• 지역사회간호학회지
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• 제31권2호
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• pp.156-165
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• 2020

Purpose: This study was performed to identify the factors influencing the fear of dementia in middle-aged and older adults. Methods: Data on the characteristics, dementia knowledge, dementia attitude, dementia health beliefs, and fear of dementia of 156 participants were collected from January 20 to March 22, 2018, using a structured questionnaire. The data were analyzed with the SPSS/WIN 21.0 program for descriptive statistics, using an independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression. Results: Significant factors associated with fear of dementia among middle-aged and older adults were subjective life satisfaction (F=3.72, p=.006) and regular exercise (t=6.05, p=.015). Fear of dementia has positive correlations with dementia attitude, perceived susceptibility, perceived severity, and perceived barrier. The determining factors affecting fear of dementia in middle-aged and older adults were perceived severity (β=.46, p<.001), followed by a perceived barrier (β=.20, p=.004) and perceived susceptibility (β=.17, p=.023), and the explanation power was about 47.8%. Conclusion: The results suggest that perceived severity, perceived barrier, and perceived susceptibility be considered in developing the nursing interventions to increase perceived severity, perceived susceptibility, and to decrease perceived barrier to dementia by evaluating dementia health beliefs to manage the fear of dementia among middle-aged and older adults.

• Journal of Preventive Medicine and Public Health
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• 제31권2호
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• pp.199-214
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• 1998

This study was undertaken to explain weight control behavior and intention of obese children and adolescents as measured by the elements of the health belief model. A total of 732 obese students from 28 schools in Seoul metropolitan area and their mothers were assessed with a self-administered questionnaire. The analyzed results are as follows; 1. Among obese students, 45.3% of male students and 57.2% of female students, a significantly higher portion than male students, reported that they had tried to lose weight within the recent year. Exercise was the most frequently used method to lose weight followed by diet control, drug use, and specialized clinic visits, in descending order. 2. Male students were more likely to try to lose weight if they perceived a low threat level and their mother had a job, and female students were more likely to try to lose weight if they were younger in age, perceived a low threat level and had strong external motivating factors. 3. Female students showed a significantly higher level of intention to obesity control than male students, and the intention level of their mothers also showed the same trend. 4. In male students, the degree of weight dissatisfaction, weight control experience, the level of obesity related beliefs of students, the educational level of the mother and economic status of the family were significant predictors of intention to obesity control, and in females, age, the level of obesity related beliefs of students and intention of their mothers were significant. In the mothers of male students, obesity index of students, age of the mother and the level of obesity related beliefs of the mother were significant predictors of intention of the mother, and in the mothers of female students, obesity index of students, occupational status of the mother and obesity related beliefs of the mother were significant. 5. According to the path model of intention to obesity control, the degree of weight dissatisfaction had the most powerful effect in male students, and perceived net benefit level was the most important variable in female students. Since the weight control behavior and intention of obese students were more predictable by the degree of weight dissatisfaction than the obesity index, we can conclude that only the students dissatisfied with their weight are well motivated for obesity control. There can be a discrepancy between the mother and her child's beliefs and intention status(especially in male students), so the therapists should also assess the student's opinion as well as the mother's. In female students, the perceived net benefit level wag the most important predictor of intention to obesity control, therefore the intervention program should pay particular attention to the positive benefits of weight control rather than negative aspects(threats) of obesity.

• 동서간호학연구지
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• 제8권1호
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• pp.103-112
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• 2003

This paper focused on providing the groundwork for the development of proper nursing interventions to enhance the quality of life for the elderly by identifying the factors that may affect their health beliefs and behaviors. A survey was conducted on a group of people aged between 60 and 86 years residing in S and K cities from January to March of 2003, who agreed to participate in the research. Data was collected using instruments measuring health beliefs and health behaviors, and was analyzed by using SPSS. The results of this study are as follow. 1) Those in the group were aged between60 and 86 years, and the average age was 66.94 years old. Most of them were living together with their spouses. From the survey, 83.5% replied "above average" on the question regarding their current health condition, whereas, 46.0% mentioned that they had some sort of diseases. 2) Overall average score of the health belief was 516.05, with a mean $3.71{\pm}4.07$. This indicates that the studied group held a high level of health belief, which affects their attitude and intention to lead a healthy life by placing the present life under control in harmony with nature. 3) Overall average score of the health behaviors was 392.24 with a mean $2.82{\pm}.52$. For health purposes, the behaviors that the elderly people were taking were mostly static ones requiring a low level of activity. The analysis showed that they generally were involved in self-trained, individualized health care. Thus, the elderly place a higher priority on regular dietary behaviors than on physical activity. 4) The correlation between health belief, a cognitive aspect on health, and health behaviors, a behavioral aspect showed a very high linear relationship (r=.520, p<.000). Consequently, it is found that those who have higher cognitive health belief are involved in higher level of behavioral health practice. These findings concluded that the Korean elderly have good health beliefs, well controlling their minds and being harmonious with nature. Health behaviors that they are engaged in are mostly static, requiring low level activity, while they place higher priority on regular dietary habits and conducting self-trained individualized health care. Important factor affecting their health beliefs and health behaviors was found to be their health practice. Since higher health belief is highly related with good health behaviors, development of health activity programs is in need as a means for an efficient health improvement, where motivating environment may be established to enhance the health belief of the elderly and to satisfy individual values.

• 가정∙방문간호학회지
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• 제25권1호
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• pp.5-14
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• 2018

Purpose: The purpose of this study was to provide basic data for the development of a health care program to maintain and promote the health of Korean international students. Methods: Participants were 180 Korean students studying at one US state university. Data collection was conducted from January 23 to April 23, 2017. Data were analyzed using descriptive statistics: t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis with the SPSS/WIN 22.0 program. Results: The mean score on health beliefs was $3.49{\pm}0.39$, and the mean social support score was $2.96{\pm}0.54$. The mean health-promoting behavior score was $2.80{\pm}0.37$. Health-promoting behaviors had a statistically significant positive correlation with health beliefs and social support. Additionally, perceived health status, perceived barriers, perceived benefits, cues to action, and social support were related to health-promoting behaviors among Korean students. These five variables explained 47.6% of health-promoting behavior. Conclusion: The results of this study showed that higher health beliefs and social support of Korean international students resulted in better health-promoting behaviors. Additionally, the findings suggested that the health of Korean international students could be maintained and promoted through the development of systematic and practical programs to secure social support.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9817-9822
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• 2014

Background: Breast cancer is a serious health problem. Early detection is crucial for optimal treatment and reducing mortality. Objective: The aim of this study was to evaluate health beliefs concerning performance of breast self- examination (BSE) and mammography in a sample of Iranian female health workers. Materials and Methods: This cross-sectional study was performed among 441 female health care workers (physicians=88, nurses=163, midwives=38, officers=68, and others=84) in 3 different health centers in Yazd, Iran. Data were collected using a self administered questionnaire which included demographic characteristics and thenPersian version of the Champion's Health Belief Model Scale (CHBMS). Results: The mean age of the participants was $34.7{\pm}13.7$. It was found that 41.9% of the workers performed BSE in the past and 14.9% of them regularly, but only 10.6% of them had undergone a mammogram. Perceived barriers to BSE (F=6.351, P=0.021) and mammography (F=5.214, p=0.022) were significantly higher in officers than physicians, nurses or midwives. Perceived barriers were lower among those who had performed BSE and mammography, but not significant (p=0.34 and p=0.56, respectively). Furthermore, perceived susceptibility and perceived benefits of the workers who had BSE and mammography were significantly higher than who did not (p<0.05). Perceived seriousness was not a significant variable in BSE and mammography (p=0.71 and p=0.43, respectively). Conclusions: The health beliefs of health workers concerning the perceived susceptibility of breast cancer and the perceived benefits BSE and mammography significantly impact their screening practices.

• 한국학교보건학회지
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• 제34권2호
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• pp.115-122
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• 2021

Purpose: The purpose of this descriptive research is to identify how stress from Covid-19, health beliefs, and social support of college students affect health prevention. Methods: The subjects of the study were 128 university students, excluding health major students, at one university in D City. The survey was conducted from August 1 to 31, 2020. The survey questionnaire consists of 8 items on stress from COVID-19, 12 items adapted from a health belief measurement tool, 12 items from a social support measurement tool, and 11 items adapted from a tool that measures health preventive behaviors. The collected data were analyzed using the hierarchical multiple regression analysis method with SPSS 26.0. Results: In model 1, stress from COVID-19 was statistically significant (β=-.403, p=.003). Model 2 added four health belief factors into Model 1. Stress (β=-.419, p<.001), perceived severity (β=-.193, p=.030), and perceived barriers (β=-.182, p=.009) were statistically significant. In model 3, stress (β=-.413, p<.001), perceived barriers (β=-.147, p=.034), and social support (β=.194, p=.011) were statistically significant. The regression equation was significant (F=15.395, p=<.001) and the model's explanatory power was 53.1%. Conclusion: The results show that when college students had a high degree of health beliefs about COVID-19, the degree of health preventive behaviors was proportionally high. To make them practice preventive health behaviors, it is necessary to develop infection control education programs to improve health beliefs.

• 대한한방부인과학회지
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• 제22권1호
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• pp.231-242
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• 2009

Purpose: For the importance of the postpartum period not only for the women delivered of child but also the newborn babies, the multitude of health professionals have emphasized increasingly special care during this period. However, there has been no decisional consensus both in the concepts and the ways of postpartum cares between health professionals and non-professionals. In this study, we explored the ethnical and racial diversities concerning postpartum period focusing on their beliefs and practices. Methods: Literature review was used as main research method for topic of the study. To carry out the method, papers related with postnatal care were searched at the Pubmed, the Korea Education & Research Information Service. Results: 1. Differences between Western and non-Western cultures in terms of postnatal care were found out in the study. 2. The study has proved that non-Western cultures have shared the similar beliefs and practices in postnatal care, although some ethnical and racial diversities specially in duration for care and diets for mother etc. 3. It was found that most prominent similarities among non-Western cultures in postnatal care have centered mainly on the issues such as 'Hot and Cold balance', postnatal confinement etc. Conclusion: Based on the results of the study, it should be suggested that the health professionals do their efforts in understanding deeply the intrinsic diversities on the beliefs and the practices about postnatal care and providing the adequate services and cares reflecting them properly.

• 보건교육건강증진학회지
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• 제28권2호
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• pp.1-13
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• 2011

Objectives: This study investigated beliefs of Koreans on the usefulness of various resources they use to alleviate depressive symptoms and to identify factors affecting the beliefs on different approaches to depressive symptoms. Methods: A household survey was conducted on a stratified sample of adults of age 18~74 (N=1,607) in 2009. The participants were asked to read a case vignette of depression and to provide their opinion about usefulness of 39 types of resources as ways of addressing the symptoms. Factors affecting opinions on usefulness of various resources were examined with logistic regression. Results: The three approaches identified via factor analysis were believed to be useful in the order of 'psychological/relational/activity-oriented', 'lifestyle/cultural', and 'physical/medical' approaches. The logistic regression analyses revealed that correct recognition of symptoms increased the likelihood of positive opinion about psychological and physical approaches, and so did having current symptoms about physical and popular approaches. Past help-seeking experience increased the likelihood of negative opinion about physical approach, however. Conclusions: Strategies to adopt various types of resources need to be developed, including rigorous use of psychosocial methods, mechanisms to control service quality, and the integration of diverse resources into the current community mental health services.

• 융합정보논문지
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• 제11권11호
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• pp.85-94
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• 2021

본 연구에서는 간호대학생을 대상으로 감염관리 건강신념과 비판적 사고성향이 감염관리 표준주의 수행도에 미치는 영향을 파악하여 의료 관련 감염관리의 개선 및 간호교육 프로그램 개발을 위한 기초자료로 활용하고자 하였다. 본 연구는 2021년 6월부터 7월까지 임상실습 경험이 있는 3학년, 4학년 간호대학생 222명의 자료를 수집하여 분석하였다. 연구대상자 보호를 위해 Institutional Review Board(IRB) 승인된 내용에 따라 자료를 수집하였으며, 수집된 자료는 SPSS 26.0 Statistics Program을 이용하여 분석하였다. 간호대학생의 감염관리 표준주의 수행도에 미치는 영향을 파악하기 위해 회귀분석한 결과 간호대학생의 감염관리 건강신념과 비판적 사고성향은 감염관리 표준주의 수행도에 영향을 미치는 것으로 나타났으며(F=16.634, p<.001), 모형의 설명력은 22.0%였다. 본 연구결과를 바탕으로 간호대학생의 감염관리 표준주의 수행도 개선을 위해 감염관리 건강신념과 비판적 사고성향 향상이 요구되며, 간호대학생들을 위한 체계적인 간호교육 프로그램 개발과 효율적인 감염관리 교육이 필요하다.

• 산업융합연구
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• 제19권1호
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• pp.129-135
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• 2021

본 연구는 대학생의 건강지각, 건강신념, 건강증진행위의 관계를 살펴보고자 경기도 소재 대학의 대학생 309명을 대상으로 실시하였다. 조사된 설문은 문항분석과 요인분석 및 신뢰도분석을 실시하였으며, 변인 간 관계 파악을 위해 상관 분석과 경로분석을 실시하였다. 이를 통해 다음과 같은 결론을 얻을 수 있었다. 대학생의 건강지각, 건강신념, 건강증진행위간의 인과효과를 위한 경로분석은 다양한 적합도 지수에서 비교적 높게 나타났으며, 모형에 포함된 모든 경로계수는 통계적으로 유의미하게 나타났다. 구체적으로 모든 경로계수에서 유의미한 정적 관계를 나타냈으나, 건강지각과 지각된 장애, 지각된 장애와 건강증진행위에서는 부적 관계를 나타냈다. 본 연구의 결과를 바탕으로 향후 연구에서는 본 연구에서 제외된 변인에 대한 분석을 통해 건강증진행위와 관련한 외현적 타당성을 높일 필요가 있다.