초등학교 조손가정아동과 정상가정아동의 건강상태와 건강행위 비교 = A Comparison Between Elementary School Children in Grandparent-Grandchid Family and Those in Normal Family in Terms of Health Status and Health Behavior|RISS 상세보기

다국어 초록 (Multilingual Abstract)

This study aimed at performing measurement and comparative analysis of health status and health behavior among 101 children in grandparent-grandchild family and 119 in normal family, who were fourth-, fifth-, or sixth-graders from 24 elementary schools in N city, North Jeolla Province, in order to provide basic data to develop a health promotion and improvement program for children in grandparent-grandchild family.
The data were collected from April 2 to 25, 2007 using a measuring tool composed of 21 questions about the condition of physical health, 16 about the condition of mental health, and 30 about health behavior.
The data went through frequency analysis, percentage, cross-tabulation analysis, X²-test, t-test, one-way ANOVA, Duncan post-test, and Pearson's correlation coefficient.
The results of this study are as follows:
1. As for health status of children in grandparent-grandchild family and those in normal family, the former (3.29) showed lower health status than the latter (3.48), which was statistically significant (t=-3.05, p=.003).
2. As for health behavior of children in grandparent-grandchild family and those in normal family, the former (2.84) showed lower health behavior than the latter (3.14), which was statistically significant (t=-4.70, p=.000). There were significant differences in all sub-areas of daily living habits (p=.000), accident prevention (p=.000), contagious disease prevention (p=.000), and mental health (p=.008).
3. As for correlation between health status and health behavior among children in grandparent-grandchild family and those in normal family, the higher health status, the higher health behavior among both the former (r=.239, p=.016) and the latter (r=.510, p=.000), showing statistically significant positive correlation between health status and health behavior.
4. As for comparison of health status and health behavior between children in grandparent-grandchild family and those in normal family by general characteristics, there were statistically significant differences in health status among children in normal family by living standards (F=4.37, p=.015) and in health behavior by father's educational level (F=3.35, p=.039): children whose father was a high school graduate showed significantly higher health behavior than those whose father was a middle school graduate or below.
There were significant differences in health status of children in grandparent-grandchild family by causes of grandparent-grandchild family (F=2.76, p=.032) and support system (F=2.31, p=.040): dual-income family had higher health status than parents' divorce in terms of causes of grandparent-grandchild family and siblings and religious persons had higher health status than friends in terms of support system. There were significant differences in health behavior by father's educational level (F=7.99, p=.001), father's occupation (F=3.00, p=.036), and causes of grandparent-grandchild family (F=2.48, p=.049): it was higher for high school graduates and college graduates or over than for middle school graduates or below in terms of father's educational level, it was higher for professionals and managers than for farmers in terms of father's occupation, and it was higher for economic reasons and dual-income family than for parents' runaway in terms of causes of grandparent-grandchild family.
To put the results together, it is necessary to make a scheme to improve health behavior practice since children in grandparent-grandchild family were at the lower level of health status and health behavior than those in normal family. It is also necessary to develop and continuously implement a health promotion program in consideration of family-related characteristics since health status and health behavior among children in grandparent-grandchild family are associated with parents' academic background and occupation, reasons for causing such type of family, support system, and so on.

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국문 초록 (Abstract)

본 연구는 전북 N시 소재 24개 초등학교 4, 5, 6학년 학생 중 조손가정아동 101명과 정상가정아동 119명을 대상으로 건강상태와 건강행위를 측정 및 비교 분석하여 조손가정아동을 위한 건강증진향상 프로그램 개발을 위한 기초 자료를 제공하고자 시도되었다.
자료수집기간은 2007년 4월 2일부터 4월 25일까지였으며 연구도구는 신체건강상태 21문항, 정신건강상태 16문항, 건강행위 30문항으로 구성된 측정도구를 사용하였다. 수집된 자료는 SPSS 14.0를 사용하여 빈도, 백분율, X²-test, t-test, one way ANOVA, Duncan 사후검증, Pearson's Correlation Coefficient로 분석하였다.
본 연구의 결과는 다음과 같다.
1. 조손가정아동과 정상가정아동의 건강상태에서 조손가정아동은 3.29점, 정상아동가정은 3.48점으로 조손가정아동이 정상가정아동보다 건강상태가 통계적으로 유의하게 낮게 나타났다(t=-3.05, p=.003).
2. 조손가정아동과 정상가정아동의 건강행위에서 조손가정아동은 2.84점, 정상가정아동은 3.14점으로 조손가정아동이 정상가정아동보다 건강행위가 통계적으로 유의하게 낮게 나타났다(t=-4.70, p=.000). 하위영역별로는 일상생활습관(p=.000), 사고예방(p=.000), 전염병예방(p=.000), 정신건강(p=.008), 모든 영역에서 통계적으로 유의한 차이가 있었다.
3. 조손가정아동과 정상가정아동의 건강상태와 건강행위의 상관관계에서 조손가정아동(r=.239, p=.016)과 정상가정아동(r=.510, p=.000) 모두 건강상태가 높을수록 건강행위가 높게 나타나 건강상태와 건강행위간에 통계적으로 유의한 순상관관계가 있는 것으로 나타났다.
4. 일반적 특성에 따른 조손가정아동과 정상가정아동의 건강상태 및 건강행위의 차이를 본 결과, 정상가정아동의 건강상태는 생활수준에 따라 통계적으로 유의한 차이를 보였고(F=4.37, p=.015), 건강행위는 부의 교육정도에 따라 통계적으로 유의한 차이를 보였는데(F=3.35, p=.039) 고졸이 중졸이하보다 유의하게 높게 나타났다.
조손가정아동의 건강상태는 조손가정발생원인(F=2.76, p=.032), 지지체계(F=2.31, p=.040)에 따라 유의한 차이를 보였는데 조손가정발생원인이 맞벌이일 때가 부모의 이혼일 때보다 건강상태가 높고 지지체계가 형제자매와 목사님, 신부님 등 종교 관련자일 때가 친구일 때보다 높게 나타났다. 건강행위는 부의 교육정도(F=7.99, p=.001), 부의 직업(F=3.00, p=.036), 조손가정발생원인(F=2.48, p=.049)에서 유의한 차이를 보였는데 부의 교육정도가 고졸, 대졸이상이 중졸이하보다 높고 부의 직업이 사무·전문·관리직일 때가 농업일 때보다 높았으며 조손가정발생원인이 경제적 이유와 맞벌이 일 때가 부모의 가출일 때보다 높은 것으로 나타났다.
이상의 결과를 종합해보면, 조손가정아동은 정상가정아동보다 건강상태와 건강행위정도가 낮은 상태에 있으므로 건강행위실천을 향상시킬 수는 방안을 마련해야 할 것이다. 또한, 조손가정아동의 건강상태와 건강행위는 부모의 학력과 부모의 직업, 조손발생원인, 지지체계 등과 관련이 있으므로 가족적 특성을 고려한 건강증진프로그램을 개발하여 지속적으로 시행해나가야 할 것이다.

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본 연구는 전북 N시 소재 24개 초등학교 4, 5, 6학년 학생 중 조손가정아동 101명과 정상가정아동 119명을 대상으로 건강상태와 건강행위를 측정 및 비교 분석하여 조손가정아동을 위한 건강증...

목차 (Table of Contents)