• Journal of Korean Public Health Nursing
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• v.36 no.3
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• pp.309-322
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• 2022

Purpose: The purpose of this study was to identify factors associated with sugar-sweetened beverage consumption of Korean preschool children. Methods: Subjects for the study were recruited using the convenience sampling method. A total of 162 mothers with preschool children aged 3 to 5 years participated in the study using a self-reported questionnaire and provided data regarding the frequency and quantum of the children's sugar-sweetened beverage consumption days in a week and the factors associated with such consumption. Hierarchical multiple regression analysis was conducted to analyze the factors associated with the sugar-sweetened beverage consumption of preschool children. Results: Among the children-specific factors, age (β=.13, p=.015) was positively associated, while fruits/vegetable consumption (β=-.22, p<.001) was negatively associated with sugar-sweetened beverage consumption of the preschool children. Among the mother-specific factors, fruits/vegetable consumption of mothers was negatively associated (β=-.16, p=.006), while the sugar-sweetened beverage consumption of the mothers was positively associated with the sugar-sweetened beverage consumption of the preschool children (β=.27, p<.001). In addition, the maternal restrictive feeding style was negatively associated with sugar-sweetened beverage consumption of preschool children (β=-.23, p<.001). Conclusion: Based on these results, interventions targeted at children, parents, and the family environment should be developed to reduce the consumption of sugar-sweetened beverages in early childhood.

• Journal of Preventive Medicine and Public Health
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• v.39 no.1
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• pp.59-66
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• 2006

Objectives: This study was performed to identify the socioeconomic factors, the psychosocial factors and the heath behavior factors that have an influence on abdominal obesity, as measured by using the waist circumference. Methods: Data was obtained from individuals aged above 20 years who had their waist circumference measured on the Korean National Health and Nutrition Examination Survey 2001, which was a cross-sectional health survey. Results: Regression analysis of the factors that affect abdominal obesity showed that the education level, income, smoking, duration of smoking, drinking consumption, frequency of exercises and sleeping were the associated factors for abdominal obesity. For men, the duration of smoking, education level, income and drinking consumption were the associated factors for abdominal obesity. For woman, the education level, income, duration of smoking, drinking consumption and frequency of exercise were the associated factors for abdominal obesity. Conclusions: Abdominal obesity is a risk factor for morbidity and mortality, and it is associated with chronic diseases, including cardiovascular disease and diabetes. Based on the findings, it is essential to modify heath behaviors for preventing abdominal obesity, which is a condition associated with the incidence of chronic disease.

• Korean Journal of Health Education and Promotion
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• v.27 no.3
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• pp.33-47
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• 2010

Objectives: The purpose of this study was to identify personal and social environmental factors associated with physical activity and sedentary behavior among elementary school students. Methods: Cross-sectional self-reported data were collected from a conveniently clustering sample population of 1538 grade 5 to 6 students attending 19 elementary schools in Seoul metropolitan city and Gyeonggi province. Data were statistically analyzed using Chi-square test and multiple logistic regression analysis. Results: In multiple logistic regression analyses, significant factors that were associated with schoolchildren's physical activity were gender, father's job, social support for physical activity, friend support, participation in school physical education class. Father's education level, mother's job, family functioning and urban residents were significantly associated with TV viewing and gender, age, BMI(obesity), mother's job, family functioning and urban residents were significantly associated with playing computer games among elementary schoolchildren. These results showed that physical activity among elementary school students was most associated with social environmental factors and sedentary behavior among school students was most associated with personal and family environment factors. Conclusion: Health care providers should develop interventions to improve these family and social environmental factors to increase physical activity levels and to decrease sedentary behavior among elementary schoolchildren.

• Journal of Korean Academy of Nursing
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• v.46 no.6
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• pp.848-857
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• 2016

Purpose: This study aimed to investigate factors affecting frailty by age groups among vulnerable elders in Korea. Methods: In this secondary analysis, data were collected from records for 22,868 elders registered in the Visiting Health Management program of Public Health Centers in 2012. Health behaviors, clinically diagnosed disease, frailty, depression and cognitive condition were assessed. Data were analyzed using stepwise regression to determine the associated factors of frailty by age group. Results: Alcohol consumption, physical activity, number of diseases, DM, CVA, arthritis, urinary incontinence, depression and cognitive condition were found to be factors significantly associated with frailty among the elders aged 65~74 (F=135.66, p <.001). Alcohol consumption, physical activity, CVA, arthritis, urinary incontinence, depression and cognitive condition were found to be factors associated with frailty in the elders aged 75~84 (F=245.40, p <.001). Physical activity, CVA, arthritis, depression and cognitive condition were factors associated with frailty in the elders over 85 years of age (F=96.48, p <.001). Conclusion: The findings show that frailty of elders and associated factors were different by age group, and common factors affecting frailty were physical activity, CVA, arthritis, depression and cognitive condition. Thus, these factors should be considered in the development of intervention program for care and prevention of frailty and program should be modified according to age group.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.6
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• pp.3483-3489
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• 2013

Background: To identify the prevalence of different stages of smoking and differences in associated risk factors. Materials and Methods: Thos longitudinal study started in February 2011 and the subjects were 2552 form one students aged between twelve to thirteen years of from 15 government secondary schools of Kinta, Perak. Data on demographic, parental, school and peer factors were collected using a self-administered questionnaire. We examined the effects of peer, school and parental factors on the five stages of smoking; never smokers, susceptible never smokers, experimenters, current smokers and ex-smokers, at baseline. Results: In the sample, 19.3% were susceptible never smokers, 5.5% were current smokers 6% were experimenters and 3.1% were ex-smokers. Gender, ethnicity, best friends' smoking status, high peer pressure, higher number of relatives who smoked and parental monitoring were found to be associated with smoking stages. Presence of parent-teen conflict was only associated with susceptible never smokers and experimenters whereas absence of home discussion on smoking hazards was associated with susceptible never smokers and current smokers. Conclusions: We identified variations in the factors associated with the different stages of smoking. Our results highlight that anti-smoking strategies should be tailored according to the different smoking stages.

• Research in Community and Public Health Nursing
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• v.30 no.3
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• pp.357-367
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• 2019

Purpose: The aim of this study is to identify factors of Korean female workers' childbirth plans and to establish measures to improve the childbirth plan. Methods: Study subjects were selected part in the 1st, 3rd, and 5th year surveys of the Korean Longitudinal Panel Survey of Women and Families. The selection criteria were as follows: women who had a spouse; were salaried workers currently employed for the last one month; belonged to a childbearing age; and had less than 3 children. Logistic regression analysis was conducted to investigate factors associated with childbirth plans. Results: Childbirth plans by female workers decreased each year. The analysis of associated factors revealed that age, number of children were associated factors in all years. In addition, education, satisfaction about dividing household chores with the husband, and satisfaction about working environment were associated with the lack of planning for childbirth in female workers in the 1st survey year. Satisfaction about dividing household chores with the husband, family-work conflict, and satisfaction about the potential for personal development were associated factors in the 3rd survey year. Finally, family-work conflict, satisfaction about employment stability, and satisfaction about job task at work were associated factors in the 5th survey year. Conclusion: It is important to know the measures focusing on the lack of planning for childbirth, and hence these factors can be improved by assessing in general, family, and occupational characteristics. Additionally, employer policies regarding women employees who are pregnant or have children at home need to be reviewed.

• Journal of Acupuncture Research
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• v.33 no.3
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• pp.145-152
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• 2016

Objectives : This study aimed to investigate both cancer patients' willingness to participate (WTP) in clinical trials and its associated factors. Methods : We searched MEDLINE (PubMed) for studies that had investigated cancer patients' WTP in clinical trials. Search terms included 'willingness to participate', 'cancer' and 'trial'. Studies published within the last five years up to July 26, 2016 were potentially eligible. Results : Of 44 initial hits, 14 studies (12 quantitative and 2 qualitative) were included. Two out of the 14 studies investigated WTP in an acupuncture trial. Study designs, such as WTP measurement methods, investigation settings, and type of cancer, varied. The proportion of participants with a WTP was widely distributed between the studies (median 48.6 %, range 11.1 % to 88.3 %). Factors associated with WTP included various socio-demographic factors, clinical factors, participants' knowledge/attitudes toward clinical trials, travel distance, information from physicians, and trust toward physicians. Conclusion : WTP and its associated factors were variable across the reviewed studies, which might be due to different research methods and contexts. Whether or not common factors associated with cancer patients' WTP in clinical trials exist remains unclear and thus warrants further research.

• Health Policy and Management
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• v.13 no.4
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• pp.115-130
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• 2003

Reperfusion delay in patients with acute myocardial infarction leads to increased morbidity and mortality. We sought to measure the rates of reperfusion delay and to identify factors associated with reperfusion delay after arrival to hospitals. We included 360 patients who had acute myocardial infarction with ST-elevation or left bundle branch block on electrocardiogram and received reperfusion therapy from the three participating academic medical centers from 1997 to 2000. Through retrospective chart review, we collected data about time to reperfusion therapy, patient and hospital factors potentially associated with reperfusion delay. Factors independently associated with reperfusion delay were determined by logistic regression analysis. Median door­to­needle time was 60.0 minutes, and median door­to­balloon time was 102.5 minutes. According to recommendation of the American College of Cardiology/American Heart Association Guidelines, 226 out of 264(85.6％) of thrombolytic patients and 43 out of 96(44.8％) percutaneous transluminal coronary angioplasty(PTCA) patients experienced reperfusion delay. The significant factors associated with delay were type of reperfusion therapy, patient factors including hypertension and delayed symptom onset to presentation(>4 hours), and hospital factors including nocturnal presentation(6pm∼8am), weekend, and an individual hospital. A significant proportion of patients experienced reperfusion delay. The identified predictors of reperfusion delay may help design a hospital system to reduce the delay in reperfusion therapy

• Nutrition Research and Practice
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• v.10 no.1
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• pp.81-88
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• 2016

BACKGROUND/OBJECTIVES: Serum ferritin levels are significantly increased after menopause and greatly affect women's health. The aim of this study was to investigate the dietary and non-dietary factors associated with high ferritin levels in postmenopausal women. SUBJECTS/METHODS: Among adult women in 2010-2012, qualified postmenopausal women (n = 3880) were separated into quartiles of serum ferritin. The variable differences among the quartiles of ferritin were determined using either procsurvey chi-square test (${\chi}^2$-test) among categorical variables, or GLM (Generalized Linear Model) among continuous variables. The odds ratio for high ferritin in relation to dietary factors was also determined using procsurvery logistic analysis. RESULTS: Age, obesity, drinking habit, and blood glucose levels were found to be significant indicators of high serum ferritin level after adjusting for all confounding factors. Among the food groups, grain, milk, vegetable, and seaweed intakes were significantly associated with high ferritin levels, but after adjusting for all confounding factors, only grains and vegetables remained significant factors. Among the nutrient groups, calcium, vitamin A, and vitamin C intake were significant factors, but after adjustment, none of the nutrient groups analyzed were associated with a high risk of ferritin. CONCLUSION: Age, obesity, drinking habit, and glucose levels, as well as inadequate intakes of grains and vegetables, were found to be significantly associated with high serum ferritin levels in postmenopausal Korean women.

• Journal of Korean Academy of Nursing
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• v.48 no.4
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• pp.475-484
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• 2018

Purpose: To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior. Methods: We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI). Results: Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, academic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05). Conclusion: Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.