• 한국학교보건학회지
• /
• 제35권1호
• /
• pp.22-30
• /
• 2022

Purpose: Based on the Health Belief Model, this study aimed to identify factors influencing on COVID-19 vaccination intention of mothers with elementary school children by examining the relationships between perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cue to action, and perceived self-efficacy. Methods: Mothers with elementary school children were recruited from three elementary schools. An online survey was conducted of 130 mothers in November, 2021. Results: As a result, the factors influencing on vaccination intention were perceived self-efficacy (β=.33), perceived susceptibility (β=.18), perceived benefit (β=.16), and perceived barrier (β=-.17). Conclusion: Based on our findings, there is a need to develop a tailored nursing intervention that enhances perceived self-efficacy, perceived susceptibility and perceived benefit while decreasing perceived barrier in order to improve vaccination intention.

• 한국식품조리과학회지
• /
• 제26권3호
• /
• pp.335-345
• /
• 2010

본 실험에 선정된 메뉴를 대상으로 경쟁 미생물이 존재하는 상태(비멸균)와 존재하지 않는 상태(멸균)에 따라 접종한 S. aureus의 증식결과를 비교 시 콩나물은 경쟁미생물이 존재하지 않는 상태에서, 두부조림과 잡채는 경쟁미생물이 존재하는 상태에서 우세적으로 S. aureus가 성장하였으며 미트볼 완자전의 성장은 경쟁 미생물이 존재하는 상태와 존재하지 않는 상태에서 모두 유사하게 활발히 증식하는 것으로 관찰되었다. S. aureus는 독소를 생성하는 균으로 조리 후에도 생육이 가능하므로 조리 후 배식되기까지 보관온도 및 초기 오염 농도에 따른 균의 증식을 예측한 결과 초기오염농도에 대한 S. aureus의 증식은 오염농도가 낮을 때($1.0{\times}10^2\;CFU/g$)보다도 오염농도가 높을 때($1.0{\times}10^5\;CFU/g$) 균증식이 빠르게 일어남이 확인되었다. 같은 보관온도와 처리조건에서 균의 오염농도가 낮은 경우와 비교했을 때 오염농도가 높을 경우 LT는 감소하고 SGR은 증가하여 균증식이 더 빠르게 나타났다. 일반적으로 S. aureus는 경쟁력이 약하기 때문에 경쟁미생물이 존재하지 않는 상태에서 증식이 잘 되는 것으로 알려져 있으나, 잡채의 경우는 경쟁 미생물이 존재하지 않는 상태보다도 경쟁 미생물이 존재하는 상태에서 균 증식이 잘 이루어졌다. 미트볼 완자전을 제외하고는 잠재적 위해 메뉴들의 경쟁 미생물이 존재하는 상태에서 균 증식은 기존의 증식예측 모델이 Gompert 공식에 잘 적용되지 않았다. 이는 본 연구에서 의도했던 외적인 환경인자(온도, 초기오염농도 등)외에 의도하지 않았던 식품 내 존재하는 내적인 환경인자(항균효과가 있는 양념, 경쟁관계 있는 균 분포 및 농도 등)의 영향이 S. aureus의 성장에 영향을 미친 것으로 추정된다. 결론적으로 모든 메뉴에서 초기 접종 농도가 높고. $35^{\circ}C$에서 배양한 경우 S. aureus의 증식 속도가 높아 3시간 이내에 6 log CFU/g 이상으로 나타나 위험범위에 도달하였으며, 특히 동물성 단백질이 주성분인 미트볼 완자전의 경우 증식속도가 가장 빨랐으며, 비멸균과 멸균군의 차이는 메뉴에 따라 차이가 있었다. 학교급식에서 제공되는 메뉴의 특성에 따른 보관온도별 S. aureus 분포 변화는 본 연구의 접종실험 결과와 USDA Pathogen Modeling Program(PMP) 모델으로부터 얻어진 S. aureus의 성장곡선 결과사이에 유의적 차이가 관찰되었다. 이는 USDA Pathogen Modeling Program(PMP) 프로그램에 S. aureus의 성장을 최적으로 지지할 수 있는 조건으로 형성된 broth 상태에서 실시된 것과 다르게 접종실험이 현재 학교급식에서 제공되는 메뉴를 대상으로 하여 실시하였기 때문인 것으로 해석되며, 본 연구에서 실험 메뉴는 실제 조리된 식품에 존재하는 미생물의 분포와 수준을 반영하기 위해서 경쟁 미생물이 존재하는 상태와 비존재 상태로 구분하여 실시하였다. 실제 제공되는 메뉴에는 S. aureus 이외에도 다른 미생물들의 경쟁적인 존재와 식품을 구성하는 영양성분, 식품의 조리과정중 사용되는 양념류, 조리방법의 차이가 균의 증식에 영향을 미칠 수 있을 것이라 사료된다. 본 연구는 예측 미생물학을 가공식품이나 유제품이 아닌 급식에서 제공되는 음식에 시도한 연구로서 실험 조건인 접종농도, 멸균여부와 보관온도의 모든 조건에서 성장예측 결과를 얻지는 못하였으나 앞으로 조리된 식품에서 예측모델 연구에 기초 자료로 활용되어질 가능성이 높을 것이라 생각된다. 또한 식품에서 미생물의 증식을 정확히 예측하여 정량적 위해평가에 활용하기 위해서는 실제 식중독 발생의 원인이 되는 미생물들이 생존, 오염, 성장하는 식품에서의 결과를 기본 자료로 하여 새로운 증식예측 모델 개발 및 연구가 보다 활발히 이루어져야 할 것으로 사료되어진다.

• 여성건강간호학회지
• /
• 제26권1호
• /
• pp.37-48
• /
• 2020

Purpose: The purpose of this study was to identify the factors influencing mothers' intention to vaccinate their elementary-school sons against human papillomavirus (HPV). Methods: The participants were 151 mothers of fourth- to sixth-grade boys at three elementary schools in Daejeon, Korea. The data were analyzed using SPSS for Windows version 25.0. Descriptive statistics, the independent t-test, one-way analysis of variance, the Mann-Whitney U test, Pearson correlation coefficients, and multiple regression analysis were used. Results: The mothers' score for intention to vaccinate their sons against HPV was 5.04 out of 7. Self-efficacy (β=.60, p<.001) and subjective norms towards HPV vaccination (β=.30, p<.001) were significant factors influencing mothers' intention to vaccinate their elementary-school sons against HPV. These factors accounted for 81.0% of HPV vaccination intention among mothers (F=160.84, p<.001). Conclusion: The results of this study suggest that to increase the HPV vaccination rate for elementary-school boys, it is necessary to develop intervention strategies to improve mothers' self-efficacy and subjective norms towards HPV vaccination and to verify the effects of those strategies. This research provides a foundation for designing interventions to increase the HPV vaccination rate of elementary-school boys.

• 여성건강간호학회지
• /
• 제23권2호
• /
• pp.126-134
• /
• 2017

Purpose: The purpose of this study was to identify impacts of HPV-related knowledge, attitude to HPV vaccination, and health beliefs on infection preventive behavioral intention targeting female university students. Methods: With correlational survey design, subjects of this study were 120 female students at universities located in B metropolitan city and G city. A total sample agreed to participate in the study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression. Results: Attitude to HPV vaccination, experience of smoking, and HPV-related health beliefs were significant factors influencing the HPV-related infection preventive behavioral intention. These factors accounted for 19.0% of the HPV-related infection preventive behavioral intention. Conclusion: The most significant factor for HPV infection prevention was the attitude to HPV vaccination. These findings may be useful to develop strategies to improve the HPV infection preventive behavioral intention of the female university students who have a high risk of the HPV infection.

• 기본간호학회지
• /
• 제21권4호
• /
• pp.457-465
• /
• 2014

Purpose: The purpose of this study was to apply Ajzen's theory of planned behavior to identify factors that affect undergraduate women's decisions to receive human papillomavirus(HPV) vaccination. Method: The research design for this study was a descriptive survey design using convenience sampling. Data collection was done using self-report questionnaires with 254 undergraduate students in G city. Data were analyzed using percentage, mean, standard deviation, t-test, ANOVA, Mann-Whitney U test, Pearson correlation analysis and multiple regression with the SPSS Win 20.0 Program. Results: The mean score of intention to receive HPV vaccine was $3.88{\pm}1.05$ out of a possible 7. Intention to receive HPV vaccine showed a significantly positive correlation with attitudes (r=.26, p<.001), subjective norm (r=.51, p<.001), perceived behavior control (r=.41, p<.001) to receive HPV vaccination. In the multiple regression analysis, subjective norm and perceived behavior control to receive HPV vaccine were significant predictors and explained 33.7% of intention to receive HPV vaccine. Conclusion: Results of this study show that there are significant factors affecting the intention of undergraduate women to receive HPV vaccination. Also, strategies emphasizing subjective norm and perceived behavior control in obtaining HPV vaccination should be taken into account in developing educational programs.

• 여성건강간호학회지
• /
• 제24권1호
• /
• pp.71-79
• /
• 2018

Purpose: The purpose of this study was to identify effects of attitude, subjective norm, and perceived behavior control toward Human Papillomavirus (HPV) on HPV vaccination intention in female high school students. Methods: Subjects of this study were female students aged 16 to 17 years, the optimal age group of HPV vaccination, arbitrarily selected from three high schools in B city. A total of 140 students agreed to participate in this study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and stepwise multiple regression. Results: Attitude, subjective norm, and perceived behavior control toward HPV were factors influencing HPV vaccination intention of subjects. Perceived behavior control toward HPV vaccination was the most influential factor. These factors accounted for 49% of HPV vaccination intention. Conclusion: These results suggest a need to increase perceived behavior control to increase HPV vaccination intention. The government needs to establish a national policy system such as financial support for HPV vaccines and free vaccinations so that students are aware that HPV vaccines can be easily inoculated.

• 한국학교보건학회지
• /
• 제30권2호
• /
• pp.93-102
• /
• 2017

Purpose: The purpose of this study is to identify the factors that influence the practices and the intentions of human papillomavirus (HPV) vaccination among adolescent daughters' mothers. The focus is on the mothers' HPV knowledge and sex-related communication with their daughters. Methods: The participants were 298 mothers with middle or high school student daughters. Participants were conveniently selected from a mothers' association and churches in Seoul, Cheonan and Asan city. Information on their demographics, HPV vaccination-related knowledge, sex-related communication, and intention of receiving HPV vaccination were obtained through questionnaires. The results were analyzed using descriptive statistics, the $x^2$ test and logistic regression with SPSS for Windows 21.0 software. Results: The rate of HPV vaccination, the awareness of the HPV vaccine and the rate of giving correct answers to HPV knowledge questions were 13.1%. 84.6%, and 36.3%, respectively. The factors that influenced HPV vaccination most were their family history of cervical cancer, educational backgrounds and awareness of the HPV vaccine. The intention to receive HPV vaccination was mainly influenced by HPV knowledge. However, sex-related communication did not affect the mothers' intention of obtaining HPV vaccination. Conclusion: The results of this study suggest that strategies to educate mothers with adolescent daughters on HPV are necessary. In addition, this study strongly recommends further studies be planned to examine sex-related communication between mothers and daughters.

• 한국학교보건학회지
• /
• 제31권2호
• /
• pp.59-69
• /
• 2018

Purpose: The purpose of this study is to identify and compare the factors associated with human papillomavirus (HPV) vaccination intention between male and female high school students. The focus is on the knowledge, attitudes and health beliefs related to HPV. Methods: The participants were 246 male and 298 female students from an academic high school located in Seoul. Data were collected in June 2017, which were analyzed using descriptive statistics, the chi-test, t test, Mann-Whitney U test, Pearson correlation coefficients and logistic regression with SPSS for Windows 21.0. Results: 47.6% of the male participants and 86.2% of the female participants indicated HPV vaccination intention. The median score of the HPV knowledge level was 0 (total score:16) in the boys and 3 in the girls (p<.001). There were significant differences in attitudes and health beliefs related to HPV by gender. Religion (OR=0.50), sexual experience (OR=0.09), safety concerns (OR=0.65), perceived needs (OR=1.59), importance of prevention (OR=1.78) and perceived susceptibility (OR=1.80) determined HPV vaccination intention in the male students, whereas awareness of HVP vaccination (OR=2.25) and importance of prevention (OR=1.92) significantly predicted HPV vaccination intention in the female students. Conclusion: The results of this study suggest that different strategies need to be taken for different genders: education focusing on safety concerns as well as perceived needs, importance of prevention and perceived susceptibility for male students and education emphasizing importance of prevention for female students.

• 한국콘텐츠학회논문지
• /
• 제19권2호
• /
• pp.223-230
• /
• 2019

본 연구는 부모를 대상으로 시행된 자궁경부암 예방교육프로그램에 관한 선행연구를 분석하기 위해 시도되었다. 자료검색은 2007년 1월부터 2017년 11월까지로 국외 검색 데이터베이스는 PubMed, Science Direct, CINAHL을 이용하였고, 국내 검색 데이터베이스는 RISS, Dbpia를 이용하였다. 검색된 자료는 총 329편이며, 선정기준 및 제외기준에 따라 최종 7편을 선정하였다. 예방교육프로그램의 기법으로는 강의식 교육, 리플렛, 브로셔 제공, 문자메시지, 자기설득중재 등이 있었고, 가장 많이 사용되고 있는 예방교육프로그램은 강의식 교육으로 나타났다. 예방교육프로그램의 분석결과 부모의 자궁경부암 및 HPV에 대한 지식과 접종의도는 높아졌고, 실제 접종률도 증가한 것으로 나타났다. 따라서 국내에서도 부모를 대상으로 자궁경부암 예방교육프로그램이 개발되어야 할 필요성을 인지하고 다양한 연구의 시도를 기대할 수 있다.

• Journal of Korean Biological Nursing Science
• /
• 제23권4호
• /
• pp.318-329
• /
• 2021

Purpose: This study was conducted to identify factors affecting COVID-19 vaccination and associated side effects among health care workers in a small and medium-sized hospital. Methods: In May 2021, 301 workers out of a total of 670 working in a small and medium-sized hospital in Gyeonggi-do, were surveyed. The small and medium-sized hospital treats patients with COVID-19. Health care workers across different medical institutions responded with self-reported internet questionnaires. Factors influencing COVID-19 vaccination were analyzed via logistic regression. Results: Out of 301 subjects, 89.0% showed an intention to inoculate, and 85.7% were vaccinated against COVID-19. The most frequent reason for vaccination was responsibility as a medical worker. The fear of adverse reactions was the most frequent reason for non-vaccination. Adverse reactions after inoculation occurred in 70.9% of cases, and 30.6% were referred for treatment of adverse reactions. The factors ultimately influencing COVID-19 vaccination were vaccination intention, previous side effects from other vaccinations, occupation, and age. Conclusion: In order to improve the effectiveness of COVID-19 vaccination, a systematic approach is required to determine the risk factors associated with the young age of the administrative staff/personnel, subjects with a history of side effects associated with other vaccines, and health care workers who do not intend to be vaccinated. It is important to develop strategies to improve immunization. In addition, accurate and essential information regarding the side effects of vaccination is needed, along with appropriate education and publicity.