• Research in Community and Public Health Nursing
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• v.7 no.1
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• pp.118-128
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• 1996

The purpose of this study was examine the determinants of highschool students' health behavior. A convenient sample of 2nd grade highschool students (N=638) responded to self-report questionnaires. The IMCHB was then tested with data using SAS program by frequency, t-test, ANOVA, regression. The results were as follows 1. Health behaviors were found to be type of school specific. 2. From the general highschool's model, student's health affected health perception and mother's health and father's education affected self esteem among a set of background variables. Health perception and self-esteem are related to health behaviors. 16.8% of the varience in regular highschool student's health behavior are explained by health perception and self-esteem. 3. From the vocational highschool's model, 20.2% of health behavior varience was explained by self-esteem. Mothers' education, health perception and self esteem explained internal motivation. Student's health, internal motivation and self-esteem explained health perception. The results indicated that there was a relatively poor fit of the IMCHB to the highschool students' data.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.16
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• pp.6499-6504
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• 2014

Health information-seeking behavior (HISB) is active need-fulfillment behavior whereby health information is obtained from diverse sources, such as the media, and has emerged as an important issue within the transforming medical environment and the rise of medical consumers. However, little is known about the factors that affect HISB and its associations, and the health outcome of HISB. The aim of this study was to examine individual and social contextual factors associated with HISB and to systematically review their effects on health status among post-treatment cancer patients. Individual determinants of HISB included demographic factors, psychosocial factors, perceived efficacy and norms, and health beliefs. Contextual determinants of HISB encompassed community characteristics, neighborhood social capital, and media advocacy. Improving through factors on these two levels, HISB raised individuals' self-care management skills and medical treatment compliance, and enhanced shared decision-making and medical treatment satisfaction. Moreover, because HISB can differ according to individuals' social contextual conditions, it can give rise to communication inequalities. Because these can ultimately lead to health disparities between groups, social interest in HISB and balanced HISB promotion strategies are necessary.

• Korean Journal of Adult Nursing
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• v.12 no.3
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• pp.356-368
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• 2000

The purposes of this study were 1) to identify determinants of exercise behavior 2) to determine theoretical frameworks that were used in other research 3) to investigate the limitations of exercise research. seventy six research papers, published between 1984-1999, were selected by searching Medline for this study. Research subjects, determinants of exercise behavior, exercise measurement, the design of studies, statistical method and theoretical background were examined. The results are as follows. 1. On the research subjects, most research papers studied healthy adults. 2. Thirteen variables were identified that were used more than 5 times in various researches were self efficacy, barrier, social support, benefit, physiological characteristics, habit, personality, intention, health status, motivation, subjective norm, attitude, and affect. The most frequently supported determinant was self efficacy, the second one was social support, the third was affect and so on. But few research papers found any significant relationship between subject norms or attitude and exercise. 3. On exercise measurement, only 22.4% of research papers considered intensity, duration, frequency as elements of exercise, and 64.5% of researches were assessed by self-reported questionnaires. 4. In research design, 80.3% of research papers were survey type research. The most frequently used statistcal method was Regression. 5. 44.8% of research papers were done without any theoretical basis. Based on the above findings the following suggestions are made : 1. Research which includes diverse populations with different levels of health status needs to be studied. 2. Determinants of exercise may be dynamic and varing in their influence, therefore, stages of exercise behavior and processes of change need to be studied. 3. In research design, more prospective, longitudinal studies are needed to identify determinants of exercise habits. 4. It is necessary to develop a reliable, valid exercise measurement tool. 5. Studies are needed to develop a theoretical framework for exercise behavior.

• Korean Journal of Health Education and Promotion
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• v.27 no.4
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• pp.177-188
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• 2010

Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.

• Korean Journal of Adult Nursing
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• v.13 no.4
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• pp.610-619
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• 2001

Purpose: The purpose of this study was to verify the effectiveness of the model based on the TPB, behavior-related theories, and exercise-related empirical studies in predicting exercise intention and behavior. Methods: The subjects who participated in this study were 152 middle-aged women. The data were analyzed by use of SAS PC program and LISREL 8.12a program. Results: 1) The overall fit of the hypothetical model to the data was acceptable ($\chi^2$ 24.01(p=0.0043), $\chi^2/df$ 2.67, RMSEA 0.11, standardized RMR 0.04, GFI 0.97, AGFI 0.84, NFI 0.95, NNFI 0.85). 2) Affect, subjective norm, perceived behavioral control and habit were significant determinants of the exercise intention. Attitude and facilitating conditions were not significant determinants. These six variables explained 43% of the total variance of the exercise intention. 3) Perceived behavioral control and habit were significant determinants of the exercise behavior. Intention and facilitating conditions were not significant determinants. These four variables explained 95% of the total variance of the exercise behavior. Conclusion: This study shows the model's applicabiltiy in explaining exercise behavior of middle-aged women, and suggests that we should focus on perceived behavioral control and habit rather than intention to improve exercise behavior of middle-aged women.

• Research in Community and Public Health Nursing
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• v.25 no.4
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• pp.237-247
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• 2014

Purpose: The purpose of this study was to examine the social determinants of health (SDH) associated with health-related quality of life (HQOL) among the community-dwelling elderly, based on the conceptual framework of the Commission on Social Determinants of Health (CSDH). Methods: A survey was conducted with 199 elders aged 65 years or older sampled through convenient sampling. Data were collected through face to face interviews by trained interviewers using a structured questionnaire, which included scales of the residential area, social support, sense of community, social network, health behaviors, and HQOL. Data were analyzed by ANOVA and stepwise multivariate regression. Results: Major SDH affecting HQOL included the participants' residential area, sense of community, and health behavior. The HQOL of the elderly residing in the B area with a low rate of basic livelihood security recipients was higher than that of those residing in other areas. Conclusion: CSDH framework was useful to determine the factors associated with HQOL among the community-dwelling elderly. In addition to their health behavior, their sense of community was found to be a SDH of HQOL, indicating the need of health promotion programs tailored to the characteristics of residential areas and strategies to enhance involvement in community activities.

• Journal of the Korean Society of School Health
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• v.11 no.2
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• pp.217-228
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• 1998

This study was conducted to investigate determinants of intention of smoking cessation behavior. We sampled 204 university student smokers using questionaires and analyzed the data using the t-test, ANOVA, Pearson product-moment correlation, and multiple regression. The results are as follows: 1. The attitudes concerning smoking cessation behavior are related to a student's course of study, religion and is further related to whether or not they tried to stop smoking. The subjective norm is related to smoking cessation recommendations. Perceived behavioral control is related to a growth criterion, the smoking amount and whether or not they have tried to stop smoking. The intention of smoking cessation behavior is related to smoking amount and whether or not they nare tried to stop smoking. 2. Total symptom number is related to smoking amount and smoking period. 3. Total symptom number is related to behavioral belief, attitude, and the intention to stop smoking. In conclusion, it was found that university students smoke far too much, however the intention to stop smoking is very low. Therefore, an intention promoting program of smoking cessation behavior is needed to reduce the smoking rate and relaxation therapy is necessary for in changing health promoting habits.

• Journal of Korean Biological Nursing Science
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• v.26 no.3
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• pp.206-217
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• 2024

Purpose: The study aimed to determine the key factors influencing health-promoting behavior and the behavioral intentions of eHealth consumers based on the health promotion model and technology acceptance model. Methods: This research involved a longitudinal path analysis. The study was conducted with 360 eHealth consumers aged over 18 years, employed in the top five categories of the Korean standard classification of occupations, and living in the five largest cities in South Korea. The data were analyzed using SPSS 22.0 and AMOS 25.0. Results: Health-promoting behaviors were directly supported by prior health-related behavior and behavioral intention, and indirectly supported by perceived ease of use, perceived usefulness, perceived benefit, self-efficacy, and behavioral intention. These variables accounted for 36.3% of the variance in health-promoting behavior. Conclusion: The findings serve as a framework that can help health professionals and health information providers understand how to encourage consumers using eHealth to engage in health-promoting behaviors.

• Journal of Korean Academy of Nursing
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• v.30 no.3
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• pp.537-548
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• 2000

The objectives of this study were to verify the effectiveness of the Theory of Planned Behavior in predicting exercise intention and exercise behavior, and to examine the determinants of exercise intention and exercise behavior in the sample of middle-aged women. The subjects who participated in this study were 263 middle-aged women. The instruments used for this study was a survey of general characteristics, attitude (18 items), subjective norm (2 items), perceived behavioral control (19 items), intention (3 items), and exercise behavior (7 items and 23 items for each). Analysis of data was done by use of descriptive statistics and correlation analysis with SAS PC program. The hypothetical model based on the Theory of Planned Behavior was tested by use of LISREL 8.12a program. The results of this study were as follows. 1) The overall fit of the hypothetical model to the data was good(chi-square=11.76, p=0.03, RMSEA=0.07, standardized RMR= 0.03, GFI=0.99, AGFI=0.94, NFI=0.97, NNFI=0.95). 2) Perceived behavioral control, attitude, and subjective norm were significant determinants of exercise intention, and these variables explained 35% of the total variance of exercise intention. 3) Perceived behavioral control, intention, and attitude were significant determinants of exercise behavior. But, subjective norm was not a significant determinants. These four variables explained 69% of the total variance of exercise behavior. In conclusion, this study shows the applicability of the Theory of Planned Behavior in explaining exercise behavior of middle-aged women, and suggests that health care providers should focus on perceived behavioral control and attitude rather than subjective norm to improve exercise behavior of middle-aged women.

• Health Policy and Management
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• v.13 no.1
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• pp.69-97
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• 2003

This study focuses on the determinants of the community health service utilization. Theories suggest seven models for community health service utilization, which are divided largely into two groups such as Health Service Supply Model and Health Service Demand Model: Supply Model includes Medical Implements Model, Personnel and Budget Model, Management System Model, Staffs' Behavior Model, Service Quality Model; Demand Model includes Area Model and Clients' Characteristics Model. This paper tests how the above models influence on the community health service utilization. After interviewing some administrative staffs of the Community Health Service Center at Pusan, questionnaires were made and mailed to the staffs of 198 Korean Community Health Service Center as a universe, among which from 98 centers we got response. Analyzing the data from the questionnaires, we found "the number of personnels in the health service center" and "demands for medical service" as important variables to affect the utilization of the community health service center. These two variables are typical factors representing Supply Model and Demand Model each. However, the variables selected from Management System Model, Administrative Behavior Model, Service Quality Model and Area model are not significant in a statistical sense. The paper suggests that to recruit the personnels, especially nurses, and to make out the demands of the clients for health service be the precedent conditions to increase the utilization of the Community Health Service Centers in Korea.ce Centers in Korea.