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Purpose: The purpose of this study was to examine the effect of school-based preventive education on smoking-related knowledge, attitude and practice of health behaviors among elementary school children at a rural province in Korea. Methods: The subjects were 134 among the 4th -6th graders (exp. = 67, control = 67) from two schools at J province. Education program was conducted in 5-sessions for experimental group. And study instrument for smoking-related knowledge was developed 2-point 15-items (a = .82), for attitude was 3-point 15-items (a = .79), and for practice of health behavior was also 3-point 30-items (a = .86). Data were collected by interview from May 28th to July 10th 2003 and analyzed with the frequency, percentage, x2-test and t-test using SPSS-PC program, Results: The group of having smoking experiences was 14.2% and 52.2% of the subject had smoking family members. The first motive of smoking was curiosity in 78.9% and 36.8% of them started smoking before the third grade. School-based preventive education of smoking were affirmatively effective in smoking-related knowledge (t = 4.14, p = .001), smoking-related attitude (t = 3.654, p = .001), practice of health behavior, on the other hand, was not changed significantly by the education. Conclusion: Based on these findings, the authors recommend that school-based smoking prevention education should be started from lower graders in regular curricular basis and health promotion program for primary school children should be emphasized to lead healthy behavior in collaboration with public and private health sectors in community.

Purpose : Health Risk behaviors are a leading cause of preventable morbidity and mortality. Adolescents is a critical transitional period for establishing health behavior for healthy life. The purpose of this study was to describe the types and frequency of the health risk behaviors being performed by middle school students, examine the gender and grade differences of health risk behaviors, and identify the relationship among health risk behaviors. Methods : A total of 1952 early adolescents recruited from 7 middle schools in a district of urban setting completed questionnaires. Youth Risk Behavior Survey-Middle school questionnaires was used to identify the types of health risk behaviors among early adolescents. Data were analyzed by descriptive statistics and Chi-Square test using SAS program . Results : The results showed the frequency for most health risk behaviors and increased with advancing grade level. Males were more likely than females to behaviors related to smoking and violence, whereas females were more likely than males to have suicidal thoughts, be physical inactive and attempt to lose weight. Among health risk behaviors, the relationship of alcohol experience, smoking, and suicide was high. Conclusion : The findings identify a high risk target group among middle school adolescents and suggest that preventive intervention strategies should take into consideration the types with gender and grade, and provided the evidence that one of health risk behaviors may induce the other health risk behaviors.

Purpose: This study was to identify the types and characteristics of health problems of middle school students in Gangwondo. Methods: The subjects of the study were 11 middle schools from 47 schools with nurse teachers in Gangwondo. The anecdotal records of the school health clinics were collected from March to December in 1998 with the agreement of nurse teachers of the schools. Results: 71.0% of the middle students visited the school health care clinics once or more than once. The mean frequency of health problems was 2.03 times per one year. The rate of health problems did not show any statistical differences by sex, school location, age, the day of the week and weather. However, there were statistical differences of the rate by month. The highest rate was showed in September, followed by June and April (F=2.52, p=0.01). Health problems were classified into 11 types. Gastrointestinal illness showed the largest proportion (60.6%). The oral illness showed statistical differences among the location of school, between municipal and rural area (t=-2.97, p=0.016). There were 411 types of signs and symptoms recorded. Among them, headache was showed the highest proportion with 2,122 cases (11.2%). Conclusion : The incidence rate of health problems was higher than that of earlier studies. It showed that the incidence rates and the types of diseasps in middle school students were different by school locations, characteristics of students, and months. To improve the qualities of primary cares in school health services, the reformed and unified anecdotal record system and the standardized guidelines for primary care are necessary.

Purpose: The purpose of this study was to explore the effect of aromatherapy on speech anxiety and self-esteem of elementary students. Methods: Sixty-eight elementary students were studied for one week during which they underwent lavender fragrance treatment using vaporizer. All subjects were in 4th grade of elementary school in Seoul. Before and after treatment, the severity of speech anxiety and self-esteem was evaluated by questionnaire. Results: After treatment, the score of speech anxiety had decreased significantly from 20.1 to 18.5 (p=0.000) and the score of self-esteem had increased significantly from 28.9 to 30.3(p=0.020). Conclusion: According to the study results, it can be concluded that aromatherapy showed effect on speech anxiety and self-esteem of elementary students

Purpose: The purpose of this study was to examine the types of school accidents and their first aids at Elementary, Middle, High Schools in a local area. Methods: The subjects were 1062 students who have had episodes of school accidents from 730 (Elementary = 429, Middle = 188, High = 113) schools in Chungnam province from January to December, 2006. Data were collected from accident-related record from school nurse and 'School Safety Fund', and analyzed using the SPSS Version 13.0 programs and the results and conclusions are as follows: Results: The proportion of school accidents occurred were in middle(0.43%), high(0.35%), primary(0.30%) school students. And the most frequent type of accident was fracture and then sprain. Most school accidents broke out in playground during resting time, and followed by physical education class. The most frequent cause of school accidents was carelessness and first aid was fixation the injury. Conclusion: Based on these findings, school-based and continuous safety education programs and emergency care system within school and in community can be suggested in collaboration with health-related resources. Further longitudinal study to identify causes and kinds of school accidents and can also be recommended.

Purpose: The purpose of this study on education and skill of Basic life Support Training in Middle and High School Students. Methods: The Basic life support training courses are taught mostly by Emergency Medical Technician and Paramedic. Sixty five middle school students, Seventy eight High school students and forty six adult received tuition in Basic life support training and subsequently completed questionnaires, test and interviews to assess their theoretical knowledge regarding their likelihood of performing Basic life support training. Under the supervisor, The subjects were evaluated by comparing basic life support education and skill data collected and the education sessions consisted of a 30min video tape. The Basic life support skill sessions used Laerdal manikin, and the data stored from the HeartSim were collected for further analysis. The students were asked to practice what they had been. A statistical analysis was done using the SPSS version 13. Results: Their average age of middle school students were 15.3±1.2 years, high school students (17.3±1.8), and adults(38.3±2.3). The total of 189 subjects were evaluated. The criteria used in the study had the following results First, We found that middle and high school students scored higher than adult. The scores were statistically significant to teach and evaluate the education evaluation showed that the adults scored lower than the middle and high school students. Second, We found that high school students and adult scored higher than middle school students. The scores were statistically significant to teach and evaluate the skills evaluation showed that the middle school students scored lower than the high school students and adult. Conclusion: We found that middle and high school students were superior to adult counterparts in understanding the basic life support education. We found that high school students and adult scored higher than middle school students in the BLS skill training. An expansion of basic life support training to middle and high school students is demanded. The Basic life support skills training seems to be retained between 6 and 12 months. The basic life support training should included in the school education curriculum in school.

Purpose: With economic development and prolonged longevity, the level of health and health disparities have became growing concerns for individual and society as well. Since youth's health status are influenced by households' socioeconomic status and associated with heath status in later stage of life, assessing health inequality in the youth is a significant step toward lessening health disparity and promoting health. We measured health inequality in high school students and decomposed it into health factors. Methods: The subjects included 3,787 high school students of 12th graders from the Korea Education and Employment Panel (KEEP) in 2004. True health status was assumed as a latent variable and estimated by ordered logistic regression model. The predicted health was used as a measure of individual health after rPSraling to [0,1] interval. Total health inequality was then measured by Gini coefficient and was decomposed into health factors. Results: Health inequality in high school students was observed. Of total health inequality, 44% was explained by biological factors such as body mass index (BMI) (32.5%) and gender (13.5%). Behavioral factors such as smoking, drinking, physical activity, hours in bed and hours of computer ussge added to 11.7%. Household income and work experiences explained 5.6% and 8.8%, respectively. School satisfaction explained 14.6%. Other school related factors such as self-assessed achievement and experience of being bullied accounted for 15.5%. Conclusion: Among the health factors, biological factor was the most important contributor in health disparity. Other factors such as health behaviors, socioeconomic factors, school satisfaction and school related factors exhibited somewhat similar magnitude. For policy purposes, it is recommended to look into modifiable factors depending BM, gender and school surroundings.

Purpose : This study identified the patterns of smoking of students attending middle schools and high schools, and analyzed its related health risk behaviors. Methods: The data was based on the survey of 1,517 middle students and 911 high students residing in Kyung-Gi district. Results: The current smoking rates of male and female middle students are 5.3%, and 3.1% respectively. The rates of experiences in smoking are 21.4% and 16.0%(male/female). The current smoking rates of male and female high students are 17.9% and 8.5%, whereas the rates of experiences in smoking are 34.2% and 23.3% respectively. On the other hands, 14.1% of middle students and 12.0% of high students were exposed to smoking for at least 2 hours per day. The majority of middle and high school smokers started smoking when they were in middle or high school. And the most popular places to smoke were children's playgrounds, public open area., parks, and so on. Whether having a smoker as a friend or not and students' own perception towards smoking influenced the decisions to smoke for middle and high students. Both middle and high students, regardless of their gender, who have higher rates of drinking experiences and the hours of computer usage were found to have higher rates of smoking experiences. Meanwhile, the sleeping hours is in reverse proportion to the rate of smoking experiences. There was statistically significant difference in smoking experiences related to the degree of obesity only in the female high students: underweight and overweight students showed higher rates of smoking experiences than those falling in the normal weight range. Conclusion: For the effective prevention of adolescence smoking, it is necessary to adopt a comprehensive approach, which classifies the target population according to their age and sex and cover all health risk behaviors.

Purpose: The present study intended to reveal the association between the physique of adolescent women and dysmenorrhea, and the factors related to the frequency of dysmenorrhea. Methods: The study subjects included 511 girls of a women's high school in Daejeon city and they were, during the period of March 1st through April 30th, 2005, given self-administered questionnaires about frequency of menstruation, age, physique, exercise, and such menstruation-related items as age of menarche, menstrual period and days, and amount. Results: As with the frequency of dysmenorrhea, 38.4% experienced it 「always」, 44.6% 「occasionally」, and 17.0% 「almost scarcely」, and those with dysmenorrhea accounted for 83.0% of the subjects. The frequency of dysmenorrhea was not significant difference according to the BMI and HPI. However, the lower the age of menarche and the greater the amount of menstrual flow, the more frequent dysmenorrhea. The symptoms of dysmenorrhea included the highest frequency of low back pain(68.5%) and it was followed by abdominal pain(65.9%), sensibility(54.0%), fatigue(51.7%), and nervousness(49.5%). These accompanied symptoms tended to be worse as the frequency of dysmenorrhea increased. The multiple logistic regression analysis revealed that the relative risk of frequency of dysmenorrhea is 2.2 times in age of 14, by a standard age of 15 as menarchial age, 2.2 in 13, and 3.1 in below 12. The menstrual days was 3.0 times in both below 2 days and over 8 days with the standard days of 3-7 days. The menstrual amount was 1.9 times in the group with a greater amount of menstrual bleeding and 1.5 times in the group with a less amount than the normal group, respectively. Conclusion: The above results suggest that the rate of experiencing dysmenorrhea was up to 83.0% and 38.4% from these had dysmenorrhea upon every menstruation. It is thought that dysmenorrhea could be a great disadvantage sufficient to impair optimal health to a larger body of school girls. Further, for quality of life, it is required that more fundamental strategies instead of pain killers or others for palliation of dysmenorrhea would be established among adolescents.

Purpose : The purpose of this study was to investigate the effects of stresses to female university students and their habits of dealing with stresses through drinking alcohol and smoking. Methods : Subjects, 313 students, were selected through convenience sampling method from the 2 four-year universities in Chonbuk and Chonnam province from May to June, 2005. Data were collected through the structured questionnaires that include general characteristics, Quantity Frequency methods, the number of cigarette per day, campus stress scale, and stress coping style scale, and they were analyzed by Cronbach' alpha, descriptive statistics, ANOVA and t-test by using SPSS/PC+ program. Results: In this study, 80% of subjects have drunk alcohol. The mean frequency of drinking alcohol per month was 4.68 times and the mean number of alcohol consumption amount per drinking 6.16 glasses. The rate of smoking was 13.7%, and the mean number smoking cigarette per day in the previous month was 12.4. The mean score of stress was 2.20. Among 8 sub-factors of stress, study related stress scored highest among the sub-factors. The mean score of coping styles was 2.50. Among 4 coping styles, hopeful thought was mostly used. Among stresses, the concern of one's future affected her drinking habits. Faculty relationship, academic problem, and value affected smoking habits. Hopeful thought comes out to affect smoking, while drinking, perceived health status, and practice time showed no relationship with coping style. Conclusion: Based on the results, developing a life stress counseling program and effective coping program for women's university students is imperative, especially for those of who show passive attitude toward stress and solve it emotionally instead of using problem-oriented methods. Also, it will be necessary to study further nursing intervention to curb university females' drinking alcohol and smoking.