Abstract
Purpose
The purpose of this study was to examine factors associated with behaviors of mothers that expose their infants to endocrine disruptors. The PROCEED model was used as a theoretical basis for the study.
Methods
This correlational study included 120 mothers with infants between the ages of 1 month to 36 months. Participants were recruited through the maternal community web-site of mothers of infants in W city.
Results
There was a significant negative correlation among experience of mothers who had participated in environmentally friendly activities, the health status of the infants perceived by the mother, and behaviors of mothers that exposed infants to endocrine disruptors. The factors based on PROCEED model explained 15.3% of the behaviors by mothers that exposed infants to endocrine disruptors.
References
1. Park EK, Kim KY, Ha EH. Women, environment, and health. Journal of the Korean Society of Maternal and Child Health. 2014; 18(1):54–59.
2. Schug TT, Janesick A, Blumberg B, Heindel JJ. Endocrine disrupting chemicals and disease susceptibility. Journal of Steroid Biochemistry and Molecular Biology. 2011; 127(3):204–215.
3. Mendola P, Messer LC, Rappazzo K. Science linking environmental contaminant exposures with fertility and reproductive health impacts in the adult female. Fertility and Sterility. 2008; 89(2):e81–e94.
4. Wolff MS, Teitelbaum SL, Pinney SM, Windham G, Liao L, Biro F, et al. Investigation of relationships between urinary biomarkers of phytoestrogens, phthalates, and phenols and pubertal stages in girls. Environmental Health Perspectives. 2010; 118(7):1039–1046.
5. Meeker JD. Exposure to environmental endocrine disruptors and child development. Archives of Pediatrics & Adolescent Medicine. 2012; 166(10):952–958.
6. Ministry of Environment. Enviromental report 2013 [Internet]. Sejong: Author;2013. [cited 2015 November 11]. Available from:. http://www.me.go.kr/home/web/index.do?menuId=124.
7. Landrigan PJ, Miodovnik A. Children's health and the environment: An overview. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine. 2011; 78(1):1–10.
8. Yuan M, Bai MZ, Huang XF, Zhang Y, Liu J, Hu MH, et al. Preimplantation exposure to bisphenol A and triclosan may lead to implantation failure in humans. Biomed Research International. 2015; 2015(2015):184845.
9. Lee SY, Kim IW, Jang JH. A study on the relationship between health concern and purchase behavior of the environmental friendly agricultural products. Korean Journal of Local Government & Administration Studies. 2011; 25(1):77–100.
10. Kim MR, Kim HC. Analysis of adult behaviors to decrease exposure to endocrine disruptors in dietary life. Journal of the East Asian Society of Dietary Life. 2011; 21(3):451–462.
11. Kim SS. The infants' parents' awareness, knowledge, and decrease behavior of endocrine-disruptors (EDCs). Crisisonomy. 2014; 10(6):177–199.
12. Son MH, Park HG, Cheong C. Effects of eco-friendly school project activity on middle school students' environmental awareness. The Environmental Education. 2011; 24(3):34–43.
13. Lee KE. A study on student's perception of endocrine disruptors and behavior: Focused on students in Daejeon area [master's thesis]. Seoul: Korea National Open University;2014. p. 40. p.
14. Green LW. Health education planing: A diagnostic approach. California: Mayfield publishing company;1980. p. 306. p.
15. Kim MR, Kim HC. Recognition, information acquisition behavior, knowledge, behaviors to decrease exposure and education need toward endocrine disruptors among middle and high school students. Journal of Korean Home Economics Education Association. 2009; 21(3):123–142.
16. Park EH, Cho YH, Kim WJ. Influence of health beliefs on preventive health behaviors for cancer among middle-aged women. Health and Welfare. 2009; 11(1):17–42.
17. Idler EL, Angel RJ. Self-rated health and mortality in the NHA NES-I Epidemiologic Follow-up Study. American Journal of Public Health. 1990; 80(4):446–452.
18. Ham JS. Effects of perceived family cohesion, maternal attachment & parenting efficacy on mothers' infant health promotion [master's thesis]. Seoul: Yonsei University;2012. p. 95. p.
19. Hur HK, Kim KY, Kim CH, Park JK, Koh SB, Park SM. Effects of an integrated breast health program according to stages of breast cancer risk appraisal. Korean Journal of Health Education and Promotion. 2009; 26(1):15–26.
20. You HJ. A study of the cognition and behavior of middle school students on the endocrine disruptors: Focusing on Suwon city [master's thesis]. Cheongju: Korea National University of Education;2003. p. 71. p.
21. Field A. A field discovering statistics using IBM SPSS statistics. 4th ed.Lee EH, Chung YH, Song RY, Kim JS, Hwang GY, translators. Seoul: Koonja;2016. p. 258–259.
22. Yang HJ, Kang HY. Knowledge, health belief, and preventive behavioral intention related to venous thromboembolism (VTE) of the patients with lower limb musculoskeletal system disorders. Journal of Korean Academic Society of Nursing Education. 2013; 19(4):531–541.
23. Jang EJ. The relationship between environmental awareness and nature-friendly spending behavior of nature-friendly sports participants [master's thesis]. Seoul: Kookmin University;2003. p. 61. p.
24. Marzec ML, Lee SP, Cornwell TB, Burton WN, McMullen J, Edington DW. Predictors of behavior change intention using health risk appraisal data. American Journal of Health Behavior. 2013; 37(4):478–490.
25. Pender NJ, Walker SN, Sechrist KR, Frank-Stromborg M. Predicting health-promoting lifestyles in the workplace. Nursing Research. 1990; 39(6):326–332.
26. Deren S, Kang SY, Rapkin B, Robles RR, Andia JF, Colón HM. The utility of the PRECEDE model in predicting HIV risk behaviors among Puerto Rican injection drug users. AIDS and Behavior. 2003; 7(4):405–412.
27. DeJoy DM, Searcy CA, Murphy LR, Gershon RR. Behavioral-diagnostic analysis of compliance with universal precautions among nurses. Journal of Occupational Health Psychology. 2000; 5(1):127–141.
Table 1.
Table 2.
Table 3.
Characteristics | Categories | Endocrine disruptors exposing behaviors | |
---|---|---|---|
M±SD | t (p) | ||
Economic level | Low (n=32) | 45.40±6.59 | .32 (.743) |
≥Middle (n=88) | 44.87±8.21 | ||
Education | ≤High school (n=30) | 45.60±8.58 | .47 (.638) |
≥University (n=90) | 44.82±7.45 | ||
Economic activity | Yes (n=24) | 45.70±8.04 | .67 (.499) |
No (n=96) | 44.67±7.65 | ||
Endocrine diseases† | Yes (n=43) | 45.15±8.51 | .15 (.880) |
No (n=76) | 44.93±7.39 |
Table 4.
Variables | Endocrine disruptors exposing behaviors |
---|---|
r (p) | |
Knowledge on endocrine disruptors | .04 (.649) |
Sensitivity to environmental diseases | .02 (.845) |
Health status of the infants perceived by the mother | –.26 (.030) |
Maternal attachment | –.11 (.242) |
Participation in environmentally friendly activities† | –.32 (.002) |