Research in Community and Public Health Nursing

Original Articles

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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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

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
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

Health-promoting Lifestyle of Nursing Students: Using Mixed Methods Research: Hyun Ju Lee; J Korean Acad Community Health Nurs. 2019;30(4):414-425. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.414

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PURPOSE
The purpose of this study was to examine the effects of psychosocial wellbeing status and self efficacy on health-promoting behavior of nursing students, and to explore the experiences related to health-promoting behavior.
METHODS
For this study, an explanatory sequential mixed method design approach was used with survey data collected from 148 nursing students. In addition, qualitative data for exploration of health-promoting behavior experience were collected from three focus-group interviews of 17 participants. Quantitative data were analyzed with SPSS/WIN 25.0 and qualitative data were analyzed by making contents analysis with Nvivo 12.0.
RESULTS
The results showed that psychosocial wellbeing status, self efficacy, grade, and regularity meal explained 43.0% of the variance in health-promoting behavior. And seven themes from the collected significant statements about experience of health-promoting behavior included the daily life going on without delay; changes in body which is felt; recognizing the necessity of health care; making efforts to increase physical activities; revising eating habit; looking for the way to relieve stress; and attempting to divert my thoughts.
CONCLUSION
Based on the results of this study, it is necessary to develop and verify health program in order to improve nursing students' health-promoting behavior. And university authorities and government should make an effort to improve nursing students' health-promoting behavior.

Citations

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Health promoting lifestyle behaviors and associated predictors among clinical nurses in China: a cross-sectional study
Wen Zeng, Shaomei Shang, Qian Fang, Shan He, Juan Li, Yuanrong Yao
BMC Nursing.2021;[Epub] CrossRef

Knowledge on Cardiovascular Prevention and Nicotine Dependency among Smoking Male College Students: Seon Young Hwang, Kyong Ok Park; J Korean Acad Community Health Nurs. 2014;25(2):75-84. Published online June 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.2.75

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PURPOSE
This study aimed to identify the level of knowledge on preventing cardiovascular disease (CVD) and nicotine dependency among smoking male college students, and to examine the predicting factors of nicotine dependency.
METHODS
This study was conducted as cross-sectional descriptive research using structured questionnaires. Data were collected from 411 smoking male college students (22.5+/-2.59 yr) at two universities located in two cities in Korea from September 2012 to April 2013. Logistic regression analysis was performed to estimate age-adjusted odds ratios of nicotine dependency.
RESULTS
The mean value of nicotine dependency was 4.2+/-1.96 and the percentage of participants who had strong nicotine dependency (> or =7) was 10.7%. Logistic regression analysis showed that, when adjustment was made for age, nicotine dependency was predicted by the frequency of alcohol drinking (> or =3 times/week), knowledge on CVD prevention, the age starting drinking, and the total length of smoking.
CONCLUSION
Nicotine dependency was strongly related to the frequency of drinking alcohol and lower knowledge on CVD prevention. Therefore, male college students who have a dependent smoking habit and drink alcohol frequently need to take more interest in health through educational counseling to modify their lifestyle behaviors and to have preventive knowledge related to CVD.

Citations

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Immediate effect of interscapular cupping on blood pressure, oxygen saturation, pulse rate and chest expansion in sedentary smoker students
Ali Mohamed Ali Ismail, Abdelrhman Ismail Abdelghany, Ahmed Mohamed Abdelhalim Elfahl
Journal of Complementary and Integrative Medicine.2021; 18(2): 391. CrossRef
Tobacco Related Knowledge Is Associated with Heaviness of Smoking Index (HSI) and Intention to Quit among Korean Smokers: Findings from 2016 ITC Korea Survey
Yoon-Jung Choi, Hong Gwan Seo, Yeol Kim, Eun young Kim, Geoffrey T Fong, Mi Yan, Pete Driezen
Journal of the Korean Society for Research on Nicotine and Tobacco.2018; 9(S1): S31. CrossRef
Effects of diaphragm respiration exercise on pulmonary function of male smokers in their twenties
KyoChul Seo, Seung Hwan Park, KwangYong Park
Journal of Physical Therapy Science.2015; 27(7): 2313. CrossRef

Latent Mean Analysis of Health Behavior between Adolescents with a Health Problem and Those without: Using the 2009 Korean Youth Health Behavior Survey: Jeong Mo Park, Mi Won Kim, Yoon Hee Cho; J Korean Acad Community Health Nurs. 2013;24(4):488-497. Published online December 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.4.488

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Abstract PDF: PURPOSE
The purpose of this study was to identify the construct equivalence of the general five factors of health behavior and to compare the latent means between adolescents with a health problem and those without in Korea.
METHODS
The 2009 KYRBS (Korean Youth Risk Behavior Survey) data were used for the analysis. Multi-group confirmatory factor analysis was performed to test whether the scale had configural, metric, and scalar invariances across the existence of health problems in adolescents.
RESULTS
Configural, metric, and factor invariances were satisfied for the latent mean analysis (LMA) between adolescents with health problem and those without. Adolescents with health problem and those without were not different in the LMA of all factors.
CONCLUSION
Health providers should give more interest to the group of adolescents with health problems and consider prudential school life to the same group.

Lifestyles and Factors Influencing the Bone Mineral Density (BMD) among Employees in a Community: Kyung Shin Paek; J Korean Acad Community Health Nurs. 2013;24(2):236-244. Published online June 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.2.236

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Abstract PDF

PURPOSE
This study was to investigate lifestyles and identify factors influencing the bone mineral density (BMD) among employees in a community.
METHODS
Data were collected from 199 employees. Their lifestyles and BMIs were measured with a self-report questionnaire. As for their BMDs, their calcanei were measured with Quantitative Ultrasound.
RESULTS
Assessing their BMDs with reference to the WHO standards, 52.8% of the subjects' calcaneus BMDs were normal and 44.2% showed osteopenis, 3.0% showed osteoporosis. Age (odds ratio=1.05, p=.029), exercise (odds ratio=.31, p=.006) and the number of eating meals per day (odds ratio=1.97, p=.046) were significant factors influencing the subjects' BMDs.
CONCLUSION
Strategies to emphasize exercise and dietary habits in employees are important for improving their bone mineral density. Programs for improving bone mineral density based on life cycle need to be developed.

Citations

Citations to this article as recorded by

Efficient estimators with categorical ranked set samples: estimation procedures for osteoporosis
Armin Hatefi, Amirhossein Alvandi
Journal of Applied Statistics.2022; 49(4): 803. CrossRef
Comparison in Adherence to Osteoporosis Guidelines according to Bone Health Status in Korean Adult
Hee-Sook Lim, Soon-Kyung Kim, Hae-Hyeog Lee, Dong Won Byun, Yoon-Hyung Park, Tae-Hee Kim
Journal of Bone Metabolism.2016; 23(3): 143. CrossRef

The Process of Female University Students' Experiences in Healthy Dieting: Jeong Soo Kim; J Korean Acad Community Health Nurs. 2012;23(3):244-255. Published online September 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.3.244

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10 Citations

Abstract PDF

PURPOSE
This study was to describe and develop the female university students' healthy dieting.
METHODS
The data were collected from 9 female students sampled from two universities. The grounded theory of Strauss and Corbin (1990) was applied.
RESULTS
As a result, 40 concepts, 16 subcategories, and seven categories were deduced from open coding. Emerged seven major categories were as followings: (1) Recognizing of general health condition, (2) Try to actively participate on social activities, (3) Searching for continuous healthy exercising methods, (4) Utilizing of social support system for healthy dieting, (5) Making an individual healthy rhythms, (6) Exhibiting abilities of self-control, (7) Charging self-confidences. The periods of process were divided into 4 stages, the phase of facing self-health, the phase of searching living conditions, the phase of developing individual strategies, and the phase of forming self-confidence. The core variable, "discovering self competencies" incorporated the relationship between and among all categories and explained the process.
CONCLUSION
This study had described the process of healthy dieting of female university students in Korea. These findings have important implications for health promotion of the female university students and can be utilized as material for developing health programs.

Citations

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The influence of diet behavior on self-esteem according to the body image of workers in Republic of Korea: Mediating role of diet behavior
Bohee So, Ki Han Kwon
Journal of Human Behavior in the Social Environment.2023; : 1. CrossRef
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Hoim Lee, Hyoju Jeong, Suhye Kwon
Journal of Korean Academy of Nursing.2023; 53(2): 260. CrossRef
A qualitative study on the failed weight-loss experiences of college students with obesity and overweight
Sook Youn Lee, Keum Bok Ko, Nahyun Kim
Korean Journal of Health Education and Promotion.2020; 37(2): 43. CrossRef
Analysis of Health-Related Behaviors of Adult Korean Women at Normal BMI with Different Body Image Perceptions: Results from the 2013–2017 Korea National Health and Nutrition Examination Survey (KNHNES)
Seyeon Park, Jieun Shin, Seunghui Baek
International Journal of Environmental Research and Public Health.2020; 17(15): 5534. CrossRef
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Family and Environment Research.2016; 54(1): 27. CrossRef
Experiences in Healthy Dieting of Male College Students with Obesity in Korea
Jeong Soo Kim
Osong Public Health and Research Perspectives.2015; 6(1): 59. CrossRef
Experiences in Appearance Management With Esthetic Treatment of Female College Students
Jeong Soo Kim
Journal of Korean Public Health Nursing.2014; 28(2): 359. CrossRef
Development of Health Dieting Competency Scale for College Students
Jeongsoo Kim, Yumi Lee
Korean Journal of Adult Nursing.2014; 26(3): 300. CrossRef
Ethnographic Analysis on Health-related Behavioral Patterns of Male College Students in a Weight-control Program
Jeong Soo Kim
Journal of Korean Public Health Nursing.2013; 27(2): 241. CrossRef
Experiences in Self-dieting Program of Obese Male College Students
Jeong Soo Kim
Korean Journal of Adult Nursing.2013; 25(5): 504. CrossRef

The Effects of Lifestyle Factors on Metabolic Syndrome among Korean Adults: Mee Young Im, Young Ran Lee, Suk Jung Han, Chung Min Cho; J Korean Acad Community Health Nurs. 2012;23(1):13-21. Published online March 31, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.1.13

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21 Citations

Abstract PDF

PURPOSE
The purpose of this study was to estimate the effects of lifestyle factors on metabolic syndrome (MS) among Korean adults (age> or =20).
METHODS
A total of 7,798 subjects (weighted subjects=37,215,961) were recruited from the 2009 Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Data were analyzed by t-test, chi2-test, and logistic regression in consideration of strata, cluster and weight as national data using the SAS 9.1 program.
RESULTS
The prevalence of MS by definition of AHA/NHLBI and waist circumference cutoff points for Koreans was 22.4%. The mean clinical MS score for MS patients was 3.4, but the mean score for the non-MS group was 1.2 out of 5.0. Among the lifestyle factors, smoking (OR=1.024), stress (0.546< or =OR< or =0.587) and drinking (OR=1.005) had significant influence on the MS risk and MS scores, but exercise did not.
CONCLUSION
The results of this study indicate that further research is necessary on the effect of lifestyle factors on MS risk and nurses should focus on effective programs about smoking, stress and drinking for the prevention and reduction of MS risk.

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