임부의 내분비계 장애물질 노출저감화행동의 영향요인
Influencing Factors of Behavior of Reducing Exposure to Endocrine Disrupting Chemicals in Pregnant Women
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This study attempted to determine the factors related to behaviors of reducing exposure to endocrine disrupting chemicals (BRE to EDCs) in pregnancy, based on the PRECEDE model. Methods: A cross-sectional survey was conducted with participants (N=239) who met the medical records and eligibility criteria from the Women's Hospital and Public Health Center. Data were collected using a specially-designed questionnaire based on the PRECEDE model and included BRE to EDCs predisposing factors, reinforcing factors, and enabling factors. The data were analyzed using the chi-square test, independent t-test, one way ANOVA, Pearson's correlation coefficients and a hierarchical multiple regression analysis. Results: In Model Ⅰ it was found that participation in prenatal education influenced the BRE to EDCs significantly; and a regression showed that the determinant variables accounted for 3.4%. In Model Ⅱ, the predisposing factors of perceived barriers of BRE to EDCs and environmental self-efficacy were added. It was shown that they significantly influenced BRE to EDCs in the order named, and a regression revealed that increases in the determinant variables accounted for 22.5%. In Model Ⅲ, to which enabling factors were added, the information acquisition experience of BRE to EDCs interacted significantly with BRE to EDCs and a regression showed an increase in the determinant variables accounting for 25.3%. Conclusion: The results of this study, the content of endocrine disruptors must be included in the prenatal care education program for pregnant women, and it should be composed of contents that can reduce the perceived obstacle to BRE to EDCs, enhance the environmental self-efficacy, and provide the information in regard to reducing exposure to EDCs.
Abstract
Purpose: This study attempted to determine the factors related to behaviors of reducing exposure to endocrine disrupting chemicals (BRE to EDCs) in pregnancy, based on the PRECEDE model. Methods: A cross-sectional survey was conducted with participants (N=239) who met the medical records and eligibility criteria from the Women's Hospital and Public Health Center. Data were collected using a specially-designed questionnaire based on the PRECEDE model and included BRE to EDCs predisposing factors, reinforcing factors, and enabling factors. The data were analyzed using the chi-square test, independent t-test, one way ANOVA, Pearson's correlation coefficients and a hierarchical multiple regression analysis. Results: In Model Ⅰ it was found that participation in prenatal education influenced the BRE to EDCs significantly; and a regression showed that the determinant variables accounted for 3.4%. In Model Ⅱ, the predisposing factors of perceived barriers of BRE to EDCs and environmental self-efficacy were added. It was shown that they significantly influenced BRE to EDCs in the order named, and a regression revealed that increases in the determinant variables accounted for 22.5%. In Model Ⅲ, to which enabling factors were added, the information acquisition experience of BRE to EDCs interacted significantly with BRE to EDCs and a regression showed an increase in the determinant variables accounting for 25.3%. Conclusion: The results of this study, the content of endocrine disruptors must be included in the prenatal care education program for pregnant women, and it should be composed of contents that can reduce the perceived obstacle to BRE to EDCs, enhance the environmental self-efficacy, and provide the information in regard to reducing exposure to EDCs.
참고문헌 (40)
- "2022 Birth and death statistics" (2023)[URL]
- "An analysis on the treatment status of infertility and fertility treatments" (2023)[URL]
- Lamichhane DK, "Increased prevalence of some birth defects in Korea, 2009–2010", BMC pregnancy and childbirth, 16(1), pp.61~ (2016)[DOI]
- "2021 Birth Statistics" (2022)[URL]
- Kim PJ, "Protect family's health from hazardous chemicals in daily life", Bulletin of Korea environmental preservation association, 397, pp.18~20 (2012)
- Choi YJ, "Current status and policy direction of hazardous chemicals in Seoul", Policy Report, 231, pp.1~22 (2017)
- 이덕희, "내분비교란물질과 환경성질환", 대한의사협회지, 55(3), pp.243~249 (2012), 대한의사협회
- State of the science of endocrine disrupting chemicals 2012, "World Health Organization", United Nations Environment Programme, United Nations Environment Programme, pp.2013, ~
- 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]
- Merrill AK, "Exposure to endocrine disrupting chemicals impacts immunological and metabolic status of women during pregnancy", Molecular and Cellular Endocrinology, 577, pp.112031~ (2023)[DOI]
- Yan Y, "The effect of endocrine-disrupting chemicals on placental development", Frontiers in Endocrinology, 14, pp.1059854~ (2023)[DOI]
- 김성숙, "임신부의 ‘내분비계장애추정물질(환경호르몬)’에 관한 인지, 지식 및 노출감소행동에 영향을 미치는 요인", 소비자정책교육연구, 10(2), pp.75~92 (2014), 한국소비자정책교육학회
- 이철우, "내분비계장애물질에 대한 이해와 미래 연구방향", Endocrinology and Metabolism, 24(1), pp.7~14 (2009), 대한내분비학회
- 정호경, "내분비계 장애물질 관리 현황과 법제에 관한 연구 - 잔류성오염물질 관리법을 중심으로 -", 법학연구, 19(2), pp.95~123 (2016), 법학연구소
- 강혜영, "내분비계 장애물질에 관한 초등학생의 지식, 인식, 노출저감화 행동 및 교육요구 수준 연구 - 수도권지역을 중심으로 -", 한국실과교육학회지, 29(1), pp.53~74 (2016), 한국실과교육학회
- 김미라, "중․고등학생의 환경호르몬에 대한 인식도, 정보획득 행동,지식, 노출저감화 행동 및 교육요구도에 관한 연구", 한국가정과교육학회지, 21(3), pp.123~142 (2009), 한국가정과교육학회
- 김효정, "식생활 관련 내분비계 장애물질에 대한 초등학생의 인식도, 지식 및 노출저감화 행동에 관한 연구", 한국식품조리과학회지, 25(6), pp.712~724 (2009), 한국식품조리과학회
- 김미라, "식생활에서의 내분비계 장애물질에 대한 성인들의 노출 저감화 행동 분석", 동아시아식생활학회지, 21(3), pp.451~462 (2011), 동아시아식생활학회
- 김성숙, "영유아부모의 내분비계장애추정물질에 대한 인지, 지식과 저감행동", Crisisonomy, 10(6), pp.177~199 (2014), (사)위기관리이론과실천
- 최수연, "서울 경기지역 고등학교의 학생과 과학 교사의 내분비계 장애 물질(환경 호르몬)에 대한 인식 조사", 환경교육, 19(3), pp.93~101 (2006), 한국환경교육학회
- 김수경, "영·유아 어머니의 환경호르몬 노출위험행위 관련요인", 여성건강간호학회지, 23(4), pp.256~264 (2017), 한국여성건강간호학회[DOI]
- 김민아, "간호대학생들의 환경친화적 태도, 노출저감화 행동, 내분비계 장애물질에 대한 지식과 비만의 관련성 연구", Journal of Korean Biological Nursing Science, 18(3), pp.160~168 (2016), 한국기초간호학회
- 김선향, "수유부의 내분비계 장애물질 노출저감화행동에영향을 미치는 요인", 여성건강간호학회지, 24(4), pp.423~434 (2018), 한국여성건강간호학회[DOI]
- 김성주, "난임 남성의 피로, 사회 심리적 스트레스 및 내분비계 장애물질 노출 저감 행동 간의 관계", 한국모자보건학회지, 25(3), pp.211~220 (2021), 한국모자보건학회
- Green LW, "Health Education Planing : A Diagnostic approach" (1980), Mountain View
- 유재순, "초기 청소년의 건강위험행위에 영향을 미치는 요인", 지역사회간호학회지, 20(3), pp.296~306 (2009), 한국지역사회간호학회
- 김정남, "PRECEDE-PROCEED 모형 적용을 통한 초등학교 고학년 학교 안전교육 프로그램 중재 효과", 지역사회간호학회지, 21(4), pp.419~428 (2010), 한국지역사회간호학회
- 윤영옥, "PRECEDE-PROCEED모형을 적용한 베트남 여성이주자 생식보건교육 프로그램", 박사, 보건교육학, pp.2009
- Kim K, "Osteoporosis knowledge tests, osteoporosis health belief scale, and osteoporosis self-efficacy scale", Grand Valley State University, ~ (1991)
- 신경림, "일개 도서지역 여성의 골다공증 지식, 자기효능감과 건강신념간의 관계 연구", Journal of Korean Academy of Nursing, 32(1), pp.89~99 (2002), 한국간호과학회
- Lee TY, "The effects of self-efficacy and confirmity toward social norm on environmentally responsible behaviors", The Environmental Education, 14(2), pp.106~115 (2001)
- Park SJ, "Pro-environmental behavior of elementary school students and its related variables", Journal of Korean Practical Arts Education, 13(3), pp.319~335 (2000)
- Pyong JY, "Effects of environmental self-efficacy and environmental education glossary on environmental behavior intention", The meeting of Korean Society for Environmental Education, pp.178~183 (2016), The Korean Society for Environmental Education Publication
- 허혜경, "유방암 위험평가 단계에 따른 통합적 유방건강관리 프로그램의 효과", 보건교육건강증진학회지, 26(1), pp.15~26 (2009), 한국보건교육건강증진학회
- Cranley MS, "Development of a tool for the measurement of maternal attachment during pregnancy", Nursing research, 30(5), pp.281~284 (1981)
- Chang SB, "Changes of maternal-fetal attachment and self efficacy for delivery after the Taekyo-perspective prenatal class", Korean Journal of Women Health Nursing, 7(1), pp.7~11 (2001)
- 위휘, "임부의 불안, 우울, 산전스트레스와 모-태아애착 및 감사성향의 관계", 한국모자보건학회지, 16(2), pp.274~286 (2012), 한국모자보건학회[DOI]
- Lee JY, "Effect of visual information by ultrasound on maternal-fetal attachment", Korean Journal of Women Health Nursing, 8(3), pp.335~344 (2002)[DOI]
- 이승아, "임부의 태아애착행위에 영향을 미치는 요인", 한국산학기술학회논문지, 16(3), pp.2020~2028 (2015), 한국산학기술학회[DOI]
- Ahn GS, "Influences on the positively participation in non-profit organization activities", Journal of Social Science, 16(2), pp.225~249 (2000)