Association between mukbang and cookbang viewing and body image perception and BMI in adolescents.

BACKGROUND: Adolescence is a critical period for establishing healthy eating habits and weight management, essential for preventing obesity and promoting overall health. This study investigates the impact of mukbang and cookbang-popular online broadcasts in Korea that feature excessive consumption of food-on the dietary habits and body image perception of Korean adolescents. With digital media, especially platforms like YouTube, becoming an integral part of daily life, these broadcasts have the potential to significantly influence adolescent health behaviors. METHODS: Employing data from the 18th Korea Youth Risk Behavior Web-based Survey (2022), this descriptive survey research explores the relationship between watching mukbang and cookbang and various health-related factors among adolescents. The survey's comprehensive dataset provided a unique opportunity to examine this association in a population that is increasingly exposed to digital media content. The analysis focused on the frequency of watching mukbang and cookbang, their impact on eating habits, body mass index (BMI), body shape perception, and body image distortion among adolescents. RESULTS: The results revealed a significant engagement with mukbang and cookbang among adolescents, with notable gender differences in viewing habits and effects. Increased frequency of viewing was associated with negative impacts on eating habits and body image perception. Furthermore, psychological factors such as stress levels and sleep quality emerged as significant predictors of the frequency of watching these broadcasts. CONCLUSIONS: This study highlights the need for further investigation into the causal relationships between mukbang and cookbang viewership and adolescent health outcomes. The findings suggest the importance of developing targeted interventions to mitigate the negative influences of such content on adolescents' eating habits and body perceptions. Given the widespread popularity of these broadcasts, it is crucial to address their potential health implications through public health strategies, educational content, and policy development aimed at promoting healthier lifestyles among adolescents.

Stigma and quality of life in lung cancer patients: The mediating effect of distress and the moderated mediating effect of social support.

Objective: This study aimed to investigate the mediating effect of distress on the relationship between stigma and quality of life (QOL) in lung cancer patients, and to explore the moderated mediating effect of social support. Methods: A total of 184 individuals diagnosed with primary lung cancer participated in the study. Data on general and disease-related characteristics, stigma, distress, QOL, and social support were collected using a comprehensive structured questionnaire. Medical records were also utilized for an in-depth analysis of disease-related attributes. The data were meticulously analyzed using the SPSS PROCESS macro ver. 3.4 for detailed insights. Results: The findings elucidated a clear pathway whereby stigma negatively impacted patients' QOL through the mediating effect of distress. Interestingly, the extent of this impact was significantly influenced by the presence of friendship support, underscoring its unique moderated mediating role. Conversely, support from family and health care professionals did not demonstrate a significant influence in this context. Conclusions: These findings underscore the importance of addressing stigma and distress to improve the QOL of lung cancer patients. The study highlights the pivotal role of friendship support in moderating this relationship, suggesting the need for tailored interventions to strengthen social networks. These insights provide valuable guidance for developing more nuanced and effective patient support strategies in oncology care.

Development and evaluation of a tailored mHealth parenting program for multicultural families: a three-arm cluster randomized controlled trial.

Objective: Health management of children during early childhood requires substantial information. Multicultural families find it difficult to obtain and use parenting-relevant information for their young children. This study aimed to develop, implement, and evaluate a tailored Health parenting program and lay-health workers' support to improve children's health in multicultural families in Korea. Methods: In this study, we employed the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model as the conceptual framework, guiding the creation of a tailored mHealth application supplemented by a lay-health worker support module. The efficacy of the program was assessed through an experimental three-arm cluster randomized controlled trial. A total of 101 participants were stratified into three distinct groups as follows: (1) Experimental Group A, which received the mHealth program alongside the lay-health worker support component; (2) Experimental Group B, exposed solely to the mHealth program; and (3) Control Group, devoid of any intervention. Within these groups, 101 marriage migrant women hailing from Vietnam, the Philippines, and China were incorporated, with each group comprising 33, 30, and 38 participants, respectively. The study's primary endpoint encompassed a comprehensive assessment of health-promoting behaviors, proficiency in eHealth literacy, and the family strength. Results: The analysis revealed noteworthy interactions among the three distinct groups over the course of time, with implications for health-promotion behaviors (p = 0.041), eHealth literacy (p = 0.037), and family strength (p = 0.044). Specifically, the experimental groups exhibited substantially elevated levels of the specified outcome variables when contrasted with the control group. Notably, the positive effects persisted even up to 12 weeks subsequent to the conclusion of the intervention, underscoring the program's capacity to foster enduring improvements in the observed metrics. Conclusion: This study highlights the benefits of offering contextually appropriate information to target groups constrained by challenges in information access, evaluation, and utilization. Notably, drawing from their positive experiences in this process, we underscore the importance of employing lay health workers. These workers play a crucial role in fostering and ensuring sustained behavioral changes.

Protective and risk factors of problematic smartphone use in preteens using panel study on Korean children.

Background: Increased smartphone use by children and adolescents places them at higher risk of overdependence. The problematic smartphone use of preteens is rapidly increasing. The preteen period is one of considerable developmental change and the influence of problematic smartphone use should be identified by reflecting on this change and considering its social psychological factors. Methods: This study employed a secondary analysis using data from the 10th (2017) to 11th (2018) wave of the Panel Study on Korean Children. STATA/BE 17 was used to analyze the panel logit model. Among the 1,286 participants aged 9-10 from the Panel Study on Korean Children, 342 with complete responses were selected as the participants of this study. Results: The risk group for problematic smartphone use showed an increase from 126 in 2017 to 149 in 2018. Factors influencing risk of preteens' problematic smartphone use were the child's externalizing problems (p = 0.015) and permissive parenting behavior (p = 0.003). Protective factors influencing preteens' problematic smartphone use were peer communication (p = 0.023), parental supervision (p = 0.020), and authoritative parenting behavior (p = 0.001). Conclusions: Preteens with externalizing problems are at a higher risk for problematic smartphone use and are therefore a group to be observed with caution. It is also required to guide them to form good relationships with friends. Finally, in the problematic smartphone use of preteens, parents are both a protective factor and a risk factor. Therefore, guidance is required so that children can behave properly.

A systematic review of socio-ecological factors influencing current e-cigarette use among adolescents and young adults.

INTRODUCTION: The use of e-cigarettes has increased considerably among young people. To successfully develop interventions to prevent e-cigarette use, influencing factors must be identified. This review determines individual, interpersonal, organizational/community, and society/policy factors affecting e-cigarette use among adolescents and young adults. METHODS: A literature search was performed using five electronic databases (PubMed, CINAHL, EMBASE, Cochrane, and PsycInfo) for articles published in the English language to March 2022. A total of 85 studies were selected out of 17,259 for a systematic review based on the PRISMA flow. The full protocol is available from PROSPERO (CRD42021254558). RESULTS: Factors related to e-cigarette use were identified and classified into four domains based on the socio-ecological model. The individual factors were classified into five factors: demographics, health-related behaviors, mental health, perception of e-cigarettes, and characteristics of e-cigarettes. The interpersonal factors were classified into two factors: friend characteristics, including friend's e-cigarette use or smoking, and family factors such as parental smoking and parental advice. The organizational and community factors were home, school, online community, and retail shop accessibility. The society and police factors were regulation, media, and residence area. CONCLUSION: The findings indicate that multi-dimensional factors influence e-cigarette use among adolescents and young adults. Therefore, an approach that considers these factors is required to develop effective interventions for the prevention of e-cigarette use.

Environmental factors affecting mothers' decision-making about the HPV vaccination for their daughters.

OBJECTIVE: This study aimed to investigate environmental factors influencing mothers' decision-making regarding vaccination of the human papillomavirus (HPV) for their daughters. METHODS: This was a cross-sectional study, with data collected using online surveys from July to September 2018. Participants were 230 mothers of second-year female middle-school students in South Korea. The proportional stratification sampling method was used to reflect the difference in medical level between regions. Independent variables consisted of individual (demographic characteristics, HPV-related characteristics, knowledge, attitude, and subjective norms) and environmental factors (the influence of healthcare providers, school, and community environments) were examined. The potential factors influencing vaccination uptake were determined using hierarchical logistic regression. RESULTS: The factors influencing mothers' decision-making about the HPV vaccine for their daughters were their attitude toward HPV vaccination (OR = 0.78 p < .001), whether a healthcare provider provided HPV-vaccine-related information (OR = 2.42, p = .030), and presenting positive-framed information (OR = 4.21, p = .020). CONCLUSIONS: To increase HPV vaccination among the target population, it is necessary to consider environmental factors identified in this study. Healthcare providers should provide accurate information regarding the vaccination. Information emphasizing the vaccination's benefits is particularly important.

[Effect of Direct Breastfeeding Program for Premature Infants in Neonatal Intensive Care Unit].

PURPOSE: This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs). METHODS: This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ²-test and repeated measures ANOVA using an SPSS program. RESULTS: The experimental group showed a higher direct breastfeeding practice rate (χ² = 19.29, p < .001), breastfeeding continuation rate (χ² = 3.76, p < .001), and self-efficacy (F = 25.37, p < .001) than the control group except for maternal attachment. CONCLUSION: The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.

Gender Differences in Parental Impact on Problematic Smartphone Use among Korean Adolescents.

This study aimed to examine the effective parental impact in preventing problematic smartphone use in adolescents by identifying the parent-related factors. A secondary analysis of cross-sectional data from a Korean national survey was conducted. Data from 2758 male and 2419 female adolescents, aged 10 to 19 years, were analyzed; the respondents were divided into normal and risk groups based on their standardized smartphone addiction diagnostic scale scores. Parent-related factors of smartphone addiction were analyzed using a logistic regression model. Among both male and female adolescents, mobile messenger usage, and family environment emerged as significant predictors of problematic smartphone use. In addition, for male adolescents, smartphone use frequency and parent's awareness of content use were significant predictors. The findings indicated the importance of parental roles in preventing problematic smartphone use in adolescents. Parents should create a healthy family environment by avoiding smartphone overuse and modeling the appropriate usage of smartphones.

What influences adolescents to continuously use e-cigarettes?

OBJECTIVE: The use of e-cigarettes is rapidly increasing in adolescents. Health care providers pay attention to e-cigarette users because of the risk of developing addiction and problematic behavior. Based on ecological perspective, this study investigated factors influencing continued e-cigarette use. METHODS: We classified 1556 current e-cigarette users into experimental and continued users using the Korean national representative data. Data were analyzed using the chi-square test and logistic regression based on a complex sample analysis. RESULTS: Among current e-cigarette users, 55.1% were continued users. Adolescents who use e-cigarettes because of the belief that they are less harmful than cigarettes, concealment, easy purchase, and adding various flavors had a high risk of continued use. Continued users were more likely to have a higher weekly allowance, lower rate of living with family, and higher chance of smoking parents and exposure to passive smoking at home. CONCLUSIONS: Continued e-cigarette use was influenced by interpersonal and environmental factors, such as ease of purchase and addition of flavoring substances. Improving the environment of adolescents can prevent continued use of e-cigarettes.