Purpose; This study was conducted to investigate the relationship between self-efficacy, family support and health promotion behavior of the elderly in a community. Method: The sample consisted of 208 elderly and data was collected from November 18 to December 21, 2002. The instrument of this study was a structured questionnaire including health promoting behaviors, self-efficacy, family support, general characteristics. Analysis of the data was done by use of descriptive statistics, t or F, Pearson Correlation Coefficient, Stepwise multiple regression. Results: 1. The general characteristics related to health promoting behavior were gender, family structure, education level and monthly pocket money. 2. The general characteristics related to self efficacy were gender, age, family structure, education level, religion and monthly pocket money. 3. The general characteristics did not affect family support. 4. Health promoting behavior score was the highest in the interpersonal support (2.72) and in order was nutrition(2.65), stress management(2.31), self actualization(2.30), exercise(2.05), health responsibility(1.86). 5. There was a significantly high correlation between health promoting behavior and self efficacy(r= .605, p= .000), and family support(r= .500, p= .000) and between self-efficacy and family support were correlated relatively high(r= .498, p= .000) 6. Stepwise multiple regression analysis revealed that the most powerful predictor of health promotion behavior in elderly was self-efficacy (39.6%). A combination of self-efficacy, family support, monthly pocket money, education level and present illness status explained 48.5% of the variance for health promoting behavior. In conclusion, the results of this study showed that self-efficacy and family support are very important variables in explaining the health promoting behaviors in elderly. Therefore, these variables should be considered in nursing intervention development and education, especially, self-efficacy improving programs that considered exercise and health responsibility are expected to effect the health promoting behavior in elderly.
Purpose: This study was conducted in order to investigate the physical activities of vulnerable low-income middle-aged people and their associated factors. Methods: From a health behavior survey of 1,000 vulnerable low-income subjects from a public health center in a metropolitan city, a secondary analysis was conducted for 332 respondents who ranged in age from 40 to 64. Results: The prevalence of walking activity was 45.2% and that of moderately intense physical activity was 9.9%. Prevalence of walking activity showed a significant association with marital status (divorce/widowed/separated, OR=2.263), drinking (drinker, OR=0.430), and CES-D score (over 21, OR=0.434). Prevalence of moderately intense physical activity was greater in subjects who had two chronic diseases, compared with those who had no chronic diseases (OR=3.713). Conclusion: Findings of this study suggest a need for implementation of strategies to improve moderately intense physical activity of low-income, middle-aged people. Also, in addition to studies on socio-demographic and health status and their associations with physical activity, further studies of related factors affecting physical activity, such as self-efficacy, social support, and social networks as internal and external resources, are needed.
Purpose: The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly. Methods: The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12. Results: There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%. Conclusion: Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.
This study aimed to evaluate the health concern, eating habits, dietary behavior, and psychological stress among middle-aged adults in Chungnam according to their exercise status. A total of 437 adults with a mean age of 42.6 years participated in this study and completed a questionnaire survey. The subjects were divided into one of three groups according to their exercise status: never doing exercise (NDE; n=144), doing exercise once a week (DEO; n=186), and doing exercise twice a week or more (DET; n=107). Results demonstrated significant differences in concern about health, subjective health status, meal regularity, dietary problems, and stress score among the three groups. The DET and DEO groups were more concerned about their health (p<0.001), and had a perception that their health status was better than that of the NDE group (p<0.01). A larger percentage of the DET group had breakfast everyday (p<0.05) and a smaller percentage of the DET group had dietary problems such as irregular mealtime and skipping meals (p<0.01), compared to the other groups. The average stress score of the DET group was significantly lower than that of the DEO and NDE groups (p<0.05). The results reveal that doing regular exercising at least twice a week is associated with higher health concern, more desirable dietary habits, and lower psychological stress in middle-aged adults. These findings support the beneficial effects of regular exercise for health, dietary habits, and stress control.
The purpose of this explanatory study was to provide baseline information on the secondary prevention health behavior of cervical cancer in Korea which was related to the utilization of the Papanicolaou (Pap) smear screening test. The secondary data from the 1992 Korean Health Behavior Survey was used for analysis in order to determine sociodemographic profiles and the predictor variables. The sample analyzed for this study contained 1,489 Korean women residing in Korea aged 20-59 selected by multi-stage sampling method from the 1990 Korean census. Univariate, bivariate, and logistic regression analysis were performed to produce the findings of this study. Only 27.9% of the study sample had had a Pap test in 1992. It was found that the relative sociodemographic profiles of the Pap test between users and non-users were distinctive. The predictors variables were age, marital status, educational status, usual source of care, perceived household economic status, health check-up, and presence of chronic diseases
Purpose: The purpose of this study was to identify health promoting behavior and life satisfaction in rural elderly people. Method: The data were collected from October 1st 2002 to October 31th, 2003. The participants were 142 elderly people living in Hong Cheon, Korea. Data were collected using structured questionnaires and analyzed using the SPSS program. Result: The average score for the health promoting behavior was 2.64 (${\pm}0.34$), with a minimum of 1.48 and maximum of 3.80. The average scores for each subscale were, nutrition, 2.98, interpersonal support, 2.78, health responsibility, 2.67, self-actualization, 2.66, stress management, 2.58, and exercise, 1.93. Signifiant differences in health promoting behavior were found according to the following general characteristics: education level, religion, senior citizens center usage and allowance. The average score for life satisfaction was 2.68 (${\pm}0.42$), with a minimum of 1.38 and a maximum of 3.85. Senior citizens center usage was the only general characteristics that showed a significant difference for life satisfaction. There was a significant positive correlation between health promoting behavior and life satisfaction (r= 0.5783, p=0.001). Self-actualization and stress management had statistically significant casual effects on life satisfaction ($R^2$=0.3961). Conclusion: Effective methods to enhance life satisfaction of rural elderly should emphasize self-actualization and stress management.
Purpose: The aim of this study was to examine the relationships among parenting role sharing, parenting stress, happiness, and parenting behavior of mothers with 6-year-old children. Methods: This study used data from the seventh Panel Study of Korean Children, which began collecting longitudinal data on a sample of newborn households nationwide in 2008 and will continue yearly until 2027. The participants were 1,560 mothers of children aged 6 years. We conducted statistical analyses using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression. Results: The mean age of the mothers was 36.8±3.7 years. The mothers' perceived parenting role sharing (r=.07, p=.007), parenting stress (r=-.54, p<.001), and happiness (r=.38, p<.001) were significantly correlated with warm parenting behavior. Stepwise multiple regression analysis revealed that parenting stress (β=-.47, p<.001), happiness (β=.15, p<.001), and parenting role sharing (β=.11, p<.001) were significant predictors for warm parenting behavior by mothers. Conclusion: It is essential to reduce mothers' stress and increase their positive emotions (happiness). Fathers should actively share parenting roles in raising children to enhance mothers' warm parenting behavior.
Purpose: The purpose of this study was investigate the empowerment, health behavior and life satisfaction in elderly home residents according to living situations. Method: Data were collected from September to October, 2005. The participants were 240 elderly people who lived at home. Date were collected using structured questionnaire and analysed using t-test, ANOVA, Sheffe test. Result: Empowerment in elderly home residents according to living situations was significantly different(F=3.35, p=.006). Health behavior in elderly home residents according to living situations was not different significantly(F=.88, p=.492). However, questionnaire of "only the elderly couple lives" showed the highest health behavior score as an average 3.05$({\pm}.24)$. Life satisfaction in elderly home residents according to living situations was not different significantly(F=1.67, p=.143). There was a positive correlation between empowerment, health behaviors and life satisfaction. Conclusion: Considering that the single home which only the elderly people reside is the one of general family patterns of the aged people, the elderly people shall acknowledge the difference of values between a family pattern which takes a serious view of family or sons/daughters and a family pattern which reflects a weak supporting consciousness by a nuclear family. Based on above facts, Nurses should develope the nursing strategies to promote life satisfaction in the elderly.
Purpose: This study was to identify the degree of the sense of mastery and health-promoting behaviors in the vulnerable female elderly of urban areas, and to determine factors influencing their health-promoting behaviors. Methods: The subjects were 253 vulnerable female elders aged over 60 in D City. Data were collected by a questionnaire survey. Analysis of data was done with the SPSS/WIN program. Results: The mean score of the sense of control was 15.8. It was significantly different according to living arrangement, and subjective health status. The mean score of health-promoting behavior was 3.8. It was significantly different according to living arrangement and subjective health status. Health-promoting behavior was affected more highly in subjects with a low degree of sense of mastery than in those with a medium degree of sense of mastery. Conclusion: These results suggest that the sense of mastery is an important variable for health-promoting behavior. These findings may give useful information for developing health-promoting programs focused on the sense of mastery in vulnerable female elderly adults.
This study was conducted to investigate food habits and eating behavior of preschool children. Food habit, eating behavior and health status were investigated by using a questionnaire answered by the mothers of 312 children aged 6 to 7 years old who lived in Uiwang. The average height, weight, Kaup index were 115.08cm, 21.41 kg, 16.13, respectively, for boys 111.37 cm, 19.93 kg, 15.72 for girls. Results showed that 72.16% of subjects skipped the breakfast meal. One of the main reason fur skipping breakfast was 'no appetite'(53.14%). It was found that 49.67% of the subjects belonged to 'good' in health status. The eating behavior of 'watching TV or playing a toy during meal' and 'can eat the rice by oneself were significantly higher score in girls than in boys(p<0.05). Food attention of the parents for the health of children was the highest in 'keep regular meals a day'(92.65%). Health status showed significantly negative correlations with kaup index and eating behavio(p<0.001). Kaup index(p<0.05) and health attention(p<0.001) were positively related with eating behavior. Based on this study, nutritional education program for preschool children would be required for the dietetics teacher to guide the children and more attention should be paid to the nutritional education of food habits in this age group and their mothers.
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