• Child Health Nursing Research
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• 제29권2호
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• pp.149-160
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• 2023

Purpose: Based on the health belief model and theory of planned behavior, this study investigated how age group (adolescence and emerging adulthood) moderated the relative effects of perceived susceptibility, perceived severity, and subjective norms on preventive behavior against coronavirus disease 2019 (COVID-19). Methods: This secondary data analysis utilized data from adolescents (n=272) and emerging adults (n=239). Hierarchical multiple regression analysis was performed to test the moderating effect of age group on the relationships among variables. Results: Higher perceived susceptibility (β=.21, p<.001), perceived severity (β=.14, p=.002), subjective norms (friends) (β=.26, p<.001), subjective norms (parents) (β=.44, p<.001), and subjective norms (schools) (β=.28, p<.001) enhanced COVID-19 preventive behaviors. Moderated regression analysis showed that subjective norms (friends and school) impacted preventive behavior in adolescents more than in emerging adults. Conclusion: Given the need to increase perceived susceptibility and severity among adolescents and emerging adults, these findings provide baseline data for designing effective COVID-19 prevention interventions that consider the developmental characteristics of different age groups. Interventions by health centers at universities can strengthen COVID-19 preventive behavior among emerging adults. As adolescents are influenced by friends, their peer roles must be strengthened to enhance adherence to COVID-19 preventive guidelines.

• 문화기술의 융합
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• 제10권3호
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• pp.739-747
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• 2024

본 연구는 간호대학생을 대상으로 코로나-19관련 지식, 감염위험지각, 건강신념과 감염예방행위 간의 관계를 확인하고, 코로나-19예방 행위에 영향을 미치는 요인을 파악함으로써 간호대학생의 감염예방행위을 향상시키기 위한 기초자료를 제공하기 위해 시도하였다. 본 연구는 G광역시 간호학과 4학년 161명을 대상으로 하였다. 자료분석은 spss 21.0 프로그램을 이용하여 기술통계, Independant t-test, ANOVA, 피어슨상관계수, 다중회귀분석으로 분석하였다. 본 연구결과 코로나-19 관련 감염예방행위는 감염위험지각(r=.217, p=.006), 건강신념 중 지각된 혜택(r=.260, p=.009)과 정적 상관관계를 나타났고, 건강신념 중 지각된 장애성(r=-.219, p=.005)과 부적 상관관계를 나타냈다. 대상자의 감염예방행위에 영향을 미치는 영향 요인은 건강신념 중 지각된 혜택(β=.17, p<.001)과 코로나-19 감염 이후정신적 변화(β=.19, p=.014)이었고, 간호대학생의 감염예방행위 실천율 영향 요인 정도를 58% 설명하였다(F=9.68, p<.000). 따라서 간호대학생의 건강신념 증진 프로그램, 감염관련 커리큘럼 그리고 정서적인 지지 프로그램을 개발하고 적용한 후 감염예방행위 실천 정도를 향상시킬 수 있을 것으로 사료된다.

• 성인간호학회지
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• 제27권2호
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• pp.127-134
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• 2015

Purpose: The purpose of this study is to identify health beliefs and knowledge related to hepatitis A vaccination (HAV). Preventative behaviors related to HAV were also examined. Methods: The convenience sample of 332 students were drawn from a university in Chung-nam province. The results were analyzed using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$ test, Pearson's correlation coefficient, and stepwise multiple regression with SPSS for Windows 21.0 software. Results: Vaccination rates for hepatitis A were 23.4%. The mean scores of health beliefs, knowledge and preventative behaviors related to hepatitis A were $2.38{\pm}0.25$, $0.34{\pm}0.30$, and $3.15{\pm}0.40$ respectively. The factors found to be related to hepatitis A preventative behaviors were HAV, having the HAV antibody and health beliefs. Conclusion: An experience of HAV, having HAV antibody, and positive health beliefs related to hepatitis A may be necessary to increase voluntary hepatitis A preventive behaviors among university students. It is essential to develop the strategy of educating university students about HAV and having HAV antibody as well as reinforcing health beliefs about hepatitis A which prevent the hepatitis A occurrence.

• 한국산학기술학회논문지
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• 제16권8호
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• pp.5287-5295
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• 2015

본 연구는 흡연청소년의 암 예방행위와 관련요인을 규명하기 위한 서술적 조사연구이다. 대상자는 B광역시소재 W병원에서 운영하는 금연학교에 참석 중인 흡연 청소년 200명으로, 자료수집기간은 2012년 9월 1일부터 2013년 3월 31까지였다. 연구결과, 대상자의 암 예방행위 정도는 학년, 종교, 유익성, 장애성, 건강상태, 일상생활, 음주, 운동, 니코틴의존도, 흡연시작 나이, 흡연기간 및 금연의도에 따라 유의한 차이가 있었다. 암 예방행위 정도는 암에 대한 지식(r=-.166, p<.05)과 미약한 음의 상관관계를, 태도(r=.212, p<.01)와는 미약한 양의 상관관계를 나타내었으며 통계적으로 유의하였다. 암 예방행위를 설명하는 유의한 변수는 일상생활, 장애성, 학년, 운동, 유익성, 암에 대한 지식, 금연의도의 순이었고, 전체 설명력은 30.6%였으며, 일상생활(${\beta}=25.8$)이 가장 설명력이 많은 것으로 나타났다. 따라서 흡연청소년들의 암 예방행위를 높이기 위해서는 일상생활과 학교생활에서 흡연을 대체할 수 있는 건전한 취미와 운동 등을 보급하고 암 예방행위의 유익성을 강조하고 장애성을 감소시킬 수 있는 보건교육과 학년과 금연의도 등의 학생들의 특성을 고려한 맞춤형 암 예방교육프로그램의 개발이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제55권6호
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• pp.568-577
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• 2022

Objectives: Many studies have shown that social distancing, as a non-pharmaceutical intervention (NPI) that is one of the various measures against coronavirus disease 2019 (COVID-19), is an effective preventive measure to suppress the spread of infectious diseases. This study explored the relationships between traditional health-related behaviors in Korea and social distancing practices during the COVID-19 pandemic. Methods: Data were obtained from the 2020 Community Health Survey conducted by the Korea Disease Control and Prevention Agency (n=98 149). The dependent variable was the degree of social distancing practice to cope with the COVID-19 epidemic. Independent variables included health-risk behaviors and health-promoting behaviors. The moderators were vaccination and unmet medical needs. Predictors affecting the practice of social distancing were identified through hierarchical multiple logistic regression analysis. Results: Smokers (adjusted odds ratio [aOR], 0.924) and frequent drinkers (aOR, 0.933) were more likely not to practice social distancing. A greater degree of physical activity was associated with a higher likelihood of practicing social distancing (aOR, 1.029). People who were vaccinated against influenza were more likely to practice social distancing than those who were not (aOR, 1.150). However, people with unmet medical needs were less likely to practice social distancing than those who did not experience unmet medical needs (aOR, 0.757). Conclusions: Social distancing practices were related to traditional health behaviors such as smoking, drinking, and physical activity. Their patterns showed a clustering effect of health inequality. Therefore, when establishing a strategy to strengthen social distancing, a strategy to protect the vulnerable should be considered concomitantly.

• Journal of Preventive Medicine and Public Health
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• 제44권3호
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• pp.118-124
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• 2011

Objectives: Although cigarette smoking is known to be related to the exacerbation of asthma symptoms, several studies have indicated that the prevalence of cigarette smoking among asthmatic adolescents is similar to or even higher than that among non-asthmatic adolescents. The aim of this study was to evaluate the relationship between asthma and cigarette use behaviors and whether or not the presence of suicidal ideation modifies this relationship among Korean adolescents. Methods: We analyzed data from the 2008 Korea Youth Risk Behavior Web-based Survey, which included a nationally representative sample of middle and high school students. Multiple logistic regression models were used to calculate odd ratios and 95% confidence intervals of cigarette use behaviors among current asthmatics, former asthmatics, and nonasthmatics, after adjusting for gender, grade, school records, socioeconomic status, current alcohol use, and suicidal ideation. Results: Of 75 238 study participants, 3.5% were current asthmatics and 4.5% were former asthmatics. Compared with non-asthmatics, asthmatics were more likely to report current cigarette use, frequent and heavy cigarette use, and cigarette use before 13 years of age. There were statistically significant interactions between asthma and suicidal ideation in cigarette use behaviors. Conclusions: This study demonstrated that asthmatic adolescents are more likely than non-asthmatic adolescents to engage in cigarette use behaviors and the presence of suicidal ideation is an effect modifier of the relationship between asthma and cigarette use behaviors. Particular attention should be paid to the awareness of health risks of cigarette smoking and mental health problems among asthmatic adolescents.

• Journal of Preventive Medicine and Public Health
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• 제38권4호
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• pp.391-400
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• 2005

Objective : This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. Methods : A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Results : Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. Conclusions : The perceived economic hardships predicted the health status among the eighth graders of South Korea. The overall satisfaction of life was associated with the socioeconomic position indicators. Further research efforts are needed to explore the mechanisms on how and why the socioeconomic position affects the health and health related behaviors in this age group.

• Journal of Korean Biological Nursing Science
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• 제24권4호
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• pp.253-261
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• 2022

Purpose: This study aims to identify the knowledge, risk perception, fear, self-efficacy, and preventive behaviors among nursing students, and factors influencing preventive behaviors on COVID-19. Methods: Data was collected from March, 2022 to May, 2022. The participants included 218 nursing students in their 3rd and 4th grade of three universities in two cities. Results: The knowledge of COVID-19 was 13.54 out of 15 points, risk perception was 4.83 out of 8 points, fear was 13.26 out of 35 points, self-efficacy was 19.96 out of 25 points, and preventive behaviors were 7.56 out of 9 points. The explanatory power of self efficacy (β= .21, p= .002), which affects preventive behaviors was 67.0%. Conclusion: Based on the results of this study, it is necessary to develop a systematic nursing intervention that improves self-efficacy to improve preventive behaviors against COVID-19 among students. This study's result can be used in the future to develop appropriate health policies and program to prevent emerging infectious diseases.

• Journal of Preventive Medicine and Public Health
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• 제40권3호
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• pp.218-226
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• 2007

Objectives : This study examined the relationship of parent-related negative life events with mental health and delinquent behaviors among Korean adolescents. Methods : A total of 2,976 high school first-grade pupils (1,498 boys & 1,478 girls) taking part in the third wave of Korean Youth Panel Survey completed a self-administered questionnaire regarding parent-related life events, depressive feelings, suicidal ideation, delinquent behaviors, demographic characteristics, parental socioeconomic status, social support, and social capital. Data analyses were conducted using multivariate logistic regression. Results : After adjusting for all covariates, the more parent-related negative life events adolescents experienced throughout their whole life, the more likely adolescent were to have mental and behavioral problems. A significant dose-response relationship between them was more clearly observed in girls than in boys. The experience of parentrelated negative events during childhood was significantly associated with suicidal ideation and delinquent behaviors for boys, and with depressive feelings for girls during adolescence. Indeed, parental social support, social capital, and having a close friend with delinquent behaviors, especially for girls, partially mediated the relationship between parent-related negative life events and both outcomes. Conclusions : The study showed a clear dose-response relationship of frequency of parent-related negative life events with poor mental and behavioral health for both genders. The residual effect of being exposed to parent-related events during childhood on mental health and delinquent behaviors during adolescence still remained.

• Journal of Preventive Medicine and Public Health
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• 제33권2호
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• pp.137-149
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• 2000

Objectives : The purpose of this study was to examine the factors related to children's health behavior. Methods : A self-administered questionnaire survey was carried out for 431 (boys; 227, girls; 204) children, 6th grade students, in Taegu from December 14 to 18 in 1998. This study employed health promotion model as a hypothetical model. Collected data were analysed through the chi-square test, ANOVA, and path analysis. Results : By univariate analysis, in case of boys, health practice was related to perceived self efficacy, perceived health status, perceived benefits of health-promoting behaviors, and perceived barriers, and in girls, health practice was related to perceived self efficacy, perceived benefits of health-promoting behaviors, perceived barriers, and cues to action. By path analysis, in case of boys, the better economic status, the younger mothers' age, the higher score of family cohesion and adaptability, healthier, the more perceived benefits, and the less perceived barriers were, the more health behaviors were practiced. Girls did the more health practice, in case of living with parents only, the higher score of family cohesion and adaptability, the more perceived self-efficacy, the less perceived barriers, and the more cues to action. Family cohesion had the most important effect on health practice of primary school students. Conclusions : In order to promote health behavior of primary school students, a good family environment as well as health education might be very important. That is, we have to try together in home and as well as in school.