신체활동이 고등학생의 흡연 경험 및 흡연 강도에 미치는 영향

라진숙,조윤희 한국학교보건학회 2014 韓國學校保健學會誌 Vol.27 No.3

Purpose: The purpose of this study was to investigate the influence of physical activity on smoking experience and smoking intensity in Korean high school students. Methods: This cross sectional study used secondary data from the 2013 Adolescent Health Behavior Online Survey. A total of 35,905 high school students were included in the study. Logistic regression was used for analysis of the influence of moderate and vigorous physical activity on smoking experience in a month and smoking intensity. Results: Adolescents with low (Adjusted OR: 1.242, 95% CI: 1.075~1.436) and moderate level (Adjusted OR: 1.094, 95% CI: 1.005~1.189) of moderate physical activity had more smoking experience than reference group, high level of physical activity. Also, smoking experience was more prevalent adolescents with low (Adjusted OR: 1.191, 95% CI: 1.064~1.333) and moderate level (Adjusted OR: 1.134, 95% CI: 1.039~1.237) of vigorous physical activity. Heavy smoking was more prevalent among adolescents who had low level of vigorous physical activity (Adjusted OR: 1.912, 95% CI: 1.347~2.712). Conclusion: Based on the results of this study, physical activity has significant influence on smoking experience and smoking intensity. Therefore, physical activity should be included smoking cessation and smoking prevention program for High School Students.

40세 이상 성인 남녀의 대사증후군 관련 심리사회적 요인

라진숙,김혜선 한국보건간호학회 2019 韓國保健看護學會誌 Vol.33 No.1

Objectives: This study identified biopsychosocial factors associated with metabolic syndrome among Korean men and women aged over 40 years. Methods: Secondary data from the 2010-2016 Korean National Health and Nutrition Examination Survey were used for this study. Based on the biopsychosocial model, psychosocial factors (stress, depression, smoking, binge alcohol consumption, physical activity) were assessed with control of biomedical (age, body mass index, family history of hypertension, dyslipidemia, type 2 diabetes mellitus, and cardiovascular disease) and biosocial factors (educational level and economic status). Data from 8,624 men and 7,321 women were analyzed by logistic regression analysis using a complex sample procedure. Results: Among men, current or past smoking habits (Adjusted Odds Ratio [AOR]: 1.349; 95% Confidence Interval [CI]: 1.155–1.575, p<.001) and binge alcohol consumption (AOR: 1.570, CI: 1.389–1.774, p<.001) were associated with metabolic syndrome. In addition, moderate (AOR: 1.205, CI: 1.038–1.400, p=.014) and low levels of physical activity (AOR: 1.296, CI: 1.109–1.514, p=.001) were associated with metabolic syndrome. Among women, low level of physical activity (AOR: 1.276, CI: 1.017–1.602, p=.036) was associated with metabolic syndrome. Conclusion: Gender specific interventions such as encouraging physical activity and prevention of smoking and excessive alcohol drinking are important to prevention of metabolic syndrome.

Factors associated with Intermittent and Light Smoking among Korean High School Students: Intermittent and Light Smoking among Korean Adolescents

라진숙,김혜선,조윤희 한국지역사회간호학회 2018 지역사회간호학회지 Vol.29 No.1

Purpose: The purpose of this study was to identify factors associated with intermittent and light smoking among Korean high school students. Methods: In this cross-sectional study, we employed secondary data from the 2015 Korea Youth Risk Behavior Web-Based Survey, and used the biopsychosocial model as a framework. The analysis was performed using the data of 2,851 high school students who smoked. We defined intermittent and light smoking as smoking on 1 to 29 days in a 30-day period and no more than 10 cigarettes per day. A logistic regression analysis using the complex samples procedure was conducted. Results: Among all the participants, 1,231 (43.2%) were intermittent and light smokers. Factors significantly predicting intermittent and light smoking were gender and grade (biological factors); subjective stress (psychological factor); and mother's smoking, sibling's smoking and academic achievement (sociocultural factors). Conclusion: In smoking cessation programs, health care providers both at school and in the community should consider the unique biological, psychological, and sociocultural characteristics of intermittent and light smoking behavior among high school students.

신생아집중치료실 간호사의 모유수유에 대한 지식, 태도, 간호활동

라진숙,채선미 한국아동간호학회 2013 Child Health Nursing Research Vol.19 No.2

Purpose: The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses. Methods: Survey methodology using a self administered questionnaire was employed as the research design. A total of 153questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis. Results: The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item 3.70±0.41 on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item,3.26±0.74. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203,p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002). Conclusion: These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.

영아 어머니의 과도한 수유 관련 요인

라진숙,정연희,김순옥 한국아동간호학회 2020 Child Health Nursing Research Vol.26 No.2

Purpose: This study aimed to identify factors-both infant-related and maternal-associated with pressure to eat as a feeding practice among mothers with infants. Methods: This study used a cross-sectional design and included 163 mothers of infants aged 2~12 months. Of the 180 self-reported questionnaires that were distributed, 163 (91%) were included in the data analysis. Multiple regression analysis was used to identify the factors associated with pressure to eat as a feeding practice among the mothers. Results: Infant’s temperament (β=-.17, p=.035), mother’s body mass index (β=-.16, p=.048), and concern about the infant being underweight (β=.30, p=.001) were associated with pressure to eat as a feeding practice among mothers. The explanatory power of these variables in the predictive model was 19.2%. Conclusion: Educational programs should be developed for improving mother’s awareness of cues from infants with difficult temperament. In addition, educational interventions regarding the correct evaluation of infant’s weight are needed to relieve mother’s concern about their infant’s being underweight. These interventions might be helpful to reduce the prevalence of pressure to eat as a feeding practice among mothers with infants.

고등학생의 고카페인 에너지 음료 섭취에 대한 관련 요인

라진숙,윤희경,김혜선,류정림 한국학교보건학회 2017 韓國學校保健學會誌 Vol.30 No.1

Purpose: The purpose of this study was to identify the factors associated with energy drink consumption in Korean high school students. Methods: This cross sectional study used the secondary data from the 2015 Adolescent Health Behavior Online Survey. A total of 33,744 high school students were included in the study. Energy drink consumption was measured by asking how often they consumed energy drink during the previous week. Associated factors were categorized into socio-demographic characteristics, psychological characteristics, and health related behavioral characteristics. Complex samples logistic regression was used to analyze the influence of associated factors on energy drink consumption. Results: For socio-demographic characteristics, adolescent boys were likely to consume more energy drink than adolescent girls (Adjusted Odds Ratio [AOR]: 1.351, 95% Confidence Interval [CI]: 1.209~1.510). For psychological characteristics, depressed adolescents were likely to consume more energy drink than their counterparts (AOR: 1.697, 95% CI: 1.537~1.874). For health related behavioral characteristics, cigarette smoking (AOR: 1.336, 95% CI: 1.168~1.528), alcohol drinking (AOR: 1.126, 95% CI: 1.012~1.254), soda drink consumption (AOR: 1.800, 95% CI: 1.565~2.071), sweet drink consumption (AOR: 1.715, 95% CI: 1.431~2.054), and insufficient sleep time a day (AOR: 1.307, 95% CI: 1.197~1.427) were associated with energy drink consumption. Conclusions: In conclusion, energy drink consumption in Korean high school students were associated with such factors as psychological factors (depression) and health related behavioral characteristics (smoking, alcohol, sleep, soda and sweet drink). Thus, intervention programs in schools and communities should focus on these psychological and health related behavioral characteristics.

고등학생의 우울과 불안에 대한 가당음료와 패스트푸드의 결합효과

라진숙 한국간호과학회 2022 한국간호과학회 학술대회 Vol.2022 No.10

학령전기 아동의 스크린 사용 시간에 영향을 미치는 요인

라진숙 한국모자보건학회 2015 한국모자보건학회지 Vol.19 No.2

Purpose: The purpose of this study was to explore preschool children’s screen time and influencing factors on preschool children’s screen time. Methods: A cross-sectional descriptive study was employed. A total of 376 mothers with preschool children participated in the study from 4 kindergartens in Daejeon. Data were collected using self-report questionnaires. Results: Mean of screen time of preschool children was 142.07 minutes per day and 53.7% of them had inappropriate level of screen time. Significant factors influencing screen time of preschool children were children’s age (β=-.16, p=.001), mothers’ education level (β=-.19, p=.001), mothers’ screen time (β=.34, p<.001), attitude toward children’s screen use (β=.16, p=001), which explained 28.7% of the variance in preschool children’s screen time (F=12.82, p<.001). Conclusion: To maintain appropriate screen time of preschool children, parents should be role model for screen use and they need to keep proper attitude toward children’s screen use. Therefore, parental education and appropriate information should be provided. 본 연구는 일개 지역의 학령전기 아동 어머니를 대상으로 학령전기 아동의 스크린 사용 시간과 그 영향요인을 확인하여 학령전기 아동의 스크린 시간 감소를 위한중재전략 개발을 위한 기초자료를 제공하였다. 본 연구결과, 절반 미만의 아동만이 적절한 수준의 스크린 사용 시간을 나타냈다. 또한 영향요인으로 어머니의 학력수준, 어머니의 스크린 사용 시간, 어머니의 아동 스크린 사용에 대한 태도가 확인되었으며, 설명력은 28.7 %였다. 따라서 아동의 스크린 사용 시간 감소를 위해서는 어머니의 바람직한 역할 모델과 스크린 사용에 대한올바른 태도가 필요하며, 이를 위한 교육 및 상담 프로그램 개발이 필요하다. 본 연구는 일개지역의 학령전기아동 어머니만을 편의 추출하여 자료 수집하였기 때문에 그 결과를 일반화하는데 제한이 있으며, 부모요인만을 탐색하였기 때문에 추후연구에서는 다른 환경적 요인의 탐색이 이루어져야 할 것이다.

미숙아 어머니의 직접 모유수유 자기효능감

라진숙,채선미 한국모자보건학회 2015 한국모자보건학회지 Vol.19 No.1

본 연구는 일개 지역의 3개 병원 신생아집중치료실에 입원한 미숙아의 어머니를 대상으로 단순한 모유공급이 아닌 직접 모유수유 자기효능감과 그에 영향을 미치는 요인을 확인하여 미숙아 직접 모유수유 증진 중재전략을 개발하는데 기초를 제공하므로 연구의 의의가있다. 총 76명의 미숙아 어머니가 본 연구에 참여하였으며 자가보고식 설문지를 통해 자료수집 하였다. 연구결과 신생아집중치료실에 입원한 미숙아 중 아무도 자료수집 시점에서 직접 모유수유를 하는 경우는 없었다. 약 96%의 어머니는 퇴원 후 직접 모유수유의 의도를가지고 있었다. 미숙아 어머니의 직접 모유수유 지식은정답률 51%로 높지 않은 수준이었다. 이들의 직접 모유수유 자기효능감에 영향을 미치는 요인은 이전의 직접 모유수유 경험과 신생아집중치료실에서의 직접 모유수유 경험, 그리고 가족의 직접 모유수유 인식이었다. 그러므로 미숙아 어머니와 가족을 대상으로 한 직접 모유수유 교육의 개발과 제공이 절실하다. 본 연구는 일부 병원의 미숙아 어머니만을 편의추출 하여 자료수집하였기에 그 결과를 일반화하는데 제한이 있다. Purpose: The purpose of this study was to explore direct breastfeeding self-efficacy (DBSE) ofmothers with premature infants and its relations with their knowledge, attitude and family perceptionon direct breastfeeding. Methods: A cross-sectional descriptive study was employed. A total of 76 mothers with prematureinfants participated in the study from 3 neonatal intensive care units (NICU). Data were collectedusing self-report questionnaires. Results: The mothers of premature infants showed 51% of correct answers on direct breastfeedingknowledge. No one breastfed their premature infants in NICU while about a half of the mothersused bottle feeding with breast milk and formula. Almost all of the mothers with premature infants(96.1%) expressed intention to begin and continue direct breastfeeding. Their DBSE was at amoderate level, 3.09±0.65. The DBSE of the mothers with premature infants was significantlycorrelated with their knowledge, attitude, and family perception on breastfeeding. Also DBSE wassignificantly higher in those with direct breastfeeding experiences than their counterparts. Maternalprevious direct breastfeeding experience, direct breastfeeding experience in NICU, and family perceptionon direct breastfeeding significantly explained 38.8% of the variance in DBSE of motherswith premature infants. Conclusion: Our findings suggest mother of premature infants with experience of direct breastfeedingin NICU and positive family perception on direct breastfeeding seems to increase DBSE. Therefore, NICU discharge program should include education on direct breastfeeding to thosemothers. Also family-centered approach should be developed to improve DBSE of the motherswith premature infants.

학령전기 아동의 과체중 및 비만 관련 위험요인: 생태학적 모델을 바탕으로

라진숙,정연희 한국보건간호학회 2019 韓國保健看護學會誌 Vol.33 No.2

Purpose: The purpose of this study was to identify the potential risk factors - children’s factors, parental factors, and familial-environmental factors - with respect to overweight and obesity in Korean preschool children. Methods: This study used a descriptive cross-sectional design and involved 264 pairs of mothers and preschool children aged 3–5 years (121 boys, 143 girls) attending daycare centers in C city. Multiple logistic regression analyses were used to identify significant risk factors for overweight and obesity in preschool children. Results: According to the multivariate logistic regression, family history of diabetes mellitus as children’s factors, overweight or obesity of both parents as parental factors were significantly associated with an increased likelihood of overweight and obesity in preschool children. In addition, lack of community space for physical activity as familial-environmental factors was significantly associated with increased likelihood of overweight and obesity. Conclusions: Health care providers should concerned with the risk of overweight and obesity in children with high risk familial factors, such as family history of obesity and diabetes mellitus. Moreover, policies should be set in place