• Title/Summary/Keyword: child health

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Predictors of the Utilization of Oral Health Services by Children of Low-income Families in the United States: Beliefs, Cost, or Provider?

  • Kim Young Ok Rhee;Telleen Sharon
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1460-1467
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    • 2004
  • Purpose. This study examined the predictive factors enabling access to children's oral health care at the level of financial barriers, beliefs, and the provider. Methods. In-depth interviews were conducted with 320 immigrant mothers of low-income families regarding their use of oral health services for children aged four to eight years old. Access to oral health care was measured with frequency of planned dental visits, continuity of care, and age at first visit to dentist. Results. The mother took her child to the dentist at a younger age if she received referrals to a dentist from pediatrician. Regular dental visits were significantly related to household income, provider availability on week-ends, and insurance coverage. The extended clinic hours in the evenings, and the belief in the importance of the child's regular dentist visits increased the likelihood of continuing care. The mothers perceiving a cost burden for the child's dental care were also less likely to return to the dentist. Conclusion. The available care delivery system, coordinated medical care, and health beliefs were among important predictors of the health service use. The study findings suggest need for culturally competent dental health interventions to enhance access to oral health care among particularly vulnerable populations such as low-income children in Korean communities.

Factors affecting the mental health status of children from multicultural families in South Korea: a cross-sectional descriptive analysis of data from the multicultural adolescents panel study

  • Choi, Sunyeob
    • Child Health Nursing Research
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    • v.29 no.1
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    • pp.60-71
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    • 2023
  • Purpose: This study aimed to identify factors affecting the mental health status of children from multicultural families in South Korea. Methods: This study was based on Dahlgren and Whitehead's (1991) rainbow model as a conceptual framework and used data from the second phase of the multicultural adolescents panel study conducted by the National Youth Policy Institute. Multiple logistic regression analysis was performed using SPSS version 26.0, with p<.05 considered to indicate statistical significance. Results: In the final model, stress (odds ratio [OR]=0.53, p<.001), life satisfaction (OR=2.09, p=.004), self-esteem (OR=1.73, p=.032), and peer support (OR=1.46, p=.019) affected the mental health status of children from multicultural families. The living and working conditions and general socioeconomic, cultural, and environmental conditions did not significantly influence the mental health status of children from multicultural families in the final model. Conclusion: As components of Dahlgren and Whitehead's model, individual hereditary and lifestyle factors, as well as social and community networks, affected the mental health status of children from multicultural families. Therefore, in order to improve the mental health of children from multicultural families, efforts are needed to alleviate their stress, increase life satisfaction and self-esteem, and strengthen their social support.

Health Information Needs and Seeking Behaviors among Korean Mothers of Young Children in the United States (미국 내에 거주하는 한인 어머니들의 건강정보 필요성과 탐색 행동연구)

  • Lee, Hanseul Stephanie
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.28 no.1
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    • pp.209-228
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    • 2017
  • Previous studies have noted mothers' roles as active health information seekers, health managers, and caregivers for their family members. However, little is known about health information needs and seeking behaviors among Korean mothers of young children living in the United States. Using paper-based surveys, this study found that vaccination, child dental health, parenting, nutrition and diets, and physical exercise were ranked as the five most important health topics by the Korean mothers of young children aged 0 to 10 years old in this sample. Furthermore, this study revealed that mothers of boys evaluated the importance of two topics significantly higher than those of girls: circumcision (t=3.16, p < .01) and breastfeeding (t=2.47, p < .05). Also, age of child was an important factor influencing mothers' information needs in three health topics: child dental health (F=5.292, p < .01), physical exercise (F=7.107, p < .01), and child skin care (F=5.640, p < .01). Implications for developing health information services are also discussed.

The Trend of Nursing Research in Korea on Mother-Child Relationship (모아관계에 관한 국내 간호연구 동향)

  • Paik Seung Nam;Kim Jeong Hwa;Wang Myung Ja;Sung Mi Hae;Cho Kyoul Ja
    • Child Health Nursing Research
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    • v.2 no.1
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    • pp.55-68
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    • 1996
  • Although nursing researchers have performed studies on parent-child relationship actively since early 1980s in Korea, nothing hasn't been tried on the analysis of the contents of researches. We researchers tried examining the trend of researches by investigating treaties on mother-child relationship conducted from 1981 to 1994. The purpose of this study was to analyze the trend of research on the mother-child relationship and to suggest direction for future study. The total numbers of the studies were 27 cases, These studies were analyzed for 1) time of publication 2) research design 3)main concept 4)thesis for a degree or nondegree 5) measurement tool The finding of the analysis were as follows. 1) In the chronological situation, the research on mother-child relationship began to perform in 1981 in the country and had been made most for five years to 1986 with 14 treaties and has decreased since 1990. 2) In the research plan, there are 21 survey(the most) ,5 quasi experimental(before 1986), 1 qualitative. 3) In the subject, the researches on mother-child are the most, 22 and of them 17 treaties on normal infant,4 comparative research on high risk infant and normal infant,5 treaties on mother, 4) The conception of mother-child relationship was used as various conceptions such as affection, union, bonding in early research of 1980s, but it hasn't been used as union bonding but studied mostly as the conception of 'mother-child interaction'since 1986. 5) The measurement tool of research was used variously, the Cropley's tool was used in early 1980s, but Walker's MIPS, Barnard's NCAST were used mostly in 1990. 6) Mother-child interaction influence on mother's self-conception, stress, care and feeding of child, frequency of delivery, planned pregnancy and delivery and health condition of child, birth weight, fetal period, period of mother-child life. Aspects of mother-child interaction composed on visual contact, looking at each other, skinship and caress with finger and fingertip. The leading action of mother-child interaction was mostly uttering action. 7) I suggest that the program for professional education is necessary for the establishment of the aspects of mother-child interaction.

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The Difficulties for Parents of Children with Terminal Cancer (말기 암 환아 부모가 경험하는 어려움)

  • Kang, Kyung-Ah;Kim, Shin-Jeong
    • Child Health Nursing Research
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    • v.11 no.2
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    • pp.229-239
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    • 2005
  • Purpose: The objective of this study was to provide an understanding of the difficulties for facing parents of children with terminal cancer. Method: The design of this study was an inductive and descriptive study. Thirty???]one parents of children with terminal cancer participated in???]depth were interviewed s. C in depth and content analysis was used for analyzing the data. Results: The main categories in the findings were 'difficulties in coping', 'physical and psychological suffering of children', 'suffering of family', 'bereavement with children', 'economic problems', 'incurable situation', 'preparation of death', 'social isolation', 'coping after a child dies', 'spiritual problems', receiving active treatment', 'informing children of their condition', 'a sense of meaninglessness', 'emotional iunstability', and 'giving up hope'. Conclusion: The main point identified from this result in this study was that parents who have a child with terminal cancer don't never give up the hope of recovery for their child even when the child is in by the terminal stage of their children, even though and they are unwillingly to prepare for their child's death. This is a unique characteristic in the attitude of the families' attitude in child hospice care and differs from that found in adult hospice care. This result can be used as an important guide for nurses to in assessing the parents' needs in the terminal care setting.

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A Study on the Perception on Child Abuse, Effectiveness of Reporting, and Barriers to Reporting among Nurses (간호사의 아동학대 인식, 신고 효과성 인식 및 신고 장애 인식 조사)

  • Hong, Sun Young;Park, Mi Hyang
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.236-246
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    • 2016
  • Purpose: The purpose of this study was to investigate the Nurses' perception of child abuse, effectiveness of reporting, and barriers to reporting. Method: We surveyed 155 nurses at a University Hospital by using convenience sampling. The perception of child abuse, effectiveness of reporting, and barriers to reporting were measured using structured questionnaires. Data analysis was performed using SPSS WIN 21.0 program. Results: In nurses' perception of child abuse, the perception of physical abuse was higher than that of others - such as neglect, sexual abuse, and emotional abuse. Among nurses, the perception of child abuse was different according to age, material status, children, nurse career, education level, religion, experience of education, and perception of mandated reporter. The results showed a significant correlation between the perception on child abuse and perception on the effectiveness of reporting, as well as between perception on the effectiveness of reporting and perception on barriers to reporting. Conclusion: Based on the findings of this study, it is suggested to develop education programs and guidelines to help nurses to make appropriate decisions for the proper professional intervention when a child abuse case is suspected.

The Concept and Historical Background of Custody Evaluation

  • Lee, Myung Hoon;Chung, Dong Sun;Moon, Duk Soo;Kwack, Young Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.2
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    • pp.53-57
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    • 2020
  • This article reviews a wide range of literature on the standards and process of child custody evaluation in the US, and proposes custody evaluation standards appropriate to Korea. Custody evaluation refers to the process of making psychiatric and psychological evaluations of each parent and the child during a custody dispute and presenting to the family court a report of custody evaluation with the aim of safeguarding the best interests of the child. In the past, it was thought that children arethe fathers' possessions or that younger children should be raised by the mother; however, currently, custody rights are evaluated in accordance with the principle of the best interests of the child. The principle is all-encompassing and vague and hence, the court makes increasingly more requests to mental health professionals for custody evaluation. Since the Seoul Family Court introduced the expert consultation system in 2017, the involvement of mental health professionals in child custody decisions has increased in Korea. Custody evaluators should try to be neutral and find the objective facts, keeping in mind that their role is to aid the court in making a custody decision.

Effects of Child-rearing Attitude and Parent-School Age Communication on Self-Efficacy of School-age Children (부모의 양육태도와 부.모-자녀 의사소통이 학령기 아동의 자기효능감에 미치는 영향)

  • Hong, Yeon-Ran
    • Child Health Nursing Research
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    • v.15 no.4
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    • pp.392-400
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    • 2009
  • Purpose: The purpose of this study was to identify influences of child-rearing attitude and parent-school age communication on self-efficacy of 5th and 6th graders. Methods: Data were collected using questionnaires from 460 5th and 6th graders in S city. The data were analyzed using SPSS WIN program. Results: There were significant differences in child-rearing attitude according to gender, mother's level of education, perceived atmosphere and religion. Self-efficacy was significantly correlated with school record, family income, mother's level of education, father's level of education, and perceived atmosphere. There were significant differences in communication with father according to father's level of education, and perceived atmosphere. Communication with mother was significantly correlated with father's level of education, mother's level of education and perceived atmosphere. The relative influence toward the children's self-efficacy shown in the order of importance was as follows; child-rearing attitude, school record, communication with mother, communication with father, father's level of education, family income. Conclusion: From the study, self-efficacy appears to be influenced by multiple factors such as child-rearing attitude, school record, communication with mother, communication with father, father's level of education, and family income.

Factors Predicting Maternal Conflict in Mothers of Toddlers (유아기자녀를 가진 어머니의 모성갈등 예측요인)

  • Cho Hee-Jung;Ahn Suk-Hee;Shin Jae-Sin;Lee Sun-Ok
    • Child Health Nursing Research
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    • v.11 no.1
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    • pp.5-13
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    • 2005
  • Purpose: This study was done to identify degrees of maternal conflict, differences, and factors predicting conflict in mothers of toddlers. Method: A convenience sample of 300 mothers living in G city, Kyounggi-do whose child was between 12 to 36 months old was used. Data were collected through a questionnaire survey and analyzed using SPSS WIN 10.0. Results: The average score for maternal conflict was 67.35 (SD=10.18), somewhat lower than moderate in level. 'I as a human being' was the area of the 6-sub areas with the most conflict. Mothers experiencing higher maternal conflict were those who were less satisfied with marriage, quality of life, and maternal role, and whose child was stubborn and hard to please, who were unsatisfied with baby sitters or who had to rush their sick child to hospital. Factors that were significant in predicting maternal conflict were low satisfaction with maternal role and marriage, and a child who was difficult to care for. These factors accounted for 22% of explained variance. Conclusion: Nurses should help mothers resolve maternal conflict through education and counseling on the maternal role, but at the same time nurses should consider relationship of the mother with her husband and also special characteristics of her child.

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A Study on Mother's Perception of Uncertainty and Nursing Need Concerning Child's Hospitalization (입원아동어머니의 질병에 대한 불확실성의 인지와 간호요구)

  • Kim, Hyun-Ju;Kim, Mi-Hyun;Kim, Yeo-Kyung;Yu, Mi-Bok;Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.10 no.2
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    • pp.136-146
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    • 2007
  • Purpose: The purpose of this study was to provide fundamental data in ensuring a high quality of nursing needed by hospitalized child's mother through research of the mother's perception of uncertainty and nursing need concerning child's hospitalization. Method: 173 hospitalized child's mothers at G hospital in Busan are questioned. The tools used in this study are PPUS(Parent's Perception of Uncertainty Scale) and the nursing need of hospitalized children's mother. The data was analyzed by SPSS/PC program. Results: 1) The perception of total uncertainty for the hospitalized child's mother showed average 2.37 and the nursing need showed very high level, 3.37. 2) The perception of uncertainty in accordance with general character of the hospitalized child's mother shows non significant difference 3) Significant correlation indicated between the perception of uncertainty of hospitalized children's mother and nursing need. Conclusion: It is to be desired to prepare a program which can raise the level of perception developing a method that is able to practically assess and manage the level of perception of hospitalized children's mother.

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