The purpose of this study was to test the revised Health Promotion Model of Pender and to determine the factors to promote health behavior for adolescents' smoking behavior. The subjects of the study was 783 boys of 4 high school students. among 39. schools locating in Daejeon metropolitan city. The data was collected from July 1st to 15th. 1997 by school health nurse The research tool were HPLP of Walker. Pender. General self-efficacy scale of Sherer. control scale was measured by subconcept of hardiness scale of Pollock. and perceived barrier. perceived benefit. activity-related-affect tool were made by researcher via literature review The data were analyzed by SAS program using frequency. t-test. ANOVA. Schefee test. regression. The results were as follows 1. The mean of total health promoting behavior was $2.27\pm.35$. Among sub domain of health promoting behavior, the highest score was interpersonal support$(2.72\pm.60)$. and the lowest was health responsibility $(1.58\pm.44)$. 2. There were statistically significant difference in total health promoting behavior according to religion. parenting style. school performance. girl friend. father's smoking of individual characteristics. 3. The socioeconomic status. smoking, parent pattern. family structure of individual characteristics and experience domain associated with perceived benefit. perceived barrier. activity-related affect. interpersonal influence of behavior-specific cognition and affect domain. The perceived barrier. self-efficacy. girl friend and father's smoking of interpersonal influence. and control explained $25.8\%$ of variance of health promoting behavior. From above results school health nurse has to emphasize on health responsibility for health promotion of adolescent. But they couldn't intervene for parent pattern. socioeconomic status. family structure of individual characteristics and experience domain. it could be possible for school health nurse to promote health of adolescents through improving perceived barrier. also develop program to increase self-efficacy and through parent health class for fathers. Above results point to the importance of including parents in smoking prevention effort targeting adolescents. Because increasing control also promotes health of adolescents. it should be studied further about the specific measure. To verify the variables for increasing the fitness of health promoting model. it needs further replication of the research.
Objectives: The aim of this study is to identify major factors associated with physical functioning among the Korean elderly. Methods: Data come from a survey of a nationally representative sample of 2,058 older people aged 60 years or elder living in the community. A hierarchical functioning scale was constructed, using upper and lower body mobility, IADLs, and ADLs. Socioeconomic characteristics, chronic conditions, measures of health status, health service use, and social support were analyzed to explore their influence on functioning. Polytomous logistic regression analysis was conducted to identify major contributing factors to different levels of functioning. Results: Persons of older age, female, with chronic diseases (heart disease, stroke, fracture/dislocation) were consistently more likely to show a higher degree of functional limitation. There were variations, however, among other factors; e.g., those with arthritis were more likely to be only mildly impaired, but not moderately or severely impaired. Conclusions: Older Korean adults living in the community with impaired functioning constitute persons with diverse characteristics. Policy and program activities need to address specific needs of older people in different functioning states.
Purpose: This study was performed to identify the socioeconomic factors, the health behavior factors and dietary pattern that have an influence on abdominal obesity, as measured by using the waist circumference in children and adolescents. Methods: This study used data collected from 1998, 2001, 2005 Korean National Health and Nutrition Examination Survey (NHANES). Final sample included 3,596 subjects from 10 to 19 years old who had completed necessary health examinations, health behaviors survey, and nutrition survey. Results: 12 dietary patterns emerged from factor analysis with different factor loading. Logistic regression analysis of the factors that affect abdominal obesity showed that the education level, BMI(Body Mass Index) and dietary pattern, 'Kimchi' including Korean cabbage and radish affected the abdominal obesity in children and adolescents. Conclusions: Abdominal obesity is a risk factor for morbidity and mortality, and it is associated with chronic diseases, including cardiovascular disease and diabetes. Based on the findings, it is essential to modify dietary pattern for preventing abdominal obesity, which is a condition associated with the incidence of chronic disease in adults.
Sohn, Jungwoo;Cho, Jaelim;Moon, Ki Tae;Suh, Mina;Ha, Kyoung Hwa;Kim, Changsoo;Shin, Dong Chun;Jung, Sang Hyuk
Journal of Preventive Medicine and Public Health
/
v.47
no.6
/
pp.327-335
/
2014
Objectives: Several epidemiological studies on medical care utilization prior to suicide have considered the motivation of suicide, but focused on the influence of physical illnesses. Medical care expenditure in suicide completers with non-illness-related causes has not been investigated. Methods: Suicides motivated by non-illness-related factors were identified using the investigator's note from the National Police Agency, which was then linked to the Health Insurance Review and Assessment data. We investigated the medical care expenditures of cases one year prior to committing suicide and conducted a case-control study using conditional logistic regression analysis after adjusting for age, gender, area of residence, and socioeconomic status. Results: Among the 4515 suicides motivated by non-illness-related causes, medical care expenditures increased in only the last 3 months prior to suicide in the adolescent group. In the younger group, the proportion of total medical expenditure for external injuries was higher than that in the older groups. Conditional logistic regression analysis showed significant associations with being a suicide completer and having a rural residence, low socioeconomic status, and high medical care expenditure. After stratification into the four age groups, a significant positive association with medical care expenditures and being a suicide completer was found in the adolescent and young adult groups, but no significant results were found in the elderly groups for both men and women. Conclusions: Younger adults who committed suicide motivated by non-illness-related causes had a higher proportion of external injuries and more medical care expenditures than their controls did. This reinforces the notion that suicide prevention strategies for young people with suicidal risk factors are needed.
Objectives: Low birth weight (LBW) is a major public health concern, especially in developing countries, and is frequently related to child morbidity and mortality. This study aimed to identify key determinants that influence the prevalence of LBW in selected developing countries. Methods: Secondary data analysis was conducted using 10 recent Demography and Health Surveys from developing countries based on the availability of the required information for the years 2010 to 2013. Associations of demographic, socioeconomic, community-based, and individual factors of the mother with LBW in infants were evaluated using multivariate logistic regression analysis. Results: The overall prevalence of LBW in the study countries was 15.9% (range, 9.0 to 35.1%). The following factors were shown to have a significant association with the risk of having an LBW infant in developing countries: maternal age of 35 to 49 years (adjusted odds ratio [aOR], 1.7; 95% confidence interval [CI], 1.2 to 3.1; p<0.01), inadequate antenatal care (ANC) (aOR, 1.7; 95% CI, 1.1 to 2.8; p<0.01), illiteracy (aOR, 1.5; 95% CI, 1.1 to 2.7; p<0.001), delayed conception (aOR, 1.8; 95% CI, 1.4 to 2.5; p<0.001), low body mass index (aOR, 1.6; 95% CI, 1.2 to 2.1; p<0.001) and being in the poorest socioeconomic stratum (aOR, 1.4; 95% CI, 1.1 to 1.8; p<0.001). Conclusions: This study demonstrated that delayed conception, advanced maternal age, and inadequate ANC visits had independent effects on the prevalence of LBW. Strategies should be implemented based on these findings with the goal of developing policy options for improving the overall maternal health status in developing countries.
The purpose of this study is to identify the relationship between people's ideological orientation and the populist attitude in terms of demand of populism. The influence of subjective ideology evaluation and political party support on anti-elitism (AE), people centrism (PC) and anti-pluralism (AP) are analyzed in detail. To research this, the socioeconomic factors, democracy recognition and the method of political participation are set as control variables, and the ideologies are classified into extreme conservative, conservative, moderate, progress, and extreme progress. The data are collected through nationwide online survey. The results of the analysis are as follows: First, the powerful affinity between ideological orientation and populist attitude are confirmed. The support for conservative ideology (especially extreme conservative) and the conservative party are affecting the AE and AP, and the ideology of extreme progress and support for the progressive party are influencing the PC and AP. When putting together 3 types of attitude, the conservative (especially extreme conservative) and extreme progressive ideology are the factors that determine the populism attitude. Second, There was no impact of socioeconomic variables except gender (female) and age. Third, populist attitude have a multidimensional nature determined by democratic satisfaction, government trust, external efficacy, voting and non-voting activities.
The purpose of this study was to investigate the social distance of college students toward women immigrants by marriage and influencing factors. The considered factors were stereotypes, emotions and socioeconomic variables. The subjects were 324 college students and the data were collected during October 15-29, 2007. Findings of this study are as follows: the college students' scores of social distance toward women immigrants by marriage were less than midpoint (3.0), which means that the social distance of college students toward women immigrants by marriage was not that high. The college students' score of negative stereotype and positive stereotype were very similar. The score of sympathetic emotion was a little higher than negative emotion and positive emotion. To find the factors affecting social distances, regression analysis was executed. The social distances of students were influenced by negative emotions and positive emotions toward the women immigrants by marriage. Stereotypes toward women immigrants by marriage did not have a significant influence on social distances. These variables accounted for 44% of the variance of social distances.
Purpose: The present study was performed to describe the prevalence of various types of smoking statuses and to identify factors associated with different types among Korean wageworkers. Methods: The prevalence of hardcore smoking, daily smoking, and intermittent smoking was assessed in 2,126 wage workers from the Sixth Korea National Health and Nutrition Examination Survey. The associations of these three types of smoking statuses with sociodemographic characteristics, health conditions, and occupation-related characteristics were also examined in a multinomial logistic regression. Results: In men, the prevalence of hardcore smoking and daily smoking were 11.4% and 30.2%, respectively; and in women, the daily smoking prevalence was 5.6%. The education level was strongly associated with men's hardcore smoking and women's daily smoking. The household income and marital status were associated with women's daily smoking. Among occupation-related characteristics, the regularity of work and night work were associated with men's intermittent smoking. Night work was also associated with women's daily smoking. Employment condition was associated with women's intermittent smoking. Conclusion: The socioeconomic status and health conditions, compared with occupation-related factors, were found to have more influence on smoking. Therefore, antismoking programs that focus on individual characteristics should be developed for Korean wageworkers.
Purpose: This study aimed to identify factors affecting the mental health status of children from multicultural families in South Korea. Methods: This study was based on Dahlgren and Whitehead's (1991) rainbow model as a conceptual framework and used data from the second phase of the multicultural adolescents panel study conducted by the National Youth Policy Institute. Multiple logistic regression analysis was performed using SPSS version 26.0, with p<.05 considered to indicate statistical significance. Results: In the final model, stress (odds ratio [OR]=0.53, p<.001), life satisfaction (OR=2.09, p=.004), self-esteem (OR=1.73, p=.032), and peer support (OR=1.46, p=.019) affected the mental health status of children from multicultural families. The living and working conditions and general socioeconomic, cultural, and environmental conditions did not significantly influence the mental health status of children from multicultural families in the final model. Conclusion: As components of Dahlgren and Whitehead's model, individual hereditary and lifestyle factors, as well as social and community networks, affected the mental health status of children from multicultural families. Therefore, in order to improve the mental health of children from multicultural families, efforts are needed to alleviate their stress, increase life satisfaction and self-esteem, and strengthen their social support.
This survey was undertaken to evaluate the correlationship between the nutrients intakes and the environmental factors that was assumed to influence to them in the preschool children in Masan city. Their average energy intake was met with the korean recommended dietary Allowance(RDA), and the other nutrients intakes exceeded to. The percentage of carbohydrate, fat and protein among daily total energy intakes was showed 67 : 18 : 15 in order and it is similar to the proposal-value of RDA. The higher socioeconomic level of family, and educational degree of their parent were, the more amounts of nutrients intakes inc4eased. Especially educational level of mother can affect the amounts of nutrients intakes greatly. It is considered that the development of nutritional program for the more concrete and various education for their patron should be done.
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