자녀 건강에 영향을 미치는 요인들 간의 관계 연구: 부모 건강인식, 자녀 건강인식, 자녀 건강효능감, 부모 커뮤니케이션 능력을 중심으로
A Study on the Relationships among Factors Affecting on Children’s health behavior intention Parent’s perception on health, children’s perception on health, children’s health self efficacy, parental communication ability
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
본 연구의 목적은 자녀의 건강의도에 영향을 미치는 요인으로 부모 건강인식, 자녀 건강인식, 자녀 건강효능감, 부모 커뮤니케이션 능력 등을 중심으로 요인 간 관계를 살펴보고자 했다. 여중생과 그의 부모 중 1인이 짝을 이뤄 설문에 참여했고, 구조방정식 모델을 통해 수집된 자료를 분석했다. 분석 결과, 첫째, 부모 건강인식은 자녀 건강인식에 영향을 미치는 것으로 나타났다. 그러나 부모의 건강인식이 자녀 건강효능감, 자녀 건강의도에는영향을 미치지 않았다. 둘째, 자녀 건강인식은 자녀 건강효능감에 영향을미치나 자녀 건강의도에는 영향을 미치지 않았다. 셋째, 부모 커뮤니케이션 능력은 자녀 건강인식에 영향을 미치나 자녀 건강효능감이나 자녀 건강의도에는 영향을 미치지 않았다. 넷째, 자녀 건강효능감은 자녀 건강의도에 비교적 강력하게 영향을 미쳤다. 다섯째, 부모 건강인식, 자녀 건강인식, 자녀 건강효능감의 간접효과와 자녀 건강인식, 자녀 건강효능감, 자녀 건강의도의 간접효과가 나타났다. 부모 커뮤니케이션 능력, 자녀 건강인식, 자녀 건강효능감의 간접효과 또한 통계적으로 유의미했다. 부모 건강인식이 직접적으로 자녀 건강의도에는 영향을 미치지 않으나, 자녀 건강인식을매개로 해 자녀 건강효능감에 영향을 미침을 알 수 있었다. 자녀 건강인식은 자녀 건강효능감에 영향을 미치는 유의미한 요인이며, 부모 커뮤니케이션 능력 또한 자녀 건강인식을 매개로 해 자녀 건강효능감에 영향을 미침을 알 수 있었다. 본 연구를 통해 자녀의 건강의도에 영향을 미치는 요인 간관계를 밝힐 수 있었으며, 매개효과를 검정해 향후 자녀 건강의도를 높일수 있는 방안 등을 제안했다
Abstract
The purpose of this study is to examine the relationship structure among factors such as Parent’s perception on health, children’s perception on health, children’s health self efficacy, parental communication ability as factors influencing children’s health behavior intention. Middle school students and their parents participated in the questionnaire and analyzed the data through the structural equation model. First, parent’s perception on health was found to affect children’s perception on health. However, parent’s perception on health did not affect children’s health behavior intention and children’s health self efficacy. Second, children’s perception on health affected children’s health self efficacy but did not affect children’s health behavior intention. Third, parental communication ability was found to affect children’s perception on health but did not affect children’s health self efficacy and children’s health behavior intention. Fourth, children’s health self efficacy influenced children’s health behavior intention strongly. Fifth, there are indirect effects among parent’s perception on health, children’s perception on health, children’s health self efficacy and children’s perception on health, children’s health self efficacy children’s health behavior intention. There are also indirect effect among parental communication ability, children’s perception on health, children’s health self efficacy. In this study, parent’s perception on health did not directly affect the children’s health intention but it affected the child’s health self efficacy by mediated child health perception. Children’s health perception was a significant factor influencing children’s health efficacy, and parent communication ability also influenced children’s health self efficacy by mediated child health perception. This study can provide the theoretical and practical implications to consider the factors affecting the children’s health intentions and to examine the mediating effects to improve the child’s health intention in the future.
참고문헌 (93)
- 강해자, "청소년이 지각한 부모와의 의사소통과 가족기능, 정신건강과의 관계", 스트레스硏究, 9(2), pp.51~60 (2001)
- 김광기, "종교성이 청소년의 건강증진행동에 미치는 영향: 서울경기지역 고등학생을 중심으로", 보건과 사회과학, (16), pp.179~199 (2004)
- 김수영, "구조방정식 모형의 기본과 확장" (2016), 학지사
- 류미라, "청소년의 인터넷 중독과 사회적 지지 및 자아정체감의 관계", 석사, 상담심리, pp.2002
- 박석돈, "노인복지론" (2008), 양서원
- 서문진희, "주관적 건강인식과 사회적 지지가 노인자살 생각에 미치는 영향- 우울감 매개효과를 중심으로-", 노인복지연구, (54), pp.361~385 (2011), 한국노인복지학회[DOI]
- 서효정, "한국 청소년의 건강행동과 사회적 지지", 한국사회학회 사회학대회 논문집, pp.1237~1258 (2009)
- 송인한, "청소년 건강증진행동에 영향을 미치는 부모-자녀간 유대의 효과 -자기효능감의 매개효과 분석-", 청소년학연구, 18(6), pp.75~98 (2011), 한국청소년학회
- 송인한, "사회경제적 박탈이 주관적 건강에 미치는 영향 : 시민적 낙관의 매개효과", 서울도시연구, 12(3), pp.33~51 (2011), 서울연구원[DOI]
- AMOS 통계분석방법, "(논문작성에 필요한) SPSS", pp.2015, 송지준
- 吳世德, "부모역할훈련 프로그램과 부모의 자기이해 프로그램의 효과 비교", 박사, 교육학, pp.1995
- 이혜숙, "자녀가 지각한 부모의 의사소통유형과 청소년 문제행동과의 관계 연구: 고등학생을 중심으로", 석사, pp.1998
- 오영희, "우리나라 노인의 주관적 건강인식과 신체적 및 정신적 기능상태의 관련성 연구", 한국노년학, 26(3), pp.461~476 (2006), 한국노년학회
- 이선정, "대학생의 가족건강성 및 관련 변인이 부모됨의 인식에 미치는 영향", 한국가족관계학회지, 14(1), pp.243~266 (2009), 한국가족관계학회
- 제10차 청소년건강행태온라인조사, "질병관리본부", ~ (2014)
- 정의철, "암 커뮤니케이션에 대한 탐색적 연구: 사회적지지, 자기효능감, 커뮤니케이션 능력의 영향을 중심으로", 헬스커뮤니케이션연구, 3(1), pp.123~152 (2011)
- 崔庚姬, "소집단 부모교육 프로그램이 부모의 의사소통수준과 부모에 대한 자녀의 지각에 미치는 효과", 석사, 상담교육학, pp.1993
- "2009년 사망원인 통계결과", 통계청[URL]
- 한국교원단체총연합회, "여학생 체육활성화 강화방안 환영", 보도자료, ~ (2013)
- 황문선, "청소년의 발달 자원과 건강위험행동과의 관계", 한국심리학회지: 건강, 9(1), pp.85~98 (2004), 한국건강심리학회
- 황성철, "사회 복지 프로그램 개발과 평가" (2005), 공동체
- 황희선, "고등학생의 부모-자녀간 의사소통유형과 대인관계 성향 및 인터넷 중독과의 관계", 석사, 상담심리, pp.2006
- 현명호, "건강관련행동이 건강인식 및 삶의 만족도에 미치는 영향", 한국심리학회지: 건강, 2(1), pp.230~240 (1997)
- Kyle R. Andrews, "Parents as Health Promoters: A Theory of Planned Behavior Perspective on the Prevention of Childhood Obesity", Journal of Health Communication, 15(1), pp.95~107 (2010), Informa UK Limited[DOI]
- Andsager, J., "Framing women’s healthwith a sense-making approach: magazine coverage of breast cancer andimplants", Health Communication, 13(2), pp.163~185 (2001)
- Arredondo, E. M., "Is parenting style related to children’s healthy eating and physical activity in Latino families?", Health education research, 21(6), pp.862~871 (2006)
- Asher, S. R., "Loneliness in Children", Child Development, 55(4), pp.1456~1464 (1984)
- Bandura, A., "Self-efficacy mechanism in human agency", American psychologist, 37(2), pp.122~ (1982)
- Barnes, H., "Adolescent-Parent Communication Style", Ph.D, pp.1982
- Benton, D., "Role of parents in the determination of the food preferences of children and the development of obesity", International Journal of Obesity, 28, pp.858~869 (2004)
- Boomsma, A., "Reporting analyses of covariance structures", Structural equation modeling, 7(3), pp.461~483 (2000)
- Bronfenbrenner, U., "인간발달생태학" (1992), 교육과학사
- Brazil, J., "Play dough", American Demographics, 21(12), pp.56~62 (1999)
- Bukowski, W. M., "Measuring friendship quality during pre- and early adolescence: The development and psychometric properties of the friendship qualities scale", Journal of Social and Personal Relationships, 11(3), pp.471~484 (1994)
- Bukowski, W. M., "Research on children’s and adolescents’ friendships: Four old and new questions that deserve our attention", International Journal of Behavioral Development, 46(28), pp.7~10 (2004)
- Burleson, B. R., "Explaining family interactions", pp.34~76 (1995), Sage Publications, Inc
- Campbell, K., "Family food environments as determinants of preschool-aged children’s eating behaviors: Implications for obesity prevention policyᐨA review", Australian Journal of Nutrition and Dietetics, 58(1), pp.19~25 (2001)
- Campo, S., "Placing the burden on the individual: Overweight and obesity in African American and mainstream women’s magazines", Health Communication, 22, pp.229~240 (2007)
- Cottrell, L., "Identifying the people and factors that influence children’s intentions to make lifestyle changes", Health Promotion Practice, 13(2), pp.183~189 (2012)
- Nancy Darling, "Parenting style as context: An integrative model", Psychological Bulletin, 113(3), pp.487~496 (1993), American Psychological Association (APA)[DOI]
- Davidson, L. L., "Training programs for healthcare professionals in domestic violence", Journal of women’s health & gender-based medicine, 10(10), pp.953~969 (2001)
- Durao, C., "Evaluating the effect of energy-dense foods consumption on preschool children’s body mass index: a prospective analysis from 2 to 4 years of age", European journal of nutrition, 54(5), pp.835~843 (2015)
- Egbert, N., "Self-efficacy and rural women’s performance of breast and cervical cancer detection practices", Journal of Health Communication, 6, pp.219~233 (2001)
- Fehir, J. S., "Self-rated health status, self efficacy, motivation, and selected demographics ans determinations of health-promoting life style", Doctoral, pp.1989
- Foshee, V., "Parental and peer characteristics as modifiers of the bond-behavior relationship: An elaboration of control theory", Journal of health and social behavior, 33(1), pp.66~76 (1992)
- Gehlert, S., "Handbook of health social work", pp.179~193 (2006), John Wiley & Sons
- Gevers, D. W., "Associations between general parenting, restrictive snacking rules, and adolescent’s snack intake: The roles of fathers and mothers and interparental congruence", Appetite, 87, pp.184~191 (2015)
- Gillis, A. J., "Determinants of health-promoting lifestyles in adolescent females", Canadian Journal of Nursing Research, 26, pp.13~ (1994)
- Graves, T., "An evaluation of parental problem-solving training in the behavioral treatment of childhood obesity", Journal of Consulting and Clinical Psychology, 56(2), pp.246~ (1988)
- Grusec, J. E., "Handbook of socialization", pp.284~308 (2007), The Guilford Press
- Heider, F., "The Psychology of Interpersonal Relations" (1964), John Wiley & Sons, Inc
- Hymel, S., "Blackwell handbooks of developmental psychology. Blackwell handbook of childhood social development", pp.265~284 (2002), Blackwell Publishing
- Jelalian, E., "Empirically supported treatments in pediatric psychology: Pediatric obesity", Journal of pediatric psychology, 24(3), pp.223~248 (1999)
- Johansen, A., "Health behaviour among adolescents in Denmark: Influence of school class and individual risk factors", Scandinavian Journal of Public Health, 34, pp.32~40 (2006)
- Klesges, R. C., "Parental influence on food selection in young children and its relationships to childhood obesity", The American journal of clinical nutrition, 53(4), pp.859~864 (1991)
- Kline, K. N., "Cultural sensitivity and health promotion: Assessing breast cancer education pamphlets designed for African American women", Health Communication, 21, pp.85~96 (2007)
- Kline, R. B., "Principles and practice of structural equation modeling" (2011), The Gilford press
- Kitzmann, K. M., "Family-based interventions for pediatric besity: Methodological and conceptual challenges from family psychology", Journal of Family Psychology, 20, pp.175~189 (2006)
- Stef P.J Kremers, "Parenting style and adolescent fruit consumption", Appetite, 41(1), pp.43~50 (2003), Elsevier BV[DOI]
- Loeber, R., "Antisocial behavior and mental health problems: Explanatory factors in childhood and adolescence" (1998), Lawrence Erlbaum
- May O. Lwin, "A Parental Health Education Model of Children’s Food Consumption: Influence on Children’s Attitudes, Intention, and Consumption of Healthy and Unhealthy Foods", Journal of Health Communication, 22(5), pp.403~412 (2017), Informa UK Limited[DOI]
- McDermott, L., "International food advertising, pester power and its effects", International Journal of Advertising, 25(4), pp.513~540 (2006)
- McDonald, R. P., "Principles and practice in reporting structural equation analyses", Psychological methods, 7(1), pp.64~ (2002)
- McGarvey, E., "Feasibility and benefits of a parent-focused preschool child obesity intervention", American Journal of Public Health, 94(9), pp.1490~1495 (2004)
- McNeal, J. U., "The kids market: Myths and realities" (1999), Paramount Market
- McLean, N., "Family involvement in weight control, weight maintenance and weight-loss interventions: A systematic review of randomised trials", International Journal of Obesity, 27(9), pp.987~ (2003)
- Melbye, E. L., "Promotion and prevention focused feeding strategies: Exploring the effects on healthy and unhealthy child eating", BioMed research international (2015)
- Millstein, K. H., "Limitsetting, coping and adaptation: A theoretical context for clinicians and caregivers", Child & Adolescent Social Work Journal, 10(4), pp.289~300 (1993)
- Moschis, G. P., "The role of family communication in consumer socialization of children and adolescents", Journal of Consumer Research, 11(4), pp.898~913 (1985)
- Nunnally, J. C., "Psychometric theory, 2" (1978), McGraw-Hill
- Ogden, S. G., "The role of accounting in organisational change: promoting performance improvements in the privatised UK water industry", Critical Perspectives on Accounting, 10(1), pp.91~124 (1999)
- Parrott, N. E. R., "Self-efficacy and rural women’s performance of breast and cervical cancer detection practices", Journal of Health Communication, 6(3), pp.219~233 (2001)
- Parsai, M., "The protective and risk effects of parents and peers on substance use, attitudes, and behaviors of Mexican and Mexican American female and male adolescents", Youth & Society, 40(3), pp.353~376 (2009)
- Punamaki, R., "The associations between information and communication technology(ICT) and peer and parent relations in early adolescence", International Journal of Behavioral Development, 33(6), pp.556~564 (2009)
- Rabaglietti, E., "Quality of friendship relationships and developmental tasks in adolescence", Cognition, Brain, Behavior, 7(2), pp.183~203 (2008)
- Savage, J. S., "Parental influence on eating behavior: conception to adolescence", The Journal of Law, Medicine & Ethics, 35(1), pp.22~34 (2007)
- Scaglioni, S., "Influence of parental attitudes in the development of children eating behaviour", British Journal of Nutrition, 99(S1), pp.S22~S25 (2008)
- Scales, P. C., "Reducing risks and building developmental assets; Essential actions for promoting adolescents health", Journal of School Health, 69(3), pp.113~119 (1999)
- Schneider, B. H., "Friends and enemies. Peer relations in childhood" (2000), Arnold
- Shipman, K. L., "Regulating emotionally expressive behavior: Implications of goals and social partners from middle childhood to adolescence", Child Study Journal, 31, pp.249~267 (2001)
- Sleddens, E. F., "Food parenting practices and child dietary behavior. Prospective relations and the moderating role of general parenting", Appetite, 79, pp.42~50 (2014)
- Trost, S. G., "Parental influences on physical activity behavior in children and adolescents: A brief review", American Journal of Lifestyle Medicine, 5(2), pp.171~181 (2011)
- Trost, S. G., "Comparison of accelerometer cut points for predicting activity intensity in youth", Medicine & Science in Sports & Exercise, 43(7), pp.1360~1368 (2011)
- Yu, H., "Parental communication style’s impact on children’s attitudes toward obesity and food advertising", The Journal of Consumer Affairs, 45(1), pp.87~107 (2011)
- Alison K Ventura, "Does parenting affect children's eating and weight status?", International Journal of Behavioral Nutrition and Physical Activity, 5(1), pp.15~ (2008), Springer Science and Business Media LLC[DOI]
- Carine Vereecken, "Associations of parenting styles, parental feeding practices and child characteristics with young children's fruit and vegetable consumption", Appetite, 55(3), pp.589~596 (2010), Elsevier BV[DOI]
- Ware, J. E. Jr., "Standards for validating health measure: Definition and content", Journal of Chromic Disease, 40, pp.473~480 (1987)
- Ware, J. E., "Developing and testing the MOS 20-Item short-form health survey" (1992), Duke University Press
- West, S. G., "Handbook of structural equation modeling", pp.209~231 (2012)
