Research in Community and Public Health Nursing

Original Articles

[English] National Identity and Self-Rated Health Trajectories Among Multicultural Adolescents in Korea: A Piecewise Latent Growth Model: You-Jung Choi; Res Community Public Health Nurs. 2026;37(1):27-38. Published online March 31, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01312

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Abstract PDF: Purpose
This study examined whether changes in national identity are associated with contemporaneous changes in self-rated health (SRH) among multicultural adolescents in Korea, with particular attention to the transition from elementary to middle school.
Methods
This study utilized five time-point data (2019-2023) from the second panel of the Multicultural Adolescents Panel Study (MAPS) conducted by the National Youth Policy Institute (NYPI). Piecewise latent growth modeling was applied to estimate trajectories before and after the elementary-middle school transition and to test whether piecewise change in national identity predicted piecewise change in SRH, adjusting for gender, body mass index, parental nationality, self-rated economic condition, and stress.
Results
In unconditional models, national identity increased across the elementary-school years and decreased in middle school, whereas SRH declined throughout, with a steeper drop during middle school. In conditional models, national identity showed positive, period-specific associations with SRH: higher initial national identity was linked to higher initial SRH, a greater increase in national identity during elementary school corresponded to a minor decline in SRH during the same period, and less decline in national identity during middle school was associated with a smaller concurrent decline in SRH.
Conclusion
Among multicultural adolescents, national identity and SRH are intimately associated within developmental periods, and both are sensitive to school-level transitions. Continuous, school- and community-based support that fosters stable, positive national identity across the elementary-middle school transition may promote adolescents’ health.

[English] Social Determinants of Health of Multicultural Adolescents in South Korea: An Integrated Literature Review (2018~2020): You Lim Kim, Hyeon Kyeong Lee, Hye Yeon Lee, Mi Kyung Lee, Soo Kyung Kim, Diema Konlan Kennedy; J Korean Acad Community Health Nurs. 2021;32(4):430-444. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.430

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9 Citations

Purpose
This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea.
Methods
An integrative review was conducted according to Whittemore & Knafl’s guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program.
Results
The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified.
Conclusion
Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.

Citations

Citations to this article as recorded by

Education on the cheap and early child development: Evidence from the free compulsory education reform in rural China
Xinwu Zhang, Xiyuan Jia, Yue Ma
World Development.2026; 204: 107414. CrossRef
A Review of Parenting and Health Equity Among Multicultural Families
Soonyoung Shon
Journal of Korean Maternal and Child Health.2026; 30(2): 65. CrossRef
Association between parents’ country of birth and multicultural adolescents’ psychological well-being in South Korea: A study on depression, worries, life satisfaction, and social withdrawal
Abdullatif Ghafary, Jaeyong Shin, Sang Sook Beck, Jieun Jang, Rajaguru Vasuki, So Yoon Kim, Hanif Abdul Rahman
PLOS Mental Health.2025; 2(6): e0000356. CrossRef
Digital-based Living Lab intervention to promote healthy dietary behaviours in adolescents
Jisu Lee, Hyeonkyeong Lee, Hyeyeon Lee, Kennedy Diema Konlan, Sun Young Shim
European Journal of Public Health.2025; 35(5): 910. CrossRef
Sugar intake trajectories in adolescents: Evaluating behavioral change with group-based trajectory modeling
Jisu Lee, Hyeonkyeong Lee, Sun Young Shim, Chang Gi Park, Hyeyeon Lee, António Raposo,
PLOS One.2025; 20(9): e0333389. CrossRef
Navigating healthier beverage consumption in adolescents using the “R-Ma Bot” chatbot: A usability and evaluation study
Jisu Lee, Hyeonkyeong Lee, Hyeyeon Lee
DIGITAL HEALTH.2024;[Epub] CrossRef
A Study on the Factors Influencing Smoking in Multicultural Youths in Korea
Jin-Hee Park, Mi-Jin Kim, Hee-Joo Lee
Healthcare.2023; 11(10): 1437. CrossRef
Social determinants of health of racial and ethnic minority adolescents: An integrative literature review
Youlim Kim, Hyeonkyeong Lee, Hyeyeon Lee, Mikyung Lee, Sookyung Kim, Kennedy Diema Konlan
Heliyon.2023; 9(10): e20738. CrossRef
Factors Influencing Smoking among Multicultural Adolescents
Jin-Hee Park, Mi-Jin Kim, Sung-Eun Kim
International Journal of Environmental Research and Public Health.2022; 19(18): 11219. CrossRef

[English] A Comparative Study about Risk Factors Influencing Suicide Ideation between Korean and Multicultural Adolescents: Han Ju Lee; J Korean Acad Community Health Nurs. 2017;28(3):240-250. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.240

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4 Citations

Abstract PDF

PURPOSE
In South Korea, suicide mortality has rapidly increased, so it has become a major public health concern. Multicultural adolescents are regarded as a high-risk group due to their situation. In this study, we compared the prevalence and risk factors of suicide ideation between Korean and multicultural adolescents.
METHODS
Data from the eleventh Korean Youth Risk Behavior Web-based Survey (2015), collected by the Korean Centers for Disease Control and Prevention, were statistically analyzed using the descriptive statistics and multivariate logistic regression. The total participants were 63,376 in numbers. They were composed of 62,649 (98.9%) Korean and 727 (1.1%) multicultural adolescents.
RESULTS
I found that the prevalence of suicide ideation was significantly higher among the multicultural adolescents (15.8%) compared with those of Korean (11.3%). The risk factors of suicide ideation in the Korean group were co-residence without family, poor perceived health status, depressive mood, high stress level, poor perceived happiness level, and experience of violence. Conversely, the risk factors of the multicultural group were smoking, depressive mood, and experience of violence.
CONCLUSION
These findings suggest that appropriate and practical prevention strategies should focus on psychological and environmental factors in order to prevent suicide ideation and reduce suicide behavior in Korean and multicultural adolescents.

Citations

Citations to this article as recorded by

Research Trends Around Adolescent Suicide in South Korea (2005~2024): A Text-Mining Approach
Min Kyung Kim, Kyoung Won Cho
The Korean Journal of Health Service Management.2025; 19(2): 27. CrossRef
Factors influencing suicidal tendencies during COVID-19 pandemic in Korean multicultural adolescents: a cross-sectional study
Ju-Young Park, Insook Lee
BMC Psychology.2022;[Epub] CrossRef
Comparative Study of Mental Health States Among Adolescents in Multicultural Versus Monocultural Families, Using the 13th Korean Youth Risk Behavior Web-Based Survey, 2017
Hae Jeong Lee, Cheol Hong Kim, Intae Han, Sung Hoon Kim
Iranian Journal of Pediatrics.2019;[Epub] CrossRef
Health risk behaviors and psychological problems among South Korean, North Korean, and other multicultural family adolescents (2011–2016)
Subin Park, Minji Lee, Se Jin Park, Min Geu Lee
Psychiatry Research.2018; 268: 373. CrossRef

[English] The Relationship between Cultural Competency and the Importance of Nurses' Qualities Perceived by Undergraduate Nursing Students: Kyung Sook Choi, Woo Sook Lee, Yeon Suk Park, Myunghee Jun, So Young Lee, Yeon Woo Park, Soo Young Park, Thongpriwan Vipavee; J Korean Acad Community Health Nurs. 2016;27(2):163-172. Published online June 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.2.163

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3 Citations

Abstract PDF

PURPOSE
This study was conducted to investigate the relationship between cultural competency and the importance of nurses' qualities perceived by undergraduate nursing students.
METHODS
Researchers developed two tools for this study after reviewing the related literature and conducting research team workshops: questionnaire of cultural competency and the importance of nurses' qualities. 200 nursing students were recruited in convenient sampling to respond to these questionnaires. Of nurses' 10 qualities, major affecting factors on the cultural competency were identified by stepwise multiple regression analysis.
RESULTS
The nursing students perceived technical nursing skills and professional nursing knowledge as nurses' most important qualities. However, 'having a passion for patient care', 'demonstrating strong nursing profession's code of ethics??and 'teaching and research ability' were found as significant influencing factors on the variance of the cultural competency. These three factors explained 16% of the total variances of the cultural competency (F=13.98, p<.001).
CONCLUSION
The educational strategies to improve cultural nursing competency need to incorporate students' expectations for the professional nurses' roles. Also, further studies need to develop reliable and valid measurement tools for cultural competency

Citations

Citations to this article as recorded by

Development and Validation of the Clinical Nurses Grit Scale (CN-GRIT)
Hyosun Park, Kyungmi Lee, Nayeon Shin
Journal of Korean Academy of Nursing Administration.2020; 26(1): 55. CrossRef
The effects of empathy and self concept on problem solving: Focusing on the mediating effect of communication of nursing students
Young Hui Hwang, Sun Jung Park
The Journal of Korean Academic Society of Nursing Education.2020; 26(4): 348. CrossRef
Effects of Nursing Students' Empathy and Interpersonal Competence on Ideal Nurse Attributes
Jihyun Oh
Journal of Nursing Education.2019; 58(3): 130. CrossRef

[English] A Study on the Health Risk Behaviors of Adolescents from Multicultural Families according to the Parents' Migration Background: Jung Ok Yu, Myo Sung Kim; J Korean Acad Community Health Nurs. 2015;26(3):190-198. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.190

3,123 View
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9 Citations

Abstract PDF

PURPOSE
This study aimed to compare health risk behaviors among adolescents according to whether or not the parents were born in South Korea.
METHODS
From the database of the ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers classify adolescents into four groups: those whose parents were both native Korean, those whose mother only was a native Korean, those whose father only was a native Korean, and those whose parents were both foreign-born. Data were analyzed using chi2-test and multiple logistic regression with the SPSS/WIN 18.0 program.
RESULTS
The adolescents with a foreign-born mother were less likely to smoke and drink alcohol than those with native Korean parents, but for other health risk behaviors the two groups were similar to each other. The adolescents with a foreign-born father were at a greater risk of drug use, intercourse, depression and violence at school than those with native Korean parents. The adolescents whose parents were born abroad were at a greater risk of smoking, drug use, intercourse, depression, suicidal ideation and violence at school than those with native Korean parents.
CONCLUSION
Health promotion approaches differentiated by the type of multi-cultural family are needed in order to improve multi-cultural adolescents' health.

Citations

Citations to this article as recorded by

Factors Associated with Dental Care Utilization for Oral Disease Prevention Among Adolescents in Multicultural Families in Republic of Korea
Seon-Hui Kwak, Deuk-Sang Ma
Healthcare.2024; 12(21): 2141. CrossRef
Cigarette use and binge drinking among Korean adolescents: examining the moderating role of multicultural status
Jinyung Kim
Journal of Ethnicity in Substance Abuse.2023; 22(3): 626. CrossRef
Perceived marginalization and mental health of young adults with migration backgrounds in South Korea: exploring moderating and mediating mechanisms
Sojung Jang, Jiwon Ryu, Kyu Jin Yon, Paul Youngbin Kim, Min Sun Kim
Frontiers in Psychology.2023;[Epub] CrossRef
Oral symptom experiences in adolescents among multicultural families according to the parental nationality: The 16th Korean youth health behavior survey

Journal of Korean Society of Dental Hygiene.2023;[Epub] CrossRef
Social Determinants of Health and Well-Being of Adolescents in Multicultural Families in South Korea: Social-Cultural and Community Influence
Jungeun Shin, Hyeonkyeong Lee, Eun Kyoung Choi, Chungmo Nam, Sun-Mi Chae, Oksik Park
Frontiers in Public Health.2021;[Epub] CrossRef
Factors Associated With Using Contraception Among Sexually Active Adolescents in Monocultural and Multicultural Families
Eunji Kwon, Myungsuk Kang, Heejung Kim
The Journal of School Nursing.2021; 37(6): 460. CrossRef
<i>Damunwha</i> in South Korea: A Case Study of Divergences in Cognition and Behavior
Peter Frost
Advances in Anthropology.2021; 11(02): 153. CrossRef
Korean Adolescents' Health Behavior and Psychological Status according to Their Mother's Nationality
Yunjeong Yi, Ji-Soo Kim
Osong Public Health and Research Perspectives.2017; 8(6): 377. CrossRef
Adolescents in Multi-Ethnic Families under Korean Ethnic Nationalism
Hae-Wol Cho, Chaeshin Chu
Osong Public Health and Research Perspectives.2017; 8(6): 367. CrossRef

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