Research in Community and Public Health Nursing

Original Articles

[English] The Effects of Health-Promoting Behavior, Health Self-Efficacy, and Health Literacy on Aging Anxiety among Late Middle-Aged Adults: A Cross-Sectional Descriptive Study: Hye Su Jung, So Young Shin; Res Community Public Health Nurs. 2026;37(2):200-211. Published online June 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01599

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Abstract PDF: Purpose
This study aimed to investigate the levels and correlations of health-promoting behavior, health self-efficacy, health literacy, and aging anxiety, and the factors influencing aging anxiety in late middle-aged adults.
Methods
The subjects included 164 late middle-aged adults aged 50–64 years residing in B metropolitan city, South Korea. An online questionnaire was administered through a professional online research company from June 10th to 16th, 2025 to assess general characteristics, health-promoting behavior, health self-efficacy, health literacy, and aging anxiety. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Duncan tests, Pearson correlation coefficients, and multiple linear regression.
Results
A total of 164 subjects with a mean (±SD) age of 56.70 (±4.08) years were included in the final analyses. Aging anxiety had significant negative correlations with health-promoting behavior (r=-.38, p<.001), health self-efficacy (r=-.31, p<.001), and health literacy (r=-.17, p=.029). In the final multiple regression analysis, having one chronic disease (β=.24, p=.003), subjective health rated as ‘average’ (β=.28, p=.002) and ‘poor’ (β=.29, p=.010), and perceived economic status rated as ‘moderate’ (β=.33, p=.008) and ‘low’ (β=.34, p=.010) were associated with higher aging anxiety, whereas higher health-promoting behavior (β=-.23, p=.003) and health self-efficacy (β=-.21, p=.010) were associated with lower aging anxiety. The model explained 33% of the variance in aging anxiety (F=8.93, p<.001).
Conclusion
Enhancing health-promoting behavior and health self-efficacy and improving chronic disease management, subjective health, and economic stability of late middle-aged adults will ultimately reduce their aging anxiety and positively impact their psychological well-being and healthy aging.

[English] The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes: Ji Hye Jeong, Nam Hee Park, So Young Shin; J Korean Acad Community Health Nurs. 2014;25(3):217-224. Published online September 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.3.217

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PURPOSE
This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population.
METHODS
This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients.
RESULTS
In the regression model, diabetes knowledge (beta=.322, p<.001), exercise (beta=.337, p<.001), and experiences of diabetes education (beta=.241, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled.
CONCLUSION
To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.

Citations

Citations to this article as recorded by

Assessment of diabetes health literacy and its predictors among diabetic older adults attending geriatric clubs, 2024
Hany Hassan Ziady, Nadia Abd El-monem El-Zeiny, Ebtisam Mohamed Fetohy, Sarah Ali Hafez Hewi, Eman Mohamed Ahmed Hagras
Alexandria Journal of Medicine.2025; 61(1): 1. CrossRef
Diabetes self-care and its associated factors among type 2 diabetes mellitus with chronic kidney disease patients in the East Coast of Peninsular Malaysia
Siti Aisyah Ramli, Nani Draman, Juliawati Muhammad, Siti Suhaila Mohd Yusoff
PeerJ.2024; 12: e18303. CrossRef
The Relationship between Health Literacy of Elderly Diabetics and Adherence to Treatment, Babol, Iran, 2021
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Qom Univ Med Sci J.2021; 14(12): 70. CrossRef
The Role of Health Literacy in Diabetes Knowledge, Self-Care, and Glycemic Control: a Meta-analysis
Laura Marciano, Anne-Linda Camerini, Peter J. Schulz
Journal of General Internal Medicine.2019; 34(6): 1007. CrossRef
Evidence-based health literacy improvements: trends on health literacy studies in Korea
Soo Jin Kang, Mi Sook Lee
Korean Journal of Health Education and Promotion.2015; 32(4): 93. CrossRef

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