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The Association of Functional Health Literacy and Health Self-Efficacy with Health Behaviors among University Students

대학생의 건강정보이해능력, 건강관리 자기효능감, 건강행위 간의 관계

  • Received : 2021.10.20
  • Accepted : 2022.01.20
  • Published : 2022.01.28

Abstract

The purpose of this study was to identify affecting factors on health behaviors among university students. A cross-sectional study was conducted with a sample of 161 participants between May and June 2020. The authors assessed functional health literacy, health self-efficacy, and health behaviors. Mean score of functional health literacy and health self-efficacy was 10.14±1.39 and 3.96±0.60, respectively. Of the subjects, 9.9% were smokers, 23.0% were problem drinking, 96.9% were those who needed monitoring of their eating habits, 63.4% were those with low or moderate physical activity, and 29.8% were those who were overweight or obesity. Gender and functional health literacy had an effect on smoking and eating habits, respectively. Gender and health self-efficacy were affecting factors on physical activity. Researchers should be sought strategies to promote health behavior considering gender, functional health literacy and health self-efficacy.

본 연구는 대학생의 건강행위에 영향을 미치는 요인을 규명하기 위해 시도되었으며, 횡단적 서술적 조사 연구 방법으로 2020년 5월부터 6월까지 161명의 참여자를 대상으로 수행되었다. 건강정보이해능력, 건강관리 자기효능감 및 흡연, 음주, 식습관, 신체활동, 비만도의 건강행위 자료를 수집하였다. 대학생의 건강정보이해능력과 건강관리 자기효능감은 각각 평균 10.14±1.39점, 3.96±0.60점이었고, 대상자의 9.9%가 흡연자, 23.0%가 문제음주자, 96.9%가 식습관의 모니터링을 요하는 자, 63.4%가 신체활동이 낮거나 중간 정도인 자, 29.8%가 과체중 또는 비만인 자였다. 성별은 흡연에, 건강정보이해능력은 식습관에, 그리고 성별과 건강관리 자기효능감은 신체활동에 유의한 요인으로 나타났다. 성별과 건강정보이해능력, 건강관리 자기효능감을 고려하여 대학생의 건강행위를 증진시킬 수 있는 방안이 모색되어야 하겠다.

Keywords

References

  1. C. K. Lee, H. K. Lee & Y. S., Park. (2017). College Students' Experiences of Health Behaviors. Journal of Qualitative Research, 18(1), 49-65. https://doi.org/10.22284/qr.2017.18.1.49
  2. Korea Disease Control and Prevention Agency. (December 31, 2020). Korea National Health and Nutrition Examination Survey. Korea Disease Control and Prevention Agency(Online). https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do
  3. N. Pender, C. L. Murdaugh, & M. A. Parsons. (2011). Health Promotion in Nursing Practice (6th ed.). Upper Saddle, NJ: Pearson Education.
  4. S. Y. Lee & S. R. Suh. (2018). Influence of Health Literacy and Self-care Agency on Health Promotion Behavior in Nursing Students. Journal of Health Informatics and Statistics, 43(2), 126-133. DOI : 10.21032/jhis.2018.43.2.126
  5. H. H. Sim, M. S. Kim, K. S. Jeong, J. E. Heo & E. J. Choi. (2014). Factors Influencing Health Promotion Behaviors of College Students. Korean Journal of Health Education and Promotion, 31(3), 97-108. DOI : 10.14367/kjhep.2014.31
  6. S. N. Walker, K. Volkan, K. R. Sechrist & N. J. Pender. (1988). Health-promoting Lifestyles of Older Adults: Comparisons with Young and Middle-aged Adults, Correlates and Patterns. Advances in Nursing Science, 11(1), 76-90. DOI : 10.1097/00012272-198810000-00008
  7. S. C. Ratzan et al. (2000). Current Bibliographies in Medicine: Health Literacy. Bethesda, Maryland: National Library of Medicine.
  8. K. Sorensen et al. (2012). Health Literacy and Public Health: A Systematic Review and Integration of Definitions and Models. BMC Public Health, 12(1), 80. DOI : 10.1186/1471-2458-12-80
  9. H. J. Park & S. K. Hwang. (2014). Linguistic and Functional Health Literacy among Community-dwelling Old Adults. Global Health and Nursing, 4(2), 49-58.
  10. I. S. Yang. (2021). Relationship between Health Literacy and Health Status among Community-dwelling Elderly. Journal of Convergence for Information Technology, 11(1), 62-70. DOI : 10.22156/CS4SMB.2021.11.01.062
  11. H. Becker, A. Stuifbergen, H. Oh & S. Hall. (1993). Self-rated Abilities for Health Practices: A Health Self-Efficacy Measure. Health Values, 17(5), 42-50.
  12. N. J. Kim & H. S. Hong. (2016). Influence of Stress, Self-efficacy for Smoking Cessation, Smoking Temptation and Nicotine Dependence in Male College Students who Smoke. Journal of Korean Biological Nursing Science, 18(1), 1-8. DOI : 10.7586/jkbns.2016.18.1.1
  13. H. O. Choi & Y. M. Ha. (2017). The Effects of Personality Traits, Drinking Refusal Self-efficacy and Alcohol Expectancies on Problem Drinking among College Students. The Journal of Humanities and Social Science, 8(2), 1125-1144. DOI : 10.22143/HSS21.8.2.59
  14. M. Y. Kim & E. H. Kang. (2020). A Study on Effects of Nutrition Knowledge, Dietary Habits, and Dietary Self-Efficacy on Dietary Behavior in Nursing Students. The Journal of Learner-Centered Curriculum and Instruction, 20(21), 307-322. DOI : 10.22251/jlcci.2020.20.21.307
  15. I. K. Park & Y. H. Kim. (2012). Adults' Physical Activity and Relationship with Exercise Imagery, Decisional Balance, and Exercise Self Efficacy. The Korean Journal of Physical Education, 51(5), 217-228.
  16. E. S. Im, S. J. Myeong, & H. Y. Kang. (2013). Body Image, Weight-control Self-efficacy, Body Mass Index, and Body Weight Control Behavior of High School Girls. The Journal of the Korean Society of School Health, 26(3), 195-204.
  17. D. J. Barsell, R. S. Everhart, S. A. Miadich & M. A. Trujillo. (2018). Examining Health Behaviors, Health Literacy, and Self-efficacy in College Students with Chronic Conditions. American Journal of Health Education, 49(5), 305-311. DOI : 10.1080/19325037.2018.1486758
  18. J. E. Lee, H. G. Hong & J. S. Park. (2018). Validation Study of the Korean Self Rated Abilities for Health Practices: Health Self-Efficacy Measure(K-SRAHP). Stress, 26(3), 140-148. DOI : 10.17547/kjsr.2018.26.3.140
  19. B. Geboers, A. F. de Winter, K. A. Luten, C. J. M. Jansen & S. A. Reijneveld. (2014). The Association of Health Literacy with Physical Activity and Nutritional Behavior in Older Adults, and Its Social Cognitive Mediators. Journal of Health Communication, 19(Suppl 2), 61-76. DOI : 10.1080/10810730.2014.934933
  20. S. M. Park, D. L. Min & J. Y. Park. (2020). The Influence of Knowledge and Health Beliefs about Gestational Diabetes on Breastfeeding Intention of Women with Gestational Diabetes. Journal of Korean Academy of Community Health Nursing, 31(4), 427-435. DOI : 10.12799/jkachn.2020.31.4.427
  21. S. Y. Lee & S. R. Suh. (2016). Coverage Rate and Factors Associated with Vaccination in Adult Recommended Pneumococcal Vaccine. Journal of Health Informatics and Statistics, 41(2), 231-238. DOI : 10.21032/jhis.2016.41.2.231
  22. Y. C. Kim, H. Y. Shon, J. Y. Lim, M. Kim & K. Park. (2011). Health Literacy Scale Development. Paper presented at the Korea Health Communication Association Conference, Namseoul University, Cheonan, South Korea.
  23. Y. C. Kim, J. Y. Lim & K. Park. (2015). Effects of Health Literacy and Social Capital on Health Information Behavior. Journal of Health Communication, 20(9), 1084-94. DOI: 10.1080/10810730.2015.1018636
  24. J. B. Saunders, O. G. Aasland, T. F. Babor, J. R. de la Fuente & M. Grant. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Rroject on Early Detection of Persons with Harmful Alcohol Consumption-II. Addiction, 88(6), 791-804. DOI : 10.1111/j.1360-0443.1993.tb02093.x
  25. J. S. Kim, M. K. Oh, B. K. Park, M. K. Lee, G. J. Kim & J. K. Oh. (1999). Screening Criteria of Alcoholism by Alcohol Use Disorders Identification Test (AUDIT) in Korea. Korean Journal of Family Medicine, 20(9), 1152-1159.
  26. J. G. Lee, J. S. Kim, J. G. Jung, T. K. Choi & Y. I. Ryou. (2011). Usefulness of the Alcohol Use Disorders Identification Test in Screening for Problem Drinkers among College Students. Korean Journal of Family Medicine, 32(1), 29-36. DOI : 10.4082/kjfm.2011.32.1.29
  27. J. S. Lee et al. (2018). Development of Nutrition Quotient for Korean Adults: Item Selection and Validation of Factor Structure. Journal of Nutrition and Health, 51(4), 340-356. DOI : 10.4163/jnh.2018.51.4.340
  28. J. S. Yim & Y. R. Heo. (2020). Factors associated with the Dietary Quality and Nutrition Status using the Nutrition Quotient for Adults Focusing on Workers in the Manufacturing Industry. Journal of Nutrition and Health, 53(5), 488-502. DOI : 10.4163/jnh.2020.53.5.488
  29. M. Sjostrom, U. Ekelund, E. Poortvliet, A. Hurtig-Wennlof & A. Yngve. (2000). Assessment of Physical Activity using IPAQ (version 4) and Activity Monitors (CSA). Measurement in Physical Education and Exercise Science, 4, 263-264
  30. J. Y. Oh, Y. J. Yang, B. S. Kim & J. H. Kang. (2007). Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short Form. Korean Journal of Family Medicine, 28(7), 532-541.
  31. M. Hagstromer. (2020). IPAQ scoring protocol. International Physical Activity Questionnaire. https://sites.google.com/site/theipaq/scoring-protocol
  32. Korean Society for the Study of Obesity. (2018). Obesity Guidelines 2018. Korean Society for the Study of Obesity. http://general.kosso.or.kr/html/?pmode=BBBS0001300003&smode=&page=1&schCategory=&schBtnVal=&intAddSeq=&searchTitle=strTitle
  33. S. J. Kang, T. W. Lee, M. K. Paasche-Orlow, G. S. Kim, & H. K. Won. (2014). Development and Evaluation of the Korean Health Literacy Instrument. Journal of Health Communication, 19(Suppl 2), 254-266. DOI : 10.1080/10810730.2014.946113
  34. C. H. Kim & Y. E. Song. (2021). The Relationship between Major Satisfaction and Adjustment following Physical Activity Level of University Students. Journal of the Korean Applied Science and Technology, 38(2), 411-422. DOI : 10.12925/jkocs.2021.38.2.41
  35. A. J. Im, H. A. Cho & H. J. Lim. (2019). The Relationship between Body Mass Index and Health Behavior, Oral Health Behavior and Oral Health Knowledge in Some University Student. The Journal of Korean Society for School & Community Health Education, 20(1), 57-68. DOI : 10.35133/kssche.20190430.05