• Title/Summary/Keyword: Compliance of preventive health behavior

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A STUDY ON MIDDLE AGED PEOPLE'S COMPLIANCE FOR PREVENTIVE HEALTH BEHAVIOR OF CANCER (우리나라 일부 중년층 남녀의 암에 대한 예방적 건강행위 이행에 관한 연구)

  • 김은주;문인옥
    • Korean Journal of Health Education and Promotion
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    • v.4 no.2
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    • pp.9-31
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    • 1987
  • This study was conducted because of the investigator's concern for the high incidence and fatal nature of cancer in prime years of human life. The purpose of this study was to investigate risk factors on compilance for preventive health behavior of cancer. The data on which the analysis was based come from a survey of 828 married men & women, 40-59 years old. The instrument of the study were 'Health Belief Model' by Becker. The Data was analyzed using X--test, t-test, ANOVA, Pearson's Correlation Coefficient, Stepwise Multiple Regression. The followings were the result; 1. The examined group had a higher scores than the non-examined group in health belief variables. (p<0.001) 2. The higher level of health belief variables, the higher level of compliance for preventive health behavior is. (p<0.001) 3. The Stepwise Multiple Regression of compliance for preventive health behavior on the variables in the health belief model; Approximataly 65.5% of the variance of compliance for preventive health behavior was accounted for by health concern, susceptibility and barriers in combination. This meant that other factors seemed to influence preventive health behavior since the linear combination of variables failed to explain the remaining 34.5% of preventive health behavior of cancer. It tended to cost doubt on the usefulness of 5 variables in this model. Therefore further study to investigate the influential factors preventive health behavior of cancer is necessary.

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Patient Compliance and Associated Factors in the Community-based Hypertension Control Program (지역단위 고혈압사업에 있어서 환자의 치료순응도와 결정요인)

  • Kim, Jee;Min, Kyung-Bok;Kwon, Soon-Ho;Han, Dal-Sun;Bae, Sang-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.2
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    • pp.215-227
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    • 1999
  • Objectives: To investigate compliance of hypertension patients using modified Theory of Reasoned Action(TRA). Methods: The data were collected for 7-12 April 1997, by interviewing 190 Hypertension patients in Hwachon, Kangwon-do. The analytical techniques employed include contingency table analysis and logit analysis. Results: 15.1% of patients were unaware of the fact that he/she has hypertension and 11.2% did not know that he/she should take drug. 20.8% of patients took drug continuously, 20.1% had drug intermittently, and 53.1% had never have treatment. In the contingency table analysis, several variables were found to be significantly related to patient compliance. They included variables for attitude towards the consequences of taking drugs, normative beliefs, systolic BP at the enrollment, knowledge of how to take hypertensive drugs, variables for general health behavior and experience with having health worker's home visit. The logit analysis was performed by two steps. first step uses experience with drug treatment of hypertension as the dependent variable, and second step uses continuity of treatment. Included in the predictors that are significantly related to the former analysis are subjected norms produced by combining normative beliefs and motivation to comply, knowledge of how to take hypertensive drugs, and opinion about natural recovery of diseases. The only significant determinant of continuous treatment was knowledge of how to take hypertensive drugs. Conclusions: The results of analysis suggest the usefulness of TRA as a framework for the study of compliance of hypertensive patients. The findings have some practical implication as well. One is that efforts for enhancing compliance should be directed not only patients but also to other persons influencing patient's attitude and behavior. It also suggest that correct understanding of hypertension treatment is essential to perform the appropriate patient role.

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Immunization, Knowledge, and Preventive Health Behaviors to Hepatitis A in University Students (일부 대학생의 A형 간염에 대한 예방접종 실태, 지식 및 예방적 건강행위)

  • Oh, Hee-Young;Park, Ju-Young
    • Korean Journal of Health Education and Promotion
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    • v.28 no.5
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    • pp.83-95
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    • 2011
  • Objectives: This study was conducted to examine the immunization, knowledge, and preventive health behaviors for hepatitis A in college students. Methods: Structured questionnaire survey data were collected from a convenient sample of 266 students at two universities in urban areas. Data were analyzed with Pearson correlation coefficient, t-test, ANOVA, and multiple logistic regression analysis. Results: Only 10.5 percent of the students reported having had hepatitis A vaccination. The levels of knowledge and compliance of preventive health behavior were moderate with the mean scores of 15.56(${\pm}2.12$), and 26.78(${\pm}3.41$), respectively. A significant correlation was found between knowledge and preventive health behaviors. The compliance to preventive health behaviors differed by education on hepatitis A in the past. Conclusions: Vaccination rate of hepatitis A found to be low and the knowledge and health behaviors for hepatitis A prevention among university students are limited. Provision of vaccination, education and strategies to enhance preventive health behaviors are warranted to prevent hepatitis A.

Perceived Knowledge, Anxiety and Compliance with Preventive Behavior Performance on COVID-19 by Nursing College Students (간호대학생이 지각한 COVID-19의 지식, 불안이 예방행위 수행정도에 미치는 영향)

  • Hwang, Soon-Jung;Lee, Myung In
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.459-468
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    • 2020
  • This study was examined to identify effects of compliance with preventive behavior on COVID-19 of nursing college students. From April 24 to May 6, 2020, 195 nursing students in grades 1-4 responded to an online self-report questionnaire. Collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using SPSS/WIN 23.0 program. The result showed that compliance with preventive behavior was positively correlated with knowledge and anxiety. The multiple regression revealed knowledge(β=.418, p<.001), anxiety(β=.280, p<.001), and experience of self quarantine(β=-.107, p<.05) to be significant compliance with preventive behavior. These variables accounted for 40.4% of compliance with preventive behavior. Conclusion Accurate and positive knowledge formation of COVID-19 of nursing students is necessary and the development and application of educational programs that can practice the performance of preventive actions in everyday life is necessary.

Correlations among Family Support, Self-Esteem and Compliance with Preventive Health. Behavior in Elderly People (노인이 지각한 가족지지와 자아존중감 및 예방적 건강행위 이행과의 관계)

  • Choi Young-A;Park Jum-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.1
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    • pp.141-152
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    • 1999
  • The purpose of this study was to identify correlations among family support, self-esteem and compliance in preventive health behavior in elderly people. The results will provide valuable data for nursing interventions towards help the elderly lead better lives. Those who lived with elderly people in Kimchun were interviewed by the researcher and an assistant. The subjects were 191 elderly people over the age of 65. The study method used was a structured questionnaire and the data were collected from September 17th to September 31th in 1998. The tools for this study were the family support scale designed by Gang Hyun Sook, the self-esteem scale designed by Rosenberg and the preventive health behavior scale designed by Gang Yune Sook. The data were analyzed by the SAS program, Mean, SD, T-test, ANOVA, Pearson Correlation Coefficients. The results of this study are as follows : 1. The mean score for family support was 40.49. The score of family support of the elderly showed significant differences according to age(F=2.66, P<.05), spouse presence(t=4.20, P<.001), family pattern(F=4.56, P<.01), economic status (F=10.47, P<.001) and pocket money(F=10.46, P<.001). 2. The mean score for self-esteem was 29.01. The score of self-esteem of the elderly showed significant differences according to educational level(F=3.47, P<.01), spouse presence(t=2.49, P<.05), family pattern(F=3.79, P<.01), economic staus(F=15.65, P<.001) and pocket money(F=14.04, P<.001). 3. The mean score for compliance with preventive health behavior was 53.15. The score of compliance of preventive health behavior of the elderly showed significant differences according to economic status(F=9.34, P<.001) and pocket money(F=8.13, P<.001). 4. The relation between family support and self-esteem was significantly different(r=.57, P<.001). The relation between family support and compliance with preventive health behavior was significantly different(r=.44, P<.001). The relation between self-esteem and compliance with proventive health behavior was significantey different(r=.51, P<.001), In conclusion, the correlations among lamily support, self-esteem and compliance with preventive health behavior in elderly people showed significant differences.

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Associations Between Compliance With Non-pharmaceutical Interventions and Social-distancing Policies in Korea During the COVID-19 Pandemic

  • Hwang, Yu Seong;Jo, Heui Sug
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.4
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    • pp.230-237
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    • 2021
  • Objectives: This study explored changes in individuals' behavior in response to social distancing (SD) levels and the "no gatherings of more than 5 people" (NGM5) rule in Korea during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Using survey data from the COVID-19 Behavior Tracker, exploratory factor analysis extracted 3 preventive factors: maintenance of personal hygiene, avoiding going out, and avoiding meeting people. Each factor was used as a dependent variable. The chisquare test was used to compare differences in distributions between categorical variables, while binary logistic regression was performed to identify factors associated with high compliance with measures to prevent transmission. Results: In men, all 3 factors were significantly associated with lower compliance. Younger age groups were associated with lower compliance with maintenance of personal hygiene and avoiding meeting people. Employment status was significantly associated with avoiding going out and avoiding meeting people. Residence in the capital area was significantly associated with higher compliance with personal hygiene and avoiding venturing out. Increasing SD levels were associated with personal hygiene, avoiding going out, and avoiding meeting people. The NGM5 policy was not significantly associated with compliance. Conclusions: SD levels, gender, age, employment status, and region had explanatory power for compliance with non-pharmaceutical interventions (NPIs). Strengthening social campaigns to inspire voluntary compliance with NPIs, especially focused on men, younger people, full-time workers, and residents of the capital area is recommended. Simultaneously, efforts need to be made to segment SD measures into substrategies with detailed guidance at each level.

A Study for Investigating of Predictors of Compliance for Preventive Health Behavior. -centered on early detection of cervical cancer- (예방적 건강행위 이행의 예측인자 발견을 위한 연구-자궁암 조기발견을 중심으로-)

  • 이종경
    • Journal of Korean Academy of Nursing
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    • v.12 no.1
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    • pp.25-38
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    • 1982
  • As technological civilization and medical science has developed, standards of living have imp-roved and human life expectancy has been extended. But the incidence and mortality rate of cancer have been gradually increasing due to the pollution of the environment. Even though cancer is still a great threat to human beings, the etiology and appropriate cure forcancerhavenotyetbeendiscovered. The early detection and treatment of cancer is urgently needed. This study concentrates on the health behavior of woman regarding the papanicolau smear for early detection of cervical cancer. It was done in order to provide a direction for scientific health education materials by investigating predictors of preventive health behavior. The subjects for this study were made up of 54 woman, who comply with preventive health practices(compliant) who attended the Cervical Cancer Center of Y University Hospital in order to have tests for early detection of cervical cancer and 54 woman who did not comply with preventive health practices (noncompliant) selected from 100 housewives of I apartment, Kang Nam Ku, Seoul. The study method used, was a questionnaire for the compliance group and an interview for the noncompliance group. The period for data collection was from October 13th to October 24th. 1981. Analysis of the data was done using percentages, T-test, Pearson Correlation and Stepwise Multiple Regression. The results of study were as follows: 1. The hypotheses tested were based on the health belief model; 1) The first hypothesis,“The compliant may have more knowledge of the cervical cancer than the noncompliant”was rejected(T=-1.86, p>.05) 2) The second hypothesis,“The compliant may have a higher severity of cervical cancer than the noncompliant”was accepted (T=5.41, p<.001) 3) The third hypothesis, “The compliant may have a higher susceptability to cervical cancer than the noncompliant”was accepted(T=3.51, p<.01). 4) The fourth hypothesis,“The compliant may have more beneHt than cost'from the cervical cancer tests than the noncompliant" was accepted(T=7.46, p<.001). 5) The fifth hypothesis,“The compliant may have more health concern than the noncompliant”. was accepted(T=3.39, p<.01). These results show that severity, susceptability, benefit(over cost) and health concern influence the preventive health behavior in this Study. 2. In the correlation among variables, it was found that the knowledge of cervical cancer and the benefit(over cost) of preventive health behavior were negatively correlated(r=-2.75, p<.01), Severity of cervical cancer and benefit (over cost) of preventive health behavior were positively correlated(r=.280, p<.01), severity and susceptability of cervical cancer were positively correlated(r= .238, p<.01), benefit(over cost) and health concern were positively correlated(r= .299, p<.01). The benefit(over cost) may be raised by increasing the severity and health concern. Therefore the compliance rate of woman may be raised through health education by increasing the benefit(over cost) of the individual. 3. The Stepwise Multiple Regression between health behavior and predictors. 1) The factor“Benefit(over cost)”could account for preventive health behavior in 34.4% of the sample(F=55.6204 P<.01). 2) When the factor“Severity”is added to this, it accounts for 44.3% of preventive health behavior(F=41.679, p<.01). 3) When the factor“Susceptability”is also included, it accounts for 46.7% of preventive health behavior(F=30.373, p<.01). 4) When the factor “Health concern”is included, it accounts for 48.1% of preventive health behavior(F=23859, p<.05). This means that other factors appear to influence preventive health behavior, since the combination of variables explains only 48.1% of the Preventive health behavior. Therefore further study to investigate the predictors of preventive health behavior is necessary.

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Preventive Behavior and Health Belief about Hepatitis A of Adults in their Twenties to Thirties (20~30대 성인의 A형 간염 건강신념과 예방행위)

  • Park, Ju-Young
    • Korean Journal of Adult Nursing
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    • v.23 no.4
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    • pp.403-411
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    • 2011
  • Purpose: This study was designed to identify the relationship between preventive behavior and health belief about Hepatitis A among young adults. Methods: The sample consisted of 197 participants between the ages of twenty and forty. The data were collected from May 3 to May 30 2011 and analyzed using descriptive statistics, t-test, ${\chi}^2$-test, and Pearson correlation coefficients. Preventive Behavior's Scale about Hepatitis A and Health Belief's Scale about Hepatitis A were used for data collection. Results: The mean scores of health behavior ($2.97{\pm}0.34$) and preventive behavior ($2.46{\pm}0.30$) about Hepatitis A were about average degree. The participant's characteristics with preventive behavior were significantly different according to type of residence (${\chi}^2$=4.74, p =.040), experience of obtained knowledge about Hepatitis A (${\chi}^2$=5.68 p =.018) and attitude about Hepatitis A (${\chi}^2$=15.20, p<.001). Significant correlations were found between health behavior and preventive behavior with Hepatitis A (r=.20, p =.005). The preventive behavior had a significant positive correlation with susceptibility (r=.22, p =.001), severity (r=.17, p =.015), and benefit (r=.32, p<.001) towards Hepatitis A as the details of the health belief. Conclusion: These findings indicate that health belief may be necessary to improve compliance with preventive behavior on Hepatitis A among young adults. It is necessary to develop the strategy of reinforcing health belief in complying with preventive behavior for preventing the occurrence of Hepatitis A.

Predisposing, Enabling, and Reinforcing Factors of COVID-19 Prevention Behavior in Indonesia: A Mixed-methods Study

  • Putri Winda Lestari;Lina Agestika;Gusti Kumala Dewi
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.1
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    • pp.21-30
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    • 2023
  • Objectives: To prevent the spread of coronavirus disease 2019 (COVID-19), behaviors such as mask-wearing, social distancing, decreasing mobility, and avoiding crowds have been suggested, especially in high-risk countries such as Indonesia. Unfortunately, the level of compliance with those practices has been low. This study was conducted to determine the predisposing, enabling, and reinforcing factors of COVID-19 prevention behavior in Indonesia. Methods: This cross-sectional study used a mixed-methods approach. The participants were 264 adults from 21 provinces in Indonesia recruited through convenience sampling. Data were collected using a Google Form and in-depth interviews. Statistical analysis included univariate, bivariate, and multivariate logistic regression. Furthermore, qualitative data analysis was done through content analysis and qualitative data management using Atlas.ti software. Results: Overall, 44.32% of respondents were non-compliant with recommended COVID-19 prevention behaviors. In multivariate logistic regression analysis, low-to-medium education level, poor attitude, insufficient involvement of leaders, and insufficient regulation were also associated with decreased community compliance. Based on in-depth interviews with informants, the negligence of the Indonesian government in the initial stages of the COVID-19 pandemic may have contributed to the unpreparedness of the community to face the pandemic, as people were not aware of the importance of preventive practices. Conclusions: Education level is not the only factor influencing community compliance with recommended COVID-19 prevention behaviors. Changing attitudes through health promotion to increase public awareness and encouraging voluntary community participation through active risk communication are necessary. Regulations and role leaders are also required to improve COVID-19 prevention behavior.

A Study on Breast Cancer self-examination Compliance in the Context of Health Belief Model (유방암 자가검진에 영향을 미치는 요인에 관한 연구 - 건강신념 모형을 중심으로 -)

  • 김미경;김초강
    • Korean Journal of Health Education and Promotion
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    • v.7 no.1
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    • pp.64-71
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    • 1990
  • The purpose of this study is to identify the main factors influencing breast cancer self-examination, a preventive health behavior, thereby increasing self-examination compliance for early detection of the disease. The data on which this study was based were collected from a survey of 601 ladies, aged 20∼59 years and residing in Seoul, employing such mehtods as X²-test, ANOVA, t-test, F-test, Person's Correlation Coefficient and Stepwise Multiple Regression. The resulting conclusions are as follows; 1. Discrepancies in self-examination compliance rate are found in accordance with the differences of general characters of the surveyed persons. For instance, those who are well educated and better off are better compliers than those who are not (p<0.001), and those around whom breast cancer patients are better ones than who are not (p<0.01). 2. Self-examination compliers have higher health belief than non-compliers. Compliers have more knowledge in health and have higher susceptibility, barriers and health concern (p<0.001), and higher benefits (p<0.01), and higher seriousness (p<0.05) than non-compliers. 3. Whereas those who have loftier health belief show higher compliance rate (p<0.001), seriousness turned out to have no correlationship with self-examination compliance. 4. Stepwise Multiple Regression portray that following factors influence self-examination compliance in arder named. (1) barriers (2) susceptibility, (3) health concern, (4) age, (5) benefits, (6) education level. Even so, it turned out that these factors alone can explain only 20% of self-examination compliance. Therefore study for the other factors ought to be continued. I submit following suggestions ending this study. 1. Since breast cancer self-examination is an essential health behavior needed for early detection of the disease, efficient and proper health education program eyed for regular and periodic self-examination is required to be developed, thus reducing the deaths and pains caused by the disease. 2. Proper policies of the government for the prevention of breast cancer is strongly urged to be formed in concrete manner. 3. Continuous study of the other factors affecting self-examination compliance must be carried on.

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