Research in Community and Public Health Nursing

Volume 22 (1); March 2011

Original Articles

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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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.

Citations

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Hanudin Amin
International Journal of Social Economics.2023; 50(8): 1139. CrossRef
Decrease in household secondhand smoking among Korean adolescents associated with smoke-free policies: grade-period-cohort and interrupted time series analyses
Hana Kim, Heewon Kang, Sung-il Cho
Epidemiology and Health.2023; 46: e2024009. CrossRef
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
Health Communication.2019; 34(4): 500. CrossRef
Assertive Behavior in Asking Smokers Not to Smoke among Patients with Vascular Diseases
Eun Kyung Kim, Young Ran Chae, Yun Hee Jung, Eun Ha Park
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
Young Sook Seo, Young Im Kim, Chang Hyun Lee
Journal of the Korean Society of School Health.2016; 29(2): 81. CrossRef
Effects of Attitude, Social Influence, and Self-Efficacy Model Factors on Regular Mammography Performance in Life-Transition Aged Women in Korea
Chang Hyun Lee, Young Im Kim
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
Myoung-Soo Kim, Yun-Hee Kim
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(11): 5187. CrossRef

The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses: Hee Kyoung Hyoung, Hyo Soon Jang; J Korean Acad Community Health Nurs. 2011;22(1):11-21. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.11

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Abstract PDF

PURPOSE
This study aims to compare health status and health behavior among the hypertension group, the DM group, and the hypertension-DM group for aged clients of customized home visiting health care services.
METHODS
This study was conducted as cross-sectional research. The subjects of this study were 2,235 aged people over 65 living in J City. Data were collected using structured questionnaires and measurements. The collected data were analyzed using the SPSS/WIN 12.0 program, and descriptive statistics, chi2 test, t-test and ANOVA were used for the analyses.
RESULTS
BP and glucose control showed a significant difference among the groups. BMI and waist circumference were significantly higher in the hypertension-DM group than in the other groups. Stroke, arthritis, and perceived health status were significantly different among the three groups. Depression was high, but not significantly different among the groups. Smoking and drinking were not significantly different among the groups. Physical activity was very low, especially in the hypertension group. Medication was high, especially in the hypertension-DM group.
CONCLUSION
It is necessary to consider care plans for the hypertension-DM group, and educate the group for care management. Also, depression and physical activity programs are needed for the aged.

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Sukja Ko, Young-Ho Jung, Jae Yong Lee
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Seong Ok Seo, Ae Young So
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Korean Journal of Health Education and Promotion.2014; 31(4): 93. CrossRef

The Predictors of Anger Expression of the Homeless in the Shelters: Rah Il Hwang, Ji Won Yoon; J Korean Acad Community Health Nurs. 2011;22(1):22-32. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.22

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Abstract PDF

PURPOSE
The purposes of this study were to examine the level of anger, anger expression, depression, psychosomatic symptom and perceived health status, and to identify the influencing factors of anger expression in shelter residents.
METHODS
This study employed a descriptive correlational design. Data were collected from 407 homeless people residing at 27 shelters using structured instruments.
RESULTS
The level of anger expression was different by age, educational level, existence of children, and duration of shelter residency. Anger expression was significantly correlated with depression, psychosomatic symptoms and perceived health status. The predictors of high-level anger expression was younger age, low educational level, duration of shelter residency in Model 1 (F=6.884, p<.001, Adj. R2=.065), and depression and psychosomatic symptoms in Model 2 (F=7.197, p<.001, Adj. R2=.113).
CONCLUSION
This study suggested that the homeless in the shelters had various psychological vulnerabilities, and therefore more individualized programs based on their needs and psychological health status should be provided for the homeless.

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Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men
Su In Park, Sunah Kim
Journal of Korean Academy of Nursing.2014; 44(4): 361. CrossRef

The Characteristics and Service Utilization of Home Nursing Care Beneficiaries Under the Korean Long Term Care Insurance: Jung Suk Lee, Eun Jeong Han, Im Ok Kang; J Korean Acad Community Health Nurs. 2011;22(1):33-44. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.33

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Abstract PDF

PURPOSE
This study examined the characteristics and service utilization of home nursing care beneficiaries under the Korean Long-Term Care Insurance (LTCI).
METHODS
We used assessment data and claim data of National Health Insurance Corporation from July to August 2008. Data were composed of subjects who were the beneficiaries of home nursing care.
RESULTS
A total of 634 subjects were analyzed. Of the subjects, 57.1% were 75 years and over. The average score of nursing care need was only 0.71 and the percentage of those whose nursing care need score was zero was 58.0%. More than half of the subjects had partially dependent musculoskeletal conditions, and 75.5% had two or more comorbidities. A third of them usedonly home nursing care, and another third used both home nursing care and general home care at the same time. Those who needed sore care used the largest home nursing care benefits.
CONCLUSION
Home nursing care of LTCI performs community-based healthcare services under LTCI. Throughout the past two years, however, it has not been active. Understanding the characteristics of its users is important in order to develop effective strategies for activating home nursing care.

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Soyoung Seo, Soong-nang Jang
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Soon Ok Kim, Sun Hee Bae
International Journal of Environmental Research and Public Health.2019; 17(1): 66. CrossRef
Powerlessness, Family Support and Health Promoting Behavior in Elders Using Home Service under Korean Long-term Care Insurance
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Chanyeong Kwak
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Mi Sook Song, Kyung Sook Lim
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Hosihn Ryu, Kumi Arita
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Do Hwa Byeon
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Importance and Performances of Visiting Nurse Services Provided under the Long Term Care Insurance System for the Elderly
Do Hwa Byeon, Hye Jin Hyun
Journal of Korean Academy of Community Health Nursing.2013; 24(3): 332. CrossRef
The Experiences of Family Caregivers under the Long-term Care Insurance
Eun-Young Kim, Ga Eon Lee, Sam-Sook Kim, Chun Yee Lee
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Trends in Home-visit Nursing Care by Agencies' Characteristics under the National Long-term Care Insurance System
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The Correlates of Influenza Vaccination among Korean Elderly Men and Women: Hee Sun Kang, Han Ju Lee, Mi Won Kim; J Korean Acad Community Health Nurs. 2011;22(1):45-55. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.45

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Abstract PDF

PURPOSE
This study aimed to investigate the rate of and factors associated with influenza vaccination in Korean elderly people.
METHODS
For this retrospective cross-sectional study, we used data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008. A total of 1,516 men and women aged 65 or above were included. The data were analyzed using descriptive statistics and logistic regression.
RESULTS
The overall rate of influenza vaccination in 2008 was 73.6%. The vaccination rate was lower in women (73.2%) than in men (74.2%; p<.001). It was lower in the elderly aged 80 and above, those living in metropolitan areas, smokers, those who did not receive regular health screening, those who had no history of hospitalization within one year, and those who had liver diseases than in the other groups. The rate of vaccination was higher in those with cancer. Logistic regression analysis revealed that for both men and women, the significant correlates associated with vaccination were demographic factors, chronic disease and health behavior.
CONCLUSION
The influenza vaccination coverage needs to be improved. Efforts should be made to reach the elderly population with relatively low influenza vaccination rates and to increase awareness about the importance of vaccination at a personal and community level.

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A Study on the Prevalence of Clonorchis Sinensis and the Effects of Educational Program among Residents in the Basin of the Youngsan River, Korea: Chun Mi Kim, Ae Young So, Kyung Ja June, Hee Young Jung; J Korean Acad Community Health Nurs. 2011;22(1):56-65. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.56

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7 Citations

Abstract PDF

PURPOSE
The goal of this study was to analyze the prevalence of Clonorchis sinensis infection in people living within 5 km of the Youngsan River basin, to develop an educational program to prevent the infection, and to examine the effects of the educational program.
METHODS
This study employed a one group pretest-posttest design, the subjects were 384. This study was conducted from November 20, 2008 to June 16, 2009. The results were analyzed with the SPSS/WIN 18.0 program.
RESULTS
Of the residents, 5.7% were infected with Clonorchis sinensis and the knowledge level about the prevention of Clonorchis sinensis was improved significantly from 9.75+/-5.12 points before the education to 15.05+/-2.43 points after the education. One of the important effects was that the willingness to eat raw fresh-water fish was reduced after the education.
CONCLUSION
Based on the results of this study, a continuous research needs to be conducted on how education and knowledge level-up change people's living attitudes for the prevention of Clonorchis sinensis infection and the reduction of the infection rate in the future.

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A new method for estimating the prevalence of clonorchiasis in Korea
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Suk Ok Lee, Eun Soon Sim, Sukhee Ahn
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Health Behaviors and Related Factors among Asian Immigrant Women in Korea by Ethnicity: Sook Ja Yang; J Korean Acad Community Health Nurs. 2011;22(1):66-74. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.66

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14 Citations

Abstract PDF

PURPOSE
This study aimed to assess the prevalence of smoking, alcohol consumption, physical activity and diet and to identify sociodemographic factors related with health behaviors among Asian immigrant women in Korea by ethnicity.
METHODS
A cross-sectional study using structured questionnaires was conducted in 396 immigrant women from China, Vietnam, and the Philippines to Korea through international marriage. The associations between health behaviors and sociodemographic characteristics were assessed using multivariate logistic regression analyses.
RESULTS
The prevalence of current smoking, alcohol consumption, physical inactivity, and abnormal diet were 4.2%, 7.6%, 49.3%, and 31.9%, respectively. The prevalence of current smoking (7.6%) and physical inactivity (56.7%) was highest in Chinese immigrant women. However, the prevalence of current smoking (2.7%) and alcohol consumption (3.8%) were lowest in Vietnamese immigrant women. Immigrant women who had been living in Korea for a long time since immigration (> or = 5 years) had a higher prevalence of alcohol consumption compared to those of who had been living in Korea for a short time since immigration (< 5 years) (OR=2.95, 95% CI=1.74-5.01).
CONCLUSION
Health promotion programs for immigrant women should be differentiated based on health behaviors and their related factors by ethnicity.

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Influencing Factors on Functional Health Literacy among the Rural Elderly: Ji Yeon Park, Kyung Ja June; J Korean Acad Community Health Nurs. 2011;22(1):75-85. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.75

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35 Citations

Abstract PDF

PURPOSE
The purpose of this study was to describe the status of the functional health literacy of the elderly living in a rural community and to identify the influencing factors on the functional health literacy.
METHODS
Subjects (n=238) aged over 60 years were selected for data collection. Functional health literacy was measured by Korean Health Literacy, which consisted of 15 items including eight numeracy and seven comprehension items. Descriptive statistics, t-test, ANOVA with Scheffe test, and stepwise multiple regression were used to analyze the data.
RESULTS
The mean score of total functional health literacy was 6.66+/-3.31, numeracy was 3.52+/-1.76, and comprehension was 3.41+/-2.10. Of the subjects, 39.1% showed a low score below the median split. In the results of stepwise multiple regression, the factors affecting functional health literacy were basic literacy, age, number of chronic diseases, self-reported health status, and gender. These factors accounted for 33.0% of functional health literacy.
CONCLUSION
These results suggest that interventions for improving functional health literacy are necessary to enhance elders' ability of self-care management. In addition, it is needed to take into account the individual characteristics of the subjects depending on their gender, age, and health status.

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Readiness for utilizing digital intervention: Patterns of internet use among older adults with diabetes
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Primary Care Diabetes.2020; 14(6): 692. CrossRef
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Patient Education and Counseling.2016; 99(11): 1880. CrossRef
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Evidence-based health literacy improvements: trends on health literacy studies in Korea
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Korean Journal of Health Education and Promotion.2015; 32(4): 93. CrossRef
Health Literacy, Diabetic Knowledge, and Diabetic Self-care among Foreign Diabetic Patients at a Hospital in South Korea
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Korean Journal of Adult Nursing.2015; 27(4): 397. CrossRef
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Impact of Health Literacy on Disease-related Knowledge and Adherence to Self-care in Patients with Hypertension
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