• Child Health Nursing Research
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• 제18권4호
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• pp.192-200
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• 2012

Purpose: This study was done to develop and test the effectiveness in late school-aged children of a healthy lifestyle education program for cancer prevention. Methods: Participants were 26 students in the sixth grade of N elementary school in J City (experimental group) and 25 students in the sixth grade of D elementary school with same educational conditions (control group). The research design was a nonequivalent control group pretest-posttest design. Data collection and execution of the study were carried out from March 10 to May 19, 2011. For the experimental treatment, 7 weekly sessions of the healthy lifestyle education program for cancer prevention were given by the researcher. Posttest was done immediately following the conclusion of the program and 4 weeks later. Frequencies, percentages, ${\chi}^2$-test, t-test, repeated measures ANOVA and paired t-test with SPSS WIN 18.0 were used to analyze the data. Results: Perceived barriers, perceived self-efficacy, activity related effect and family support significantly influenced cancer prevention knowledge and increases in healthy life styles. Conclusion: Results indicate that, as this program for cancer prevention was effective in increasing healthy lifestyle practices in these children, there is a need to further develop, test and implement programs in all schools.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제5권1호
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• pp.3-11
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• 1994

소아기 우울증은 1980년 DSM-III에서 이를 공식적으로 인정하기까지 많은 임상보고에도 불구하고 논란의 대상이 되어 왔었다. 이는 과거 정신분석학적 영향으로 인한 것이기도 하지만 다른 한편으로는 소아와 발달학적 측면을 고려하지 못한 결과이기도 하였다. 즉 소아는 시간과 정도(time & degree)에 대한 감각이 다르고 자신의 감정을 언어로 표현하는데 한계가 있으며, 정상적으로 정서가 얕고 불안하다. 뿐만 아니라 학령기전 까지는 현실판단력이 부족하고 자기중심적이어서 논리적 사고과정을 통해서는 심리적 고통으로부터 벗어날 수 없기 때문에 부인(denial)을 주된 방어기전으로 사용하여 우울증상은 대체로 일시적이기가 쉽다. 그러나 점차 나이가 들어 후기 아동기가 되면 내적 경험에 대하여 숙고하는 능력이 생기고 정서조절면에서도 상호작용에 의한 의존상태에서 벗어나서 개인 내적인 조절단계로 이행하므로 성인의 우울증과 비슷함 임상양상을 보이게 된다. 지금까지, 소아기 우울증의 원인이 밝혀지지 않았고, 이것이 성인기 우울증과 상관관계가 있는지의 여부, 그리고 이것이 성격형성에는 어떤 영향을 주는지에 대해서는 여전히 논쟁점으로 남아 있으나, 소아기 우울증이 상당히 오랜 기간후에도 지속되었다는 일부 보고를 고려한다면 이에 대한 조기 인식은 예방이라는 차원에서 큰 의미가 있을 것으로 생각된다. 본고에서는 소아기 우울증의 개관과 발달적 관점에서 소아기의 우울증상을 살펴 봄으로써 이에 대한 이해를 높이고자 하였다.

• 지역사회간호학회지
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• 제21권4호
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• pp.458-467
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• 2010

Purpose: This study was conducted in order to identify factors related to the health behavior in elementary school children at a late school age and to provide basic data to develop more concrete and practical applications for health promotion and disease prevention. Methods: The participants were 2,775 4th, 5th and 6th graders sampled from 10 elementary schools in Busan Metropolitan City and data were collected from 15th May to 30th June, 2010. The collected data were analyzed by mean, percentile, t-test, ANOVA, Pearson s correlation coefficient, and stepwise multiple regression using the SPSS/WIN 17.0 program. Results: The average percentiles for self-rated health, body satisfaction, stress, parent attachment, self-esteem, and health behavior were 82.8, 69.5, 40.9 79.3, 75.9 and 75.9, respectively. There was significant relationship among the levels of self-rated health, body satisfaction, stress, parent attachment, self-esteem, and health behavior. Body satisfaction was the most powerful factor to the health behavior of elementary school children at a late school age, and was followed by parent attachment, self-rated health, self-esteem, and grade in order. These variables explained 26.6% of the total variance in health behavior. Conclusion: Health promotion behavior programs including body satisfaction and self-esteem elevation programs should be applied to children at home and in school and community. To achieve this, institutional and economic support should be continued.

• 한국학교보건학회지
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• 제23권1호
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• pp.1-10
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• 2010

Purpose: The purpose of this study was to investigate factors influencing health promoting behavior of the late school age children and to analyze the difference of health promoting behavior according to personal factors of children. Methods: The subjects consisted of 169 school-aged children in the 6th grade in Gyeonggi-do. Data were collected from Dec. 1 to Dec. 10, 2008. The data were analyzed by using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression with the SPSS/WIN 12.0 program. Results: 1) Health promoting behavior was proved to be relatively high. The average item score for the health promoting behavior was $3.85{\pm}.41$. The highest degree of health promoting behavior was stress management (4.13). whereas the one with the lowest degree was exercise (3.40). 2) In the relationship between personal factors and health promoting behavior, there were statistically significant differences in gender, perceived health status, family mood, father's drinking habits, school performance, school satisfaction. 3) Health promoting behavior was showed significant positive correlations with perceived self-efficacy (r=.55), social support (r=.65), prior related behaviors (r=.44), perceived benefits of action (r=.42), and significant negative correlations with perceived barriers of action (r=-.37). 4) Stepwise multiple regression analysis was revealed that the most powerful predictor of health promoting behavior was social support ($\beta$=0.36) Conclusion: The combination of social support, perceived self-efficacy, perceived benefits of action, gender, and family mood accounted for 57.8% of the variance in the health promoting behavior of the late school age children.

• Child Health Nursing Research
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• 제16권4호
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• pp.259-267
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• 2010

Purpose: This study was conducted to identify late school-aged children‘s knowledge, and practical will in the practice of cancer prevention lifestyle, and to examine the relations between these variables and factors that influence practice. Methods: The participants included 525 fifth and sixth grade students from 8 elementary schools in J and S cities. Data were collected in December 2008 using self-report questionnaires developed by the authors and were analyzed using the SPSS program. Results: Mean scores were, for knowledge of cancer prevention lifestyle, $0.76{\pm}0.11$ out of a possible 1, practical will, $4.05{\pm}0.55$ out of a possible 5, and practice, $3.66{\pm}0.41$ also out of 5. There were differences in knowledge (F=4.39, p=.013), practical will (F=18.35, p<.001), and practice (F=29.13, p<.001) according to academic achievement and in practical will (F=3.68, p<.001) and practice (F=3.01, p=.003) according to grade. There were positive correlations between knowledge and practical will (r=.205, p<.001), knowledge and practice (r=.181, p<.001), practical will and practice (r=.628, p<.001). Practice will and knowledge of cancer prevention lifestyle showed a significant influence on practice. Conclusion: Results of this study indicate that effective strategies should be developed to motivate the practical will for the practice of cancer prevention lifestyle during childhood.

• 지역사회간호학회지
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• 제26권3호
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• pp.199-208
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• 2015

Purpose: This study was conducted to analyze the association between health literacy and health behavior and the effect of health literacy on health behavior in late school-age children. Methods: Data were obtained from 333 participants who were $5^{th}$ and $6^{th}$-grade students sampled from 8 elementary schools in Busan. Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen) and Newest Vital Sign (NVS) was used for assessing linguistic and functional health literacy, and the health promotion behavior score was measured for health behavior. Results: The percentage of those with limited linguistic and functional health literacy was high (47.1%, 56.8%). Linguistic health literacy (r=.38, p<.001) and functional health literacy (r=.11, p=.048) had a correlation with health behavior. Health behavior was significantly associated with perceived health status (${\beta}=1.94$, p<.001), number of times of health education (${\beta}=0.18$, p<.001), academic achievement (p<.001), home literacy environment (${\beta}=0.13$, p=.016), perception of changes after health education (p=.011), and linguistic health literacy (${\beta}=0.23$, p<.001). Conclusion: The results of this study indicate that children with adequate health literacy are more likely to do health behaviors. Therefore, it is important to develop educational strategies to raise children's health literacy level and consequently to induce them to perform more health behaviors in daily life.

• Child Health Nursing Research
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• 제6권2호
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• pp.167-185
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• 2000

The goal of this research was to provide the basic data of sexual education for late schooler by finding out what they want to know about sex, or to see, if any, its relevancy between female and male students and between each grade. The sample for this research was a total of 453 students in 4th, 5th and 6th grade from 12 different classes at two elementary schools which were located in C city and in B province. The children were requested to write down three points on what they want to know or to learn most about sex, and their answers were put through two analytical stages in order to classify and to examine. The followings are the conclusions from the data. 1. The female cluster took 44.2% out of the whole sample, and there were 151 students per each grade. The specific girl ratios for each grade were 42.4%, 50.3% and 39.7% respectively. 2. It was noted that a total of 1,195 questions were gathered from the students writings, 45% of the questions was raised by the female students. The 4th grade students raised 432questions (43.8% by the girl) while the 5th. and the 6th grade students raised 387 (53.2% by the girl) and 376 questions (42.3% by the girl) respectively. The average number of questions per students was 2.6 while the female students raised 2.8 questions which was more than the average 2.5 questions by male students. It was the 4th grade female student cluster, which raised the most question (3.0) while the 6th grade male students raised the least question (2.4) in average. 3. The questions raised by the children could be divided into seven categories of the knowledge need on sex. They were Reproduction (310 questions, 25.9%), Sexual Culture (230, 19.2%), Concept of sex (125, 18.0%), Changes of Puberty (172, 14.4%), Sexual Health (119, 10.0%), Anatomy and Physiology of Reproductive System (78, 6.5%) and Sexual Tendency and behavior (71, 5.9%). 4. 'Reproduction' was the most frequently raised questions not only by both sex groups but also by the 5th grade students. Both sexes in the 4th grade showed the highest interest in Sexual Culture while it was Changes in Puberty for the both sexes in the 6th grade. The knowledge need on sex of the children indicated what they understand sexuality. They apprehended sex as sex, gender and sexuality in an inclusive way. They showed a major interest in the biological sex and the sexual activities. It seems that the children managed to understand clearly the meaning of gender, furthermore, they even pointed out that the streotyped sex role, patrimonial system and the sexual discrimination were unreasonable. The students possessed not only the least but also the most negative understanding in regard of sexuality. Two suggestions were made from the above conclusions for the practical sex education as well as its research. 1. For the practice: The sex education for the elementary upper grade school student should be relevant with their cognitive characteristics, also it should be more specific on the reproductive organs of both sexes, the actual scenes of the pregnancy and child delivery procedures. The gender concept should be added to the biological sex education, which will lead them to understand the unreasonableness of today's male-superior phenomenon and correct them. It is also necessary to develop educational programs for this age group so as to help them to understand sex in the sense of sexuality as well. 2. For the research: It is not easy to draw out a through conclusion since this study was carried out as one-time data collection. Yet it is undeniably helpful for the sex education if we can understand what the children want to know about sex, how much they know about it by conducting deep-interview researches through a small number of sample.

• 대한가정학회지
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• 제46권9호
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• pp.99-112
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• 2008

The increasing rate of obesity in school aged children has become a conspicuous social phenomenon in Korea. This has been linked to greater economic growth, increasingly westernized dietary habits, and a consumer driven society. Given that obesity can lead to social exclusion or unfavorable attention by other students in a school setting, the design of plus-size garments have become important for effective appearance management skills. This research aimed to establish a somatotype database for obese school boys, aged 10 to 12, in order to develop a sizing system for plus-size upper garments. In order to measure somatotype of average and obese school boys, five categories were recorded; height, obesity, length of trunk, thickness of neck and chest. For obese boys, subcutaneous fat thickness and position of B.P/shoulder point factors were recorded. Obesity factor was subdivided into overall and specific ones, and while the deviation of obese body types was severe compared to the average type. Obese body type showed significantly higher measurements in width, girth, thickness. This is linked to the fact that the frequency ratio of obesity increases with age. Stature and chest were chosen as control dimensions for boys' wear. As crosstabulation of stature(5cm interval) and chest girth(2, 3 and 4cm), and stature(5cm interval)/chest girth(3cm interval) sizing system showed, the most effective cover ratio and adaptability to the data distribution $25{\sim}75$ quartile. Based on the findings, 10 sizes were formulated for average body type, while 18 sizes were formulated for obese type, whose size cover ratios were 48% and 62.9%, respectively. The primary ranges of stature were $145cm{\sim}150cm$, while those of chest girth were $79{\sim}82cm$. Each size was declared as "chest-somatotype{A(average)/O(obesity)-stature". This study proposed a plus-size upper garment sizing systems for obese boys, accompanied with reference measurements for suit, casual wear and underwear. The finding showed that the two systems were totally separate and not overlapping, meaning that plus-size sizing system is essential for obese school boys. The obesity type system had more size and wider range specs.