• Title/Summary/Keyword: logistic model

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Testing of the Theory of Planned Behavior in the Prediction of Smoking Cessation Intention and Smoking Cessation Behavior among Adolescent Smokers (청소년 흡연자의 금연의도 및 금연행위 예측을 위한 계획적 행위이론(Theory of Planned Behavior)의 검증)

  • Song, Mi-Ra;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.456-470
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    • 2002
  • Objectives: The purpose of this study was to test the Theory of Planned Behavior (TPB) in the prediction of smoking cessation intention and smoking cessation behavior among adolescent smokers, in order to provide basic data to develop a future smoking cessation program as a nursing intervention. Method: The study subjects were 80 adolescent smokers who had smoked one cigarette and attended a five-day school smoking cessation program. The data were collected from October 24 to December 21, 1999. The instruments used in this study were the tools developed by Jee (1994) to measure TPB variables such as attitude toward smoking cessation behavior, subjective norm, perceived behavioral control, smoking cessation intention, and smoking cessation behavior. The data were analyzed with the SAS/PC program using descriptive statistics, hierarchical multiple regression, and logistic multiple regression. Results: 1. Attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control were partially significant in predicting smoking cessation intention. 2. Smoking cessation intention and perceived behavioral control toward smoking cessation behavior did not significantly predict smoking cessation behavior. 3. There were partial interaction effects among the attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control in the prediction of smoking cessation intention. 4. There were partial interaction effects between smoking cessation intention and perceiver behavioral control toward smoking cessation behavior in the prediction of smoking cessation behavior. Conclusion: This study partially demonstrated support for the TPB model that was partially useful in predicting smoking cessation intention and smoking cessation behavior among adolescent smokers. Therefore, it is recommended that attitude toward smoking cessation behavior and perceived behavioral control should be considered in developing smoking cessation programs and implementing nursing interventions to change the smoking behavior of adolescent smokers.

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Prevalence Status and Risk Factors for Back Pain among High School Students (서울시 일부지역 고등학생의 요통 유병 실태 및 관련요인에 관한 조사)

  • 박혜숙;정최경희;이보은
    • Korean Journal of Health Education and Promotion
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    • v.19 no.1
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    • pp.17-30
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    • 2002
  • BACKGROUND: Back pain is a popular disease in general population as well as in workers. School students handle heavy bag and keep awkward postures during class long time. However, the prevalence of back pain among students and the risk factors associated with back pain are not well known. METHODS: In this study, we assess the frequency of risk factors for back pain among 2,717 high school students. From April 2001 to May 2001, using a self-reported questionnaire, we collected data on occurrence of back pain and potential risk factors for back pain. RESULTS: Fifteen percent of high school students reported having daily back pain for a week or more during the past 12 months. Female students had a higher prevalence of back pain than males(OR=2.22, 95% CI 1.69-2.91). Using a multiple logistic regression model, we found six factors associated with back pain for females; alcohol(OR=1.75, 95% CI 1.26-2.45), depression(OR=1.75, 95% CI 1.84-2.28), poor physical health(OR=2.57, 95% CI 1.84-8.58), obesity(OR=0.29, 95% CI 0.12-0.68), exercise(OR=l.50, 95% CI=1.07-2.16), and good performance(OR=l.50, 95% CI 1.05-2.18). Only alcohol, however, associated with back pain for males(OR=1.70, 95% CI 1.05-2.77) CONCLUSIONS: High school students had a relatively high prevalence of back pain. Students with alcohol consumption had the higher risk for back pain.

The Influence of Personal Characteristics and Social Environment on Adolescent's Smoking (개인적 특성과 사회환경이 청소년의 흡연에 미치는 영향)

  • An, Eun-Seong;Bae, Sang-Soo
    • Korean Journal of Health Education and Promotion
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    • v.26 no.2
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    • pp.1-13
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    • 2009
  • Objectives: This study identified how personal characteristics, family environment, governmental policy for the prevention and cessation of smoking might influence on adolescent smoking. Methods: This study used data from the 2006 Korea Youth Risk Behavior Web-based Survey of 71,404 middle school and high school students, giving a response rate of 90.9%. We selected 61,508 adolescents subjects of the final analysis without missing data on independent variables and dependent variables which are used in this study. This study used $\chi^2$ tests and logistic regression models. Variables were added to the regression model in three groups using a hierarchical approach.Results: Adolescents were significantly more likely to become current smokers if they were boys, were in a higher grade, and had lower academic achievement. Adolescents experiencing stress and depression were associated with increased risk of current smoking. Adolescents with single parents or students of non-living with parents comparing with students of living with parents showed the high possibility of smoking. Lower father's education was associated with increased likelihood of current smoking. Adolescents who were exposed to smoking at home were more likely to smoke. Adolescents without contacting with the antismoking media campaign was associated with increased likelihood of current smoking. Conclusion: Promoting antismoking media campaigns targeted at adolescent is required, and the smoking prevention education which are proper for subjects are required. Proper plans which could decrease the exposure of secondhand smoking should be established.

The Challenge of the Third Generation Port and Port Competition (제 3 세대 항만의 도래와 항만경쟁)

  • 문성혁
    • Journal of the Korean Institute of Navigation
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    • v.18 no.2
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    • pp.91-109
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    • 1994
  • Technological and organisational changes in transport system have introduced new dimension into port system development and inter-port competition. The quality of service now required by the customer is costly and not easily provided by small shipping companies and small ports. It has been suggested that in the future container shipping may be concentrated by space-sharing arrangements or actual mergers into the hands of a few mega-operators with the investment potential to provide total logistics networks. In order to compete effectively, high load factors will be essential and port concentration inevitable. A fa-voured few ports will become the load centres and other ports will assume a secondary feeder role. In this study, three questions are raised and attempts are made to answer them : (a) what is the new role of ports today ; (b) why should ports be engaged in this new role ; and (c) how can ports play this new role. In short, a modern port should be a service centre and a logistic platform for international trade and transport-a third generation port. Ports, in particular, have to make every effort to be competitive in the cost and quality of services and to make the port a transport and distribution service centre. For most ports, this is not an option but a must ; an essential requirement for survival in this win or lose situation. The best way to win is to maintain a close contact with port users, listen to them, discuss with them, help them and satisfy them. That is port marketing. Starting from the findings of port marketing, it is es-sential to work out appropriate development plans and marketing targets and to improve port competitive-ness. As an alternative method, a port competitiveness model is suggested, which may help port managers to make appropriate improvements.

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The Impact of Choline Acetyltransferase Polymorphism on the Expression of Mild Cognitive Impairment (Choline Acetyltransferase 유전자 다형성이 경도인지손상 발현에 미치는 영향)

  • Lee, Jung-Jae;Park, Joon-Hyuk;Lee, Seok-Bum;Huh, Yoon-Seok;Kim, Tae-Hui;Youn, Jong-Chul;Jhoo, Jin-Hyeong;Lee, Dong-Young;Park, Koung-Un;Kim, Ki-Woong
    • Korean Journal of Biological Psychiatry
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    • v.17 no.4
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    • pp.218-225
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    • 2010
  • Objectives : The potential association between choline acetyltransferase(CHAT) polymorphism and the risk of mild cognitive impairment(MCI) has not been investigated in Korea. We examined the main effect of CHAT polymorphism and its interaction with apolipoprotein E(APOE) polymorphism in the development of MCI in elderly Korean sample. Methods : We analyzed CHAT 2384G > A polymorphism and APOE polymorphism among 149 MCI subjects with MCI and 298 normal controls. We tested the association between MCI and CHAT A allele status using a logistic regression model. In addition, we employed generalized multifactor dimensionality reduction(GMDR) to investigate the interaction between CHAT and APOE with regard to the risk of MCI. Results : The CHAT A allele was associated with AD risk(OR = 1.59, 95% CI = 1.02-2.48, p = 0.042). No significant gene-gene interaction between CHAT and APOE was found in GMDR method(testing balanced accuracy = 0.540, p = 0.055). Conclusion : The CHAT A allele was associated with MCI risk in the Korean elderly. Its interaction with the APOE ${\varepsilon}4$ allele was not significant with regard to the development of MCI.

Frequency of Eating Alone and Health Related Outcomes in Korean Adults: Based on the 2016 Korea National Health and Nutrition Examination Survey (한국 성인의 혼밥 횟수와 건강 관련 요인 조사: 2016년 국민건강영양조사 데이터를 이용하여)

  • Ahn, Jee Hyun;Park, Yoo Kyoung
    • Journal of the Korean Dietetic Association
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    • v.26 no.2
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    • pp.85-100
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    • 2020
  • Eating alone has recently become a very common dietary pattern in modern society. This study investigated the relationship between the frequency of eating alone and health related issues including chronic diseases, depression, and the quality of life (QOL). The 2016 Korea National Health and Nutrition Examination Survey provided the basic data for this study. According to the general analysis of 4,910 adults aged over 19 years or older, the average age in the 'eating alone' group was significantly higher (P<0.001), and the ratio of single-person households was significantly higher as the number of times of eating alone increased (P<0.001). Analysis of the relationship between the risk factors of metabolic syndrome according to the number of times eating alone, using logistic regression analysis, showed that the odds ratio of metabolic syndrome in the 'two times eating alone a day' group was approximately 1.3 times higher (OR=1.275) after being corrected for gender, age and energy intake. For the 'three times eating alone a day' group, the metabolic syndrome odds ratio was higher in all models except for model 1 and 5 (P for trend<0.05). The prevalence of depression using patient health questionnaire-9 (PHQ-9) was higher as the number of eating alone increased, and the QOL was inversly related with the number of meals eating alone (P for trend<0.01). We hope the results of this study will raise awareness of the health of those people who eat alone and lay the groundwork for individuals who eat alone and gain social attention.

Diagnostic accuracy of a combination of salivary hemoglobin levels, self-report questionnaires, and age in periodontitis screening

  • Maeng, You-Jin;Kim, Bo-Ra;Jung, Hoi-In;Jung, Ui-Won;Kim, Hee Eun;Kim, Baek-Il
    • Journal of Periodontal and Implant Science
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    • v.46 no.1
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    • pp.10-21
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    • 2016
  • Purpose: This study evaluated the predictive performance of a combination of self-report questionnaires, salivary hemoglobin levels, and age as a non-invasive screening method for periodontitis. Methods: The periodontitis status of 202 adults was examined using salivary hemoglobin levels, responses to 10 questions on a self-report questionnaire, and the Community Periodontal Index (CPI). The ability of those two variables and the combination thereof with age to predict the presence of CPI scores of 3-4 and 4 was assessed using logistic regression and receiver operating characteristic (ROC) curve analysis. Results: CPI scores of 3-4 and 4 were present among 79.7% and 46.5% of the sample, respectively. The area under the ROC curves (AUROCs) of salivary hemoglobin levels for predicting prevalence of CPI scores of 3-4 and 4 were 0.63 and 0.67, respectively (with sensitivity values of 71% and 60% and specificity values of 56% and 72%, respectively). Two distinct sets of five questions were associated with CPI scores of 3-4 and 4, with AUROCs of 0.73 and 0.71, sensitivity values of 76% and 66%, and specificity values of 63% and 69%. The combined model incorporating both variables and age showed the best predictive performance, with AUROCs of 0.78 and 0.76, sensitivity values of 71% and 65%, and specificity values of 68% and 77% for CPI scores of 3-4 and 4, respectively. Conclusions: The combination of salivary hemoglobin levels and self-report questionnaires was shown to be a valuable screening method for detecting periodontitis.

Relationship between Health Status and Life Styles and Atopic Dermatitis in Adolescents (청소년 대상의 건강상태, 생활습관과 아토피 피부염의 관계)

  • So, Eun-Sun;Yeo, Ji-Young
    • Child Health Nursing Research
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    • v.18 no.3
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    • pp.143-149
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    • 2012
  • Purpose: The aim was to explore the relationship between health status/life style and prevalence of atopic dermatitis in adolescents. Methods: Data from 1,743 adolescents (aged 13 to 18 years) derived from the fourth Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed using binary logistic regression and the classification and regression tree (CART) model. Results: The prevalence rate of atopic dermatitis was 10.3%. Third quartile income class (OR=2.19, 95% CI=1.20-4.00), fair and unhealthy self-rated health (OR=1.49, 95% CI=1.06-2.11; OR= 2.73, 95% CI=1.64-4.55), past or current smoker (OR=0.41, 95% CI=0.20-0.85; OR=0.44, 95% CI=0.21-0.92), and more than average stress (OR=1.43, 95% CI=1.03-1.99) were related with increased prevalence of atopic dermatitis. The high prevalence risk groups for atopic dermatitis were adolescents who perceived themselves to be healthy on self-rated health and had more than average stress and those who perceived themselves to be unhealthy and who never smoked. Conclusion: The results of the study indicate that health status, smoking, and stress are associated with a prevalence risk for adolescent atopic dermatitis in different degrees. Therefore, for control of atopic dermatitis, various interventions for smoking and stress need to be reinforced for the high prevalence atopic dermatitis groups.

A Study on the Evaluation of the Logistics Service Quality of Container Terminal Operators (컨테이너터미널 운영사의 물류서비스 품질 평가에 관한 연구)

  • Park, Eun-Kyoung;Kim, Hyun-Duk;Lee, Kwang-Bae
    • Journal of Korea Port Economic Association
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    • v.25 no.1
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    • pp.47-62
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    • 2009
  • The paper attempts to identify the Logistics Service Duality of Container Terminals and to test the model by using of the Analytic Hierarchy Process(AHP). Also, the research assess the practical competitiveness of Container Terminals in Kwangyang by Fuzzy technique. To conclude, we can make the following observations: (1) we classifies the Logistic Service Quality into five attributes such as Tangibility, Reliability, Responsiveness, Assurance, Empathy, (2) Assurance is drawn to the most important attribute, (3) There is a significant disparity between the operators and the users in the relative importance of the Logistics Service Quality Attributes of Container Terminal, (4) In the result of analysis of the terminals' competitiveness, C Terminal is extracted as the most superior operator. In Addition, we hope to provide useful contribution to increase Gwangyang container terminal's competitiveness and offer some insight in further research.

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Body Mass Index and Risk of Hemorrhagic Stroke in Korean Adults: Case-control Study (체질량지수와 출혈성 뇌졸중 발생간의 관련성에 대한 환자-대조군연구)

  • Kim, Seon-Ha;Lee, Yong-Seok;Lee, Seung-Mi;Yoon, Byung-Woo;Park, Byung-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.4
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    • pp.313-320
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    • 2007
  • Objectives : To evaluate the association between body mass index (BMI) and hemorrhagic stroke. Methods : A case-control study was conducted on 2,712 persons (904 cases, 904 hospital controls, and 904 community controls) participating in an Acute Brain Bleeding Analysis study from October 2002 to March 2004. Two controls for each case were matched according to age and gender. The information was obtained by trained interviewers using standardized questionnaire. A conditional logistic regression model was used to estimate the association between BMI and the frequency of having a hemorrhagic stroke. Results : Obese men (25.0 $\leq$ BMI < $30.0\;kg/m^2$) had an odds ratios (OR) of 1.39 (95% CI 1.03 to 1.87) a hemorrhagic stroke, compared to men with a normal BMI (18.5 to $24.9\;kg/m^2$). Conversely, women with lower BMI had a higher risk of having hemorrhagic stroke. With respect to subtypes of hemorrahagic stroke, we observed about a three-fold increase in the risk of intracerebral hemorrhage (ICH) in the highly obese group. However, these trends were not significant in patients with subarachnoid hemorrhages. Conclusions : Obesity was identified as one of the risk factors in hemorrhagic stroke, in particular ICH. Conversely, in women, a lean body weight increases the risk of hemorrhagic stroke. Consequently, managing one's weight is essential to reduce the risks of hemorrhagic stroke.