비만 청소년의 비만관리 의도에 영향을 미치는 요인

Abstract

This study was undertaken to explain weight control intention and its influencing factors in obese adolescents as measured by the elements of the health belief model. A total of 732 obese students from 28 schoo1s in the Seoul metropolitan area and their mothers were assessed with a self-administemd questionnaire. The analyzed results are as follows; 1. Intentions of self-directed exercise and enrollrnent in exercise programs showed the highest scores both in obese adolescents and their mothers, more so in female adolescents than male, Female adolescents showed a higher level of intention toward obesity control with increasing age, but a reverse trend was observed in the mothers of fernale adolescents. Male adolescents and their mothers showed the highest scores at the age of middle school students. Intention to attend a schoal-based program and visit an obesity clinic showed the highest scores in primary school adolescents and middle school adolescents, respectively. 2. In obese adolescents, intention toward weight control increased as the degree of weight dissatisfaction and obesity index increased. In mothers of obese adolescents, intention was observed to increase as the degree of weight dissatisfaction and obesity index of their children increased, as their age and their childrens age decreased and as their educational level increased. Mothers of fernale adolescents than males tended to have a greater intention toward weight control. 3. In male adolescents, obesity related beliefs of students were the most significant determinants of their intention, but, with increasing age, the significance of the degree of weight dissatisfaction increased. The intention of the mothers did not significantly influence the intentions of the male adolescents in all age groups. 4. In female adolescents, peteeived net benefit rather than perceived threat was the most important determinant of their intention aad with increasing age, the significance of external cues increased. The intention of the mothers significantly influenced the intentions of the fernale high school adolescents. In surnrnary, the intention toward weight contml of obese adolescents showed different trends and characteristics according to age and sex. Appropriate consideration will be necessary to assure the effectiveness and popularity of the obesity control program for obese adolescents.