Research in Community and Public Health Nursing

Jin A Choo

6 Articles

Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM: Ji Eun Kim, In Sook Lee, Jin A Choo, Song Whi Noh, Han Na Park, So Hyeon Gweon, Kyung Hee Lee, Kyoung Ok Kim; J Korean Acad Community Health Nurs. 2022;33(1):13-31. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.13

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Purpose
This study conducted a job analysis of visiting nurses in the process of change.
Methods
Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM.
Results
Visiting nurses’ job was derived as the theme of present versus transitional roles. The present role was categorized as ‘providing individual- and group-focused services’ and ‘conducting organization management’, while the transitional role was categorized as ‘providing district-focused services’ and ‘responding to new health issues’. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks.
Conclusion
The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

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Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef

The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress: Soo Yeon Park, Su Ah Cho, Eugene Lee, Sung Chul Choi, Jin A Choo; J Korean Acad Community Health Nurs. 2021;32(3):404-414. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.404

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Abstract PDF

Purpose
Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students.
Methods
This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses.
Results
Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06.
Conclusions
The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

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Factors Associated with Prevention of Metabolic Syndrome Among Middle-Aged Postmenopausal Korean Women: A Study Based on the Information, Motivation, Behavioral Skills (IMB) Model
Yoonjung Kim, Sooyeon Park
Patient Preference and Adherence.2023; Volume 17: 2279. CrossRef
Causal model of health literacy in dietary supplement use and sufficient health behavior among working-age adults
Ungsinun Intarakamhang, Pitchada Prasittichok
Heliyon.2022; 8(11): e11535. CrossRef

Ecological Factors and Strategies for Childhood Obesity Prevention Targeting Vulnerable Children: Using Community-Based Participatory Research: Soo Yeon Park, Jin A Choo; J Korean Acad Community Health Nurs. 2020;31(3):256-268. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.256

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Abstract PDF

Purpose
This study aimed to explore ecological factors and strategies for childhood obesity prevention targeting vulnerable children using a community-based participatory research (CBPR) methodology.
Methods
The CBPR was conducted by following basic process steps. Participants were 12 community stakeholders such as community child center directors (n=4), vulnerable children’s mothers (n=3), community health center officials (n=2), and lay health advisors (n=4); they were purposively sampled from K municipal county in Seoul, South Korea. The qualitative content analysis was performed to explore main themes of the ecological factors and strategies by using data obtained from 5 times of focus group interview.
Results
Twelve ecological factors associated with childhood obesity prevention were identified: Intrapersonal factors including emotional overeating; interpersonal factors including permissive parenting style of children’s eating behaviors; organizational factors including social workers’ less educational opportunities; and community/policy factors including less government financial support. Four ecological strategies for childhood obesity prevention were addressed: Developing obesity prevention programs targeting vulnerable children’ lifestyles; promoting parents’ active participation in education; building healthy meal service environments through empowering social workers; and building supportive community environment and securing community resources for child obesity prevention.
Conclusion
Our findings may be informative in terms of providing a comprehensive understanding of multi-level ecological barriers against vulnerable children’ obesity prevention and, moreover, guiding multi-level strategies for preventing childhood obesity targeting children enrolled in community child centers.

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Identification of important features in overweight and obesity among Korean adolescents using machine learning
Serim Lee, JongSerl Chun
Children and Youth Services Review.2024; : 107644. CrossRef
Social Ecological Factors for Adolescent Obesity: Using the 2021 Korea Youth Risk Behavior Survey Data
Kyong Sil Park
Journal of Health Informatics and Statistics.2023; 48(3): 233. CrossRef
What Are the Challenges of School Nurses in South Korea in Managing Obese Children From Low-Income Households?
Jeonghyun Cho, Jiyoung Park, Chongwon Park, Jinah Lee, Jina Oh, Gahui Hwang
The Journal of School Nursing.2023; 39(6): 506. CrossRef
Exploratory study on obesity among middle-aged women in rural areas based on the Socio-ecological Model
Heui Sug Jo, Jong Sun Lee, Su Mi Jung, Yuliya Dronina, Yu Kyung Park, Yang Jun Park
Korean Journal of Health Education and Promotion.2021; 38(5): 1. CrossRef

Health Behaviors and Health-related Quality of Life among Vulnerable Children in a Community: Su Yeon Kim, Jin A Choo; J Korean Acad Community Health Nurs. 2015;26(3):292-302. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.292

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8 Citations

Abstract PDF

PURPOSE
The purpose of this study was to examine the association between health behaviors and health-related quality of life (HRQOL) among vulnerable children in a community.
METHODS
Using data from 'The Obesity Prevention Framework for Vulnerable Children', a secondary analysis was conducted for 165 children (ages 8~12 years) and their parents who were recruited from 16 K-gu Community Child Centers in Seoul. Six types of health behaviors related to eating and activity were assessed. Each behavior was categorized into the non-recommended vs. recommended levels. The scores of the recommended levels of the six health behaviors were summed up for the composite score of health behaviors. HRQOL was measured by KIDSCREEN-52.
RESULTS
The groups with a non-recommended level of fast food intake and sedentary behavior had a significantly lower total score of KIDSCREEN-52 than those with a recommended level. Moreover, the lower composite score of health behaviors was significantly associated with the lower total score of KIDSCREEN-52.
CONCLUSION
Among the vulnerable children, the six recommended health behaviors and their composite score were in significant positive associations with the HRQOL levels. Therefore, nursing strategies for enhancing the recommended levels of health behaviors are needed for vulnerable children.

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Effects of Multidisciplinary Health Promotion Program Among Children in Community Childcare Center
Yerin Kim, Gyeong Seob Shin, Jungwon Park, Minji Kang, Kumhee Son, Yoon Myung Kim, Kyung Hee Park, Hyunjung Lim
Clinical Nutrition Research.2024; 13(1): 8. CrossRef
Diet-Related Disparities and Childcare Food Environments for Vulnerable Children in South Korea: A Mixed-Methods Study
Jiyoung Park, Seolhyang Baek, Gahui Hwang, Chongwon Park, Sein Hwang
Nutrients.2023; 15(8): 1940. CrossRef
Development of Forest-based Health Promotion Program forVulnerable School Children
Kyung-Sook Bang, Sungjae Kim, Min Kyung Song, KyungIm Kang, Yeseul Jeong
Perspectives in Nursing Science.2020; 17(1): 1. CrossRef
Factors Affecting Health Behaviors in Late School-aged Children from Multicultural Families
Sangmi Lee
Child Health Nursing Research.2020; 26(1): 23. CrossRef
A Systematic Review of Interventions with Low-Income School-Age Children and Adolescents
Ji-hye Hwang, HyunJee Choi, Hyo Jin Jeong, Chorong Kim, YunJung Woo
Perspectives in Nursing Science.2018; 15(2): 92. CrossRef
The Differences in Obesity Rates According to Status of Co-Residence with Their Parents in Korean Adolescents: The Implication of the Gender of Single Parent Living with Adolescents
Nahee Kim, Young Gyu Cho, Jae-Heon Kang, Hyun Ah Park, Kyoungwoo Kim, Yang-Im Hur, Duho Kwon
Korean Journal of Health Promotion.2018; 18(4): 177. CrossRef
Ecological factors associated with behavioral problems in vulnerable children
Jina Choo, Hye‐Jin Kim, Melanie T. Turk, Eun‐Kyung Kim, Kyung‐Sook Yang
Japan Journal of Nursing Science.2017; 14(3): 205. CrossRef
Ecological predictors of health-related quality of life (HRQoL) among children from low-income families in South Korea
Jiyoung Park, Suyon Baek
Children and Youth Services Review.2017; 81: 238. CrossRef

Associations between Job Stress and Work-related Musculoskeletal Symptoms in Street Sanitation Workers: Hye Jin Kim, Kyung Ja June, Gyeyoung Shin, Jin A Choo; J Korean Acad Community Health Nurs. 2013;24(3):314-322. Published online September 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.3.314

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6 Citations

Abstract PDF

PURPOSE
The purpose of the study was to examine associations between job stress and work-related musculoskeletal symptoms (WRMS) in street sanitation workers.
METHODS
A cross-sectional correlational study was conducted with 87 male street sanitation workers at E Gu in Seoul. The Job stress and WRMS were measured by using the Korean Occupational Stress Scale-Short Form and the KOSHA GUIDE H-9-2012 instrument, respectively. The WRMS was evaluated according to the National Institute of Occupational Safety and Health criteria.
RESULTS
The participants reported greater levels of insufficient job control and interpersonal conflict than the general Korean population. Of the participants, 44.8% reported WRMS at any body parts. Specifically, 28.7% reported WRMS at upper parts, while 16.5% reported WRMS at lower parts. Compared to low levels of job demand, its high levels were significantly associated with WRMS at both upper and lower parts of the body (OR=3.62, 95% CI=1.15~11.38; OR=3.60, 95% CI=1.04~12.39). Compared to low levels of occupational climate, its high levels were significantly associated with WRMS at upper parts of the body (OR=3.18, 95% CI=1.22~8.26).
CONCLUSION
Among street sanitation workers, job stress may be a correlate of WRMS. Therefore, nursing strategies for reducing job stress are needed to prevent and manage WRMS.

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Individual, physical, and organizational risk factors for musculoskeletal disorders among municipality solid waste collectors in Shiraz, Iran
Mansour ZIAEI, Alireza CHOOBINEH, Mohammad ABDOLI-ERAMAKI, Haleh GHAEM
Industrial Health.2018; 56(4): 308. CrossRef
The Effect of High-Frequency Repetitive Transcranial Magnetic Stimulation on Occupational Stress among Health Care Workers: A Pilot Study
Young In Kim, Sun Mi Kim, Hyungjin Kim, Doug Hyun Han
Psychiatry Investigation.2016; 13(6): 622. CrossRef
Prevalence and Characteristics of Musculoskeletal Pain in Korean Farmers
David Min, Sora Baek, Hee-won Park, Sang-Ah Lee, Jiyoung Moon, Jae E. Yang, Ki Sung Kim, Jee Yong Kim, Eun Kyoung Kang
Annals of Rehabilitation Medicine.2016; 40(1): 1. CrossRef
Associations between Job Stress and Musculoskeletal Symptoms in Child Care Teachers
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Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 301. CrossRef
Factors Associated with Job-related Injuries among Cleaners in Hospitals
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Korean Journal of Occupational Health Nursing.2015; 24(3): 214. CrossRef
Job Stress and Musculoskeletal Disorder in Seoul City's School Foodservice Employees
Saerom Lee, KyooSang Kim, Eun-A Kim, Jihye Kim, Dohyung Kim
Korean Journal of Occupational Health Nursing.2014; 23(4): 245. CrossRef

Application of the ASE Model to the Assertive Behavior of Non-smoking College Students Under Secondhand Smoke Exposure: Jin A Choo, Eun Kyung Kim; J Korean Acad Community Health Nurs. 2011;22(1):1-10. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.1

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12 Citations

Abstract PDF

PURPOSE
The present study was to apply the Attitudes-Social influence-Efficacy (ASE) model in order to identify factors associated with the assertive behavior of non-smoking college students when they are exposed to secondhand smokes in Korea.
METHODS
Data were collected from non-smoking college students (N=1,656, 76.6% female) at two universities in Seoul and Gyeonggi-do. The main outcome measure was the assertive behavior. ASE factors such as attitudes toward being assertive, social influences, and self-efficacy as well as socio-demographic, health- related, and smoking-related factors were self-administrated.
RESULTS
The mean of the assertive behavior (range 1~5 points) was 2.23; 37.6% was not at all assertive, while 4.3% was always assertive. Higher assertiveness was significantly correlated with a higher level of positive attitude, social influence and self-efficacy (p<.05 for all). Stepwise multiple regression analyses showed that the social influence was the strongest factor associated with the assertive behavior (beta=0.430, p<.001, R2=.246), followed by self-efficacy, motive to assertiveness, having any family member who had diseases, and male gender. These factors explained the assertive behavior by 39.7%.
CONCLUSION
The ASE model may explain the assertive behavior of non-smoking college students under secondhand smoke exposure. Social influence and self-efficacy were significant factors associated with their assertive behavior.

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Decrease in household secondhand smoking among South Korean adolescents associated with smoke-free policies: grade-period-cohort and interrupted time series analyses
Hana Kim, Heewon Kang, Sung-il Cho
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Effects of an Experiential Learning Activities-Focused Smoking Prevention Program in Elementary School Students: On the Basis of the Attitude-Social Influence-Efficacy Model
Jin Hee Na, Jina Choo
Korean Journal of Health Promotion.2019; 19(2): 96. CrossRef
Speaking up about Lighting up in Public: Examining Psychosocial Correlates of Smoking and Vaping Assertive Communication Intentions among U.S. Adults
Cabral A. Bigman, Susan Mello, Ashley Sanders-Jackson, Andy S.L. Tan
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Journal of Korean Biological Nursing Science.2016; 18(1): 27. CrossRef
Attitude, Knowlege, and Social Influence as Factors of Smoking Intention among Nonsmoking Middle School Students
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Effects of Attitude, Social Influence, and Self-Efficacy Model Factors on Regular Mammography Performance in Life-Transition Aged Women in Korea
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Asian Pacific Journal of Cancer Prevention.2015; 16(8): 3429. CrossRef
Gender Differences in Factors Associated with Secondhand Smoke Exposure among Cancer Patients
Eun-Kyung Kim, Jina Choo, Eun-Sook Choi
Korean Journal of Health Promotion.2015; 15(4): 225. CrossRef
Effectiveness of a Secondhand Smoking Prevention Program on Adolescents
Min Ah Park, Mi Ye Kim, Young Sun Ha
Journal of Korean Academy of Community Health Nursing.2014; 25(1): 44. CrossRef
Predictors of Mammography Performance in Job Women
Young Im Kim, Chang Hyun Lee
Korean Journal of Occupational Health Nursing.2013; 22(4): 343. CrossRef
Factors affecting Smoking Middle School Students' Intention to Quit Smoking: On the Basis of the ASE Model
Young Sook Seo, Young Im Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 471. CrossRef
A Study on the Assertive Behavior Among Non-smoking College Students Under Secondhand Smoke Exposure
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Journal of the Korea Academia-Industrial cooperation Society.2012; 13(11): 5187. CrossRef

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