초등학교 고학년 아동의 건강행위 잠재계층유형과 예측요인 = Identifying and Predicting Patterns of Healthy Behaviors Among Elementary School Children

다국어 초록 (Multilingual Abstract)

Latent class analysis was used to identify heterogeneous subgroups with respect to healthy behaviors among elementary school children. A set of 16 latent class indicators which include physical activity, sanitation, eating behaviors, and body image satisfaction were used in the analysis. This study used data from the 2010 Korean Survey on the Health of Youth and Children, which consists of 4th-6th grade children (n=2,657) in elementary schools. The final model yielded four latent classes of health promoting behaviors and health risk behaviors: ‘positive health promoting behaviors’, ‘body image dissatisfaction, weight conscious, & health promoting behaviors’, ‘potential health risk behaviors’, and ‘irregular, inactive, & low health promoting behaviors’. Using multinomial logit analysis, the associations between latent classes and predictors to determine how the patterns of healthy behaviors relate to socio-demographic factors and psychosocial factors were examined. Results indicated that sex and grade of children, non-two parent families, maternal employment, perceived health status, self-efficacy, self esteem and depression significantly predicted to the above latent classes. The study suggested that there is a significant heterogeneity in the patterns of healthy behaviors among elementary school children. Based on these findings, health promotion and intervention programs for children will need to consider this heterogeneity and enhance attention to health promoting predictors depending on the subpopulation. Practice and policy implications as well as further research topic were discussed for promoting positive health practices among children.

참고문헌 (Reference)

1 최인재, "한국청소년지표조사V: 2010한국청소년건강실태조사" 한국청소년정책연구원 2011

2 권현진, "한국청소년들의 신체활동과 주관적 건강 인지의 연관성" 한국체육학회 51 (51): 253-261, 2012

3 서효정, "한국 청소년의 건강행동과 사회적 지지" (6) : 1237-1258, 2009

4 김성희, "학령기 아동의 건강증진행위 예측모형" 이화여자대학교 서울대학원 2007

5 김성희, "학령기 아동의 건강증진행위 가설모형 검증" 한국아동간호학회 14 (14): 22-34, 2008

6 김신정, "학령기 아동의 건강증진 행위 실천 정도" 한국아동간호학회 13 (13): 407-415, 2007

7 박경숙, "학령기 비만아동의 자기효능감과 건강증진 생활양식과의 관계연구" 한국아동간호학회 10 (10): 173-179, 2004

8 전미숙, "학령기 비만아동의 건강증진행위 예측모형" 한국간호과학회 40 (40): 264-276, 2010

9 김혜경, "취약지역 빈곤아동의 인구？보건학적 특성 분석" 한국보건교육건강증진학회 24 (24): 65-86, 2007

10 김혜경, "취약지역 빈곤아동의 인구사회학적 특성별 건강행동 변화단계의 분포" 한국보건교육건강증진학회 25 (25): 59-76, 2008

11 장영남, "초등학생 컴퓨터 게임중독, 건강지각 및 건강증진 행동 관련 요인 분석" 한국보건교육건강증진학회 26 (26): 63-74, 2009

12 홍연란, "초등학교 고학년 아동의 건강증진행위 구조모형" 한국지역사회간호학회 17 (17): 102-111, 2006

13 박남희, "청소년 건강행위에 대한 국내연구동향" 13 (13): 98-114, 2002

14 송인한, "청소년 건강증진행동에 영향을 미치는 부모-자녀간 유대의 효과 -자기효능감의 매개효과 분석-" 한국청소년학회 18 (18): 75-98, 2011

15 김금자, "중년남성의 건강증진행위 예측모형" 한양대학교 대학원 2001

16 김수린, "정서적 지지가 청소년의 건강증진행동에 미치는 영향: 자기효능감의 매개효과" 한국청소년학회 21 (21): 135-159, 2014

17 정선영, "아동학대 및 방임이 아동의 과체중 및 비만에 미치는 영향 －정서행동 문제의 매개효과를 중심으로－" 한국아동복지학회 (37) : 37-68, 2012

18 안진상, "아동․청소년의 건강불평등 결정요인 분석" 한국청소년정책연구원 24 (24): 205-231, 2013

19 김광혁, "빈곤이 아동의 건강에 미치는 영향: 발달단계별 비교를 중심으로" 27 (27): 101-112, 2011

20 권은선, "빈곤이 아동의 건강에 미치는 영향" 한국사회복지학회 62 (62): 129-148, 2010

21 김경희, "대구지역 일부 중학생의 건강증진행위와 관련요인" 한국보건교육건강증진학회 18 (18): 65-82, 2001

22 방경숙, "경기도 위스타트 사업을 위한 미취학 빈곤 아동 건강 및 양육 실태" 한국모자보건학회 12 (12): 104-115, 2008

23 박영주, "건강증진행위 설명요인에 대한 메타분석" 30 (30): 836-846, 2000

24 Nutbeam, D., "Understanding children’s health behaviour : The implication for health promotion for young people" 29 (29): 317-325, 1989

25 Sherer, M., "The self-efficacy scale : Construction and validity" 51 : 663-671, 1982

26 Lo, Y., "Testing the number of components in a normal mixture" 88 : 767-778, 2001

27 Bradley, R. H., "Socioeconomic status and child development" 53 : 371-399, 2002

28 Harrell, J. S., "Smoking initiation in youth : The roles of gender, race, socioeconomics, and development status" 23 (23): 271-279, 1998

29 Reynolds, K. D., "Psychosocial predictors of physical activity in adolescence" 19 (19): 541-551, 1990

30 Berge, J. M., "Parenting characteristics in the home environment and adolescent overweight : A latent class analysis" 18 : 818-825, 2010

31 Klesges, R. C., "Parental influence on food selection in young children and its relationships to childhood obesity" 53 : 859-864, 1991

32 OECD, "OECD Obesity Update 2014"

33 Cawley, J., "Maternal employment and childhood obesity : A search for mechanisms in time use data" 10 (10): 352-364, 2012

34 Nylund, K. L., "Latent transition analysis: Modeling extensions and an application to peer victimization" University of California Los Angeles. 2007

35 Huh, J., "Identifying patterns of eating and physical activity in children : A latent class analysis of obesity risk" 19 (19): 652-658, 2011

36 Lee, R. L., "Health-Promoting Behaviors and Psychological Well-Being of University Students in Hong Kong" 22 (22): 209-220, 2005

37 Srof, B. J., "Health Promotion in Adolescents : A Review of Pender's Health Promotion Model" 19 (19): 366-373, 2006

38 Nagin, D. S., "Group-Based Modeling of Development" Harvard University Press 2005

39 Brown, J. E., "Do working mothers raise couch potato kids? Maternal employment and children’s lifestyle behviours and weight in erarly childhood" 70 : 1816-1824, 2010

40 Wu, T. Y., "Determinants of Physical Activity among Taiwanese Adolescents : An application of the health promotion model" 25 (25): 25-36, 2002

41 Yarcheski, A., "A meta-analysis of predictors of positive health practices" 36 (36): 102-108, 2004