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Volume 27(4); October 2021

Original Articles
Purpose
This study aimed to comprehensively explore the associations of socioeconomic status, parenting style, and grit with children's health behaviors.
Methods
This was a cross-sectional study of 1,040 parents and their children using data from the 2018 Korean Children's Panel Survey. Socioeconomic status was measured in terms of household income and subjective socioeconomic status. Parenting style and grit and were measured using 62 and 8 items, respectively. Health behaviors were measured by assessing healthy eating habits, physical activity, and sedentary behavior.
Results
Higher household income (β=.07, p=.018) and high maternal levels of an authoritative parenting style (β=.20, p<.001) were associated with higher compliance with healthy eating habits among children. Higher grit was associated with a higher number of weekly physical activity days (β=.08, p=.028) and sedentary behavior for <2 hours (odds ratio [OR]=1.04, 95% confidence interval [CI]=1.01-1.07) in children. A maternal permissive parenting style was associated with sedentary behavior for >2 hours on weekdays (OR=0.43, 95% CI=0.27-0.69).
Conclusion
We suggest that when planning interventions to improve children's health behavior, it is essential to adopt a multifaceted approach that avoids practicing a maternal permissive parenting style, promotes an authoritative parenting style, and incorporates strategies to increase children's grit.

Citations

Citations to this article as recorded by  
  • Longitudinal Relations Between Maternal Parenting Styles and Preschoolers’ Externalizing Problem Behaviors: A Chain Mediation Model
    Linlin Liang, Ni Zhang, Wen Liu, Linlin Lin, Xue Zhang
    Child & Youth Care Forum.2025; 54(2): 453.     CrossRef
  • The Evolving Role of Grit: Shifts in Depression Risk Among High- and Low-Grit Individuals During COVID-19
    Nicholas Lassi
    Healthcare.2025; 13(7): 793.     CrossRef
  • Parenting practices and adolescents’ mental health: Serial mediation by parental acceptance and adolescents’ grit
    Glen Johan Ri Young Lim, Shin Ling Wu, Chin Choo Yap, Pei Jun Woo
    Vulnerable Children and Youth Studies.2024; 19(1): 198.     CrossRef
  • Associations of Broader Parental Factors with Children’s Happiness and Weight Status through Child Food Intake, Physical Activity, and Screen Time: A Longitudinal Modeling Analysis of South Korean Families
    Kay W. Kim, Jan L. Wallander, Bokyung Kim
    International Journal of Environmental Research an.2024; 21(2): 176.     CrossRef
  • Father-child attachment on children’s screen time: mediating role of ego resilience
    Hwa-Mi Yang, Hye-Ryoung Kim
    BMC Pediatrics.2024;[Epub]     CrossRef
  • Socioeconomic status and health behavior in children and adolescents: a systematic literature review
    Nirmal Gautam, Getenet Dessie, Mohammad Mafizur Rahman, Rasheda Khanam
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • 5,490 View
  • 194 Download
  • 6 Crossref
Growth patterns and nutritional status of small for gestational age infants in Malaysia during the first year of life
Norain Ahmad, Rosnah Sutan, Azmi Mohd Tamil, Noriah Hajib
Child Health Nurs Res 2021;27(4):317-327.   Published online October 31, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.4.317
Purpose
This study aimed to identify small for gestational age (SGA) infants' growth patterns, nutritional status, and associated factors.
Methods
This prospective cohort study was conducted at primary-care child health clinics in Greater Kuala Lumpur, Malaysia. The sample consisted of infants who fulfilled the criteria and were born in 2019. The anthropometric data of infants were assessed at birth and at 1, 3, 6, 9, and 12 months.
Results
A total of 328 infants were analysed. In total, 27.7%(n=91) of the subjects were SGA infants, and 237 of them were not. Significant differences in the median weight-for-age and length-for-age z-scores were observed between SGA and non-SGA infants at birth, 1 month, 6 months, and 12 months. There was a significant difference between the growth patterns of SGA and non-SGA infants. Birth weight and sex significantly predicted the nutritional status(stunting and underweight) of SGA infants during their first year of life.
Conclusion
SGA infants can catch up to achieve normal growth during their first year of life. Even though the nutritional status of SGA infants trends worse than non-SGA infants, adequate infant birth weight monitoring and an emphasis on nutritional advice are crucial for maintaining well-being.

Citations

Citations to this article as recorded by  
  • Directed acyclic graph helps to understand the causality of malnutrition in under-5 children born small for gestational age
    Soumya Tiwari, Viswas Chhapola, Nisha Chaudhary, Lokesh Sharma
    Journal of Clinical Epidemiology.2025; 177: 111611.     CrossRef
  • Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review
    Via Eliadora Togatorop, Laili Rahayuwati, Raini Diah Susanti, Julianus Yudhistira Tan
    Revista Brasileira de Enfermagem.2024;[Epub]     CrossRef
  • Trajectory Patterns of Weight and Length in Children: From Birth Until 2-Years of Age
    Lais dos Santos, Andressa Cristino de Oliveira, Rafaela Marcondes Silva Lotz, Fernanda Manera, Renata Cordeiro Fernandes, Barbara Moreira Castilho, Doroteia Aparecida Höfelmann
    Journal of the American Nutrition Association.2024; 43(8): 686.     CrossRef
  • Growth Status of Full-Term Infants with Different Sizes for Gestational Age During the First Year of Life
    Zhuo-Ren Zhou, Yong Guo
    Pediatric Health, Medicine and Therapeutics.2024; Volume 15: 265.     CrossRef
  • Journal statistics, directions for development, and appreciation for reviewers
    Hyun Young Koo
    Child Health Nursing Research.2022; 28(1): 5.     CrossRef
  • 6,940 View
  • 144 Download
  • 5 Crossref
Purpose
This study aimed to identify the factors influencing positive subjective health awareness of middle school-age multicultural adolescents in Korea.
Methods
This study used data from the fourth to sixth waves of the Multicultural Adolescents Panel Study conducted by the National Youth Policy Institute. In this study, a panel logit model analysis was performed using the Eviews 8.0 program (p<.050).
Results
Socioeconomic status (r=.02, t=2.13, p=.033), body satisfaction (r=.71, t=1.97, p=.048), and depression (r=-.74, t=2.35, p=.018) influenced positive subjective health awareness in multicultural adolescents. When multicultural characteristics were entered into a statistical model with environmental and personal characteristics, multicultural characteristics did not have a significant influence on positive subjective health awareness.
Conclusion
Environmental, personal, and multicultural characteristics were related to positive subjective health awareness in multicultural adolescents; thus, an integrated approach considering those variables is recommended. Nursing interventions and educational programs are needed to improve the psychological status of multicultural adolescents and reduce prejudice about them. In addition, nurses need to be sensitive to multicultural characteristics and the developmental characteristics of multicultural adolescents.

Citations

Citations to this article as recorded by  
  • Factors affecting the mental health status of children from multicultural families in South Korea: a cross-sectional descriptive analysis of data from the multicultural adolescents panel study
    Sunyeob Choi
    Child Health Nursing Research.2023; 29(1): 60.     CrossRef
  • 4,525 View
  • 149 Download
  • 1 Crossref
Educational needs for practicing neonatal intensive care among Korean nursing students
Hyun Young Koo, Bo Ryeong Lee
Child Health Nurs Res 2021;27(4):339-353.   Published online October 31, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.4.339
Purpose
This study was conducted to investigate the educational needs for practicing neonatal intensive care among Korean nursing students.
Methods
An explorative, sequential, mixed-methods design was used. Qualitative content analysis was conducted of in-depth interviews of six nursing students, five clinical practice faculty members, and five nurses in the neonatal intensive care unit. The results of a survey of 174 nursing students were analyzed quantitatively.
Results
Nursing students, clinical practice faculty members, and nurses wanted opportunities for direct nursing practice and education in school during neonatal intensive care practice. In terms of specific educational content, nursing students expressed the highest observation-related educational needs for communication with medical team members, and they expressed the highest practice-related educational needs for operating medical equipment used for neonatal intensive care. The nursing students' needs with regard to the method of practice education were highest for orientation from the head nurses.
Conclusion
Communication and operating medical equipment were found to be areas with high educational needs for practicing neonatal intensive care among Korean nursing students. Further research is needed to develop an educational framework and setting for practicing neonatal intensive care that would meet their needs.

Citations

Citations to this article as recorded by  
  • Tutoring experiences of a high-risk newborn care simulation among nurse tutors and nursing student tutees in South Korea: a qualitative study
    Hyun Young Koo, Bo Ryeong Lee, Hyeran An
    Child Health Nursing Research.2025; 31(1): 40.     CrossRef
  • Using Backward Design to Develop a Neonatal Course for Baccalaureate Nursing Students
    Kailey Rinaldi, Rebecca Koerner
    Nurse Educator.2024; 49(5): E299.     CrossRef
  • Conceptualising a wellbeing-centred approach to neonatal nursing education: A discussion paper
    Jane Staples, Makaylah Starkey, Kendall Davis
    Journal of Neonatal Nursing.2024; 30(5): 424.     CrossRef
  • The effect of peer tutoring on pediatric nursing education: a systematic review
    Hyun Young Koo, Hyeran An, Bo Ryeong Lee
    Child Health Nursing Research.2024; 30(4): 215.     CrossRef
  • Development of a virtual reality program in South Korea for the measurement of vital signs in children: a methodological study
    Sun Nam Park, Hye Young Hwang, Hyun Young Koo
    Child Health Nursing Research.2023; 29(2): 137.     CrossRef
  • Association between Parity and Preterm Birth—Retrospective Analysis from a Single Center in Poland
    Monika Szyszka, Ewa Rzońca, Sylwia Rychlewicz, Grażyna Bączek, Daniel Ślęzak, Patryk Rzońca
    Healthcare.2023; 11(12): 1763.     CrossRef
  • Development and evaluation of case video-based debriefing on a simulation of high-risk neonatal care for nursing students in South Korea: a mixed-methods study
    Hyun Young Koo, Bo Ryeong Lee, Hyeran An
    BMC Nursing.2023;[Epub]     CrossRef
  • Development of a Project-Based Learning Program on High-Risk Newborn Care for Nursing Students and Its Effects: A Quasi-Experimental Study
    Hyun-Young Koo, Young-Eun Gu, Bo-Ryeong Lee
    International Journal of Environmental Research an.2022; 19(9): 5249.     CrossRef
  • Impact of the COVID-19 Pandemic on Neonatal Nursing Practicum and Extended Reality Simulation Training Needs: A Descriptive and Cross-Sectional Study
    Sun-Yi Yang
    International Journal of Environmental Research an.2022; 20(1): 344.     CrossRef
  • 6,033 View
  • 180 Download
  • 9 Crossref
Kangaroo mother care practices for low birthweight newborns in a district hospital in Indonesia
Septyana Choirunisa, Asri Adisasmita, Yulia Nur Izati, Hadi Pratomo, Dewi Iriani
Child Health Nurs Res 2021;27(4):354-364.   Published online October 31, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.4.354
Purpose
Kangaroo mother care (KMC) was introduced in Indonesia 30 years ago, but the extent of its use has not been fully documented. Therefore, this study aimed to examine the use of KMC and evaluate the characteristics of infants who received KMC at Koja District Hospital in North Jakarta, Indonesia. This retrospective cohort study recorded the characteristics of infants with birthweights less than or equal to 2,200 g at the above-mentioned hospital.
Methods
Data collected from infant registers included gestational age, birthweight, Apgar score, number of complications, history of neonatal intensive care unit treatment, and KMC status. Cox regression analysis was conducted.
Results
This study found that 57.7% of infants received KMC. Infants with birthweights over 1,500 g were 2.16 times (95% CI: 1.20-3.89) more likely to receive KMC.
Conclusion
Efforts to promote KMC are recommended, specifically for infants with birthweights greater than 1,500 g. KMC for infants with other conditions can also be considered based on the infants' stability.

Citations

Citations to this article as recorded by  
  • Trends and determinants of early initiation of breastfeeding in Indonesia: A multivariate decomposition analysis
    Siti Nurokhmah, Lucinda Middleton, Judhiastuty Februhartanty, Aryono Hendarto, Veincent Christian Pepito
    PLOS ONE.2023; 18(11): e0294900.     CrossRef
  • Journal statistics, directions for development, and appreciation for reviewers
    Hyun Young Koo
    Child Health Nursing Research.2022; 28(1): 5.     CrossRef
  • Congratulations on Child Health Nursing Research becoming a PubMed Central journal and reflections on its significance
    Sun Huh
    Child Health Nursing Research.2022; 28(1): 1.     CrossRef
  • 5,281 View
  • 142 Download
  • 3 Crossref
Purpose
This study examined the needs for asthma education programs as perceived by school-age children, parents, and teachers and investigated parents' and teachers' expectations for incorporating augmented reality (AR) in asthma education.
Methods
This descriptive, cross-sectional study included 339 participants: 125 school-age children, 132 parents, and 82 teachers. Data were collected from children, parents, and teachers on the need for asthma education, the requirements for asthma education, and the expectations of parents and teachers for incorporating AR in asthma education. Data were analyzed using descriptive statistics, the t-test, analysis of variance, and the Scheffé test.
Results
Asthmatic children and their peers, parents, and teachers all felt there was a significant need for education about asthma, with education on how to deal with an asthma attack being needed the most. The incorporation of AR programs in asthma education was viewed positively by both parents and teachers.
Conclusion
An AR children's asthma education program should be developed in which children with asthma and their peers, parents, and teachers can participate together. Furthermore, it is expected that children with asthma will independently undertake more effective disease management after attending an AR asthma education program.

Citations

Citations to this article as recorded by  
  • Health Behavior and Social-Emotional Health Status of School-Aged Children According to their Experience with Atopic Dermatitis Diagnosis: Based on the 12th (2019) Panel Study on Korean Children
    Da-Jeong Kum, Kyung-Sook Bang
    Children.2023; 10(2): 288.     CrossRef
  • 4,678 View
  • 195 Download
  • 1 Crossref
Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea
Gun Ja Jang, Sangjin Ko
Child Health Nurs Res 2021;27(4):377-384.   Published online October 31, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.4.377
Purpose
This study examined the effects of a breastfeeding coaching program for mothers on growth and neonatal jaundice in late preterm infants (LPIs).
Methods
This was a quasi-experimental study (non-randomized intervention) with a time-series design. The study was conducted among 40 LPIs who were admitted to the neonatal intensive care unit of a university hospital in Daegu, South Korea. In the order of admission, the first 21 infants were assigned to the experimental group, and 19 were assigned to the control group. The intervention program consisted of home- based and web-based practical breastfeeding support education for mothers across a total of 5 sessions. Infant growth was measured using body weight, length, and head circumference, and neonatal jaundice was assessed using transcutaneous bilirubin levels.
Results
The likelihood of breastfeeding for infants in the experimental group at 4 weeks after discharge was the same as on the day of discharge, whereas it steadily decreased in the control group. There were significant differences in head circumference between the groups. However, weight, length, and transcutaneous bilirubin levels did not show a significant group-time interaction.
Conclusion
A formal breastfeeding coaching program should be considered in clinical settings and at home within the first few weeks postpartum.

Citations

Citations to this article as recorded by  
  • Mother’s Own Milk Provision During the First 12 Weeks of Life by Gestational Age
    Aloka L. Patel, Joshua Wilson, Melissa Holmes, Tricia J. Johnson
    JAMA Network Open.2025; 8(3): e250024.     CrossRef
  • Changes in anthropometry in full‐term breastfed newborns and associated factors for the first month
    Beril Aydın, Siddika Songül Yalçin
    American Journal of Human Biology.2024;[Epub]     CrossRef
  • 5,381 View
  • 283 Download
  • 2 Crossref
Purpose
This study investigated the relationships between mothers' knowledge and practice level of cough etiquette and their children's practice level of cough etiquette as perceived by their mothers.
Methods
This study was a descriptive correlational study. The data were collected from 160 mothers with preschoolers attending daycare centers and kindergartens in Gwangju, South Korea using self-reported questionnaires.
Results
The correct answer rate for cough etiquette knowledge in mothers was 86.0%, mothers' average practice score was 33.65±4.14, and their children's average practice score was 28.39±4.85 out of 48. The correlation between mothers' cough etiquette knowledge and practice level was not statistically significant. However, mothers' cough etiquette practice was positively correlated with children's cough etiquette level as perceived by mothers (r=.35, p<.001).
Conclusion
The development of a systematic cough etiquette education program and measurements for both mothers and children according to their developmental stages is important to effectively prevent respiratory infections.

Citations

Citations to this article as recorded by  
  • Trends in the Use of Non-Pharmaceutical Interventions in Schools During the COVID-19 Pandemic, February 2021 to December 2023: A Mixed Methods Study
    Nicole M. Robertson, Kailey Fischer, Iris Gutmanis, Veronica Zhu, Brenda L. Coleman
    International Journal of Environmental Research an.2025; 22(3): 394.     CrossRef
  • Gender differences associated with knowledge, attitude, and behavior about cough etiquette in primary health care
    Rahmat Bakhtiar, Krispinus Duma, Hilda Hilda, Romi Hendra, Anwar Mallongi
    Pharmacia.2024; 71: 1.     CrossRef
  • 5,230 View
  • 141 Download
  • 2 Crossref
Pediatric nurses' grit and nursing intention during the COVID-19 pandemic: Mediating and moderating effects of mindset and psychological collectivism
Young Soo Chu, Won-Oak Oh, Il Tae Park, Anna Lee, Myung-Jin Jung
Child Health Nurs Res 2021;27(4):395-403.   Published online October 31, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.4.395
Purpose
This study aimed to identify the mediating and moderating effects of mindset and psychological collectivism, respectively, on the relationship between grit and nursing intention for children with emerging infectious diseases, including coronavirus disease 2019 (COVID-19), among pediatric nurses.
Methods
We conducted a crosssectional descriptive study with 230 pediatric nurses.
Results
Grit directly impacted mindset (β=.27, p<.001) and nursing intention (β=.20, p=.001). The direct effect of mindset on nursing intension (β=.28, p<.001) and the indirect effect of grit on nursing intension via mindset (β=.08, p<.001) were significant. Accordingly, mindset mediated the effect of grit on nursing intention. The effects of grit and psychological collectivism (β=.19, p=.003), respectively, on nursing intention were significant. However, the interaction between grit and psychological collectivism was not significant. Thus, psychological collectivism did not moderate the effect of grit on nursing intention.
Conclusion
The findings demonstrate the importance of pediatric nurses' grit and mindset on their intended care for patients in critical situations. Cultivating a gritty culture and developing interventions to enhance nurses' personality traits associated with their performance will be crucial, and such measures are especially salient for pediatric nurses to face the new adjustments required in the era of COVID-19.

Citations

Citations to this article as recorded by  
  • Cultivation of Grit in Nursing Students: A Qualitative Descriptive Study “Cultivation of Grit”
    Carolyn Spriggs Muchna
    SAGE Open Nursing.2025;[Epub]     CrossRef
  • Protecting language teachers from burnout: The roles of teaching mindset, teaching grit, and emotion regulation
    Majid Sadoughi, S. Yahya Hejazi, Gholam Hassan Khajavy
    Language Teaching Research.2024;[Epub]     CrossRef
  • The associated factors of disaster literacy among nurses in China: a structure equation modelling study
    Yan Yang, Yuping Zhang, Yuanfei Liu, Qian Li, Lizhu Wang, Yong Du, Meijuan Lan, Jingfen Jin
    BMC Nursing.2024;[Epub]     CrossRef
  • Psychological capital, grit and organizational justice as positive strengths and resources among registered nurses: A path analysis
    Mervi Flinkman, Ann Rudman, Miko Pasanen, Helena Leino‐Kilpi
    Nursing Open.2023; 10(8): 5314.     CrossRef
  • Association between Grit and depressive symptoms at the timing of job start among medical residents during the COVID-19 pandemic in Japan: a cross-sectional study
    Yu Akaishi, Nobutoshi Nawa, Ayako Kashimada, Yasuhiro Itsui, Eriko Okada, Masanaga Yamawaki
    Medical Education Online.2023;[Epub]     CrossRef
  • 5,475 View
  • 158 Download
  • 5 Crossref
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