Research in Community and Public Health Nursing

Original Articles

[English] Influencing Factors on Health-related Quality of Life among Japanese Middle-aged Marriage-based Immigrant Women in South Korea: A Cross-Sectional Study: Keiko Asami, Duck Hee Chae; J Korean Acad Community Health Nurs. 2022;33(2):188-195. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.188

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Purpose
With the first generation of marriage-based immigrant women in East Asia now reaching their middle or old age, the need to focus investigations on their health-related quality of life has arisen. This study aimed to examine the extent to which physical and mental health, and psychosocial variables can predict health-related quality of life among Japanese middle-aged immigrant women. Methods This study has a descriptive cross-sectional design. A convenience sample of 197 Japanese middle-aged marriage-based immigrant women from two regions of South Korea were recruited between December 2017 and March 2018. Participants completed self-administered questionnaires on health-related quality of life, menopausal symptoms, depression, perceived health status, disease morbidity, social support, and acculturation. The data were analyzed using hierarchical multiple regression. Results Depression was the strongest predictor of health-related quality of life, followed by perceived health status, social support, and household income. Menopausal symptoms, presence of disease, and acculturation appeared to have no additional impact on participant’s health-related quality of life. Conclusion In times of rapid growth of global migration and the aging of immigrants in new destination countries, nursing interventions and public health policies for aging marriage-based immigrant women should be prioritized to improve their mental health by facilitating social support and disease management. In addition, social and employment policies that can help immigrant women transition to a healthy midlife are needed.

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Home-based walking intervention for middle-aged migrant women using 360-degree virtual videos and a wearable activity tracker: A mixed-methods pilot study
Duckhee Chae, Keiko Asami, Jaseon Kim, Kukhyeon Kim, Jeeheon Ryu, Ardith Z. Doorenbos
Research in Community and Public Health Nursing.2024; 35: 10. CrossRef

[English] The Effect of Nordic Walking Exercise on Physical Indicators and Subjective Happiness of the Middle-aged in Rural Area: Chan Mi Lee, Young Suk Park; J Korean Acad Community Health Nurs. 2020;31(1):65-75. Published online March 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.1.65

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Abstract PDF: Purpose
The purpose of this study was to identify the effect of regular Nordic walking exercise on the physical indicators and subjective happiness of middle-aged rural residents.
Methods
A pretest and posttest design with a nonequivalent control group was conducted. The participants of experimental and control group were each 21 subjects from 40 to 64 years old. The Nordic walking exercise program consisted of 24 sessions which were focused on group exercise, and was conducted three times a week for eight weeks.
Results
The experimental group showed significant decreases in body mass index (p=.042), body fat (p<.001), and abdominal fat (p=.026). The experimental group showed significant increases in muscle mass of right lower limb (p=.009) and left lower limb (p=.016) but was not statistically significant in right, left upper limbs and body. On the other hand, the control group showed significant decreases in muscle mass of right upper limb (p=.034), left upper limb p=.038), and body (p=.034). There were no significant differences in systolic blood pressure, diastolic blood pressure, and subjective happiness between the experimental and the control group.
Conclusion
The Nordic walking exercise should be actively encouraged to improve health of the middle-aged in rural area.

[English] Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors: Mi Kyoung Park, Jeong Hee Kim; J Korean Acad Community Health Nurs. 2013;24(2):111-122. Published online June 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.2.111

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Abstract PDF

PURPOSE
This study was conducted to evaluate effects of a comprehensive lifestyle improvement program for middle-aged women with cardio-cerebrovascular disease (CVD)-related risk factors.
METHODS
The research adopted a non-equivalent control group pretest-posttest design. The number of participants was 18 in the experimental group and 16 in the control group sampled among middle-aged women who had CVD-related risk factors residing in a community. The experimental group participated in a four-session comprehensive lifestyle promotion program, which consisted of lectures, demonstrations, small-group meetings and telephone-counseling. The effects of the program were evaluated by measuring knowledge, attitude, health behavior, and self-efficacy for CVD prevention.
RESULTS
The experimental group showed a significant increase in self-efficacy for CVD prevention compared to the control group. There was no significant increase in knowledge, attitude, and health behavior.
CONCLUSION
The results suggest that the comprehensive lifestyle improvement program was effective in improving self-efficacy for CVD prevention. There is a need to develop more effective lifestyle improvement programs designed to improve knowledge, attitude, and health behavior for CVD prevention. In further research, a follow-up evaluation is also needed to investigate any delayed effects on targeted variables among which no significant differences emerged immediately after the completion of the program.

Citations

Citations to this article as recorded by

Effectiveness of a Participatory Program for Improving the Cardiovascular and Cerebrovascular Health of Older Farmers in Rural Korea
Ki-Youn Kim, Juhye Jin, Yeon-Ha Kim
International Journal of Environmental Research and Public Health.2023; 20(4): 3210. CrossRef
Literature Review on Lifestyle Intervention Program for Adults in Korea
Keun-Young Yang
Journal of Digital Contents Society.2023; 24(8): 1815. CrossRef
Influence of Comprehensive Lifestyle Intervention (LSI) Program on Health, Fatigue, and Quality of Life in Middle-Aged Women
Su-Jin Jung, Seung-Ok Lee, Min-Jun Choi, Jun Heo, Soo-Wan Chae, Baik-Hwan Cho
Journal of Lifestyle Medicine.2022; 12(3): 127. CrossRef
Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study
Ahra Jo, Heeyoung Oh
Journal of Korean Academy of Nursing.2019; 49(6): 713. CrossRef
Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease
Kyung Ae Kim, Seon Young Hwang
Journal of Korean Academy of Nursing.2019; 49(2): 113. CrossRef
Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
Moon Jung Kang, Jee Seon Yi, Chang Seung Park
Korean Journal of Women Health Nursing.2018; 24(2): 185. CrossRef
A Systematic Review of Interventions for Workers with Cardiovascular Disease Risk Factors: Using an Ecological Model
Won Ju Hwang, Yunhee Park, Jin Ah Kim
Korean Journal of Occupational Health Nursing.2016; 25(1): 41. CrossRef
Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk
Kyung Ae Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2016; 28(4): 424. CrossRef
Effects of a Cardiocerebrovascular Disease Prevention Education Program for Postmenopausal Middle-aged Women
Soo Kyung Choi, In Sook Kim
Journal of Korean Academy of Nursing.2015; 45(1): 25. CrossRef
Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults
Jiyeon Park, Hyekyeong Kim
Korean Journal of Health Education and Promotion.2014; 31(4): 37. CrossRef

[English] Comparison of Health Promotion Behavior in Middle aged Rural Residents by Cancer Screening Participation: Myung Suk Lee; J Korean Acad Community Health Nurs. 2010;21(1):43-52. Published online March 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.1.43

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Abstract PDF

PURPOSE
The aim of this study was to compare health promotion behavior in middle-aged rural residents by cancer screening participation.
METHODS
Data were collected from 508 rural residents during the period from April 6 to June 6, 2009 using structured questionnaires, and analyzed using SPSS/WIN 12.0.
RESULTS
The cancer screening rate was 50.2%. The rate was significantly different according to sex, educational level, marital status, private insurance, family cancer history, smoking, drinking, perceived health status, and health concern. Men showed the highest screening rate in gastroscopy for stomach cancer, and women in pap smear test for cervical cancer. Pap smear test for cervical cancer showed the highest regular screening rate (4.3%). The average score of health promotion behavior was 2.65+/-0.35. Health promotion behavior was significantly different according to cancer screening participation, health responsibility, stress management, and self actualization.
CONCLUSION
These results suggested that there may be differences in health promotion behavior among middle-aged rural residents according to their cancer screening participation. A further study is necessary to find effective interventions for the non-cancer screening group.

Citations

Citations to this article as recorded by

Impacts of Colorectal Cancer Knowledge and Health Literacy on Self-management Behaviors among Elderly Women in Rural Areas
Hyenam Hwang
Korean Journal of Adult Nursing.2017; 29(5): 527. CrossRef
Social Disparities in Utilization of Preventive Health Services among Korean Women Aged 40-64
Hyun Hee Park, In Ae Chun, So Yeon Ryu, Jong Park, Mi Ah Han, Sung Woo Chio, Jun Ho Shin
Journal of Health Informatics and Statistics.2016; 41(4): 369. CrossRef
Health Screening among HBV Carriers in the Korean National Health and Nutrition Examination Survey V (KNHANES V)
Hyung Eun Son, Sun Jae Jung, Aesun Shin
Asian Pacific Journal of Cancer Prevention.2015; 16(9): 3653. CrossRef
Factors Affecting Cancer Screening Intention and Behavior of the Korean Elderly
Hee-Jung Kim, Hyun-Woo Yim, Nam-Cho Kim
Asian Pacific Journal of Cancer Prevention.2014; 15(19): 8461. CrossRef

[English] An Analysis of Articles for Health Promotion Behaviors of Korean Middle-Aged: Young Sil Kang, Mi Ja Chung, Yong Sook Park, Yeong Sook Lee, Hyang Sook Kim, Dong Mae Lee, Dong Won Lee; J Korean Acad Community Health Nurs. 2009;20(1):75-86. Published online March 31, 2009

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Abstract PDF: PURPOSE
This study has a purpose to suggest research and intervention directions for health promoting behaviors (HPB) of the Korean middle-aged in the future.
METHODS
Forty four articles on HPB of the Korean middle-aged were reviewed and analyzed. The articles analyzed are theses written for a doctoral or master's degree and published between 1995 and 2007.
RESULTS
1. As for the major characteristics of the subject groups, most of them were between 40 and 60 years old (61.4%), were females (79.5%), and resided in cities (84.1%). 2. The dependent variables adopted were physiological, psychological and cognitive factors (self-efficacy, knowledge of health management, etc.), HPB and factors related to Health Promoting Lifestyle Profile (HPLP). 3. The average scores of HPLP were 1.57~3.08 on a 4-point scale. The highest score was observed in self-actualization, and the lowest score in exercise. 4. Self-efficacy, perceived health status and income had significant correlations with HPB. 5. In regression analysis, self-efficacy, self-esteem and perceived health status were the most powerful predictors.
CONCLUSION
It is necessary to develop intervention tools for more diverse HPB of the Korean middle-aged. The interventions are recommended to focus on increasing exercise and to use strategies for improving self-efficacy and self-esteem.

[English] The Effect of an Exercise Program on Middle-aged and Aged Women in Rural Areas: Hee Kyoung Hyoung, Inn Oh Moon, Yun Suk Jeong; J Korean Acad Community Health Nurs. 2008;19(4):545-553. Published online December 31, 2008

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Abstract PDF: PURPOSE
This study was conducted to test the effect of a 12-week exercise program on body composition, blood pressure, blood glucose, blood lipid and bone mineral density for middle-aged and aged women in rural areas.
METHODS
The subjects were 33 women at the age of 40-75. For statistical analysis, descriptive statistics and paired t-test were used with SPSSWIN 16.0.
RESULTS
The results were summarized as follows. First, body weight, BMI, % body fat, abdominal adipose, and waist circumference of the women decreased significantly after implementing the 12-week exercise program. Second, diastolic blood pressure, serum cholesterol, triglyceride, and LDL decreased significantly, and the HDL level increased significantly after the 12-week exercise program. Third, bone mineral density did not increase significantly after the program.
CONCLUSION
These results suggest that the exercise program has an effect in decreasing body composition, and improving blood pressure, blood glucose, and blood lipid in middle-aged and aged women.

[English] A Study on Middle-Aged People's Preparation for Old Age Life and Their Perception of Long-term Care Facilities: Kwuy Bun Kim, Min Suk Park, Sohyune R Sok; J Korean Acad Community Health Nurs. 2008;19(3):480-494. Published online September 30, 2008

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Abstract PDF: PURPOSE
The study was to get basic data on the well-being of middle-aged people concerning their preparation for their upcoming old age and their quality of life.
METHODS
The subjects were 440 people aged between 40 and 59 living in Seoul and Gyeonggi-do.
RESULTS
First, physical preparation for old age was affected by religion, children, health, monthly income, and economical status, and these factors were shown statistically significant. Emotional preparation and spiritual preparation were also related to the above-mentioned factors. Secondly, in the subjects' mental picture, a nursing home was a place for the aged without anyone who is going to take care of them and without abilities to care of themselves. Preference for nursing home was based on two factors, i.e., nursing and treatment care, and the cost was about one million won per month. Also they wanted that the government should pay a certain amount for private users.
CONCLUSION
Therefore, people should lead a life of good health-related habits along with economical preparation for their old age.

[English] An Explorative Study on the Health Behavior of Middle-Aged Women in the Middle East Area Using the Q-Methodological Approach: Chung Sun Park; J Korean Acad Community Health Nurs. 2008;19(3):408-418. Published online September 30, 2008

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Abstract PDF: The purpose of the study is to understand the types and the features of the health behavior of middle-aged women in the Middle East using Q-methodology. A survey was carried out during the period from the 1st of October to the 30th of December, 2006. Data for thirty five (35) women out of forty-nine (49) were analyzed through Principal Component Analysis and WRAP (Weighted Rotational Analytical Procedure). Analysis results showed that the group was divided into four types: Type I is health management; Type II is social activity; Type III is exercise orientation; and Type IV is religious dependency. Types I, II, and III were in a positive correlation with one another, and Type IV was not correlated with the other types. Subjective perception on the health behavior of middle-aged women in the Middle East (Jordan) was investigated and compared with middle-aged Korean women. The results of this study may provide more effective ways to improve the condition of health management and to promote the quality of life.

[English] The Effects of Taekwon Aerobic Exercise on Obesity Indices and Cardiovascular Risk Factors in Middle-Aged Obese Women: In Hyae Park, In Hee Choi, Hyun Sook Ryu, Ae Ran Joo, Youn Kyoung Kim; J Korean Acad Community Health Nurs. 2007;18(3):382-390. Published online September 30, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to identify the effects of taekwon aerobic on obesity indices and cardiovascular risk factors in middle-aged obese women.
METHOD
Data were collected from 19 middle-aged obese women who participated in taekwon aerobic exercise. This research adopted one-group pretest-posttest design. Taekwon aerobic was applied 3 times in a week for 12 weeks, and the obesity indices and cardiovascular risk factors were checked before and after the program. Body weight, BMI and % body fat for obesity indices were checked, and total cholesterol, triglyceride, HDL-cholesterol and the ratio of total cholesterol/HDL-cholesterol for cardiovascular risk factors were measured. The data was analyzed by paired t-test using SPSS/Win 10.0.
RESULTS
There were significant differences in body weight, BMI and % body fat after the taekwon aerobic exercise. There was a significant difference in total cholesterol. However, there were no significant differences in triglyceride, HDL-cholesterol and the ratio of total cholesterol/HDL-cholesterol after the taekwon aerobic exercise.
CONCLUSION
This study showed that taekwon aerobic exercise decreased obesity indices and lowered total cholesterol in the cardiovascular risk factors. The results of this study show that taekwon aerobic exercise is effective in enhancing the health of middle-aged obese women.

[English] A Study on the Relation of BMI to Lipid Metabolism and Health Promoting Behavior in Middle-Aged Women: Kun Ja Lee, Chun Ja Chang, Jae Hee Yu; J Korean Acad Community Health Nurs. 2005;16(4):488-497. Published online December 31, 2005

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Abstract PDF: PURPOSE
This study examined the relation of BMI to lipid metabolism and health promoting behavior in middle-aged women.
METHODS
The subjects were 113 women between 40 to 60 years of age. The data was collected from April 2003 to July 2004. BMI was measured using body composition analyzer and lipid metabolism were measured using automatic biochemical analyzer. Health promoting behavior was collected using a structured questionnaire. The SPSSWIN(10.0 version) program was used to analyze the data and get the descriptive statistics and Pearson's correlation coefficients.
RESULTS
BMI was negatively correlated with HDL-c and positively correlated with triglyceride, but there was no significance between BMI and total cholesterol. There was no significance of correlation between BMI and total health-promoting behavior.
CONCLUSION
This study showed that BMI is meaningful in the identification of the high risk women to prevent HDL-c & triglyceride metabolism disturbance, but additional research is needed to study the correlation between BMI and health promoting behaviors in middle-aged women.

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