Factors Affecting the Health Promoting Behaviors in Working Men in Korea using Pender"s Health Promotion Model

Jeong Hyo Seo,Hee Kyung Kim 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim: Working men in our country are making great efforts to ensure a successful life for work and family. In adulthood and middle age, it is easy to be exposed to chronic diseases, and it is easy to harm one"s health if one does not continue to make efforts to improve one"s health in daily life. Therefore, the purpose of this study was to provide basic data for developing health promotion programs for office male workers by applying Pender"s health promotion model to analyze factors affecting the health promoting behaviors. Method: The data was collected for 10 days from July 15, 2021, using a questionnaire for 149 office male workers. The data analysis was conducted with frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe test, Pearson"s correlational coefficients, and stepwise multiple regression. Result: Health promoting behaviors and previous health-related activities (r=.58, p<.001), perceived profitability (r=.41, p<.001), self-efficacy (r=.53, p<.001), social support (r=.39, p<.001), self-esteem (r=.47, p<.001), action plan (r=.67, p<.001) showed a high amount of correlation at a statistically significant level. The factors affecting of a subject"s health promoting behavior were the establishment of an action plan (β=.36), self-esteem (β=.27), previous health-related behaviors (β=.27) and health conditions (good) (β=.21), and their variables accounted for 61.0% of the health promoting behaviors of the subjects. Conclusion: To improve health promoting behaviors for office male workers, it is necessary to try to develop and operate health promotion programs considering their variables. The system and support are needed to facilitate work- and community-oriented health promotion activities that can be planned and carried out by working men themselves. It is also necessary to encourage men"s self-esteem, perception of health and health-related behaviors.

Effects of a Workplace Multiple Cardiovascular Disease Risks Reduction Program

Jing-Juin Huang,Huey-Shyan Lin,Miaofen Yen,Wai-Ming Kan,Bih-O. Lee,Ching-Huey Chen 한국간호과학회 2013 Asian Nursing Research Vol.7 No.2

Purpose: Interventions targeting multiple risk behaviors have the potential to offer greater health benefits on public health. The purpose of this study was to evaluate the effects of a Workplace Multiple Cardiovascular Disease Risks Reduction Program (WMCVDRRP) on male participants at high risk for cardiovascular disease. Methods: One group pretest-posttest design was applied in this study. No control group was assigned as this study was the first one in Taiwan conducted to promote participants’ health using WMCVDRRP and thus with the nature of a pilot study. The program design was based on the collaboration between the health clinic at the corporation and a nursing school targeting six health behaviors. Of the 465 individuals who participated, data from 283 participants were included in the analysis. The change in any of six health behaviors and eight physical indicators were tested as the effect of the WMCVDRRP. Results: Nearly 40% of the participants improved their regular exercise, diet control, stress management, and medication adherence. Although the improvement in drinking behaviors did not show statistical significance, 21% of the participants changed in alcohol consumption and 21% quit smoking. Eight physical indicators including systolic and diastolic blood pressure, total cholesterol, triglyceride, body mass index, waist-hip ratio, body fat, and muscle weight improved significantly. Conclusion: Dual collaboration between the industry and nursing schools could establish a cost-effective program to improve health behaviors and health status of participants. Purpose: Interventions targeting multiple risk behaviors have the potential to offer greater health benefits on public health. The purpose of this study was to evaluate the effects of a Workplace Multiple Cardiovascular Disease Risks Reduction Program (WMCVDRRP) on male participants at high risk for cardiovascular disease. Methods: One group pretest-posttest design was applied in this study. No control group was assigned as this study was the first one in Taiwan conducted to promote participants’ health using WMCVDRRP and thus with the nature of a pilot study. The program design was based on the collaboration between the health clinic at the corporation and a nursing school targeting six health behaviors. Of the 465 individuals who participated, data from 283 participants were included in the analysis. The change in any of six health behaviors and eight physical indicators were tested as the effect of the WMCVDRRP. Results: Nearly 40% of the participants improved their regular exercise, diet control, stress management, and medication adherence. Although the improvement in drinking behaviors did not show statistical significance, 21% of the participants changed in alcohol consumption and 21% quit smoking. Eight physical indicators including systolic and diastolic blood pressure, total cholesterol, triglyceride, body mass index, waist-hip ratio, body fat, and muscle weight improved significantly. Conclusion: Dual collaboration between the industry and nursing schools could establish a cost-effective program to improve health behaviors and health status of participants.

초등학교 교사의 건강지각, 건강상태와 건강증진행위

정수희,김동희 한국학교보건학회 2017 韓國學校保健學會誌 Vol.30 No.3

Purpose : The purpose of this study was to identify health promotion behaviors of elementary school teachers and investigate the factors influencing the health promotion behaviors. Methods : Data were collected from 234 elementary school teachers in the B Metropolitan City Office of Education from 5th to 30th October, 2016. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Mann-Whitney test, Kruskal-Wallis test, Spearman correlation coefficient and multiple regression analysis, using SPSS/WIN 23.0. Results : The elementary school teachers' health perception scored 2.94 out of 4, health status 1.59 out of 3, and health promotion behaviors 2.66 out of 4. The level of mental health status (1.67) was higher than that of physical health status (1.54) and the most practiced health promotion behavior was spiritual growth (3.15) and the least was health responsibility (2.00). Significant negative correlations were found between health perception and health status(r=-.59, p<.001) and between health status and health promotion behaviors(r=-.41, p<.001). A significant positive correlation was found between health perception and health promotion behaviors(r=.32, p<.001). The significant factors influencing health promotion behaviors were job stress and health status. These factors explained 19.6% of the health promotion behaviors. Conclusion : It is necessary to establish measures to increase the health perception and health promotion behaviors of elementary school teachers and improve their health status. In addition, since job stress and health status are factors influencing health promotion behaviors, it is necessary to actively manage job stress and health status in order to increase health promotion behaviors.

청소년 건강행태조사: 중학교 3학년을 중심으로

이명순 ( Myoung-soon Lee ) 한국모자보건학회 2006 한국모자보건학회지 Vol.10 No.1

Objectives: Our objective in this study was to measure the frequency of healthrelated behaviors amongst ninth grade students in Korea. The study investigated the association of alcohol and tobacco use with other health risk behaviors. We also examined social influences that affected youth health behaviors. Methods: A survey questionnaire was administered to 3,739 ninth grade students across eight schools in two cities in Korea. The questionnaire measured the frequency of tobacco, alcohol, and substance use, sexual intercourse, anti-social behaviors, violence, feelings of social isolation at school, depression or attempted suicide, absenteeism from school, gambling, weight control, and seatbelt use. The survey accounted for the social influence of parents, siblings, peers, and other adults on students' health behaviors. Data was analyzed with frequency, chi-square test, and logistic regression. Results: Students reported higher frequency of most of health risk behaviors than is reported in other studies on youth health behaviors in Korea. Male students reported statistically higher frequency than female students of tobacco and alcohol use, violence, sexual intercourse, and gambling; female students reported statistically higher frequency than males of depression or attempted suicide, and feelings of social isolation at school. The absence of one parent or both parents affected students' health behaviors, particularly among female students. The tobacco and alcohol use were statistically strongly associated with most of other health risk behaviors among students. Compared with parents, siblings, and other adults, peers' influence on students' tobacco and alcohol use were much stronger. Conclusions: Korea youth health-related behaviors should be monitored consistently in a surveillance system at the national level, and be improved through multidimensional and multi-level health promotion efforts in Korea.

Correlates of Health Behaviors in Patients With Coronary Artery Disease

강윤희,양인숙,김나래 한국간호과학회 2010 Asian Nursing Research Vol.4 No.1

Purpose To investigate the effect of cardiac knowledge and cardiac self-efficacy on health behaviors after controlling for influences from associating factors of health behaviors in patients with coronary artery diseases (CADs). Methods A descriptive correlational and cross-sectional design was used. Subjects with CADs were recruited from outpatient clinics of three academic medical centers. The cardiac knowledge, cardiac selfefficacy,and health behaviors were measured by Coronary Heart Disease Awareness and Knowledge Questionnaire, Cardiac Self-Efficacy Scale, and Health-Promoting Lifestyle Profile II respectively. The data collected were statistically analyzed by descriptive statistics, t test, Kruskal-Wallis test, analysis of variance,Pearson’s correlation analysis, and the hierarchical multiple regression analysis. Results A total of 157 subjects were recruited for this study. The mean age of subjects was 59.38 ± 10.04years, and three-fourths (75.2%) were male. Subjects showed relatively low cardiac knowledge, moderately high cardiac self-efficacy, and moderate level of health behaviors. The overall model significantly explained 48% of variance in health behaviors (F = 14.52, p < .001). Among predictors, age, education, smoking status,experience of receiving patient education, and cardiac self-efficacy significantly affected health behaviors,and cardiac self-efficacy had the greatest effect on health behaviors (β=.39). However, cardiac knowledge had no statistically significant influence on health behaviors after controlling for the other factors. Conclusion The findings suggested that cardiac self-efficacy was shown to be the most influencing factor on health behaviors but cardiac knowledge had no influence on health behaviors. The nursing interventions tailored on the patient characteristics should be developed in order to improve the health behaviors of patients with CADs. [Asian Nursing Research 2010;4(1):45–55]

대학생의 건강지각, 자기효능감, 사회적 지지가 건강증진행위에 미치는 영향

우복진,이혜경 한국응용과학기술학회 2019 한국응용과학기술학회지 Vol.36 No.4

This study is a descriptive research with a purpose of examining the effects of health perception, self-efficacy and social support of college students on the health promotion behaviors. The subjects of this study have targeted 196 college students, where the data collection was made from September 10, 2018 to October 5, 2018. As a result of analyzing the differences in health promoting behaviors according to general characteristics of college students, there was a statistically significant difference according to the residence type(F=8.56, p<.001), subjective health status(F=7.23, p=.001), university life satisfaction(F=8.50, p<.001), exercise status(t=6.62, p<.001), and number of breakfasts per week(F=14.13, p<.001). For the correlation between college students' health perception, self-efficacy, social support, and health promotion behaviors, health promotion behavior and health perception(r=44, p<.001), self-efficacy(r=.57, p<.001), and social support(r=.49, p<.001) has shown a significant positive correlation between them. As a result of conducting multiple regression analysis by setting general characteristics, health perception, self-efficacy and social support as independent variables in order to analyze the factors affecting health promotion behaviors of college students, The variables that have significant explanatory power on health promoting behaviors(F=34.921, p<.001) were self-efficacy, social support, number of breakfasts per week(more than 5times), whether or not to exercise, number of breakfasts per week(2 to 4times), rent and lodging for residential type, and for grade, seniors. The explanatory power of these factors on health promotion behaviors was a total of 56.9%. Conclusively, In order to Improving health promotion behavior requires the development and intervention of personalized health promotion programs for each generation that consider self-efficacy and social support and emphasize the importance of proper exercise and proper eating habits. 본 연구는 대학생의 건강지각, 자기효능감, 사회적 지지가 건강증진행위에 미치는 영향을 확인 하기 위한 서술적 조사연구이다. 본 연구대상자는 충남 일개 대학에 재학 중인 대학생 196명을 대상으로 하였으며, 자료 수집은 2018년 9월 10일부터 10월 5일까지 이루어졌다. 연구결과 대학생의 일반적 특성에 따른 건강증진행위의 차이에 대한 분석 결과 거주형태(F=8.56, p<.001), 주관적 건강상태(F=7.23, p=.001), 대학생활 만족도(F=8.50, p<.001), 운동여부(t=6.62, p<.001), 주당 아침식사 횟수(F=14.13, p<.001)에 따라 통계적으로 유의한 수준에서 차이가 있었다. 건강증진행위와 건강지각(r=.44, p<.001), 자기효능감(r=.57, p<.001), 사회적 지지(r=.49, p<.001)가 서로 유의미한 양의 상관관계를 보였다. 대학생의 건강증진행위에 영향을 미치는 요인(F=34.921, p<.001)은 자기효능감, 사회적 지지, 주당 아침식사 횟수(5 회 이상), 운동여부(한다), 주당 아침식사 횟수(2~4회), 거주형태는 자취․하숙, 학년은 4학년이었으며, 설명 력은 총 56.9%이었다. 건강증진행위를 향상시키기 위해서는 자기효능감과 사회적 지지 체계를 고려하고 적절한 운동과 올바른 식습관에 대한 중요성을 포함한 세대별 맞춤형 건강증진프로그램 개발 및 중재가 필요하다.

대구·경북지역 여대생들의 피부건강 영향요인 분석

박미경 한국피부과학연구원 2014 대한피부미용학회지 Vol.12 No.1

In this study, the skin of the Daegu and Gyeongbuk area health-related factors in female college students take alook at the factors that mediate skin to skin health impact of health behaviors survey was conducted to find outthe following: First, for each factor for skin health survey, all three were out of the equation on the average is 1.86behavior, skin conditions, satisfaction, self-efficacy scores were higher in the group of each factor was higher inskin health. For skin health behavior survey, an average of 2.13 out of 3-type behavior has been investigated,skin conditions, satisfaction, self-efficacy scores were higher in the group of each factor was higher in skin health. Second, skin health and health-related factors, examining the correlation between the results of action, selfefficacy,behavioral expressions, skin condition, the order of satisfaction showed a significant correlation. In otherwords, self-efficacy, behavioral expressions, skin conditions, skin health behavior and satisfaction were positivelycorrelated. Third, the skin health status and health behavior factors affecting the skin and affect the results ofmultiple regression analysis, a skin condition satisfaction, self-efficacy is a significant skin health impact. Satisfactionwith skin conditions skin health behaviors, self-efficacy, sense of beauty, skin health is a significant factor affectingrespectively. Regression analysis also looks at interest in self-esteem and health behaviors were significantlyaffected skin. I think more than a subjective, as in skin health skin health behavior was less than the normal level,beyond what is usually the cause was investigated and the interval, which is quite negative about the health of theirskin, and they can be recognized. In addition, self-efficacy for healthy skin, skin health behaviors, suggesting thatthe greatest effect on skin health factors than internal factors are more superficial skin health can lead to aggressivebehavior is assumed. So for the next college student in education and health programs in the skin when the skinhealthy internal human face, such as self-efficacy should be further considered to be highlighted.

우리나라 여자 청소년의 신체활동, 식이행동, 수면에 따른 건강위험행동 군집유형과 정신건강상태와의 관련성

조영은 ( Young Eun Cho ),정인경 ( In Kyung Jung ) 중앙대학교 학교체육연구소 2021 Asian Journal of Physical Education of Sport Scien Vol.9 No.2

본 연구는 우리나라 여자 청소년들의 건강위험행동 실태 및 군집 유형을 파악하고 이에 따른 정신건강상태와의 관련성을 탐색해봄으로써 향후 청소년들의 건강증진을 위한 중재방안을 마련하는데 도움이 되고자 실시하였다. 본 연구에서는 제13차 청소년건강행태 온라인조사의 2017년도 원시자료를 이차분석 하였다. 그 결과, 우리나라 청소년의 전반적인 정신건강상태 및 건강위험행동군의 분포는 중학생보다 고등학생이 부정적인 경우가 많았으며 특히 신체활동 부족군의 비율이 높았고 충분한 수면시간을 갖지 못하는 것으로 나타났다. 4가지의 건강위험행동 군집유형의 경우 학교급별에 따른 차이를 보였으며 특히 건강위험행동을 모두 다 갖거나, 한 가지도 보유하지 않는 패턴의 양극단에서 O/E값이 높게 나타났다. 건강위험행동 군집유형에 따라 주관적 건강상태가 유의한 차이를 보였으며 같은 개수의 건강위험행동을 보유하여도 건강위험행동 군집유형에 따라 정신건강상태에 미치는 영향이 다르게 나타났다. 이상의 결과를 통해 건강위험행동은 상호 밀접한 관련성을 가지며 청소년의 정신건강상태에 영향을 미치고 있어 우리나라 청소년의 정신건강증진을 위해서는 한 가지 위험행동만을 초점으로 한 전략보다는 군집화된 건강위험행동 패턴을 고려한 중재방안을 모색할 필요가 있다. The study was conducted to identify health risk behaviors and cluster types of female adolescents in Korea, explore their mental health status accordingly, and help come up with mediation measures to improve their health in the future. In this study, we analyzed the second raw data in 2017 through the 13th online survey of youth health behaviors. As a result, the overall distribution of mental health conditions and health risk groups among teenagers in Korea was more negative for high school students than middle school students, and there was a lack of sleep time, especially due to lack of physical activity. For cluster types according to the four health risk behaviors, O/E values were high, especially at extremes of patterns that did not do all or any health risk behaviors. Mental health status differed significantly depending on the pattern of clustering of health risk behaviors, and even if the same number of health risk behaviors, the impact on mental health status differed depending on the type of health risk behavior. Since health risk behaviors are closely related to each other and affect the mental health status of adolescents, it is necessary to seek arbitration in consideration of clustered health risk patterns rather than focusing on only one risk behavior.

Relationship of Smoking with Self-perceived Health and Selected Health Behaviors

Choi Eun-Jin Korean Society for Health Education and Promotion 2004 보건교육건강증진학회지 Vol.21 No.4

The purpose of this study was to analyze variables associated with smoking and selected health behaviors. This study targeted adult men and women over 20 of age. The sample population was drawn from the national sample, and the samples were chosen from the telephone book. A total of 1,500 cases were collected through a telephone based interview survey. As a tool for this study, a structured questionnaire was developed. the variables included self-perceived health status, and selected 7 health behaviors; smoking behavior, physical activities, eating habit, weight control, alcohol consumption, stress management, and cancer exam. The healthy life practice actions of Trans-theoretical model have been classified into five stages. Smokers were more likely than non-smokers to positive attitudes toward smoking and the impact of smoking in this study. This means that smokers's awareness toward the impact of smoking is very week. Smoking behavior was significantly related to other health related behaviors based on the correlation analysis. However, gender, engaging in regular physical activities, moderate consumption of alcoholic beverages, and receiving a cancer examination were the variables that can explain and predict a person's stages of adopting a non-smoking behavior. Self perceived health status was closely related to other health behaviors. Gender, age, and monthly household income were important demographic variables that have significant relationship with the self-perceived health status. Among the health behaviors, regular physical activities and weight control were significant predictable variables. Similar results have been found in the National health and Nutrition examination survey in Korea. As a result of this study, it was found that among the selected health behaviors, engaging in physical activity was an important variable to increase positive sense of health and non-smoking behaviors. Educational and policy level input is needed to increase awareness and provide chances to participate in fitness activities. To those who maintain exercise, the environmental support and diffusion of knowledge information and education data should be strengthened. To change attitudes toward smoking, more in-dept awareness campaign and education should be provided according to people's different behavioral status. In addition, not only diffusing health education data and delivering knowledge information through related programs, but also environmental support system that helps an individual maintain his/her action is required. Such a support system means settlement of the health enhancement base of school, workplace and community should be carried out, and the policy level support and regular programs should be provided and spread to the unit of community.

간호대학생의 사회적지지, 감성지능, 우울과 건강증진행위와의 관계

이경임 ( Lee Keyoungim ) 대한통합의학회 2020 대한통합의학회지 Vol.8 No.4

Purpose: The purpose of this study is to identify the relationship of between social support, emotional intelligence, depression, and health promotion behaviors of nursing college students, and to establish basic data for the development of a nursing intervention program for health promotion behaviors. Methods: This descriptive correlation study examined the correlation between the social support, emotional intelligence, depression, and health promotion behaviors of nursing students. 203 nursing college students located in J city participated in the study from November to December 2019. The collected data was analyzed used the SPSS WIN 22.0 program. The general characteristics of the subjects were analyzed by frequency and percentage, and health promoting behavior, social support, emotional intelligence, and depression were analyzed using mean and standard deviation. In this study, the correlation between the subjects' social support, emotional intelligence, depression, and health promotion behaviors was analyzed using Pearson correlation coefficient. Results: The study results showed that the subjects' health promotion behaviors averaged 2.22±0.38 points out of 4d social support averaged 3.83±0.59 points out of 5, emotional intelligence averaged 4.53±0.73 out of 7, and depression averaged 0.49±0.42 points out of 2 points. The analysis results of correlation between the subject's health promotion behaviors, social support, emotional intelligence, and depression showed that health promotion behaviors and social support (r=.287, p<.001), health promotion behaviors and emotional intelligence (r=.450, p<.001), and social support and emotional intelligence (r=.450, p<.001) had a positive correlation, but depression and health promotion behaviors (r=-.453, p<.001), depression and social support (r=-.259, p<.001), and depression and emotional intelligence (r=-.322, p<.001) had a negative correlation. Conclusion: This study will provide the basic data for a follow-up researches on the social support, emotional intelligence, depression and health promotion behaviors of nursing college students. It is expected to serve as the basic data for developing nursing intervention programs for health promotion behaviors in the future.