• Title/Summary/Keyword: determinants of health behavior

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Behavioral Symptoms in Nursing Home Residents with Dementia: Developing a Nursing Practice Model

  • Kim, Hyo Jeong
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.488-499
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    • 2006
  • Purpose: Behavioral symptoms in dementia (BSD) are one of the most disturbing behaviors to caregivers and a major reason for nursing home placement. Behavioral symptoms are often treated with psychotropic drugs (PD), however, the effect of such drugs for the frail elderly dementia patient is not certain because of their critical adverse effects. Theoretical model applicable to nursing practice for BSD in nursing homes, which is essential in guiding and evaluating such interventions, is absent. This article presents the process of developing a theoretical model of BSD in nursing homes. Method: Using Walker and Avants' theory synthesis method, three behavior models and two system models were incorporated into the proposed model to provide the theoretical and analytical explanation of the relationships between PD usage, its determinants, and BSD. Results: Resident variables and nursing home variables related to the two focal concepts (i.e., PD usage and BSD) were identified. Resident variables include demographical characteristics such as age and gender, and dementia-compromised functions such as cognitive and functional impairment. Nursing home variables include facility characteristics such as ownership type and size, and physical and psychosocial environment. Conclusion: The proposed model suggests that fulfillment of resident unmet needs through improvement of physical and psychosocial environment may produce better health outcomes of nursing home residents with BSD. Assessment and intervening environmental triggers of such behaviors are also suggested to be prior to the PD usage.

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Factors Influencing Subjective Happiness among Korean Adolescent: Analysis of 2014 Korean Youth Risk Behavior Survey (청소년의 주관적 행복감에 영향을 미치는 요인에 관한 연구 : 2014년 제 10차 청소년건강행태온라인조사 자료 분석)

  • Kim, Han-Na;Kim, Jeong-Seon;Roh, Seung-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7656-7666
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    • 2015
  • The purpose of this study was to explore the determinants of subjective happiness among Korean adolescents and to supply basic data for enhancing to subjective happiness among Korean adolescents. This study used the 2014 Korean Youth Health Risk Behavior On-lin Survey data. It conducted a secondary data analysis of 72,060 cases. It conducted frequency analysis, t-test, ANOVA and multiple regression analysis by SPSS 18.0. Although various independent variables influenced on emotional support(t=44.335, p<,001), gender(t=27.730, p<.001), grade(t=25.347, p<.001), economic status(t=-25.345, p<.001), living arrangement(t=-6.158, p<.001), school record(t=-7.512, p<.001), father's educational status(t=-2.378, p<.001), subjective health status(t=46.062, p<.001), depression(t=-23.837, p<.001), sleep(t=19.871, p<.001), level of stress(t=-78.685, p<.001), alcohol(t=-13.481, p<.001) and drug use(t=-2.671, p<.01), smoking(t=-11.988, p<.001), breakfast(t=4.443, p<.001), activity(t=4.757, p<.001) were key factors of subjective happiness among Korean adolescents. The findings of this study were as follow: male middle students, who had emotional support, higher economic status, school record and father's educational level, living with family showed higher levels of subjective happiness. It also having good subjective health status, not depressed, more sufficient sleep, lower stress, no experience of drinking, smoking and drugs, more physical activity and having breakfast showed higher levels of subjective happiness.

The Effect of Health Risk Factors on Gender in Early Adolescents: The Application of Logit Analysis (초기청소년대상자의건강위험요인이성별에미치는영향요인분석: 로짓분석의활용)

  • Yoo, Keun-Hwan
    • Journal of Convergence for Information Technology
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    • v.9 no.7
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    • pp.85-93
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    • 2019
  • The purpose of this study is to identify the influence of demographic characteristics such as inappropriate lifestyle, stress, and health status among health risk factors of early adolescents according to gender. There is a gender difference in the perception of mental and physical health of early adolescents, and the result can be different in behavior patterns between men and women. This study was conducted to identify the health risk factors as independent variables for early adolescents in Daegu and Gyeongbuk area, and to analyze the determinants of gender (male, female) differences by parents, family environment, friends, academic background, appearance, grade, location, school grades, family situation, and health status as demographic factors. And, the Odds Ratio of the early adolescents was analyzed through logit analysis and the differences according to the influence relationship of each of them were examined. As a result of the analysis, the more the sleep and physical activity, parents, home environment, friends, academic background, and appearance are increased, the more the influence is likely to become on the male students. On the contrary, the rest of the health risk factors can increase, and the threat to the health risk factors is likely to become severe to the female students.Among them, it is necessary to develop a pre-preventive program for early adolescents' health risk factors, provide basic data for practical application in the field, and seek a detailed program according to the gender of early adolescents.

Early childhood eating behaviors associated with risk of overweight and its socio-ecological determinants in Korean preschool children

  • Yeri Kim ;Jiye Kim ;Bomi Lee ;Seungyoun Jung;Seo-Jin Chung ;Hyekyeong Kim ;Nana Shin ;Yuri Kim
    • Nutrition Research and Practice
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    • v.17 no.4
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    • pp.717-734
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    • 2023
  • BACKGROUND/OBJECTIVES: This study aimed to identify preschool children's eating behaviors associated with early childhood obesity and its multi-level, socio-ecological determinants. SUBJECTS/METHODS: In a cross-sectional study of 364 mothers of preschool children aged 3-5 years, these children's healthy eating behaviors were assessed using a validated preschool nutrition quotient (NQ-P) questionnaire. The children's overweight or obesity statuses were determined based on body mass index percentiles from the 2017 Korean National Growth Chart. The associations between the NQ-P score and risk of overweight or obesity were examined using multivariable logistic regression. The associations of individual, maternal, physical, and media environmental factors with the NQ-P score were also examined using multivariable linear regression. RESULTS: Preschool children with greater NQ-P scores were at a significantly lower risk of overweight or obesity (P < 0.01). The NQ-P score had a significantly positive association with maternal body mass index and an inverse association with household income (all P < 0.05). Maternal parenting and feeding practices exhibited associations with the NQ-P score. Positive associations were observed with "warm," "structured," and "autonomy-supportive" parenting as well as monitoring feeding practices (all P < 0.05). In addition, the NQ-P score had a significantly positive association with the childcare center's anti-obesogenic environment, such as the provision of nutritional and physical-activity support and vicinity of the built food environment to the home, including access to good-quality food, fruits and vegetables, and low-fat foods (all P < 0.05). Regarding media environments, the NQ-P score demonstrated more significant associations with viewing and eating and/or cooking content displayed on online video platforms (all P < 0.05) than with that on television. CONCLUSIONS: Our findings confirm the significance of healthy eating behaviors in early-childhood-obesity prevention and underscore the importance of multilevel maternal, physical, and media environmental interventions that effectively guide eating behaviors in preschool children.

Analysis on geographic variations and variational factors in expenditures for hypertension (고혈압 의료비 지역 간 변이 및 변이 요인 분석)

  • Choi, Soon-Ho;Yong, Wang-Sik;Kim, Yoo-Mi
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.425-436
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    • 2015
  • This study is to investigate how the expenditures for hypertension is affected by socioeconomic, health care resources, and health behavior factors with a special emphasis on geographic variations and to provide the data about regional management for hypertension. To analyze, we combined a unique data set including key indicators from Medical Service Usage Statistics 2012 by Region by National Health Insurance Corporation, Annual Community Health Survey 2012 by Korea Centers for Disease Control and Prevention and other government organizations at the 247 small administrative districts. We found that the average expenditures of hypertension in 249 small districts is 62,000 won and coefficient of variation is 30.0. Major factors of differences in hypertension expenditure is population density, marital status, household income, number of hospital per 100 thousand, medical expenses outside the jurisdiction, drinking rate, moderate and over-intensity physical activity, and hypertension diagnosis rate. The results of decision tree was that there were significant differences between regions in hypertension diagnosis rate, household income, marital status, number of hospital per 100 thousand, obesity rate, drinking rate. This study concluded that determinants of geographic variations in hypertension spending are not only health resources and socioepidemic characteristics but health behaviors.

A Study on the Consumption Patterns of Food Life in IMF Age (IMF시대의 식생활 소비패턴에 관한 연구)

  • Lee, Jin-Young;Lee, Hye-Im
    • Journal of the Korean Society of Food Culture
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    • v.14 no.4
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    • pp.333-352
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    • 1999
  • This study investigates the impact of International Monetary Fund(IMF) Age on the household behavior of food consumption and analysis the related factors(demographic variables, family life style) to find out the reasonable consumer's consciousness and food market conditions. The results are as follows. 1. General life style and food life style, considered as family life style, were classified into 7 types and 9 types respectively as family life style by factor analysis. 2. The rationality of using and disposing stage on food life has increased, the rationality of the planning stage on food life has decreased since the IMF age began. But the rationality of overall food consumption has hardly changed. 3. The amount of purchasing was decreased, discount store was favorite place to buy food, and safety and freshness were major determinants in purchasing for most of food items. But this was different with food items. The various information sources were used impartially to buy food, cash was used mainly, and the degree of using the discount ticket/coupon was a little low. 4. Income level is an influential factor on the rationality of the planning and purchasing stage on food life, while environment-oriented food life style has influenced on the rationality of using and disposing stage. The purchasing amount of grain products, meats, milk products, bread and snacks, drinks, alcoholic drinks, water and convenience goods has influenced by demographic variables, eating out had been influenced by general life styles, and fruits, healthy foods, processed foodstuffs, favorite foods, vegetables seaweeds, import foods and seafood had been mainly influenced by food life style since IMF age began.

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Behavioral Predictors Associated With COVID-19 Vaccination and Infection Among Men Who Have Sex With Men in Korea

  • Minsoo Jung
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.1
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    • pp.28-36
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    • 2024
  • Objectives: This study investigated the impact of socioeconomic factors and sexual orientation-related attributes on the rates of coronavirus disease 2019 (COVID-19) vaccination and infection among men who have sex with men (MSM). Methods: A web-based survey, supported by the National Research Foundation of Korea, was conducted among paying members of the leading online portal for the lesbian, gay, bisexual, transgender, or queer and questioning (LGBTQ+) community in Korea. The study participants were MSM living in Korea (n=942). COVID-19 vaccination and infection were considered dependent variables, while sexual orientation-related characteristics and adherence to non-pharmacological intervention (NPI) practices served as primary independent variables. To ensure analytical precision, nested logistic regression analyses were employed. These were further refined by dividing respondents into 4 categories based on sexual orientation and disclosure (or "coming-out") status. Results: Among MSM, no definitive association was found between COVID-19 vaccination status and factors such as socioeconomic or sexual orientation-related attributes (with the latter including human immunodeficiency virus [HIV] status, sexual orientation, and disclosure experience). However, key determinants influencing COVID-19 infection were identified. Notably, people living with HIV (PLWH) exhibited a statistically significant predisposition towards COVID-19 infection. Furthermore, greater adherence to NPI practices among MSM corresponded to a lower likelihood of COVID-19 infection. Conclusions: This study underscores the high susceptibility to COVID-19 among PLWH within the LGBTQ+ community relative to their healthy MSM counterparts. Consequently, it is crucial to advocate for tailored preventive strategies, including robust NPIs, to protect these at-risk groups. Such measures are essential in reducing the disparities that may emerge in a post-COVID-19 environment.

The Consumption Patterns of Korean Native Chicken (식품 소비 성향에 따른 토종닭 구매요인 분석)

  • Park, Seoyoung;Kim, Nayeong;Choi, Suhyun;Moon, Junghoon
    • Korean Journal of Poultry Science
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    • v.47 no.4
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    • pp.247-254
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    • 2020
  • This study examined how consumer choices (i.e., selecting food safety certified products, health-related products, and familiar brands) affect the purchase of Korean native chicken (KNC) and the demographics that influence KNC purchases using secondary consumer panel data from the Rural Development Administration of Korea. The grocery purchase data from 654 Korean households between 2017 and 2019 were used; the propensity for food safety certified products was measured by the purchasing frequency of Good Agricultural Practice (GAP) and Hazard Analysis and Critical Control Point (HACCP) products, and the propensity for health-related products was measured by the purchasing frequency of home meal replacement (HMR) and hedonic products. The propensity to purchase familiar brands was measured using a questionnaire. Logistic regression was used to examine the determinants of the KNC purchase experience, and multiple linear regression was used to determine the factors that influenced the KNC purchase frequency. The results showed that unemployed women purchased more safety certified products, health-related products, familiar brands, and KNC. These findings suggest that targeting consumers with differential marketing strategies may help promote KNC consumption. This study identified factors that influence KNC purchases, which is important for understanding consumer behavior and revitalizing the market.

The Study on the Sexual Behavior of Unmarried Female Workers in the Small and Medium Scale Industries (중소규모 산업장 미혼 근로여성의 성행태에 관한 연구)

  • 한성현;박민향
    • Korea journal of population studies
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    • v.19 no.2
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    • pp.175-205
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    • 1996
  • The purpose of this study was to find the distribution of the variables on the quality of life and the determinants of the sexual attitude and behavior of the unmarried female workers. This study was surveyed to the 306 unmarried women who worked in the small and medium scale industries in Kyungin area and analyzed the respondent's knowledge of sex, sexual behavior, health behavior, health status, satisfaction of working condition and recognition of working environment. The result of this study could be summarized as follows: The respondent's age are mostly early of twenties and their education level are high school and more. They recognize that their health condition is not so good but they hardly try to improve health condition. They think that their working condition are mostly unsatisfied and they also believe that they expose themselves to the toxic working environment. Although their knowledge of sex are low they have few chances for the education of sex and family planning. Their attitude of premarital sex are conservertive but the rate of approval of living together before marriage are high and the rate of premarital sex is around 15 percent. The premarital sex behavior are positively related with family size, living condition, knowledge of sex and working period but the sex experiences are negatively related with working period and knowledge of sex. As a result we suggest that the sex education and consultative program are necessary for improving the quality of life of the unmarried working women in small and medium scale industries.

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The Effect of Eating Behavior on Being Overweight or Obese During Preadolescence

  • Lee, Hye-Ah;Lee, Won-Kyung;Kong, Kyoung-Ae;Chang, Nam-Soo;Ha, Eun-Hee;Hong, Young-Sun;Park, Hye-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.5
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    • pp.226-233
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    • 2011
  • Objectives: Being overweight or obese is central to metabolic syndrome, and these characteristics constitute dominant risk factors for chronic diseases. Although behavioral factors, including eating habits and sedentary lifestyles, are considered to be determinants of obesity, the specific childhood factors that contribute to this condition have not been clearly defined. Methods: The subjects consisted of 261 children aged 7- 9 years who were recruited from an elementary school during October 2003. Information was obtained from their parents using a questionnaire focused on eating behaviors and lifestyle factors, additional data were also collected via anthropometric measurements and biochemical examinations, including blood tests. Results: A total of 48 (18.4%) of the 261 children were overweight, and 34 (70.8%) had at least one other component of metabolic syndrome. Eating behaviors emerged as significant lifestyle-related risk factors for being overweight or obese. Those who engaged in overeating more than twice per week had three times the risk of being overweight (odds ratio [OR], 3.10, 95% confidence interval [CI], 1.39 to 6.92), and those who ate rapidly had three times the risk of being overweight (OR, 3.28; 95% CI, 1.68 to 6.41). Those who had fewer family meals (fewer than 2?3/month) had a nine times higher risk of being overweight than those who had family meals more frequently (at least 1/day) (OR, 9.51; 95% CI, 1.21 to 74.82). Conclusions: This study showed that being overweight or obese during preadolescence is associated with a higher risk of metabolic syndrome and is related to unhealthy eating behaviors. Thus, weight-control strategies and healthy eating behaviors should be developed early in life to reduce the risk for metabolic syndrome.