Research in Community and Public Health Nursing

Jeong Hee Kang

5 Articles

The Relationship between 5-year Overall Survival Rate, Socioeconomic Status and SEER Stage for Four Target Cancers of the National Cancer Screening Program in Korea: Results from the Gwangju-Jeonnam Cancer Registry: Jeong Hee Kang, Chul-Woung Kim, Sun Seog Kweon; J Korean Acad Community Health Nurs. 2022;33(2):237-246. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.237

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Abstract PDF: Purpose
The aim of this study was to investigate the relationship between the 5-year survival rate, socioeconomic status, and SEER (Surveillance Epidemiology and End Results) stage of stomach, colorectal, breast and cervical cancer patients. Methods A total of 11,770 cases of four target cancers, which were diagnosed during 2005-2007, were extracted from the database of Gwangju-Jeonnam Regional Cancer Registry. The subjects of the study were 11,770 including stomach (n=5,479), colorectal (n=3,565), breast (n=1,516) and cervical cancers (n=710). Cox’s proportional hazards model was used to obtain the hazards ratio (HR) according to the SEER stage and socioeconomic status. Results Stomach cancer had a significantly higher HR in the medical aid recipients (HR=1.39), and the group below 20% (HR=1.20) compared to the group with the highest income level. Colorectal cancer had a significantly higher HR in the medical aid recipients (HR=1.26) than in the group with the highest income level. In addition, stomach, colorectal, breast and cervical cancers had a significantly higher HR according to the SEER stage in regional direct (stomach=4.10, colorectal=1.76, breast=12.90, cervical=3.10), regional lymph only(stomach=2.58, colorectal=2.33, breast=4.32, cervical= 4.43), regional both (stomach=6.74 colorectal=3.04, breast=15.57 cervical=6.50), and regional NOS (Not Otherwise Specified)/distant (stomach=17.53, colorectal=11.53, breast=25.34, cervical=26.51) than in situ and localized only. Conclusion In order to increase the cancer survival rate, a support system for early detection and early treatment of cancer should be established for groups with low individual income levels, and regular health checkups and management measures should be actively implemented through the National Cancer Screening Program.

Concept Analysis of Self-stigma in Patients with Tuberculosis: Seon Mi Yeom, Jeong Hee Kang, Young Ran Yang; J Korean Acad Community Health Nurs. 2021;32(3):312-324. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.312

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Abstract PDF: Purpose
Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis.
Methods
The analysis was conducted using Walker and Avant’s conceptual approach. Twenty-seven studies met the selection criteria.
Results
Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.

The Relationship between Unmet Healthcare Needs Due to Financial Reasons and the Experience of Catastrophic Health Expenditures: Jeong Hee Kang, Chul-Woung Kim; J Korean Acad Community Health Nurs. 2021;32(1):95-106. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.95

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Abstract PDF

Purpose
The purpose of this study is to investigate the association between unmet healthcare needs due to financial reasons and catastrophic health expenditures. Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression. Results: In 2015, 1.7% of people aged 20~64 years and 7.9% of those aged 65 or older experienced unmet healthcare needs due to financial reasons. In the 20~64 age group, people who repeatedly experienced catastrophic health expenditures (=10%,=20%) were less likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=0.50, OR=0.41). However, in the 65-or-older group, people who repeatedly experienced catastrophic health expenditures (=20%) were more likely to experience unmet healthcare needs due to financial reasons than those who did not experience catastrophic health expenditures for two years (OR=1.68). Conclusion: A greater percentage of the elderly repeatedly faced both catastrophic health expenditures and unmet healthcare needs due to financial reasons compared to the non-elderly.

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Satisfaction with local healthcare services and medical need among hypertensive patients: a nationwide study
Woorim Kim, Yeong Jun Ju, Soon Young Lee
BMC Public Health.2024;[Epub] CrossRef

Factors Affecting Smoking Cessation Success during 4-week Smoking Cessation Program for University Students: Sang Mee Koo, Jeong Hee Kang; J Korean Acad Community Health Nurs. 2017;28(2):165-172. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.165

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Abstract PDF

PURPOSE
Smoking cessation interventions are important because university students are vulnerable to smoking and good health practices during their university lives greatly affects their health status. The purpose of this study is to investigate the factors affecting smoking cessation success among the university students who participated in the 4-week smoking cessation program.
METHODS
This study was conducted with 101 university student smokers. To identify the factors affecting the success of smoking cessation, a logistic regression analysis was performed.
RESULTS
In Model 1, without the smoking cessation aids variable, when the frequency of face-to-face counseling was greater, the success rate of smoking cessation was 1.70 times higher. In Model 2, including the smoking cessation aids variable, when the nicotine dependence score was higher, the success rate of smoking cessation was 0.72 times lower, and when the number of smoking cessation aids used was greater, the success rate of smoking cessation was 1.40 times higher.
CONCLUSION
Smoking cessation aids are essential to increase the success of short-term smoking cessation, and face-to-face counseling and telephone counseling should be provided continuously to maintain long-term smoking cessation.

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Initial impacts of the COVID-19 pandemic on tobacco use among college students in California
Bhagvat J. Maheta, Afroze Khan, Samantha Skinner, Melanie S. Dove
Journal of American College Health.2023; : 1. CrossRef
Factors related to failure of quitting smoking among Korean woman using national smoking cession service
Dahyeon Lee, Kang-Sook Lee, Ahnna Lee, Hyeju Ahn, Hyun Kyung Lee, Hyekyeong Kim, Jakyoung Lee, Hong Gwan Seo
Korean Journal of Health Education and Promotion.2022; 39(2): 65. CrossRef
Intention to quit electronic cigarette smoking among university students who are e-cigarette users
Jina Choo, Songwhi Noh, Jihyun Moon, Jinah Park, Yoonjoo Jeoung, Wonji Song
Journal of American College Health.2022; : 1. CrossRef
Factors associated with smoking cessation success at four weeks by the disabled
Jong Ju Park, Seung Eun Lee, Hyo-Bin Im, Chul-Woung Kim
Korean Journal of Health Education and Promotion.2020; 37(5): 1. CrossRef
Towards a Smoke-Free Society
Hae-Wol Cho
Osong Public Health and Research Perspectives.2018; 9(5): 215. CrossRef
Factors Affecting Smoking Cessation Success of Heavy Smokers Registered in the Intensive Care Smoking Cessation Camp (Data from the National Tobacco Control Center)
Hansol Yeom, Hee-Sook Lim, Jihyun Min, Seoni Lee, Yoon-Hyung Park
Osong Public Health and Research Perspectives.2018; 9(5): 240. CrossRef

Physical Activity and Hypertension of the Elderly in Rural Areas: Young Hee Lee, Sung Hee Ko, Jeong Hee Kang; J Korean Acad Community Health Nurs. 2006;17(4):472-481. Published online December 31, 2006

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