• Health Policy and Management
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• v.4 no.2
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• pp.58-76
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• 1994

In order to study factors affecting the use of the ambulatory physician services. Andersen's model for health utilization was modified by adding the health behavior component and examined with three different approaches. Three different approaches were the multiople regression model, logistic regression model, and LISREL model. For multiple regression, dependent variable was reported illness-related visits to a physician during past one year and independent variables are variaous variables measuring predisposing factor, enabling factor, need factor and health behavior. For the logistic regression, dependent variable was visit or no-visit to a physician during past one year and independent variables were same as the multiple regression analysis. For the LISREL, five endogenous variables of health utiliztion, predisposing factor, enabling factor, need factor, and health behavior and 20 exogeneous variables which measures five endogenous variables were used. According to the multiple regression analysis, chronic illness, health status, perceived health status of the need factor; residence, sex, age, marital status, education of the predisposing factor ; health insurance, usual source for medical care of enabling factor were the siginificant exploratory variables for the health utilization. Out of the logistic regression analysis, health status, chronic illness, residence, marital status, education, drinking, use of health aid were found to be significant exploratory variables. From LISREL, need factor affect utilization most following by predisposing factor, enabling factor and health behavior. For LISREL model, age, education, and residence for predisposing factor; health status, chronic illess, and perceived health status for need factor; medical insurance for enabling factor; and doing any kind of health behavior for the health behavior were found as the significant observed variables for each theoretical variables.

• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.557-569
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• 2001

The purpose of the study was to test the Pender's New Health Promotion Model in order to explain and predict female workers' health promotion behavior at manufacturing plants by using latent variable structural equation model. The data were collected from 280 female workers at 8 electronic factories located at Seoul. Kyunggi. and Incheon using a structured questionnaire through interview and self-report. LISREL was used to test the model. The results are as follows: 8 out of 15 paths of the modified one from the hypothetical model of Health Promotion were statistically significant and the total variance was 40%. The relationship between the previous health behavior and the cognitive emotional factor, and the interpersonal factor. and the situational factor each. and the relationship between perceived health status and interpersonal factor, and health promotion behavior each among gamma paths were unidirectional. On the beta paths. the relationship between the interpersonal factor and the cognitive emotional factor was bi-directional: the relationships amongst the interpersonal factor and the commitment to action, and the health promotion behavior were unidirectional. But the commitment to action was not a significant mediating factor to the health promotion behavior. Pender's New Model is considered good to explain and predict the female workers' health promotion behavior. The interpersonal factor should be considered in occupational nursing practice. But the concepts of situation and commitment to action should be further validated and measured.

• Journal of Korean society of Dental Hygiene
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• v.12 no.6
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• pp.1071-1081
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• 2012

Objectives : This study were to find out differences in mother's oral health knowledge and oral health care behaviors and to find out factors that affected mothers' oral health care behavior for their young children. Methods : The survey was carried out with questionnaire about personal factor, cognitive factor, psychological factor and behavioral factor to 227 mothers. They had children from 3 to 5 years. The collected data was analyzed by SPSS WIN 12.0. Results : There were statistically significant differences in oral health knowledges as mother's educational background, importance of oral health, experience of oral health education, and oral health locus of control. There were statistically significant differences in mother's oral health care behaviors as mother's job, interest of oral health, importance of oral health, experience of oral health education, and oral health locus of control. And mother' oral health care behavior for herself, interest of oral health, and oral health locus of control were found as important variables in mothers's oral health care behavior for their children. Conclusions : Mother's oral health care behavior for herself was the powerful factor that affected mother's oral health care behavior for her children.

• Korean Parent-Child Health Journal
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• v.17 no.1
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• pp.37-45
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• 2014

Purpose: This study aimed to review measurements of environmental health behavior and assess the construct validity of Environmental Health Engagement Profile (EHEP) through confirmatory factor analysis. Methods: The literature review was performed for selection of measurements. Confirmatory factor analysis with AMOS 19.0 was used for validation of EHEP. Results: The model fitness was not appropriate in the one-factor model; $x^2=91.11$ (df=5, p<.001), Comparative Fit Index (CFI)=8.19, Non Normed Fit Index (NNFI)=6.39, and Root Mean Square Error of Approximation (RMSEA)=0.20. The model fitness was appropriate in the two-factor model; $x^2=3.19$ (df=1, p=.074), CFI=9.95, NNFI= 9.71, RMSEA=0.07. A modification of scale was found to be the most suitable for use in the investigation of environmental health behavior. Conclusion: This study confirms that a two-factor model underlies the concept of environmental health behavior. The review of measurements can help nurses and researchers to assess the environmental health behaviors.

• Korean Journal of Adult Nursing
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• v.13 no.1
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• pp.82-95
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• 2001

The purpose of this study was to examine the relationship among perceived health status, self-esteem, self-efficacy and health promoting behavior, and to determine the predictors of health promoting behavior in post-mastectomy patients. The study, a descriptive correlational study, was done with structural questionnaires. A total of 51 post-mastectomy subjects from C university hospital in Kwang-ju, South Korea completed mail-in self-reporting questionnaires during a three month period from March to June, 1999. The data were collected using Lawstone's(1982) perceived health status scale, Rosenberg's(1965) self-esteem scale, the modified self-efficacy scale(Shere et al, 1982), and the modified health promoting lifestyle profile (Walker et al, 1987). The data obtained were analyzed according to percentage, mean and standard deviation, principal component analysis, varimax rotation, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. The results were as follows: 1. The health promoting behavior measurement resulted in six factors. Each factor was labelled as follows: self-actualization, nutrition, stress management, exercise, health responsibility and interpersonal support. The total percent of variance explained by the six factors was 58.4%. 2. The mean score of health promoting behavior was 85.92(range 58~117). The scores of six factor were nutrition 3.20, self-actualization 2.59, stress management 2.58, interpersonal support 2.58, health responsibility 2.49, and exercise 2.34 on a four point scale. 3. When the score of health promoting behavior factors were compared by general characteristics. Factor I: self-actualization, differed significantly by the frequency of pregnancy (F=3.06, p=.037). Factor II: nutrition differed significantly by drinking experience(t=-2.26, p=.028) and the pre- or post stage of menopause(F=2.69, p=078). FactorIII: stress management differed significantly depending on regularity of mensturation(t=-2.12, p= .042). FactorIV: exercise differed significantly by type of religion (F=2.49, p=.072), marital status(F=5.03, p=.010), and feeding type (F=2.64, p=.036). Factor V: health responsibility differed significantly by regularity of mensturation(t=2.18, p=.037). 4. The total health promoting behavior score was significantly related to self-esteem and perceived health status(r=.610, p.006; r= .378, p=.006). The score of selfactualization also corresponded with selfesteem and perceived health status(r=.556, p=.001; r=.343, p=.013). 5. The predictor to explain the score of health promoting behavior was self-esteem, which accounted for 37.1% of the total variance. The predictor to explain the score of self-actualization was self-esteem, which accounted for 30.9% of the total variance. The score of nutrition was primarily affected by both premenopause and drinking experience, which accounted for 13.1% and 9.5% respectively. Finally, the score of exercise was dictated by marriage, Buddhism, no experience of breast feeding, which accounted for 17%, 9.8%, & 5.2% respectively. In conclusion, self-esteem is the main predictor for health promoting behavior in post-mastectomy women. These findings suggest a need for nursing strategies which promote self-esteem in such patients.

• Women's Health Nursing
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• v.25 no.1
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• pp.31-45
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• 2019

Purpose: This study was designed to develop a valid and reliable scale for the evaluation of preconception health behavior in women preparing for pregnancy. Methods: The initial strategy included a literature review, interviews, and construction of a conceptual framework. The preliminary items were evaluated twice for content validity by experts, and modified two preliminary investigations. Participants in the 2 main investigations and the confirmation investigation were tested for reliability and validity of the preliminary scale in women preparing for pregnancy. The data were analyzed for different items exploratory and confirmatory factors. Results: The 5-point Likert scale consisted of 6 factors and 27 items. The 6-factors included 'hazardous substance factor,' 'medical management factor,' 'rest and sleep factor,' 'stress management factor,' 'information acquisition factor,' and 'resource preparation factor.' Goodness of fit of the final research model was very appropriate and based on the following measures: Q=1.98, comparative fit index=.91, Tucker-lewis index=.89, standardized root mean square residual=.07, and root mean square error of approximation=.07. The criterion validity was .64. The reliability coefficient was .92 and the test-retest reliability was .61. Conclusion: The study findings indicate that the scale can be used for the development of nursing interventions to promote preconception health behavior in women preparing for pregnancy.

• Journal of Korean Academy of Nursing
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• v.28 no.3
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• pp.540-549
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• 1998

This study has been designed to develop a health behavior scale. Data were collected through a survey over a period of two month period. Subjects who participated in the study were 298 Korean adults. The author used a convenience sampling method. The analysis of the data was done with SPSS PC for descriptive statistics and factor analysis. Initially 34 items were generated from the interview data of twenty one adults and from literature review and survey. This preliminary scale was analyzed for a reliability and validity. The results are as follow : 1. Crombach Coefficient alpha for the 30 items was .7907. 2. Factor analysis was done in order to confirm construct validity and nine factor were extracted from the results. These contributed 54.4% of the variance in the total score. 3. Nine factor label were 'exercise' 'stress management' 'energy conservation' 'limit in liking' 'selection of food' 'ingestion of natural food' 'health examination' 'relaxation' and 'nutrition'. The author suggests that this scale could be adequately applied in assessing the health behavior of Korean adults. The results of using this scale in a study can contribute to designing an appropriate health promotion strategy.

• Korean Journal of Health Education and Promotion
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• v.15 no.2
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• pp.185-198
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• 1998

This study was designed to investigate the content of health behavior and to examine factors determining health behavior of nursing students(n=159) in relation to sociodemographic and cognitive variables. Cognitive variables were categorized into saliency of health, susceptibility to illness, and health locus of control. Data analysis prodecure included factor analysis and stepwise multivariate regressions using health behavior as dependent variables. Analysis showed; 1. As a whole, nursing students showed a tendency of lack in positive health behavior, especially in diet-related health behavior. 2. Multiple regression analysis revealed that the factors such as grade, saliency of health, and birth place were to be independently and significantly associated with health behavior: Upper grade students, high level of saliency, urban-born students tend to take health behavior positively. 3. The most influential factor among them was grade, but cognitive inspite of stereotype, poorly impact on health behavior with the exception health. We can guess the effect of education indirectively from these findindgs, but longitudinal studies need to consider the direct effect of education. The results also indicate that the respondents should be encouraged to take health behavior positively. The studies including more other cognitive variables would be conducted for the nursing students in relation to health behavior.

• Research in Community and Public Health Nursing
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• v.24 no.4
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• pp.488-497
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• 2013

Purpose: The purpose of this study was to identify the construct equivalence of the general five factors of health behavior and to compare the latent means between adolescents with a health problem and those without in Korea. Methods: The 2009 KYRBS (Korean Youth Risk Behavior Survey) data were used for the analysis. Multi-group confirmatory factor analysis was performed to test whether the scale had configural, metric, and scalar invariances across the existence of health problems in adolescents. Results: Configural, metric, and factor invariances were satisfied for the latent mean analysis (LMA) between adolescents with health problem and those without. Adolescents with health problem and those without were not different in the LMA of all factors. Conclusion: Health providers should give more interest to the group of adolescents with health problems and consider prudential school life to the same group.

• Korean Journal of Occupational Health Nursing
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• v.17 no.2
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• pp.202-209
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• 2008

Purpose: This study was designed to find out the related factor of the health promotion behavior of pneumonconiosis patients. Method: Data were collected by questionnaires from 160 patients in a Workers Accident Medical Center. Data were analyzed by Pearson's correlation coefficient and multiple regression. Result: There were positive correlations among health promotion behavior, self-efficacy(r=.674, p=.000), perceived benefit(r=527, p=000) and self-esteem(r-471, p=000). But there was not correlation between the health promotion behavior and perceived health state. Multiple regression analysis showed that the most powerful predictor was self-efficacy, followed by self esteem. Conclusion: This study revealed that important factors such as self-efficacy and self-esteem should be treated for increasing of the health promotion behavior of pneumonconiosis patients.