• The Journal of Korean Society for School & Community Health Education
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• v.18 no.3
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• pp.45-53
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• 2017

Objectives: This study aimed to analyze the association between adolescent depression and personal factors such as interpersonal relationship and personal characteristics. Methods: The data used for this study was taken from the 2014 Korean Children and Youth Panel Survey. Of those 2,351 subjects in a data set, data of 1,938 subjects were analyzed after excluding 413 subjects with missing information. Hierarchical regression analysis was conducted for multi-variate analysis. In addition, controlling effects of ego-resiliency was analyzed. SPSS 22.0. was utilized for statistical analyses. Results: The study found that the depressive index was higher in women than men, and lower in adolescent who has a good relationship with parents and friends. This study also found that adolescents with high ego-resiliency are more vulnerable to depression. Conclusions: It is recommended to understand and to utilize ego-resiliency of adolescents, in order to reduce adolescents depression. Promoting good relationship with parents and friends will also positively impact to lower adolescents depression.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6965-6969
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• 2013

Background: Tobacco consumption has been identified as the single biggest cause of inequality in morbidity and mortality. Understanding pattern of socioeconomic equalities in tobacco consumption in India will help in designing targeted public health control measures. Materials and Methods: Nationally representative data from the India Global Adult Tobacco Survey (GATS) conducted in 2009-2010 was analyzed. The survey provided information on 69,030 respondents aged 15 years and above. Data were analyzed according to regions for estimating prevalence of current tobacco consumption (both smoking and smokeless) across wealth quintiles. Multiple logistic regression analysis predicted the impact of socioeconomic determinants on both forms of current tobacco consumption adjusting for other socio-demographic variables. Results: Trends of smoking and smokeless tobacco consumption across wealth quintiles were significant in different regions of India. Higher prevalence of smoking and smokeless tobacco consumption was observed in the medium wealth quintiles. Risk of tobacco consumption among the poorest compared to the richest quintile was 1.6 times higher for smoking and 3.1 times higher for smokeless forms. Declining odds ratios of both forms of tobacco consumption with rising education were visible across regions. Poverty was a strong predictor in north and south Indian region for smoking and in all regions for smokeless tobacco use. Conclusions: Poverty and poor education are strong risk factors for both forms of tobacco consumption in India. Public health policies, therefore, need to be targeted towards the poor and uneducated.

• Research in Community and Public Health Nursing
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• v.23 no.3
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• pp.296-306
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• 2012

Purpose: This study was conducted to measure the relationships between ecological factors and Navy personnel's physical activity (PA) based on McLeroy's Ecological model. Methods: A cross-sectional survey was conducted with a convenience sample of 184 Navy personnel working in 10 Navyships. A self-reporting questionnaire consisted of measures of intrapersonal, interpersonal, organizational and community factors related to Navy personnel` s PA. Data were analyzed by descriptive statistics, $x^2$-test, t-test, analysis of variance, and hierarchical multiple regression using SPSS/WIN 17.0 programs. Results: Their mean PA level was $2,848.1{\pm}3,344.5$ MET-min/week, and mostly moderate level (50.5%). Hierarchical multiple regression analysis showed that religion, working department, working type, perceived health status and community environment were significant PA correlates. Conclusion: Community environmental factors as well as intrapersonal factors were significantly associated with Navy personnel's PA, indicating that community health nurses should expand an approach for individual-level behavioral change to incorporate Navy personnel specific community environmental barriers into PA interventions.

• Research in Community and Public Health Nursing
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• v.23 no.4
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• pp.358-365
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• 2012

Purpose: The purpose of this study was to investigate factors associated with the intention to quit smoking in community-dwelling elderly smokers. Methods: From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV), the researchers selected 448 elderly smokers over the age of 65. Data were analyzed with the $x^2$ test and multiple logistic regression using the SPSS/WIN 18.0 program. Results: Of the respondents, 45.5% intended to quit. The factors associated with the intention to quit were relative youth, having limit of activity day living and having past attempts to quit. Conclusion: Population-based smoking cessation programs, especially those targeted at the elderly, should take these predictors into consideration in the design of interventions.

• The Journal of Korean Society for School & Community Health Education
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• v.11 no.1
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• pp.41-55
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• 2010

Objectives: This study was conducted to identify the characteristics of health behavior and self-esteem and the relationship between the two factors among elementary school students with multi-cultural family background. Participants: Survey participants were 87 multi-cultural family children who lived in Seoul and Kyoungi areas and were registered in the local elementary schools. Methods: Data collection was conducted by face-to-face interview survey. Elementary education majored undergraduate students who participated in the education support program for multi-cultural family children in the Ministry of Education and Science and primary researcher of this study interviewed the target students and finished the survey questionnaire based on the students' responses. Survey included general characteristics, multi-cultural family characteristics, self-esteem, and (physical, mental, and social) health behavior. Results: 1. The self-esteem scores of the multi-cultural families children were greater in girl than boys among the children whose parents were graduated from college or more, and whose father had his job. The participants' health behavior scores were different by mothers' educational level. 2. The better they speak in English the greater the self-esteem scores. There was no statistical difference in health behavior scores by the participants' multi-cultural family background. 3. Self-esteem had moderate level correlation with health behavior (r= .56, p= .00) including all sub-categories of physical, mental, and social health. Conclusions: Positive self-esteem level is more sensitive to explain multi-cultural family children's health behaviors, which means that self-esteem is an important factor determining multi-cultural children's health behaviors and their health status in future. Therefore, more research to identify the factors related to health behaviors should be supported and the health promotion programs utilizing self-esteem should be developed for the child and youth with multi-cultural family backgrounds.

• Journal of Korean Academy of Nursing
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• v.43 no.2
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• pp.176-184
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• 2013

Purpose: The purpose of this study was to investigate expectations regarding aging by middle-aged women in the community, and identify factors contributing to their expectations about aging. Methods: Participants in the survey for this study were 303 middle-aged women from community health centers and religious facilities in Seoul, Gyeonggi Province, and Chungcheongbuk Province. Data were collected from March 2 to April 17, 2012 using self-report structured questionnaires. The instruments were the Health Perceptions, Rosenberg Self-esteem Scale (RSES), Family APGAR, Expectations Regarding Aging (ERA-12). The data were analyzed using t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficients and hierarchical multiple regression with IBM SPSS/WIN 20.0 program. Results: Perceived health status (${\beta}$=0.16, p=.009) and self-esteem (${\beta}$=0.20, p=.001) of middle-aged women were identified as significant predictors of expectations regarding aging, after adjusting for age, education, occupation, monthly income and menstrual status. Conclusion: These results suggest that nurses should make an effort to improve expectations about aging among middle-aged women. Ultimately, community health programs for middle aged women need to be developed to achieve successful aging.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.3
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• pp.1-13
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• 2019

Objectives: The purpose of this study was to examine whether demographic and socio-economic characteristics, health behaviors and health status are related to academic achievement in Korean adolescents. Methods: Data from the 14th Korea Youth Risk Behaviors web-based Survey(KYRBWS) administered in 2018 were analyzed; 60,040 students in middle and high school participated in the survey. It was conducted frequency analysis, Rao-Scott chi-square test and multiple logistic regression analysis after adjusted for variables such as age, school grade. Results: The significant influencing factors on academic achievement were family economic status, living with parents, subjective health status, smoking experience, alcohol use experience, eating breakfast, sleeping, internet use during weekdays, depressive symptom(p<.001). The odds ratio for achieving higher academic achievement compared with those who never smoked was 1.50(p<.001). Conclusion: I found that students' undesirable health behaviors affect their academic performance. To improve academic achievement, I recommend intervention programmes such as school health promotion that reduce undesirable health related behaviors.

• Research in Community and Public Health Nursing
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• v.29 no.1
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• pp.21-32
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• 2018

Purpose: This study attempted to identify regional disparities of self-rated health among Korean wage workers and to investigate the influencing factors on them. Methods: The study subjects were 25,069 workers in 16 regions who were extracted from the 2014 Korean Working Condition Survey (KWCS). A multilevel analysis was conducted by building hierarchical data at individual and regional level. Results: In this study, 'financial autonomy rate' and 'current smoking rate' were identified as regional factors influencing the workers' self-rated health. When the socio-demographic and occupational factors of the workers were controlled, 'current smoking rate', a health policy factor, explained the regional disparity of workers' health status. Conclusion: We found that the health status of workers can be affected by the health behavior level of the whole population in their residential area. In order to improve the health status of working population and to alleviate their regional health inequalities, it is necessary to strengthen macro and structural level interventions.

• Research in Community and Public Health Nursing
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• v.31 no.2
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• pp.212-221
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• 2020

Purpose: This study aims to identify the types of health-related quality of life (QoL) based on the EuroQoL 5 Dimensions among community older people and predict the factors affecting these types. Methods: This study used data from the 2016 Korea Health Panel Survey, whose participants included 3,848 older people. The data were analyzed using the software jamovi 1.2.17 and Mplus 8.2 for latent class analysis. Results: The subgroups of the older people's health-related QoL were identified as three latent classes: General stable type (43.9%), pain-related low type (35.0%), and general low type (21.1%). The types and characteristics of health-related QoL among the latent classes differed. Comparing the difference between the general low type and general stable type, the subjects showed higher probability of belonging to the general stable type when they were men, younger, higher education level, employment, better subjective health, lower BMI and stress level, and no suicidal ideation. A comparison between the general low type and the pain-related low type showed that the subjects were more likely to be classified as the pain-related low type when they were younger, higher education, employment, and better subjective health. Conclusion: The results showed a significant heterogeneity in the types of health-related QoL among community older people, and the predictors for each type were not the same. These findings present basic data for cultivating nursing interventions that enhance health-related QoL.

• Korean Journal of Health Education and Promotion
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• v.29 no.5
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• pp.61-75
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• 2012

Objectives: A great number of the elderly are not aware of having metabolic syndrome, and this pattern differs among regions of the nation. This issue is particularly important for the elderly people with chronic diseases. This study was conducted in order to identify the prevalence, predicting factors of perception and exercise behaviors of among the elderly population. Methods: Using data from the 2009 Korean Community Health Survey, we employed two-level logistic regression models to determine whether individual and community factors are associated with perception and exercise behaviors among the elderly population. Results: Results from weighted two-level logistic regression analyses indicated the individual-level factors of smoking, education level, health center education, community exercise program participation and unmet needs in men, and marital status (being separated), health center education women predicted the elders' perception. As for the community-level predictors, higher smoking and living in regions with high suicide rates significantly predicted the elders' perception and exercise behaviors of metabolic syndrome. Conclusions: These findings demonstrate that education according to stage would increase the perception and motivation toward healthier behavior particularly for the elderly with lower perception levels of metabolic syndrome.