계획된 행동이론(TPB)을 적용한 저소득층 아동의 구강건강행동 예측요인에 관한 연구
Prediction factors of oral health behavior in children from Low socio-economic status: an application of the theory of planned behavior (TPB)
한수진, 황윤숙, 백대일, 김윤신, 김영수,
소속 상세정보
한수진 ( Han Su-Jin ) - 가천의과학대학교 치위생과
황윤숙 ( Hwang Yoon-Sook ) - 한양여자대학 치위생과
백대일 ( Paik Dai-Il ) - 서울대학교 치과대학 예방치학교실
김윤신 ( Kim Yoon-Shin ) - 한양대학교 대학원 보건학과
김영수 ( Kim Young-Soo ) - 고려대학교의료원 치과학교실 임상예방치과
KMID : 0355420100340020250
Abstract
Objectives. We analyzed the factors influencing the oral health behavior of children from a low socio-economic status. The theory of planned behavior (TPB) was used to build a hypothetical model for this study. The past oral health behavior was added to strengthen the prediction model and lay the groundwork for the development of oral health promotion programs tailored to low income class children.
Methods. Data were gathered from July 24 to November 23, 2008, from. 634 elementary children in 20 local children’s centers in Incheon Metropolitan City. The children agreed to be surveyed and participate in an oral health education program. After the first survey, they participated in an oral health education program, and a second survey was taken immediately after the program concluded, with a third survey following two weeks later. Incomplete surveyes were excluded, leaving responses from 501 students were analyzed with SPSS 12.0 and AMOS 5.0 using multiple regression analysis and structural equation model (SEM).
Results. The children’s intention of oral health behavior was predicted by their attitude to oral health behavior (β=.35), subjective norms (β=.32), perceived behavioral control (β=.22) and past oral health behavior (β=.13). Their actual oral health behavior two weeks later was predicted by past oral health behavior (β=.52) and intentionality of oral health behavior (β=.24). All goodness values (x2/df=1.910, GFI=.955, AGFI=.937, NFI=.927, NNFI=.955) were good except the x2 value and RMR value (.295), indicating that the model was generally good.
Conclusions. The TPB model was a good predictor of children’s oral health behavior from lower-income classes. The development, application, and evaluation of oral health education programs geared toward local children’s centers mainly used by low income children are required to help improve children’s oral health behavior.
키워드
계획된 행동이론; 구강건강행동; 구강건강행동 예측요인; 잇솔질; 저소득층 아동
Low socio-economic status children; oral health behavior; tooth brushing; TPB; theory of planned behavior
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