• Title/Summary/Keyword: Health risk behaviors

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Factors related to undiagnosed diabetes in Korean adults: a secondary data analysis (한국 성인의 당뇨병 미진단 비율 영향요인: 2차 자료 분석 연구)

  • Bohyun Kim
    • Journal of Korean Biological Nursing Science
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    • v.25 no.4
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    • pp.295-305
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    • 2023
  • Purpose: This study compared health behaviors and health-related clinical characteristics between individuals with normal glucose levels without diabetes and those with undiagnosed diabetes. Factors that were associated with undiagnosed diabetes were identified by sex. Methods: This was an observational study with a cross-sectional design based on data from the eighth Korea National Health and Nutrition Examination Survey, which used a stratified, multi-stage, cluster-sampling design to obtain a nationally representative sample. Multiple logistic regression analysis was employed to compute the odds ratios of health behaviors and clinical characteristics to identify risk factors for undiagnosed diabetes. Results: The overall prevalence of undiagnosed diabetes was 5.2% (weighted %, n = 700, p < .001). Among individuals with undiagnosed diabetes, 58.3% were men. Univariate logistic regression for undiagnosed diabetes identified sex, age, house income, educational level, and triglycerides as influencing factors. In multiple logistic regression by sex, the factors associated with undiagnosed diabetes in men were age, perceived health status, a diagnosis of angina, and triglycerides. Conclusion: Strategies should be targeted to improve health behaviors and clinical characteristics for specific age groups, men in bad perceived health status, women with high systolic blood pressure, and high triglycerides. Moreover, healthcare providers should understand the barriers to health behaviors and health-related quality of life to effectively deliver healthcare services.

Relationship among the Korean Adolescents Obesity, Health Behavior and Smart phone Usage (청소년의 건강행태 및 스마트폰 사용 특성과 비만과의 관련성)

  • Park, Min Hee;Song, Hye Young
    • Journal of Korean Public Health Nursing
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    • v.33 no.1
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    • pp.47-58
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    • 2019
  • Purpose: Regarding the rapid growth of the obesity in Korea's youths, environmental factors as well as biological tendencies have been major focus of years of study. Methods: This study, as a secondary analysis research, bases its source upon the raw data from the 13th on-line survey of the Korean adolescents' health behaviors. In particular, it is a descriptive research for clarifying the relevance of the Korean youths' smart phone use with their health behaviors and obesity. Results: In logistic analysis, variables showing a significant difference are as follows: soft drinks frequency(p<.001), sweet drinks intake frequency(p<.001), fast food intake frequency(p<.001) and smoking status (p=.005). Based on the amount of time the teenagers using smart phones, there have been different results in the risk of obesity. Four to six hours a week of smart phone use (p=.002) has a 1.132 times higher risk, six to eight hours(p<.001) are 1.212 times higher, over eight hours(p=.020) are 1.132 times higher, than less than two hours'. Conclusion: This study has significance in that it has emphasized the new lifestyle, teenagers' smart phone use, as an additional important factor for the increased risk of obesity.

Relationship among body mass index, perceived health status, and oral health behaviors of schoolgirls: The 13th Korea Youth Risk Behavior Survey, 2017 (여학생의 체질량지수(BMI)와 주관적 건강인식, 구강건강행태와의 관계 : 제13차(2017년) 청소년건강행태자료를 이용하여)

  • NamKoong, Eun-Jung;Lim, Hee-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.6
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    • pp.963-972
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    • 2019
  • Objectives: This study analyzed the relationship between BMI (body mass index), perceived health status, and oral health behaviors of schoolgirls. Methods: This study utilized data from the 13th (2017) Korea Youth Risk Behavior Web-Based Survey. A total of 29,337 schoolgirls were analyzed. Statistical analysis was performed using PASW Statistics 21.0 (SPSS Inc., Chicago, IL, USA). Results: Compared to the obese group, the rate of being recognized as healthy was 1.882 times higher in the normal-weight group and 1.623 times in the underweight group. The rate of using supplementary oral hygiene devices was 1.383 times higher in the underweight group and 1.091 times in the normal-weight group than in the obese group. Compared to the obese group, the experience rate of the sealant was 1.407 times in the underweight group. Compared to the obese group, the scaling experience rate was 1.282 times higher for the underweight group and 1.205 times for the normal-weight group. Conclusions: These results suggest that individual health behaviors are interrelated. There is a need for an integrated approach in the planning and implementation of future health promotion strategies, and it would be useful to design a program that considers health characteristics such as BMI.

Health Risk Behaviors Associated with Smoking Experiences in Adolescence (일부지역 청소년들의 흡연실태 및 흡연관련 건강위험행위)

  • Kim, Jae-Hee
    • Journal of the Korean Society of School Health
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    • v.20 no.1
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    • pp.77-90
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    • 2007
  • Purpose : This study identified the patterns of smoking of students attending middle schools and high schools, and analyzed its related health risk behaviors. Methods: The data was based on the survey of 1,517 middle students and 911 high students residing in Kyung-Gi district. Results: The current smoking rates of male and female middle students are 5.3%, and 3.1% respectively. The rates of experiences in smoking are 21.4% and 16.0%(male/female). The current smoking rates of male and female high students are 17.9% and 8.5%, whereas the rates of experiences in smoking are 34.2% and 23.3% respectively. On the other hands, 14.1% of middle students and 12.0% of high students were exposed to smoking for at least 2 hours per day. The majority of middle and high school smokers started smoking when they were in middle or high school. And the most popular places to smoke were children's playgrounds, public open area., parks, and so on. Whether having a smoker as a friend or not and students' own perception towards smoking influenced the decisions to smoke for middle and high students. Both middle and high students, regardless of their gender, who have higher rates of drinking experiences and the hours of computer usage were found to have higher rates of smoking experiences. Meanwhile, the sleeping hours is in reverse proportion to the rate of smoking experiences. There was statistically significant difference in smoking experiences related to the degree of obesity only in the female high students: underweight and overweight students showed higher rates of smoking experiences than those falling in the normal weight range. Conclusion: For the effective prevention of adolescence smoking, it is necessary to adopt a comprehensive approach, which classifies the target population according to their age and sex and cover all health risk behaviors.

A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis (재가 관절염 노인의 낙상 예방행위 예측모형 구축)

  • Jang, Keong Sook;Song, Rhayun
    • Korean Journal of Adult Nursing
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    • v.27 no.6
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    • pp.684-694
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    • 2015
  • Purpose: The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model. Methods: A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program. Results: The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors. Conclusion: The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.

Effects of Spouse-Participated Health Coaching for Male Office Workers with Cardiocerebrovascular Risk Factors (심뇌혈관질환 위험요인을 가진 남성 사무직근로자를 위한 배우자참여 건강 코칭의 효과)

  • Kang, So Hee;Hwang, Seon Young
    • Journal of Korean Academy of Nursing
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    • v.49 no.6
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    • pp.748-759
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    • 2019
  • Purpose: This study aimed to examine the effect of spouses participating in health coaching on stage of the change, health behaviors, and physiological indicators among male office workers with cardiocerebrovascular disease (CVD) risk factors and compare the findings with trainers who provided health coaching only to workers. Methods: A quasi-experimental pretest-posttest design was used. Convenience sampling was used to recruit participants from a manufacturing research and development company in the city of Gyeonggi province. The health coaching program for the experimental group (n=26) included individual counseling sessions according to workers' stage of change, and provision of customized health information materials on CVD prevention to workers and their spouses for 12 weeks through mobile phone and email. Results: After 12 weeks of intervention, the total score for health behavior, and scores on the sub-areas of exercise and health checkups significantly improved in the experimental group, but there were no significant differences in the scores of stage of the change and physical indicators. The results of a paired t-test showed a significant decrease in the body mass index, abdominal circumference, systolic blood pressure, diastolic blood pressure, total cholesterol and triglyceride values, and a significant increase in the high-density lipoprotein cholesterol value in the experimental group after the intervention. Conclusion: To improve the health of male workers with CVD risk factors in the workplace, sharing health information with their spouses has proven to be more effective than health coaching for only workers. Therefore, it is important to develop strategies to encourage spousal participation when planning workplace health education for changing health-related behaviors.

Relationships between Health Behaviors, Mental Health and Internet Addiction by Gender Differences among Korean Adolescents (성별에 따른 한국 청소년의 건강행태, 정신건강과 인터넷 중독과의 관련성)

  • Park, Min Hee;Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1283-1293
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    • 2013
  • The purpose of this study was to compare the health behaviors, mental health and internet addiction by gender differences among Korean adolescents and to examine relevances between health behaviors, mental health and internet addiction. The subjects were 73,238 Korean adolescents(male: 38,391, female: 34,847) who were recruited through national web-based survey. The data were derived from the Sixth Korea Youth Risk Behavior Web-based Survey 2010 in South Korea. There were significant differences in health behaviors, mental health and internet addiction. by gender differences. Prevalence of internet addiction was male: 3.9%, female: 1.9% in this study. As the result of multiple logistic regression, the risk of internet addiction was increased in the case of smoking experience, substance experience, subjective health status, feeling of stress, depression experience, suicidal ideation, feeling of happiness, and sufficiency of sleeps in both male and female. Therefore, to decrease internet addiction prevalence, it is necessary to detect and manage the influencing risk factors of internet addiction such as health behaviors and mental health. And the health-promotion intervention to improve the internet addiction of adolescents should be planed and provided considering such differences by gender differences.

Concordance in the Health Behaviors of Couples by Age: A Cross-sectional Study

  • Jeong, Seungmin;Cho, Sung-il
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.1
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    • pp.6-14
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    • 2018
  • Objectives: To investigate concordance in the health behaviors of women and their partners according to age and to investigate whether there was a stronger correlation between the health behaviors of housewives and those of their partners than between the health behaviors of non-housewives and those of their partners. Methods: We used data obtained from women participants in the 2015 Korea Community Health Survey who were living with their partners. The outcome variables were 4 health behaviors: smoking, drinking, eating salty food, and physical activity. The main independent variables were the partners' corresponding health behaviors. We categorized age into 4 groups (19-29, 30-49, 50-64, and ${\geq}65\;years$) and utilized multivariate logistic regression analysis, stratifying by age group. Another logistic regression analysis was stratified by whether the participant identified as a housewife. Results: Data from 64 971 women older than 18 years of age were analyzed. Of the 4 health behaviors, the risk of smoking (adjusted odds ratio [aOR], 4.65; 95% confidence interval [CI], 3.93 to 5.49) was highest when the participant's partner was also a smoker. Similar results were found for an inactive lifestyle (aOR, 2.56; 95% CI, 2.45 to 2.66), eating salty food (aOR, 2.48; 95% CI, 2.36 to 2.62); and excessive drinking (aOR, 1.89; 95% CI, 1.80 to 1.98). In comparison to non-housewives, housewives had higher odds of eating salty food. Conclusions: The health behaviors of women were positively correlated with those of their partners. The magnitude of the concordance differed by age group.

The Effect of Health Promotion Programs on Health Promoting Behavior and Cardiovascular Risk Factors of Middle-aged Women (건강증진프로그램이 중년기 여성의 건강증진행위와 심혈관계 위험요인에 미치는 영향)

  • Park, Jeong-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.233-243
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    • 2002
  • Purpose: This study is aimed at testing the effect of health promotion program on health promoting behavior and cardiovascular risk factors of middle-aged women. Method: The research design was the nonequivalent control group pre-post test. Twelve middle-aged women were the experimental group and ten were the control group. The 8-week health promotion program was given to the experimental group. There were health promotion theories, flexibility and muscle strength exercise, cardiopulmonary endurance exercise, nutrition, stress management, cancer prevention and early detection, management of menopause and wrap-up in health promotion program for middle-aged women. The measurement tool was Health Promoting Behavior developed by researcher using serum cholesterol, obesity rate, systolic blood pressure, and diastolic blood pressure as cardiovascular risk factors. Result: The experimental group showed a higher score of health promoting behavior than the control group. There were no differences on cardiovascular risk factors(cholesterol, obesity rate, diastolic blood pressure) between the experimental and control groups except systolic blood pressure. Conclusion: Conclusively, this health promotion program for middle-aged women was effective in increasing health promotion behaviors, but wasn't effective in decreasing cardiovascular risk factors except the systolic blood pressure. It seems it's necessary to re-study this using more samples and a longer duration of the program, and smaller mortality rate.

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A Study on Risk Factors of Metabolic Syndrome and Health Behaviors in a Region - 2014 community health survey - (일 지역 대사증후군 위험인자와 건강행태에 관한 연구 -2014 지역사회건강조사-)

  • Ahn, Ok-hee;Choi, Seong-hui;Kim, Seo-Hyeon;Ryu, Si-Ok;Choi, Young-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.218-225
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    • 2016
  • Recently, Korea has undergone rapid social and economic development, and with that came various changes in living habits and disease patterns; the nation, accordingly, has been alerted to the associated risks of chronic ailments. As risk factors of metabolic syndrome commonly include causal factors of chronic diseases, prevention is important. The prevalence of metabolic syndrome in Korean adults is 22.4%, which comprises a large portion of the whole disease (Korean National Health and Nutrition Examination Survey, 2013). This study aims to examine the elements of healthy living practices by analyzing the risk factors of metabolic syndrome and health behaviors, and provide basic materials to contribute to the activation of health promotion. Among 12,481 subjects of the source data from the 2014 community health survey, which was performed on adults aged 19 and over in Jeonlabuk-do, 12,185 people were analyzed in this study using SPSS 23.0. There were significant differences with respect to sex, smoking status, age, education level, and number of days of physical activity among the results of the difference of the risk factors of the metabolic syndrome according to the characteristics of the health behavior of the subjects. Of the risk factors for metabolic syndrome, this study emphasized the necessity of strategies to promote health programs regarding the management of drinking, smoking, physical activities, depression, subjective health condition and quality of life to the group of those with dyslipidemia, hypertension, and diabetes.