Earticle

이 연구의 목적은 건강교육프로그램 참여노인들의 신체능력과 주관적인 건강상태 및 건강증진행위의 관계 에 대해 조사하는 것이다. 이러한 목적으로, 207명의 노인을 대상으로 설문조사를 진행하였다. 결론은 다음과 같다. 첫째, 우수 집단이 다른 집단에 비해 높은 주관적 건강상태와 건강증진행위를 보였다. 둘째, 신체능력은 주관적 건강 상태에 긍정적으로 영향을 미친다. 셋째, 건강능력은 건강증진행위에 상당한 영향을 미치지 않는다. 넷째, 주관적 건 강상태는 건강증진행위에 긍정적으로 영향을 미친다. 이러한 결론들은 선행연구의 문헌과 이론에 근거하여 논하였다.

The purpose of this study was to examine the relationships among the physical competence, subjective health status, and health promoting behavior of elderly participating in health activity program. For these purposes, we conducted a survey with 207 elderly. The findings were as follows. First, high physical strength group compared to the other groups had high subjective health status and health promoting behavior. Second, physical competence influenced positively on subjective health status. Third, physical competence influenced not significantly on health promoting behavior. Fourth, subjective health status influenced positively on health promoting behavior. These results were discussed based on previous literature and theory.

Purpose: This study aims to explore the mediating effect of the health self-efficacy and activity confidence in the relationship between body image and health promoting behavior in middle school girls. Methods: A descriptive correlational design was used. Participants were 142 in middle school girls. The questionnaire consisted of measuring tools for body image, health promoting behavior, health self-efficacy and activity confidence. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient and the PROCESS Macro for SPSS 23.0 to verify the multiple mediated effect with a parallel structure. Results: Body image showed a significant positive correlation with health self-efficacy (r=.28, p=.001), activity confidence (r=.45, p<.001) and health promoting behavior (r=.37, p<.001). Health self-efficacy was also significantly correlated with activity confidence (r=.51, p<.001) and health promoting behavior (r=.63, p<.001). Activity confidence was significantly health promoting behavior (r=.67, p<.001). Furthermore, health self-efficacy (B=.35, p<.001) and activity confidence (B=.38, p<.001) showed a mediation effect on the relationship between body image and health promoting behavior. Conclusion: The impact of body image on health promoting behavior in middle school girls was mediated by health self-efficacy and activity confidence. Result suggest that strategies for improving health self-efficacy and activity confidence in middle school girls should be considered when developing an educational program for enhancing their health promoting behavior.

본 연구는 노인체육참여자의 건강증진행위가 기대감정 및 사회적 연결감의 관계를 규명하는데 있으며, 2019년 현 재 강원도 영동권(강릉, 동해, 삼척, 속초)에 거주하며 노인체육에 참여하고 있는 참여자를 모집단으로 표본을 추출하였다. 첫째, 노인체육참여자들의 건강증진행위와 기대감정의 관계를 분석한 결과 생활태도는 건강책임과 신체활동에 사회적 성 숙도에서는 신체활동과 영양에 각각 유의한 영향을 미치는 것으로 나타났다. 둘째, 노인체육참여자들의 건강증진행위와 사 회적 연결감과의 관계를 분석한 결과 유대감은 신체활동과 대인관계에 사회적 소속감은 대인관계, 건강책임, 신체활동, 영 양에 유의한 영향을 미치는 것으로 나타났다. 셋째, 노인체육참여자들의 건강증진행위와 기대감정 및 사회적 연결감 간의 인과적 관계가 있는 것으로 나타났다. 이로 미루어 보아 노인체육참여자들의 건강증진행위가 기대감정과 사회적 연결감 사 이에 밀접한 관계가 있음을 알 수 있다. 노인체육참여자의 건강증진행위가 노인체육에 참여하는 참여자들로 하여 긍정적인 기대감정의 함양과 발전적인 사회적 연결감에 영향을 주는데 도움이 되는 자료가 될 것이라고 생각된다.

The purpose of this study was to investigate the relationship between health promotion behaviors of elderly physical education participants and expected emotions and social connective feelings and to identify participants who are living in Youngdong (Gangneung, Donghae, Samcheok, Sokcho) A sample was extracted from the population. First, as a result of analyzing the relationship between health promoting behaviors and expectation of elderly physical education participants, life attitude has a significant effect on physical activity and nutrition in health responsibilities and physical activity and social maturity. Second, as a result of analyzing the relationship between health promoting behaviors and social connective sense of the elderly athletic participants, it was found that social sense of belonging had a significant influence on interpersonal relationship, health responsibility, physical activity, and nutrition in physical activity and interpersonal relationship. Third, there was a causal relationship between health promoting behaviors, expectation emotions and social connections of elderly physical education participants.

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.

본 연구의 목적은 65세 이상의 노인을 대상으로 무력감, 우울, 주관적 건강상태, 가족지지, 사회지지가 건강증진행위 에 미치는 영향을 파악하고자 시도되었다. 연구대상은 G시와 C시의 복지관 3개소, 경로당 3개소, 요양병원 2개소의 노인 225명이었으며, 서술적 통계, 신뢰도, 상관관계, 확인적 요인분석, 적합도 검증, 총효과, 직접효과, 간접효과로 분석하였다. 연구결과 건강증진행위에 영향을 미치는 변수들의 직접효과는 사회지지, 우울, 가족지지와 주관적 건강상태, 무력감 순으로 나타났고 이들 변인들은 건강증진행위를 66% 설명하였다. 우울과 무력감은 가족지지와 사회지지를 통한 유의한 간접효과가 있었으며, 주관적 건강상태는 사회지지를 통한 간접효과는 유의하였으나 가족지지를 통한 간접효과는 유의하지 않았다. 따 라서 사회지지를 높일 수 있는 다양한 프로그램 개발, 지역사회와의 연계를 통한 지지체계 구축이 필요하며 이는 가족지지 와 상호보완적인 역할을 할 수 있어야 한다. 또한 노인의 우울과 무력감, 주관적 건강상태는 개인별 상황에 따른 적절한 개입을 통한 간호중재 제공 및 지속적인 관리체계가 필요하다고 사료된다.

The purpose of this study was to investigate the effect of helplessness, depression, subjective health status, family support, and social support on health promoting behaviors of elderly people over 65 years old. The subjects of this study were 3 welfare centers in G city and C city, 3 senior citizen center and 225 elderly people in 2 geriatric hospital, and this study was analyzed with descriptive statistics, reliability, correlation, confirmatory factor analysis, fitness test, total effect, direct effect, and indirect effect. The direct effects of variables affecting health promoting behaviors were social support, depression, family support, subjective health status, and helplessness. These variables accounted for 66% of health promoting behaviors. Depression, helplessness had a significant indirect effect on family support and social support, and subjective health status had a significant indirect effect on social support, but didn't have a significant indirect effect on family support. In this paper, we propose a new approach to elderly‘s health promoting behaviors and it is recommended that an intervention program be developed and applied to on personal situation should be necessary for elder's depression, helplessness and subjective health status.

목적: 본 연구는 여성결혼이민자를 대상으로 건강증진행위와 건강문제를 파악하고 건강문제와 주관적 건강상태의 영향요인을 알아보는 서술적 조사연구로 향후 이들을 위한 건강증진프로그램 개발의 기초자료를 제공하기 위함이다. 방법: 건강증진 행위 도구는 Walker등(1995)의 HPLPⅡ를 박정숙(2005)이 번안하고 수정 보완한 도구, 건강문제 측정도구는 CMI로 Weider 등(1945)이 개발하고 고응린과 박항배(1980)가 번역한 것을 서인주와 박정숙(2010)이 수정 보완한 도구를 사용하였다. 자료 분석은 SPSS WIN 18.0을 이용하여 실수 백분율, 평균, 표준편차, t-test, ANOVA, χ2-test, 상관관계, 위계적 다중회귀방식으로 분석하였다. 결론 및 제언: 여성결혼이민자는 매우 낮은 수준(2.01)으로 건강증진행위를 하고 있으며, 그들의 건강문제는 신체적 건강문제보다 정신적 건강문제가 더 많았고, 건강문제에 유의한 설명력을 갖는 변수는 최종적으로 주관적 건강상태와 일반적 특성에서 배우자와의 나이차, 배우자의 학력, 본인의 연령이었다. 그리고 주관적 건강상태에 유의한 설명력을 갖는 변수는 건강증진행위의 신체활동영역, 일반적 특성으로는 소득이었다. 이 결과를 바탕으로 이들의 특성에 맞는 건강교육이 필요하며 체계적인 건강증진프로그램을 개발하여 적용할 필요가 있겠다.

This study is to identify health promoting behaviors and health problems of female marriage immigrant in Korea and is an descriptive study for searching the factors influencing health problems of them. And to provide basic data for developing health promoting interventions for them. Methods: The tools for this study were HPLPⅡ developed by Walker et al. (1995) and modified and translated by Park (2005), CMI developed by Weider et al. (1945) and translated by Go & Park(1980), and modified by Seo and Park(2010). Data were analyzed with descriptive statistics, t-test, ANOVA, and correlation and stepwise multiple regression with the SPSS WIN 18.0 program. Results Conclusion: Female marriage immigrants have done low level of health promoting behavior(2.01) and they had more mental health problems than physical health problems. Factors influencing health problems of the participants were found to be self-rated health and general character which includes age-gap with partner, partner's education and age of female marriage immigrant. Factors influencing self-rated health of the participants were found to be exercise of health promoting behaviors and monthly income. In consideration of this result, we need to provide health education and develop health programs for female marriage immigrant in Korea.

Purpose: This study aimed to investigate the levels and correlations of health-promoting behavior, health self-efficacy, health literacy, and aging anxiety, and the factors influencing aging anxiety in late middle-aged adults. Methods: The subjects included 164 late middle-aged adults aged 50?64 years residing in B metropolitan city, South Korea. An online questionnaire was administered through a professional online research company from June 10th to 16th, 2025 to assess general characteristics, health-promoting behavior, health self-efficacy, health literacy, and aging anxiety. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Duncan tests, Pearson correlation coefficients, and multiple linear regression. Results: A total of 164 subjects with a mean (±SD) age of 56.70 (±4.08) years were included in the final analyses. Aging anxiety had significant negative correlations with health-promoting behavior (r=-.38, p<.001), health self-efficacy (r=-.31, p<.001), and health literacy (r=-.17, p=.029). In the final multiple regression analysis, having one chronic disease (β=.24, p=.003), subjective health rated as ‘average’ (β=.28, p=.002) and ‘poor’ (β=.29, p=.010), and perceived economic status rated as ‘moderate’ (β=.33, p=.008) and ‘low’ (β=.34, p=.010) were associated with higher aging anxiety, whereas higher health-promoting behavior (β=-.23, p=.003) and health self-efficacy (β=-.21, p=.010) were associated with lower aging anxiety. The model explained 33% of the variance in aging anxiety (F=8.93, p<.001). Conclusion: Enhancing health-promoting behavior and health self-efficacy and improving chronic disease management, subjective health, and economic stability of late middle-aged adults will ultimately reduce their aging anxiety and positively impact their psychological well-being and healthy aging.

Purpose: The study aimed to determine the key factors influencing health-promoting behavior and the behavioral intentions of eHealth consumers based on the health promotion model and technology acceptance model. Methods: This research involved a longitudinal path analysis. The study was conducted with 360 eHealth consumers aged over 18 years, employed in the top five categories of the Korean standard classification of occupations, and living in the five largest cities in South Korea. The data were analyzed using SPSS 22.0 and AMOS 25.0. Results: Health-promoting behaviors were directly supported by prior health-related behavior and behavioral intention, and indirectly supported by perceived ease of use, perceived usefulness, perceived benefit, self-efficacy, and behavioral intention. These variables accounted for 36.3% of the variance in health-promoting behavior. Conclusion: The findings serve as a framework that can help health professionals and health information providers understand how to encourage consumers using eHealth to engage in health-promoting behaviors.

Purpose: This study examined breast cancer screening practice and health promoting behaviors and the predicting factors of breast cancer screening practice in Chinese women. Methods: A correlational research design was used to recruit a convenience sample of 770 women living in four cities (Beijing, Shanghai, Guangzhou, and Xi’an) in China. Participants completed self-report questionnaire consisting of general characteristics, breast cancer screening, health promoting behaviors,perceived benefits and perceived barriers. Results: The participants were mostly 3655 years old (51.3%), married (86.8%), premenopause (77.7%),had children (83.4%), and breastfed (73%). About 60% of Chinese women participated in some type of breast cancer screening practices, among them only 60 (7.8%) women used mammography, ultrasonogram and breast self-examination. The main reason for doing breast cancer screening was "feeling necessary for the screening". About 36% of the participants reported they did not perform any of screening practices, because they "don’t feel it necessary". The women who had breast cancer screening regularly reported better health promoting behavior and perceived benefits and less perceived barriers than those who did not (F ¼ 10.45, p < .001). Logistic regression showed that model 1 (age, higher education, being employed) and model 2 (perceived benefits and health behaviors) were the significant predicting factors (p < .05), explaining 1013.8% of variance in breast cancer screening practice. Conclusion: On the basis of these results, public education about importance of breast cancer screening and health promoting behavior should be strongly advocated by health professionals and mass media in China.

Objectives: The purpose of this study was to identify the effects of health literacy, self-efficacy and health concern of workers at small-scale workplace in improving health- promoting behavior. Methods: Data were collected from 130 workers at six small-scale workplace in J City using questionnaires from December 1, 2020, to January 15, 2021. The data were analyzed using SPSS 23.0 program for descriptive statistics, t-test, ANOVA, Scheffé’s test, Pearson’s correlation analysis, and hierarchical regression. Results: The mean score for health literacy was 6.07±1.92, for self-efficacy was 2.80±0.34, for health concern was 2.49±0.46, and for health-promotion behavior was 2.49±0.46. The significant predictors of health-promoting behavior were health concern (β = .38, p < .001) and self-efficacy (β = .20, p = .015), with an explanatory power of 25.0%. Conclusions: In order to improve the health-promoting behavior of workers at small work places, it is necessary to develop and apply programs to promote health concern and self-efficacy.

본 연구의 목적은 장애인체육참여자의 신체적 자기효능감이 건강행동의도 및 건강증진행위에 미치는 영향을 규 명하는데 연구의 목적이 있다. 이 연구의 연구대상은 서울, 경기, 충청, 전라, 경상 등 5개 권역에 소재한 장애인체육시설 및 장애인체육단체를 중심으로 활동 중인 장애인체육참여자를 대상으로 편의표본추출법을 통해 총 350명을 대상으로 자료를 수집하였다. 수집된 자료는 SPSS 28.0 통계프로그램을 사용하여 빈도분석, 탐색적 요인분석, 상관관계분석, 회 귀분석을 실시하였다. 분석 결과, 신체적 자기효능감의 하위요인인 인지된 신체능력은 건강행동의도에 유의한 정적 영향 을 미치는 것으로 나타났으며, 건강증진행위에도 유의한 정적 영향을 미치는 것으로 나타났다. 신체적 자기효능감의 하위 요인인 신체적 자기표현 자신감 역시 건강행동의도와 건강증진행위에 유의한 정적 영향을 미치는 것으로 나타났다. 또한 건강행동의도는 건강증진행위에 유의한 정적 영향을 미치는 것으로 확인되었다. 이러한 연구결과를 통해 장애인체육참 여자의 신체적 자기효능감이 건강행동을 촉진하는 중요한 심리적 요인임을 확인하였으며, 장애인 건강증진 정책 수립과 체육프로그램 개발을 위한 기초자료를 제공하는데 의의가 있다.

The purpose of this study was to examine the effects of physical self-efficacy on health behavior intention and health-promoting behavior among participants in sports for the disabled. The participants were 350 individuals engaged in sports for the disabled, recruited through convenience sampling from sports facilities and organizations for the disabled located in five regions of Korea (Seoul, Gyeonggi, Chungcheong, Jeolla, and Gyeongsang). Data were analyzed using SPSS 28.0 and AMOS 28.0 statistical programs, employing frequency analysis, confirmatory factor analysis, correlation analysis, and structural equation modeling. The results indicated that perceived physical ability, a sub-factor of physical self-efficacy, had a significant positive effect on both health behavior intention and health-promoting behavior. Physical self-expression confidence, another sub-factor of physical self-efficacy, also showed a significant positive effect on both health behavior intention and health-promoting behavior. Furthermore, health behavior intention was found to have a significant positive effect on health-promoting behavior. These findings suggest that physical self-efficacy is an important psychological factor in promoting health behaviors among participants in sports for the disabled and provide basic data for the development of health promotion policies and sports programs for the disabled.

Purpose: The purpose of this study was to develop a health promotion program for frail elderly nursing home residents,and to analyze the effects of the program. Methods: The research was a nonequivalent control group pretest-posttest design. Data collection was performed from February 26, 2012, to April 26, 2012. The subjects were 28 residents for the experimental group, who were selected at A nursing home, D city, in Korea and 27 residents for the control group, who were selected at B nursing home. Data were analyzed using descriptive statistics, x2-test,independent t-test, ANCOVA and Cronbach's α with SPSS/Win 17.0 program. Results: There was a significant improvement in health promoting behaviors (F=64.26, p<.001), Lt. Grip strength (F=39.76, p<.001), Rt. Grip strength (F=38.06, p<.001), Static balance (F=3.98, p = .050), TUG (F=18.60, p<.001), oral status (F=26.75,p<.001), depression (F=18.79, p<.001), and subjective health status (F=10.75, p<.002) in the treatment group compared to the comparison group. Conclusion: The health promotion program improved the health promoting behavior, physical fitness, oral status, depression, and subjective health status of the frail elderly nursing home residents. Therefore, health promotion programs for frail elderly nursing home residents could be helpful.

Purpose: The purpose of this study is to examine the association of family support, self-efficacy, health literacy and perceived health status with health-promoting behavior (HPB) in married immigrant women. Methods: A cross-sectional based survey was conducted to collect data from married immigrant women living in Gyeongsang province. Questionnaires included Health promoting lifestyle profile II, General self - efficacy scale, Korean Health literacy assessment and perceived health status. Results: 157 subjects participated in the study (mean age, 30.47±6.83). Their duration of living in Korea was 63.05±50.11 months. Of the participants, 59.2% were Vietnamese. The level of HPB, perceived health status, health literacy, support of family and self-efficacy were 2.58±0.42, 3.39±0.86, 25.12± 20.99, 3.83±0.70 and 3.61±0.53 respectively. Factors affecting the HPB of the participants were support from family (β =.45, p<.001) and self-efficacy (β=.16, p<.05). The explanatory power of these two variables was 34.2%. Conclusion: This study suggests that the factors influencing the HPB of married immigrant women include support from family and self-efficacy. A variety of programs should be provided for families so that they can support those women to help them increase their HPB. It is recommended that more various programs be provided to increase their self- efficacy.

Objectives: This study aimed to confirm the degree of health consciousness, health self-efficacy, self-care agency of nursing students and the factors that affect health promoting behaviors. Methods: From June 7 to June 20 in 2022, the structured questionnaire was used for 255 nursing students. Data were analyzed by descriptive analysis, mean comparison(t-test, ANOVA), correlation analysis(Pearson's correlation coefficient) and multiple regression using SPSS/WIN 25.0. Results: The health promoting behaviors had positive correlations with health consciousness, health self-efficacy, and self-care agency. And the prediction factors influencing health promoting behaviors were health self-efficacy(β=.40), health consciousness(β=.19), age over 40 (β=-.23, p<.001), exercise six times a week or more(β=.22, p=<.001), and having breakfast six times a week or more(β=.11, p=.025). The explanatory power on health promoting behaviors from these variables was 53%(F=20.72, p<.001). Conclusions: In order to improve the health promoting behaviors of nursing students, various ways to increase the active changes should be sought, and program should be prepared to improve their health promotion behaviors in the future.

Purpose: The purpose of this study is to investigate changes in health promoting life style and weight control behavior among nursing students during their two years of college, and to identify the relationship between the changes and their perceived health status. Methods: The subjects were 264 female students in a three-year nursing college in Seoul, Korea. Data was analyzed by paired t-test, Wilcoxon signed-rank test, and multiple logistic regression using SPSS ver.21. Results: Of the six sub-categories regarding health promoting life style, five except spiritual growth showed improvement after two years, but their perceived health status did not change significantly. The number of students who engaged in weight control behavior increased, but there was no change in the number of students who engaged both in weight control and in diet. The group which recorded high scores in perceived mental health status showed 1.2 times greater positive changes in health promoting lifestyle (OR=1.202, p=.023). Conclusion: The results showed although health promoting behavior changed positively throughout the nursing curriculum, physical activities were still low and few students used constructive methods to control their weight. Therefore, it is recommended that nursing colleges build specific programs into their curriculum to correct students’ undesirable health promoting behavior.

본 연구는 충청지역 1개 대학에서 교양교과목으로 보건교육 과목을 수강한 기숙사 신입생과 재학생을 대상으 로 두 군간 보건교육 전·후 건강증진행위와 그 하위영역인 건강책임, 신체활동, 자아실현 및 스트레스관리와 자기효능감 의 차이를 파악하고자 하였다. 수강생 115명에 대하여 자기기입식 설문을 실시하였다. 조사기간은 2013년 6월 12-13일 양일간이었다. 건강증진행위는 4점 척도로, 자아효능감은 5점 척도로 분석하였다. 연구결과, 보건교육 전에 비해 보건교 육 후의 점수 상승이 선행 연구의 일반대학생들보다 컸으며 이는 함께 숙식을 하는 친구들과의 단체생활이 보다 긍정적 인 경쟁을 유도한 때문으로 판단된다. 특히, 자기효능감 및 건강증진행위 하위영역인 스트레스관리에서 보건교육의 효과 가 신입생, 재학생 모두에서 통계적으로 유의하게 입증되었다. 신입생과 재학생 간 비교 시 유의한 차이를 보인 항목은 ‘자기효 능감’이었고 보건교육 전·후 모두 재학생이 신입생보다 자기효능감 점수가 높았다. 따라서 분석결과를 바탕으로 기숙사생 등 단체 숙식생활자에 대해서는 개별교육 보다는 단체교육을 시행하고, 보건교육 대상자 선정 시 자기효능감 이 낮거나 스트레스 지수가 높은 학생 특히, 자기효능감이 재학생에 비해 상대적으로 낮은 신입생에 대해 우선적으로 보건교육을 실시하는 것이 더 좋은 교육성과를 기대할 수 있을 것으로 사료된다.

This study has tried to find the gap of health promoting behavior and the lower level –health responsibility, physical activity, self-actualization, stress management and self-efficacy– between new freshmen and other university students in dormitories who have taken health education as an elective course through health education. With 105 students conducted self-answering survey. It was conducted from June 12 to June 13 of the year 2013. Analysis has been conducted into 5-point scale in every parts of health promoting behavior, 4-point scale in self-efficacy. As a result of the study, after health education, the increasing level of the score was bigger than general university students in preceding research before education; from this, we could interpret that the peers who live together lead positive competition. For before-and-after affects of education, after-education score increased statistically significantly higher from before-education score for both freshmen and other students on every item of the survey. Especially, self-efficacy and stress management, which are the lower level of health promoting behavior, have shown statistic significance of health education. When comparing freshmen and other students, the item that showed significant difference was ‘self-efficacy,’ and for both before and after health education, other students had higher score than freshmen. Based on the result of the analysis, for those who live together with group of people such as in-dorm students, group education is preferred to personal education; in addition, when selecting health education recipients, better achievement of education will be expected by primarily educating students who have lower level of self-efficacy and stress, especially freshmen who have lower self-efficacy level than other students in university.

Purpose: The purpose of this study was to investigate the degree of knowledge ofhepatitis A, health perception, and health promoting behavior among young and middle-ageadult’s. Methods: 207 young and middle-age adult’s workers living in Gyeonggi-doparticipated in this study and completed structured questionnaire. The knowledge ofhepatitis A was assessed by the questionnaire which researchers developed. Healthperception was measured by Health Perception Scale (Ware, 1979) while health promotingbehavior was assessed by Lee’s(2006) questionnaire. These data were analyzed with Pearsoncorrelation coefficient, t-test, ANOVA. Results: The knowledge score of hepatitis A was9.53; the health perception score was 3.71; the health promoting behavior score was 3.38. There were no significant differences in knowledge of hepatitis A, health perception, andhealth promoting behaviors. However, A significant correlation was found between healthperception and health promoting behaviors. Conclusion: The knowledge of hepatitis Afound to be low. Therefore further study needs to develop nursing interventions that couldimprove knowledge and awareness of hepatitis A.

-The Effects of a Health Education Program on Health Promoting Behavior and Self-efficacyin University Students

본 연구는 중년여성의 성숙한 노화태도, 건강증진행위가 정신건강에 미치는 영향을 확인하기 위한 서술적 조사연구 이다. 연구대상자는 G광역시의 45~64세의 여성 149명으로, 자료수집은 설문지를 이용하여 2024년 10월 5일부터 10월 30 일까지 시행하였다. 수집된 자료는 SPSS 25.0 program을 이용하여 기술적 통계, t-test, one-way ANOVA, Pearson’s correlation coefficient, multiple regression으로 분석하였다. 연구결과 대상자의 성숙한 노화태도 점수는 5점 만점에 3.57±0.34점, 건강증진행위는 4점 만점에 2.46±0.42점, 정신건강은 4점 만점에 1.83±0.63점이었다. 정신건강은 성숙한 노화태도(r=-.399, p<.001), 건강증진행위(r=-.497, p<.001)와 각각 통계적으로 유의한 음의 상관관계가 있는 것으로 나타 났다. 또한 정신건강의 예측요인은 성숙한 노화태도(β=-.22, p<.001)와 건강증진행위(β=-.32, p<.001)였고, 설명력은 23.5%이었다. 따라서 본 연구결과를 바탕으로 중년여성의 성숙한 노화태도 형성, 건강증진행위 촉진을 포함한 정신건강 유 지 및 증진 프로그램 개발이 필요하다.

This study is a descriptive survey research conducted to examine the effects of matured aging attitude and health promoting behavior on mental health of middle-aged women. The study participants were 149 women aged 45~64 years residing in G Metropolitan City. Data collection was conducted using a questionnaire from October 5 to 30, 2024. The collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression with SPSS 25.0 program. The results showed that the participants' matured aging attitude was 3.57±0.34, health promoting behavior was 2.46±0.42, and mental health was 1.83±0.63. Mental health was negatively correlated with matured aging attitude(r=-.399, p<.001), health promoting behavior (r=-.497, p<.001). Factors that have a significant impact on mental health include matured aging attitude(β=-.22, p<.001), health promoting behavior (β=-.32, p<.001). Total explanatory power of these variables on mental health was 23.5%. Based on these findings, it is necessary to develop programs that promote matured aging attitude and encourage health promoting behavior to support the maintenance and improvement of mental health in middle-aged women.