J Korean Soc Matern Child Health.  2021 Jan;25(1):63-72. 10.21896/jksmch.2021.25.1.63.

Development and Effect of a Behavior Program for Reducing Exposure to Endocrine Disrupting Chemicals in Unmarried Women

Affiliations
  • 1Department of Nursing Science, Kyungsung University, Busan, Korea
  • 2College of Nursing, Institution of Health Science, Gyeongsang National University, Jinju, Korea

Abstract

Purpose
This study was conducted to develop a behavior program for reducing exposure to endocrine disrupting chemicals (EDCs), thereby to improve perceived benefits and self-efficacy as well as reduce the perceived barriers and prevalence of dysmenorrhea in unmarried women.
Methods
The study used a nonequivalent control group pretest-posttest design. Participants were randomly assigned to an experiment (n=18) or control group (n=18). The behavior program for reducing exposure to EDCs was developed based on Pender's health promotion model and previous research results. The program was conducted for 12 weeks, consisting of 4 weeks of face-to-face intervention and 8 weeks of mobile intervention.
Results
The behavior program we developed was verified as an effective intervention that could improve the perceived benefits and self-efficacy of reducing one's exposure to EDCs. It also decreases the perceived barriers and prevalence of dysmenorrhea in unmarried women.
Conclusion
Our results showed that the program was an effective nursing intervention in unmarried women. Therefore, this behavior program for reducing exposure to EDCs can be applied in the context of unmarried women.

Keyword

Dysmenorrhea, Endocrine Disruptors, Health promotion, Women

Reference

An HK., Shim KC., So KH., Yeau SH., Kim JM. Effect of instruction using multimedia program related to the endocrine disruptors. Korean J Environ Educ. 2008. 21:1–15.
Braun JM., Just AC., Williams PL., Smith KW., Calafat AM., Hauser R. Personal care product use and urinary phthalate metabolite and paraben concentrations during pregnancy among women from a fertility clinic. J Expo Sci Environ Epidemiol. 2014. 24:459–66.
Cheon SH., Choi MS., Lee SJ. The risk behaviors to increase exposure toward endocrine disrupting chemicals, depression and physical symptom among university students. Korean Soc Living Environ Syst. 2016. 23:677–86.
Choi JS. Analysis of toxicity in endometrial cells exposed phthalate. Korean J Clin Lab Sci. 2019. 51:86–92.
Costa ., Spritzer PM., Hohl A., Bachega TA. Effects of endocrine disruptors in the development of the female reproductive tract. Arq Bras Endocrinol Metabol. 2014. 58:153–61.
Je NJ., Choi SY. Effects of web-based preconception health promotion program for couples about to be married. J Korean Acad Nurs. 2016. 46:720–32.
Kim HK. Impact of pro-environmental behavior on dysmenorrhea. J Korean Acad Nurs. 2011. 41:236–44.
Kim K., Horan M., Gendler P. Refinement of the osteoporosis health belief scale. Sigma Theta Tau International Research Conference. Columbus: Ohio;1991.
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. Korean Home Econ Educ Assoc. 2009. 21:123–42.
Kim SH., Jun EY. Factors influencing behavior of reducing exposure to endocrine disrupting chemicals in breastfeeding mothers. Korean J Women Health Nurs. 2018. 24:426–34.
Kim SH., Lee JH. Test of a hypothetical model for health promoting behavior in school-aged children. Child Health Nurs Res. 2008. 14:22–34.
Kim SH., Park MJ. Endocrine disrupting chemicals and pubertal development. J Korean Endocr Soc. 2012. 27:20–7.
Koo SM., Kim HJ. Recognition, information acquisition behavior, knowledge and education need toward endocrine disruptors among university students. J Next-Gener Converg Technol Assoc. 2018. 2:66–71.
Lee HJ., Kim SM., Jeong YS., Kang HB., Son JH., Lee GW, et al. Human exposure assessment of phthalates in indoor dusts. Korean Soc Environ Health Toxicol. 2016. 6:78.
Lee KI., Eun Y. Effects of exercise program for women of old-old age in senior citizen halls based on Pender's health promotion model. J Muscle Joint Health. 2016. 23:71–83.
Meeker JD., Cantonwine DE., Rivera-González LO., Ferguson KK., Mukherjee B., Calafat AM, et al. Distribution, variability, and predictors of urinary concentrations of phenols and parabens among pregnant women in Puerto Rico. Environ Sci Technol. 2013. 47:3439–47.
Moon JS. A study of instrument development for health belief of Korean adults [dissertation]. Seoul (Korea): Yonsei University;1990. p. 1–113.
Pender NJ. Health promotion in nursing practice. 3nd ed.Stanford (CT): Appleton & Lange;1996.
Ro SO., Lee HY., Lee JE., Kim MY. Effects of auricular acupressure on menstrual pain, dysmenorrhea, and academic stress in women college students. Korean J Adult Nurs. 2013. 25:356–65.
Sherer M., Maddux J., Mercandate B., Pretice-Dunn S., Jacobs B. The self-efficacy scale: construction and validation. Psychol Rep. 1982. 51:663–71.
Smarr MM., Kannan K., Louis GMB. Endocrine disrupting chemicals and endometriosis. Fertil Steril. 2016. 106:959–66.
Song CY., Kim W., Gye MC. Current state of use and the risks of bisphenols: a minireview. Korean Soc Environ Biol. 2017. 35:581–94.
Um JY., Jun EY. Influencing factors of reducing exposure to endocrine disrupting chemicals in pregnant women. Korean Soc Nurs Sci. 2018. 18:218.
Vaiserman A. Early-life exposure to endocrine disrupting chemicals and later-life health outcomes: an epigenetic bridge? Aging Dis. 2014. 5:419.
Women Health Nursing Curriculum Research. Women's health nursing I. 9th ed.Pasu (Korea): Soomoonsa;2018. p. 292–298.
World Health Organization (WHO)-United Nations Environment Programme (UNEP). State of the science of endocrine disrupting chemicals [Internet]. Geneva (Switzerland): WHO Press;2012. [cited 2020 Jan 10]. Available from:. http://www.who.int/ceh/publications/endocrine/en/index.html.
Ye SH., Ha EH., Chung HW., Jeong KA., Sung YA., Lee HJ, et al. Awareness and demand of environmental health service in premenopausal women. The XIII International Congress of Toxicology. In conjunction with the 2nd International Conference on Environmental OMICS. Translational Toxicology: From Basic Science to Clinical and Environmental Outcomes; 2013 Jun 30-Jul 4; Seoul, Korea.Seoul (Korea): Korean Society of Toxicology;2013. p. 194.
Yoon SJ. Influence of type D personality, dietary assessment and increase exposure toward endocrine disrupting chemicals on the dysmenorrhea. J Korean Soc Maternal and Child Health. 2018. 22:17–24.
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