• Korean Journal of Health Education and Promotion
• /
• v.28 no.5
• /
• pp.145-160
• /
• 2011

Objectives: This study attempted to apply the Intervention mapping and Transtheoretical models to develop a program to promote moderate alcohol drinking in university students. Methods: Surveyed data from 1,137 university students were analyzed to identify personal and environmental determinants for alcohol drinking. Based on these determinants, program objectives were established. Crossing the objectives with related important determinants resulted in matrices of learning objectives for which educational strategies were developed. Subsequently, an intervention program were designed to achieve those objectives. Results: Identified personal determinants included awareness, attitudes, self-efficacy and behavioral skills. Environmental determinants were binge drinking behaviors of family members and peers, and social pressure for drinking. Program, impact and learning objectives were developed to change the identified determinants. Program activities included provision of information on positive and negative consequences of binge drinking, opportunities for assessing one's drinking pattern, increasing outcome expectancies of and skill building for monitoring drinking, resisting peer pressure and managing stress. To facilitate adoption and maintenance of the program, an intervention diffusion plan was suggested. An evaluation plan was developed by utilizing RE-AIM framework. Conclusions: In order to expand evidence bases for effective theory-based programs, the developed program should be tested in diverse university settings.

• Journal of Korean Public Health Nursing
• /
• v.24 no.1
• /
• pp.135-150
• /
• 2010

Purpose: To analyze the effects of customized home visiting health services on the health and health behaviors of clients with hypertension (n=107) and diabetes mellitus (DM: n=67). Methods: A one group pre and post-test research design was used. The subjects were registered in a customized 8-week, interventional, home visiting health services available in Daegu. Data was collected from November 17, 2008 to January 23, 2009. Analyses involved descriptive statistics, $x^2$ test and paired t-test. Result: Hypertension control rate was improved 25.2% and DM control rate was improved 3.0%. There were significantly beneficial hypertension-related differences in BP, health belief, health knowledge and health behaviors including performance of 10 min of moderate exercise, diet, BP monitoring and medication. Significantly beneficial DM-related changes included glucose, health belief, health knowledge and health behaviors including performance of 10 min of moderate exercise and glucose monitoring. But there were no significant hypertension-related differences in health belief (barrier) and health behavior including drinking and exercise length/frequency. Also, no significant DM-related differences were evident in health belief (barrier) and health behaviors including drinking, smoking, exercise length/frequency, diet and medication. Conclusion: Customized home visiting health service can provide effective, but not complete. Whether these benefits are maintained in the longer term is unknown.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.26 no.3
• /
• pp.149-158
• /
• 2015

Objectives : The objective of this study was to identify the risky behavior subtypes in adolescents with depression, and the relationship between those subtypes and suicide attempt. Methods : Ninety adolescents who met the Diagnostic and Statistical Manual of Mental Disorders-4th edition criteria for major depressive disorder, dysthymia, or depressive disorder not otherwise specified participated in the study. Participants were interviewed about suicidal attempts, non-suicidal self-injuries. Smoking, drinking behaviors, and searching for the word "suicide" on the internet, negative life events including bulling-bullied experiences, and history of abuse were also included with questionnaires. Results : The results of cluster analysis showed that four risky behaviors were divided into three clusters : non-risky type, characterized by few risky behaviors ; delinquency type, which was characterized by smoking and drinking ; non-suicidal self-injury type. In non-suicidal self-injury type, percentage of girls was higher and clinical symptoms were more severe than delinquency type. In addition, delinquency type members could be a bully, while non-suicidal self-injury type members could be abused by a family member. Logistic regression analysis showed that both risky behavior subtypes were significant predictors of suicide attempt. Conclusion : These results suggest that two types of risky behaviors of depressed adolescents have an effect on the suicide attempts independently. Then, the implications and limitations of the study were discussed and directions for future studies were suggested.

• The Journal of Korean Society for School & Community Health Education
• /
• v.20 no.1
• /
• pp.57-68
• /
• 2019

Objectives: We would like to manage university student's health factors by researching the connection between BMI and oral health and behavior of university students. And provide basic data by integrating for weight management programs that target overweight people can improve oral health. Methods: Self-evaluation questionnaires were surveyed for 315 students who agreed to participate in the survey, using questionnaires used in the preceding study were modified and complemented. We analyzed the data with frequency analysis, descriptive statistics, t-test, chi-square test와 ANOVA, Spearman correlation coefficient by using IBM SPSS Statistics 21.0 (IBM Co., Armonk, NY, USA). The significance level for significance was set at 0.05. Results: People who smoke and alcohol drink have a lower score in their oral health behavior and oral health knowledge than those who do not. There was a significant difference between the BMI group, in the oral health behavior and oral health knowledge scores. BMI and smoking (r=0.230, p<0.001), alcohol drinking (r=0.121, p<0.05) were significant positive correlation. BMI and sleep time (r=-0.127, p<0.05), oral health behaviors (r=-0.133, p<0.001) were significant negative correlation. oral health behaviors and oral health knowledge (r=0.344, p<0.001) were significant positive correlation. Conclusion: Schools and communities will need to be educated about smoking and drinking, while at the same time developing programs that can improve oral health by integrating weight management programs.

• Health Policy and Management
• /
• v.14 no.2
• /
• pp.117-137
• /
• 2004

The purpose of the study is to examine gender differences in health behaviors and the related factors for the urban elderly population. This study utilized the data from the Suwon city health survey of the elderly in 2001. The data consisted of a random sample of 979 (388 males, 591 females) elderly people aged over 65. The results of the study were as follows. First, the elderly people's health behaviors were different by gender. Concerning health risk-taking behavior, the frequencies of smoking and drinking were higher in males than in females. In terms of health promotive behavior, the regular exercise rate was higher in males than in females. Second, there were different factors that influenced health behaviors by gender. The factors that influenced the health risk-taking behaviors were health status factors for male, and socioeconomic factors for female. The factors that significantly influenced the health promotive behaviors were social supports networks for both gender. Therefore, program priorities need to be modulated in accordance with these gender differences in health behaviors. Moreover, different program strategies are needed that reflect the gender differences in health behavior determinants.

• Journal of Korean Public Health Nursing
• /
• v.29 no.2
• /
• pp.257-271
• /
• 2015

Purpose: This research examined the trend of school health education, using online research data on health behaviors of adolescents. Then it compared the health perceptions, healthy life practice, and health risk behaviors between students who received health education and students who did not. In addition, it predicted the impact of health education on health risk behaviors of students. Methods: Data from 72,435 participants of this survey were analyzed. Statistical analyses were performed on weighted data using the complex sampling design. Results: In the results of the research, general high schools students had the lowest rate of receiving health education, while sex education was the most actively held throughout the all locations. Next, medium-small cities had the lowest rate of receiving health education. Regarding health risk behaviors, students receiving health education had significantly lower rates of smoking, drinking, and sexual intercourse. Conclusion: This study shows that healthy life practices by students improves with the inclusion of health education, thus indicating that schools should invest in health education. This research generated evidence for the first time in Korea that school health education has a positive impact on health risk behaviors and provides basic data for policy development of school health education.

• Korean Journal of Health Education and Promotion
• /
• v.20 no.4
• /
• pp.1-11
• /
• 2003

The main purposes of this study were to investigate the content of health behaviors and to examine factors influencing the health behaviors of the elderly. Data regarding the health behavior of 126 people over 65 years of age living in community settings were used. All subjects were interviewed using a semi-structured questionnaire. The questionnaire consisted of sociodemographic variables, health behaviors, present chronic disease, subjective health status, a scale for worthy life, a scale for self-esteem, and a scale for loneliness. Health behaviors included 27questions on diet, exercise, stress-coping, smoking, drinking, a regular medical check-up, social activities, etc. The data analysis procedure included stepwise regression using health behavior as the dependent variable, and sociodemographics, illness, and psychosocial variables as independent variables. Stepwise regression revealed that factors such as feelings of worthy life($\beta$＝-0.350, p＜0.0001), communicating with otjers or the lack there of ($\beta$＝0.183, p＜0.05), and self-esteem($\beta$＝0.196, p＜0.05) were independently and significantly associated with health behaviors. For example, individuals who showed higher levels of worthy life and who had confiding relationships with others tended to practice more health behaviors. Subjects who had a higher level of self-esteem showed the same tendency. These results suggest the necessity of a intervention that considers psychosocial aspects should be included in care of the elderly so as to promote positive health behavior.

• Journal of agricultural medicine and community health
• /
• v.49 no.2
• /
• pp.111-120
• /
• 2024

Objective: This study aimed to analyze the correlation between factors affecting health risk behaviors of rural residents according to regional scale. Methods: Restricted-access data from the 2016~2021 Korea National Health and Nutrition Examination Survey and the multivariate probit model were used. As for health risk behaviors, smoking, drinking, lack of aerobic exercise, low level of healthy eating index, unvaccination, and non-participation in health examination were considered. Results: Controlling for individuals' socio-demographic characteristics, in general, correlation coefficients between unobservable factors affecting health risk behaviors were significant. However, the magnitude and statistical significance of the correlation coefficients varied by regional scale (dong/eup/myeon). This suggests that rural residents engage in health risk behaviors due to their different characteristics compared with urban dwellers, which also varies by whether residents are located in eup or myeon area. Conclusion: It is necessary to differentiate health care services between urban and rural areas in terms of type of service and programs based on the relationship between unobservable factors affecting each type of health risk behaviors.

• Nutrition Research and Practice
• /
• v.6 no.1
• /
• pp.86-90
• /
• 2012

This study assessed the association between vitamin D sufficiency (serum 25(OH)D ${\geq}30ng/mL$) and alcohol consumption using data from the Korea National Health and Nutrition Examination Survey conducted in 2009. The following characteristics were obtained in 7,010 Korean participants ${\geq}19$-years-of-age: serum 25(OH)D level, alcohol consumption (drinking frequency, drinking number of alcoholic beverages on a typical occasion, average daily-alcohol intake), and potential confounders (age, residence, housing status, occupation, total fat and lean mass, smoking, physical activity, history of liver diseases, liver function, and daily intake of energy, protein, and calcium). After adjusting for confounders, vitamin D sufficiency in men was significantly associated with drinking frequency, number of alcoholic drinks consumed, and average daily alcohol intake; odds ratio of 1.21-1.72, 2.17-3.04, and 2.27-3.09, respectively. Increase in the three alcohol drinking-related behaviors was also linearly associated with increase in serum 25(OH)D level in men. By comparison, there was no significant association between alcohol intake and serum 25(OH)D level in women. The positive association between vitamin D sufficiency and alcohol consumption was evident only in Korean men.

• Journal of the East Asian Society of Dietary Life
• /
• v.20 no.5
• /
• pp.812-822
• /
• 2010

This study explored choice attributes in specially coffee shops and examined the relations between choice attributes and positive emotions customers felt in specially coffee shops. The study also attempted to find differences in choice attributes and positive emotions according to general characteristics of customers and coffee-drinking behavior. Measured items were derived from preliminary interviews and a literature review. Questionnaires were distributed to customers in Seoul who had visited a specially coffee shop in the last 3 months. The derived factors of choice attributes were 'taste of coffee and atmosphere', 'brand', 'price benefit', 'pleasant space', and 'coffee itself. Among those, the two factors 'taste of coffee and atmosphere', and 'brand' had a statistically significant influence on positive emotions of customers. This implies that specially coffee shop customers have primarily emotional rather than utilitarian motivations. Therefore, to better satisfy customers' desires, more effort is needed to improve the physical environment in coffee shops. Female and younger customers showed higher perception of price benefits than others did. The perception of price benefits and pleasant space mainly varied by the location of coffee-drinking and frequency of visiting specially coffee shops. Further differences in positive emotion according to general characteristics and behaviors of having coffee also discussed.