The purpose of this study was to estimate the prevalence and to identify risk factors of overweight among preschool children in Korea. The study subjects were 750 children, aged 2-6, attending child care centers in Korea. A measurement of the height and weight of the children, as well as collection of wide range of variables including general characteristics, and potential factors related with dietary habit for children and their parents, were conducted. Overweight was defined based on more than 110% of ideal body weight. A logistic regression analysis was adopted to identify the factors associated with overweight. Subjects were classified into three categories according to the obesity index : underweight(PIBW〈90%, n=34), normal(90%$\leq$PIBW〈110%, n=577), and overweight(PIBW$\geq$110%, n=139). The overall prevalence of overweight and underweight of the subjects were 21.3% and 4.0% of the boys and 15.5% and 5.1% of the girls respectively. Parent's obesity was associated with a higher risk of overweight on girls. Subjects o the third quartile(girls) and fourth quartile(boys) of income level had a substantially higher risk of overweight than did those in the first quartile. Fast eating, overeating, and food prejudice were also associated with an increased risk of overweight. The results of a logistic regression analysis showed that the eating habits and food preferences of the children were the most influencial factors on overweight. These finding may imply the importance of early stage nutrition education on rational dietary habit to prevent prevailing obesity of preschool in Korea.
This study was conducted to provide basic information on the nutritional status and health status of the rural elderly. The food intake, food habits and others health related factors were surveryed by interview method. The subjects was 200 people(71 male, 129 female) aged over 65 year in the Han-an area. The obtained results as follows; Their average age is 73.5$\pm$5.6. Mean height and weight of elderly men were 163 cm and 58.1 kg. respectively and 148.7 cm and 50.0 kg for women. The regularity appetite and frequency of eating snacks and eating out were higher in men than in women. The favorite snacks for men were alcohol fruit coffee and for women was fruit, candy, cookies and coffee. The daily alcohol drinking and smoking ration were 50.0%, 60.6% for men, respectively and 14.0%, 24.8 % for women. The nutritional intake ratio to RDA of men was significantly higher than women. Especially, the intakes of energy, Ca, Vit.A, Vit B$_1$, Vit B$_2$ niacin were extremely low in women. The frequency of alcohol intake was related to nutrient intake of women . There was a negative correlation between age. smoking rate and the nutritional intake. The pocket money, weight height appetite, and frequency of snacks showed a positive relation to nutritional intake. In conclusion the study shows that gender did influence food intake in the elderly, Food intake of women was extremely in deficit, because the most elderly rural women live alone. For successful aging. a program for rural elderly is needed on the govermment level, i.e actions to provide minimum economic life, food delivery and psychological/ physical health care through regional pubilc health centers.
Han, Young Ran;Park, Young Rye;Kim, Young Hee;Choi, Hee Chung;Chung, Mi Ja
Research in Community and Public Health Nursing
/
v.23
no.2
/
pp.165-178
/
2012
Purpose: The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty. Methods: Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task. Results: The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance. Conclusion: Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.
Objectives: This study was conducted to evaluate the nutrition quotient (NQ) by gender and understand which factors influence NQ in preschool children. Methods: Subjects were 245 children (110 boys, 135 girls) aged 4-6 years and their parents. The questionnaire composed of demographic characteristics, eating behavior factors and the NQ questions. The NQ consisted of 19 food behavior checklist items and all items were grouped into 5 factors: balance, diversity, moderation, regularity, and practice. Inbody J05, a measurement device that measures individual's body composition was used to measure children's anthropometric data. All data were statistically analyzed by SPSS program (Ver. 20) and the statistical differences in variables were evaluated by Student t-test, ${\chi}^2-test$, One-way ANOVA and Duncan's multiple range test. Results: The total NQ score of the subjects was 65.3. The NQ score of girls (67.0) was significantly higher than that of the boys (63.2) (p<0.01). The girls' average scores of NQ factors including diversity (p<0.01) and practice (p<0.05) were higher than those of the boys. The analysis of related-factors influencing NQ scores showed that there was a significant difference among the groups according to feeding methods during infancy (p<0.05), breast feeding group being the highest. Furthermore, the NQ score showed a significant difference depending on how to correct children's unbalanced diet as well as parents' nutrition knowledge. The NQ score of obesity group tended to be lower than that of underweight group although there was no significant difference. Conclusions: Overall results indicated that the girls had better quality of diet and eating habits than the boys. Children and their parents need proper nutrition education and counseling to correct children's eating habits and to improve diet quality in kindergartens and in children care centers.
This study was conducted to investigate nutritional knowledge, dietary attitudes, and dietary behaviors of adult women, and to examine if these characteristics were different by acne status. Subjects were 106 adult women residing in Seoul recruited from clients and employers at skin care centers, and housewives from apartment complexes. Surrey instrument was adapted or modified based on literature review and dietary intakes were assessed using 24-hour recalls for two days and CAN-pro. All data was statistically analyzed using x$^2$test and ANOVA. When examined by acne status, 41.5% of subjects were categorized into acne group, 20.8% were as ex-acne group, and 37.7% as no-acne group. Parental experience of acne was significantly related to acne status(p〈 0.01). Education, employmental status, and smoking or drinking status were not related to acne status. Subjects had a moderate level of nutritional knowledge(72.7 point) and the nutritional knowledge store was not significantly different by acne status. When examined by individual items, the groups showed significant difference on the items regarding vitamin C and necessity of carbohydrates(p 〈 0.05). Subjects showed favorable dietary attitudes. Although the acne group showed more favorable attitudes on the importance of nutrition on acne, the overall dietary attitudes of the acne group were not significantly different from the ex-acne group or no-acne group. Similarly only small differences were noticed in dietary behaviors or nutrient intakes by acne status. Cholesterol consumption was hitgher in the no-acne group than in the acne group or ex-acne group(p 〈 0.01). The intakes of energy, iron, and calcium was much below the RDA in three groups. Although there were not many significant differences in nutritional knowledge, dietary attitudes, and dietary behaviors by acne status, this study provided some baseline information regarding study variables by acne status.
The purpose of this study was to determine factors affecting the suicidal ideation in spouse caregivers of the elderly with dementia Living in the Community. The data were collected from 160 spouses of elderly people with dementia who use dementia support centers and long-term care service in seoul. Data were collected with structured questionnaires to investigate the general characteristics and suicidal ideation-related factors, and analyzed using t-test, ANOVA, Pearson's correlation coefficient, Multiple regression analysis with SPSS win version 24.0 program. The significant factors affecting suicidal ideation were entrapment(${\beta}=.452$), SDAP(${\beta}=.273$), coping strategies(${\beta}=-.199$), it were explained 55.7%(F=19.199, p<.001). Therefore, counseling and education should be provided to help reduce the entrapment and enhance coping strategy with the dementia condition of the elderly with dementia. Measures also need to be made to improve the accessibility of a spouse with dementia that are left neglected.
This study investigated the effects of young children's learning-related skills and the maternal involvement on academic abilities. The sample consisted of 310 children from 7 child-care centers located in Seoul and Gyeonggi Province. All variables were measured by the teachers and the mothers of surveyed children. The instrument included the Korean Child Development Inventory(K-CDI) for 4 to 6-year olds and Preschool Learning Behavior Scale(McDermott et al 2000) and the questionnaire on mother's involvement about their children's education. The collected data was analyzed by t-test and hierarchical regression using the SPSS Program. The findings are as follows. First, regardless of the family income level, verbal comprehension and numerical abilities were positively associated with their learning-related skills of young children. Second, the interaction effect of learning-related skills and the mothers' involvement on verbal comprehension of young children in the low-income families was observed. However, no interaction effect was seen in terms of learning-related skills and the maternal involvement on verbal comprehension and numerical abilities of young children in the high-income families. These findings highlight the importance of learning-related skills and their mothers' involvement during the preschool period for the low-income family in improving the early academic achievement.
This study aimed to identify the contributors of extra-curricular activities of preschool children focusing on home environmental factors(financial capital, human capital, and social capital) and maternal belief about factors on academic achievement(child's effort, child's ability, teacher's instruction, and maternal teaching). One hundred and seventy three mothers whose preschool children were attending child-care centers in Seoul and Kyunggi-Do participated in the survey. Kinlaw et al.(2001)'s Importance of Effort/Ability Scale was used to assess the mother's belief about the factors on academic achievement. Stipek et al.(1992)'s Activities Sub-scales was revised to measure a social capital, that is the mother's formal and informal activities providing to their preschool child. Educational level was utilized as human capital and monthly income was considered as financial capital. Also, using open ended questions, the subjects were asked to respond to the numbers of extra-curricula activities their child was presently attending, and when he or she began to attend the extra-curricular activity. The main results are as follows. In general, the mothers provided informal activities to their preschool child more than formal activities. Also, they believed the teacher's instruction is the most important and the child's ability the least important in their child's academic achievement. The number of extra-curricular activities was predicted by mothers' formal activities and their belief on their child's ability. The age of starting extra-curricular activities were explained by mothers' formal activities and their educational level.
This study identified the mediating effect of the child's emotional expression on the relationship between the mother's empathy and the child's prosocial behavior. The participants included 310 mothers of children between the ages of 2 and 5 from two kindergartens and four day care centers located in Gyeonggi-do. The mother's empathy was measured using the Interpersonal Reactivity Index. The child's prosocial behavior was measured using the Preschoolers' Prosocial Behavior Index. The child's emotional expression was assessed using a questionnaire from previous research. First, older mothers and less educated mothers showed a higher level of empathy. Mothers over the age of 30 were more likely to have the ability to imagine other roles in movies or books, and to show empathic concern than those under 36. Mothers without a college degree showed a higher level of perspective-taking than those with a college degree. Second, girls were more likely to engage in prosocial behaviors and show emotional expressions than boys. Three-year-old children were more likely to share than two-year-old children, showed more initiative than two- and four-year-old children. Third, the mother's perspective-taking and empathic concern were significantly related to the child's prosocial behavior and emotional expression. The mother's personal distress was related to the child's control over emotions and awareness of other's emotion. Finally, the child's emotional expression had a mediating effect on the relationship between the mother's empathy and the child's prosocial behavior.
Purpose: The purpose of this study is to analyse time taken for visiting nursing activities by visiting nurses in health centers. Method: A questionnaire was developed by a research team for the technological support of visiting nursing activities and visiting nurses. A total of 481 questionnaires were recovered by five visiting nurses from May to October 2003. Result: A visiting nurse's total length of time for visiting activities was 532.2 minutes per day and the number of households a visiting nurse visits a day was 4.5. A visiting nurse spent 133.3 minutes for actual nursing services and 119.1 minutes for travelling. Time for actual nursing activities was more than half of the total working hours. Time for travelling was 42.9 minutes on the average when using public transportation means and 25.6 minutes when using a car. Conclusion: The results of this study is expected to be used as basic data in establishing plans for the adequate supply of visiting nurses based on demands for visiting nursing services.
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