Earticle

Purpose: The purpose of this study was to investigate factors influencing health promoting behavior of the late school age children and to analyze the difference of health promoting behavior according to personal factors of children. Methods: The subjects consisted of 169 school-aged children in the 6th grade in Gyeonggi-do. Data were collected from Dec. 1 to Dec. 10, 2008. The data were analyzed by using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression with the SPSS/WIN 12.0 program. Results: 1) Health promoting behavior was proved to be relatively high. The average item score for the health promoting behavior was . The highest degree of health promoting behavior was stress management (4.13). whereas the one with the lowest degree was exercise (3.40). 2) In the relationship between personal factors and health promoting behavior, there were statistically significant differences in gender, perceived health status, family mood, father's drinking habits, school performance, school satisfaction. 3) Health promoting behavior was showed significant positive correlations with perceived self-efficacy (r=.55), social support (r=.65), prior related behaviors (r=.44), perceived benefits of action (r=.42), and significant negative correlations with perceived barriers of action (r=-.37). 4) Stepwise multiple regression analysis was revealed that the most powerful predictor of health promoting behavior was social support (=0.36) Conclusion: The combination of social support, perceived self-efficacy, perceived benefits of action, gender, and family mood accounted for 57.8% of the variance in the health promoting behavior of the late school age children.

Purpose: The research was to investigate the relationship between Internet addiction and eating behaviors of college students. Methods: Sampled for sake of convenience, 507 college students in Kwang-ju and Chun-nam area were surveyed from September 3rd to September 10th 2008. The contents of the survey consist of general, academic, health behavior, internet usage, internet addiction and eating habit traits. Results: 49.3% of subjects were appeared to be addicted to internet, while male students had higher addiction rate of 54.9% than female student with 40.3%. Significantly, eating behaviors are worse in the group of mild and serious internet addiction, arts students, the group that recognizes its living standard as normal or richer, and also in the group that takes breakfast less seriously. These groups were appearing 47.0% of addiction rate. Conclusion: For college students, internet addiction was proved to be effective significantly in eating behavior. It is required to establish appropriate measures such as internet usage control to settle proper eating behavior of college students.

Purpose: This study was aimed to identify factors related with depression among boys and girls in Korean middle school adolescents. Methods: This study used the data from the 2007 annual survey of youth health behaviors conducted by the Korea Centers for Disease Control and Prevention between the period of 2007/9/1 and 2007/9/22 (with the extension of 2007/10/1 and 2007/11/3). The target number of this study was 21,047 male and 18,424 female students all in the age group of middle school 1st grade and 3rd grade. Results: Depression of middle school adolescents was 33.4% for male students, 43.8% for female students, 38.3% in overall. With regard to the relationship between the demographic characteristics and the health behavior, both male and female students felt more depressed when they had more stress, followed by the cases with stimulant intakes and chronic diseases. For male students, higher level of physical activity was associated with greater level of the depression. For female students, living with only one parent or other person seem to cause more depression. Conclusion: Depression of middle school adolescents requires a special attention from the family, the school and society in general to find out and eliminate the root of these symptoms.

Purpose: The purposes of this study were: (a) to assess indoor air quality such as , concentrations in child daycare centers, (b) to compare the levels with each standard, and (c) to identify teachers' awareness of indoor air quality in child care centers. Methods: Data were obtained from seventeen child daycare centers and ninety-eight teachers in a district of Seoul, from April 3 to May 12, 2009. Collected data were analyzed by SAS 8.2, and descriptive statistics, test, student t-test, Pearson correlation analysis, and Spearman rank correlation were used. Results: The mean of and level were and 792.1ppm. Sixteen child daycare centers (94.2%) met the guidelines of the level, so did thirteen child daycare centers (76.5%) in the level. levels were significantly low in child daycare centers using air cleaners than those do not using them (t=-6.03, p<.001). Types of child daycare centers were significantly correlated to the levels of , which public child daycare centers were low in levels than those of private child daycare centers (t=-2.54, p=.013). There was no significant correlation between teachers' awareness and management attitude of indoor air quality while teachers' awareness of indoor air quality significantly raised the frequency of carpet cleaning. Methods of cleaning routines were significantly correlated with , and levels. Conclusion: The and concentrations in child daycare centers were satisfactory. Those conditions are affected by general characteristics of child daycare centers and teachers' attitude regarding management of indoor air quality.

Purpose: The objective of this study is to investigate the relationship between middle and high school students' internet addiction, social support, self-efficacy and school life adjustment. Data were collected by self-administered questionnaires at middle and high school students located in Seoul and the metropolitan areas. Methods: The response rate is 94.8% (474 cases). The internet addition was measured by K Scale. The various methods of analysis were used, for example, frequency analysis, t-test, analysis of variance, and multiple regression analysis. Results: First, the mean score of internet addiction level is 2.07 in 5 Likert scale. the internet addiction level of the male students are higher than female students (p<.05). Second, as a result of classification of internet addiction groups by K Scale, 11 students (2.3%) are included in high risk group, 27 students (5.7%) are in potential risk group, 436 students (92.0%) are in general group. Third, the level of social support and self-efficacy of middle and high school students are very high. The difference of social support by internet addiction groups was not statistically significant. But, the difference of self-efficacy by internet addiction groups was statistically significant. The level of self-efficacy of the students in general groups are more higher than in high risk group and in potential risk group (p<.01). Fourth, the difference of school adjustment by internet addiction groups was very statistically significant. The level of school life adjustment of the students in general groups are more higher than in high risk group and in potential risk group (p<.01). Fifth, the internet addiction have a negative correlation with school life adjustment. And the social support and self-efficacy have a positive correlation with school life adjustment (p<.01). Finally, in stepwise multiple regression analysis, the internet addiction affects negatively on the school adjustment. And the support of teacher among three types of them affects positively on the school life adjustment. And the social self-efficacy among two types of them affects positively on the school adjustment (p<.01). Conclusion: to adjust desirably the school environment of the middle and high school students, optimal and efficient management of internet addiction was needed in the future and the improvement and promotion of social support and social self-efficacy of the students was also demanded.

Purpose: Adolescent obesity is a growing problem. This study examined the relationships between different types of physical activity and obesity in male and female middle and high school students. Methods: This study used the Korea National Health and Nutrition Examination Survey data of 2007. The study included 282 male and female middle and high school students who completed health survey questionnaires regarding physical activity. Physical activity was measured with vigorous and moderate activity and walking. BMI was used as an obesity indicator. Analyses were done using descriptive statistics, ANOVA, and chi-square test. In addition, multiple logistic regression were conducted to investigate the relationship between physical activity and obesity when adjusting for covariates. SAS/WIN 9.1 was used. Results: Boys spent more days in vigorous and moderate physical activity than girls (p for vigorous activity: <.001, for moderate activity: <.001). There was no significant difference in walking activity between boys and girls and between middle and high school students. Only days spent in vigorous activity was significantly higher in middle school student compared with high school students (p=.013). According to the relationship between physical activity and obesity, moderate physical activity was significantly related to BMI for high school boys (p=.041). However, when adjusting for age, sex, school, parental income, daily caloric intake, physical activity was not significantly related to obesity. Conclusions: The results showed that male and female middle and high school students spent not enough days in doing low moderate and vigorous physical activity. Thus, this strengthens the need to increase physical activity level in these populations. In spite of non-significant relationship between physical activity and obesity from multivariate analysis, increasing moderate physical activity for high school boy could be effective to prevent and manage obesity, since significant difference between moderate activity and obesity in this population.

Purpose: To identify the need to reform in the crisis response of Health Teacher, School Nurse, in elementary school during epidemic outbreak of influenza H1N1. Methods: 139 elementary health teachers, school nurse, in seoul elementary school responded in the questionnaire, and we analysed by using frequency and percent, t-test, and paired t-test. Results: The Job status became 121% more 'during influenza H1N1 (flu) outbreak' than Job status of 'before outbreak'. The proportion of the flu-related duty among their daily workload was up to 77.5%. The administration-related workload of the flu-related duty was 30.8%. and students' health assessment including temperature measurement 18.7%. Furthermore, an impediment of usual daily work due to an increaed flu-related workload was 95.7%, and no alternative plan such as disposition of assistant labor force was 86.1%. Especially, an impediment of health education was 61.0%, so the major concern was the loss of health education. We compared average scores (a five-point Likert scale) of health teachers' work motivation, exhaustion, work relationship and Job management of 'during' with 'before' flu-outbreak. The difference range of 'during' minus 'before' work motivation score was from -0.4 points to -0.9; work exhaustion range from 1.8 to 1.9; the difficulty of relationship between students, school personnel, parents of students, and health teachers from 1.4 points to 1.3 points; and the consideration of changing Job, taking time off from the Job and retirement from 1.4 to 1.6 points. Conclusion: The health teachers had a heavy workload due to flu-outbreak. They also experienced the impediment of usual work implementation. However, there was a shortage of alternative plan such as disposition of an assistant labor force. Under their Job status like this, the health teachers' motivation score was decreased and work exhaustion was increased. Furthermore, they had a lot of relation difficulty with students and school personnel. Therefore, we suggested that in contrast to the usual Job status, there is a need to have a prepared response during school crisis like flu-outbreak such as improved response system in seoul metropolitan education office, simplification or dispersion of administrative work, and temporary call-center for simple inquiries or advices.

Purpose: The purpose of this research is to identify stress, depression and sleeping of mothers with children who have received the special education in the elementary, middle and high school and to find out the relationship among stress, depression and sleeping. It will be provided as the basic information for development of nursing intervention. Methods: This research was carried out from November 18th to November 27th, 2009 through questionnaire about the stress, the depression and the sleeping. The subjects of investigation were 94 mothers with children who have received the special education in elementary school, middle and high school. Results: There is correlation between the psychological and physical stress of the mothers; correlation between the stress and the depression; inverse correlation between the stress and the sleeping; and inverse correlation between the depression and the sleeping significantly in statistics (p<.001). Mother group in elementary school has mild depression and the other variables in all groups of mothers are included in normal range. Conclusion: It is necessary to do the comparative study for stress, depression and sleeping of mothers with children who have received the special education in elementary school, middle and high school and to make the research for the development of optimized nursing intervention program for reducing depression for the subjects.

Purpose: The purpose of this study was to explore the relationship between depression, alexithymia, social support and somatic symptom in adolescents. Methods: The subjects were 1,519 adolescents in Seoul. Radloff's CES-D (The Center for Epidemiological Studies-Depression scale) for depression, Bagby, Parker and Taylor's TAS (Toronto Alexithymia Scale) for alexithymia, Park's social support and Derogatis's SCL-90 (Brief Symptom Inventory & Matching Clinical Rating Scale) were used. The data was analyzed using descriptive statistics, Pearson's correlation coefficients, t or F test, and stepwise multiple regression. Results: Depression and somatic symptom were lower but social support was higher when compared to mean score. The somatic symptom was significantly positive correlations to age, depression, alexithymia but no correlation to social support. Stepwise multiple regression analysis showed that 21.8% of the somatic symptom was significantly accounted for depression, alexithymia, social support, gender, economic status, living alone, and living with parent. Conclusion: These results suggest that depression, alexithymia, living alone can be potential risk factors for somatic symptom in the adolescents. Therefore, these findings will give useful information for developing a promotion program focused on social support in the adolescents.