Purpose: Adolescence is a critical period for growth and development; hence, knowledge about good food habits is essential amongst children. This study was conducted to investigate prevalence of awareness among food sellers, which could probably influence children's health and perceptions on food around schools towards adulterated food management beliefs, competencies, and food safety practices. Methods: Data was collected from 195 dealers around 25 elementary, middle and high schools in Daegu and Gyeongbuk provinces using a self-administered questionnaire in July and August, 2015. The data was analyzed using frequency analysis, one-way analysis of variance, $x^2$-test, factor analysis, and reliability analysis by SPSS Statistics (ver. 23.0). Results: A total of 121 people (62.1%) reported satisfaction of providing information and education on adulterated food. The perception of hazardous substances was found to be related to food poisoning bacteria and viruses (65.6%), heavy metals (42.1%), environmental hormones (36.4%), residual pesticides (27.2%), and irradiated food (26.7%). The perceived score on hygiene practices for processed food seller was $4.04{\pm}0.56/5.00$ and for cooked food seller was $4.09{\pm}0.45$. The capacity of adulterated food management practice of food sellers was significantly correlated with food knowledge on adulteration and public relation capacity, necessity of adulterated food management, and perception of hygiene practices (p<0.01). Similarly, knowledge and public relation capacity were significantly different according to ages (p<0.01). The perception of the necessity of adulterated food management was significantly different according to education levels (p<0.05), and the evaluation of hygiene practices was significantly different according to age (p<0.01). Conclusion: In order to solve the problem of adulterated food, which is one of the four social evils, and to strengthen the capacity of children to solve social problems, various practices like campaign on health promotion, goof food habits, education, and adulterated food management, should be actively promoted not only for children but also for food sellers around the schools.
This study aims to examine whether a Parent's Neglecting Attitude affects an Adult Media Immersion and Adolescent' Dependence on mobile phonehas a mediating effect. To achieve this goal, the first year of middle school panel of 'the 6th Korean Children and Youth Panel Survey(KCYPS)' was utilized. To verify the mediating effect of Adolescent' Dependence on mobile phone in the relationship between Parent's Neglecting Attitude by Adolescents and the Adult Media Immersion, Baron & Kenny's mediating effect analysis method was conducted and the analytical findings are shown below. According to this study, first of all, more the Parent's Neglecting Attitude rise to rise the Adult Media Immersion. Second, the Adolescent's Dependence on mobile phone partly mediates the Adult Media Immersion. The practical implications of this results are below : First, we need to make a policy and legal effort to improve the relationship between parents and children. Second, there is a need to practice professional programs in schools, focusing on school social worker. Third, Revision of relevant laws limiting access to adult media is necessary.
Shim, Jee-Seon;Kang, Nam Hoon;Lee, Jung Sug;Kim, Ki Nam;Chung, Hae Kyung;Chung, Hae Rang;Kim, Hung-Ju;Ahn, Yoon-Sook;Chang, Moon-Jeong
Nutrition Research and Practice
/
v.13
no.2
/
pp.134-140
/
2019
BACKGROUND/OBJECTIVES: Excessive sugar consumption may increase the risk for development of several diseases. Although average dietary sugar intake of Koreans is within the recommended level, an increasing trend has been found in all age groups. This study aimed to evaluate the population attributable fractions (PAF) to dietary sugar for disease and death in Korea, and to estimate the socioeconomic effects of a reduction in dietary sugar. MATERIALS/METHODS: The prevalence of sugar-sweetened beverages (SSB) overconsumption (${\geq}20g$ of sugar from beverages) was analyzed using the Korean National Health and Nutrition Examination Survey 2015. Disease-specific relative risks of excessive SSB consumption were obtained through reviewing previous studies. Using the prevalence of SSB overconsumption and each relative risk, PAFs for morbidity and mortality were calculated. Socioeconomic costs of diseases and death attributable to SSB overconsumption were estimated by using representative data on national medical expenditures, health insurance statistics, employment information, and previous reports. RESULTS: Disease-specific PAF to SSB consumption ranged from 3.11% for stroke to 9.05% for obesity and dental caries, respectively. Costs from disease caused by SSB overconsumption was estimated at 594 billion won in 2015. About 39 billion won was estimated to be from SSB consumption-related deaths, and a total of 633 billion won was predicted to have been saved through preventing SSB overconsumption. CONCLUSIONS: Sugars overconsumption causes considerable public burdens, although the cost estimates do not include any informal expenditure. Information on these socioeconomic effects helps both health professionals and policy makers to create and to implement programs for reducing sugar consumption.
The purpose of the this study was to investigate the association of self-stigma, quality of life, and self-esteem and analyze the mediating role of self-esteem in the relationship between self-stigma and quality of life among people with mental disabilities. For this purpose, the data were collected from 254 people with mental disabilities who utilize the community mental health centers located in D and K regions. Findings of the study indicated that there were statistically significant relationships among self-stigma, quality of life and self-esteem. In addition, self-esteem had partial mediating effects on the relationships between self-stigma and the quality of life domains such as physical, psychological, and environmental areas, while self-esteem was a full mediator in the relationships between self-stigma and social relationship in the quality of life. Based on the findings of, possible practice implications for improving the quality of life among people with mental disabilities by reducing self-stigma along with empowering their self-esteem and recommendation for further study were provided.
The purpose of this study is to develop a systematic and efficient curriculum for the rehabilitation nurse specialist program. This research was carried out as a group work of 15 experts in order to share various opinions about the curriculum, and also through literature review. Articles, curriculums of other Clinical Nurse Specialist Programs, medical laws guidelines, as well as Clinical Nurse Specialist Program from the Korean Nurses Association were reviewed, and the issue was discussed throughly via group meetings. The developed curriculum is as follows: 1. Educational philosophy lies in the fact that the rehabilitation nurses support the patients to maximize their potential and functional level, so that they could maintain healthy state and re-adapt to changed environment. Furthermore the rehabilitation nurses are disposed of arbitrary decision power under their own responsibility, thus they take charge of welfare and healthy environment of the local society through the patients(subjects) and local resources. 2. Educational goals are to train rehabilitation nurse specialist, who correspond to the social needs, so to say, those who have the knowledge and skills for nursing practice, education and research. 3. The curriculum consists of 37 credits, of which 24 credits are based on lectures and 13 credits based on clinical practice. General courses are 3 subjects (5 credits) ; nursing theory, nursing research, and laws/ethics. Mandatry courses are 8 subjects with 19 credits; advanced physical assessment, pharmacology, pathophysiology, issues in rehabilitation nursing, advanced rehabilitation nursing intervention I, advanced rehabilitation nursing intervention II, sports physiology, special rehabilitation nursing intervention. As for the clinical practice courses, assessment and evaluation for rehabilitation(64 hours), community and home based rehabilitation nursing(128 hours), hospital based rehabilitation nursing(128 hours), institution based rehabilitation nursing(96 hours) would be treated. 4. Contents of the curses were developed to correspond with the courses' objectives and specific items. 5. Evaluation would be carried out both in the lecture and in the clinical practice. The knowledge and skills of the students would be measured to ensure full validity and credibility. However this developed curriculum should be continuously modified and updated in more desirable direction.
The purpose of this study was to investigate gender difference of community-residing elderly's life satisfaction and influential factors. Data were collected from 461 elders aged 60+ with the cooperation of several social service center for the aged, senior centers, and senior citizen associations in Daejeon Metropolitan City and Chungcheongnam-do(Cheonan-si and Okcheon-gun). SPSS 22.0 software was used for t-test and cross tabulation analysis, correlation analysis, and hierarchical regression analysis. The results showed there was statistically significant difference of elderly's life satisfaction by gender in multivariate analysis including sociodemographic factors, social network and relationship with children variables, but no difference in bivariate analysis. There was also significant difference in the factors affecting community-residing elderly's life satisfaction by gender. A few factors like friend support, number of regular social gatherings, and subjective health status were statistically significant in predicting male elderly's life satisfaction. Predictors of female elderly's life satisfaction which were perceived elderly parent-children conflict, friend support, monthly income, subjective health status, support to children, support from children were more diverse, compared to the predictors for male elderly's life satisfaction. Based on the findings, suggestions for social welfare policy and practice to improve community-residing elderly's life satisfaction considering the gender difference were discussed.
This study aims to analyze the relevance between oral health practices and oral discomforts of the elderly in an urban-rural area by surveying the elderly in welfare centers for the Elderly-continued oral health care program. The result shows that the elderly brush their teeth under regular oral care, and practice oral health life by scaling for the prevention of periodontal disease. Most of the elderly who drink alcohol have experienced implant care and tend to quit drinking after the treatment, and seemed to get their oral discomfort relieved. However, no relevance is found between implant experiences and social discomfort. Furthermore, the elderly who had bad breath expressed pronunciation, taste, pain and chewing discomfort, and social discomfort (P>.05). The educational level of the elderly did not have an impact on oral discomfort, but smoking, chewing and bad breath discomfort seemed to be related to social discomfort(P>.05). Therefore, since oral discomfort of the elderly causes social discomfort which decreases their quality of living, we recommend oral health departments of local governments to help the elderly maintain happy lives by continuing to study the practical use of reducing oral discomfort.
The current study aims to identify the heterogeneous changes of functional disabilities in old age rather than to identify an average longitudinal pattern and to explore the effect of health status and social status as risk factors in functional disability trajectories. The sample consisted of a representative sample of community dwellers aged 65 and older from the Korean Longitudinal Study of Ageing (2006 - 2012) was the focus of the study. Latent Class Growth Analysis was used to identify the functional disability trajectory groups. Variables regarding health status and social status changes by class were identified using multinomial logistic regression. The results showed various change patterns in functional disability, which include independent (78%), stable high (4.4%), steeply increasing (7.1%), slightly increasing (5.5%), and moderate to low (4.7%). Aggravation in depressive symptoms and cognitive functions as well as decline in social participations and social engagements were significant predictors of membership in increasing group of functional disability. The findings provide important initial empirical information to target clinical practice and have implications in the importance of conducting research on groups with different characteristics.
The purpose of the current research is to reconstruct the 'structure of biographical processes' on the lives of the elderly couples residing in the rural area in terms of 'gender relations.' Autobiographical-narrative interviews with each of the six elderly couples were conducted. Interview data were analyzed through the eclectic application of $Sch\ddot{u}tze's$ autobiographical-narrative interview and Dausien's feministic biographical research methods. Research findings revealed that each biography of the elderly couples represents the 'structure of biographical process' that shapes 'trajectories.' Such 'trajectories' were found to characterize two dimensions of 'gender relations'. First, on the micro- and macro-levels of 'trajectories,' 'gender relations' were noticed. The 'trajectories' of the male elderly were found to be both in personal and familial contexts and in socio-structural context, while those of the female elderly were found to be mostly in personal and familial contexts. Second, on the micro-level of 'trajectories,' 'gender relations' were noticed. The male elderly were more or less different from one another, contingent on the phases of life. They turned out to take simple roles of performing 'outdoor duties' and to be passive in doing 'housework.' Contrary to the male elderly, the female counterparts proved to actively assume 'dual roles' in 'family affairs' and 'outdoor duties'. Such findings led to the observation of 'doing gender' in the biographies of the elderly and, furthermore, to capturing the fact that 'doing gender' is different, depending on the phases of life and sex. Finally, some implications for practice were drawn from the current findings with special reference to biography and gender relations.
There is recent recognition that the approach toward family members is crucial for understanding problems in multi-cultural families by emerging from typical approach focused on migrant women. While researches have reported serious conflicts and adaptation problems from cultural difference between parent-in-law and foreign daughter-in-law, cultural stress of parent-in-law has not been systematically examined. The purpose of this study was to develop and validate a scale to measure acculturation stress of parent-in-law who have a foreign daughter-in-law. The sample consisted of 266 parents-in-law from three provinces of South Korea. Initially, 16 items were generated based on the existing scale of acculturation stress and they are tested by item-analysis through the descriptive and correlational analysis. An exploratory factor analysis was conducted to investigate the factor structure of the scale and a confirmatory factor analysis was used to validate the scale. By item-analysis, five items were deleted from initial scale items because of redundancy. Findings from an exploratory factor analysis provided the evidence that the scale consists of three factors which are the perception of prejudice and discrimination, conflicts from different cultural value, and daily discomfort. Cronbach's ${\alpha}$ for the scale is 0.86. Multiple fit indices from confirmatory factor analysis indicated that the hypothesized three-factor model for acculturation stress achieved a good fit with the data. Results showed the evidence for the reliability and validity of the scale for acculturation stress of the parent-in-law who have foreign daughter-in-law. The scale would have potential effects for assessing psychological stress for parent-in-law in research and clinical practice. Further implications and limitation of the study and suggestions for future studies were discussed.
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