An oral health promotion behavior model for primary school children

초등학생의 구강건강증진행위 모형

Kim, Su-Gyeong;Kim, Yeong-Su
김수경;김영수

  • Published : 2008.12.01

Abstract

Objectives: This study has been attempted to identify the major factors against oral health promotion behaviors of primary school children. Those identified factors were used to hypothesize a model and it was verified by way of explanation for the children's oral health promotion behaviors. Methods: The measured variables of the oral health promotion behavior of primary school children include previous oral health related behavior, overstress by study, perceived oral health status, perceived benefit, perceived barrier, self-esteem, self-efficacy, social support, and oral health promotion behavior. The gathered data were analyzed statistically by SPSS WIN 12.0 and LISREL WIN 8.8 program. The findings were as follows. Results: Firstly, the fitness degree of hypothetical model was GFI=0.96, RMSR=0.049, and NFI=0.93, it's apparent that the model was appropriately matched. Secondly, 23 out of the 26 paths were turned out correspondent to the hypothetical model which accepted as direct effect. And two hypotheses had statistical significance indirectly. Thus, total 25 hypotheses were supported except the paths with social support and oral health promotion behavior. Thirdly, the three extrinsic variables that were previous oral health related behaviors, overstress by study, and perceived oral health status turned out to have influences on all the intrinsic variables. Fourthly, the biggest positive influences to the perceived oral health promotion behavior came from previous oral health related behavior(=0.45, t=14.66), which were followed by perceived oral health status(=0.22, t=7.39), perceived benefit(=0.14, t=4.63), self-efficacy(=0.16, t=4.30), and self-esteem(=0.11, t=3.13) in the order. The variable that had the most negative impacts was study-related stress(=-0.14, t=-8.27), which was followed by perceived barrier(=-0.13, t=-4.29). Lastly, the previous oral health related behavior, perceived oral health status, perceived benefit, perceived barrier, self-esteem and self-efficacy are turned out as direct factors which influenced to children's oral health promotion behaviors. and overstress by study is turned out as an indirect factor. Conclusions: The prediction model of the oral health promotion behavior for the primary school children developed in the study is a comprehensive one and may be practically useful to predict the oral health promotion behavior of children.

Keywords

References

  1. 강승훈, 김명섭, 이선미, 배광학, 오막엽, 김진범. 학교구강보건실 계속구강건강 관리사업 효과 평가. 대한구강보건학회지 2006;30(3):231-242.
  2. 김성희. 학령기 아동의 건강증진행위 예측모형[박사학위논문]. 서울:이화여자대학교 대학원;2007.
  3. Bestard S, Counrtenay M. Focusing on wellness. Can Nurse 1990;86(11):24-25.
  4. Smith MC. Nursing's unique focus on health promotion. Nurs Sci Q 1990;3(3):105-106. https://doi.org/10.1177/089431849000300304
  5. Cohn DA. Child-Mother attachment of six year olds and social competence at school. Child Dev 1990;61(1):152-162. https://doi.org/10.2307/1131055
  6. Pender NJ, Walker SN, Sechrist KR, Frank-Stromborg M. Predicting health promoting lifestyles in the workplace. Nurs Res 1990;39(6):326-332.
  7. 공만석, 이흥수, 김수남. 모친의 구강보건에 대한 지식, 태도, 행동과 아동의 구강보건행태의 관련성에 대한 연구. 대한구강보건학회지 1994;18(1):84-94.
  8. Pender NJ. Health Promotion in Nursing Practice. 3rd Edition. Appleton and Lange Stamford Connecticut;1996.
  9. Samuel W. Personality. New York: McGraw-Hill;1977.
  10. Bandura A. Self-efficacy : Toward a unifying theory of behavioral change. Psychol Rev 1977;84(2):191-215. https://doi.org/10.1037/0033-295X.84.2.191
  11. Norbeck JS. Types of sources of social support for managing job stress in critical care nursing. Nurs Res 1985;34(4):225-230.
  12. 오미향, 천성문. 청소년의 학업스트레스요인 및 증상분석과 그 감소를 위한 명상훈련의 효과. 서울:서강대학교 생활상담실 1994;15:63-96.
  13. 오택섭, 최현철. 사회과학 데이터분석법. 서울:나남출판; 2003:21-28.
  14. 조선배. LISREL 구조방정식모델. 서울:영지문화사;1996:99-117.
  15. 배병렬. LISREL 구조방정식모델:이해, 활용 및 프로그래밍. 제2판. 서울:청람;2006:201-232.
  16. Tada A, Matsukubo T. Relationship between oral health behavior and general health behavior in a Japanese adult population. J Public Health Dent 2003;63(4):250-254. https://doi.org/10.1111/j.1752-7325.2003.tb03508.x
  17. 김기영, 강현철. LISREL을 이용한 구조방정식 모형의 분석. 서울:자유아카데미;2001:19-52