Research in Community and Public Health Nursing

Original Articles

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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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

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

Typology of Community Health Vulnerabilities and Their Effects on Health Status by Type-Using Community Health Survey: Bo Hyun Park, Kyung Hee Yi, Sook Ja Choi, Sukyong Seo, Seon Im Choi; J Korean Acad Community Health Nurs. 2021;32(3):281-291. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.281

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2 Citations

Abstract PDF

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
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

Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey: Sun Joo Boo, Young Ran Han, Hye Young Choi; J Korean Acad Community Health Nurs. 2020;31(Suppl):549-562. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.549

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Abstract PDF: Purpose
This study aimed to identify individual- and regional-level factors associated with perceived good health and multimorbidity among older adults.
Methods
Secondary analysis of the 2017 Korea Community Health Survey was conducted on a sample of 67,532 older adults. The individual level data set was combined with regional-level factors from the administrative data released on the Korea National Statistical Office website. Distribution of perceived good health and multimorbidity in 254 public health centers were calculated using sampling weights and presented as percentages. Multilevel logistic regression analyses were used to identify individual- and regional-level factors associated with perceived good health and multimorbidity.
Results
Overall, 21.1% of subjects perceived their health to be good, ranging from 9.3% to 39.4% by region. The prevalence of multimorbidity was 15.9%, and varied between 6.6% and 22.6% by region. At the individual level, perceived good health was associated with men, younger age, higher educational levels, higher income levels, and those married and living with a partner and maintaining a healthy lifestyle. At the regional level, higher rates of health center personnel among public officials and higher levels of financial independence were associated with perceived good health. Multimorbidity was associated with marital status and healthy lifestyle, and higher rates of health center personnel among public officials.
Conclusion
Regional factors such as health care personnel and local economy could affect population health. Our findings suggest the need to consider individual- and regional-level factors to promote good health among older adults and reduce the health gap by region.

Is Nonstandard Employment Hazardous to Workers' Health Status? A Focus on Special Employment in South Korea: Bo Hyun Park, Tarlov Elizabeth, Chang Gi Park; J Korean Acad Community Health Nurs. 2020;31(Suppl):525-533. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.525

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1 Citations

Abstract PDF

Purpose
Workers in special employment relationship (WSERs) are workers in nonstandard employment arrangements who lack worker protection accorded in standard employment arrangements. This study aimed to describe self-rated health (SRH) and depressive symptoms (DS) among Korean WSERs in comparison to regular wage workers (RWW) and identify associations between working conditions and those outcomes.
Methods
In this study, secondary data analysis using the 5th Korean Working Conditions Survey was used. The sample totaled 29,120, including 1,538 WSERs and 27,564 RWWs. Sociodemographic and work-related characteristics were employed as explanatory variables and SRH and DS as dependent variables. Using multiple logistic regression, the determinants of fair/poor SRH and DS were identified.
Results
The prevalence rates for fair/poor SRH and DS in WSERs were 25.2% and 28.3%, respectively, and 20.7% and 25.0% in RWWs, respectively. Compared to RWWs, WSERs had 31% (aOR=1.31, 95% CI=1.14~1.49) and 20% (aOR=1.20, 95% CI=1.06~1.36) higher odds of SRH and DS, respectively. Some factors, such as a lack of rest guarantee and sickness presenteeism, had a larger influence in the WSER than in the RWW group.
Conclusion
Compared to RWWs, WSERs reported having poorer working conditions and were more likely to report poor general and mental health. Therefore, in Korea, public health policymakers should consider measures to protect the working conditions and health of WSERs, a growing segment of the working population. The study produced new epidemiological evidence regarding the relationships between employment arrangements and health.

Citations

Citations to this article as recorded by

The Effect of Job Demands, Job Resources, and Musculoskeletal Complaints on Presenteeism Among the Dependent Self-employment Workers in Korea
Jiyun Kim, Sookja Choi
Journal of Occupational & Environmental Medicine.2022; 64(9): 719. CrossRef

Analysis of Spatial Distribution of Hypertension Prevalence and Its Related Factors based on the Model of Social Determinants of Health: Min Jung Kim, Nam Hee Park; J Korean Acad Community Health Nurs. 2018;29(4):414-428. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.414

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Abstract PDF: PURPOSE
The purpose of this study is to identify the spatial distribution of hypertension prevalence and to investigate individual and regional-level factors contributing to the prevalence of hypertension in the region.
METHODS
This study is a cross-sectional research using the 2015 Community Health Survey. Total 64,473 people from 7 metropolitan cities were used for the final analysis. Geoda program was adopted to identify the regional distribution of hypertension prevalence and analyzed by descriptive statistics, one-way ANOVA and correlation analysis using SPSS statistics 23.0 program. Multi-level analysis was performed using SPSS (GLMM).
RESULTS
The prevalence of hypertension was related to individual level factors such as age, monthly household income, normal salt intake, walking practice days, and regional level factors including number of doctors per 10,000 population, number of parks, and fast food score. Besides, regional level factors were associated with hypertension prevalencies independently without the effects of individual level factors even though the influences of individual level factors ware larger than those of regional factors.
CONCLUSION
Respectively, both individual and regional level factors should be considered in hypertension intervention programs. Also, a national level research is further required by exploring various environmental factors and those influences relating to the hypertension prevalence.

The Effect of Social Capital on Health-related Quality of Life of Residents in Integrated Changwon City: Using the Data of the 2013 Community Health Survey: Bo Hyun Park, Youn Jae Oh; J Korean Acad Community Health Nurs. 2015;26(4):342-354. Published online December 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.4.342

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2 Citations

Abstract PDF

PURPOSE
The purpose of this study was to examine social capital and health-related quality of life (HRQoL) of residents who were living in the three regions(Masan, Jinhae, and Changwon) of integrated Changwon and to analyze the effect of social capital on HRQoL.
METHODS
This study used the Masan, Jinhae and Changwon data of the 2013 Community Health Survey. The social capital questionnaire consisted of three subdomains (trust, participation, and network). HRQoL was measured with the Korean-version EQ-5D. The effect of social capital on HRQoL was analyzed using multiple regression with controlling for general characteristics and health behavior.
RESULTS
The trust level of Masan citizen was highest among the three regions. Jinhae citizen showed the highest level of participation and network out of the three regions. Trust was not a significant influencing factor in any of the three models. Participation was a significant influencing factor in all of the three models. Network was a significant influencing factor only in the Masan model.
CONCLUSION
Participation was the most important factor for health among the three social capital subdomains. Strategies for encouraging social participation are needed for health promotion for the residents of integrated Changwon.

Citations

Citations to this article as recorded by

The Effect of Stress and Anxiety Caused by COVID-19 on the Quality of Life of Small Business Owners in an Area
Hae Ok Kim, Hyoen Jeong Kim, Hye Ji Jo
Journal of Korean Academy of Community Health Nursing.2022; 33(3): 279. CrossRef
Effects of Social Capital on Subjective Health in the Community Indwelling Elderly
Hyeon Sik Chu, Young Ran Tak
Journal of Korean Academy of Community Health Nursing.2018; 29(2): 184. CrossRef

The Relationships between Social Determinants of Health and Health-related Quality of Life among the Community-dwelling Elderly: Jung Hee Kim, Hyeon Kyeong Lee, Chung Yul Lee, Eun Hee Cho; J Korean Acad Community Health Nurs. 2014;25(4):237-247. Published online December 31, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.4.237

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4 Citations

Abstract PDF

PURPOSE
The purpose of this study was to examine the social determinants of health (SDH) associated with health-related quality of life (HQOL) among the community-dwelling elderly, based on the conceptual framework of the Commission on Social Determinants of Health (CSDH).
METHODS
A survey was conducted with 199 elders aged 65 years or older sampled through convenient sampling. Data were collected through face to face interviews by trained interviewers using a structured questionnaire, which included scales of the residential area, social support, sense of community, social network, health behaviors, and HQOL. Data were analyzed by ANOVA and stepwise multivariate regression.
RESULTS
Major SDH affecting HQOL included the participants' residential area, sense of community, and health behavior. The HQOL of the elderly residing in the B area with a low rate of basic livelihood security recipients was higher than that of those residing in other areas.
CONCLUSION
CSDH framework was useful to determine the factors associated with HQOL among the community-dwelling elderly. In addition to their health behavior, their sense of community was found to be a SDH of HQOL, indicating the need of health promotion programs tailored to the characteristics of residential areas and strategies to enhance involvement in community activities.

Citations

Citations to this article as recorded by

Influence of cognitive function and social support on health-related quality of life of elderly men in partial medically underserved rural areas: A cross-sectional study
Min Hye Hwang, Hye Kyung Lee
Journal of Korean Gerontological Nursing.2023; 25(2): 163. CrossRef
A comparison of health-related quality of life and personal, social, and environmental factors of older adults according to a residential area: a propensity score matching analysis
Jungmi Yun, Yeongsuk Lee, Hyun-Ju Lee
Quality of Life Research.2022; 31(9): 2631. CrossRef
The Effects of Health Behavior and Health Status on Heath-related Quality of Life in Older People: Gender Analysis by using the 2012 Korea Health Panel Data
Min-Jeong Park, So Eun Choi
Journal of Korean Academy of Community Health Nursing.2017; 28(2): 118. CrossRef
Comparison of Health Status and Mini Nutritional Assessment according to Self-esteem of Elderly in Care Hospital
Eun-mi Kim, Jin Kwon
Journal of the East Asian Society of Dietary Life.2015; 25(4): 631. CrossRef

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