• Journal of the Korean Society of School Health
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• v.23 no.2
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• pp.246-255
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• 2010

Purpose: This study is based on an experimental research program designed to evaluate the before and after states of a control group that undertook a series of smoking prevention education sessions. Methods: The research was undertaken between June 2 and July 22, 2008. Students from two public elementary schools in Uiwang City took part in the study. 76 students from one of the schools (School 'W') were designated as the experimental group and 89 students from the other school (School 'O') were allotted to the control group. During the research period, the experimental group held 10, 40 minute discussions on the subject of smoking prevention. The control group had no such sessions and no information was given. The data was collected in 3 stages, firstly after initial study preparation, secondly after five sessions and thirdly after ten sessions. The data was analysed using the SPSS/WIN 12.0 program. Results: First, there was a presumption that the experiment group would have a greater knowledge about the effects of smoking than the control group. This was supported by the data analysis results (F=41.79, p =.000). Second it was presumed that the experiment group would have a more informed attitude to smoking than the control group. This was supported by the data analysis results (F=6.917, p =.009). Third, there was the presumption that the experiment group would have a greater knowledge of the effects of smoking after ten sessions than they would five sessions. This was supported by the data analysis results (F=56.911, p =.000, Scheffe=3rd> 2nd>1st). Fourth, the presumption held that the experimental group would have a more informed attitude to the effects of smoking after ten sessions than they did five. This was supported by the data analysis results (F=14.607, p =000, Scheffe=3rd>2nd>1st). Conclusion: The results appear to show that the elementary school students who participated in the smoking prevention sessions had an increased knowledge of the risks and had also formed a more negative attitude towards smoking. On the basis of the findings of this study, I would suggest that there are benefits in developing learner-centered smoking prevention programs and other related media. Also, smoking prevention discussions should be included in the regular curricula relating to health education.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.2
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• pp.230-238
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• 2007

Purpose: The Transtheoretical Model (TTM) is a theoretical construct explaining stages of health behavior change. The purpose of this study was to describe and analyze the stages of health behavior change and health related quality of life (HRQL), Method: A descriptive survey design was utilized, and, using a questionnaire, which included a series of 5 questions designed to assess stages of health behavior change and HRQL instrument, data were collected from 292 adults. Means, standard deviation, t-test, ANOVA, and SNK test were used to analyze the collected data. Results: Health risk behaviors were lack of stress management(44%), alcohol use (42.5%), poor nutrition (37%), smoking (36.3%), a lack of spirituality (28.8%), poor communication skills (21.9%), Lack of safety(21.6%), lack of fittness (20.1%), violent behavior(12.3%), and drug use(6.8%). There was a significant difference in HRQL according to stage of health behavior change (P=0.001). Conclusion: The results of the study identified the need for individualized nursing interventions that based on the stage of health behavior change. Nursing interventions that focus on the stage of health behavior change would be effective for health promotion for Koreans.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.12
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• pp.7277-7281
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• 2013

Background: Globally, there have been important changes in trends amongst gender, histology and smoking patterns of lung cancer cases. Materials and Methods: This retrospective study was conducted on 466 patients with lung cancer who were registered in Regional Cancer Center, Regional Institute of Medical Sciences, Manipur from January 2008 to December 2012. Results: Most were more than 60 years of age (67.8%) with a male: female ratio of 1.09:1. Some 78.8% of patients were chronic smokers with male smoker to female smoker ratio of 1.43:1. Consumption of alcohol was found in 29.4%, both smoking and alcohol in 27.5%, betel nut chewing in 37.9% and tobacco chewing in 25.3%. A history of tuberculosis was present in 16.3% of patients. The most frequent symptom was coughing (36.6%) and most common radiological presentation was a mass lesion (70%). Most of the patients had primary lung cancer in the right lung (60.3%). The most common histological subtype was squamous cell carcinoma (49.1%), also in the 40-60 year age group (45.9%), more than 60 year age group (51.6%), males (58.1%) and females (41.8%). As many as 91.9% of squamous cell carcinoma patients had a history of smoking. About 32.5% of patients had distant metastasis at presentation with brain (23.8%) and positive malignant cells in pleural effusions (23.1%) as common sites. The majority of patients were in stage III (34.4%), stage IV (32.5%) and stage II (30.2%). Conclusions: Our analysis suggests that the gender gap has been narrowed such that about half of the patients diagnosed with lung cancer are women in this part of India. This alarming rise in female incidence is mainly attributed to an increased smoking pattern. Squamous cell carcinoma still remains the commonest histological subtype. Most of the patients were elderly aged and presented at locally or distantly advanced stages.

• Journal of Nutrition and Health
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• v.46 no.3
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• pp.276-284
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• 2013

This study compared levels of health and dietary behavior practices and health beliefs according to the stage of weight loss behavior change of Korean male workers. A self-administered survey questionnaire was collected from 411 male adult workers residing in Seoul, Kyeonggi, Chungcheong region. Practices of health related behavior, including smoking, drinking, exercise, work related physical activity, and dietary behavior according to dietary guidelines were evaluated. In addition, the levels of perceived benefit, perceived barrier, perceived susceptibility, perceived seriousness, and perceived cue to action from the health belief model were measured according to the stages of weight loss behavior change. Significant differences in BMI, level of daily exercise, and practices of dietary behavior according to dietary guidelines were observed among stages of weight loss behavior change. Subjects who were in action/maintenance stage showed a more desirable level of health behavior and health belief model variables, except perceived barrier. Based on the findings of this study, it is suggested that subjects with different stages of behavior change need an appropriate specific nutrition education method and material for improvement of nutrition education efficacy.

• Journal of Digital Convergence
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• v.16 no.7
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• pp.469-478
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• 2018

This study is aimed to examine effects of sociodemographic, social relation, and health related factors on risky drinking among early, middle, and older adulthoods. Using the sixth(2013-2016) National Health and Nutrition Examination Survey, separate logistic regression analyses were conducted for women's early adulthood (n=1,143), middle adulthood (n=1,306), and older adulthood (n=875) to test factors associated with risky drinking. For study results, as for women's early adulthood, education, marital status, employment, depressive feeling, and smoking were statistically associated with risky drinking. As for women's middle adulthood, only subjective stress level and smoking were associated with risky drinking. As for women's older adulthood, education, suicidal ideation, and subjective health condition were associated with risky drinking. These results found different factors influenced risky drinking according to life stages. Based on these results, convergent implications about reducing risky drinking according to life stages of women were discussed.

• Korean Journal of Health Education and Promotion
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• v.21 no.3
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• pp.133-149
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• 2004

This study investigates the worksite resources and programs for health promotion services, especially in areas of smoking cessation and acohol-reducing. Health promotion program is important for employees and employers to promote their productivity and enhance their quality of life. To explain the worksite health promotion programs, a three-stage survey model was established and 111 worksites filled up the questionnaire. Stages of the model included the supply status of worksite health programs, attitudes to get rid of health risks, and behavioral intentions to provide health promotion programs in the near future. The results of this study are as follows. First, the facility and personnel for health promotion services are not equipped sufficiently in the middle-sized worksites. Second, provided programs are not good enough in both quantity and quality, because most worksites provide inefficient and low-cost programs. Third, worksites provide the programs such as advertisement, education materials especially in large-sized worksites, but not in middle-sized worksites. Therefore, worksites need to be supported with a public institution for efficient programs and continuing legal and systematic support for middle-sized worksites should be emphasized.

• Korean Journal of Adult Nursing
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• v.26 no.2
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• pp.139-148
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• 2014

Purpose: This study was aimed to investigate the factors influencing problem drinking of male drinkers above 19 years old according to the life cycle. Methods: The study subjects consisted of a representative community sample of 2,229 male drinkers aged 19 and older from the 2011 Korean National Health and Nutrition Examination Survey. The collected data were analyzed using descriptive statistics, Rao-Scott $x^2$-test, simple and multiple logistic regressions. Results: The problem drinking rates were 38.7% in adolescence, 44.5% in middle age, and 23.9% in senescence. In adolescence, the predictors of problem drinking included occupation, stress recognition, and smoking. In middle age, the predictors of problem drinking were education level, depression, and smoking. In senescence, the predictors of problem drinking were not identified in this study. Conclusion: The findings of this study suggested that the factors influencing problem drinking of male drinkers were different according to life cycle. Thus different intervention methods should be developed for each age group in order to intervene the problem drinking.

• Tuberculosis and Respiratory Diseases
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• v.81 no.4
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• pp.281-288
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• 2018

Background: There are limited number of studies that investigate clinical variables instead of chronic obstructive lung disease (COPD) management according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2017 classification. The aim of the study was to investigate whether there was a difference between GOLD 2017 classification and spirometric stage in clinical variables in patients with COPD. The data of 427 male patients with stable COPD were investigated retrospectively. Methods: Patients were allocated into combined assessment of GOLD 2017 and spirometric stage. Age, amount of smoking, pulmonary function, modified Medical Research Council (mMRC), incremental shuttle walk test (ISWT), Hospital Anxiety-Depression Scale (HADS), St. George's Respiratory Questionnaire (SGRQ), body mass index (BMI), and fat free mass index (FFMI) were recorded. Results: Seventy-three (17%) patients were in group A, 103 (24%) constituted group B, 38 (9%) were included in group C, and 213 (50%) comprised group D according to the combined assessment of GOLD 2017. Twenty-three patients (5%) were in stage 1, 95 (22%) were in stage 2, 149 (35%) were in stage 3, and 160 (38%) were in stage 4 according to spirometric stage. According to GOLD 2017, age, amount of smoking, mMRC, BMI, FFMI, SGRQ, HADS, forced vital capacity, forced expiratory volume in 1 second ($FEV_1$), and ISWT were significantly different between groups. Ages, amount of smoking, FFMI, BMI, HADS of group A were different from B and D. Smiliar values of $FEV_1$ were found in A-C and B-D. A and C had smiliar ISWT. According to spirometric stage, BMI, FFMI of stage 4 were statistically different. mMRC, ISWT, and SGRQ of stages 3 and 4 were different from other stages, amongst themselves. $FEV_1$ was correlated with mMRC, SGRQ, anxiety scores, BMI, FFMI, and ISWT. Conclusion: This study showed that the GOLD ABCD classification might not represent the severity of COPD sufficiently well in terms of lung function or exercise capacity. The combination of both spirometric stage and combined assessment of GOLD 2017 is important, especially for estimating clinical variables.

• Journal of the Korean Society of School Health
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• v.16 no.2
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• pp.57-69
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• 2003

This study investigates the school resources and programs for health promotion services, especially in areas of smoking cessation and acohol-reducing. The health of students is very important because of students' long life-span remained and their impacts on the community. A three-stage survey model was established. Three stages include a current status of school health resources and programs, an attitude to get rid of health risks at school, and a behavioral intention to provide health promotion programs in the near future. Three hundred and thirty-six schools filled up and returned the questionnaire by mail. The results showed that the facility and personnel for health management are equipped sufficiently in general, except in rural area located, small sized, or middle schools. But provided programs are not good enough in both quantity and quality. Frequently, schools provide the programs such as advertisement, mass education by internal lecturers, and individual. counselling. The programs of special lectures, group activities or rather active use of suppresants are provided rarely, because of the lack of special knowledge or financial supports at school. However, behavioral intention to provide such programs was high. Therefore, the role of health department at school should be fortified. The health teachers need to be trained as a consultant, and the education materials need to be provided to them The school also need to be supported with external experts for special lectures or group activities. In conclusion, schools need to pay more attention to the health risk of students and develop the effective and efficient school health programs for students' health.

• Journal of Nutrition and Health
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• v.37 no.3
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• pp.202-209
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• 2004

A case-control study was conducted in order to examine dietary behavioral factors associated with colorectal cancer risks. Data were collected from 128 cases with either colorectal cancer or large bowl adenomatous polyps and 129 controls regarding stages of dietary behavioral change, perceived barrier, self efficacy, nutrition knowledge, social support and food availability as well as body mass index and overall dietary quality. Cases showed less desirable behaviors with respect to fat reduction and vegetable intake compared with controls based on the analyses of the stages of dietary change. After adjustment of relevant covariates (age, gender and smoking), significant trends of increasing risk with higher level emerged for perceived barriers resulted from environmental conditions (OR = 1.6 - 2.0) and self-efficacy (OR = 2.2-2.3). No such relationships were found for nutrition knowledge and social support. The risk of colorectal cancer was associated with the kinds of foods available at home showing a borderline protective relation with milk (OR = 0.6) and respective significant and borderline direct associations for fresh meat (OR = 2.1) and soft drinks (OR = 0.6 when reversely scored). Within-group analyses presented best predictors of overall dietary quality as food availability for the case and self-efficacy and social support for the control. The findings of this study suggested a need for focusing on motivational and reinforcing factors in the development of nutrition education programs for colorectal cancer prevention.