The effects of food safety education on adolescents' hand hygiene behavior: an analysis of stages of change
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The hand hygiene behavior of 400 middle school students (grades 1-3) in Seoul and Gyeonggi-Do was studied to determine how stages of change were affected by food safety education, focusing on hand hygiene and general food safety. Subjects were 51.3% male and 44.3% of study subjects were first graders of middle school. Approximately 40% of subjects were at the stage of action, 42.7% were at the stage of contemplation, and 16.4% were at pre-contemplation. The most important factor that influenced proper hand washing was self efficacy (P < 0.001). Proper hand washing was also correlated significantly with positive belief (P < 0.01) and stages of change (P < 0.01). After food safety education by high-school mentors,middle-school students who were in the stages of pre-contemplation (11.1%) and contemplation (88.9%) showed significant progression toward the action stage (P < 0.001). Proper hand washing (P < 0.01) and food safety knowledge (P < 0.05) were also significantly increased after educational intervention.
Abstract
The hand hygiene behavior of 400 middle school students (grades 1-3) in Seoul and Gyeonggi-Do was studied to determine how stages of change were affected by food safety education, focusing on hand hygiene and general food safety. Subjects were 51.3% male and 44.3% of study subjects were first graders of middle school. Approximately 40% of subjects were at the stage of action, 42.7% were at the stage of contemplation, and 16.4% were at pre-contemplation. The most important factor that influenced proper hand washing was self efficacy (P < 0.001). Proper hand washing was also correlated significantly with positive belief (P < 0.01) and stages of change (P < 0.01). After food safety education by high-school mentors,middle-school students who were in the stages of pre-contemplation (11.1%) and contemplation (88.9%) showed significant progression toward the action stage (P < 0.001). Proper hand washing (P < 0.01) and food safety knowledge (P < 0.05) were also significantly increased after educational intervention.
참고문헌 (40)
- Roberts L, "Effect of infection control measures on the frequency of upper respiratory infection in child care: a randomized, controlled trial", Pediatrics, 105, pp.738~742 (2000)
- Niffenegger JP, "Proper handwashing promotes wellness in child care", J Pediatr Health Care, 11, pp.26~31 (1997)
- Master D, "Scheduled hand washing in an elementary school population", Fam Med, 29, pp.336~339 (1997)
- Ryan MA, "Handwashing and respiratory illness among young adults in military training", Am J Prev Med, 21, pp.79~83 (2001)
- Curtis V, "Effect of washing hands with soap on diarrhoea risk in the community: a systematic review", Lancet Infect Dis, 3, pp.275~281 (2003)
- Luby SP, "Effect of intensive handwashing promotion on childhood diarrhea in high-risk communities in Pakistan: a randomized controlled trial", JAMA, 291, pp.2547~2554 (2004)
- Contento IR, "Nutrition education: linking research, theory, and practice", Asia Pac J Clin Nutr, 17(Suppl 1), pp.176~179 (2008)
- Janz NK, "The health belief model, In Health Behavior and Health Education: Theory, Research, and Practice. 3rd ed", pp.45~66 (2002), John Wiley & Sons, Inc
- Prochaska JO, "The transtheoretical model and stages of change, In Health Behavior and Health Education: Theory, Research, and Practice. 3rd ed", pp.99~120 (2002), John Wiley & Sons, Inc
- Prochaska JO, "Stages and processes of self-change of smoking: toward an integrative model of change", J Consult Clin Psychol, 51, pp.390~395 (1983)
- Greene GW, "Differences in psychosocial variables by stage of change for fruits and vegetables in older adults", J Am Diet Assoc, 104, pp.1236~1243 (2004)
- Foerster SB, "California's "5 a day--for better health!" campaign: an innovative population-based effort to effect large-scale dietary change", Am J Prev Med, 11, pp.124~131 (1995)
- Steptoe A, "Psychological and social predictors of changes in fruit and vegetable consumption over 12 months following behavioral and nutrition education counseling", Health Psychol, 23, pp.574~581 (2004)
- Wolf RL, "Knowledge, barriers, and stage of change as correlates of fruit and vegetable consumption among urban and mostly immigrant black men", J Am Diet Assoc, 108, pp.1315~1322 (2008)
- 서윤석, "충남지역 초등학생의 채소와 과일 섭취 행동 변화 단계에 따른 비타민과 무기질 섭취상태 비교", Journal of Nutrition and Health, 41(7), pp.658~666 (2008), 한국영양학회
- Byrd-Bredbenner C, "Food safety self-reported behaviors and cognitions of young adults: results of a national study", J Food Prot, 70, pp.1917~1926 (2007)
- 강남이, "Food safety knowledge and practice by the stages of change model in school children", Nutrition Research and Practice, 4(6), pp.535~540 (2010), 한국영양학회
- Rosen L, "The effect of a handwashing intervention on preschool educator beliefs, attitudes, knowledge and self-efficacy", Health Educ Res, 24, pp.686~698 (2009)
- van de Mortel T, "Development of a questionnaire to assess health care students’ hand hygiene knowledge, beliefs and practices", Aust J Adv Nurs, 26, pp.9~16 (2009)
- Annual Report of Food Bone-Diseases, "National Statistical Office", ~ (2010)
- Trunnell EP, "Using behavior change theories to enhance hand hygiene behavior", Educ Health (Abingdon), 18, pp.80~84 (2005)
- Nobile CG, "Healthcare personnel and hand decontamination in intensive care units: knowledge, attitudes, and behaviour in Italy", J Hosp Infect, 51, pp.226~232 (2002)
- Zimakoff J, "A multicenter questionnaire investigation of attitudes toward hand hygiene, assessed by the staff in fifteen hospitals in Denmark and Norway", Am J Infect Control, 20, pp.58~64 (1992)
- Alvaran MS, "Opinions, knowledge, and self-reported practices related to infection control among nursing personnel in long-term care settings", Am J Infect Control, 22, pp.367~370 (1994)
- Cabana MD, "Why don't physicians follow clinical practice guidelines? A framework for improvement", JAMA, 282, pp.1458~1465 (1999)
- Naikoba S, "The effectiveness of interventions aimed at increasing handwashing in healthcare workers - a systematic review", J Hosp Infect, 47, pp.173~180 (2001)
- Henry H, "Associations of decisional balance, processes of change, and self-efficacy with stages of change for increased fruit and vegetable intake among low-income, African-American mothers", J Am Diet Assoc, 106, pp.841~849 (2006)
- Ladegaard MB, "Hand-hygiene and sickness among small children attending day care centers. An intervention study", Ugeskr Laeger, 161, pp.4396~4400 (1999)
- Black RE, "Handwashing to prevent diarrhea in day-care centers", Am J Epidemiol, 113, pp.445~451 (1981)
- Guinan M, "The effect of a comprehensive handwashing program on absenteeism in elementary schools", Am J Infect Control, 30, pp.217~220 (2002)
- Niffenegger JP, "Proper handwashing promotes wellness in child care", J Pediatr Health Care, 11, pp.26~31 (1997)
- Bowen A, "A cluster-randomized controlled trial evaluating the effect of a handwashing-promotion program in Chinese primary schools", Am J Trop Med Hyg, 76, pp.1166~1173 (2007)
- Kimel LS, "Handwashing education can decrease illness absenteeism", J Sch Nurs, 12, pp.14~ (1996)
- Turner G, "A method in search of a theory: peer education and health promotion", Health Educ Res, 14, pp.235~247 (1999)
- Ward J, "Peer education as a means of drug prevention and education among young people : an evaluation", Health Educ J, 56, pp.251~263 (1997)
- Gürsoy AA, "The effects of peer education on university students' knowledge of breast self-examination and health beliefs", J Cancer Educ, 24, pp.331~333 (2009)
- DuBois DL, "Effectiveness of mentoring programs for youth: a meta-analytic review", Am J Community Psychol, 30, pp.157~197 (2002)
- DuBois, DL, "Youth mentoring: Investigation of relationship characteristics and perceived benefits", J Community Psychol, 19, pp.291~332 (1997)
- Karcher MJ, "Developmental mentoring in the schools: Testing connectedness as a mediating variable in the promotion of academic achievement", Sch Community J, 12, pp.36~52 (2002)
- Karcher MJ, "The effects of developmental mentoring and high school mentors' attendance on their younger mentees' self-esteem, social skills, and connectedness", Psychol Sch, 42, pp.65~77 (2005)