OBJECTIVES: Utilizing social network analysis, this study aimed to analyze the main keywords in the literature regarding the health literacy of and the use of online health information by aged persons over 65. METHODS: Medical Subject Heading keywords were extracted from articles on the PubMed database of the National Library of Medicine. For health literacy, 110 articles out of 361 were initially extracted. Seventy-one keywords out of 1,021 were finally selected after removing repeated keywords and applying pruning. Regarding the use of online health information, 19 articles out of 26 were selected. One hundred forty-four keywords were initially extracted. After removing the repeated keywords, 74 keywords were finally selected. RESULTS: Health literacy was found to be strongly connected with 'Health knowledge, attitudes, practices' and 'Patient education as topic.' 'Computer literacy' had strong connections with 'Internet' and 'Attitude towards computers.' 'Computer literacy' was connected to 'Health literacy,' and was studied according to the parameters 'Attitude towards health' and 'Patient education as topic.' The use of online health information was strongly connected with 'Health knowledge, attitudes, practices,' 'Consumer health information,' 'Patient education as topic,' etc. In the network, 'Computer literacy' was connected with 'Health education,' 'Patient satisfaction,' 'Self-efficacy,' 'Attitude to computer,' etc. CONCLUSIONS: Research on older citizens' health literacy and their use of online health information was conducted together with study of computer literacy, patient education, attitude towards health, health education, patient satisfaction, etc. In particular, self-efficacy was noted as an important keyword. Further research should be conducted to identify the effective outcomes of self-efficacy in the area of interest.
Computer Literacy ; Consumer Health Information ; Education ; Health Education ; Health Literacy* ; Humans ; Internet ; Medical Subject Headings ; National Library of Medicine (U.S.) ; Patient Education as Topic ; Patient Satisfaction

PURPOSE: This study was carried out to show the parental child-rearing attitudes perceived by daughters(woman college students), who were in the process of pursuit of resonable values, ethics and preparing for marriage and settling down, and another purposes were to help them to have positive attitudes toward their child-rearing in the future and set up preliminary parenting education program. METHOD: The subjects were 120 woman college students who were freshmen to junior in one university in Seoul. Using the self-report questionnaire, data were collected from December in 1999 to March in 2000. The contents which subjects wrote down were categorized by content analysis method. RESULT: 1) The age range of subjects were 19-25 years old and main rearer was mother(85.84%). 2) The perception of parent's child-rearing by subjects were revealed 555 statements and then tied together 50 themes: 'emphasizing on studying hard'(8.3%), 'doing by oneself'(5.6%), 'sternness'(5.2%), 'respect of personality'(4.5%), 'eagerness'(4.0%), 'humanity education'(4.0%), 'moderating in daily living'(4.0%), 'propriety education'(3.8%), 'sacrificing for children'(3.6%), 'expectation'(3.2%), 'concerning'(3.1%), 'parent-centered'(3.1%), 'giving a free hand'(2.9%), 'sharing with'(2.9%), 'consideration'(2.7%), 'over'-'protectiveness'(2.3%), 'hostile attitude' (2.2%), 'corporal punishment'(2.2%), 'expression of parental love'(2.0%), 'encouragement'(1.8%), 'family-centered' (1.8%), 'treating fairly'(1.6%), 'offering live experiences'(1.6%), 'exacting obedience'(1.62%), 'exemplary parental role' (1.6%), 'sexual discrimination'(1.6%), 'cooperation'(1.4%), 'giving favors'(1.4%), 'indifference'(1.4%), 'understanding' (1.3%), 'confidence'(1.3%), 'intimacy'(1.3%), 'pursuit of health'(1.3%), 'warm-hearted'(1.1%), 'stinginess'(1.1%), 'broad-mindedness'(0.7%), 'granting'(0.7%), 'interfering'(0.7%), 'reproach'(0.7%), 'distinction of sex in household affairs'(0.7%), 'help'(0.5%), 'preparing for the future'(0.5%), 'disregarding'(0.5%), 'making environment'(0.4%), 'bringing up a child personally' (0.4%), 'comparing'(0.4%), 'religious life'(0.4%), 'good deed'(0.4%), invasion of privacy' (0.2%), 'controlling desire'(0.2%). 3) 50 themes were categorized by 18 categories once more: 'control' (13.2%), 'crazy for education'(12.3%), 'endeavoring'(8.6%), 'autonomy'(8.5%), 'home education'(7.7%), 'esteem' (6.67%), 'support'(6.67%), 'pursuit of healthy daily life'(5.6%), 'earnestness'(5.4%), 'disregarding personality'(5.4%), 'emotional bonding'(3.2%), 'imposing a burden'(3.2%). 'inhospitality'(3.1%), 'acceptance'(5%), 'discrimination'(2.3%), 'mature parenthood'(1.8%), 'strengthening family tie'(1.8%), 'psychological intimacy'(1.1%). 4) On the basis of this study, 3/5 of subjects(61.2%) perceived their parents had mature and autonomous child-rearing attitudes, and on the other hand 2/5(39.5%) of them perceived controlling, just forcing to work harder and personally disregarding attitudes. CONCLUSION: So we need to offer them nursing implementation such as preliminary parenting education program and parenting consulting like to strengthen positive perception and help improving in realistic, developmental child-rearing attitudes.
Child ; Education, Nonprofessional ; Ethics ; Family Characteristics ; Female ; Hand ; Humans ; Marriage ; Nursing ; Parenting ; Parents ; Seoul ; Child Health ; Surveys and Questionnaires

OBJECTIVE: Currently, preparation for childbirth is becoming an increasingly popular addition to patient education. Because of this interest, it seems advisable to review the evidence on the effect of prepared childbirth. The objective of this study is to evaluate the effectiveness of Lamaze preparation on labor and delivery. METHODS: To investigate whether prepared-childbirth courses offer measurable physical advantages, we compared the labor and delivery characteristics of 80 primiparas who had taken Lamaze-training classes with 76 control patients who had not. We reviewed retrospectively obstetrical records of 156 pregnant women delivered in Ewha Womans University MokDong Hospital from January to December, 1997. RESULT: The length of the first stage of labor in the group that attended childbirth preparation classes was 5.70 hours and 6.93 hours in the comparison group. This difference was statistically significant (P= .040). The mean duration of the second stage of labor in attenders was 42.43 minutes and 41.16 minutes in the nonattenders(P= .719). Average duration of labor in attenders was 1.07 hours shorter than in nonattenders (P= .075). The cesarean section rate in attenders was 25% compared with 36.8% in nonattenders (P= .10920). CONCLUSION: No statistical significance was found in this study. However we need to be aware that the length of first stage of labor was shorter and the rate of cesarean section was lower in prepared group. Childbirth education should be integrated into prenatal health care to be readily available for all women.
Cesarean Section ; Delivery of Health Care ; Female ; Humans ; Parturition ; Patient Education as Topic ; Pregnancy ; Pregnant Women ; Prenatal Education ; Retrospective Studies

PURPOSE: The purpose of this study was to examine types of parenting among fathers. The characteristics of parenting each type in early childhood were identified by systematically analyzing and classifying father's perceptions of parenting using the Q-methodology, which places importance on the perspective of the performer. METHODS: The Q-method, which is effective for measuring individual subjectivity was used. The subjects in this study were 50 fathers with young children (2~36 months). RESULTS: Four parenting types were identified analyzing the subjective perceptions of fathers with young children about parenting. One type was centered on character development. Another was centered on social development. A third was centered on physical health and development. The fourth was centered on building values. CONCLUSION: Parenting education programs should be developed based on type-specific characteristics and further research should investigate the effects of father's parenting type.
Child ; Education, Nonprofessional ; Fathers ; Humans ; Infant ; Parenting ; Parents ; Social Change

PURPOSE: The purpose of this study was to explore how traditional ritual practices are incorporated into the context of contemporary healthcare. METHODS: An ethnographic study was conducted, using observations and interviews with 27 first-time mothers and 3 nurses at a postpartum nursing center in Taipei, Taiwan. RESULTS: Nursing routines, policies and care provision at the center affected the way traditional ritual practices were conducted. New mothers in this study constructed their everyday activities at the center by incorporating and modifying the ritual practices inside and outside the postpartum nursing center setting. CONCLUSIONS: Social changes have an influence on traditional postpartum ritual practices so a postpartum nursing center becomes a choice for postpartum women. Thus, health care professionals should value their own functions and roles at the postpartum nursing center since the new mothers regard them as the primary support resource to help them recover from giving birth. Therefore, they need to re-examine their practices from the postpartum women's perspective to provide better support and sensitive care to postpartum women and their families.
Adult ; Ambulatory Care Facilities/trends ; Attitude of Health Personnel ; Education, Nonprofessional ; Female ; Humans ; Length of Stay ; Medicine, Chinese Traditional/trends ; Mothers/education/psychology ; Nurse's Role ; Nursing Process ; Obstetric Nursing/*trends ; Postnatal Care/*trends ; Postpartum Period/*ethnology ; Taiwan/ethnology

PURPOSE: The purposes of the study were to identify level of health literacy and factors influencing health literacy of migrant workers. METHODS: Data were collected using a cross sectional correlational design. Participants were 128 migrant workers in Korea. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Scheffe test, and hierarchical multiple regression with the SPSS 18.0 program. RESULTS: The health literacy level of migrant worker was low and they had difficulty in understanding patient education materials and medical forms. Factors influencing health literacy were residential areas (city or rural), education level, length of stay in Korea, and ability to understand spoken Korean. Regression model accounted for 14.2% of the variance in health literacy. CONCLUSION: Lower levels of health literacy make it difficult for migrant works to visit medical facilities and perform health behaviors appropriately. Therefore, diverse strategies should be developed by nurses to enhance the health literacy level of migrant workers.
Health Behavior ; Health Literacy ; Health Status ; Humans ; Korea ; Length of Stay ; Patient Education as Topic ; Transients and Migrants

Since chronic diseases have emerged as a major cause of death worldwide, people has been exposed to large amounts of information on healthy eating practices that are important aspects of its prevention and management. Food literacy, the functional, interactive, and critical ability to manage dietary information with the aim of improving health, is of global interest. In South Korea (hereafter Korea), there is currently a lack of food literacy research, despite its pertinence for the development of public health policies that are tailored to recipients' ability to understand and address health and nutrition issues. In this study, the research trend and policy implications of food literacy are derived through reviewing preceding studies related to food literacy in Korea and elsewhere. Existing literature on food literacy in Korea placed much emphasis on the functional ability of food literacy. Future research on the operational definitions of interactive and critical food literacy and their health effects in Korea is necessary. In addition, there is a lack of research on the development and validation of measurement tools that evaluate integrative concepts of food literacy. To accurately examine the relationships among food literacy, diet, and health, standardized measurement tools that can comprehensively evaluate food literacy frameworks for various Korean sub-population groups should be developed. Based on such future studies, an investigation of health promotion programs or policies on reducing the cognitive burden of food literacy would contribute to improving heathy eating practices in Korea.
Cause of Death ; Chronic Disease ; Consumer Health Information ; Diet ; Eating ; Food Labeling ; Health Education ; Health Literacy ; Health Promotion ; Korea ; Literacy ; Public Health

PURPOSE: The purpose of this study was to identify effects of parenting stress in North Korean refugee fathers on their parenting behavior. METHODS: A descriptive study design was used. Data were collected during 2014 and 2015 in a settlement support center for North Korean refugees and 99 North Korean refugee fathers participated. Data were analyzed using SPSS 21.0. RESULTS: Warmth·encouragement parenting behavior received the highest score. The score for parenting stress was 81.98 out of 180, and 32.3% of participants were found to need professional help (≥PSI 90). There were significant negative correlations between warmth·encouragement parenting behavior and parenting stress. There were also significant positive correlations between rejection·neglect parenting behavior and parenting stress. Predictors of warmth·encouragement behavior were parent-child dysfunctional interaction which explained 10.1% of the variance. Predictors of rejection·neglect behavior were parent-child dysfunctional interaction, number of children and wife's education level which explained 33.4% of the variance. CONCLUSION: Findings show that North Korean refugee fathers' parenting stress significantly influenced warmth·encouragement and rejection·neglect parenting behavior indicating a need to identify ways to decrease parenting stress. Parenting education can guide North Korean refugee fathers to strengthen parent-child positive interactions and therefore promote their children's growth and development.
Child ; Education ; Education, Nonprofessional ; Fathers* ; Growth and Development ; Humans ; Parenting* ; Parents* ; Refugees*

The National Health Screening program has been implemented in Korea since 1980. First, we had searched recent scientific evidences and verified the accuracy of the data on target oral diseases. In order to determine the validity, we searched scientific bibliographic data and concluded that dental caries and periodontal disease were major oral problems. Second, we developed new improved forms for National Oral Health Screening. To improve these forms, we reviewed previous forms and gathered expert opinions. The new forms were consistent with the examination forms given to all age groups, and information on oral health conditions, dental education needs, and post-treatment care was included in the modified forms. We then designed manuals for dentists, which contained information on the screening criteria as well as consultation and patient education guidelines. The manuals were divided into three parts, including explanation of the screening criteria, standard of the decision, and education and consultation guidelines. By using these new and modified National Oral Health Screening forms, we expect an improvement in the National Oral Health Screening Program and enhancement in the oral health condition of patients.
Adult ; Counseling ; Dental Caries ; Dentists ; Education ; Education, Dental ; Expert Testimony ; Humans ; Infant ; Korea ; Mass Screening* ; Oral Health* ; Patient Education as Topic ; Periodontal Diseases ; Tooth Diseases

OBJECTIVES: Adolescent depression is a complex disorder influenced by a variety of personal and familial factors. In this study, we compared the familial, cognitive, and behavioral characteristics of adolescents with and without diagnosed depression. METHODS: Forty adolescents with depressive disorder were recruited from two psychiatric clinics, along with 46 healthy adolescents from a middle school and a high school. We then compared the participants' cognitive and behavioral characteristics and the child-rearing attitudes of their parents. RESULTS: Compared to the healthy adolescents, the adolescents with depression exhibited lower self-esteem, higher emotional reappraisal, greater disruptive behavior, and lower attention. Furthermore, compared to the mothers of the healthy adolescents, the mothers of those with depression reported less affective, less autonomic, and more rejecting parenting attitudes towards their children. CONCLUSION: We found that attentional problems, negative parenting attitudes, negative self-cognition, and expressive suppression are all associated with adolescent depression. Parenting education and interventions appear to be needed to correct the negative cognitions of adolescents with depression.
Adolescent* ; Child ; Cognition ; Depression* ; Depressive Disorder ; Education, Nonprofessional ; Humans ; Mothers ; Parenting ; Parents ; Problem Behavior