https://doi.org/10.1016/j.puhe.2018.02.007   DOI
44 Hwang KI, Han BH, Kwark JI, Park SC. A study on decreasing effects of ultra-fine particles ($PM_{2.5}$) by structures in a roadside buffer green - a buffer green in Songpa-gu, Seoul -. Journal of the Korean Institute of Landscape Architecture. 2018;46(4):61-75. https://doi.org/10.9715/KILA.2018.46.4.061   DOI
45 Mahler DA, Wells CK. Evaluation of clinical methods for rating dyspnea. Chest. 1988;93(3):580-586. https://doi.org/10.1378/chest.93.3.580   DOI
46 Kyung SY, Kim YS, Kim WJ, Park MS, Song JW, Yum H, et al. Guideline for the prevention and management of particulate matter/Asian dust particle-induced adverse health effect on the patients with pulmonary diseases. Journal of the Korean Medical Association. 2015;58(11):1060-1069. https://doi.org/10.5124/jkma.2015.58.11.1060   DOI
47 Korean Academy of Medical Science; Korea Centers for Disease Control and Prevention. COPD quick reference guide [Internet]. Osong: Korea Centers for Disease Control and Prevention; c2020 [cited 2020 Feb 2]. Available from: https://www.guideline.or.kr/newsletter/vol1912/COPD%20Quick%20Reference%20Guide.pdf.
48 Ha JY, Park YH. Health status and factors related to health behaviors of older adults using a senior center. Korean Journal of Adult Nursing. 2015;27(4):428-437. https://doi.org/10.7475/kjan.2015.27.4.428   DOI
49 Jeong JH, Kim JS. Health literacy, health risk perception and health behavior of elders. Journal of Korean Academy of Community Health Nursing. 2014;25(1):65-73. https://doi.org/10.12799/jkachn.2014.25.1.65   DOI
50 Kim KB, Kim HA, Sok S. A study on health perception, health knowledge, and health promoting behavior in the elderly. Journal of East-West Nursing Research. 2008;14(1):56-67.