• Korean Journal of Community Nutrition
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• v.22 no.3
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• pp.238-247
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• 2017

Objectives: This study was conducted to investigate providers' perspectives on current challenges in implementing a program for prevention and management of childhood obesity and adoption of mobile phone as a potential solution of leveraging multimodal delivery and support in a school setting. Methods: The qualitative data were collected through face-to-face in-depth interviews with 23 elementary-school teachers, 6 pediatricians, and 6 dieticians from community health centers and analyzed using a qualitative research methodology. Results: Current challenges and potential solutions of obesity-prevention and -management program for obesity program for elementary school children were deduced as two themes each. Lack of tailored intervention due to limited recipient motivation, lack of individualized behavioral intervention, and different environmental conditions can be solvable by mobile technology-based personalized intervention which brings about interactive recipient participation, customized behavioral intervention, and ubiquitous accessibility. Lack of sustainable management due to stigmatization, limited interactions between program providers and inconsistent administrative support can be handled by multimodal support based on school setting using mobile platform providing education of health promoting behaviors toward larger scale and interactive networking between program participants, and minimizing administrative burden. Conclusions: Adoption of mobile-based health management program may overcome current limitations of child obesity program such as lack of tailored intervention and sustainable management via personalized intervention and multimodal supports although some concerns such as increased screen time need to be carefully considered in a further study.

• Journal of Physiology & Pathology in Korean Medicine
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• v.27 no.1
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• pp.11-19
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• 2013

The aim of this study is to analyze the research trend focusing on Yangseng(養生) studies in Korea. Through this study, the researchers attempt to explore the research trends of the Yangseng(養生) in Traditional Korean Medicine. Yangseng(養生) as a key word was searched on representative domestic databases of articles and the researchers and collected the articles of journals published from 1980 to 2012. Finally 350 articles of Yangseng(養生) were selected. After mid-2000s, Yangseng(養生) studies has been increased with the great interest in quality of life. Taoism and Traditional Korean Medicine were closely related with Yangseng(養生). Most of the Yangseng(養生) Studies in Medicine have been carried out by Traditional Korean Medicine and primarily focused in the literature. Yangseng(養生) has been defined as a sort of health-promoting behaviors. Therefore, Yangseng(養生) studies that mainly analyzed the variables associated with health-related quality of life and Yangseng(養生) and the main subjects were elderly and workers in this study. But every measuring instrument except Yangseng(養生) was adapted from western tools. In order to handle the new wave of society and medicine, new health concept and measuring instrument of Traditional Korean Medicine should be developed through Korean unique ideas of Yangseng(養生).

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.742-751
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• 2020

The purpose of this study was to examine the relationship between depression, perceived health status, and health promotion behavior of frail elderly. The subjects were 164 frail elders aged over 65 registered with the home visiting services of two welfare centers in D city. Data was collected using structured questionnaires from January 2 to February 21, 2020. Data was analyzed using the t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and stepwise multiple regression with the SPSS/WIN 23.0 program. The mean depression score was 10.67, perceived health status was 6.71, health promotion behavior score was 2.59. Health promotion behavior and depression were negatively correlated and perceived health status was positively correlated. Factors influencing health promotion behavior were age, education level, and depression. These variables accounted for 73.6% of health-promoting behaviors. Based on these results, we conclude that it is important to continue health promotion for the frail elderly through various programs including interventions for depression to prevent the elderly from progressing to disability.

• Journal of dental hygiene science
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• v.15 no.5
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• pp.612-619
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• 2015

The purpose of this study was to examine the association between oral health status and rheumatoid arthritis (RA). The study used a nationally representative sample of Koreans (2013 Korea National Health and Nutrition Examination Survey) aged 19 years over (n=6,113). Dependent variable was RA, which was assessed with oral health status. Independent variable was oral health status (periodontal status, missing tooth). The chi-square test and logistic regression analysis were performed to identify the association between oral health status and RA. Results of logistic regression analysis for association between periodontal status and RA was no significant. Results of logistic regression analysis for association between missing tooth and RA was statistically significant. The odds ratio (OR) for RA participants was 3.03 (95% confidence interval [CI], 1.47~6.23) in missing tooth 19~28 than missing tooth 0~8. The OR for RA participants was 2.08 (95% CI, 1.06~4.08) in missing tooth 9~18 than missing tooth 0~8. After adjustment for confounders (socio-demographic factors, health behaviors), results of logistic regression analysis was no significant. More missing tooth among adults was greater the risk of RA. By promoting the improvement of oral hygiene and oral health would contribute to reduce the risks associated with systemic diseases. Future study is needed to examine the detailed causal relations between oral health status and RA bidirectionally.

• Journal of the Korean Society of Food Culture
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• v.27 no.6
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• pp.646-658
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• 2012

This study was conducted to investigate the differences in households, parental perception, and dietary behaviors of preschool children from kindergartens with environment-friendly food service (environment-friendly food service group; EFG) versus children from kindergartens with general food service (general food service group; GFG). We sought this basic information to examine the impact of environment-friendly agricultural products in preschool food services. Age, education level, and monthly family income of the EFG were significantly higher than the GFG. The frequency of purchasing environment-friendly agricultural products was significantly higher in the EFG than the GFG, with the most frequently purchased items in both groups being vegetables. The GFG had a significantly higher perception than the EFG in the superior quality of environment-friendly agricultural products; however, a greater proportion of the GFG than the EFG thought environment-friendly products were too expensive. The most frequent reason for purchasing environment-friendly agricultural products in both groups was safety. When purchasing environment-friendly agricultural products, the most important selection factor for the majority of both groups was the label certifying quality assurance. Both groups also considered price reduction as essential for promoting environment-friendly agricultural products. In regard to parental perceptions on food service in kindergarten, the EFG had a significantly higher satisfaction with the nutritional adequacy of the menu compared to the GFG. Both groups considered food safety and health as primary reasons for using environment-friendly foods in the preschool food service, with a greater proportion of the EFG than the GFG responding this way. There were significant differences between the EFG and GFG, as the main satisfaction from using environment-friendly foods in the EFG was safety, freshness, and good hygiene, whereas the main satisfaction in the GFG was a good food service menu, freshness and good hygiene. Dietary behaviors of preschool children in the EFG were also significantly superior to the GFG. Thus, environment-friendly agricultural products have positive effects on the dietary behaviors of preschool children and should be increased in the preschool food service. Lowering prices and a strict supervision of quality assurance is also necessary to promote consumption of environment-friendly food materials.

• 한국노년학
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• v.40 no.4
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• pp.691-706
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• 2020

This study aims to explore health behavior profiles and the association between the derived profiles and living arrangement among middle-aged and older adults. Using data from wave 6 (2016) of the Korean Longitudinal Study of Aging, latent profile analyses were applied to identify patterns of health behaviors and multinomial logistic regression models were conducted to predict profile membership using living arrangement (i.e., living alone, living with spouse only, living with family members) and sociodemographic characteristics. A sample of 7,048 respondents aged 55 and older were included in the study. Results revealed that Korean middle-aged and older adults can be grouped into four health behavior profiles: "High health-compromising" (4%), "Moderate health-compromising" (28%), "Low health-compromising" (65%), and "High physical activity" (3%). Also, living arrangement showed significant profile differences. Compared to the respondents living alone, those living with spouse only were more likely to belong to low and moderate levels of health-compromising behavior profiles than the "High physicial activity profile". Respondents living with family members were more likely to belong to the "High health-compromising profile" than the "High physical activity profile" compared to those living with spouse only. These findings indicate that living arrangement needs to be taken into consideration when developing health promoting programs and supports. Moreover, policy interventions suiting the needs of various sociodemographic subgroups are recommended.

• Journal of agricultural medicine and community health
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• v.29 no.1
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• pp.43-63
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• 2004

Objectives: The purpose of this study was to classify the patterns of health behaviors of some rural residents in Korea by sub-grouping them into populations with similar patterns of diet quality, physical activity, alcohol consumption and cigarette smoking, and then to investigate the relationship between these health behavior patterns and health status or health management of them. Methods: The study subjects were 722 rural residents above 20 years old on a typical rural district in Korea, and the data used in this study was from the survey data for health planning of a health center. Study questionnaire for this survey was developed from modifying the questionnaire for 'National Nutrition and Health Study' conducted in 1998. To classify health behavior patterns, cluster analysis was conducted. And to test the association of health behavior patterns with health status or health management, multiple logistic regression analysis were conducted. Results: The results and their implications of this study were as follows: 1. We identified six health behavior typologies : 67.8% of the sample had a good diet quality but showed sedentary activity level(good diet lifestyle) and 10.9% had heavy smoking behavior(smoking lifestyle). Individuals included in fitness lifestyle cluster(6.2%) had high physical activity level and those in drinking life style(2.6%) had had mainly large amount of alcohol. Zero point six percent of sample were included in hedonic lifestyle cluster, who showed poor health behaviors in all. Those included in passive lifestyle(11.9%) had no active health promoting activities but tended to avoid risk taking health behavior such as cigarette smoking and alcohol drinking. 2. As a result of logistic regression analysis, to compare with the individuals in good diet lifestyle, the prevalence of chronic diseases of those in fitness lifestyle showed higher and that of those in smoking lifestyle, drinking lifestyle, hedonic lifestyle, passive lifestyle showed lower than them, retrospectively. 3. Adjusting with general characteristics and health status, to compare with the individuals in good diet lifestyle, the proportion of those who had good health management practices in fitness lifestyle was higher, and the proportion of those who had health check in past 2 years was lower than them, retrospectively. Conclusions: There were some differences in health behavior patterns between rural population and national population, which influenced significantly on health status and health management practice of them. We suggested that the health promotion program for them be developed with considering these points.

• Journal of agricultural medicine and community health
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• v.33 no.2
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• pp.204-220
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• 2008

Objectives: This study was performed to determine the levels of depression symptoms among the community elderlies and to reveal its related factors, specifically aimed at revealing psycho-social factors such as social support net-work, sense of self-esteem, state anxiety, interpersonal behavior trait and locus of control. Methods: The interviews were performed during the period from April 1st to June 30th, 2007 to the 790 elderlies in urban and rural areas. Results: The mean scores of depression (CES-D) among all subjects were 16.65±10.97(urban: 18.81±10.31, rural: 14.49±11.20) and they were higher in urban than rural. The level of depression symptoms was influenced by the variables of educational level, with or without spouse, bear for living expenses, sense of satisfaction in daily life. As for health related behaviors, they were influenced by the variables of with or without regular exercise. As for health status, they were influenced by the subjective health status, with or without disability of body, visual acuity, hearing ability, ability of food mastication, urinary incontinence, with or without help in activity of daily living (ADL) and instrumental activity of daily living (IADL). As for social support net-work and social activities, they were influenced by number of offspring, frequency of offspring contents, frequency of going out and activity of hobbies. As for psycho-social factors, they were influenced by sense of self-esteem, state anxiety and social support, especially, the level of depression symptoms was higher influenced by the variables of psycho-social factors than other variables. Conclusions: Lower of the level of depression symptoms among the community elderlies would require development and application of programs to keep under management psycho-social factors as well as looking for ways to promoting the present health status.

• Journal of the Korean Society of School Health
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• v.21 no.2
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• pp.75-88
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• 2008

Purpose: The aim of this study was to identify the contraceptive knowledge, self-efficacy according to the career tract of high school female students. Methods: This study used a cross-sectional, correlational design using an exploratory survey methodology through self-reported questionnaires. The questionnaires were administered to 369 high school female students using a convenience sampling. Results: In the experience of sexual behaviors(grasping hand, hugging, petting, deep petting, sexual intercourse), technical female high school students showed more experiences than female high school students. In the contraceptive knowledge, the score of high school students' contraceptive knowledge was higher than technical female high school students. In the contraceptive self-efficacy, there was not a significant difference between the technical female high school students and female high school students. In the female high school students, there were significant differences in the contraceptive knowledge according to grade, academic record, sex education experience and there were significant differences in the contraceptive self-efficacy according to grade, academic record, parents' attitude about acquaintance of the opposite sex. In the technical female high school students, there was not significant difference in the contraceptive knowledge according to demographic, sexual behavior, and contraceptive related characteristics but there were significant differences in the contraceptive self-efficacy according to grade, parents' attitude about acquaintance of the opposite sex, contraceptive education experience at school. There was positive relationship between contraceptive knowledge and contraceptive self-efficacy. Conclusion: Further research is needed to identify the prevalence rate of contraceptive attitude using more reliable variables. A sex education program should be developed for promoting use of contraceptive measure and formation of positive contraceptive attitude among high school female students.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.9
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• pp.4427-4432
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• 2016

Background: Fear and fatalism have been proposed as factors affecting breast cancer screening, but the evidence is not strong. This study aimed to determine relationships of fear and fatalism with breast cancer screening behavior among Tabriz women in Iran. Materials and Methods: In a cross- sectional study, 370 women referred to 12 health centers in Tabriz were selected with two-stage cluster sampling and data regarding breast cancer screening, fatalism and fear of breast cancer were collected respectively with a checklist for screening performance, Champions Fear and Pow Fatalism Questionnaires. Data were analyzed by logistic regression with SPSS software version 16. Results: Only 43% and 23% of participants had undergone breast self- examination and clinical breast examination. Among women older than 40 years, 38.2% had mammography history and only 2.7% of them had done it annually. Although fatalism and fear had a stimulating effects on breast cancer screening performance th relationships were not significant (P>0.05). There was a negative significant correlation between fear and fatalism (r= -0.24, p=0.000). On logistic regression analysis, age (OR=1.037, p<0.01) and income status (OR= 0.411, p<0.05) significantly explained BSE and age (OR=1.051, p<0.01) and body mass index (OR= 0.879, p<0.01) explained CBE. Also BMI (OR= 0.074, p<0.05) and income status (OR=0.155, p<0.01) was significantly effective for mammography following. Conclusions: Breast cancer screening behavior is inappropriate and affected by family livelihood status and lifestyle leads to weight gain, so that for promoting of screening behaviors, economic support to families, lifestyle modification and public education are suggested.