고등학생의 우울과 불안에 대한 가당음료와 패스트푸드의 결합효과

라진숙 한국간호과학회 2022 한국간호과학회 학술대회 Vol.2022 No.10

고등학생의 고카페인 에너지 음료 섭취에 대한 관련 요인

라진숙,윤희경,김혜선,류정림 한국학교보건학회 2017 韓國學校保健學會誌 Vol.30 No.1

Purpose: The purpose of this study was to identify the factors associated with energy drink consumption in Korean high school students. Methods: This cross sectional study used the secondary data from the 2015 Adolescent Health Behavior Online Survey. A total of 33,744 high school students were included in the study. Energy drink consumption was measured by asking how often they consumed energy drink during the previous week. Associated factors were categorized into socio-demographic characteristics, psychological characteristics, and health related behavioral characteristics. Complex samples logistic regression was used to analyze the influence of associated factors on energy drink consumption. Results: For socio-demographic characteristics, adolescent boys were likely to consume more energy drink than adolescent girls (Adjusted Odds Ratio [AOR]: 1.351, 95% Confidence Interval [CI]: 1.209~1.510). For psychological characteristics, depressed adolescents were likely to consume more energy drink than their counterparts (AOR: 1.697, 95% CI: 1.537~1.874). For health related behavioral characteristics, cigarette smoking (AOR: 1.336, 95% CI: 1.168~1.528), alcohol drinking (AOR: 1.126, 95% CI: 1.012~1.254), soda drink consumption (AOR: 1.800, 95% CI: 1.565~2.071), sweet drink consumption (AOR: 1.715, 95% CI: 1.431~2.054), and insufficient sleep time a day (AOR: 1.307, 95% CI: 1.197~1.427) were associated with energy drink consumption. Conclusions: In conclusion, energy drink consumption in Korean high school students were associated with such factors as psychological factors (depression) and health related behavioral characteristics (smoking, alcohol, sleep, soda and sweet drink). Thus, intervention programs in schools and communities should focus on these psychological and health related behavioral characteristics.

미숙아 어머니의 직접 모유수유 자기효능감

라진숙,채선미 한국모자보건학회 2015 한국모자보건학회지 Vol.19 No.1

Purpose: The purpose of this study was to explore direct breastfeeding self-efficacy (DBSE) ofmothers with premature infants and its relations with their knowledge, attitude and family perceptionon direct breastfeeding. Methods: A cross-sectional descriptive study was employed. A total of 76 mothers with prematureinfants participated in the study from 3 neonatal intensive care units (NICU). Data were collectedusing self-report questionnaires. Results: The mothers of premature infants showed 51% of correct answers on direct breastfeedingknowledge. No one breastfed their premature infants in NICU while about a half of the mothersused bottle feeding with breast milk and formula. Almost all of the mothers with premature infants(96.1%) expressed intention to begin and continue direct breastfeeding. Their DBSE was at amoderate level, 3.09±0.65. The DBSE of the mothers with premature infants was significantlycorrelated with their knowledge, attitude, and family perception on breastfeeding. Also DBSE wassignificantly higher in those with direct breastfeeding experiences than their counterparts. Maternalprevious direct breastfeeding experience, direct breastfeeding experience in NICU, and family perceptionon direct breastfeeding significantly explained 38.8% of the variance in DBSE of motherswith premature infants. Conclusion: Our findings suggest mother of premature infants with experience of direct breastfeedingin NICU and positive family perception on direct breastfeeding seems to increase DBSE. Therefore, NICU discharge program should include education on direct breastfeeding to thosemothers. Also family-centered approach should be developed to improve DBSE of the motherswith premature infants.

초기 여자 청소년의 체중편견내재화 관련 요인

라진숙,김순옥 한국지역사회간호학회 2021 지역사회간호학회지 Vol.32 No.2

Purpose: This study aimed to identify factors (biological, psychological, interpersonal, and contextual factors) associated with the weight bias internalization of the Korean girls in early adolescence. Methods: This study used a cross-sectional design. Data was collected from 233 girls aged 12~14 years with a self-reported questionnaire. With multiple regression analysis, the factors associated with the weight bias internalization of the girls in early adolescence were analyzed. Results: Of psychosocial factors, fear to fat (anti-fat attitude) (β=.43, p<.001) was associated with the weight bias internalization of the girls in early adolescence. In addition, attachment with teachers (β=-.11, p=.029) of an interpersonal factor and perceived socio-cultural pressure regarding weight control (β=.34, p<.001) of a contextual factor were associated with the weight bias internalization of the girls in early adolescence. Conclusion: For releasing the weight bias internalization of the girls in early adolescence, decreasing anti-fat attitude and socio-cultural pressure regarding weight control should be primarily required through social efforts including community and school based interventions.

초기 여자 청소년의 체중 관련 사회적 압력과 신체 이미지 사이 청소년-교사의 애착관계가 미치는 조절효과

라진숙 한국모자보건학회 2020 한국모자보건학회 학술대회 연제집 Vol.2020 No.-

Purpose: 부정적인 신체이미지는 사춘기로 인한 체형의 변화와 체중증가를 경험하고 사회적인 평가에 민감하게 반응하는 초기 여자 청소년에게서 나타나기 쉽다. 부정적인 신체 이미지는 체형이나 체중에 대한 왜곡된 인식으로 인해 발생하며, 이는 적정 체중 유지에 대한 사회적 압력 인식과 관련성이 높다. 그리나 일부 선행연구에서 체중 유지에 대한 부담감이 높아도 의미 있는 관계에 있는 사람들과 애착이 높은 경우 왜곡된 체중 인식 및 부정적인 신체상의 수준이 감소하는 것으로 나타났다. 우리나라의 경우, 청소년이 학교에 머무르는 시간이 길고 교사는 학습 및 생활 지도 전반에 관여 하므로, 청소년과 교사간 애착관계가 높은 경우 체중 관련 사회적 압력에 대한 인식이 높아도 체중 편향 내재화가 유의하게 증가하지 않을 것이라 여겨진다. 본 연구의 목적은 초기 여자 청소년의 체중 관련 사회적 압력과 체중편향 내재화 사이에서 청소년-교사 애착관계의 조절효과를 확인하는 것이다. Methods: 연구 디자인을 위하여 서술적 상관 관계 연구방법을 이용하였다. 연구대상자는 광역도시와 중소 도시 소재2개 중학교에서 편의 표집한 11~14세 여자 중학생 468명이다. 자가기입 설문지 방법을 사용하여 신체상, 체중관련 사회적 압력, 및 청소-교사의 애착을 조사하였다. 조절효과 확인을 위하여 다중회귀분석과 simple slope analysis를 수행하였다. Results: 체중 편견 내재화는 체형 관련 사회적 압력이 증가할수록 유의하게 증가한 반면 (t = 2.62, p = .0092), 청소년-교사의 애착이 강할수록 감소하였다(t = 4.42, p < .001). 또한 체중 관련 사회적 압력과 청소년 교사의 애착은 유의한 상호작용 효과 (interaction effect)를 보였다(t = -2.38, p = .0177). 즉, 청소년-교사의 애착이 평균보다 높을 때 체형 관련사회적 압력이 증가하여도 체중편견 내재화는 유의하게 증가하지 않았다 (b = 0.02, t = 0.44, p = .6635). 반대로 청소년-교사의 애착이 평균보다 낮을 때는 체형관련 압력이 증가하면 체중 편견 내재화도 유의하게 증가하였다(b = 0.13, t= 3.43, p = .0007). Conclusion: 청소년-교사와의 긍정적인 관계 개선과 나아가 애착형성은 초기 야자 청소년의 긍정적 신체상 수립에 도움을 줄 수 있을 것이다.

Factors associated with the combination of general and abdominal obesity in middle-aged and older Korean women: a cross-sectional study

라진숙 질병관리본부 2023 Osong Public Health and Research Persptectives Vol.14 No.5

Objectives: To identify factors associated with general and abdominal obesity in middle-aged and older Korean women based on the biopsychosocial model. Methods: Data from 4,076 women aged ≥45 years who participated in the Korea National Health and Nutrition Examination Survey from 2015 to 2020 were analyzed. Complex sampling analysis was performed using IBM SPSS ver. 26.0. Results: The combination of general and abdominal obesity was positively associated with age ≥65 years, postmenopausal status, and without breastfeeding experience among biomedical factors; depressive symptoms and prolonged (≥8 hours a day) sedentary behavior among psychosocial factors; and an educational level lower than middle or high school graduation and the first and second income quantiles among biosocial factors. Conclusion: Healthcare providers in communities and public societies should screen for risk factors for the combination of general and abdominal obesity while considering non-modifiable biomedical (e.g., age) and biosocial factors (e.g., educational level). In addition, intervention strategies should be developed by considering modifiable psychosocial factors such as sedentary behavior.

학령전기 아동 어머니의 아동 신체활동 지지

라진숙,채선미 한국아동간호학회 2014 Child Health Nursing Research Vol.20 No.1

목적 본 연구의 목적은 학령전기 아동 어머니의 아동 신체활동 지지의수준을 파악하고, 아동 신체활동 지지에 대한 영향요인을 확인하는것이다. 방법 자가보고식 설문조사 방법을 적용하였으며, 대전 소재 3개 유치원에 다니는 만 3-6세 학령전기 아동의 어머니의 156명의 자료가 분석되었다. 결과 본 연구 결과, 전반적인 신체활동 지지 수준은 4점 만점 2.69±0.35점이었고, 세부적으로 볼 때, 장비 또는 경제적 지원 2.61±0.61점, 모델링2.42±0.54점, 지역사회자원 이용 2.55±0.47점, 좌식활동제한은 3.18±0.51점으로 나타나 신체활동 지지 수준은 중등도인 것으로 나타났으며, 이는 미국 부모의 지지와 비교하여 낮은 수준이다. 어머니의 아동신체활동 지지에 대한 영향요인은 가정의 경제적 수준, 특히 월수입500만 원 이상인 경우(β =.417, p =.002)이며, 아동 신체활동 지지에 대한 어머니의 자기효능감(β =.231, p =.003), 아동 신체활동 지지를 위한충분한 정보(β =.173, p =.022), 아동 신체활동 지지를 위한 교육경험(β=.237, p =.002)이었다. 결론 본 연구의 결과에 의하면, 부모의 아동 신체활동 지지를 증진시키기위해서는 부모의 신체활동 지지 자기효능감 증진을 위한 전략 개발과충분한 전문적 정보제공이 필요하다. 추후연구로서 아동 신체활동 지지를 위한 부모교육 프로그램과 가족 중심의 아동 신체활동 증진 프로그램의 개발이 필요하며, 부모의 아동 신체활동 지지에 영향을 미치는 요인이 추가 탐색되어야 할 것이다.

신생아집중치료실 간호사의 모유수유에 대한 지식, 태도, 간호활동

라진숙,채선미 한국아동간호학회 2013 Child Health Nursing Research Vol.19 No.2

Purpose: The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses. Methods: Survey methodology using a self administered questionnaire was employed as the research design. A total of 153questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis. Results: The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item 3.70±0.41 on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item,3.26±0.74. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203,p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002). Conclusion: These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.

학령전기 아동 단 음료 섭취 관련 요인

라진숙 한국보건간호학회 2022 韓國保健看護學會誌 Vol.36 No.3

Purpose: The purpose of this study was to identify factors associated with sugar-sweetened beverage consumption of Korean preschool children. Methods: Subjects for the study were recruited using the convenience sampling method. A total of 162 mothers with preschool children aged 3 to 5 years participated in the study using a self-reported questionnaire and provided data regarding the frequency and quantum of the children’s sugar-sweetened beverage consumption days in a week and the factors associated with such consumption. Hierarchical multiple regression analysis was conducted to analyze the factors associated with the sugar-sweetened beverage consumption of preschool children. Results: Among the children -specific factors, age (β=.13, p=.015) was positively associated, while fruits/vegetable consumption (β=-.22, p<.001) was negatively associated with sugar-sweetened beverage consumption of the preschool children. Among the mother-specific factors, fruits/vegetable consumption of mothers was negatively associated (β=-.16, p=.006), while the sugar-sweetened beverage consumption of the mothers was positively associated with the sugar-sweetened beverage consumption of the preschool children (β=.27, p<.001). In addition, the maternal restrictive feeding style was negatively associated with sugar-sweetened beverage consumption of preschool children (β =-.23, p<.001). Conclusion: Based on these results, interventions targeted at children, parents, and the family environment should be developed to reduce the consumption of sugar-sweetened beverages in early childhood. .

학령전기 아동의 신체활동 수준과 어머니의 신체활동 증진행위

라진숙,채선미 한국모자보건학회 2013 한국모자보건학회지 Vol.17 No.2

Objectives: The purpose of this study was to explore preschool children's physical activity level and their mother's physical activity promotion behaviors. Methods: Physical activity level of preschool children were measured with self report from mothers and were evaluated based on the physical activity guideline of National Association for Sports and Physical Education. Mothers' physical activity promotion behaviors for their children were measured using the questionnaire developed by McMinn et al. A total of 172 questionnaires from the mothers in Seoul and Daejeon were used for data analysis. Results: Mean of structured physical activity time of the preschool children was 37.88 minutes per day and 61% of them had inappropriate level of physical activity. Mean of sedentary behavior time was 137.21 minutes per day. Most of the children (93%) spent longer sedentary behavior time than the guideline. Mothers with preschool children showed moderate level of physical activity promotion behaviors for their children; mean scores of 12.92 out of 25 for physical activity support and 10.13out of 25 for physical activity permission, and a mean score 14.66 out of 25 for sedentary behavior limiting. Correlations between mothers' physical activity support and increasing of structured physical activity (r=0.165, p=0.05) and decreasing of sedentary behaviors (r=-0.298, p<0.001) were statistically significant, but not strong. Conclusions: Preschool children need to increase physical activity and reduce sedentary behaviors. Family focused physical activity program for preschool children could be necessary including parental education for improving parental support to increase physical activity level of preschool children.