Lee Sangmi
Associate Professor, Department of Nursing, Dongyang University, Yeongju, Korea.
Child Health Nurs Res. 2020 Jan;26(1):23-34. doi: 10.4094/chnr.2020.26.1.23. Epub 2020 Jan 31.
This study was conducted to investigate factors affecting health behaviors in late school-aged children from multicultural families.
This study included 401 children (112 from multicultural families and 289 from non-multicultural backgrounds) in grades 4~6 in 11 elementary schools. Data on health behaviors and related factors (school adjustment, the mother-child relationship, self-efficacy, etc.) were collected from the children using self-reported questionnaires between May and June in 2019. The collected data were analyzed through a univariate analysis and multiple regression analysis.
The health behavior score of multicultural children was lower than that of non-multicultural children (t=3.32, =.001). In multicultural children, school adjustment (β=.55, <.001), mother-child relationship (β=.25, =.001), and perceived health status (very healthy=1; β=.19, =.011) were significant factors affecting their health behavior and explained 47.0% (F=30.93, <.001) of the variance.
Multicultural late school-aged children are at risk to engage in a lower level of health behaviors than their non-multicultural counterparts. More attention should be paid to ways of improving multicultural children's perceptions of their health status, maternal relationships, and school adjustment in order to promote health behaviors.
本研究旨在调查影响来自多元文化家庭的大龄学童健康行为的因素。
本研究纳入了11所小学4至6年级的401名儿童（112名来自多元文化家庭，289名来自非多元文化背景）。2019年5月至6月期间，通过自填问卷从儿童中收集了健康行为及相关因素（学校适应、母子关系、自我效能感等）的数据。对收集到的数据进行单因素分析和多元回归分析。
多元文化儿童的健康行为得分低于非多元文化儿童（t = 3.32，P = .001）。在多元文化儿童中，学校适应（β = .55，P < .001）、母子关系（β = .25，P = .001）和感知健康状况（非常健康 = 1；β = .19，P = .011）是影响其健康行为的显著因素，解释了47.0%的方差（F = 30.93，P < .001）。
多元文化大龄学童比非多元文化学童有更低水平健康行为的风险。为促进健康行为，应更多关注改善多元文化儿童对其健康状况、母婴关系和学校适应的认知的方法。
