Research in Community and Public Health Nursing

Original Articles

[English] Gender Differences and Predictors of High-Risk Energy Drink Use among College students: A Cross-Sectional Study: Duckhee Chae, Jaeyong Yoo, Do Ahn Im, Seung Gi Jung, Miji Lee, Kyum Shin, Hyunlye Kim; Res Community Public Health Nurs. 2025;36(4):386-395. Published online December 31, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01144

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Abstract PDF Supplementary Material: Purpose
This study aimed to compare energy drink (ED) use between male and female college students and identify predictors of high-risk ED use. Methods: A cross-sectional survey was conducted among 256 students (125 males, 131 females) from two universities between October 2023 and January 2024. High-risk ED use was defined as consuming EDs at least once per week or mixing them with alcohol. Binary logistic regression was used to identify predictors. Results: A total of 85.5% of participants reported lifetime ED use, with a mean initiation age of 16.8 years. Among ED users, 16.9% consumed EDs at least once per week, and 21.5% reported mixing them with alcohol. Notably, 62.1% reported increased consumption during examination periods. Males were more likely to use EDs, mix them with alcohol, exercise regularly, and smoke, whereas females reported higher depression levels and greater peer influence. Predictors of high-risk ED use included male gender, earlier initiation, smoking, and insufficient sleep (< 7 hours/day). Conclusion: These findings highlight the need for gender-sensitive interventions that integrate education on ED and AmED risks, links with smoking and alcohol, peer influence, and stress management. University health centers can play a leading role in delivering such programs through student-preferred platforms. Sustained impact may require institutional commitment and policies such as restricting ED sales in campus vending machines or mandating warning labels about the risks of excessive consumption.

[English] Impact of Marital Dissolution Timing and Duration on Self-Rated Health of Marriage Immigrants in Single-Person Households in South Korea: Duckhee Chae, Kyeong Hwa Kang, Nakyung Kim, Keiko Asami, Jongdae Kim; Res Community Public Health Nurs. 2025;36(1):122-129. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01011

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Abstract PDF: Purpose
This study examined associations between timing of marital dissolution, duration since marital dissolution, and self-rated health among marriage immigrants in South Korea who live in single-person households.
Methods
This cross-sectional study employed a secondary analysis of data from the 2021 Korean National Multicultural Family Survey. We performed binary logistic regression analyses to examine the relationships between the variables of interest while controlling for social support, economic well-being, psychological well-being, and sociodemographic characteristics. Data from 407 marriage immigrant single-person households were included in the analyses.
Results
Marriage immigrants’ self-rated health fluctuated over time but generally exhibited a downward trend following marital dissolution. After controlling for confounders, marital dissolution after age 50 and longer duration since dissolution (e.g., 3-6 years and 9+ years) were associated with increased odds of poor self-rated health. Unemployment and depressive symptoms significantly increased the odds of poor self-rated health, while higher social support had a protective effect.
Conclusion
Transitioning to singlehood after marital dissolution may have long-term negative health consequences, particularly for those experiencing this transition later in life. Proactive interventions focusing on social support and health resource acquisition within the initial 3 years of separation may be crucial to mitigate health decline.

[English] 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; Res Community Public Health Nurs. 2024;35(1):10-21. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00339

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Abstract PDF Supplementary Material: Purpose
To sustain behavior change, an intervention strategy that considers the contribution of affect to daily physical activity behavior regulation is needed. Although virtual reality-based physical activity interventions have the potential to improve emotional status, interventions using virtual reality videos in a free-living environment are lacking. This pilot study assessed the feasibility and preliminary efficacy of a home-based intervention using 360-degree virtual videos and wearable activity trackers to improve mood and physical activity.
Methods
A one-group pilot study of 12 middle-aged migrant women asked participants to watch virtual reality videos and perform moderate-intensity walking 5 days per week for 4 weeks, then complete surveys and focus group interviews. The intervention’s feasibility and preliminary efficacy were assessed by examining recruitment, retention, adherence, acceptability, mood, physical activity, and exercise self-efficacy.
Results
A word-of-mouth approach was effective for recruiting participants. Although the weekly intervention adherence rate ranged from 53.5% to 83.5%, retention (92.3%) and acceptability (91.7%) were high. Participants were satisfied with the “visual status indicators,” “sense of accomplishment and confidence,” “emotional engagement and sense of presence,” “joy from exercise,” “external motivation through supervision,” “easy to control virtual reality device,” and “extra benefits” of the intervention. Participants had significant decreases in negative affect (p=.016). Positive affect, physical activity, and exercise self-efficacy showed trends toward improvement.
Conclusion
This home-based intervention employing virtual reality videos and Fitbit activity trackers is feasible and shows preliminary efficacy in improving mood. Further research is warranted to evaluate its effectiveness in a more rigorous randomized controlled trial.

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