Research in Community and Public Health Nursing

Original Articles

[English] Current Status and Associated Factors of Emotional Distress Due to COVID-19 Among People with Physical Disabilities Living in the Community: Secondary Data Analysis using the 2020 National Survey of Disabled Persons: Bohye Kim, Ju Young Yoon; Res Community Public Health Nurs. 2024;35(1):37-50. Published online February 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00374

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Abstract PDF: Purpose
This study aimed to assess the current situation and factors associated with emotional distress due to COVID-19 among people with physical disabilities living in the community, using a Social-Ecological Model.
Methods
A secondary data analysis was performed using data from the 2020 National Survey of Disabled Persons. The study participants were 1,654 participants aged 19 years or older with physical disabilities. For data analysis, complex sample logistic regression was conducted to identify factors associated with emotional distress due to COVID-19 in people with physical disabilities.
Results
The results showed that 55.7% of people with physical disabilities living in the community experienced emotional distress due to COVID-19. This emotional distress was influenced by various factors, including intrapersonal factors (activities of daily living, difficulty in getting information about COVID-19, difficulty in obtaining and using equipment related to COVID-19), interpersonal factors (satisfaction with the number of friends), and community/policy factor (support related to COVID-19 from national and local governments).
Conclusion
It is recommended to develop tailored interventions to prevent mental health issues among people with physical disabilities by considering the factors related to their emotional distress in the event of future infectious disease disasters.

[English] A Comparison of the Prevalence of Cardiovascular Disease and Lifestyle Habits by Disability Status and Type of Disability in Korean Adults: A Propensity Score Matching Analysis: Oh Jong Choi, Seon Young Hwang; J Korean Acad Community Health Nurs. 2020;31(Suppl):534-548. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.534

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8 Citations

Purpose
This study was conducted to evaluate the prevalence and lifestyle habits of cardiovascular disease (CVD) according to the type of disability in Korean adults compared to adults without disability.
Methods
This study was secondary data analysis using the National Health check-up database from 2010 to 2013. Among the total 395,627 adults aged 30~80, the physically disabled (n=21,614) and the mentally disabled (n=1,448) who met the diagnosis criteria were extracted and compared with non-disabled (n=372,565) through 1:2 propensity score matching for nine characteristics.
Results
Prior to matching, the prevalence of CVD was 34.4% in individuals without disabilities, accounting for 53.8% in those with physical disabilities and 22.4% in those with mental disabilities, showing significant differences between groups (p<.001). After matching, compared to the individuals without disability, those with physically disabled had significantly higher prevalence of CVD and the average number of CVD (p<.001). The prevalence of hypertension, diabetes, and vascular disease was significantly higher in the physically disabled (p<.05). Drinking was significantly higher in the non-disabled than in the physically and mentally disabled, and smoking was more in the non-disabled than in the mentally disabled. Physical activity was found to be significantly less in both the physically and mentally disabled than in the non-disabled (p<.01).
Conclusion
It is necessary to confirm the differences in the prevalence of CVD risk factors and lifestyle according to the type of disability, suggesting the development and verification of health promotion programs including physical activity for CVD prevention in the disabled with CVD risk factors.

Citations

Citations to this article as recorded by

Associations between disability and tobacco use in 31 low-income and middle-income countries: a secondary analysis of cross-sectional data from Multiple Indicator Cluster Surveys
Zhengdong Zhong, Shengyue Qiu, Jiazhou Yu, Sara Rotenberg, Li Xiang, Hannah Kuper, Shanquan Chen
eClinicalMedicine.2026; 94: 103877. CrossRef
The impact of health literacy on health-related quality of life among individuals with physical disabilities: a path analysis based on the integrated model of health literacy
Bohye Kim, Ju Young Yoon
Quality of Life Research.2026;[Epub] CrossRef
Impact of acupuncture on mortality in patients with disabilities and newly diagnosed heart failure: a nationwide cohort study
Hyungsun Jun, Dasol Park, Jae-Uk Sul, Moon Joo Cheong, Haerim Kim, Inae Youn, Jungtae Leem
Frontiers in Medicine.2025;[Epub] CrossRef
A comparison of factors associated with unmet healthcare needs in people with disabilities before and after COVID-19: a nationally representative population-based study
Sujin Lee, Han Nah Park, Hye Jin Nam, Bohye Kim, Ju Young Yoon
BMC Health Services Research.2024;[Epub] CrossRef
Tobacco use among adults with disabilities in nine countries–Demographic and Health Survey, 2016–2021
Alissa C. Kress, Aastha Vashist, Qing C. Zhang, Adriana Dragicevic, Gibril J. Njie, Biplab Datta
PLOS Global Public Health.2024; 4(6): e0003232. CrossRef
The delivery of healthy lifestyle interventions for people with disability living in supported accommodation: a scoping review of intervention efficacy and consumer involvement
Kostas Hatzikiriakidis, Darshini Ayton, Amanda O'Connor, Sarah Carmody, Luke Patitsas, Helen Skouteris, Rachael Green
Disability and Health Journal.2023; 16(2): 101444. CrossRef
Comparison of Sleep Disturbance, Physical Activity, and Health-Related Quality of Life According to Depressive Symptoms in Patients with Metabolic Syndrome: A Secondary Analysis from the Korea National Health and Nutrition Examination Survey Using a Prope
Jungmi Yun, Yunji Lee
Healthcare.2023; 11(12): 1802. CrossRef
Association between Light Intensity Physical Activity and All-cause Mortality in Older Adults with Physical Disability
Inhwan Lee, Hyunsik Kang
Exercise Science.2022; 31(3): 337. CrossRef

[English] Effects of a Physical Activity Program on Physical Fitness of Intellectually Disabled Persons: Mi Seo Park, Mi Whoa Kim, Jin Hee Jeong, Nam Hyun Cha; J Korean Acad Community Health Nurs. 2017;28(1):88-97. Published online March 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.1.88

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Abstract PDF

PURPOSE
The purpose of this study is to identify the effects of a physical activity program on the physical fitness in persons with intellectual disabilities.
METHODS
The study design was an equivalent control group pre-post test. The treatment group received ths physical activity program five times per week for 20 weeks. Data were collected from the treatment group at two time points: Week 1 and Week 20 following the initiation of the treatment protocol. Data were collected from the control group at the ends of week 1 and Week 20. Data analysis was performed using the IBM SPSS v.21.0 software program.
RESULTS
The experimental group showed a significant reduction of physical fitness: basic of physical fitness (t=-2.07, p=.041), flexibility (t=2.25, p=.027), muscular strength (t=2.70, p=.009), agility (t=-3.35, p=.001), except for sense of balance (t=-0.91, p=.368), while control group showed no change in these variables.
CONCLUSION
The findings of this study suggest that the physical activity program has proved to be a stable and physically active intervention program for physical activity in intellectually disabled persons.

Citations

Citations to this article as recorded by

The Association Between Physical Activity and Health Care Risk Management in Individuals With Disabilities
Ilsu Park, Eunshil Yim, Minsook Lim, Jinhyung Lee
Asia Pacific Journal of Public Health.2024; 36(1): 59. CrossRef
Effects of Tai Chi therapy on body mass index and physical index of intellectual disability
Nam‐Hyun Cha, Ga‐Eul Jeon, Youngmi Cho, Sohyune R. Sok
Japan Journal of Nursing Science.2020;[Epub] CrossRef

[English] Functional Status and Related Factors of Disabled Persons Using WHODAS II: Eun Ok Park, Min Young Kim, Ji Yun Kim; J Korean Acad Community Health Nurs. 2007;18(4):651-661. Published online December 31, 2007

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Abstract PDF: PURPOSE
This study was performed to identify factors affecting the functional status in disabled persons in the Jeju Province.
METHOD
Data were collected from 318 disabled persons in the Jeju province during the period from the 6th of July to the 11th of October in 2006. The functional status was assessed by the disability assessment schedule II(Whodas II) of the World Health Organization and collected data were analyzed using the SAS 8.0 program.
RESULT
The mean score of WHODAS II was 29.9. According to the results of multiple regression, factors affecting the functional status were perceived health condition(t=3.44, p<.001), brain disorder disability(t=2.55, p<.001), treatment status(t=-1.95, p=.05), drinking(t=2.09, p=.04), stress(t=-2.72, p=.01), depression(t=-2.70, p=.01), heart disease(t=2.62, p=.01) and anemia(t=2.20, p=.03).
CONCLUSION
The functional status was affected by health behaviors, diseases, and the type of disability. Thus, future efforts to promote the functional status of disabled persons may need to take into account all these factors.

[English] A Study on the Needs of Health & Community Services Among the Disabled at Home in Rural Areas: Hyeon Ok Kim, Kyoung Hwa Joung; J Korean Acad Community Health Nurs. 2007;18(3):480-491. Published online September 30, 2007

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Abstract PDF: PURPOSE
This study was to investigate the needs of health & community services among the disabled at home in rural areas.
METHODS
The subjects were 146 persons with disabilities living in J-gun. The questionnaire was based on the needs of 8 categorical services. Data were analyzed using frequency, percentage, mean, standard deviation, minimum, maximum, t-test, one-way ANOVA and Scheffe test.
RESULTS
Among the respondents, 27.4% visited the public health center in community for rehabilitation therapy. The average score of need was 2.62+/-.79: education services (2.92+/-1.05); medical services (2.81+/-.82); nursing care services (2.75+/-1.08); connection services (2.62+/-1.20); housing services (2.60+/-1.09); emotional services (2.41+/-1.03); other services (2.24+/-1.06); and support of self-sustenance service (1.92+/-1.15). The items in highest need were medical checkup (70.7%), medication (62.1%), traditional oriental therapy (60.4%) and physical therapy (58.9%), and those of lowest need were device repair (8.7%) and guidance of facility admission (7.1%). Needs were significantly different according to age (F=4.751, p=.001), employment status (t=2.108, p=.037) and medical fee payer (F=5.061, p=.002).
CONCLUSION
The needs of education & medical services were relatively high. Demographic factors were statistically significant in determining needs. For the disabled at home in rural areas, more various services or programs should be executed based upon the needs and characteristics of based upon the needs and characteristics of the subjects.

[English] A Study on Activities of Daily Living and Perceived Health Status of Disabled Persons at Home in Rural Areas: Hyeon Ok Kim, Kyoung Hwa Joung; J Korean Acad Community Health Nurs. 2007;18(2):252-265. Published online June 30, 2007

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Abstract PDF: PURPOSE
This study was attempted to provide basic data required to develop community-base rehabilitation program for disabled persons at home by investigating their characteristics, ADL, and perceived health status.
METHOD
The subjects were 146 disabled persons at home in rural areas. Data were collected from January 22 to January 31, 2004. Data were analyzed using frequencies, percentages, means, standard deviations, minimums, maximums, chi2-test, Fisher's exact test, t-test, one-way ANOVA, Scheffe test, Contingency coefficient, Pearson's correlation, Stepwise multiple regression.
RESULTS
The average score of ADL was 5.51+/-1.92: sphincter control (5.85+/-2.10), communication (5.66+/-2.02), transfers (5.67+/-2.21), self care (5.44+/-2.05), social cognition (5.33+/-2.08), and locomotion (4.85+/-2.32). This means that the respondents were in the state of dependence. The main items requiring others' help were 'bathing' (57.7%) and 'going up and down stairs' (51.1%). ADL was significantly different according to age, gender, occupation, medical fee payer, type, severity and duration of disability, BMI, and alcohol drinking. Among the respondents, 82.8% perceived that their health status was bad. Main factors influencing the perceived health status of disability were age and ADL(R2=.343).
CONCLUSION
Perception of health status among the disabled is related to their characteristics and ADL, so it is necessary to develop community-base rehabilitation programs in order to improve ADL and the perception of health status.

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