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6 "Health behavior"
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Original Articles
Sex differences in factors associated with prediabetes in Korean adults
Jin Suk Ra
Osong Public Health Res Perspect. 2022;13(2):142-152.   Published online April 22, 2022
DOI: https://doi.org/10.24171/j.phrp.2022.0053
  • 892 View
  • 36 Download
AbstractAbstract PDF
Objectives
Identifying the factors associated with prediabetes is necessary for the early detection and management of high-risk individuals with prediabetes. The purpose of this study was to identify the factors associated with prediabetes according to sex in Korean adults. Methods: Using the Korean National Health and Nutrition Examination Survey from 2015 to 2019, a total of 13,595 adults (5,565 males and 8,030 females) aged ≥20 years were included in the data analysis. Logistic regression analysis was performed to identify the factors associated with prediabetes according to sex in Korean adults. Results: In both males and females, age and a family history of type 2 diabetes were associated with prediabetes. In males, current and past smoking habits were associated with increased prediabetes. In addition, low-intensity physical activity and prolonged sedentary behavior were associated with a higher prevalence of prediabetes. Females with a lower education level (less than middle school graduation) showed a higher risk of prediabetes. Conclusion: Sex-specific prevention strategies for prediabetes should be developed. In addition, older individuals and those with a family history of type 2 diabetes should be screened for prediabetes.
The Effects of the Korean Medicine Health Care Program on Stroke-Related Factors and Self-Care Enhancement
Kyoung-Oh Chang, Jung-Hye Lim
Osong Public Health Res Perspect. 2019;10(5):307-314.   Published online October 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.5.07
  • 3,116 View
  • 172 Download
AbstractAbstract PDF
Objectives

This study was performed to examine the effects of the Korean medicine healthcare program on stroke-related factors and self-care enhancement.

Methods

This study was a quasi-experimental, pretest-posttest nonequivalent control group design study (N = 58 participants), with 28 in the treatment group (Korean medicine health care program) and 30 in the control group (no intervention). The program was conducted twice a week for 2 hours, for a total of 12 weeks.

Results

There were statistically significant differences in systolic (p = 0.005) and diastolic blood pressure (p = 0.006), cholesterol (p < 0.001), blood glucose (p < 0.001), self-esteem (p = 0.001), self-efficacy (p < 0.001), health perception (p < 0.001), and the health behavior (p < 0.001) between the experimental group and the control group.

Conclusion

Thus, the Korean medicine healthcare program was effective in managing stroke-related factors and enhancing self-care, and should be actively used to develop community health promotion strategies to prevent strokes and prepare long-term measures.

Korean Adolescents’ Health Behavior and Psychological Status according to Their Mother’s Nationality
Yunjeong Yi, Ji-Soo Kim
Osong Public Health Res Perspect. 2017;8(6):377-383.   Published online December 31, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.6.04
  • 2,614 View
  • 23 Download
  • 4 Citations
AbstractAbstract PDF
Objectives

This study was conducted to compare adolescents’ health behaviors and psychological status according to whether or not their mother was born in Korea.

Methods

This secondary analysis used nationally representative data from the 2015 Korean Youth Risk Behavior Web-based Survey. The self-administered questionnaire included computer measured socio-demographic variables, 15 health behaviors, and psychological status. Data from 65,426 middle school and high school students were analyzed. Multiple logistic regression, adjusting for socio-demographic variables, was used to analyze differences in health behaviors and psychological status between adolescents with a foreign-born mother and those with a Korean mother.

Results

Adolescents who have foreign-born mothers had a lower level of current drinking and subjective happiness, but a higher stress level.

Conclusion

The stress levels of the adolescents with foreign-born mothers could be affected by their multicultural background. It is necessary to analyze stress-influencing factors of multicultural adolescents by comparing them to adolescents from Korean parents. Additionally, our society should pay more attention to the mental health of multicultural adolescents. Schools should also make various efforts to protect multicultural adolescents by adopting mental health management programs led by school nurses and counselors.

Does Skipping Breakfast and Being Overweight Influence Academic Achievement Among Korean Adolescents?
Yang Wha Kang, Jong-Hyock Park
Osong Public Health Res Perspect. 2016;7(4):220-227.   Published online August 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.05.004
  • 1,729 View
  • 22 Download
  • 10 Citations
AbstractAbstract PDF
Objectives
Health status and health behaviors are associated with academic achievement in children and adolescents. The purpose of this study was to investigate whether skipping breakfast and being overweight are related to academic achievement of Korean adolescents.
Methods
Cross-sectional data on a sample of 1,652 high-school seniors (942 males and 710 females) drawn from the 2004 Korea Education Employment Panel were analyzed.
Results
A higher proportion of males (15.3%) than females (6.1%) was overweight (p < 0.001); 37% of males and 41% of females reported skipping breakfast. Overall test scores were significantly higher for females than males (p < 0.05), and in language and foreign language subjects. However, both males and females who reported skipping breakfast had significantly lower scores in language, mathematics, and foreign language than those who did not report skipping breakfast. Overweight males had a lower probability than normal-weight males of having the highest language scores (OR = 0.52, p < 0.05), but there was no difference among females. Females who skipped breakfast had a lower probability of having the highest scores in language (OR = 0.41, p < 0.05), mathematics (OR = 0.24, p < 0.01), or foreign language (OR = 0.18, p < 0.01), while males had a lower probability of having the highest scores in language only (OR = 0.46, p < 0.05).
Conclusion
Skipping breakfast and being overweight are associated with poor academic achievement in Korean adolescents. Eating breakfast and weight control is being discussed as the overlooked factors that may influence better academic achievement.
The Relationship between Health Behavior and General Health Status: Based on 2011 Korea National Health and Nutrition Examination Survey
Chunhoo Cheon, So-Mi Oh, Soobin Jang, Jeong-Su Park, Sunju Park, Bo-Hyoung Jang, Yong-Cheol Shin, Seong-Gyu Ko
Osong Public Health Res Perspect. 2014;5(1):28-33.   Published online February 28, 2014
DOI: https://doi.org/10.1016/j.phrp.2013.12.003
  • 1,758 View
  • 26 Download
  • 2 Citations
AbstractAbstract PDF
Objectives
The aim of the present study is to investigate the relationship between health behavior and general health status.
Methods
We used data from the 2011 Korea National Health and Nutrition Examination Survey. Mental health was measured by stress recognition and depression. Dietary habit was measured by mixed grain diet. Life pattern was measured by sleeping time and working pattern. Physical activity was measured by walking and exercise. We defined general health status as Euro Quality of Life-5 Dimension (EQ-5Dindex), Euro Quality of Life Visual Analogue Scale (EQ-5Dvas), number of people experienced lying in a sickbed for the last one month, number of days lying in a sickbed for the last one month, and activity limitations.
Results
Mental health, dietary habit, life pattern, and physical activity have seven factors. Most of the factors have a significant correlation with EQ-5Dindex, EQ-5Dvas, number of people experienced lying in a sickbed for the last one month, number of days lying in a sickbed for the last one month, and activity limitations.
Conclusion
Health behavior and general health status have a positive correlation.
Articles
Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults
Seunghyun Yoo, Hyekyeong Kim, Han-Ik Cho
Osong Public Health Res Perspect. 2012;3(2):85-93.   Published online June 30, 2012
DOI: https://doi.org/10.1016/j.phrp.2012.04.007
  • 1,639 View
  • 15 Download
  • 15 Citations
AbstractAbstract PDF
Objectives
This study aims to examine the effectiveness of a 6-month lifestyle modification program on the improvement in metabolic syndrome (MetS) status and in stages of change for lifestyle behaviors associated with MetS among Korean older adults.
Methods
A lifestyle modification program was developed based on the transtheoretical model. The program consisted of health counseling, education classes, a self-management handbook, newsletters and a health diary. Older adults aged ≥60 (n = 480) with MetS were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a comprehensive 6-month lifestyle modification intervention, while the CG received minimal information on MetS and lifestyle modification. Health examination and selfadministered survey were conducted before and after the intervention to determine the effectiveness of the program.
Results
After the intervention, the prevalence of MetS decreased to 38.1% in the IG and 52.4% in the CG (p = 0.046). The IG improved abdominal obesity (p = 0.016), blood pressure (p = 0.030), and triglyceride (p = 0.005) more than the CG did. The IG demonstrated significant improvements in the behavioral stages for portion control (p = 0.021), balanced diet (p < 0.001) and adequate intake of fruits and vegetables (p = 0.012). The IG reduced the prevalence of abdominal obesity (OR = 2.34) and improved MetS status (OR = 1.79) better than the CG. The IG were more likely to advance from preaction stages at baseline to action stage at post-intervention for portion control (OR = 3.29) and adequate intake of fruits and vegetables (OR = 2.06).
Conclusion
Lifestyle modification can improve the MetS status and behavioral stages in older adults.

PHRP : Osong Public Health and Research Perspectives