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The Relationship between Depression and Health Behavior in Adolescents (청소년의 우울성향과 건강관련행위간의 관계 연구)

  • Park, Nam-Hee;Kim, Mi-Oak
    • Child Health Nursing Research
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    • v.11 no.4
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    • pp.436-443
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    • 2005
  • Purpose: This study was done to explore the levels of depression experienced by adolescents, and to compare health behavior between depressed and non-depressed adolescents. Method: Participants were chosen by a stratified random sampling of adolescents in the second grade of a high school in P city. Levels of depression and health behavior of the students were measured using questionnaires. Data collection was done in May, 2002. Data were analyzed with descriptive statistics and logistic regression using the SPSS WIN 10.0 Program. Results: The prevalence of depression (CES-D) among the students was $53.5\%$. In multiple logistic regression analysis, sex (OR 1.80, $95\%$ Cl 1.35-2.41), school performance, mid (OR 1.68, $95\%$ Cl 1.48-1.97) and low (OR 1.42, $95\%$ Cl 1.29-1.61), drinking (OR 1.47, $95\%$ Cl 1.09-1.98), and not eating breakfast (OR 1.74, $95\%$ Cl 1.56-1.97) were significantly higher in students in the depressed group than those in the non-depressed group. Conclusions: Based on the findings, we concluded that many adolescent experience depression and depression in adolescents is significantly related to behaviors of smoking, alcohol, no exercise, and not eating breakfast. However this study did not address causality among these variables. There, further research, such as a longitudinal study, is needed to identify causality among the variables.

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The Relation Between the Occupational Stress and Fatigue Level of Neonatal Nurses (신생아실 간호사의 직무 스트레스와 피로도와의 관계)

  • Park, Eun-A;Park, Jeong-Eon
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.3
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    • pp.261-269
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    • 2011
  • Purpose: The purpose of this study was to investigate occupational stress and fatigue level of neonatal nurses and to assess relationship between the two of them. Methods: Subjects were 109 neonatal nurses working at 2 university hospitals and 9 women's hospitals in D city, and the data were analyzed using descriptive statistics and binary logistic regression analysis by the SPSS/WIN 15.0. Results: The mean score of nurses' occupational stress level was 3.22, and the highest was 'night shift' among the 7 subcategories, and fatigue level was 62.0, and the highest was physical fatigue in configuration field. In logistic regression analyses, 'heavy workload' and 'inadequate physical environment' led to most occupational stress. Conclusion: In addition to significantly higher levels of occupational stress of neonatal nurses, the cumulative fatigue also resulted in decreased quality of nursing, job satisfaction and nursing productivity; therefore, appropriate number of nurses and improvement of work environment is necessary. Furthermore, to reduce the occupational stress and fatigue, we should try to develop adequate clinical guidelines and intervention strategies and apply them in neonatal care unit.

Differences of Prevalence and Associated Factors of Falls in Community-Dwelling Older People with Hypertension (고혈압이 있는 재가노인의 낙상발생의 차이 및 영향요인)

  • Jang, Gun-Ja;Jeon, Eun-Young;Kwon, Byung-Hyun
    • Journal of Korean Public Health Nursing
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    • v.24 no.2
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    • pp.302-310
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    • 2010
  • Purpose: A comprehensive analysis of demographical, disease, functional status and fall risk related factors identified factors associated with falls in elderly hypertensive. Method: A descriptive research design was used. The participants were 124 persons aged 65 years or older registered at the community center in Daegu city. The data were collected from October, 2008 to February, 2009. Frequency, Fisher's exact test, $X^2$-test, t-test, and logistic regression were done using the SPSS V17.0. Results: Ninety (72.6%) subjects had experienced falls. The occurrence differed according to number of medications, activities of daily living and competence of vision. Logistic analysis revealed number of medication and impaired vision as independent risk factors for subsequent falls. Conclusion: Supportive nursing for the elderly needs to focus on dizziness and impaired vision to prevent falls in community-dwelling elderly with hypertension.

Risk Factors for Overweight and Obesity of Korean Preschool Children: Based on the Ecological Model (학령전기 아동의 과체중 및 비만 관련 위험요인: 생태학적 모델을 바탕으로)

  • Ra, Jin Suk;Jeong, Yeon-Hee
    • Journal of Korean Public Health Nursing
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    • v.33 no.2
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    • pp.175-187
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    • 2019
  • Purpose: The purpose of this study was to identify the potential risk factors - children's factors, parental factors, and familial-environmental factors - with respect to overweight and obesity in Korean preschool children. Methods: This study used a descriptive cross-sectional design and involved 264 pairs of mothers and preschool children aged 3-5 years (121 boys, 143 girls) attending daycare centers in C city. Multiple logistic regression analyses were used to identify significant risk factors for overweight and obesity in preschool children. Results: According to the multivariate logistic regression, family history of diabetes mellitus as children's factors, overweight or obesity of both parents as parental factors were significantly associated with an increased likelihood of overweight and obesity in preschool children. In addition, lack of community space for physical activity as familial-environmental factors was significantly associated with increased likelihood of overweight and obesity. Conclusions: Health care providers should concerned with the risk of overweight and obesity in children with high risk familial factors, such as family history of obesity and diabetes mellitus. Moreover, policies should be set in place to make sure communities include space that foster physical activity in young children.

Factors Affecting HPV(Human Papilloma Virus) Vaccination Intentions of Female Adolescents and their Mothers (여성 청소년과 그 어머니의 사람유두종바이러스 예방접종의도 영향요인)

  • Lee, Miyeon;Kim, Suhee
    • Journal of Korean Public Health Nursing
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    • v.36 no.1
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    • pp.33-46
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    • 2022
  • Purpose: The purpose of this study was to identify factors that affect the intention of HPV vaccination in 12-year-old female adolescents and their mothers. Method: A descriptive study was conducted with 64 HPV-unvaccinated female adolescents and their mothers in W city, Republic of Korea. Data collection was conducted from October to November in 2019. The data were analyzed using SPSS WIN 24.0 Program. Descriptive statistics, paired t-test, independent t-test, χ2-test and logistic regression analysis were conducted. Result: According to the results, 57.8% and 62.5% of female adolescents and mothers had the intentions of HPV vaccination, respectively. In the logistic regression analysis for the factors affecting female adolescents' and mothers' HPV vaccination intentions, there was no significant factor in female adolescents. In the case of mothers, the significant factors were cervical cancer knowledge and perceived disability. Conclusion: In order to increase the HPV vaccination rate, educational programs are needed to provide knowledge of cervical cancer. A variety of intervention strategies should be developed to decrease the perceived disability of HPV vaccination health beliefs.

A Comparison of Urban Growth Probability Maps using Frequency Ratio and Logistic Regression Methods

  • Park, So-Young;Jin, Cheung-Kil;Kim, Shin-Yup;Jo, Gyung-Cheol;Choi, Chul-Uong
    • Journal of the Korean Institute of Landscape Architecture
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    • v.38 no.5_2
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    • pp.194-205
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    • 2010
  • To predict urban growth according to changes in landcover, probability factors werecal culated and mapped. Topographic, geographic and social and political factors were used as prediction variables for constructing probability maps of urban growth. Urban growth-related factors included elevation, slope, aspect, distance from road,road ratio, distance from the main city, land cover, environmental rating and legislative rating. Accounting for these factors, probability maps of urban growth were constr uctedusing frequency ratio (FR) and logistic regression (LR) methods and the effectiveness of the results was verified by the relative operating characteristic (ROC). ROC values of the urban growth probability index (UGPI) maps by the FR and LR models were 0.937 and 0.940, respectively. The LR map had a slightly higher ROC value than the FR map, but the numerical difference was slight, with both models showing similar results. The FR model is the simplest tool for probability analysis of urban growth, providing a faster and easier calculation process than other available tools. Additionally, the results can be easily interpreted. In contrast, for the LR model, only a limited amount of input data can be processed by the statistical program and a separate conversion process for input and output data is necessary. In conclusion, although the FR model is the simplest way to analyze the probability of urban growth, the LR model is more appropriate because it allows for quantitative analysis.

Prevalence of Children's Allergic Diseases in Ulsan: Local Differences and Environmental Risk Factors (울산지역 초등학생 알레르기 질환 유병률: 지역적 차이와 환경위험인자)

  • Oh, In-Bo;Kim, Yangho;Sim, Chang Sun;Lee, Ji Ho
    • Journal of Environmental Health Sciences
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    • v.38 no.6
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    • pp.472-481
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    • 2012
  • Objectives: This study aims to investigate the AD (allergic diseases: asthma, allergic rhinitis and atopic dermatitis) prevalence among elementary schoolchildren in an industrial city, Ulsan, and identify major environmental risk factors associated with AD prevalence. Methods: Data on the physician-diagnosed prevalence over the past 12 months and potential risk factors of AD were collected through a questionnaire from a 2009-2010 survey of 4,067 schoolchildren living in different urban environments. The logistic regression analysis was performed to assess differences in AD prevalence among the areas and to determine which environmental factors impacted AD. Results: Our survey results showed that the AD prevalence rate ranged between 26.2% and 35.9%. Children living in polluted areas (near industrial and central urban areas) had about a 10% higher prevalence of AD than did those living in coastal or suburban residences. The Chi-Square test demonstrated that this local difference was statistically significant before and after adjustment of major confounders such as parental AD history and parental education. The results of the logistic regression analysis showed a statistically significant association between several environmental factors (ventilation in winter, odor conditions and exposure to traffic smoke, and outdoor $PM_{10}/O_3$ pollution) and the prevalence of AD found by multivariate model after adjusting confounders. Conclusion: These results suggest that local differences in AD prevalence are significantly associated with outdoor environmental factors. Although there are likely to be other risk factors for AD, living in a polluted area and exposure to high levels of air pollutants can contribute to an increased risk of childhood AD.

Predictive Value of the Pattern of β-Catenin Expression for Pathological Response to Neoadjuvant Chemotherapy in Breast Cancer Patients

  • Elsamany, S;Elemam, O;Elmorsy, S;Alzahrani, A;Abbas, MM
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.4089-4093
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    • 2016
  • Purpose: This study aimed to explore the association of ${\beta}-catenin$ expression pattern with pathological response after neoadjuvant chemotherapy in breast cancer (BC) patients. Materials and Methods: In this retrospective exploratory study, data for 50 BC patients who received neoadjuvant chemotherapy were recorded. ${\beta}-catenin$ expression in tumours was assessed using immunohistochemistry and classified as either membranous or cytoplasmic according to the pattern of staining. Distributions of different clinico-pathological parameters according to ${\beta}-catenin$ expression were assessed using the Chi-square test. Logistic regression analysis was used to assess any relation of the pattern of ${\beta}-catenin$ expression with the pathological response. Results: Cytoplasmic ${\beta}-catenin$ expression was detected in 34% of BCs. Among our cases, 52% were hormonal receptor (HR)-positive, 24% were HER2-positive, 74% were clinical stage III and 74% received both anthracycline and taxane-based chemotherapy. Patients with cytoplasmic expression were more commonly younger than 40 years at diagnosis (cytoplasmic, 41.2% vs. no cytoplasmic expression, 12.1%, p=0.03). By doing t-test, cytoplasmic ${\beta}-catenin$ expression was linked with a higher body mass index compared to membranous-only expression ($mean{\pm}SD$ $33.0{\pm}4.47$ vs. $29.6{\pm}6.01$, respectively, p=0.046). No significant associations were found between ${\beta}-catenin$ expression and other parameters such as HR and HER2 status, or clinical stage. Complete pathological response (pCR) rate was twice as great in patients with membranous expression but without statistical significance (membranous-only, 33.3% vs. cytoplasmic, 17.6%, OR= 2.3, 95% CI= 0.55-9.87, p=0.24). Conclusions: This study suggests that cytoplasmic ${\beta}-catenin$ expression may be linked with lower probability of achieving pCR after neoadjuvant chemotherapy. These data need to be validated in a larger cohort of patients.

General Workers Living with Younger Children in Fukushima Performed more Preventive Behavior against Radiation during and after the Nuclear Disaster

  • Kanda, Hideyuki;Sugaya, Nagisa;Takahashi, Kenzo;Mizushima, Shunsaku;Koyama, Kikuo
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6893-6897
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    • 2013
  • Background: During and after the Fukushima nuclear disaster (FND), many parents were concerned about the effects of radiation on the health of their children. Purpose: To clarify the factors that influenced general workers living with children and the effect of child age groups in implementing preventive behaviorsagainst radiation following the FND. Materials and Methods: A descriptive study of preventive behaviors among general workers was carried out 3-5 months after the nuclear disaster. The subjects were 1,394 regular workers, who took part in radiation seminars run by the Fukushima Occupational Health Promotion Center between July and September, 2011. In total, 1,217 responses were submitted, of which 1,110 were eligible for the present study. This anonymous questionnaire survey inquired about the presence and age of children in the household and about radiation preventive behavior implemented after the FND. The contribution of each variable was assessed by logistic regression analysis. Results: General workers in Fukushima who lived with younger children performed more preventive behavior against radiation during and after the FND. In particular, both location-related and daily routines were practiced significantly more frequently (p<0.01) by workers living with a child in the age ranges of 0-6 (8 of 10 items) and 7-12 (5 of 10 items). Conclusions: This is the first study to assess the positive association between living with children by age group and increased preventive behavior against radiation implemented by general workers after the FND.

Factors affecting the Success of Smoking Cessation for Six Months in the Smoking Cessation Clinic of a Public Health Center Based on the Trans?theoretical Model (범이론적 모형을 기초로 한 보건소 금연클리닉 등록자의 6개월 금연성공요인)

  • Kim, Yun-Hee
    • Research in Community and Public Health Nursing
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    • v.20 no.4
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    • pp.433-442
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    • 2009
  • Purpose: The purpose of this study was to identify factors affecting on the successful cessation of smoking for six months in the smoking cessation clinic of a public health center. Methods: The subjects of this study were 568 adult smokers who had registered in the smoking cessation clinic of a public health center in B City. Data were analyzed through $x^2$-test, t-test, and logistic regression using the SPSS/WIN 12.0 program. Results: Identified factors affecting the successful cessation of smoking for six months were service type, number of counseling, alcohol problem, previous quit-smoking trial, dependency on nicotine, CO level in expiration at the first visit time, self-reevaluation, helping relationship, negative/affective situational temptation, and Cons. Conclusion: Trans-theoretical Model variables were confirmed as factors affecting the success of smoking cessation. Based on the results of this study, a smoking cessation program was suggested, which uses Trans-theoretical Model variables affecting smoking cessation for six months in a public health center.

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