Earticle

Objectives: The purpose of this study was to investigate the prevalence of metabolic syndrome and to find related factors according to the number of metabolic syndrome diagnostic components in Korean adolescents. Methods: The subjects of this study were 469 Korean adolescents aged from 12 to 18 enrolled in the 2016 Korea National Health and Nutrition Examination Survey. Statistical package R 3.4.2 was used for programming to apply diagnostic criterion of adolescent metabolic syndrome and for the analysis of the data such as weighted frequent analysis, weighted mean analysis and complex sampling design logistic regression analysis. Results: For adolescents 12 to 18 years of age, 2.55% had more than 2(≧3), 9.88% had more than 1(≧2) and 33.17% had more than 0(≧1) metabolic syndrome diagnostic components. It has been found that risk factors for no less than 2 metabolic syndrome diagnostic components were higher body mass index and higher stress, and risk factors for no less than 1 were higher body mass index, younger teenager and female. Conclusion: Obesity is the primary risk factor for the development of adolescent metabolic syndrome. Female or younger teenager are more likely to have one or more metabolic syndrome diagnostic components, and higher stress develop to the risk level of having two or more metabolic syndrome diagnostic components. Therefore, it is important to focus on obesity and stress management for the prevention and control of Korean adolescent metabolic syndrome.

Objectives: This study aims to investigate the estimated proportion for influenza vaccination and to identify factors associated with influenza vaccination in Korean adults aged 50 and older with asthma. Methods: Data from 2010-2015 Community Health Survey(n=23,662) was used. A chi-square test was performed to investigate the estimated proportion for influenza vaccination, and a multiple logistic regression analysis was used to identify the factors associated with self-reported influenza vaccination. Results: In men, 42.3-49.5% of asthma patients 50–64 years of age, and 78.5-90.2% of elderly (over 65 years of age) asthma patients received influenza vaccination. In women, 49.7-61.9% of asthma patients 50–64 years of age, and 82.7-89.7% of elderly asthma patients received influenza vaccination(p<0.0001). Low education level, non-smoking, non-drinking, hypertension, diabetes and use of public center were related to high influenza vaccination in 50–64 years old men with asthma. Low education level, non-smoking, bad health status, hypertension, diabetes and use of public center were related to high influenza vaccination in 50–64 years old women with asthma. Non-smoking and use of public center were related to high influenza vaccination in over 65 years old men with asthma. White-collar jobs, smoking, absence of hypertension and use of public center were related to low influenza vaccination in over 65 years old women with asthma. Conclusions: Influenza vaccination remains relatively low in asthma patients 50–64 years of age. It is necessary to recommend vaccination to asthma patients, provide them with information, and devise other strategies to improve vaccination.

Objectives: The purpose of this study was to identify the effects of college student gambling experience on the gambling problems. Methods: The study included 260 students from four-year universities in Seoul and Gangwon Province, and collected data from March 1, 2018 to March 31, 2018. The data were analyzed with the SPSS 23.0. Results: First, gambling experience showed high frequency among males (68.5%), 21 years of age and older (45.5%), boarding house (66.1%), and two or more siblings (40.5%). Second, the gambling problem based on the experience of gambling was statistically significant in academic problem, interpersonal relationship, and gambling control. Third, the mental health of the subjects was highly correlated by interpersonal relationship, gambling recognition and academic problem. Also, academic problem was highly correlated in order of gambling control and interpersonal relationship. Fourth, effects of gambling experience on the gambling problems were identified as gambling control, interpersonal relationships, gambling awareness and mental health. Conclusion: Recognize the seriousness of the gambling problem of college students in order to solve the gambling problem, the government, communities and universities should actively promote the harmful effects of gambling and provide regular mental health. education at universities.

Objectives: This cross-sectional study aimed to identify the significant factors that influence small and medium-sized business workers when they carry out low sodium diet. Methods: The data were collected by conducting a survey on 161 individuals in small and medium sized businesses who had not been diagnosed with hypertension, in Gyeonggi province. The survey tool measured their knowledge in carrying out low sodium diet and how much support they had been given from their family. The data were analyzed by descriptive statistics and multiple regression analysis. Results: Family support affected their implementation of the low sodium diet (t=2.981, p=.003). Similarly, the result accounted for 27.2% (R²=.272) in the regression model. Conclusion: this statistical results suggest that there is a profound need of various nursing intervention programs to enhance family support and to improve their awareness of the importance of implementing low sodium diet in order to prevent hypertension in small and medium-sized business workers.

Objectives: The purpose of this study was to investigate the factors affecting the satisfaction of tutoring and some dental hygiene students and to investigate whether the self - efficacy and subjective norm are mediating effects. Methods: This study was conducted on 81 students in the first year, 82 students in the second year, 30 students in third year of girls who are majoring in the dental hygiene of a college in north Gyeonsang province Form September 1 to October 15 2017 asked them to answer the questionnaire and retrieved the questionnaire, among the 193 questionnaires except for the inaccurate response, 186 were final analysis. Results: In the relationship between the affective factors of tutoring learning and the satisfaction of tutoring learning, the relationship of social interdependence, group intimacy, program usefulness, group commitment, academic self - efficacy, subjective norm, It was found to be relevant. The usefulness of the program was found to have a significant effect on the satisfaction of tutoring learning. Conclusions: It is expected that the tutoring learning satisfaction is mediated by the academic self - efficacy and the subjective norm, so that it can be utilized as the basic data of the study application of the new education program in the field of dental hygiene.

Background & Objectives: This study aims to investigate the health status of family caregivers with dementia patients and identify the factors related to their anxiety and depression. Methods: Data from 2015 Community Health Survey(n=2,426) was used. A chi-square test was performed to investigate the health status of family caregivers, and a multiple logistic regression analysis was used to identify the factors associated with anxiety and depression. Results: Odds ratio(OR) of anxiety and depression was 1.29 times higher in female, 2.49 times higher in over 70 years versus under 39 years. ORs were lower 34.0%, 26.0%, 26.0% in the working group, the physical activity group, the alcohol drinking group respectively. ORs of anxiety and depression were 4.54 times, 1.57 times higher in the stress group, the chronic disease group respectively. And ORs were 61.0%, 28.0% lower respectively when social networks and social activities was present. Conclusions: The rate of experiencing anxiety and depression was high in family caregivers with dementia patients. It is necessary to provide diverse programs to reduce the burden of family support, anxiety and depression of family caregivers.

Objectives: This study aimed to develop a smoking cessation education program and to provide basic data for evaluating program for university students majoring in health sciences. Methods: The education program was developed based on the instructional system design model(ADDIE), that was based on literature review, brainstorming, and interviews of related experts. Education program was implemented for 2 sessions of 3 hours to the 82 university students majoring in health science. Knowledge, competency, and self-efficacy for performance of smoking cessation were analyzed. One group pre- & post-test design was used for evaluation of this program. Results: In the analysis stage, a total of 5 duties, 16 tasks, and 55 task elements were derived. In the design and development stage, based on job analysis, education program contents were composed of understanding tobacco, planning and implementation of smoking cessation program, smoking cessation counseling and drug treatment. After this education program, students achieved remarkable improvement in increasing knowledge, competency, and self-efficacy for smoking cessation counselling and program. Conclusions: It is needed to be included the smoking cessation education in department related to health science regular course.

Objectives: The purpose of this study was to investigate the actual conditions and operational problems of Health Promotion Model School' in high school. Methods: We conducted a content analysis of 2014 results report and staffs’ responses of five high schools among 85 ‘Health Promotion Model Schools’ led by Ministry of Education from 2012 to 2014. Results: The study examined the operational process of health promoting schools in five stages; system development, needs survey & current status survey, school health policy development, program development & execution, and evaluation. Every step was found to be inadequate. In addition, the study discovered three key factors in operating health promoting schools and examined the status of each factor; connection with the curriculum, connection with the community, and consensus among members. Three factors were also applied poorly. Compared to elementary school, high school showed a lack of all respects. Health promoting school staffs have faced difficulties in linking community resources, organizing and operating a working committee, conducting surveys and assessing health problems, preparing self-assessment or external evaluation, and developing strategies and programs. In order to solve the operational problems, active cooperation of all teachers is urgent. Conclusion: 'Health Promotion Model School' conducted in high school is not considered to have faithfully implemented WHO 's concept of health promoting school. In the future, incentive policies for health promoting school teachers should be actively reviewed.

Background & objectives: Life style modification reduces the health risks of young people and improves their health status. Physical activity is known the effective factor to reduce health risks and health problems. This study performed to analyze health promotion behaviors related to physical activity among first-year students of university. Methods: To examine the association with physical activity and health promotion practices, health survey was conducted with 3,806 students who were first-year students in a university by self-reported questionnaire from February 26 to March 10, 2015. Multiple logistic regression analysis was performed to identify the difference of health promotion behaviors by physical activities. Results: 51.4% of the first-year student was regular exercisers who had practiced on regular walking exercise or regular strength exercise or regular aerobic exercise for a week. 87.8% of students exercised one or more times within the last one week. On the other hand, 12.2% of them did not exercise. In multiple logistic regression models, it remained significantly the difference of regular exercise by gender, subjective health status, sleeping time per one day, BMI, drinking behavior, and eating habit (p<0.05, p<0.01, p<0.001). Also it remained significantly the difference by physical activity type, such as walking, strengthen, and aerobic exercise (p<0.05, p<0.01, p<0.001). Conclusion: To help the achievement of academic goal, it should build physical activity policies and comprehensive health promotion programs to reduce health risk factors of university students. Comprehensive university health services and customized program for university students could help to make the best of their health. In future, to enhance physical activity practice, it needs to develop various tailed messages and smart healthcare service using health information technology (IT) on campus.