Purpose This secondary data analysis study examined adults’ levels and networks of obesity-related health behaviors according to the life cycle stage.
Methods Participants included 5,203 adults aged 19–79 years who participated in the third year of the eighth Korea National Health and Nutrition Examination Survey (2021). Life cycle stages were divided into young, middle-aged, and older adult groups. Obesity status was classified based on a body mass index of 25 kg/m2. Selected obesity-related health behaviors included alcohol abstinence, not smoking, proper sleep, eating breakfast, fruit intake, vegetable intake, not eating out, aerobic physical activity, walking, and weight training. Obesity-related health behavior networks were analyzed for density, inclusiveness, degree, and degree/closeness/betweenness centrality using social network analysis.
Results Participants’ obesity rate was 37.6%, with the highest rate observed in the older adult group (39.2%). In all life cycle stages, the non-obese group had a higher density and average degree in the obesity-related health behavior network than the obese group. The young adult group showed higher centrality for vegetable intake, not smoking, alcohol abstinence, and proper sleep. The middle-aged group generally had higher centrality for health behaviors, whereas the older adult group had lower overall centrality for health behaviors, especially proper sleep and physical activity-related behaviors.
Conclusion There were differences in the levels and network structures of obesity-related health behaviors according to the life cycle stage, indicating a need for differentiated obesity-management strategies according to the life cycle stage.
Purpose This study aimed to identify the cross-national estimates of substance use, explore problematic substance use patterns among adolescents across countries and over time, and examine the relationship of individual characteristics on substance use patterns.
Methods This study employed a time-series secondary data analysis spanning from 2014 to 2021 across four countries (United States, Canada, England, and South Korea). We analyzed the usage of five substances (alcohol, binge drinking, cigarettes, electronic cigarettes, and illicit drugs) alongside demographic characteristics. A descriptive analysis was performed to identify estimates of substance use across countries. Latent class analysis was employed to examine adolescents’ substance use patterns across time and countries. A multinomial logistic regression model was fit to assess the relationship between latent class and demographic characteristics.
Results Adolescents in the United States and Canada had the highest substance use, while Korean adolescents had the lowest, particularly concerning drugs. Latent class analysis revealed two classes (light-user and heavy-user), with the addition of a third class (moderate-user) in some instances. The substance use patterns, while differing significantly among nations, exhibited consistency over time. During COVID-19, a decrease in heavy-substance users was observed across countries. Male or older participants were more likely to belong to the heavy-user class.
Conclusion This research offers valuable insights into the variations in substance use patterns between nations and over time. A tailored approach is essential to prevent adolescents from becoming heavy-substance users. This approach should consider country regulations and demographics for a targeted and comprehensive preventive strategy.
Purpose The purpose of this study was to identify the factors influencing dementia preventive behaviors of older adults at high risk of dementia based on extended health belief model.
Methods The subjects were 140 older adults at high risk of dementia living in H-gun, Gyeongsangnam-do, Republic of Korea. The data was collected from April 21 to May 28, 2021 by using structured questionnaires. The data was analyzed using t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient, and hierarchical multiple regression by SPSS/WIN 24.0 program.
Results The mean score of dementia preventive behaviors of older adults at high risk of dementia was 3.47±0.49 (range 1-5). The factors influencing dementia preventive behaviors were self-efficacy (β=.82, p<.001), cues to action(β=.17, p=.013), ages 75-79 (β=0.35, p=.003; reference: ages 65-69), ages ≥80 (β=0.27, p=.021; reference: ages 65-69), which together explained 82.0% of total variance in dementia preventive behaviors (F=25.21, p<.001).
Conclusion Based on the results of this study, it is highly recommended to develop and apply the dementia prevention program that can increase self-efficacy and cues to action for improving dementia preventive behavior of older adults at high risk of dementia.
Purpose The purpose of this study was to analyze and clarify the concept of ‘optimistic bias.’
Methods A review of the literature was conducted using several databases. The databases were searched using the following keywords: optimistic bias, optimism bias, and concept analysis. The literature on optimistic bias was reviewed using the framework of Walker and Avant’s conceptual analysis process.
Results Optimistic bias can be defined by the following attributes: 1) underestimation of personal risk, 2) vague confidence, 3) positive future prediction and 4) lack of risk recognition. The antecedents of optimistic bias are as follows: 1) risk perception, 2) self-efficacy, and 3) risk controllability. The consequences of optimistic bias are as follows: 1) reduced anxiety, 2) providing emotional stability, 3) negative consequences for preventive health behavior, 4) lack of attention to risk-related information, and 5) negative consequences for self-protection behavior.
Conclusion The definition and attributes of optimistic bias identified by this study can provide a common understanding of this concept and help to develop a nursing intervention program effective in preventing, protecting, and improving health of subjects in the field of nursing practice.
Purpose Migrant workers battle to access health services and adapt to a new culture. Self-care agency can be essential for health self-management. This study examines the effects of a health engagement program to improve self-care agency using a living lab approach among migrant workers living in South Korea.
Methods This study used a mixed-methods design, including a non-equivalent pre-post-test control group and three focus group interviews. Participants included 42 migrant workers from nine countries recruited via flyers, posters, and internet bulletins posted by a migrant community organization. During the 12 weeks, only the intervention group participants received four workshops addressing healthy physical activity, healthy dietary habits, effective cultural adaptation, stress management, and two outdoor cultural activities. They also participated in focus group interviews after the second, third, and fourth group activities and discussed the benefits of healthy behaviors and specific ways to implement them in real life.
Results Participants in the intervention group showed an increase in self-care agency, health literacy, and acculturation after the 12- week intervention. Themes were derived based on the lessons from living lab activities, barriers to health behavior practices, and methods to overcome these.
Conclusion This study demonstrated that multi-component intervention using a living lab effectively increased migrants’ participation in health promotion activities by strengthening health in their self-care agency. The qualitative and living lab approach effectively obtained comprehensive results on strategies to enhance healthy behavior engagement.
Purpose The purpose of this study is to analyze the factors that affect the performance of infection control of multidrug-resistant organisms (MDROs) by nurses in intensive care units (ICU) in general hospitals.
Methods Participants were 105 ICU nurses from 6 general hospitals. The questions for the survey performed were based on the theory of planned behavior, such as attitude towards infection control of MDROs, subjective norms, perceived behavioral control, intention, and performance.
Results In the relationship between subjective norms towards infection control of MDROs and performance, intention showed a significant complete mediating effect; and in the relationship between perceived behavioral control and performance, intention showed a partial mediating effect. The attitude towards infection control of MDROs was excluded from the mediating effect verification because there was no significant correlation between intention and performance.
Conclusion The results of this study suggest that department atmosphere and perceived behavior control promotion programs should be developed to enhance subjective norms in order to promote the performance of infection control of MDROs.
Citations
Citations to this article as recorded by
Causal Model of Factors Influencing Adherence to Standard Precautions Practices Among Chinese Emergency Nurses: A Cross-sectional Study Yanfang Huang, Wanchai Lertwatthanawilat, Pimpaporn Klunklin, Akeau Unahalekhaka Pacific Rim International Journal of Nursing Research.2024; 28(3): 525. CrossRef
Nurses in Iraq Show Alarmingly Low Infection Control Adherence Alyaa H. Ali Academia Open.2024;[Epub] CrossRef
Purpose The aim of this study was to investigate the educational status and needs of premature birth prevention, and to identify factors associated with preconception health behaviors.
Methods: The study design was a crosssectional descriptive study. Data were collected through an online questionnaire survey, and the subjects were 192 women of childbearing age in Korea. Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis test, Spearman's correlation coefficients, and multiple regression.
Results: The proportion of subjects who received education on premature birth prevention was 8.9%, and 75.5% of subjects answered that they needed education on premature birth prevention. They demanded education through online media, small groups, cases, cartoons (webtoon) with stories, pictures, and videos. A related factor of preconception health behavior was self-efficacy for high-risk pregnancy health care (β=.20, p=.012), which accounted for 8.2% of the total variance related to preconception health behavior.
Conclusion: There was a need for more development of education programs to prevent premature birth for women of childbearing age. Its education programs should be applied with online, small group activities using various educational media. It is also required to promote preconception health behavior through self-efficacy for high-risk pregnancy health care.
Citations
Citations to this article as recorded by
Factors associated with clinical nurses’ preconception health behavior in Korea: a cross-sectional survey Yoon-Jung Park, Sun-Hee Kim Women's Health Nursing.2024; 30(1): 79. CrossRef
Examining the Effectiveness of Interactive Webtoons for Premature Birth Prevention: Protocol for a Randomized Controlled Trial Sun-Hee Kim, Jennie C De Gagne JMIR Research Protocols.2024; 13: e58326. CrossRef
Purpose The purpose of this study was to examine the correlations among emotional perception clarity, emotion regulation, family relationship, non-suicidal self-injury, and depression, and to determine associated factors of non-suicidal self-injury and depression for senior elementary school students. Methods Data were collected from 150 early adolescences in K region, Korea. A self-report questionnaire consisted of Trait Meta-Mood Scale, Cognitive Emotion Regulation Questionnaire, Family Relationship Assessment Scale, Functional Assessment of Self-Mutilation, and Children's Depression Inventory. The data were analyzed using t-test, Pearson’s correlation coefficient, logistic regression, and multiple regression analysis. Results: Non-suicidal self-injury and depression were positively associated with maladaptive emotion regulation strategy and family conflict, but negatively related to emotional perception clarity and family support. Adaptive emotion regulation strategy and family togetherness were only significantly correlated with depression. In logistic regression analysis, significant predictors of non-suicidal self-injury were emotional perception clarity, maladaptive emotion regulation strategy, and family support. Multiple regression analysis found that significant factors of depression were adaptive and maladaptive emotion regulation strategies, which explained 38.0% of the variance. Conclusion Our study findings suggest that targeted intervention to reinforce the adaptive emotion regulation strategy and family relationship may prevent non-suicidal self-injury, and depression for senior elementary school students.
Citations
Citations to this article as recorded by
학교모래놀이 집단상담이 초기자해행동 초등학생의 애착에 미치는 효과:예비연구 Ester Park, Un-Kyoung Ahn School Counselling and Sandplay.2024; 6(2): 18. CrossRef
Purpose The purpose of this study is to determine the results of a meta-analysis of impulsivity variables related to self-destructive behavior of South Korean adolescents.
Methods A meta-analysis was carried out according to the Cochrane guidelines criteria and the quality of the studies was evaluated using the JBI checklist. 2,333 studies were collected through the databases of RISS, KISS, and DBpia on ‘impulsivity’ published from 2000 to 2020.
Self-destructive behavior-related variables were largely categorized into three areas (addiction, violence, and delinquency), and six subgroups.
Results Using the correlations with impulsivity in the final 53 papers, 231 self-destructive behavior-related variables were identified. The social delinquency showed the closest relationship with impulsivity (ES=0.34, 95% CI: 0.23~0.43, p<.001), followed by addictive behavior (ES=0.28, 95% CI: 0.24~0.32, p<.001), personal delinquency (ES=0.28, 95% CI: 0.23~0.32, p<.001), violence against others, violence against self, and substance addiction. These effects were identified as ranging from magnitudes of 0.23 to 0.27 based on the criteria of Cohen.
Conclusion To improve the reliability of the results of meta-analysis, more studies on the impulsivity of adolescents should be carried o
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.
Citations
Citations to this article as recorded by
Illness attitudes and the flourishing of university students of South Korea in a pandemic: a cross-sectional descriptive study Insil Jang, Yoonjung Kim, Hyeji Shin Psychology, Health & Medicine.2025; : 1. CrossRef
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
Purpose This study examined health determinants at a community level and put forward to a typology of five different forms of community health vulnerabilities. We also investigated the differences in the prevalence of chronic diseases, self-rated health, and quality of life (EQ-5D) among the five types. Methods Latent class analysis was applied to material, social capital, and health behavior vulnerability variables across 255 regions of South Korea. The data came from 2017 & 2019 Community Health Survey. Results We found five types of community health vulnerabilities: Type 1 group had the highest material vulnerabilities compared to Type 5. The typology was found to be significant in all the regression analysis on the prevalence of chronic diseases (hypertension and diabetes), self-rated health status, and quality of life. In the regions with high material vulnerabilities, the material vulnerability appeared the most effective to the health status of individual’s. In the other regions with less material vulnerabilities, the social capital and health behavior resources were found to be effective. Conclusion A comprehensive measure of vulnerability can be helpful to understand community health. Policy makers need to consider the level of material vulnerability when planning for a health promotion project.
Citations
Citations to this article as recorded by
The threaten of typhoons to the health of residents in inland areas: a study on the vulnerability of residents to death risk during typhoon “Lekima” Yiwen Ma, Xianhui Zhang, Yingjian Zhang, Jipei Du, Nan Chu, Jinli Wei, Liangliang Cui, Chengchao Zhou BMC Public Health.2024;[Epub] CrossRef
Trends and regional distribution in health-related quality of life across sex and employment status: a repeated population-based cross-sectional study Soon-Ki Ahn, Hyun-Ju Seo, Min-Jung Choi Journal of Occupational Health.2024;[Epub] CrossRef
Factors influencing the health satisfaction of users of public health and medical institutions in South Korea Kichan Yoon, Munjae Lee Frontiers in Public Health.2023;[Epub] CrossRef
Purpose The purpose of this study was to identify the effects of brain-wave biofeedback training nursing intervention (NFT) upon enhancing self-regulation response in adolescence with emotional behavior problems in school. Methods A quasi-experimental design was conducted. The participants were assigned to the experimental group (n=24) or the control group (n=24). The experimental group additionally received NFT. The NFT was conducted 10 sessions for 30 minutes per session with the band reward and inhibit training which matched their Quantitative Electroencephalography (QEEG), participant’s demand and chief complaint. Data were collected with QEEG and heart rate variability (HRV) in physiological response, self-efficacy in cognitive response, depression in emotional response, impulsivity and delay gratification in behavioral response of self-regulation. Results The general characteristics and the pre-test scores of two groups were all homogeneous. The experimental group was reported to be significantly higher in QEEG homeostasis, HRV homeostasis, self-efficacy, and delay gratification than the control group. The experimental group was reported to be significantly lower in depression and impulsivity. Conclusion The results indicate that NFT using brain cognitive neuroscience approach is effective in enhancing self-regulation response. Therefore, this nursing intervention using brain cognitive neuroscience approach can be applied as an effective self-regulation nursing intervention for adolescents with emotional behavior problems in communities for adaptive life.
Citations
Citations to this article as recorded by
The Effect of Biofeedback Training on Attention, Affect Balance, Academic Delay Behavior, and Problem-Solving Ability of Korean College Students Jungmin Lee, Youngkyoung Kim, Wanju Park Journal of Korean Public Health Nursing.2024; 38(2): 150. CrossRef
Effects of Brain Attention Biofeedback Self-regulation Training Nursing Intervention on Attention, Multidimensional Impulsivity, Emotional Response Intensity, and Self-regulated Learning Ability of School-aged Children in the COVID-19 Pandemic Situation Youngkyung Cho, Wanju Park Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(2): 111. CrossRef
Purpose This study was to determine how attitude, subjective norm, and perceived behavioral control (PBC) were related to parents' intentions to vaccinate their sons in elementary school against human papillomavirus (HPV), applying the updated theory of planned behavior. Two hypotheses were examined: PBC would moderate the relationship of attitude to intention and subjective norm to intention, respectively. Methods This was a cross-sectional study with 231 participants recruited in November, 2018. Inclusion criteria for the participants were parents with 5th-6th grade boys in elementary schools. The moderation effects of the hypotheses were analyzed using the PROCESS macro for SPSS. Results PBC significantly moderated the relationship of attitude to intention on HPV vaccination. The simple effect of attitude to intention was significant under three different levels of the PBC (low, moderate, and high), but the magnitudes of the relationships were not homogeneous. The magnitude of the relationship between attitude and intention was the lowest for the parents with the low level of the PBC. In the relationship of subjective norm to intention on HPV vaccination, the moderating effect of the PBC was not supported.
Subjective norm and PBC directly predicted the intention on HPV vaccination. Conclusion In order to promote the parents' intentions to vaccinate their sons in elementary school against HPV, we need a program that can improve parents’ attitude, subjective norm, and PBC, requiring special attention to the parents with the low PBC.
Citations
Citations to this article as recorded by
Impact of human papillomavirus vaccination knowledge, health beliefs, and self-efficacy on vaccination intention in adolescent sons in Korea: a descriptive survey study Jiyeon Bark, Haejin Kim, So Im Ryu Journal of Korean Biological Nursing Science.2025; 27(1): 49. CrossRef
Factors Influencing the Intention of COVID-19 Infection Preventive Behaviors Among Hemodialysis Patients in Korea: A Cross-sectional Study Su In Ham, Kyu Eun Lee Journal of Health Informatics and Statistics.2024; 49(2): 142. CrossRef
Factors Affecting Intention of Signing the Advance Directives in Middle Aged Adults in Korea Based on the Theory of Planned Behavior: A Cross-sectional Study Hyun Jeong Park, Kyu Eun Lee Journal of Health Informatics and Statistics.2024; 49(3): 279. CrossRef
Predictors of parental behavioral intentions for vaccinating their children against COVID-19 as determined by the modified theory of planned behavior Mi-Young Kwon, Nam-Yi Kim The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 292. CrossRef
An Integrative Review of the Influence on Human Papillomavirus Vaccination Adherence among Adolescents Hyewon Shin, Sunyeob Choi, Ju-Young Lee Healthcare.2023; 11(18): 2534. CrossRef
Purpose The purpose of this study was to develop a mobile health lifestyle program for university students and to verify its effectiveness. Methods The program was developed based on Jung’s teaching-learning system design model. The research used a non-equivalent control group pretest-posttest non-synchronized design. Data were collected from October 20 to December 5, 2018. To verify the effects of the program, the knowledge, self-efficacy, and intention to plan health lifestyle and health lifestyle behavior were measured. A two hour health lecture and a mobile health lifestyle program were delivered for 3 weeks to 23 students in the experimental group. 19 students in the control group received only a two hour health lecture. Results The experimental group showed significantly higher scores on knowledge (F=4.63, p=.038), intention to plan health lifestyle (F=14.44, p<.001), and health lifestyle behavior (F=46.80, p<.001). However, the score on self-efficacy was not significantly different (F=2.65, p=.112). Conclusion It was confirmed that the mobile health lifestyle program can be useful in increasing the level of knowledge, intention and behavior of health lifestyle among university students. Therefore, the mobile health lifestyle application can be used as a supporting resource to enhance the health promotion for university students.
Purpose The purpose of this qualitative study is to explore the adaptation process of correctional officers’ job stress. Methods Participants collected were fourteen officers who had experienced the adaptation process of job stress.
Data were collected through individual in-depth interviews until the point of theoretical saturation from May to August, 2017. Transcribed interview contents were analyzed using Corbin and Strauss’ grounded theory method. Results A total of 98 concepts, 27 subcategories, and 10 categories were identified through the open coding. As a result of axial coding based on the paradigm model, the job stress adaptation process centering phenomenon of correctional officers was revealed as ‘repeat-mark hardening’, and the core category was extracted as ‘endurance in hardening’ consisting of a three-step process: enduring, understanding prisoner management procedures, and rebuilding. The rebuilding was considered as the key phase to escape the repeat-mark hardening and the participants utilized various strategies such as finding fun elsewhere, restoring confidence, accepting values of the prison officer in this phase. Conclusion The results of this study suggest that the adaptation process of correctional officers’ job stress can be a process that endurance the hardening. Therefore, it is necessary to develop systematic practical education and vocational motivation programs.
Citations
Citations to this article as recorded by
Sailing the Stormy Tides of Police Stress: Exploring the Effects of Perceived Job Dangerousness and Work–Family Conflict on Occupational Stress among Korea Coast Guard Police Officers Riccardo Ferraresso, Chang-Bae Lee Asian Journal of Criminology.2025;[Epub] CrossRef
Factors influencing the happiness of male correctional officers: A cross-sectional study in South Korea Hyun-Ok Jung, Seung-Woo Han, Anis Eliyana PLOS ONE.2024; 19(8): e0308171. CrossRef
Psychological Experience of Correctional Officers’ Treatment of Mentally Ill Prisoners: Phenomenological Study Hyun-Ok Jung Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 450. CrossRef
The Effect of Knowledge, Attitudes, and Practices of Korean Correctional Officers about COVID-19 on Job Stress Hyun-Ok Jung, Seung-Woo Han International Journal of Environmental Research and Public Health.2021; 18(15): 7779. CrossRef