Objectives: This study aims to determine fostering stress and mental health state that mothers of handicapped children perceive as primary care givers and to analyze their demand for information assistance in order to release their stress so that it can provide materials that contribute to establishment of assistance system for families with handicapped children. Methods: The research subjects were 340 mothers whose children went to a nursery for special children, 3 general nurseries and 6 special schools in Daegu, and the data were collected using structures questionnaires. The survey analyzed mothers' fostering stress, their demand for fostering information assistance, children's daily activity abilities. Component concepts of each scale was validated by adopting confirmatory factor analysis, and factors affecting demand for fostering information assistance were analyzed by adopting covariance structural analysis. Results: Younger mothers tend to have higher demand for information, and mothers with younger children or children with double handicaps also have higher demand. Mothers under 30 have the lowest demand for public health and medical care assistance and for home and community life assistance, while mothers with children with physical handicaps have the highest. The validity of component concepts was verified by categorizing as cognitive structure models fostering stress, information demand, children's daily activity abilities, and their appropriateness was evaluated through confirmatory factor analysis using structural equation modelling. And then, GFI (more than 0.9), CFI (more than 0.9), TLI (more than 0.9) and RMSAE (less than 0.08) were used to evaluate the appropriateness. It was found that all the component concepts are valid, as every item is within appropriate range. The result of analyzing information demand demonstrated that children's handicap levels significantly affect their mothers' mental health, while fostering stress significantly affect mothers' metal health, information demand. As well, it was confirmed that mothers' mental health has a significant effect on information demand. Conclusions: Therefore, to reduce special children's mothers' uncertainty, helplessness and fostering burden, it is necessary to provide them with information on children's challenges, development and fostering and to offer them quality public health, medical care and welfare assistance along with family and local community life assistance.
Purpose: Food insecurity, which is the inability to obtain food or inadequate food consumption in terms of quality and quantity, has physical and psychological consequences on children's health. This study aimed to investigate the relationship between children's growth disorders and food insecurity in Qazvin city, Iran. Methods: A case-control study was conducted on 177 cases and 355 controls of children aged 3 to 6 years, who were referred to health centers in Qazvin city. The case group consisted of children with growth disorders. Data were obtained with the 18-item US Department of Agriculture questionnaire, a household socioeconomic questionnaire, a and growth monitoring card. The data were analyzed with using IBM SPSS Version 22.0, by independent sample t-test, chi-square test, and logistic regression. Results: A significant relationship was found between children's growth disorders and household food insecurity with (p<0.05, odds ratio [OR]=17.0, confidence interval [CI]=5.9, 48.8) and without hunger (p<0.05, OR=2.69, CI=1.4, 4.9). There were also significant relationships between children's growth disorders and socioeconomic status (p<0.05, OR=3.4, CI=1.4, 8.5), the duration of breastfeeding (p<0.05, OR=0.94, CI=0.9, 0.98), and children's ages (p<0.05, OR=0.94, CI=0.92, 0.96). Sex and birth order, and the age of the parents was not found to be significantly related with growth disorders. Conclusion: Lower socioeconomic status and household food insecurity were the important predictors of children's growth disorders. Policymakers should focus more on promoting steady employment and income among family members. Nutritional education for mothers is also recommended, in order to better meet the nutritional needs of the children.
Purpose: The purpose of this study was to compare health locus of control with health-promoting behaviors according to elementary school children's degree of obesity, and to analyze correlations between two variables. Methods: Three hundreds and sixty three elementary school children were participated from three elementary schools in Seoul. Multidimensional Health Locus of Control (HLOC) scale and Health Promoting Lifestyle Profile (HPLP) were used. Results: Obese children was 16.8% of all research subjects. Internal HLOC in over weight group was higher than normal weight group (F=3.611, p=.014). Chance HLOC in under weight group was higher than other groups (F=3.553, p=.015). External HLOC in over weight and obesity group was higher than normal weight group (F=3.553, p=.015). Correlations between HLOC in internal and external and health-promoting behaviors were significant (r=.347, p<001; r=.207, p<001). Also, children who did not have siblings and have obese parents showed higher rate of obesity, and lack of sleeping time tend to be related to obesity. Conclusion: External HLOC of obesity children is higher than that of normal weight children. Meanwhile, obese children with higher internal HLOC were good at doing health-promoting behaviors. Therefore, if obese children are trained for internal health control, it can lead to their health-promoting behaviors.
It is the base of the health through life, the health of children is very important. The health education is the most effective measure for disease prevention and health promotion. To educate children for the health, we must consider their concept of the health before. Therefore I attempted this study for investigation for the concept about respiratory communicable disease which is one of the most important health problems. The design of this study was descriptive investigational study. The subjects of this study are 4-6 aged 65 children who are attending district nursery school. The tools of this study constituted 3 parts as an etiological agents, environmental agents and host agents. The data were collected by an individual interview and cartoon cards. The results of this study are as followed: 1. The preschool children tend to think contamination along the physical distance, nearer things more relational. 2. The preschool children tend to have their experience centered thinking. 3. There was a highly significant correlation between the children's age and knowledge scores(r = 0.431, P= 0.0003). 4. There wasn't a significant correaltion between sex group. In conclusion, it wad founded that the preschool have a tendancy to think communicable disease along the physical distance and their daily life experiences. This results support the Piaget's cognitive developmental theory. Therefore, to develop the health education program for preschool students, above results must be referenced.
Purpose: This study is a descriptive and comparative study that compares health state and school adaptation between children in divorced family and in normal family. Study results will provide a basic data for the development of an intervention program designed to help children in divorced family adjust to their crisis. Method: The study subjects consisted of 700 children in 4th. 5th or 6th elementary school grade, residing Seoul and Kyunggi regions. Among these subjects, 123 were children with divorced family and 577 were children with normal family. The health status of the subjects was measured by Health Symptom Questionnaire developed by Shin and revised by the investigators. The instrument consisted of 30 items measuring physical and emotional health symptoms. The level of school adaptation of the subjects was measured by School Adaptation Scale developed by Lee, which consisted of 4 dimensions with 20 items what measures relationship with peer students, learning activity, observance of regulation, and participation of school activity. The investigators visited the schools and collected data in the classes using the questionnaire after explaining the purpose and procedures of the study to the children. The data were analyzed by descriptive statistics, $\yen\"{o}2$-test, t-test, ANOVA using the SPSS PC + statistical program. Result: First, the mean health state score in children with normal family (M=11.99) was higher than that in children with divorced family (M=19.15), showing a significant difference (t=-6.51, p=.000) between the two groups, which suggests that children with normal family have better health state than children with divorced family. Second, the mean school adaptation score in children with normal family (M=38.99) was higher than that in children with divorced family (M=26.97), showing a significant difference between the two groups (t=104.07, p=.000), which suggests that the school adaptation of children with normal family is better than that of children with divorced family. Third, in comparison of health state between the two groups by general characteristics. there were significant differences between the two groups in sex. the most contributing factor to health status of the children, school year. birth order, religion, school achievement, amount of monthly pocket money, parents level of formal education, occupation of parents, economic status (p<.05). Forth, in comparison of the level of school adaptation between the two groups by general characteristics, there were significant differences between the two groups in most variables (p<.05), suggesting that children with normal family had better capacity of school adaptation than children with divorced family. Conclusion: As a result. this study showed that the parent's divorce had great influence on children's health status and school adaptation capacity. The implication for nursing is that there is a need to develop supportive interventions for the high-risk children who have decreased health states and school adaptation capacity due to the divorce of their parents. In addition, it is recommended that further studies should be conducted to explore protective factors for the prevention of health and adaptation problems in children.
Purpose: The Study of vaccination for infants and children business in Primary Health Care Posts from 1980 to 2009. Method: look for national essential vaccination look for the change of vaccination by the times in Primary Health Care Posts and the rate of vaccination for infants and children by a administrative report statistics survey of a vaccine delivery system of Public health care institutions investigation about assistance details of vaccination cost in order to raise the rate of vaccination for infants and children. Results: In 1980s, there are many infants and children management object, but now there are rapidly decreasing infants and children management subject of a Primary Health Care Post because of rural exodus phenomenon of 1990's and a low birthrate of 2000's. Currently, the infants and children that registed, and managed to a Primary Health Care Post is most multi-cultural families. A multi-cultural family assistance program is provided these infants and children to the objects. Conclusions: Infant vaccination execution in Primary Health Care Posts showed to high vaccination rate because the prevention of vaccination delay or omission of the interior child who raised geographical accessibility to object sons nowadays it difficult to management of transportation of vaccine and storage management for a little shroud objects limited and management of inoculation business in quality. A main problem is as follows. There are a little vaccine transportation, trouble of proper temperature maintenance of a storage process, and having a lot of vaccine abolition as a little objects, educational training shortage of health care practitioner regarding to execute an inoculation. Therefore, vaccination business needs measures for management in quality in Primary Health Care Posts.
Objectives : By analyzing the affects of the mother's oral care to the caries experiences of the elementary school children, To looking for the way to prevent dental caries in the primary school, to provide baseline data to perform the associated oral health education. Methods : Between the 3,676 children's dental check-up data and the 2,934 survey of parents from 9 elementary schools in the the Gyeonggi Province, the exactly matching data of 2,358 pairs, children versus mothers, were analyzed during the period, 2009 May 4 to July 20, By using the PASW 18(SPSS-PC 18), Frequency analysis of the collected data, and cross-analysis, ANOVA, Bonferroni post-analysis was performed. Results : The findings of the study were as follows. 1. In children, the ratio(DMF rate)of the dental caries experience in permanent teeth, appeared higher for men than women. Divided by grade level, the ratio of caries experience in the permanent teeth(DMF rate) generally appear higher in older than young. Thus between the child's gender and grade level by the ratio of caries experience in the permanent teeth(DMF rate) showed the statistically significant differences (p<0.05). 2. Between the socioeconomic characteristics of mothers and the children's level of dental caries experiences, not showed the statistically significant difference.(p>0.05). 3. The significant difference showed between the dental caries levels of the children and the mother's oral health care behavior - a toothbrush replacement period, mother's broken teeth, mothers guidances of the brushing after snacks for children(p<0.05). Conclusions : The mother's oral health attitudes and behaviors can affect to their children's oral care habits. Therefore The mother themselves should have the right proper habit of oral health care, so that in oral health care mothers should be the model for their children. Institutionally more systematic and detailed oral health educational program in conjunction with the family is needed.
This study aimed to introduce what Korea national oral health surveys are and examine recent oral health status in Korean children. Korea Government has implemented national oral health-related surveys during the past two decades. The surveys with oral health examination are Korean Children's National Oral Health Survey (KCNOHS) since 2000 in 5-year-old and 12-year-old children and Korea National Hhealth and Nutrition Examination Survey (KNHANES) since 2007 aged 1 year and more. KCNOHS provides the information about the distribution of prevalence of dental caries, gingival health, behavioral factors, and dental clinic demands etc. KNHANES has huge amount of health data for representative Korean population including oral health and general conditions. Based on KCNOHS, the prevalence of dental caries and its experience has decreased steadily, and the status of oral hygiene and preventive treatment called sealents has been also improved after the year of 2000. However, there is still a gap to reach to those of Western developed countries. Therefore, more effective oral health policy plans and strategies for Korean children and adolescents are needed to prevent and manage for dental caries in private and clinical field of dentistry with public sector.
Objective: This study aimed to examine the effects of adult children's marriage-delay on their parents' mental health. Furthermore, this study investigated how the influence of adult children's marriage-delay on parents' mental health could vary depending on the coresidence and employment status of the marriage-delayed adult children. Method: Two waves of Korean Longitudinal Study of Ageing (KLoSA) were used for the analyses. Multiple regression models were conducted with 2,938 Korean parents who had at least one child, regardless of gender (aged 33~44). Results: First, adult children's marriage-delay was related to lower levels of parents' life satisfaction. Second, the levels of parents' life satisfaction were low regardless of residing with their marriage-delayed adult children, and the parents who were not living with their marriage-delayed adult children showed lower levels of life satisfaction than parents living with marriage-delayed adult children. Third, only the parents with unemployed marriage-delayed adult children showed significantly higher levels of depression. However, the levels of parents' life satisfaction were low regardless of the employment of marriage-delayed adult children, and the parents of unemployed marriage-delayed adult children showed lower levels of life satisfaction than the parents of employed marriage-delayed adult children. Conclusions: It is necessary to consider the effects of marriage, employment and coresidence of adult children on their parents in order to enhance the mental health of the parents. Also, the effects of marriage-delay on intimate relationships, such as family dynamics, need to be explored more in further research.
The purpose of this study was to identify the relationships among school-aged children's perceived parenting style, children's self-esteem, health promoting behavior and to determine whether self-esteem was a the mediator of the relationship between parenting style and health promoting behavior. Participants were 425 school-aged children of 5th and 6th grade. Data were analyzed using t-tests, Pearson correlation, and hierarchical multiple regression. The child's health promoting behavior was positively associated with receptive parenting style and positively associated with self-esteem. Also, the results showed that the effect of receptive parenting style on health promoting behavior was significantly partially mediated by self-esteem. Therefore, parenting style and children's self-esteem need to be factored in when designing and applying health education program for school-aged children. Also, the program need to be designed to enhance receptive parenting style that can lead to children's increase self-esteem.
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