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.
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Methods Searches of health-related databases and Google Scholar were conducted, and 23 randomized studies were included in the analysis. The main outcome variable was smoking behavior. The analysis was conducted using Comprehensive Meta-Analysis software (version 3.0).
Results Smoking prevention programs significantly reduced smoking behaviors (OR=0.85, 95% CI=0.77~0.93). School-based programs (OR=0.79, 95% CI=0.75~0.83), programs by trained teachers or educators (OR=0.77, 95% CI=0.71~0.83), high-intensity programs (OR=0.82, 95% CI=0.75~0.91), and programs in an in-school setting (OR=0.82, 95% CI=0.74~0.90) had the most significant effect on reducing smoking behavior.
Conclusion For young adolescents, smoking prevention programs are most effective when they are school-based or highintensity programs, and when conducted by teachers or educators with proper training. Further studies are required since there was insufficient research to explore the effect of web-based programs or family-centered programs on adolescent smokers.
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Purpose This study aimed to develop a mobile-based self-management health alarm (MSHA) program for modifying obese children's lifestyle based on the information-motivation-behavioral skills (IMB) model and to test its feasibility.
Methods A methodological study for the development of the MSHA program and pilot study with a one-group pretest-posttest design for feasibility testing was conducted. The MSHA program was designed to provide obesity-related information (I), monitor daily diet and exercise, provide motivational text messages (M), and enhance healthy diet and exercise skills (B) via a mobile-based web platform. In the feasibility test, six obese children participated in the 4-week program, and the number of days per week that they achieved their goals and differences in metabolic components were assessed. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.
Results Participants successfully achieved their diet and exercise goals≥5 days per week. Body mass index (z=-1.99, p=.046), waist circumference (z=-2.20, p=.028), and triglyceride levels (z=-2.21, p=.027) significantly decreased.
Conclusion The MSHA program showed positive effects on health behaviors and metabolic syndrome risk. The program may be effective in improving metabolic syndrome in obese children by promoting self-health management behaviors.
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Purpose This study was conducted to investigate factors affecting health behaviors in late school-aged children from multicultural families.
Methods This study included 401 children (112 from multicultural families and 289 from non-multicultural backgrounds) in grades 4~6 in 11 elementary schools. Data on health behaviors and related factors (school adjustment, the mother-child relationship, self-efficacy, etc.) were collected from the children using self-reported questionnaires between May and June in 2019. The collected data were analyzed through a univariate analysis and multiple regression analysis.
Results The health behavior score of multicultural children was lower than that of non-multicultural children (t=3.32, p=.001). In multicultural children, school adjustment (β=.55, p<.001), mother-child relationship (β=.25, p=.001), and perceived health status (very healthy=1; β=.19, p=.011) were significant factors affecting their health behavior and explained 47.0% (F=30.93, p<.001) of the variance.
Conclusion Multicultural late school-aged children are at risk to engage in a lower level of health behaviors than their non-multicultural counterparts. More attention should be paid to ways of improving multicultural children’s perceptions of their health status, maternal relationships, and school adjustment in order to promote health behaviors.
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Purpose This study was conducted to investigate the factors affecting health promotion behaviors in late school-aged children by establishing a hypothetical model based on the planned behavior theory.
Methods From July 19 to August 31, 2017, 460 questionnaires were distributed to fifth and sixth graders at three elementary schools in Korea, of which 318 were ultimately analyzed.
Results All the fit indices were shown to be appropriate, indicating satisfactory fit. In the final model, six of the nine paths included in the hypothetical model were supported. Specifically, perceived behavioral control had the most influence on intention, followed by subjective norms, self-esteem, and health knowledge. Intentions were the most influential factor for health-promoting behaviors, followed by self-esteem and health knowledge. Subjective norms, perceived behavioral control, and self-esteem explained 57.6% of intention to engage in health promotion behaviors and 61.7% of variation in health promotion behaviors was explained by health knowledge, self-esteem and intention.
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Purpose The purpose of this study was to investigate the effects of oral health education on oral health knowledge, oral health behavior, and oral hygiene status of children from North Korea.
Methods Participants were 32 North Korean children defectors (15 in the education group, 17 in the control group). The oral health education program, including theoretical training and toothbrush training, was done once a week for 4 weeks. Effects of the education program were assessed for oral health knowledge, oral health behavior, and oral hygiene status at pretest, 0, and 4 weeks after the intervention. Data were analyzed using repeated measures ANCOVA with the SAS program.
Results Children in the education group showed increased oral health knowledge and behavior over time compared to the control group and an improvement in oral hygiene status including significantly decreased S-PHP and Snyder test for oral micro-organism.
Conclusion Results indicate that oral health education is effective in improving oral health knowledge, oral health behavior and oral hygiene status. These improvements could lead to a better quality of life for North Korean children defectors.
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Methods For this study raw data from the 11th Youth Health Behavior Online Survey (2015) was examined. Mental health and health risk behaviors for 62,985 adolescents were analyzed according to their mothers’ native country. Collected data were analyzed with the SPSS program using descriptive statistics and logistic regression analysis, to which the complex sample design was applied.
Results The odds ratio of depression in multicultural adolescents compared to Korean adolescents was 44.92 (CI: 5.77-349.59) for adolescents whose mothers came from Cambodia and 3.00 (CI: 1.57-5.76) for adolescents whose mothers came from North Korea. The odds ratio of attempted suicide was 14.73 (CI: 3.09-70.22) for adolescents whose mothers came from Cambodia and 8.63 (CI: 3.45-21.62) for adolescents whose mothers came from North Korea. The odds ratio of problematic drinking in multicultural adolescents was 7.47 (CI: 1.71-32.67) for adolescents whose mothers came from Mongolia.
Conclusion Findings indicate that when planning a health promotion program for adolescents from multicultural families, a customized approach should be sought taking into account the characteristics of mothers’ native country.
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PURPOSE This study was done to examine body satisfaction of children, self-rated health of children and parent-child attachment as perceived by children and their mothers in relation to children's health behavior and to identify factors affecting health behavior of children. Ultimately the purpose of this study was to provide basic data to develop health promotion programs for children. METHODS Participants were 140 couples, 4th grade elementary school students and their mothers residing in Busan. Data collection was done during June 1 and July 31, 2010. The data were analyzed using paired t-test, Pearson correlation coefficients and stepwise multiple regression with PASW 18.0 program. RESULTS Children and mothers rated body satisfaction of the child differently. Children's responses for body satisfaction of child and parent-child attachment were associated with health behavior of children. Self-rated health perceived by children was also a factor affecting health behavior, as were body satisfaction perceived by children and mothers' perception of body satisfaction of child in that order. These variables explained 18.2% of the total variances in health behavior of children. CONCLUSION The findings indicate that body satisfaction and self-rated health of children are important variables to target within intervention research and treatment programs for health promotion behavior of children at home and school.
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The attitude towards cancer showed significant differences according to worries about cancer and family atmosphere. The health behaviors were also statistically affected by factors like whether one smoked or not, health condition and harmony of family life. There was a significant positive correlation between attitude towards cancer and health behavior for cancer prevention. Attitude towards cancer and health behavior for cancer prevention showed a positive correlation with knowledge about cancer. CONCLUSION The results of this study indicate that the development of an appropriate attitude towards cancer by high school students should lead to the practice of health behavior to prevent cancer. This development could be enhanced with structured and on-going education about cancer.
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PURPOSE The purpose of this study was to identify the factors influencing health risk behavior in high school students. METHODS The subjects were 512 students from 4 high schools in 3 cities. The questionnaire measured the level of self-esteem, self-efficacy, internal locus of control and health risk behaviors. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient and stepwise multiple regression analysis. RESULTS There were significant differences in the health risk behaviors according to sex, a classification of the school, whether or not smoking of mother, whether or not live alone, level of harmonious family, level of satisfying school-life and three variables of them were significant differences by Scheffe test. There was a significant positive correlation between sub-dimension of health risk behaviors and the self-efficacy, self-esteem, internal locus of control were negative correlation with health risk behaviors. The most important influential factor of the health risk behaviors was the self-efficacy. CONCLUSION From the studies reviewed, improving the self-efficacy, self-esteem, internal locus of control and the general social environment of students will probably be the most effective strategies for primary prevention of health risk behaviors.
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PURPOSE The purpose of this study was to examine levels of knowledge, attitude towards infant oral health, and related health behavior of parents. METHODS The sample consisted of 380 parents who were providing care for a child ranging in age from 11 to 16 months. RESULTS Participants obtained information on infant oral health via the internet, infant care books, and friends.
While showing the correct attitude towards infant oral health, the parents were ill-informed regarding infant oral health and engaged in low levels of appropriate health behavior. There were statistically significant differences in infant oral health knowledge according to parents age, education, income, and age of infant. Attitude towards infant oral health was significantly different according to parents education and income. Also, there were significant differences in health behavior practice for infant oral health according to parents age, income, caregiver, and infant age. A significant positive relationship was found between knowledge and attitude to infant oral health. CONCLUSION The results of this study indicate that for maintenance and improvement of infant oral health, the parents and caregivers of infants should be provided with information and specific methods for infant oral health care.
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PURPOSE The purpose of this study is to find out preschool children's health status and their mothers' health management in the vulnerable classes. METHODS The assessment tool was developed, taken into consideration existing studies, materials produced by the customized visiting health care system, and review of visiting nurses of health centers and related experts. Data were collected January to February 2010 from 259 mothers by visiting nurses, and analyzed using SAS program for descriptive statistics. RESULTS Body weight less than 3 percentile was found for 5.0% children and over 97 percentile for 7.7%. Atopy was found in 17.8% children, no hand-washing after toileting and before meal in 30.9% and 36.7% respectively, no breakfast in 15.8%, and irregular meal in 32.0%. Sex education was made by 45.7% mothers, regular dental check by 56.6%, and hearing and eyesight test by 61.1% and 66.8% respectively. Home environment for upbringing is 34.3 in the scale of 41, and accident prevention 17.5 in the scale of 22. CONCLUSION It is necessary to make an intervention on children's weight, personal sanitation and meal time in the vulnerable classes. Mothers need to be educated for appropriate health care, and home environments to improve upbringing and accident prevention.
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PURPOSE This study was done to explore the levels of depression experienced by adolescents, and to compare health behavior between depressed and non-depressed adolescents. METHOD Participants were chosen by a stratified random sampling of adolescents in the second grade of a high school in P city. Levels of depression and health behavior of the students were measured using questionnaires. Data collection was done in May, 2002. Data were analyzed with descriptive statistics and logistic regression using the SPSS WIN 10.0 Program. RESULTS The prevalence of depression (CES-D) among the students was 53.5%. In multiple logistic regression analysis, sex (OR 1.80, 95% CI 1.35-2.41), school performance, mid (OR 1.68, 95% CI 1.48-1.97) and low (OR 1.42, 95% CI 1.29-1.61), drinking (OR 1.47, 95% CI 1.09-1.98), and not eating breakfast (OR 1.74, 95% CI 1.56-1.97) were significantly higher in students in the depressed group than those in the non-depressed group. CONCLUSIONS Based on the findings, we concluded that many adolescent experience depression and depression in adolescents is significantly related to behaviors of smoking, alcohol, no exercise, and not eating breakfast.
However this study did not address causality among these variables. There, further research, such as a longitudinal study, is needed to identify causality among the variables.
The subjects were 349 high school boys and girls who were 10th and 11th graders in Seoul, Korea. Statistical analysis included percentages, means, Pearson correlation coefficient, ANOVA, t-test, and stepwise multiple regression analysis. As a result, there were positive correlations between social support, stress reduction and increases in health behavior. Stepwise multiple regression analysis of social support, stress, and adolescents health behavior showed that social support explained 26.3% of the variance in health behavior, The more social support subjects experienced more health behavior level and the less the correlated stress level. In the area of demographic attributes, gender, height, weight, grade level, socioeconomic level of the parents, and stress were significantly correlated, grade levels, religion, socioeconomic level of parents and social support. sibling order, religion, socioeconomic level of the parents, parents education, occupation of father. and health behavior were statistically significant The findings indicated stress was a negative factor in health behavior, and social support was a positive factor in reducing stress and promoting health behavior. To reduce adolescents stress and to promote health behavior, we should endeavor to develop realistic social support programs.
The purpose of this study was to explore the health and illness concepts of hospitalized children. The subjects were 129 hospitalized children from 3 to 12 years old in one general hospital. Data were collected through semistructured interviews by authors. This study was conducted from Jun. 1, 2000 to Dec. 31, 2000.
Data were coded and categorized by content analysis. The results were as follows: 1.Perceived health concept were physical well- being, food, exercise, powerfulness, emotional stability, obeidence, cleanliness, sleep and ability of social adaptation. 2. Perceived health behavior to maintain health were food, treatment, exercise, cleanliness, obeidence, sleep, emotional stability, powerfulness and psychological stability, physical well-being. 3.Perceived prevention of illness were food, cleanliness, treatment, exercise, obedience, sleep, powerfulness, psychological stability, emotional stability, recreation and ability of social adaptation. 4.Perceived causes of illness were illness, trauma and food. 5.Perceived treatment of illness were treatment, sleep, rest, food, obedience, emotional stability, psychological stability, cleanliness, exercise and powerfulness.
The purpose of this study was to explore the late schooler's health concept and health behavior. The research was a descriptive method using a self-report questionnaire which include semi open-ended questions. the subjects were 4581ate schooler's from 4 to 6 grade.
The results were as follows : 1. Perceived health concepts were 'having no illness' 'having normal physical feature and strength' 'eating food well' 'take exercise' 'having a bright mind' 'having good interpersonal relationships' 'having strong will' 'recovering well'.
2. Perceived health behaviors to maintain health were 'taking proper exercise' 'eating proper food' 'maintaining cleanliness' 'taking sufficient rest and sleep' 'having a vigor life and positive thought' 'having good interterpersonal relationships' 'receiving health check and immunization'.
3. Health behaviors carried out at present were 'taking proper exercise' 'eating proper food' 'having a vigor life and positive thought' 'receiving health check an immunization' 'taking supplementary drugs' 'having a regular life' 'maintaining cleanliness' 'maintaining warmth'.
4. Perceived causes of illness were 'taking inproper food' 'uncleanliness' 'insufficient warmth or environment' 'lack of exercise or overexertion' 'irregular life habits' 'contact with germs' 'mental stress'.
5. Perceived treatments of illness were 'having sufficient rest and sleep' 'mental relaxation' 'eating food' 'maintinging cleanliness' 'maintaining . warmth' 'taking supplementary drug' 'receiving medical treatment'.
Purpose The purpose of this study was to explore health behavior and perception of therapeutic restrictions in chronically ill children and their parents in Korea. Method: Nine children with chronic disease and of six of their parents were interviewed using semi-structured a questionnaire. The data were analyzed using explorative content analysis. Results: Health behaviors related to therapeutic restrictions was classified into four domains, and the perceptions of therapeutic restrictions into two domains. The domains regarding compliance in health behavior with therapeutic restrictions included control-centered restrictions (maintaining food limitations, avoiding harmful environments, restriction on physical activity, restriction on social activity, restriction on learning activity), and everyday pursuit of balance(preference for healthy diet, maintaining a regular life style, maintaining a standard body weight, pursuing psychological well-being, family participation). Domains regarding perception of therapeutic restrictions included obstacles to growth and development (bridled life, opportunity deprivation, prevented from playing proper role), origin of conflict (tenacity, conflict, stressor, cover-up), task for normal life (doing proper duty), and everyday affairs (becoming ordinary, familiarity). Conclusion: This study will help to enhance understanding the behavior and perception of therapeutic restrictions by chronically ill children and their families and to establish educational programs and counseling for these children and their families.
Purpose The purpose of this study was to describe high-risk health behaviors in middle school adolescents and to identify factors related to this behavior. Method: This survey study employed a self administered questionnaire given to 621 students enrolled in one middle school located in Gyeonggi province. Using the cluster sampling method, 4 classes from the 7th, 8th, and 9th grades were selected. The survey was done between April 20 and May 19, 2004. Data were analyzed using SAS. Result: The results showed that 19.1% of adolescents smoked cigarettes and 8.4 % drank regularly. The mean score for resilience was 6.92 (range:0-10) and for depression, 23.62 (range:0-50). The adolescents in higher grades reported significantly more experience with pornography. Also, adolescents who reported have fewer conversations with their parents had significantly more experience with pornography. Depression was significantly higher for those students who had better academic skills and higher family income. Resilience level was significantly higher for the students who reported better schools records and higher family income. The most important factor related to the high risk behaviors, depression, and resilience was conversations with parents. Conclusion: This study suggests that to develop an effective high-risk health behavior prevention program for adolescents, it is necessary to include communication skills with the parents.
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