PURPOSE This study was conducted to analyze the association between health literacy and health behavior and the effect of health literacy on health behavior in late school-age children. METHODS Data were obtained from 333 participants who were 5th and 6th-grade students sampled from 8 elementary schools in Busan. Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen) and Newest Vital Sign (NVS) was used for assessing linguistic and functional health literacy, and the health promotion behavior score was measured for health behavior. RESULTS The percentage of those with limited linguistic and functional health literacy was high (47.1%, 56.8%). Linguistic health literacy (r=.38, p<.001) and functional health literacy (r=.11, p=.048) had a correlation with health behavior. Health behavior was significantly associated with perceived health status (beta=1.94, p<.001), number of times of health education (beta=0.18, p<.001), academic achievement (p<.001), home literacy environment (beta=0.13, p=.016), perception of changes after health education (p=.011), and linguistic health literacy (beta=0.23, p<.001). CONCLUSION The results of this study indicate that children with adequate health literacy are more likely to do health behaviors. Therefore, it is important to develop educational strategies to raise children's health literacy level and consequently to induce them to perform more health behaviors in daily life.
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PURPOSE The purpose of this study was to investigate the effects of self-efficacy, social support, and depression in elementary school children. METHODS The participants of this study were 619 students from seven elementary schools located in Jollabuk-do Province, Korea. The methods included data analysis, descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and stepwise multiple regression using SPSS/WIN version 15.0. RESULTS The mean scores of self-efficacy, social support, and depression were 2.9+/-0.58, 3.2+/-0.44 and 14.0+/-7.32, respectively. There was a significant positive correlation between self-efficacy and social support (r=.517, p<.001). Significant negative correlations were observed between self-efficacy and depression (r=-.557, p<.001) and between social support and depression (r=-.571, p<.001). The variables of depression in elementary school children were self-efficacy and social support, which explained 42.7% of the cases. CONCLUSION The findings from this study suggest that current intervention programs are not sufficient to curb depression in elementary school children and therefore it is needed to develop nursing intervention programs to promote self-efficacy and social support.
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PURPOSE This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. METHODS The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. RESULTS The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. CONCLUSION In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.
PURPOSE This study was to evaluate the effects of a smoking prevention program among preschool children. METHOD This study used a nonequivalent control group pretest-posttest design. The participants were 141 preschool children aged 6 or 7 at two childcare centers in Jecheon City, who were divided into an experimental group (n=66) and a control group (n=75). The smoking prevention program was applied through 9 sessions and 30 minutes per session. Surveys were conducted before and after the smoking prevention program to examine the preschoolers' knowledge and attitude toward smoking and smoking coping behavior. RESULTS There were significant differences between the experimental group and the control group in smoking knowledge (t=-2.02, p=.044) and smoking coping behavior (t=-2.01, p=.047), but smoking attitude (t=-1.20, p=.230) was not statistically significantly different between the two groups. CONCLUSION As a result, further research is needed into the long term effects of a smoking prevention program on the future behavior of preschoolers so that the health benefits of early prevention can be quantified. It is necessary for parents to participate actively in influencing preschoolers' attitudes and behaviors with regard to the avoidance of smoking.
PURPOSE The goal of this study was to find out factors influencing the health promotion behavior of low-income vulnerable 4th, 5th and 6th-grade elementary school students. The specific goals were: first, to find out difference in health knowledge, self-esteem and health promotion behavior according to general characteristics; second, to investigate the correlations among health knowledge, self-esteem and health promotion; and, third, to analyze factors influencing health promotion behavior. METHODS The subjects of this study were 137 low-income vulnerable 4th, 5th and 6th-grade elementary school children who were participating after-school programs in Seoul. RESULTS Statistically significant differences were observed in health knowledge, self-esteem and health promotion behavior between girls and boys. In the sub categories, differences were observed in personal hygiene and health responsibility, stress management and personal relationship. The correlation of health promotion behavior with self-esteem and health knowledge was statistically significant. Regression analysis revealed that the influencing factor is self-esteem with the other variables under control. CONCLUSION Health promotion education requires low-income vulnerable elementary children to increase their self-esteem. We recommend that it should be one of the most effective ways to split boys and girls to educate them in disparate classrooms.
PURPOSE This study was carried out to investigate the knowledge of obesity and exercise, attitude to dietary habits and exercise, and physical activities and exercise in elementary school children to provide basic data for obese programs. METHODS The subjects were 850 elementary school children of grade 3-6 in C City and data were collected with a questionnaire. RESULTS Higher grade, female and overweight children recorded a higher knowledge score than lower grade, male and normal weight children. As for attitude to dietary habit, lower grade and female children had more positive attitude than higher grade and male children. Overweight children were more aware of the seriousness of exercise than normal weight children. In physical activity, lower grade and male children were higher than higher grade and female children. The more interested the children's family were in exercise, the higher score of physical activity they showed. CONCLUSION In planning education for preventing obesity, it should give consideration to lower grade and male children. In addition, education for changing dietary habit attitude must be extended to higher grade and male children as well. It is effective to develop and apply physical activity improvement programs in the cooperation and involvement of their families.