Factors Affecting the Health Behavior of Elementary School Children at a Late School Age

학령기 후기 아동의 건강행위에 영향을 미치는 요인

  • Oh, Jin-A (Department of Nursing, Inje University, Institute for Health Science Research)
  • 오진아 (인제대학교 간호학과, 건강과학연구소)
  • Received : 2010.09.30
  • Accepted : 2010.12.15
  • Published : 2010.12.31

Abstract

Purpose: This study was conducted in order to identify factors related to the health behavior in elementary school children at a late school age and to provide basic data to develop more concrete and practical applications for health promotion and disease prevention. Methods: The participants were 2,775 4th, 5th and 6th graders sampled from 10 elementary schools in Busan Metropolitan City and data were collected from 15th May to 30th June, 2010. The collected data were analyzed by mean, percentile, t-test, ANOVA, Pearson s correlation coefficient, and stepwise multiple regression using the SPSS/WIN 17.0 program. Results: The average percentiles for self-rated health, body satisfaction, stress, parent attachment, self-esteem, and health behavior were 82.8, 69.5, 40.9 79.3, 75.9 and 75.9, respectively. There was significant relationship among the levels of self-rated health, body satisfaction, stress, parent attachment, self-esteem, and health behavior. Body satisfaction was the most powerful factor to the health behavior of elementary school children at a late school age, and was followed by parent attachment, self-rated health, self-esteem, and grade in order. These variables explained 26.6% of the total variance in health behavior. Conclusion: Health promotion behavior programs including body satisfaction and self-esteem elevation programs should be applied to children at home and in school and community. To achieve this, institutional and economic support should be continued.

Keywords

References

  1. Ainsworth, M. D. (1982). The development of infant-mother attachment. In the beginning readings on infancy. New York: Columbia University Press.
  2. Armsden, G. C., & Greenberg, M. T. (1987). The inventory of parent and peer attachment; Individual difference and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence, 16 (5), 437-454.
  3. Austin, S. B., Haines, J., & Veugelers, P. J. (2009). Body satisfaction and body weight: Gender differences and sociodemographic determinants. BidMed Central Public Health, 9, 313-319.
  4. Banfield, S. S., & McCabe, M. P. (2002). An evaluation of the construct of body image. Adolescence, 37, 374-393.
  5. Bowlby, J. (1982). Attachment and loss: Vol. 1. attachment (2nd ed.). New York: Basic Books.
  6. Do, K. H. (2008). The effects of children's self-esteem, eating attitude and school adjustment on body image. The Journal of Elementary Education, 21 (3), 111-125.
  7. Jung, N. K. (2003). An evaluation of children's body image and physical self-perceptions. The Korean Journal of Measurement and Evaluation in Physical Education and Sport Science, 5 (2), 49-69.
  8. Kim, E. K., Hwang, J. Y., Woo, E. K., Kim, S. S., Ahn, Jo, S. M., & Jo, I. H. (2005) Body mass index cutoffs underweight, overweight, and obesity in South Korean schoolgirls. Obesity Research, 13 (9), 1510-1514. https://doi.org/10.1038/oby.2005.183
  9. Kim, S. H. (2007). A prediction model of health promotion behavior for school children. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  10. Kim, S. H., & Lee, J. H. (2008). Test of a hypothetical model for health promoting behavior in school-aged children. Journal of Korean Academy Child Health Nursing, 14 (1), 22-34.
  11. Kim, S. J., Yang, S. O., Jeong, G. H., & Lee, S. H. (2007). Level of health promotion behavior practice in elementary school students. Journal of Korean Academy Child Health Nursing, 13 (4), 407-415.
  12. Kim, W. C., Kim, J. J., Park, B. W., Park, S. H., Song, M. S., Lee, S. U., et al. (2009). Modern statistics (4th ed.). Seoul: Youngchimoonwhasa.
  13. Lee, H. Y., & Kim, C. N. (2004). The study of performance of health promoting behavior in elementary school students. Journal of Korean Community Health Nursing Academic Society, 18 (1), 119-131.
  14. Lee, J. I. (2001). A study on obese children's self-efficacy and health promotion behavior. Unpublished doctoral dissertation, Gyeongsan University, Gyeongsan.
  15. McCormick, C. B., & Kennedy, J. H. (1994). Parent-child attachment working models and self-esteem in adolescence. Journal of Youth and Adolescence, 23 (1), 1-18. https://doi.org/10.1007/BF01537139
  16. Min, H. Y., & Yoo, A. J. (1999). The effects of perceived parental behavior and coping behaviors on parent-related stress in school aged children. Journal of the Korean Home Economics Association, 37 (9), 1-12.
  17. National Youth Policy Institute (2007). Korean Youth Panel Survey. Seoul: Author.
  18. Park, E. H. (2008). A study on the self-esteem & body satisfaction according to subjective body sizes in 5 & 6th elementary school children. Korean Parent-Child Health Journal, 11 (1), 1-9.
  19. Park, G. S., & Oh, S. H. (2004). A study on the relationship between self-efficacy and health promoting lifestyle profile of childhood obesity. Journal of Korean Academy of Child Health Nursing, 10 (2), 173-179.
  20. Park, H. M., Moon, S. T., & Yang, J. H. (2002). The effect of elementary school children's attachment on self-esteem and learning motivation. Journal of Practical Arts Education, 15 (3), 113-125.
  21. Park, W. M., & Cheon, S. M. (2008). A study on parent attachment, self-concept, self-efficacy and peer relationship of the 6th grade children in elementary school. The Korean Journal of School Psychology, 5 (1), 41-59.
  22. Park, H. K., & Cho, M. Y. (2009, June). 06- 08 School health test result analysis. Seoul: Ministry of Education, Science and Technology.
  23. Park, J. H., & Choi, T. S. (2008). The effect of body image on self-esteem in adolescents. Korean Journal of Play Therapy, 11 (1), 117-129.
  24. Park, M. S. (2004). A study on the stress, health perception, and health promotion behavior of the late school-aged children. Unpublished master's thesis, Ewha Womans University, Seoul.
  25. Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Connecticut: Appleton & Lange Stanford.
  26. Raja, S. N., McGee, R., & Stanton, W. R. (1992). Perceived attachments to parent and peer and psychological wellbeing in adolescence. Journal of Youth and Adolescence, 21 (4), 56-68.
  27. Richards, M. H., & Duckett, E. (1994). The relationship of maternal employment to early adolescent daily experience with and without parents. Child Development, 65 , 225- 236. https://doi.org/10.2307/1131377
  28. Yu, M. J. (2010). The relationship between obesity index, body image, self-efficacy and health promoting behavior. Unpublished master's thesis, Daegu University, Daegu.