Comprehensive review of the literature was conducted to determine 1) selected risk factors and its impact that affect pregnancy outcome such as smoking, alcohol consumption, and substance abuse 2) these factors can facilitate future strategies for health promotion and prevention for both pregnant women and fetus. Review of literature were extracted from searching MEDLINE(1966 - Oct. 2000). CINAHL (1982 - Oct. 2000) and the domestic literature. The following factors were identified: 1. The effects of risk behaviors on pregnancy. ${\cdot}$Maternal smoking was associated with the occurrence of premature or LBW delivery, fetal growth retardation, extremities defects, heart defects and sudden infant death syndrome. ${\cdot}$Maternal alcohol consumption was associated with spontaneous abortion, premature or LBW delivery, morphologic/neurologic problems, especially fetal alcohol syndrome. ${\cdot}$Heroin was associated with withdrawal after birth in which were born to heroine addicts for gestational age and lung maturation in animal studies. ${\cdot}$Cocaine was associated with spontaneous abortion, abruptio placenta and a poor response to environmental stimuli. ${\cdot}$So far, the effects of caffeine on pregnancy was controversial, but severe caffeine consumption was associated with premature or LBW delivery, spontaneous abortion, still birth and dystocia. 2. Intervention methods and its effects identified were as follows ${\cdot}$Conducted intervention for smoking, alcohol and drug consumption were single or combined. ${\cdot}$Intervention methods were counseling, phone contact, mailing, use of educational videotape, booklet, support person and alternatives such as nicotine patch. ${\cdot}$The interventions increased the rates of smoking cessation during pregnancy and awareness of the risk of drug consumption, and decreased amount of alcohol consumption. ${\cdot}$The intervention outcome found positive effect on birth weight and length. 3. Our recommendations were as follows ${\cdot}$The personal and social cognition should be enhanced through education and the mass media. ${\cdot}$It's necessary to educate and give information of preconceptional care, planned pregnancy and early prenatal care for optimal pregnancy outcome. ${\cdot}$It's necessary to develop comprehensive assessment tool which is reliable and valid on smoking, alcohol consumption and substance abuse to identify supportive or interventional program.
Purpose: The purpose of this study was to examine the relationship between perceived health status and health promoting behaviors of nursing students. Methods: The subjects were 203 nursing. Data were collected from September 19 to October 7, 2011 by using self-reported questionnaires. The results were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient with the SPSS/WIN 12.0 program. Results: The mean score of perceived health status was 3.42, and health promoting behaviors was 2.30. There were significant differences in perceived health status according to sex, grade, and type of residence. In addition there were significant differences in health promoting behaviors according to sex, hospitalization experience, and smoking. Also, perceived health status significantly positively correlated with health promoting behaviors. Conclusion: The results of this study indicated that perceived health status is an important factor related to health promoting behaviors of nursing students. Therefore, it is necessary to develop multiple health promoting programs considering characteristics of subjects and perceived health status.
Purpose: The purpose of this study was to identify the factors influencing health risk behavior in high school students. Methods: The subjects were 512 students from 4 high schools in 3 cities. The questionnaire measured the level of self-esteem, self-efficacy, internal locus of control and health risk behaviors. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient and stepwise multiple regression analysis. Results: There were significant differences in the health risk behaviors according to sex, a classification of the school, whether or not smoking of mother, whether or not live alone, level of harmonious family, level of satisfying school-life and three variables of them were significant differences by Scheffe test. There was a significant positive correlation between sub-dimension of health risk behaviors and the self-efficacy, self-esteem, internal locus of control were negative correlation with health risk behaviors. The most important influential factor of the health risk behaviors was the self-efficacy. Conclusion: From the studies reviewed, improving the self-efficacy, self-esteem, internal locus of control and the general social environment of students will probably be the most effective strategies for primary prevention of health risk behaviors.
Purpose: This study explored the relationship between types of gender role identity and health behaviors in 500 adults. Method: Data was collected with self-reporting questionnaire forms from April 23 to May 4, 2007. using the Korean Gender Role Identity Inventory and Health Behavior Assessment Tool. Results: The mean (SD) was 2.65 (0.42) for gender role identity, and 2.61 (0.38) for health behaviors. The subjects were classified into four gender role identity types; 30.4% in undifferentiated, 27.8% in androgyny, 22.4% in masculinity, and 19.4% in femininity. Four gender role identity types of subjects showed significant different levels of health behaviors (F=40.33, p<.001). The androgyny type subjects reported the highest mean of health behaviors scores, and the undifferentiated type subjects had the lowest mean. There were significant differences in health behaviors according to subjects' general characteristics, such as age, marital status, perceived health status, and smoking (p<.005). Conclusion: There is a need to make changes in family, school, and society toward better environments for helping adults develop desirable gender role identity. In addition, the gender role identity in adults has to be considered in establishing healthy lifestyles and developing health promotion programs.
Purpose: The purpose of this study was to analyze differences in health behaviors among adolescents in order to provide fundamental data to develop an effective body weight control program. Methods: Secondary analysis was done using data from the 9th (2013) Online Survey on Adolescents' Health Behaviors by the Korea Centers for Disease Control and Prevention. The adolescents were divided into low weight, normal weight, overweight, and obesity groups according to body mass index (BMI). Differences in health behaviors were analyzed. Results: Gender, grade, socioeconomic status, perceived-health status, exercise, breakfast, fast food, ramen noodles, snacks, carbonated soft drinks, fruits and vegetables, satisfaction with sleep, stress, smoking, and alcohol consumption were significantly different among the groups. Ingestion of carbonated soft drinks and snacks was significantly higher in the low weight group compared to the normal weight group. Eating fast foods, ramen noodles, and snacks was significantly lower in the overweight and obesity groups compared to the normal weight group. Conclusion: Findings indicate that health behaviors among the groups differ from traditional knowledge about obesity. To develop optimal programs and improve efficacy, prior knowledge should be used to think differently and individualized programs should be based on an understanding health behaviors of adolescents.
The objective of this study was to evaluate college students’dietary and health behaviors in relation to their Myers-Briggs Type Indicator (MBTI) personality preferences. Dietary and health behaviors were surveyed for 444 college students who performed the MBTI personality test. Only 6.1% of the subjects regularly had three meals a day, while 27.1% ate breakfast every day. Fifty-six point nine percent of the students took less than 15 minutes to eat a meal and had the habit of eating fast. The number of food groups they ate was, on average, 2.74 and was eaten mainly at dinner. This showed that college students did not eat a large variety of foods. Eighty-two percent of the subjects drank alcoholic beverages, 21.4% smoked, and 69.3% exercised. In addition, 73.9% of them were not satisfied with their body image, but they were not eager to try weight control. There were not many significant differences between Extraversion (E)-Introversion (I), Sensing (S)-iNtuition (N), and Thinking (T)-Feeling (F) in their dietary and heath behaviors, although some gender differences existed. Significantly better dietary and health behaviors were shown in subjects preferring Judging (J) rather than Perceiving (P). There behaviors included eating breakfast, regularly eating three meals a day, smoking less, exercising more and having a lower tendency to night-eating. The personality preference of J-P could be useful index for nutritional education and counseling or behavior modification programs for obese people.
Objectives : This study aimed to evaluate the factors influencing health promotion behaviors in elderly men. Methods : We used data from the 6th Korea National Health and Nutrition Examination Survey. We analyzed difference between sociodemographic characters, health statuses, and health promotion behaviors by age. Logistic regression analysis was used to investigate the relation between health promotion behaviors and sociodemographic factors by age. Results : Health promotion behaviors related to aging were weight control effort, health screen examination, smoking cessation, and influenza vaccination. Socioeconomic statuses of elderly men declined from the preliminary age, and health status was influenced by the reduction of social role. Health promotion behaviors such as weight control, health screen examination, and performance of aerobic activities were decreased in men of advanced aged. Conclusions : The health promotion behaviors of elderly men differed significantly with age.
Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.
The aim of this study was to investigate whether genetic polymorphisms of CYP2E1, GSTM1, and GSTT1 and lifestyle habits (smoking, drinking, and exercise) modulate the levels of urinary styrene metabolites such as mandelic acid (MA) and phenylglyoxylic acid (PGA) after occupational exposure to styrene. We recruited 79 male workers who had received chronic exposure in styrene fiberglass-reinforced plastic manufacturing factories. We found that serum albumin was significantly correlated with blood styrene/ambient styrene (BS/AS), urinary styrene (US)/AS, and US/BS ratios as well as urinary metabolites, that total protein correlated with US/MA and US/PGA ratios, and that low density lipoprotein (LDL)-cholesterol significantly correlated with US/BS, US/MA, and US/PGA ratios. Multiple logistic regression analyses using styrene-metabolizing enzyme genotypes and lifestyle habits as dependent variables and blood and urine styrene concentrations and urine styrene metabolite levels as independent variables revealed that $CYP2E1^*5$ was associated with the MA/US ratio and GSTM1 with US/BS, that a smoking habit was associated with US/AS and MA/US ratios and MA and PGA levels, and that regular exercise was correlated with PGA/US. In conclusion, the results suggested that genetic polymorphisms of styrene-metabolizing enzymes, lifestyle behaviors, and albumin and LDL-cholesterol serving as homeostasis factors together are involved in styrene metabolism.
Purpose: Suicide was considered as a big public health concern in recent years because suicide mortality has been increased rapidly. This study was to investigate the prevalence and risk factors of suicidal ideation among adolescents in South Korea. Methods: The data of 2007 Youth Health Risk Behavior Web-based Survey collected by Korean Center for Disease Control were analyzed using logistic regression for this study. Results: The prevalence of suicidal ideation was 23.7% in South Korea. The risk factors of suicide ideation were depression (odds 8.43), perceived stress(odds 4.30), drug use (odds 2.47), sexual intercourse(odds 2.36), present smoking (odds 1.76), present alcohol drink (odds 2.39), feeling unhappiness (odds 2.89), living with none of parents (odds 1.71), gender(odds 1.72), health status (odds 1.66), and socioeconomic status (odds 2.0). Conclusion : Health risk behaviors and mental health status were related to suicide ideation. Health risk behavior such as smoking and drinking prevention programs and mental health promotion programs should be implemented to decrease suicide ideation among adolescents. Suicide, mental health and health risk behaviors should be prevented through comprehensive health promotion programs.
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