• Child Health Nursing Research
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• 제24권2호
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• pp.148-156
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• 2018

Purpose: The aim of this study was to evaluate the influence of the mothers' native country on influenza vaccinations in adolescents in multicultural families. Methods: Data were gathered from the 13th (2017) Youth Risk Behavior Web-Based Survey. Logistic regression analyses were conducted using a complex sample data analysis method. The participants in this study had a father who was born in Korea and a mother born outside of Korea. The sample included 481 adolescents. Results: The analysis of non-adjusted confounding variables showed that influenza vaccination was higher in multicultural adolescents whose mother's native country had an annual minimum temperature less than $21^{\circ}C$ (odds ratio [OR]: 1.81, 95% confidence interval [CI]: 1.20~2.74). Furthermore, when the analysis was adjusted for confounding variables, an annual minimum temperature less than $21^{\circ}C$ in the mother's native country had a statistically significant association with influenza vaccination (OR: 2.12, 95% CI: 1.36~3.29). Conclusion: Multicultural adolescents belong to a socioeconomically vulnerable class, and their health promotion behaviors are influenced by their mothers' culture. Thus, healthcare providers and school nurses should provide adolescents with appropriate information related to influenza vaccination depending on their mothers' culture and their family's cultural background.

• Nutrition Research and Practice
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• 제9권5호
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• pp.523-529
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• 2015

BACKGROUND/OBJECTIVES: Commensality, eating together with others, is a major representation of human sociality. In recent time, environments around commensality have changed significantly due to rapid social changes, and the decline of commensality is perceived as a serious concern in many modern societies. This study employs a cross-cultural analysis of university students in two East Asian countries, and examines cross-cultural variations of perceptions and actual practices of commensality and solo-eating. SUBJECTS/METHODS: The analysis was drawn from a free-list survey and a self-administrative questionnaires of university students in urban Korea and Japan. The free-listing survey was conducted with a small cohort to explore common images and meanings of commensality and solo-eating. The self-administrative questionnaire was developed based on the result of the free-list survey, and conducted with a larger cohort to examine reasons and problems of practices and associated behaviors and food intake. RESULTS: We found that Korean subjects tended to show stronger associations between solo-eating and negative emotions while the Japanese subjects expressed mixed emotions towards the practice of solo-eating. In the questionnaire, more Korean students reported they prefer commensality and tend to eat more quantities when they eat commensally. In contrast, more Japanese reported that they do not have preference on commensality and there is no notable difference in food quantities when they eat commensally and alone. Compared to the general Korean cohort finding, more proportion of overweight and obese groups of Korean subjects reported that they tend to eat more when they are alone than normal and underweight groups. This difference was not found in the overweight Japanese subjects. CONCLUSION: Our study revealed cross-cultural variations of perceptions and practices of commensality and solo-eating in a non-western setting.

• Journal of Preventive Medicine and Public Health
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• 제52권5호
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• pp.323-332
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• 2019

Objectives: The aim of this study was to describe general practitioners (GPs)' opinions and practices of preventive care and patients' opinions, attitudes, and behaviors towards prevention. Methods: The data stemmed from a cross-sectional national survey on prevention conducted in Switzerland from 2015 to 2016. In total, 170 randomly drawn GPs and 1154 of their patients participated. The GPs answered an online questionnaire and the patients answered a questionnaire administrated by fieldworkers present at their practices. Results: Both patients and GPs agreed that delivering preventive care is the dedicated role of a GP. It appeared that beyond classical topics of prevention such as cardiovascular risk factors, other prevention areas (e.g., cannabis consumption, immunization, occupational risks) were scarcely covered by GPs and reported as little-known by patients. In addition, GPs seemed to use a selective approach to prevention, responding to the clinical context, rather than a systematic approach to health promotion. The results also highlight possibilities to improve prevention in family medicine through options such as more supportive tools and public advertising, more time and more delegated tasks and, finally, a more recognized role. Conclusions: Despite an unfavorable context of prevention within the healthcare system, preventive care in family medicine is reasonably good in Switzerland. However, some limitations appear regarding the topics and the circumstances of preventive care delivery. A global effort is needed to implement necessary changes, and the responsibility should be broadened to other stakeholders.

• 문화기술의 융합
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• 제8권2호
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• pp.299-307
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• 2022

본 연구는 성인 만성폐쇄성폐질환(Chronic Obstructive Pulmonary Disease, COPD) 환자의 인플루엔자 접종률과 접종에 영향을 미치는 요인을 파악하기 시행하였다. 2014년부터 2018년까지 5년간의 국민건강영양조사에 참여한 대상자 중 만 40세 이상이며 폐기능 검사 판정결과 폐쇄성환기장애(FEV1/FVC<0.7)로 나타난 2,370명을 대상으로 인플루엔자 예방접종률과 접종에 미치는 영향요인을 분석하였다. 민간강영양조사 데이터를 분석한 결과 만 40세 이상 성인 COPD 환자의 인플루엔자 예방접종률은 59.2%이었으며, 예방접종에 영향을 미치는 요인은 65세 이상, 낮은 경제수준, 과거흡연자이거나 비흡연자, 최근 2년 이내 건강검진을 받은 경우이었다. COPD가 있는 성인의 예방접종률을 높이기 위하여 인플루엔자 예방접종에 영향을 주는 요인들을 고려하여 예방접종률을 높이기 위한 방안을 모색해야 할 것이다.

• 한국산학기술학회논문지
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• 제21권6호
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• pp.475-481
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• 2020

본 연구는 2019년 청소년 건강행태조사 온라인 조사 자료를 활용하여 연구대상자의 인구사회학적 특성, 정신건강 관련 특성을 알아보고 그에 따른 주관적 건강인지, 평상시 스트레스인지, 자살생각·자살계획·자살시도에 영향을 미치는 요인들을 알아보고자 하였다. 전체 청소년 대상자는 57,303명이며, 그 중 고등학생 27,919명(48.7%), 중학생이 29,384명(51.3%)이었다. 주관적 건강인지, 평상 시 스트레스 인지, 최근 12개월 동안 자살생각·자살계획·자살시도 등의 정신건강과 관련된 요인을 찾아보기 위해 연구대상 청소년들의 일반적인 특성 및 건강관련 특성 뿐 아니라 그들의 연관성을 분석하였다. 그 결과 청소년의 성별, 학교구분, 거주형태(부모님과의 동거여부), 경제상태, 학업성적, 주중 인터넷 사용시간, 흡연경험, 음주경험, 약물경험, 학교폭력치료경험, 성관계경험, 최근 7일 동안 잠으로 피로회복 정도, 최근 12개월 동안 슬픔 및 절망감 경험 등의 변수를 이용한 결과 모든 변수들이 그 정도는 다르나 정신건강에 영향을 미치는 것을 알 수 있었다(p<0.05). 본 연구의 결과를 토대로 청소년의 건강행태 개선 및 정신건강 관련 예방적 대책 수립을 위한 기초 자료로 삼고자 한다.

• 한국산학기술학회논문지
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• 제14권9호
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• pp.4349-4358
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• 2013

본 연구는 노인의 주관적 구강상태와 구강건강영향지수와의 관련성을 알아보고, 이를 통해 삶의 질 향상 및 구강관리 방안을 위한 기초자료로 제시하고자 하였다. 2011년 5월부터 6월까지 조사, 연구대상은 65세이상 노인 231명으로 하였다. OHIP-14의 중위값을 산출하여 중위값(2.08) 보다 높은 그룹을 상위그룹으로, 평균보다 낮은 그룹을 하위그룹으로 나누어 구강보건행태와 주관적인 구강상태를 교차분석으로 측정하였고, 구강건강영향지수에 영향을 미치는 요인을 알아보기 위해 상관분석과 회귀분석을 실시하였다. 구강보건행태에 따른 구강건강영향지수는 유의하지 않았으며, 주관적 구강상태에 따른 구강건강영향지수는 현재 구강상태, 저작지장, 치통, 잇몸질환, 구강건조증, 구취 항목이 구강건강영향지수에 영향을 주고 있었다. 또한 구강건강영향지수에 영향을 미치는 요인을 확인하기 위한 회귀분석결과 저작지장, 치통, 구강건조증, 잇몸질환 경험이 높을수록 가장 영향을 미치는 것으로 나타났다. 이는 구강건강 영향지수가 높을수록 주관적 구강상태가 건강하지 못하다는 것을 알 수 있었다. 향후 노인의 삶의 질 향상을 위한 구강건강증진 예방프로그램 개발과 적극적인 구강관리 방안이 필요할 것으로 사료된다.

• Nutrition Research and Practice
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• 제10권5호
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• pp.555-562
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• 2016

BACKGROUND/OBJECTIVES: Childhood obesity has become a global epidemic. Development of effective and sustainable programs to promote healthy behaviors from a young age is important. This study developed and tested an intervention program designed to promote healthy eating and physical activity among young children in South Korea by adaptation of the US National Aeronautics and Space Administration (NASA) Mission X (MX) Program. SUBJECTS/METHODS: The intervention program consisted of 4 weeks of fitness and 2 weeks of nutrition education. A sample of 104 subjects completed pre- and post- surveys on the Children's Nutrition Acknowledgement Test (NAT). Parents were asked for their children's characteristics and two 24-hour dietary records, the Nutrition Quotient (NQ) at baseline and a 6-week follow-up. Child weight status was assessed using Korean body mass index (BMI) percentiles. RESULTS: At baseline, 16.4% (boy: 15.4%; girl: 19.2%) of subjects were overweight or obese (based on $BMI{\geq}85%tile$). Fat consumption significantly decreased in normal BMI children ($48.6{\pm}16.8g$ at baseline to $41.9{\pm}18.1g$ after intervention, P < 0.05); total NQ score significantly increased from 66.4 to 67.9 (P < 0.05); total NAT score significantly improved in normal BMI children (74.3 at baseline to 81.9 after the program), children being underweight (from 71.0 to 77.0), and overweight children (77.1 at baseline vs. 88.2 after intervention, P < 0.001). CONCLUSIONS: The 6-week South Korean NASA MX project is feasible and shows favorable changes in eating behaviors and nutritional knowledge among young children.

• 대한간호학회지
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• 제32권1호
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• pp.77-88
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• 2002

The purpose of this study was designed to develope and test the structural model that explains alcohol consumption behaviors among university students in Republic of Korea. The hypothetical model was constructed on the basis of the literature review and Pender's Health promotion model. Data was collected from questionnaires from 512 university students in Republic of Korea, from August to September, 2000. The reliability of instruments was adequate (Cronbach's alpha= .69-.90). Data analysis was done with SAS 6.12 for descriptive statistics and LISREL 8.13 program for covariance structural analysis. The results are as follows; 1. The overall fit of the hypothetical model to the data was moderate. Thus it was modified by male and female models. 2. The revised model has become parsimonious and had a better fit to the empirical data (male: χ2=87.21 p=.00, GFI=.97, AGFI= .94, NFI=.99, NNFI=1.0, CN=619.17, female: χ2=49.29 p=.31, GFI=.45, AGFI= .95, NFI=.99, NNFI=1.0, CN=370.02). 3. Self-efficacy was most significant factor and personality of novelty seeking, reward compensation, alcohol expectancy and drinking attitude have significant effects on male alcohol consumption behavior. 4. Personality of novelty seeking was most significant factor and personality of harm avoidance, friend influence, self-efficacies, alcohol expectancy and drinking attitude have significant effects on female alcohol consumption behavior.

• Nutrition Research and Practice
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• 제9권6호
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• pp.644-649
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• 2015

BACKGROUND/OBJECTIVES: Targeting consumers who consume lunches at their worksite cafeterias would be a valuable approach to reduce sodium intake in South Korea. To assess the relationships between socio-demographic factors, consumer satisfaction, attitudes, barriers and the frequency of sodium-reduced meal intake. SUBJECTS/METHODS: We implemented a cross-sectional research, analyzing data from 738 consumers aged 18 years or older (327 males and 411 females) at 17 worksite cafeterias in South Korea. We used the ordinary least squares regression analysis to determine the factors related to overall satisfaction with sodium-reduced meal. General linear models with LSD tests were employed to examine the variables that differed by the frequency of sodium-reduced meal intake. RESULTS: Most subjects always or usually consumed the sodium-reduced meal (49%), followed by sometimes (34%) and rarely or never (18%). Diverse menus, taste and belief in the helpfulness of the sodium-reduced meal significantly increased overall satisfaction with the sodium-reduced diet (P < 0.05). We found importance of needs in the following order: 1) 'menu diversity' (4.01 points), 2) 'active promotion' (3.97 points), 3) 'display of nutrition labels in a visible location' (3.96 points), 4) 'improvement of taste' (3.88 points), and 5) 'education of sodium-reduction self-care behaviors' (3.82 points). CONCLUSION: Dietitians could lead consumers to choose sodium-reduced meals by improving their taste and providing diverse menus for the sodium-reduced meals at worksite cafeterias.

• 대한간호학회지
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• 제44권2호
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• pp.119-128
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• 2014

Purpose: This study is an examination of the paths in which the primary factors of anxiety, impulsiveness, knowledge of life safety practice, attitudes towards life safety practice, interpersonal support, and self-efficacy from Pender's Health Promotion Model influence the practice of life safety behavior in school-age children. Methods: The sample consisted of 489 5th and 6th grade students recruited from five elementary schools in Seoul City and four provinces, South Korea. Data were analyzed using descriptive statistics, correlations, factor analysis, and structural equation modeling. Results: Attitudes towards life safety practice, interpersonal support, self-efficacy and impulsiveness directly influenced practice of life safety behavior. Anxiety did not have a direct influence on practice of life safety behavior, but indirectly affected it. In this modified model, 52.0% of the practice of life safety behavior was explained by the primary factors. Conclusion: To facilitate the practice life safety behaviors in late childhood, a positive attitude towards life safety needs to be developed along with decreasing impulsiveness and enhancing self-efficacy.