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Original Articles
Assessing Decisional Balance toward Mammography Screening in Korean Women
Young Joo Park, Sung Ok Chang, Hyun Cheol Kang
Journal of Korean Academy of Nursing 2001;31(7):1174-1180.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.7.1174
AbstractAbstract PDF

This cross-sectional survey was carried out to assess the decisional balance of Korean women toward mammography screening. A sample of 1, 903 naturally postmenopausal women was selected from the community-based social groups in town or city hall auxiliaries in seven metropolitan areas and six provinces in Korea. The classification of women according to the stage of adoption of mammography was 54.9% in pre-contemplation, 31.9% in contemplation, 7.8% in action, and 5.5% in maintenance. The mean differences of pros, cons, and the decisional balance by the stage of mammography adoption were statistically significant. There were significant mean differences between the stages of adoption according to a woman's experience with and intention for mammography and the pros score, the cons score, and the decisional balance score. Results provide the empirical evidence for the Transtheoretical model. An association between stages of mammography adoption and decisional balance exists.

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Sexual Behavior and Related Factors of Coitus of Teenage Girls in Korea
Soon Bok Chang, Soyaja Kim, In Young Han, Young Ju Park, Hyun Cheol Kang, Sun Kyoung Lee
Journal of Korean Academy of Nursing 2001;31(5):921-931.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.5.921
AbstractAbstract PDF

PURPOSE: The purpose of this study was to investigate the rate of pregnancy, abortion, delivery and contraceptive use and the relationship between the related factors and the early coitus among Korean teenagers.
METHOD
The subjects of this study were 12,733 teenagers age 13-19 years in 7 major cities and 9 provinces in Korea. Data was collected from 2 Oct., to 28 Oct., 2000 and analyzed by using SPSS 10.0 Program.
RESULTS
The results showed pregnancy rate 4.5%, delivery rate 0.5%, abortion rate 0.4%. Adolescent girls who experienced coitus relatively went to vocational school, coeduaction school, night school in the general characteristics (p=0.000). Adolescent girls who experienced coitus tend to go to video room (18.5%), go the singing room (60.7%), the bar (54.8%), petting with the partner during the dates. There were overlapping juvenile delinquencies such as drinking (89.2%), pornography (65.3%), bond inhalation (2.7%), leaving homes (43.7%), smoking (14.5%), cyber sex (70.8%), phone sex (12.9%). Adolescent girls who experienced coitus were more suffering from Wangtta (26.1%) than who had not. They showed significant positive attitudes toward coitus; such as feeling of excitement (6.6%), nature (37.9%), beauty (8.7%). On the other hand, they had more guilty (2.8%) than the inexperienced (p=0.000). The main factors relating to early coitus were 'to confirm love' (46.9%), 'afraid of rejection' (32.2%). They think the benefits of coitus were 'more intimacy with boyfriends' (20.6%), 'satisfaction of curiosity' (16.8%). The losses on coitus were 'worry about pregnancy' (73.7%) and 'unability to refuse sexual contacts' (28.7%)
CONCLUSION
It could be concluded that it is necessary to plan different sex education programs according to general characteristics and delinquency behaviors of teenage girls in Korea.

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Prediction Model on Mental Health Status in Middle-aged Women of an Urban Area
Pyong Sook Lee, Jung Nam Sohn, Yong Mi Lee, Hyun Cheol Kang
Journal of Korean Academy of Nursing 2005;35(2):239-251.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.2.239
AbstractAbstract PDF
Purpose

This study was designed to construct a structural model for explaining mental health status in middle - aged women.

Methods

The data was collected by self - reported questionnaires from 206 middle - aged women in Seoul. Data analysis was done with the SAS pc program for descriptive statistics and a PC - LISREL Program for finding the best fit model which assumes causal relationships among variables.

Results

The overall fit of the hypothetical model to the data was good, but paths and variables of the model were modified by considering theoretical implications and statistical significances of parameter estimates. Thus it was modified by excluding 3 paths. The modified model showed was good fit to the data(χ2=177.55, p=.00), GFI=0.908, AGFI=0.860, RMR=0.013, NFI=0.972, NNFI=0.982). Perceived stress, anger expression method, and self -esteem were found to have direct effects on mental health status in middle - aged women. These predictive variables of mental health status explained 66.6% of the model.

Conclusion

Programs to enhance mental health status in middle - aged women should include stress management skill, anger expression skill, and self-esteem enhancement skills to be effective.

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Identification of Subgroups with Lower Level of Stroke Knowledge Using Decision-tree Analysis
Hyun Kyung Kim, Seok Hee Jeong, Hyun Cheol Kang
J Korean Acad Nurs 2014;44(1):97-107.   Published online February 28, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.1.97
AbstractAbstract PDF
Purpose

This study was performed to explore levels of stroke knowledge and identify subgroups with lower levels of stroke knowledge among adults in Korea.

Methods

A cross-sectional survey was used and data were collected in 2012. A national sample of 990 Koreans aged 20 to 74 years participated in this study. Knowledge of risk factors, warning signs, and first action for stroke were surveyed using face-to-face interviews. Descriptive statistics and decision tree analysis were performed using SPSS WIN 20.0 and Answer Tree 3.1.

Results

Mean score for stroke risk factor knowledge was 7.7 out of 10. The least recognized risk factor was diabetes and four subgroups with lower levels of knowledge were identified. Score for knowledge of stroke warning signs was 3.6 out of 6. The least recognized warning sign was sudden severe headache and six subgroups with lower levels of knowledge were identified. The first action for stroke was recognized by 65.7 percent of participants and four subgroups with lower levels of knowledge were identified.

Conclusion

Multi-faceted education should be designed to improve stroke knowledge among Korean adults, particularly focusing on subgroups with lower levels of knowledge and less recognition of items in this study.

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Depression Status of Academic High School Students in Seoul: Mediating Role of Entrapment
Young-Joo Park, Nah-Mee Shin, Kuem Sun Han, Hyun Cheol Kang, Sook-Hee Cheon, Hyunjeong Shin
J Korean Acad Nurs 2011;41(5):663-672.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.663
AbstractAbstract PDF
Purpose

Purpose of this study was to investigate the status of depression in academic high school students and path analysis model for exploring the mediating role of entrapment to depression in relation to academic stress and perceived social support.

Methods

Measurements were four reliable questionnaires measuring academic stress, social support, entrapment, and depression. Data were collected from students in 17 high schools in Seoul.

Results

Students (n=5,346) completing the questionnaires indicated depression & entrapment from academic stress. Depression was more prevalent in girls, those whose parents' household income was less than two million won, who did not live with father or mother or both due to divorce, separation, or death, and those who smoked or used alcohol. Entrapment was more prevalent in students similar to cases of depression and in seniors. According to the proposed path model, 48.6% of depression was explained by academic stress, social support, and entrapment. The indirect effect of entrapment as a mediator between academic stress and depression was verified and larger than the direct effect of academic stress on depression.

Conclusion

Considering levels of depression and entrapment demonstrated by these students, better mental health programs with diverse strategies should be developed for their psychological well-being.

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