• Women's Health Nursing
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• v.1 no.2
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• pp.275-286
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• 1995

The purpose of this study was to investigate health promoting life-style(HPLS) and its predictors by menstrual status among middle-aged women. The HPLS was conceptualized to have six domains such as self-actualization, responsibility for health, nutrition, exercise, interpersonal relationships, and stress control. Those predictors included three sociodemographic factors and five cognitive factors. Menstrual status was classified into three stages : regular menstrual(premenopausal), menopausal, and postmenopausal stages. Data were collected from 240 women between 30 and 59 years through self-reported questionnaires. Chi-square test, ANOVA, and stepwise multiple regression techniques were used to analyze the data. The results are summarized as follows : 1. The HPLS activities, when aggregated, were not statistically different across the three groups. The activities of the domains of interpersonal relationships and self-actualization were higher then those of other domains. On the other hand, the activities of the domains of exercise and responsibility for health were lower than those of the other domains. 2. The predictors explained 27.2%, 43.8%, and 41.6% of the variance of HPLS in the regular menstrual, the menopausal, and the postmenopausal groups, respectively. 3. In the regular menstrual group, total HPLS was significantly predicted by monthly income, family support, number of family members and education level at the .05 level in the HPLS. 4. In the menopausal group was significantly predicted by self efficacy. 5. The HPLS activities of the postmenopausal group were significantly predicted by family support, self efficacy, and monthly income at the .05 level in the HPLS.

• Journal of agricultural medicine and community health
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• v.34 no.1
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• pp.124-134
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• 2009

Objectives: This study was to compare with health promoting Life styles of people between demonstrating and non-demonstrating health promotion services in rural community. Methods: Objects of the study were 13,000 people by stratified sampling in rural community of H and J Gun in Korea. Data were collected from 1st December to 30th, 2005, using structured questionnaire. Research tool of this study were modified Korea BRFSS, Park‘s stress questionnaire and Nutritional evaluation tool suggested by ministry of health & welfare in Korea. Results: People received demonstrating health promotion services were significantly more good health promoting life styles in related drinking, exercise and stress than that of non-demonstrating health promotion services. Conclusions: There were significantly higher health promoting Life styles of people received demonstrating health promotion services than that of non-demonstrating. Government supporting health promotion services was more effective than that of local government finance.

• Journal of agricultural medicine and community health
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• v.27 no.2
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• pp.137-148
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• 2002

Objectives: This study was to investigate the needs for developing the health promotion program for elderly and to compare the health promoting lifestyles behaviors and perceived health status of elderly in urban and rural area. Methods: The data was collected from 82 elders in urban(D city) and 77 elders in rural area(C county) by face to face interview. The Health Promoting Lifestyle ProfileII(HPLPII) and Perceived Health Status were used. Results: 1) The total score of HPLP was 2.44. In the subscales, the highest degree of performance was 'nutrition', following 'interpersonal relationship', 'stress management', 'health responsibility' and 'spiritual growth' and the lowest degree of performance was 'physical activity'. 2) Elderly people living in urban area had significantly higher the total HPLP score than elderly people living in rural area The urban elderly had significantly higher the score of HPLP subscales such as 'physical activity', 'interpersonal relationship' and stress management than rural elderly. 3) The mean score of perceived health status was 8.79. There was no significant difference in the perceived health status between urban and rural elderly. Conclusions: The above findings indicate that it is necessary to develop a health promotion program with reinforced physical activity, health responsibility and spiritual growth for elderly people in Korea. Especially the physical activity need to he strengthened for rural elderly.

• Journal of agricultural medicine and community health
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• v.25 no.2
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• pp.327-341
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• 2000

Objectives : This study is to evaluate the status of health promotion behaviors and life styles in rural areas. Methods : A self-administered questionnaire survey was carried out for 1,350(men 461 persons, women ; 889 persons) people in rural areas ages of 30 years and older in Buk-myun, Uljn-Gun and Kikye-myun, Pohang-City, Kyungsangbuk-Do from March 13 to 25 in 1999. We established health promoting scores by using data results. Collected data was analyzed through the chi-square trend test, Student's t-test, ANOVA and multiple comparison. The data was analyzed using a SPSS/win statistical package. Results The age-adjusted prevalence of individual health promoting behavior by sex was 39.4% in men and 94.0% in women in regard to non smoking 39.4% and 92.5% in non-drinking 17.2% and 13.1% in physical exercise on a regular basis 79.8% and 80.0% in a regular diet 81.6% and 75.6% in maintaining desirable body mass index 81.2% and 78.2% in sufficient physical rest 84.2% and 82.1% in sufficient mental rest 48.4% and 40.6% in supplemental intake for health. The age-adjusted proportion for a screening examination in stomach cancer by sex was 39.9% in men and 37.1% in women 31.8% and 28.0% in liver cancer 17.0% and 12.7% in colon cancer 37.0% and 31.0% in undergoing a medical health screening. The health promoting scores were statistically significant, higher in the younger aged women's group(p<0.01). In spite of very low health promoting scores, some men thought of themselves healthy. Conclusions : The health promoting scores showed a gradual improvement as ages in men increase. Although men in ages of 30 to 40 were found to have lower scores in their health promoting scores, they were still to believe that none of health status is problematic. However, it was shown a vice-versa effect in women. They thought of their health as in a bad condition, but in measurement scores outranked their personal beliefs. In general, as ages increase one tends to consider of his or her health status poor. Therefore the plans for health improvement are needed to be come up.

• Journal of the Korean Society of School Health
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• v.13 no.2
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• pp.241-259
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• 2000

The purpose of this study is to inquire into the degree of health promotion activity of boys' high school students, and to find out the relationship between self-efficiency and health promotion behavior in order to offer basic data for developing an educational method or program for health promotion. The content validity of the instrument was authenticated by a professor of the science of nursing, and reliability is proved to be 'cronbach' a 'after mortifying content through a pre-test on 37 students. The collected 452 persons' data is analyzed in terms of average, percentage, t-test, ANOVA, Pearson' s Correlation Coefficient. and Multiple Stepwise Regression by 'SAS 6.12'. The analyzed data is the following; 1. The higher self-efficiency, among cognitive-perceptual factors, has a beneficial effect on health promotion behavior(r=.0687, p=.0001). 2. The acting degree of health promoting behavior appeares to be middled at 3.39 points out of 6. 3. The degree of self-efficiency appears at 6.04 points out of 10. 4. The difference in health promoting behavior according to a subject's general factors is the following health concern of parents (p=0.01), higher health concern of parents, makes health promoting behavior higher. 5. The difference of self-efficiency according to subject's general factors is affected by the health concerns of parents(p=0.0044) and between groups(p=0.0001).

• Women's Health Nursing
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• v.2 no.1
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• pp.138-157
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• 1996

Recently, there has been increase perception of health promotion with development of the economic state and science. Individual's responsibility and psychosocial factors have impacted on the individual's lifestyle. Health promotion can be maintained or improved through changes of lifestyle of individuals. Also, there has been supported results of health behavior health has been focused on menopausal symptom and reproductive organ. Until recently, little research has been available on the health or health care of midlife women. The purpose of this study was to explain relationship between health promoting lifestyle and hardiness, gender role characteristics. A total of 254 items of data were obtained from randomly selected subjects. The data collected from the interviews were analyzed using SPSS, yielding frequency, mean. t-test, ANOVA, Pearson Correlation, Stepwise multiple regression. The result of this study are as follows : 1) For the health promoting lifestyle, the mean score was 116.3, the highest score was nutrition(3.30) and interpersonal support(2.86), the lowest score was exercise(1.68). The highest subscale for the hardiness was committment(2.44). Also for the gender role characteristics was higher than median score(37.8). 2) There was a statistically difference the demographic variables. A total health promotion lifestyle was predicted by income and marriage satisfaction, hardiness was predicted by education, income, marriage satisfaction, support person and gender role characteristics was predicted by education. 3) With regard to the relationship among health promoting lifestyle, hardiness, gender role characteristics, the correlation coefficient between health promoting lifestyle and hardiness was r=-.48, p<.001. Also there were significant correlation between health promoting lifestyle and gender role characteristics(r=.22, p<.01), hardiness and gender role characteristics(r=-.39, p<.001). 4) A stepwise multiple regression analysis was done on the total health promoting lifestyle score using the demographic variables, hardiness subscale and gender role characteristics for independent variables. A total of 25% of the variance was explained inthe total health promoting lifestyle by the control, challenge and marriage satisfaction. In conclusion, hardiness and gender role characteristics were engaged in health promoting activity in midlife women. This study also provides new information about the health practices that midlife women report they practice. Therefore, nursing intervention to increase women's health have to be planed program that consider on the basis the results of this study.

• Women's Health Nursing
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• v.2 no.2
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• pp.298-331
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• 1996

Recent improvements in living standard and development in medical care led to an increased interest in life expectancy and personal health, and also led to a more demand for higher quality of life. Thus, the problem of women's health draw a fresh interest nowadays. Since late-middle aged women experience various physical and socio-psychological changes and tend to have chronic illnesses, these women have to take initiatives for their health control by realizing their own responsibility. The basic elements for a healthy life of these women are understanding of their physical and psychological changes and acceptance of these changes. Health promoting behaviors of an individual or a group are actions toward increasing the level of well-being and self-actualization, and are affected by various variables. In Pender's health promoting model, variables are categorized into cognitive factors(individual perceptions), modifying factors, and variables affecting the likelihood for actions, and the model assumes the health promoting behaviors are affected by cognitive factors which are again affected by demographic factors. Since Pender's model was proposed based on a tool broad conceptual frame, many studies done afterwards have included only a limited number of variables of Pender's model. Furthermore, Pender's model did not precisely explain the possibilities of direct and indirect paths effects. The objectives of this study are to evaluate Pender's model and thus propose a model that explains health promoting behaviors among late-middle aged women in order to facilitate nursing intervention for this group of population. The hypothetical model was developed based on the Pender's health promoting model and the findings from past studies on women's health. Data were collected by self-reported questionnaires from 417 women living in Seoul, between July and November 1994. Questionnaires were developed based on instruments of Walker and others' health promotion lifestyle profile, Wallston and others' multidimensional health locus of control, Maoz's menopausal symptom check list and Speake and others' health self-rating scale. IN addition, items measuring self-efficacy were made by the present author based on past studies. In a pretest, the questionnaire items were reliable with Cronbach's alpha ranging from .786 to .934. The models for health promoting behaviors were tested by using structural equation modelling technique with LISREL 7.20. The results were summarized as follows : 1. The overall fit of the hypothetical model to the data was good (chi-square=4.42, df=5, p=.490, GFI=.995, AGFI=.962, RMSR=.024). 2. Paths of the model were modified by considering both its theoretical implication and statistical significance of the parameter estimates. Compared to the hypothetical model, the revised model has become parsimonious and had a better fit to the data (chi-square =4.55, df=6, p=.602, GFI=.995, AGFI=.967, RMSR=.024). 3. The results of statistical testing were as follows : 1) Family function internal health locus of control, self-efficacy, and education level exerted significant effects on health promoting behaviors(${\gamma}_{43}$=.272, T=3.714; ${\beta}_[41}$=.211, T=2.797; ${\beta}_{42}$=.199, T=2.717; ${\gamma}_{41}$=.136, T=1.986). The effect of economic status, physical menopausal symptoms, and perceived health status on health promoting behavior were insignificant(${\gamma}_{42}$=.095, T=1.456; ${\gamma}_{44}$=.101, T=1.143; ${\gamma}_{43}$=.082, T=.967). 2) Family function had a significance direct effect on internal health locus of control (${\gamma}_{13}$=.307, T=3.784). The direct effect of education level on internal health locus of control was insignificant(${\gamma}_{11}$=-.006, T=-.081). 3) The directs effects of family functions & internal health locus of control on self-efficacy were significant(${\gamma}_{23}$=.208, T=2.607; ${\beta}_{21}$=.191, T=2.2693). But education level and economic status did not exert a significant effect on self-efficacy(${\gamma}_{21}$=.137, T=1.814; ${\beta}_{22}$=.137, T=1.814; ${\gamma}_{22}$=.112, T=1.499). 4) Education level had a direct and positive effect on perceived health status, but physical menopausal symptoms had a negative effect on perceived health status and these effects were all significant(${\gamma}_{31}$=.171, T=2.496; ${\gamma}_{34}$=.524, T=-7.120). Internal health locus and self-efficacy had an insignificant direct effect on perceived health status(${\beta}_{31}$=.028, T=.363; ${\beta}_{32}$=.041, T=.557). 5) All predictive variables of health promoting behaviors explained 51.8% of the total variance in the model. The above findings show that health promoting behaviors are explained by personal, environmental and perceptual factors : family function, internal health locus of control, self-efficacy, and education level had stronger effects on health promoting behaviors than predictors in the model. A significant effect of family function on health promoting behaviors reflects an important role of the Korean late-middle aged women in family relationships. Therefore, health professionals first need to have a proper evaluation of family function in order to reflect the family function style into nursing interventions and development of strategies. These interventions and strategies will enhance internal health locus of control and self-efficacy for promoting health behaviors. Possible strategies include management of health promoting programs, use of a health information booklets, and individual health counseling, which will enhance internal health locus of control and self-efficacy of the late-middle aged women by making them aware of health responsibilities and value for oneself. In this study, an insignificant effect of physical menopausal symptoms and perceived health status on health promoting behaviors implies that they are not motive factors for health promoting behaviors. Further analytic researches are required to clarify the influence of physical menopausal symptoms and perceived health status on health promoting behaviors with-middle aged women.

• Women's Health Nursing
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• v.5 no.3
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• pp.327-336
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• 1999

The purpose of this study was to identify the health promotion behavior and its related factors of persons who wanted a comprehensive health check-up in order to provide a basis for health education to promote health enhancing behavior. Study variables were induced from Pender's Health Promotion Model. The subjects were 160 persons who had a check-up at the health promotion center in a university hospital in Tae-Gu, between September 8 and 22, 1998. The following instruments were used in the study : Lee Tae Wha's Health Promoting Life-style Profile, Park Chai soon's Self-efficacy Instrument and Moon Jeong Soon's Perceived Benefit and Barrier Instrument. Data was collected by self-reporting questionnaire. Analysis of the data was done by SAS program, t-test, ANOVA and Pearson-Correlation Coefficient. The results of this study were as follows. 1. The average score for the health-promotion behavior was 104.64. In the subcategories, self-actualization showed the highest degree of performance and physical exercise showed the lowest degree of performance. 2. In the relation of general characteristics of subjects to the level of health-promoting behavior, the male, the married, the group with several symptoms showed a high level of health-promoting behavior. 3. The relationship between the degree of performance in health-promotion behavior and its correlates were as follows: Self-efficacy was positively correlated to health promotion behavior, while the perceived barrier was correlated negatively. But the perceived benefit did not show a significant correlation with health promotion behavior. Results suggest that the development of programs with strategies to strengthen doing physical exercise and concerning health, increase self-efficacy and exclude the barriers to health promotion is recommended to individuals seeking a comprehensive health check-up.

• Journal of Society of Preventive Korean Medicine
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• v.5 no.2
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• pp.40-68
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• 2001

In this study, grade of subjective symptom appealed by laborer of Jeollabuk-do was evaluated using questionary regarding factor made effect on musculoskeletal disease and in addition, studied relationship with health promotion life style of them. Based on the result, relationship of general characteristics of musculoskeletal subjective symptom and life-style of the subjects was concluded as below. 1. General characteristics of study subjects were as following. Ratio of male was higher as 57.7% of male and 42.2% female and age distribution was 5.1% of 20s, 34.99% of 30s, 36.3% of 40s and 23.7% of 50s and therefore, $30{\sim}40$ aged groups showed highest ratio. Most subjects (74.9%) was married status and in case of education level, high-school graduate and dropout (23.3%) and over-college graduate (46.8%) showed highest distribution. $1{\sim}2$ Mil. KRW (29.5%) and $2{\sim}2.99$ Mil. KRW (21.2%) is the main income distribution and however there was high ratio of non-reply (29.0%). In case of employment period, $10{\sim}14$ years (15.3%) and over 15 years (29.6%) showed highest ratio and there were many non-reply (39.4%) and in addition, 67.6% replied as own house and 14.3% as lease on deposit base in question of residence type. 2. Subjects showed high ratio of subjective symptom appeal of 62.79% and many cases (50.23%) appealed 1 or 2 symptoms. Symptom by body region was 29.8% (waist), 27% (shoulder), 21.2% (knee), 15.5% (neck), 9.5% (ankle), 8.1% (wrist) and 5.0% (elbow) in order. In case of relationship with general characteristics, female comparing with male, non-residence of own house, subjects with lower education level and employment period of $10{\sim}14$ years showed higher appeal rate and kind of symptoms than others. Therefore, it was concluded that rate of musculoskeletal symptom appeal have close relationship with gender, level of living, education level, age and employment period. 3. In case of severe pain of upper body except waist and ankle, it was appealed in both or right side and it means that upper body pain is originated from right side and right region pain is transited to both region pain. In addition, there was 39.41% of non-reply to existence of right-left region pain and therefore, it was evaluated that, in may cases, there was no awareness of their own symptom condition even on subjective symptom. 4. Degree of pain was, as pain over middle level, evaluated as 2.79 on full mark of 4.0 and in order of waist (2.97), ankle (2.83), knee (2.82), wrist (2.82), neck (2.79), shoulder (2.70) and elbow (2.62). In addition, 71.97% appealed $2{\sim}3$ cases for the latest 1 week. Owing to subjective symptom, 54.95% drop into hospital or pharmacy, 10.32% made temporary retirement or absence, 7.99% transferred into more comfortable duty and $39.4{\sim}54%$ experienced one or more managing mentioned above. 5. Fulfillment of health promotion life style of subjects was evaluated on full mark of 4.0 and total score was 2.63. Average mark of each area was personal relationship (3.05), self-realization (2.92), stress management (2.63), health control (2.48), physical exercise (2.19) and nutrition management (2.19) and personal relationship was highest and physical exercise and nutrition management were lowest. As general characteristics influencing health promotion life style, gender, residence style and employment period showed significant difference. Male showed higher mark than female and showed higher mark in order of own house, others, lease on deposit base, monthly rent. Subjects with longer employment period showed higher mark with significant difference. 6. Accounting of factor influencing each area of health promotion life style, self-realization showed significance in marriage status, income, residence style and education level and health control in age, residence style and employment period. Physical exercise showed significant difference in gender, age, residence style and employment period and nutrition in gender, age, residence style and employment period. Stress management showed significant difference in residence style and employment period and however not in personal relationship. 7. Health promotion life style relating with existence and kind of pain showed significant difference in all area except personal relationship area. In absence of pain, there was statistically significant high score in all area even in total health promotion life style and all area. Accounting of kind of pain, cases of $1{\sim}2$ kinds of pain and $5{\sim}6$ kinds of pain showed relatively high score and it was lower than mark of subject stated absence of pain. 8. Subjects appeal symptom were classified by symptom region and difference of total and each areas were evaluated. General area (p=0.002), self-realization (p=0.012), health management (p=0.023), physical exercise (p=0.028), nutrition management (p=0.028) and stress control (p=0.001) showed statistically significant difference and not in personal relationship area. Especially, elbow, shoulder and neck area marked high and group appealed pain of knee, arm and elbow, foot and ankle marked low. Based on those results, subjective symptom should be accounted seriously in diagnosis of occupational musculoskeletal disease of laborer and among subjective symptom, general characteristics of gender, age, condition of living, education level and employment period make effect. Generally subject appeal symptom marked lower than subject without symptom appeal and it means that life management of subject appealing musculoskeletal pain make important role in management and treatment of occupational musculoskeletal disease.

• Korean Journal of Occupational Health Nursing
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• v.11 no.2
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• pp.158-163
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• 2002

This study aimed to develop hypertension control programs and to analyse their effects in small scale enterprises. The program was self-efficacy promoting program for worker with hypertension. The target population of the programs are 67 workers. The program was conducted for 18 weeks after a pre- intervention survey. Data were analyzed by the SAS program with paired t-test. The results of the study are as follows; First, after the program, scores on self-efficacy were increased significantly. Second, after the program, life-style change was increased significantly. Third, the blood pressure level was diminished in the program. The workers have lost systolic blood pressure by 18mmHg and diastolic blood pressure by 13mmHg. In conclusion, the self-efficacy promoting program is an effective intervention to lower the blood pressure. Thus this program can be recommended as an intervention program of hypertension in small scale enterprises.