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2 "Attitude to health"
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Original Articles
Predictors of the Utilization of Oral Health Services by Children of Low-income Families in the United States: Beliefs, Cost, or Provider?
Young Ok Rhee Kim, Sharon Telleen
Journal of Korean Academy of Nursing 2004;34(8):1460-1467.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.8.1460
AbstractAbstract PDF
Purpose

This study examined the predictive factors enabling access to children's oral health care at the level of financial barriers, beliefs, and the provider.

Methods

In-depth interviews were conducted with 320 immigrant mothers of low-income families regarding their use of oral health services for children aged four to eight years old. Access to oral health care was measured with frequency of planned dental visits, continuity of care, and age at first visit to dentist.

Results

The mother took her child to the dentist at a younger age if she received referrals to a dentist from pediatrician. Regular dental visits were significantly related to household income, provider availability on weekends, and insurance coverage. The extended clinic hours in the evenings, and the belief in the importance of the child's regular dentist visits increased the likelihood of continuing care. The mothers perceiving a cost burden for the child's dental care were also less likely to return to the dentist.

Conclusion

The available care delivery system, coordinated medical care, and health beliefs were among important predictors of the health service use. The study findings suggest need for culturally competent dental health interventions to enhance access to oral health care among particularly vulnerable populations such as low-income children in Korean communities.

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Relationship between Expectations Regarding Aging and Physical Activity among Middle Aged Adults in Urban Areas: Based on the Pender's Health Promotion Model
Sung-Hye Cho, MoonKi Choi, JuHee Lee, Hyewon Cho
J Korean Acad Nurs 2015;45(1):14-24.   Published online February 27, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.1.14
AbstractAbstract PDF
Purpose

The purpose of this study was to measure the level of expectations regarding aging (ERA) and identify relationship between ERA and physical activity of middle aged adults.

Methods

Participants were middle aged adults who resided in the community in three cities in Korea. Data were collected using questionnaires that contained items on individual characteristic, International Physical Activity Questionnaires (IPAQ), and behavior-specific cognitive factors including ERA-12. Hierarchical multiple regression was conducted to examine whether ERA would predict physical activity by controlling other factors.

Results

The mean age of the participants was 51.1±6.9 years. The mean score for ERA (possible range=0 to 100) was 40.04±14.31. More than half of the participants (62.6%) were not engaged in health promoting physical activity. Gender, employment status and exercise confidence were associated with level of physical activity (F=7.14, p<.001, R2=.36). After controlling for individual factors and behavior-specific cognitive factors, ERA was independently related to physical activity (F=7.19, p<.001, R2=.38).

Conclusion

The results demonstrate that individuals' belief about aging has effects on physical activity in Korean middle aged adults. Thus, nursing interventions which focused on ERA could help enhance physical activity in middle aged adults.

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