Research in Community and Public Health Nursing

Young Ran Han

10 Articles

Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey: Sun Joo Boo, Young Ran Han, Hye Young Choi; J Korean Acad Community Health Nurs. 2020;31(Suppl):549-562. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.549

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Abstract PDF: Purpose
This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults.
Methods
Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity.
Results
Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials.
Conclusion
Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.

The Relationship among Family Support, Self-efficacy, Health Literacy, Perceived Health Status and Health-promoting Behavior in Married Immigrant Women: Cho hee Kang, Young Ran Han; J Korean Acad Community Health Nurs. 2016;27(3):202-212. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.202

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6 Citations

PURPOSE
The purpose of this study is to examine the association of family support, self-efficacy, health literacy and perceived health status with health-promoting behavior (HPB) in married immigrant women.
METHODS
A cross-sectional based survey was conducted to collect data from married immigrant women living in Gyeongsang province. Questionnaires included Health promoting lifestyle profile II, General self-efficacy scale, Korean Health literacy assessment and perceived health status.
RESULTS
157 subjects participated in the study (mean age, 30.47Â±6.83). Their duration of living in Korea was 63.05Â±50.11 months. Of the participants, 59.2% were Vietnamese. The level of HPB, perceived health status, health literacy, support of family and self-efficacy were 2.58Â±0.42, 3.39Â±0.86, 25.12Â± 20.99, 3.83Â±0.70 and 3.61Â±0.53 respectively. Factors affecting the HPB of the participants were support from family (Î² =.45, p<.001) and self-efficacy (Î²=.16, p<.05). The explanatory power of these two variables was 34.2%.
CONCLUSION
This study suggests that the factors influencing the HPB of married immigrant women include support from family and self-efficacy. A variety of programs should be provided for families so that they can support those women to help them increase their HPB. It is recommended that more various programs be provided to increase their self-efficacy.

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Task Analysis of Managers in the Customized Visiting Health Services: Young Ran Han, Young Rye Park, Young Hee Kim, Hee Chung Choi, Mi Ja Chung; J Korean Acad Community Health Nurs. 2012;23(2):165-178. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.165

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5 Citations

Abstract PDF

PURPOSE
The aim of this study was to analyze the tasks of managers who were working in the Customized Visiting Health Services (CVHS) and to prioritize analyzed tasks according to performance frequency, perceived importance, and difficulty.
METHODS
Job analysis method by Hartley (1999) was used for task analysis and performance frequency, perceived importance, and difficulty were used for prioritize as criteria. A total of 85 managers in the CVHS of public health centers nationwide were recruited through e-mail and mail survey. Using SPSS/WIN 15.0, descriptive statistics, such as frequency distribution, means, median, and standard deviation, were conducted to examine each subject's general characteristics, the frequency, importance, and difficulty of the tasks as well as to prioritize the each task.
RESULTS
The job description of the managers revealed 12 duties, 35 tasks, and 104 task elements. Of the 85 managers, 84.8% were classified as nurses, 40.5% were home health care specialists, and 32.9% were social workers. Their coretasks were management of client cases, budget management, and management of work performance and quality assurance.
CONCLUSION
Considering the analyzed managers' tasks and core tasks, we need to examine each manager's role precisely and provide various educational programs for improving overall manager competence.

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Contract Employment Experiences of Visiting Nurses at Public Health Centers in the Metropolitan Area: Focused on Employment Type and Treatment
Hee-Gerl Kim, Soong-Nang Jang, Young Ran Chin, Jungyi Hur, Ryoun-Sook Lee
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 175. CrossRef
Job Analysis of Visiting Nurses in the Process of Change Using FGI and DACUM
Jieun Kim, Insook Lee, Jina Choo, Songwhi Noh, Hannah Park, Sohyeon Gweon, kyunghee Lee, Kyoungok Kim
Journal of Korean Academy of Community Health Nursing.2022; 33(1): 13. CrossRef
Predictors of Chewing Discomfort among Community-dwelling Elderly
Seol Hwa Moon, Gwi-Ryung Son Hong
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 302. CrossRef
Oral Health-Related Quality of Life of the Elderly under Visiting Health Care
Keun-Yoo Lee, Young-Sik Cho, Soon-Ryun Lim
Journal of dental hygiene science.2015; 15(3): 325. CrossRef
An analysis on performance of visiting health care services by general characteristics of visiting nurse in public health center
Jeong Sook Park, Yun Jung Oh
Journal of Digital Convergence.2014; 12(12): 381. CrossRef

Job Stress and Health Status of Circulation Enterprise Workers: Young Ran Han, Hyun Ju Park, Hee Sang Yoon; J Korean Acad Community Health Nurs. 2008;19(4):622-635. Published online December 31, 2008

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Abstract PDF: PURPOSE
The purpose of this study was to measure the level of job stress and health status and find out factors affecting the health status among circulation enterprise workers.
METHOD
This study was a cross-sectional descriptive study. The subjects were 128 workers whose mean age was 33.2 years. Korean occupational stress questionnaire Short Form was used to measure job stress. Todai Heath Index that was made by Aoki in 1977 and translated by Kim(1997) was used to measure the health status.
RESULTS
The total job stress scores of men and woman fell in the lower 50% of Korean workers. Job autonomy and interpersonal conflicts as a subcategories fell in upper level 50% in both men and women and job insecurity fell in the upper level 50% in women. The mean score of health status was 51.47, indicating slightly higher frequency of complains of health symptoms. There was no significant correlation between total job stress and total health status. Finally, factors influencing the health status were organizational system and age.
CONCLUSION
Based on the results of this study, it is necessary to develop comprehensive stress management programs including interventions of personal and organizational levels for promoting workers' health.

The Factors Influencing on Health Promotion Behavior in Low-Income Vulnerable Elementary Students: Hee Sang Yoon, Young Ran Han; J Korean Acad Community Health Nurs. 2008;19(2):167-176. Published online June 30, 2008

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Abstract PDF: PURPOSE
The goal of this study was to find out factors influencing the health promotion behavior of low-income vulnerable 4th, 5th and 6th-grade elementary school students. The specific goals were: first, to find out difference in health knowledge, self-esteem and health promotion behavior according to general characteristics; second, to investigate the correlations among health knowledge, self-esteem and health promotion; and, third, to analyze factors influencing health promotion behavior.
METHODS
The subjects of this study were 137 low-income vulnerable 4th, 5th and 6th-grade elementary school children who were participating after-school programs in Seoul.
RESULTS
Statistically significant differences were observed in health knowledge, self-esteem and health promotion behavior between girls and boys. In the sub categories, differences were observed in personal hygiene and health responsibility, stress management and personal relationship. The correlation of health promotion behavior with self-esteem and health knowledge was statistically significant. Regression analysis revealed that the influencing factor is self-esteem with the other variables under control.
CONCLUSION
Health promotion education requires low-income vulnerable elementary children to increase their self-esteem. We recommend that it should be one of the most effective ways to split boys and girls to educate them in disparate classrooms.

Subjective Health Status, Religiosity and Fear of Death of the Elderly in Rural Communities: Young Ran Han; J Korean Acad Community Health Nurs. 2007;18(3):400-409. Published online September 30, 2007

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Abstract PDF: PURPOSE
This study was performed to investigate the level of subjective health status, religiosity and the fear of death of the elderly and to identify the relationships among them.
METHODS
This study was a cross-sectional descriptive study using a questionnaire. Fear of Death Scale that was made by Loo & Shea (1996) and translated and revised by Kim(2003) was used to measure the fear of death. The data was analyzed using SPSS.
RESULTS
The subject was 128 community dwelling elders who had a religion. Of the respondents, 50% felt 'not healthy', and 69.5% was moderately religious. The mean score of FODS was 3.18 (out of 5). The mean score of each subcategory of FODS was as follows: Death anxiety about the death of self was 3.00. Death anxiety about the dying of self was 3.18. Death anxiety about the death of others was 3.31 and death anxiety about the dying of others was 3.23. There was a statistically significance correlation between the level of religiosity and FODS (F=3.29, p=.040).
CONCLUSION
Health professionals may make efforts to learn about healthy attitudes toward death and aid for the elderly and to comfort them. Death education programs are needed for the elderly.

Knowledge, Attitude and Practice of Home Visitors in Public Health Centers toward Wife Abuse: Young Ran Han; J Korean Acad Community Health Nurs. 2005;16(3):308-319. Published online September 30, 2005

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Abstract PDF: PURPOSE
This study investigated knowledge and attitude of home visitors in public health centers toward wife abuse and the actual status of how they were detecting wife abuse and providing interventions.
METHOD
Data were collected using questionnaires from October 2003 to December 2004. The subjects were 403 home visitors at Public Health Centers around Korea. The data were analyzed using SPSS program.
RESULTS
The correction rate of knowledge related to wife abuse was 51.9%. The mean score of attitude toward wife abuse was 3.09 (SD=.40) out of 4, showing that their attitude is right. There was a significant difference in attitude according to age (F=3.27, p=.008). One hundred twenty six visitors (31.3%) detected wife abuses and each visitor confirmed 2.3 cases on the average. Forty eight respondents (38.1%) answered that they had provided interventions.
CONCLUSION
This result implies that health visitors have difficulties in detecting wife abuse, and even for identified cases, the rate of providing interventions was low. It was because health visitors' educational experience in wife abuse is insufficient and they do not regard this work as their duty. These findings suggest the necessity for developing nursing in-service programs teaching health visitors their duties and knowledge related to wife abuse.

Sexual Life of Older Adults in Rural Community: Young Ran Han, Young Hee Kim; J Korean Acad Community Health Nurs. 2003;14(4):646-656. Published online December 31, 2003

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Abstract PDF: PURPOSE
The Purpose of this study was to investigate how elders in rural communities maintain their sexual life.
METHODS
Data were collected through in-depth interviews with 20 participants who were 65 years old or older, and either were married couples or were continuing the sexual relationship though widowed. Data were analyzed based on Strauss and Corbin's (1990) Grounded Theory Methodology.
RESULTS
The core category of experiences of the elderly's sexual life was identified with "changeable sexual life at husband's mercy". This process could be divided into 3 stages, which were the stage of recognition of sex difference and obstacle in sexual life, the stage of observation of partner's attitude and the stage of husband's lead in sexual life.
CONCLUSIONS
This study found that sexuality was an important aspect for the elderly although their sexual interests and activities declined along with aging. In addition, the husband's sexual and economic capabilities and sexual difference were very important factors in the elderly's sexual life. It is suggested to consider sexuality as a normal aspect of life for the elderly when nurses plan for their care.

A Survey of the Health Risk Behaviors of Middle School Students in Kyungju: Young Ran Han; J Korean Acad Community Health Nurs. 2001;12(2):468-481. Published online September 30, 2001

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Abstract PDF: The purpose of this study was to collect basic data to develop school health policy and health promotion program. This survey measured the levels of risk behaviors in six categories in a middle school students in Kyungju(n=490). The data was collected from November to December 2000. It was done using a 1999 version of the Youth Risk Behavior Survey of CDC, which was translated and make a partial modification. The major results were as follows. Many middle school students engaged in behaviors that will increase the likelihood of death or illness. 1) A high percentage of middle school students engaged in behaviors that contribute to unintentional injuries and school-related violence (42.1~78%) 2) Students who perceived their school life are happy experienced more depression(p=.000) and Students who perceived their school and family life are so-and-so seriously considered attempting suicide(p=.000) than other subgroup. 3) In spite of they were normal weight, 14.5% of students considered themselves overweight. 4) There was significantly difference or correlation between health risk behaviors and grade, parents educational level, perception of school life and performance, perception of family life and religion. Based on this results of study, it is necessary to develop school health program and school health policy to prevent health risk behaviors and improve health promotion especially considering characteristics of middle school students.

A Study on the Changing in Social Interest, Motivation and Attitude of Nursing College Students to Voluntary Activity after a Voluntary Program: Young Ran Han, Hong Ja Lee, Hye Joo Joo, Kyung Mee Cho, Yeun Ju Kim, Seoug Sook Hwang; J Korean Acad Community Health Nurs. 1999;10(1):204-226. Published online June 30, 1999

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Abstract PDF: This study attempted to compare the social interest, motivation, and attitude of nursing college students who participated in a voluntary program and the students who didn't participate in a voluntary program. The purpose of this study can be summarized as to find the effect of a voluntary program and to offer fundamental data for institutionalizing a voluntary program in college. The subjects were composed of two groups, one group attend the voluntary program and the other group doesn't. The subjects were 390 nursing students: 179 in the experimental group and 211 in the control group. The results of this study are as follows : 1. Before voluntary activities, the mean value of the control group was higher than that of the experimental group in social interest and altruistic motivation. The difference is statistically meaningful(t=-2.2.53, p=.25, t=-2.509, p=.013). 2. After voluntary activities, selfish motivation and altruistic motivation in the experimental group was higher than before. The difference is statistically meaningful(t=2.404, p=.0l7, t=-2.751, p=.007). 3. The social interest, selfish motivation, altruistic motivation toward voluntary activities and selfish attitude, altruistic attitude toward voluntary activities will not have changed in the control group before or after voluntary program. However, the altruistic attitude lowered after voluntary activity. It is statistically meaningful(t=2.694, p=.008). 4. After the voluntary activities, there was a significant difference between the experimental and control groups in altruistic attitude. In the experimental group, the mean value of altruistic attitude increased significantly, but in the control group the mean value of altruistic attitude decreased (t=2.15, p=.032). The results of this study showed that voluntary activities not only increase social interest and altruistic attitude, but also the subject's understanding toward the community.

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