성조숙증 아동 어머니와 정상발달 아동 어머니의 내분비계 장애물질 노출저감화행동 비교
Comparative Analysis of Behavior of Reducing Exposure to Endocrine Disrupting Chemicals between Mothers of Children with Precocious Puberty and Typically Developing Children
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Purpose: This study aimed to enhance health management and prevention strategies for precocious puberty by comparing the knowledge, motivation, and behaviors related to reducing exposure to endocrine disrupting chemicals (EDCs) between mothers of children with precocious puberty and those of typically developing children. Methods: Participants were 66 mothers of children with precocious puberty from a hospital and 71 mothers of typically developing children from an elementary school. The research questionnaire assessed knowledge of EDCs, motivation, self-efficacy, and behaviors towards reduced exposure to EDCs, in addition to general characteristics of children with precocious puberty. Data analysis utilized descriptive statistics, chi-square tests, t-tests, ANOVA, and Pearson’s correlation. Results: There were statistically significant differences in self-efficacy (p=.015) and behavior (p=.002) regarding reduced exposure to EDCs between the two groups. Behaviors toward reduced exposure to EDCs were positively associated with knowledge of EDCs, motivation, and self-efficacy among mothers of children with precocious puberty. Additionally, these behaviors correlated positively with knowledge of EDCs, motivation, self-efficacy, and the child’s birth weight and waist circumference among mothers of typically developing children. Conclusion: The results of this study revealed that mothers of children with precocious puberty exhibited less proactive behavior in reducing exposure to EDCs compared to mothers of typical children. Therefore, it is important to foster interest in the impact of environmental factors, beyond characteristic factors, on behaviors aimed at reducing exposure to EDCs.
Abstract
Purpose: This study aimed to enhance health management and prevention strategies for precocious puberty by comparing the knowledge, motivation, and behaviors related to reducing exposure to endocrine disrupting chemicals (EDCs) between mothers of children with precocious puberty and those of typically developing children. Methods: Participants were 66 mothers of children with precocious puberty from a hospital and 71 mothers of typically developing children from an elementary school. The research questionnaire assessed knowledge of EDCs, motivation, self-efficacy, and behaviors towards reduced exposure to EDCs, in addition to general characteristics of children with precocious puberty. Data analysis utilized descriptive statistics, chi-square tests, t-tests, ANOVA, and Pearson’s correlation. Results: There were statistically significant differences in self-efficacy (p=.015) and behavior (p=.002) regarding reduced exposure to EDCs between the two groups. Behaviors toward reduced exposure to EDCs were positively associated with knowledge of EDCs, motivation, and self-efficacy among mothers of children with precocious puberty. Additionally, these behaviors correlated positively with knowledge of EDCs, motivation, self-efficacy, and the child’s birth weight and waist circumference among mothers of typically developing children. Conclusion: The results of this study revealed that mothers of children with precocious puberty exhibited less proactive behavior in reducing exposure to EDCs compared to mothers of typical children. Therefore, it is important to foster interest in the impact of environmental factors, beyond characteristic factors, on behaviors aimed at reducing exposure to EDCs.
참고문헌 (40)
- Jaruratanasirikul S, "Secular trends of growth and pubertal maturation of school children in Southern Thailand", Annals of Human Biology, 42(5), pp.447~454 (2015)[DOI]
- Seo MY, "Trend of menarcheal age among Korean girls", Journal of Korean Medical Science, 35(49), pp.e406~ (2020)[DOI]
- Rhie YJ, "Overview and treatment of precocious puberty", Journal of the Korean Medical Association, 58(12), pp.1138~1144 (2015)[DOI]
- Statistics on diseases and medical treatment in daily life, "Health Insurance Review & Assessment Service", Health Insurance Review & Assessment Service, ~, pp.G000EP1-2023-143 (2023)
- Cho HH, "Association of sexual maturation and parent-child communication on maturity fears in elementary school girls", Child Health Nursing Research, 22(2), pp.137~144 (2016)[DOI]
- Kim SY, "Etiology and treatment of central precocious puberty", Journal of the Korean Medical Association, 61(10), pp.591~598 (2018)[DOI]
- Sung AD, "Low dose effect and non monotonic dose responses(NMDRs)and its medical meaning : focusing on a new paradigm of dose-response relationship", Journal of Society of Preventive Korean Medicine, 20(1), pp.145~159 (2016)
- Li A, "Occurrence, placental transfer, and health risks of emerging endocrine-disrupting chemicals in pregnant women", Journal of Hazardous Materials, 459, pp.132157~ (2023)[DOI]
- Sifakis S, "Human exposure to endocrine disrupting chemicals : effects on the male and female reproductive systems", Environmental Toxicology and Pharmacology, 51, pp.56~70 (2017)[DOI]
- Windham GC, "Brominated flame retardants and other persistent organohalogenated compounds in relation to timing of puberty in a longitudinal study of girls", Environmental Health Perspectives, 123(10), pp.1046~1052 (2015)[DOI]
- Berghuis SA, "Prenatal exposure to PCBs and neurological and sexual", pubertal development from birth to adolescence, 2019, pp.49(6), 133~159
- Hashemipour M, "Screening of congenital hypothyroidism in preterm, low birth weight and very low birth weight neonates : a systematic review", Pediatrics and Neonatology, 59(1), pp.3~14 (2018)[DOI]
- Uhm JY, "Influencing factors of behavior of reducing exposure to endocrine disrupting chemicals in pregnant women", Journal of Korean Academic Society of Home Health Care Nursing, 30(2), pp.202~215 (2023)[DOI]
- Cho TJ, "Current status and tasks of endocrine disruptor management in Korea : regulation of bisphenol A, phthalate and nonylphenol", The Korean Association of Law and Politics, 18(2), pp.73~107 (2018)[DOI]
- Park CJ, "Safty of alternatives for endocirne disrupting substances", Korean Society of Environmental Biology, 33(4), pp.361~374 (2015)[DOI]
- Kim MR, "Recognition, Information acquisition behavior, knowledge, behaviors to decrease exposure and education need toward endocrine disruptors among middle and high school students", Journal of Home Economics Education Research, 21(3), pp.123~142 (2009)
- Kim SJ, "A study on the effects of ecofriendly information, motivation, and behavior skills on ecofriendly purchasing behavior applying the IMB Model", Korean Business Education Review, 30(4), pp.461~492 (2015)
- Lim JH, "Mother’s experience of having a girl with precocious puberty", Keimyung Journal of Nursing Science, 17(2), pp.23~34 (2013)
- Cho H, "Knowledge, attitudes, and practices of infection prevention in mothers of young children", Child Health Nursing Research, 24(2), pp.138~147 (2018)[DOI]
- Ham S, "The influence of mothers’ health beliefs and attitudes on prevention of infectious diseases on preventive health behaviors of late school-aged children", The Journal of Korean Academic Society of Nursing Education, 27(3), pp.287~297 (2021)[DOI]
- Kim SK, "Factors related to endocrine disruptors exposing behaviors in mothers of infants", Korean Journal of Women Health Nursing, 23(4), pp.256~264 (2017)[DOI]
- Fisher JD, "Changing AIDS risk behavior", Psychological Bulletin, 111(3), pp.455~474 (1992)[DOI]
- Kim HJ, "Development and effect of a behavior program for reducing exposure to endocrine disrupting chemicals in unmarried women", Journal of Korean Maternal and Child Health, 25(1), pp.63~72 (2021)[DOI]
- Kim SH, "Factors influencing behavior of reducing exposure to endocrine disrupting chemicals in breastfeeding mothers", Korean Journal of Women Health Nursing, 24(4), pp.426~434 (2018)[DOI]
- Sherer M, "The self-efficacy scale : construction and validation", Psychological Reports, 51(2), pp.663~671 (1982)[DOI]
- Jo MR, "Functional study of susceptibility genes to precocious puberty identified by genome-wide association analysis in Korean girls", master, pp.2019
- Gajdos ZK, "Genetic determinants of pubertal timing in the general population", Molecular and Cellular Endocrinology, 324(1-2), pp.21~29 (2010)[DOI]
- Lee JY, "Disease-related characteristics of children with precocious puberty and their mothers’educational needs in a general hospital of Korea", Journal of Korean Society of Maternal and Child Health, 19(2), pp.279~288 (2015)[DOI]
- Park JY, "Prevalence of overweight and obesity in Korean children : the results of Korean children-adolescent cohort study 2005-2010", Public Health Weekly Report, 4(47), pp.857~862 (2011)
- Sung KS, "Meta-analysis of the effects of obesity management program for children", Child Health Nursing Research, 19(4), pp.262~269 (2013)[DOI]
- Lee HJ, "Mothers' experiences of caring for children with precocious puberty : a Q-methodological approach", Journal of Korean Academy of Nursing, 50(2), pp.255~270 (2020)[DOI]
- Kim JH, "Effect of improving eating habits in children with precocious puberty and childhood obesity following nutritional counseling monitoring", Journal of the Korean Society of Food Culture, 30(1), pp.129~136 (2015)[DOI]
- Moon WJ, "The comparison of psycho-social behavior characteristics between girls with precocious puberty and normal girls", Journal of the Korea Academia-Industrial cooperation Society, 19(2), pp.357~369 (2018)[DOI]
- Lee JS, "Factors associated with behaviors that reduce exposure to environmental hormones among nursing students", Korean Journal of Occupational Health Nursing, 28(4), pp.285~292 (2019)[DOI]
- Kwon JY, "The factors explaining toddler mother’s parenting self-efficacy", Korea Journal of Child Care and Education, 77, pp.179~201 (2013)
- Kim SO, "Survey for health care needs of premature baby at home", master, pp.2001
- Choi HM, "A study of the weaning experiences of premature babies mother", Journal of korean Health & Fundamental Medical Science, 7(1), pp.44~52 (2014)
- Daly-Wolfe KM, "Mid-arm circumference is a reliable method to estimate adiposity in preterm and term infants", Pediatric Research, 78(3), pp.336~341 (2015)[DOI]
- Fisher MM, "What is in our environment that effects puberty?", Reproductive Toxicology, 44, pp.7~14 (2014)[DOI]
- Lee HY, "Factors affecting the self-management of adolescents with type 1diabetes mellitus based on the information-motivation-behavioral skills model", Child Health Nursing Research, 25(2), pp.234~243 (2019)[DOI]