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      학령후기 아동의 건강증진행위 구조모형: 계획된 행위이론을 기반으로 Translated title: Structural Equation Model of Health Promotion Behaviors in Late School-aged Children: Based on the Theory of Planned Behavior

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          Translated abstract

          Purpose

          This study was conducted to investigate the factors affecting health promotion behaviors in late school-aged children by establishing a hypothetical model based on the planned behavior theory.

          Methods

          From July 19 to August 31, 2017, 460 questionnaires were distributed to fifth and sixth graders at three elementary schools in Korea, of which 318 were ultimately analyzed.

          Results

          All the fit indices were shown to be appropriate, indicating satisfactory fit. In the final model, six of the nine paths included in the hypothetical model were supported. Specifically, perceived behavioral control had the most influence on intention, followed by subjective norms, self-esteem, and health knowledge. Intentions were the most influential factor for health-promoting behaviors, followed by self-esteem and health knowledge. Subjective norms, perceived behavioral control, and self-esteem explained 57.6% of intention to engage in health promotion behaviors and 61.7% of variation in health promotion behaviors was explained by health knowledge, self-esteem and intention.

          Conclusion

          The findings of this study provide support for a model that can be used to facilitate the practice of health promotion activities in children in the later years of school age.

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          Most cited references30

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          Efficacy of the Theory of Planned Behaviour: A meta-analytic review

          The Theory of Planned Behaviour (TPB) has received considerable attention in the literature. The present study is a quantitative integration and review of that research. From a database of 185 independent studies published up to the end of 1997, the TPB accounted for 27% and 39% of the variance in behaviour and intention, respectively. The perceived behavioural control (PBC) construct accounted for significant amounts of variance in intention and behaviour, independent of theory of reasoned action variables. When behaviour measures were self-reports, the TPB accounted for 11% more of the variance in behaviour than when behaviour measures were objective or observed (R2s = .31 and .21, respectively). Attitude, subjective norm and PBC account for significantly more of the variance in individuals' desires than intentions or self-predictions, but intentions and self-predictions were better predictors of behaviour. The subjective norm construct is generally found to be a weak predictor of intentions. This is partly attributable to a combination of poor measurement and the need for expansion of the normative component. The discussion focuses on ways in which current TPB research can be taken forward in the light of the present review.
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            Residual Effects of Past on Later Behavior: Habituation and Reasoned Action Perspectives

            Icek Ajzen (2002)
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              Overweight and obesity in Canadian adolescents and their associations with dietary habits and physical activity patterns.

              To present recent overweight and obesity prevalence rates for 11-16-year-old Canadian youth and to examine associations between overweight and obesity with dietary habits and leisure-time physical activities. Nationally representative sample of 11-16-year-old adolescents (n = 5890) from the Canadian component of the 2001/02 World Health Organization Health Behaviour in School-Aged Children Survey were used. Height, weight, dietary habits, and leisure-time activities were determined from self-report. Age- and gender-specific prevalence rates of overweight and obesity were calculated based on international body mass index cut-points. Logistic regression was employed to examine the association among measures of overweight, obesity, and lifestyle habits. Fifteen percent of 11-16-year-old Canadian youth were overweight (preobese) and 4.6% were obese in 2002. These prevalence rates were greater in boys than girls (p < .001), but did not vary according to age. There were no clear associations observed between dietary habits and measures of overweight and obesity. However, physical activity levels were lower (p < or = .05) and television viewing times were higher (p < .01) in overweight and obese boys and girls than normal-weight youth. The prevalence rates of overweight and obesity in Canadian youth are high. The results suggest that physical inactivity and sedentary behaviors are strongly related to obesity in Canadian adolescents.
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                Author and article information

                Journal
                Child Health Nurs Res
                Child Health Nurs Res
                CHNR
                Child Health Nursing Research
                Korean Academy of Child Health Nursing
                2287-9110
                2287-9129
                October 2019
                31 October 2019
                : 25
                : 4
                : 477-486
                Affiliations
                [1 ]Assistant Professor, Department of Nursing, Cheongam College, Suncheon, Korea [1 ]청암대학교 간호학과 조교수
                [2 ]Associate Professor, Department of Nursing, College of Life Science & Biotechnology, Andong National University, Andong, Korea [2 ]안동대학교 생명과학대학 간호학과 부교수
                Author notes
                Corresponding author Cha Nam Hyun https://orcid.org/0000-0003-3956-4551 Department of Nursing, College of Life Science & Biotechnology, Andong National University, 1375 Gyeongdong-ro, Andong 36729, Korea TEL +82-54-820-7314 FAX +82-54-820-6730 E-MAIL yeoreo@ 123456anu.ac.kr
                [*]

                이 논문은 전가을의 박사학위논문의 일부를 수정 및 축약하여 작성한 것임.

                [*]

                This article was adapted from a thesis by Ga Eul Jeon in partial fulfillment of the requirements for the dissertation

                Article
                chnr-25-4-477
                10.4094/chnr.2019.25.4.477
                8650983
                35004439
                4f74ecce-77b1-47a7-9b58-f1bb89d066be
                Copyright © 2019 Korean Academy of Child Health Nursing. All rights reserved.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 19 May 2019
                : 15 July 2019
                : 22 July 2019
                Categories
                Original Article

                아동 건강,건강행위,건강증진,초등학교,child health,health behavior,health promotion,primary school

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