• The Journal of Korean Society for School & Community Health Education
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• v.22 no.4
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• pp.11-24
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• 2021

Purpose: This study aims to explore the mediating effect of the health self-efficacy and activity confidence in the relationship between body image and health promoting behavior in middle school girls. Methods: A descriptive correlational design was used. Participants were 142 in middle school girls. The questionnaire consisted of measuring tools for body image, health promoting behavior, health self-efficacy and activity confidence. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient and the PROCESS Macro for SPSS 23.0 to verify the multiple mediated effect with a parallel structure. Results: Body image showed a significant positive correlation with health self-efficacy (r=.28, p=.001), activity confidence (r=.45, p<.001) and health promoting behavior (r=.37, p<.001). Health self-efficacy was also significantly correlated with activity confidence (r=.51, p<.001) and health promoting behavior (r=.63, p<.001). Activity confidence was significantly health promoting behavior (r=.67, p<.001). Furthermore, health self-efficacy (B=.35, p<.001) and activity confidence (B=.38, p<.001) showed a mediation effect on the relationship between body image and health promoting behavior. Conclusion: The impact of body image on health promoting behavior in middle school girls was mediated by health self-efficacy and activity confidence. Result suggest that strategies for improving health self-efficacy and activity confidence in middle school girls should be considered when developing an educational program for enhancing their health promoting behavior.

• Journal of Nutrition and Health
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• v.35 no.10
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• pp.1089-1103
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• 2002

The purpose of this study is to identify factors influencing a health-promoting lifestyle among highly educated, married women with or without work outside the home. It is a direct interview, cross-sectional study. Subjects were 250 married, unemployed women and 236 married women employed as teachers. Women who have not graduated college, work only part-time or have no current spouse were excluded. The instruments used were the Health-Promoting Lifestyle Profile (Walker, et al., 1987) and the Habitual Physical Activity Questionnaire (Backe, et al., 1982), The HPLP scores of the employed, married women were significantly lower than those for unemployed respondents. for both groups of respondents, the self-actualization subscale was the highest score and the exercise subscale was the lowest score. The HPLP indicated that exercise is a very weak area. Thus, an increase in exercise time and frequency, especially for highly educated, married women, is suggested. Multiple regression analysis revealed that a health-promoting lifestyle of unemployed, married women was affected by sports activity, leisure-time activity, depression and satisfaction of role allotment. On the other hand, a health-promoting lifestyle of employed, married women was affected by sports activity, leisure-time activity, stress, self-perceived economic status, coffee consumption, husband's help, and maid's help. That is, with more sports activity and leisure-time activity, less depression and more satisfaction of role allotment, unemployed, married women would have higher HPLP scores. Also, with more sports activity and leisure-time activity, less stress, better self-perceived economic status, less coffee consumption, more husband's help and more maid's help, employed, married women would have higher HPLP scores. The results indicate that sports activity and leisure-time activity were the first and the second determinants of health-promoting lifestyle respectively. Therefore, an exercise-centered health-promoting program for highly educated, married women is suggested in the community or workplace. Especially, the program should be designed to be easily approachable for highly educated, employed married women who have more of a role burden compared to unemployed women.

• Korean Journal of Community Nutrition
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• v.27 no.2
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• pp.94-104
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• 2022

Objectives: This study attempted to examine the association between health literacy and health-promoting behavior, and identify the major variables that affect the health-promoting behavior of university students. Methods: This was a descriptive correlation study that identified the degree of health literacy and health-promoting behavior of 248 university students (119 male and 129 female) and examined the correlation between the two and factors influencing them. The questionnaire covering health literacy comprised 66 questions, and that for health-promoting behavior comprised 10 questions covering eating habits, 3 questions about physical activity, and 10 questions involving stress. Results: The score for health literacy was 41.56 ± 18.38 out of 66 points, and that for health-promoting behavior was 65.27 ± 11.21 points (27.61 ± 6.72 points for eating habits, 7.23 ± 2.56 points for physical activity, and 30.44 ± 5.61 points for stress). Health literacy and health-promoting behavior had a significant positive correlation (r = 0.175, P < 0.01). The perceived health status (β = 0.391, P < 0.001) was the most important variable in health-promoting behavior, followed by health literacy (β = 0.236, P < 0.001). Conclusions: It is necessary to develop a systematic educational strategy and implement educational programs to improve health literacy as well as encourage health-promoting behavior and thus increase the perceived health levels of university students.

• Perspectives in Nursing Science
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• v.15 no.1
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• pp.11-17
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• 2018

Purpose: Many Korean college students suffer from physical inactivity and mental health problems. However, it has not been sufficiently reported how this lack of exercise and health-related behavior affect their health. The present study was performed to identify the relationships among physical activity level, health-promoting behavior, and physiological variables in Korean undergraduate and graduate students. Methods: Participants were 115 undergraduate and graduate students from one university in Seoul. The Pearson's correlation analysis was performed using SPSS for Windows. Results: Physical activity level had significant positive correlations with health-promoting behavior (r=.32, p=.001) and exercise self-efficacy (r=.25, p=.008), and health-promoting behavior had a significant correlation with depression (r=-.33, p<.001) and exercise self-efficacy (r=.44, p<.001). Additionally, physical activity level had significant correlations with triglyceride (r=-.20, p=.034) and vitamin D (r=.20, p=.029) levels. The high density cholesterol level had significant negative correlations with systolic blood pressure (r=-.33, p<.001), diastolic blood pressure (r=-.29, p=.002), and vitamin D (r=-.20, p=.035) levels. Conclusion: Physical activity level or health-promoting behavior had significant relationships with the health status of college students. Strategies need to be developed to improve health-promoting behaviors among college students.

• Journal of Korean Public Health Nursing
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• v.25 no.1
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• pp.73-83
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• 2011

Purpose: The purpose of this study was to investigate factors affecting health promoting lifestyle in nursing students. Methods: A descriptive cross-sectional study was done using a convenient sampling (n=682) in a three-year nursing college. The health promoting lifestyle was measured by the instrument of Walker's and self esteem was measured by the instrument of Rosenberg's. Data were analyzed by descriptive statistics, chi-square test, oneway ANOVA and Stepwise multiple regression. Results: The average score of health promoting lifestyle was 2.34. The score of psycho-social well-being subscale was higher than that of health promoting behavior subscale. The highest score was on the interpersonal relations subscale, and the lowest score was on the physical activity subscale. The self-esteem, mental health status, satisfaction with school life, school year, perceived economic status, and gender accounted for 31.9% of the variance of health promoting lifestyle. Conclusion: Self-esteem was the most powerful influencing variable of the health promoting lifestyle, and physical activity was the lowest score of the health promoting lifestyle subscale. Therefor nursing educators should consider to include a health promotion program with increasing self esteem and physical activity in the nursing curriculum.

• The Korean Nurse
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• v.37 no.1
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• pp.81-97
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• 1998

The purpose of this study was to identify the effect of voluntary activity or midterm examination on self-esteem, health-promoting lifestyle, immunoglobulin in Nursing college student. Voluntary activity provides positive emotion(higher score of self-esteem) and midterm examination provides high level stress to students. Emotion and stress affect immune system. Seventy-five and seventy-eight subjects were assigned to voluntary activity and midterm examination group. In analyzing data, paired and unpaired t-tests and ANCOVA were used. The results were as following : 1.1 Self-esteem of after-voluntary activity was increased significantly than before-voluntary activity. 1.2 Health-promoting lifestyle of after-voluntary activity was not increased significantly than before- voluntary activity. 1.3 Immunoglobulin of after-voluntary activity was not increased significantly than before-voluntary activity. 2.1 Self-esteem of after-midterm examination was not decreased significantly than before-midterm examination. 2.2 Health-promoting lifestyle of after-midterm examination was decreased significantly .than before-midterm examination. 2.3 Immunoglobulin of after-midterm examination was not decreased significantly than before-midterm examination. 3.1 Self-esteem of voluntary activity group and midterm examination group was not different significantly. 3.2 Health-promoting lifestyle of voluntary activity group and midterm examination group was different significantly. 3.3 Immunoglobulin of voluntary activity group and midterm examination group was not different significantly.

• Journal of Digital Convergence
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• v.14 no.12
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• pp.571-581
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• 2016

The purpose of this study was to examine the relationships among the physical competence, subjective health status, and health promoting behavior of elderly participating in health activity program. For these purposes, we conducted a survey with 207 elderly. The findings were as follows. First, high physical strength group compared to the other groups had high subjective health status and health promoting behavior. Second, physical competence influenced positively on subjective health status. Third, physical competence influenced not significantly on health promoting behavior. Fourth, subjective health status influenced positively on health promoting behavior. These results were discussed based on previous literature and theory.

• Research in Community and Public Health Nursing
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• v.14 no.1
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• pp.157-166
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• 2003

Purpose: This study was to investigate the needs for developing a health promotion program for the elderly, and to compare the health promoting behaviors and perceived health status between high and low income elderly. Method: The data were collected from 80 high) income elderly and 84 low income elderly through face to face interviews. The instruments used in) this study were the Health Promoting Lifestyle Profile II (HPLP II) and Perceived Health Status. Results: 1) The total score of the HPLP for the elderly was 2.29. In the subscales, the highest degree of performance' nutrition', following 'stress management', 'spiritual growth' and 'health responsibility' and the lowest degree of performance was 'physical activity'. 2) The high income level elderly had significantly higher total HPLP scores than the low income level elderly. The biggest difference was found in 'physical activity' between high) and low) income elderly. 3) The mean score of perceived health status was 8.21. The high) income elderly had significantly higher perceived health status than the low income elderly. Conclusion: The above findings indicate that it is necessary to develop a health promotion program with reinforced physical activity, health responsibility for the elderly in Korea. In particular physical activity need to be increased for the low income elderly. The low income elderly need to have positive thinking for perceived health status.

• Korean Journal of Health Education and Promotion
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• v.18 no.1
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• pp.17-33
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• 2001

The purpose of this study was to identify the major factors affecting performance in health promoting lifestyles in continuous ambulatory peritoneal dialysis(CAPO) patients. The subjects for this study were 98 CAPO patients living in Pusan city. The data for this study were collected from October 15th, 1999 to January 15th, 2000 by structured questionaries. Statistical analysis was done using SPSS softwares. The results were as follows: 1. The average score of performance in the health promoting lifestyles was 2.34. The variable with the highest degree of performance was self-actualization and nutrition, whereas the one with the lowest degree was exercise. 2. In the subscale of the health promoting lifestyles, especially educational level, marital state and CAPO period, there was significant differences between demographic variables and performance in the health promoting lifestyles. 3. The activity-related affect, situational influences, self-efficacy, and perceived barriers in the behavior-specific cognitions and affect have a significant correlation with performance in the health promoting lifestyles. 4. The most important variable that affects the performance in the health promoting lifestyles was situational influences, and the self-efficacy, perceived barriers, every monthly treatment cost, duration of chronic renal failure followed in order, activity-related affect. Those six variables accounted for 38.3% among the variables in health promoting lifestyles.

• Journal of Korean Academy of Nursing
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• v.29 no.2
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• pp.281-292
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• 1999

This study was designed to construct a model that predicts the health promoting behavior of the Korean elderly. Data were collected by self-reported questionaires from 254 Korean elderly in seoul, from June 1 to July 15, 1998. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which predicts causal relationships of variables. The overall fit of the hypothetical model to the data was moderate［X$^2$＝249.83(df＝83, p＝.00), RMR＝.07, GFI＝.90, NNFI＝.92, NFI ＝.91］. The predictable variables of health promoting behavior of the Korean elderly were social activity. social support. self-integrity and helplessness except the perceived health status. These variables explained 17.1% of health promoting behavior of the Korean elderly.