• Journal of the Korean Society of School Health
• /
• v.33 no.1
• /
• pp.28-38
• /
• 2020

Purpose: This study aimed to identify the prevalence of alcohol and cigarette use and assess its relationship with socio-environmental, psychological, violent and behavioral factors among a sample of high school students from Lima and Callao, Peru. Methods: We utilized the data from a cross-sectional study conducted by the Yonsei Global Health Center in collaboration with the Korea International Cooperation Agency (KOICA) Peru office in November 2016. The total sample size of this study was 1,477 students. For analysis, we used bivariate and multivariate logistic regression to calculate the unadjusted and adjusted odds ratios and their respective 95% confidence intervals. Results: The current prevalence of alcohol and cigarette use among adolescents was found to be 24.2% and 12.1%, respectively. Alcohol use was affected by age, friends' alcohol use, experience of physical fighting, and involvement in other risk behaviors (smoking, drug use, and sexual intercourse). Cigarette use was affected by perceived academic performance, friends' cigarette use, and involvement in other risk behaviors (drinking, drug use, and sexual intercourse). Furthermore, students who received affection from their parents and whose parents monitored their activities were less likely to report using both alcohol and cigarettes. Conclusion: Alcohol and cigarette use among Lima and Callao adolescents is affected by socio-environmental, violent and behavioral factors. Alcohol and cigarette use prevention initiatives should promote positive parenting practices, family togetherness, and a supportive school climate. In addition, it is needed to establish peer-led programs that promote behavioral changes in students and strengthen social relations without the presence of alcohol, cigarettes, and other harmful substances.

• Korean Journal of Health Education and Promotion
• /
• v.22 no.2
• /
• pp.111-124
• /
• 2005

Objectives: The purpose of this study is to evaluate the impact of psycho-social factors on smoking especially the impact of a social support and stress on smoking among boy's high school students. Methods: This study was conducted by administering a questionnaire to 442 boys' high school students living in Deajeon, Korea. This data were analyzed with the SPSS statistical package using t-test and logistic regression. Major findings of this study are as follows: Results: 1. Analysis of the relationship of smoking, stress and social support: The relationship between stress and smoking and between friend's support and smoking had a positive correlation. But the relationship between parents' support and smoking and between teacher's support and smoking had a negative correlation. 2. Multiple logistic analysis of the impact of stress, social support and general characteristics on smoking: The relationship between stress and smoking had a positive correlation as social support and general characteristics were controlled. In contrast, the relationship between social support -parents', friend's, teacher's support- and smoking had no significant correlations as stress and general characteristics were controlled. The risk factors of smoking of boy's high school students were smoking friends, drinking, a type of school, pocket money per month, and stress. And the most powerful predictor of smoking was smoking friends(OR=12.35). Conclusions: The results showed that the variables affecting mainly on smoking were the personal background -smoking friends, drinking, a type of school, pocket money per month- and stress. Therefore, these findings give useful information for constructing a program against smoking or educating about smoking.

• Journal of Preventive Medicine and Public Health
• /
• v.52 no.2
• /
• pp.115-122
• /
• 2019

Objectives: The aim of this study was to assess knowledge, attitudes, and practices regarding tuberculosis (TB) in the general population in Timor-Leste. Methods: In the nationally representative cross-sectional 2016 Timor-Leste Demographic and Health Survey, 4622 men (aged 15-59 years) and 12 607 women (aged 15-49 years) were randomly selected using stratified multistage sampling and interviewed. Results: Overall, 66.9% of men and 62.8% of women were aware of TB, 4.4% of men and 12.6% of women had TB courtesy stigma, and 83.3% of men and 88.6% of women reported intention to receive TB treatment. The $mean{\pm}standard$ deviation overall TB knowledge score was $3.9{\pm}2.0$ (out of 8) among men and $3.0{\pm}1.8$ among women. In a multivariable linear regression analysis, among both men and women, older age, higher education, rural residence, and sources of TB information (family/friends, school/workplace, health care provider, Internet, television, and newspaper) were associated with higher TB knowledge scores. In addition, among women, higher wealth status and having heard about TB from the radio were associated with higher TB knowledge scores. Negative associations with TB courtesy stigma were found for urban residence and having heard about TB from family or friends among men, and for older age, higher TB knowledge, and TB information sources (family/friends and school/workplace) among women. Among both men and women, higher TB knowledge scores and having heard of TB from a health care provider were associated with intention to receive TB treatment. Conclusions: This study identified socio-demographic risk factors for deficiences in population-based TB knowledge in Timor-Leste; these findings should be considered when designing TB communication, prevention, and control strategies.

• Korean Journal of Health Education and Promotion
• /
• v.24 no.3
• /
• pp.35-49
• /
• 2007

Objectives: This study examines the relationship between social capital and suicidal impulse for the Metropolitan Seoul residents, paying particular attention on individual and area level risk factors using multilevel analysis techniques. Methods: Data are obtained from the 2005 Seoul Health Indicators Survey and the Seoul Survey. At the individual level, we analyze demographic variables including sex, age, marital status, educational attainments, family income, field of economic activities, having close friends or relatives, and having participating groups or organization. To measure the area level social capital, happiness index, attitude toward minority, the percent of volunteer activity, the percent of having close friends or relatives, and the percent of participating groups or organization are considered. A multilevel logistic regression analysis is conducted utilizing the SAS 9.1. Result: Results show that non-aged, female, not currently married, unemployed individuals tend to have relatively high motivation of suicide. Controlling for individual level covariates, the relationship between social capital and suicidal impulse is neither significant nor substantial. Further, the consideration of area social capital does not explain the variances in suicidal impulse across 25 Kus. Conclusion: Suicidal impulse among Seoul residents is mainly attributable to the composition of individual characteristics but little to the contextual social capital.

• Asia Marketing Journal
• /
• v.17 no.4
• /
• pp.43-61
• /
• 2016

This paper has identified some theoretical reasons and empirical evidence for negative scores that occur in Japan and Korea or unstable NPS scores that can be experienced. A psychological analysis of NPS results sheds light on the validity of the negative NPS scores that are often found in Japan and Korea. Usually customer experience surveys utilize a "single stimulus" such as the "company" or the "company's products / services." However, in the case of the "recommendation to friend" question of the NPS system there are two stimuli namely the "company product/service" and the influence of "friends." Hence, the survey outcomes from this question can be very different when compared with other single stimulus questions such as "overall satisfaction" or "repurchase." Japanese and Korean people may have a positive attitude towards the company but they will provide low NPS scores because they are reflecting that they would not run the risk of ruining their relationships with their friends by making a recommendation. As a result, in the NPS system these people will be labeled as "detractors" when in fact they are "ambivalent customers." Using several Japanese and Korean based marketing research industry examples and case studies, different strategies are proposed to address the issue of negative scores in the NPS system in Japan and Korea. The Customers Psyche appears to be the key determinant factors for both types of behavioural items (items with a single stimulus as well as items with two stimuli).

• Women's Health Nursing
• /
• v.29 no.4
• /
• pp.302-316
• /
• 2023

Purpose: This study aimed to develop and validate a structural model for the quality of life (QoL) among high-risk pregnant women, based on Roy's adaptation model. Methods: This cross-sectional study collected data from 333 first-time mothers diagnosed with a high-risk pregnancy in two obstetrics and gynecology clinics in Cheonan, Korea, or participating in an online community, between October 20, 2021 and February 20, 2022. Structured questionnaires measured QoL, contextual stimuli (uncertainty), coping (adaptive or maladaptive), and adaptation mode (fatigue, state anxiety, antenatal depression, maternal identity, and marital adjustment). Results: The mean age of the respondents was 35.29±3.72 years, ranging from 26 to 45 years. The most common high-risk pregnancy diagnosis was gestational diabetes (26.1%). followed by preterm labor (21.6%). QoL was higher than average (18.63±3.80). Above-moderate mean scores were obtained for all domains (psychological/baby, 19.03; socioeconomic, 19.00; relational/spouse-partner, 20.99; relational/family-friends, 19.18; and health and functioning, 16.18). The final model explained 51% of variance in QoL in high-risk pregnant women, with acceptable overall model fit. Adaptation mode (β=-.81, p=.034) and maladaptive coping (β=.46 p=.043) directly affected QoL, and uncertainty (β=-. 21, p=.004), adaptive coping (β=.36 p=.026), and maladaptive coping (β=-.56 p=.023) indirectly affected QoL. Conclusion: It is essential to develop nursing interventions aimed at enhancing appropriate coping strategies to improve QoL in high-risk pregnant women. By reinforcing adaptive coping strategies and mitigating maladaptive coping, these interventions can contribute to better maternal and fetal outcomes and improve the overall well-being of high-risk pregnant women.

• Journal of Korean Academy of Nursing
• /
• v.25 no.2
• /
• pp.351-361
• /
• 1995

The main purpose of the study is to identify critical risk factors for development of a family assessment tool to screen high risk family. This study used a conceptual framework of family diagnosis developed by Eui-sook Kim's (1993) and analyzed risk factors to identify the high risk family. As employing a explorative and methodological study design, this study has four stages. 1. In the first stage, 34 family risk factors were identified by doing intensive literature review on conceptual framework of family diagnoses. 2. In the second stage, above risk factors were tested for content validity by consultation with 29 persons in community health nursing, nursing education, family theory, and social work. 3. In the third stage, existing survey data was used for actual application of the identified risk factors. The survey data used for this purpose was previously collected for the community diagnosis in a region of Seoul. At the final stage, through the comparison between high risk and low risk families, initially identified 34 risk factors decreased to 25 risk factors. Among 34 risk factors, six factors did not agree with content of questionnaries sand two factors were not significant in differentiating the high risk family Also, two risk factors showed high correlation between themselves, so only one of those two factors was chosen. As a result, twenty-five risk factors chosen to identify the high risk family are following ; 1. A single parent family due to divorce or death of a partner, or unweded single mother 2. A family with an unrelated household members 3. A family with a working mother with a young child 4. A family with no regular income 5. A family with no rule in family or too strict rules 6. A family with little or no support from other lam-ily members 7. A family with little or no support from friends or relatives 8. A family with little or no time to share with each other 9. A family with family history of hypertension, diabetus, cancer 10. A family with a sick person 11. A family with a mentally ill person 12. A family with a disabled person 13. A family with an alcoholic person 14. A family with a excessive smoker who smokes more than 1 pack / day 15. A family with too much salt intake in their diet. 16. A family with inappropriate management skills for family health 17. A family with high utilization of drug store than hospital to solve the health problems of the family 18. A family with disharmony between husband and wife 19. A family with conflicts among the family members 20. A family with unequal division of labor among family members 21. An authoritative family structure 22. A socially isolated family 23. The location of house is not residential area 24. A family with high risk of accidents 25. The drinking water and sewage systems are not hygienic. The main implication of the results of this study is clinical use. The high risk factors can be used to identify the high risk family effectively and efficiently. The use of high risk factors woule contribute to develop a conceptual framework of family diagnosis in Korea and the list of risk factors need to be revised continuously. Further researches are needed to develop an index of weight of each risk factor and to validate the risk factors.

• Journal of the Korean Society of School Health
• /
• v.33 no.2
• /
• pp.67-78
• /
• 2020

Purpose: This study aimed to investigate the effects of various factors on smartphone addiction according to types of risk groups among middle school students. Methods: Data of 223 students were collected from February 1st to 22nd of 2020. The collected data were analyzed through t-test, χ² test, correlaton coefficients, and multiple regression analysis. The smartphone addiction scale was used to classify the participants into two groups; 18.8% (n=42) of the total respondents were categorized as the addiction risk group and 81.2% (n=181) were categorized as the general population group. Results: The factors associated with the students in the high risk group were grade (t=3.89, p=.036) and religion (F=3.79, p=.044). In the high risk group, psychological anxiety (β=.39, p=.005) and relapse of internet addiction (β=.38, p=.006) explained 46.0% of smartphone addiction, while in the normal risk group, relapse of internet addiction (β=.42, p<.001), psychological anxiety (β=.22, p=.004), tolerance of internet addiction (β=.17, p=.007), and academic stress (β=.14, p=.027) explained 51.0% of smartphone addiction. Conclusion: In order to prevent smartphone addiction in middle school students, a more specific nursing intervention is needed that can reduce psychological anxiety and relapse of internet addiction. It is clear that urgent measures need to be taken for the highly addicted students such as academic counseling.

• Korean Journal of Health Education and Promotion
• /
• v.17 no.1
• /
• pp.19-39
• /
• 2000

The purpose of this study was to examine the prevalence and correlated factors of sexual behavior among high school students in Seoul A sample of 233 male and 248 female high school students were analyzed using cross-tabulation and logit regression models. Correlated factors examined include type of school, level of mothers education, perceived living status of family, whether family has two parents or not, and whether students have ever lived away from the family, whether students received reproductive health education at school and whether they have friends with sexual experience, whether students have ever smoking and alcohol drinking. The prevalence of alcohol drinking was 73% among boys and 55% among girls and the prevalence of smoking was 64% of boys and 40% of girls, whereas the prevalence of sexual activity was 27% among boys and 15% among girls. Risk taking was more prevalent among boys than among girls. Multiple risk taking behavior was common for both boys and girls. Students who did not have two parents were more likely to engage in risk taking behavior than those who had two parents. For both boys and girls, the factor that affects their own sexual activity most was having a friend who was sexually active and having an experience of living away from their family also increases the odds. For girls, the factor that affects having experience of alcohol drinking and smoking. Receiving reproductive health education at school had no effect on students sexual behavior. Much higher risk taking behavior with sexual behavior among students in Seoul implies that the overall prevalence of risk taking behavior among high school students was likely to rise as South Korea continues its modernization. In-school and community health education programs need to be modified to be effective in protecting students from risk taking sexual behavior.

• The Korean Journal of Community Living Science
• /
• v.22 no.3
• /
• pp.429-444
• /
• 2011

The objective of this study was to identify the risk factor and protection factor related to suicide ideation in each life course based on an ecological-system perspective. A questionnaire was carried out for 393 adolescents, 473 adults and 376 aged men living nationwide. The results are as follows. First, the suicide ideation was low with 1.78 points in the full mark of 5 points. Second, the difference in suicide ideation, depression, hopelessness, stress in the organic system variables, family solidarity in the micro system variables, intermediate system variables, residence, the existence/inexistence of counselling center and the influence of mass media in mezo system variables in each life course were significant. Third, the relative influence of organic system variables on the suicide ideation were largest in all life courses. Further, the depression and the influence of mass media in all life courses were a risk factor of suicide ideation and stress was also a risk factor of suicide ideation in the case of adolescents and the aged. When examining protection factors of suicide ideation, family solidarity, minute as it is, works as the protection factor of suicide ideation in the case of adolescents. For the adults, living in a metropolis was a protection factor from suicide ideation. For the aged, family solidarity, family history of suicide and adult children's attention to their friends and neighbors (intermediate system variable) were protection factors from suicide ideation. I suggested that policy, service, counseling and educational program proper to each life course were necessary to lower risk factors of suicide ideation and to improve protection factors.