The study examined the characteristics of the relationship of home environment variables and children's social development. Two studies were conducted ; Study I examined (1) the correlation of home environment variables and children's social ability and (2) the predictability of home environment variables for children's social ability by children's age. Study II investigated the causal relationship among the variables which are supposed to affect children's social ability. The subjects of this study were 240 children at age four, six and eight attending nursery schools, kindergartens and elementary schools and their mothers. Instruments included the Inventory of Home Stimulation (HOME), the Inventory of Sociodemographic Variables, social maturation scale, and the social-emotional developmental rating scale. The results obtained from this study were as follows : 1) Home environment variables had a positive correlation with children's social development at age four and six, but at age eight, only HOME variables had a significant positive correlation with children's social development. 2) The home environmental variables that significantly predicted children's social development differed according to children's age. That is, play materials, economic status of the home, and parent education were predictive of children's social development at age four, while parent's education, fostering maturity and independence, and play materials were predictive at age six. Fostering maturity and independence, aspects of physical environment, and economic status of the home were predictive at age eight. 3) The causal model of home environment effect on children's social development was formulated by exogenous variables (parent education and economic status of the home) and endogenous variables (direct stimulation, indirect stimulation and the emotional climate of the home). 4) The results of the analysis of the causal model showed that the variables that have a direct effect on children's social development differed according to children's age. That is, direct stimulation had more effect on children's social development at earlier ages, and indirect stimulation had more effect on children's social development at later ages. Among socio-demographic variables, parent's education was most closely related to children's social development. The amount of variance that explained children's social development decreased with increase in children's age.
To evaluate the effect of cereal supplementation on children's iron nutritional status of Korean institutionalized was designed. Dietary survey was carried out methods of food weighting in the breakfast or/and dinner, and record interview in lunch (n=74). A nutritional intervention study was carried out through supplementing cereal for 4 weeks in 24 children of 1 institution from 4 to 12 years. The children received 3.6mg elemental Fe(as 100g cereal) per day. Blood samples were drawn before and after supplementation. Nutrients which children's intake was less than two-thirds of Korean RDA were Vit A, Vit B1, Vit B2, Ca and Fe. The mean daily intakes of iron were 5.1mg for male and 4.9mg for female and 52.3% for male and 45.4% for female of Korean RDA. The proportions of children with iron depletion assessed by TIBC(>360mg/dl) and serum ferritin(<20ng/ml) were 56.6% and 58.7%, respectively. The proportions of children with the iron deficient erythropoiesis assessed by serum iron(<70ml/dl), Hb(<12g/dl), and Hct(<36%) were 76.0%, 58.7%, and 64.0%, respectively. After cereal supplementation, in anemic children, levels of Hct(p<0.001), serum iron(p<0.001) and transferrin saturation(p<0.001) were significantly increased. The effect of cereal supplementation in children with iron deficient erythropoeisis was more effective to improve the iron nutritional status than children with iron depletion. It was concluded that cereal supplementation program in anemic children was also effective to improve iron nutritional status.
Purpose: The purpose of this study was to examine the health care management status of preschoolers depending on the children's characteristics. Methods: The sample of this study were 212 mothers of preschoolers attending Child Care Centers in three cities, Seoul, Daejon, and Suwon, in Korea. A self administered questionnaire developed by investigators was used to collect data from September 15 to October 31, 2002. Data was analyzed with SPSS 11.5 Win program. Results: 5.7% of the children had not completed their vaccination programs. Children who were second or later birth order showed less complete vaccination rates than firstborn babies. Children who had working mothers showed less complete vaccination rates than those whose mothers did not work. Among the various vaccinations, the DPT and MMR booster vaccination rates were the lowest. Home safety scores were higher when mothers have younger children. higher monthly incomes and reside in apartment type houses. Forty one(41%) of the preschoolers experienced accidents, and the accident rate was higher in boys and children with easy temperament. The most frequently experienced accident was laceration. Twenty eight point eight percent(28.8%) of the children experienced hospitalization because of various diseases. Most of the mothers perceived their children healthy. However, children who were second or third born were perceived less as healthy. Children in families with less monthly income were perceived as less healthy. Conclusions: This study provided basic data about preschoolers' health care management status focusing on vaccinations and accident rates. More attention should be paid to preschoolers' health and safety. Related factors found in this study should be considered when providing anticipatory guidance for parents.
Objectives: The purpose of this study was to examine health behavior and disease of children and adolescents. Method: Data was taken from the Korean National Health and Nutrition Examination Survey. The SPSS 12.0 program was used for statistical analysis of data collected. Results: For the past one year, 57% of study group had oral examinations, 43.9% of them were vaccinated against influenza, and 16.9% tried to control body weight. Many children and adolescents (37.7%) had diseases, and 16% were diagnosed chicken pox. Of the subjects who were over 10 years old 35.9% had low high density lipid. The difference of sickness status between children and adolescents was significant ($x^2$=8.376, P=.015). The differences between children and adolescents in subjective health status, oral examination, vaccination of influenza, subjective physical change, body weight change and weight control efforts in the past one year were significant. The differences between children and adolescents in diagnosis of sinusitis, pneumonia and low HDL were statistically significant. Conclusions: The children and adolescents have different characters in health perimeters and these factors should be considered in order to improve the health status of children and adolescents.
BACKGROUNDS/OBJECTIVES: The effects of malnutrition on growth of toddlers and preschoolers by socioeconomic status are not well known. This study aimed to examine the effects of dietary intake on growth outcomes in toddlers and preschoolers by household income level. SUBJECTS/METHODS: The study population was a total of 1,687 children aged 1 to 5 years that participated in the KNHANES from 2009 to 2011. Growth of children was assessed by height for age (HFA) and weight for height (WFH). Children were classified into three groups according to children's HFA and WFH compared to the $10^{th}$ and $90^{th}$ percentiles of the 2007 Korean Children and Adolescent Growth Standard. Average monthly household income was divided into quartile groups. Dietary intake data were obtained by using the one day 24-hr recall method. Risks of inadequate intake of nutrients and unfavorable growth were estimated by using a multiple logistic regression model adjusted for sex, age, region, and energy intake. RESULTS: The low HFA group (<$10^{th}$ percentile) had significantly lower intakes of energy, carbohydrate, and thiamin as compared with the high group (${\geq}90^{th}$ percentile). For WFH status, vitamin C intake was lower in the low group than in the high group. Household income level was related to WFH status but not HFA. Children from lower income households were more likely to have high WFH than those from higher income households (P for trend = 0.038). Household income status was also significantly related with risk of inadequate intake of micronutrients such as thiamin (P for trend = 0.032) and vitamin C (P for trend = 0.002), showing higher odds of inadequate intakes in children from lower income households. CONCLUSIONS: Children from lower income households were prone to be overweight and to have inadequate intakes of micronutrients such as thiamin and vitamin C. To reduce nutritional and health disparities, collective action in the public sector is required from early life.
Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.
In Korea, several national cross-sectional surveys monitor the diet, nutritional status, and health status of children. This continual dedicated national surveillance system contributes to the identification of nutritional and health issues, establishment of public health policies, and development of nutrition recommendations. This paper provides recent information about the Korea National Health and Nutrition Examination Survey and the Korean Youth Risk Behavior Web-based Survey and describes key nationwide survey findings published in the last 5 years on infant feeding practices and the dietary intake and nutritional status of Korean infants, children, and adolescents. There have been increasing trends in children, and teenagers who skip breakfast, eat fast food, consume sugary drinks, have vitamin D deficiency, and are obese. This review will inform pediatricians, nutritionists, and other health care practitioners who track children's growth and development. It may also help researchers and policymakers identify diet-related policies and strategies for chronic disease prevention in Korean infants, children, and adolescents.
This study examined the variables that influence career maturity in elementary school students and tested a hypothetical structural equation model relating the variables to career maturity. The subjects were 2,771 fourth-grade children(1,494 boys and 1,277 girls) who participated in a Korea Youth Panel Survey(KYPS) in 2004. Data were analyzed through frequency, percentages, Pearson's correlations using SPSS 15.0and structural equation modeling with AMOS7.0. The findings are as follows. The proposed model, as revised, demonstrated the effectiveness of an analysis of the structural equation model, and illustrated that the socio-economic status of parents has only an indirect influence on children's career maturity via relationship with parents, children's self-image or academic work. In addition, relationship with parents, children's self-image, and academic work independently affected children's career maturity both directly and indirectly. Based on the causal relationships among these related variables, the findings reveal that the best pathway towards children's career maturity is in the order of socio-economic status, relationship with parents, children's self-image, and children's academic work.
This Study was designed to measure the nutritional health status of school children and to identificate the responsible factors determining the variation of nutritional health status. This information can be utilized as a data for health promotion of scho
This study sought to examine the effects of child-parent attachment and its concordance with children's peer status. The subjects were 110 5-6 year old kindergarteners (48 boys & 62 girls) and they were asked to respond to the Attachment Story Completion Task by Bretherton & Cassidy (1990) and the peer rating scale by Asher, Singleton, Tinsley & Hymel (1979). Our results indicate that the secure mother-child and father-child attachment groups had higher peer status than the insecure attachment groups. The insecure-avoidant groups had the lowest peer status. Young children who were securely attached to both parents and at least one parent had higher peer status than who were found to be insecurely attached to both parents. The implications for parent education for enhancing peer relations were also discussed.
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