Research in Community and Public Health Nursing

Original Articles

[English] Factors Influencing Suicidal Ideation among Korean Workers: Myeong Hwa Lee, Eun Suk Choi; Res Community Public Health Nurs. 2025;36(2):179-191. Published online June 27, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00864

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Abstract PDF: Purpose
This study aimed to identify factors influencing suicidal ideation among workers using data from the 2021 Korea National Health and Nutrition Examination Survey (KNHANES VIII-3), providing foundational data for workplace suicide prevention programs.
Methods
This descriptive correlational study analyzed data from 2,287 employed workers using hierarchical logistic regression to examine relationships between general characteristics, health behaviors, physical and mental health, and suicidal ideation.
Results
The prevalence of suicidal ideation among workers was 3.6%. The primary influencing factors were lower educational level (≤ middle school; OR = 3.33), depression (OR = 10.77), generalized anxiety disorder (OR = 4.63), mild anxiety (OR = 2.51), and stress (OR = 1.82). Mental health variables significantly increased explanatory power from 8% to 37%.
Conclusion
These findings highlight the critical role of mental health, particularly depression and anxiety, in predicting suicidal ideation among workers. Workplace mental health management programs should include comprehensive mental health assessments and early intervention strategies addressing not only severe conditions but also mild anxiety symptoms.

[English] Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 in Regional Medical Centers: Jaehwa Bae, Eun Suk Choi; Res Community Public Health Nurs. 2025;36(1):9-20. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00703

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Abstract PDF: Purpose
This study investigates the factors affecting Posttraumatic Growth (PTG) among nurses providing care for patients with COVID-19 in regional medical centers.
Methods
A total of 170 nurses from D, P, and G regional medical centers participated in this study. Data were collected through self-administered questionnaires from March 16 to March 31, 2023. IBM SPSS Statistics 27 was used for data analysis, including descriptive statistics, t-test, ANOVA, Pearson’s correlation, and hierarchical regression analysis.
Results
Statistically significant differences in PTG were observed based on gender, religion, and experience in caring for patients with emerging infectious diseases. PTG was significantly correlated with resilience, social support, and deliberate rumination. Resilience (β=.22, p=.003), social support (β=.18, p=.012), and deliberate rumination (β=.46, p<.001) were identified as factors influencing the posttraumatic growth of the participants. These variables accounted for 50.1% (F=29.33, p<.001) of the variances in PTG.
Conclusion
The findings of this study demonstrate the necessity of developing intervention and counseling programs aimed at enhancing deliberate rumination, resilience, and social support to promote PTG among nurses caring for patients with emerging infectious diseases.

[Korean] A Structural Equation Model on Health Status in Delivery Workers: Based on the Theory of Salutogenesis: Min Ji Kim, Eun Suk Choi; Res Community Public Health Nurs. 2023;34(3):228-239. Published online September 27, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00171

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Abstract PDF: Purpose
This study aimed to develop and test a structural equation model on health status of delivery workers. The conceptual model was based on the theory of salutogenesis.
Methods
Data were collected from 262 delivery workers working in D and K cities from August 2 to August 27, 2021. The structural equation model was used to assess the relationships among the variables. The model comprised three exogenous variables (working environment, social support, health promotion activities) and two endogenous variables (sense of coherence, health status). The data were analyzed using SPSS 23.0 and AMOS 22.0.
Results
The hypothetical model showed a good fit to the data: χ²/df=2.38, TLI=.91, CFI=.93, SRMR=.08, RMSEA=.07. Out of 10 research hypotheses, 10 were supported, and explained 62.3% of the variance in the health status of delivery workers. The model confirmed that sense of coherence was the most important factor. Health status is directly affected by working environment, social support, and health promotion activities. Health status is indirectly affected by working environment, social support, and health promotion activities through mediation of sense of coherence.
Conclusion
The theory of salutogenesis is adequate to use for developing health promotion programs for delivery workers. There is a need to develop a customized program to increase health status of delivery workers by enhancing sense of coherence.

[English] The Effects of the Smoking Cessation Program of Life Skill Training Using Flipped Learning for Middle School Male Students: Eun Hee Seo, Eun Suk Choi; J Korean Acad Community Health Nurs. 2021;32(3):268-280. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.268

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1 Citations

Abstract PDF

Purpose
The study is examined the effects of the smoking cessation program of life skills training using flipped learning for male middle school students.
Methods
The study was a nonequivalent control group non-synchronized design. The Smoking Cessation Program of life skills training using flipped learning is a Smoking Cessation Program that applied 5 stages of flipped learning such as before class, introductory class, during class, after class, and during work. Participants were 32 male students attending a middle school in D city, with 16 in the control group and 16 in the experiment group. Data collection was conducted from February 26, 2019 to May 14, 2019 for the control group, and from May 28, 2019 to August 19, 2019 for the experiment group. The collected smoking knowledge, smoking attitude, self-efficacy, basic psychological needs, and urine cotinine were analyzed by x² test, independent t-test, two-way repeated measured ANOVA, and Fishers exact test using the SPSS 25.0 program.
Results
The experimental group showed higher smoking knowledge, smoking attitude, self-efficacy, basic psychological need, and urine cotinine negative response than the control group, and there were significant differences.
Conclusion
These findings indicate that the Smoking Cessation Program of life skill training using flipped learning is an effective intervention for cessation of middle school male students, and it has a positive effect on the increase in urine cotinine, and a physiological indicator of the cessation effect, and is effective in the success of smoking cessation.

Citations

Citations to this article as recorded by

Effects of Adler's Theory‐Based nudge volunteer program on middle school students
Eunae Kim, Jongeun Lee
Psychology in the Schools.2025; 62(1): 136. CrossRef

[English] Occupational Accident Compensation Insurance Coverage and Occupational Accidents for Special-type Delivery Workers: Min Ji Kim, Eun Suk Choi; J Korean Acad Community Health Nurs. 2021;32(1):64-72. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.64

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2 Citations

Abstract PDF

Purpose
The purpose of this study is to analyze occupational accident compensation insurance coverage and occupational accidents incidence for special-type delivery workers. Methods: The data for occupational accident compensation insurance coverage and occupational accidents from 2012 to 2017 were analyzed through descriptive statistics. Results: Rates of occupational accident compensation insurance coverage of special-type delivery workers decreased gradually from 43.4% in 2012 to 28.5% in 2016, and 29.0% in 2017. Rates of occupational illnesses death per ten thousand workers increased gradually from 2.1‱ in 2013 to 3.1‱ in 2016, and 8.6‱ in 2017. All occupational illness deaths were due to cerebro-cardiovascular diseases. Road traffic accidents and slips accounted for the largest proportion of occupational accidents. Conclusion: Special-type delivery workers have a high risk of industrial accidents, so it is necessary to raise industrial accident insurance coverage and provide professional and systematic occupational safety and health services.

Citations

Citations to this article as recorded by

Approval status and characteristics of work-related musculoskeletal disorders among Korean workers in 2020
Eun-woo Cha, Sae-mi Jung, Il-ho Lee, Dae Hwan Kim, Eui Hyek Choi, In-ah Kim, Yong-kyu Kim, Kyung-joon Lee, Yang Won Kang, Ho-gil Kim, Young-ki Kim
Annals of Occupational and Environmental Medicine.2022;[Epub] CrossRef
Assistive Delivery Robot Application for Real-World Postal Services
Daegyu Lee, Gyuree Kang, Boseong Kim, D. Hyunchul Shim
IEEE Access.2021; 9: 141981. CrossRef

[English] A Structural Model on the Post-Traumatic Growth of Police Officers: Seung Woo Han, Eun Suk Choi; J Korean Acad Community Health Nurs. 2020;31(3):348-359. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.348

2,004 View
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4 Citations

Abstract PDF

Purpose
The purpose of this study is to construct and test a structural model for the Post-traumatic Growth (PTG) of police officers. The conceptual model is based on Calhoun and Tedeschi’s PTG theory.
Methods
Data were collected from 269 police officers working at 10 police stations in Seoul from September 26 to October 9, 2017. The exogenous variable was traumatic experiences, and endogenous variables were pain perception, self disclosure, social support, deliberate rumination, and PTG. The collected data were analyzed in order to calculate the direct and indirect effects of factors affecting PTG using SPSS/WIN 23.0 and AMOS 21.0.
Results
The hypothetical model showed a good fit to the data: x² /df=2.57, GFI=.90, CFI=.95, TLI=.91, RMSEA=.07, SRMR=.07. The hypothetical model showed a similar result with the data, and out of 10 paths, 7 were statistically significant. The model explained 36% of the variance in the PTG of police officers. The model confirmed that social support and deliberate rumination had a direct effect, and that self-disclosure had an indirect effect on police officers’ PTG. Conclusion: Nursing intervention programs to increase PTG of police officers should focus on deliberate rumination, social support, and self-disclosure. In addition, they should be accompanied by various crisis managements and consultations that can promote PTG.

Citations

Citations to this article as recorded by

Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 in Regional Medical Centers
Jaehwa Bae, Eun Suk Choi
Research in Community and Public Health Nursing.2025; 36: 9. CrossRef
A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19
Soo Young An, Heejung Choi
Journal of Korean Academy of Nursing.2023; 53(3): 309. CrossRef
Factors Associated with Post-Traumatic Growth in Patients with Breast Cancer Based on a Model of Post-Traumatic Growth
Hee Yeon Park, Ja Yun Choi
Asian Oncology Nursing.2022; 22(2): 65. CrossRef
Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
Journal of Korean Critical Care Nursing.2022; 15(2): 50. CrossRef

[English] Regional Factors on the Self-rated Health of Wage Workers: Min Jung Kwon, Eun Suk Choi; J Korean Acad Community Health Nurs. 2018;29(1):21-32. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.21

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Abstract PDF: PURPOSE
This study attempted to identify regional disparities of self-rated health among Korean wage workers and to investigate the influencing factors on them.
METHODS
The study subjects were 25,069 workers in 16 regions who were extracted from the 2014 Korean Working Condition Survey (KWCS). A multilevel analysis was conducted by building hierarchical data at individual and regional level.
RESULTS
In this study, â€˜financial autonomy rateâ€™ and â€˜current smoking rateâ€™ were identified as regional factors influencing the workers' self-rated health. When the socio-demographic and occupational factors of the workers were controlled, â€˜current smoking rateâ€™, a health policy factor, explained the regional disparity of workers' health status.
CONCLUSION
We found that the health status of workers can be affected by the health behavior level of the whole population in their residential area. In order to improve the health status of working population and to alleviate their regional health inequalities, it is necessary to strengthen macro and structural level interventions.

[English] The Association between Psychosocial Work Environment and Depressive Symptoms among Korean Teachers: Eun Suk Choi, Min Jung Kwon, Hae Joon Lee, Gyo Young Cho; J Korean Acad Community Health Nurs. 2017;28(4):463-471. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.463

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4 Citations

Abstract PDF

PURPOSE
This study aimed to identify the association between psychosocial work environment and depressive symptoms among Korean teachers.
METHODS
Data on 235 elementary school teachers and 341 middle and high school teachers was obtained from the 2014 Korean Working Condition Survey. The effect of psychosocial work environment on depressive symptoms was determined by multiple logistic regression analyses.
RESULTS
The prevalence of depressive symptoms was 18 % in elementary school teachers and 24 % in middle and high school teachers. When adjusted for demographics and other socio-psychological and environmental factors, â€˜social community at workâ€™ served as a protection factor for Korean teachers' depressive symptoms. In addition, â€˜cognitive demandsâ€™ in elementary school teachers and â€˜social support from supervisorsâ€™ in middle and high school teachers were found to be predictors of depressive symptoms.
CONCLUSION
Interventions to increase â€˜social community at workâ€™ and â€˜social support from supervisorsâ€™, and to decrease â€˜cognitive demandsâ€™ may be helpful for Korean teachers at risk of depression.

Citations

Citations to this article as recorded by

A Study of on-Campus Well-being Spaces to Support University Students’ Mental Health
Dain Jung, Ji Young Cho, Kijeong Jeon, Yi-Kyung Hong
Journal of the Korean Housing Association.2024; 35(3): 021. CrossRef
Racial equity and inclusion in United States of America-based environmental education organizations: a critical examination of priorities and practices in the work environment
Valeria Fike Romero, Jedda Foreman, Craig Strang, Laura Rodriguez, Rena Payan, Kim Moore Bailey, Sarah Olsen
Journal of Outdoor and Environmental Education.2022; 25(1): 91. CrossRef
The Effects of Work Characteristics Related to Work–Life Imbalance on Presenteeism among Female Workers in the Health and Social Work Sectors: Mediation Analysis of Psychological and Physical Health Problems
Jee-Hyun Hwang, Hye-Sun Jung
International Journal of Environmental Research and Public Health.2021; 18(12): 6218. CrossRef
Relationship between simultaneous exposure to ergonomic risk factors and work-related lower back pain: a cross-sectional study based on the fourth Korean working conditions survey
Jae-Yeop Kim, Ji-Su Shin, Myeong-Seob Lim, Hyeon-Gyeong Choi, Sung-Kyeong Kim, Hee-Tae Kang, Sang-Baek Koh, Sung-Soo Oh
Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef

[English] Smartphone Addiction and Depression: The Mediating Effects of Self-esteem and Resilience among Middle School Students: Hye Jung Park, Eun Suk Choi; J Korean Acad Community Health Nurs. 2017;28(3):280-290. Published online September 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.3.280

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18 Citations

Abstract PDF

PURPOSE
The aim of this research is to examine the moderating effects of self-esteem and resilience in the relationship between smartphone addiction and depression among middle school students.
METHODS
Data were collected from 324 middle school students in D City during the period of July 1st-17th, 2015. Multiple regression analysis, the Baron & Kenny's mediation verification, and Sobel test were conducted to measure the mediating effects of self-esteem and resilience on depression.
RESULTS
There were significant correlations among the variables; smartphone addiction, self-esteem, resilience, and depression. Self-esteem had a complete mediating effect(Î²=-.40, p<.001) in the relationship between smartphone addiction and depression(Sobel test: Z=4.68, p<.001). Resilience had a partial mediating effect(Î²=-.15, p<.001) in the relationship between smartphone addiction and depression(Sobel test: Z=2.40, p<.001).
CONCLUSION
This study suggests to apply self-esteem and resilience in developing nursing intervention programs for adolescent depression caused by smartphone addiction.

Citations

Citations to this article as recorded by

The Association between Problematic Internet Use, Resilience, and Fatigue in First-Year Medical College Students in China: A Moderated Mediation Model
Yufu Ning, Lifeng Wang, Xiumei Chen, Xiaobing Lu, Jeffrey H. Gamble, Xianhe Chen, Xingyong Jiang, I-Hua Chen, Peijin Lin
International Journal of Mental Health Promotion.2025; 27(1): 51. CrossRef
Let me check my phone: smartphone addiction and its links to life satisfaction and psychological resilience
Aslı Kartol, Servet Üztemur
British Journal of Guidance & Counselling.2025; 53(2): 167. CrossRef
The Influence of Interpersonal Conflict on Smartphone Addiction Among Adolescents: An Examination of the Roles of Relatedness Need Satisfaction and Conflict Management
Shan Jiang, Chaoxin Jiang, Yuhang Cheng
Child Abuse Review.2025;[Epub] CrossRef
The role of psychological flexibility and emotion regulation in the relationship between smartphone addiction and psychological wellbeing in adolescents: three-wave longitudinal serial mediation study
Ahmet Alkal
Health and Quality of Life Outcomes.2025;[Epub] CrossRef
Üniversite Öğrencilerinde Akıllı Telefon Bağımlılığı, Öznel Zindelik ve Mutluluğun İncelenmesi
Mehmet Enes Sağar
Karadeniz Sosyal Bilimler Dergisi.2024; 16(30): 126. CrossRef
Impact of COVID-19 on Adolescents’ Smartphone Addiction in South Korea
JongSerl Chun, Hae Kook Lee, HyeSook Jeon, Jinyung Kim, Serim Lee
Social Work in Public Health.2023; 38(4): 268. CrossRef
Investigation Psychological Factors Effecting the Phubbing Behavior of Young Adults with Different Structural Equation Models
Faruk Caner YAM, Hatice KUMCAĞIZ
MANAS Sosyal Araştırmalar Dergisi.2023; 12(3): 1087. CrossRef
The Effect of Children’s Smartphone Overdependence on Problem Behaviors: The Mediating Effect of Sleep Problems
Bokyung Park, Seolheui Yoo
Korean Journal of Child Studies.2023; 44(3): 309. CrossRef
Mediating Effect of Stress Recognition on the Effect of Generalized Anxiety Disorder on Smartphone Dependence
Se Ryeon Lee, Eun-Yeob Kim, Seunghan Ha, Jaeyoung Kim
Journal of Clinical Medicine.2023; 12(23): 7359. CrossRef
ERGENLERDE DUYGU DÜZENLEME, PSİKOLOJİK SAĞLAMLIK VE OKULDA ÖZNEL İYİ OLUŞUN AKILLI TELEFON BAĞIMLILIĞI ÜZERİNDEKİ YORDAYICI ROLÜ
Mehmet Enes Sağar
Elektronik Sosyal Bilimler Dergisi.2022; 21(83): 926. CrossRef
Prospective Association Between Problematic Mobile Phone Use and Eating Disorder Symptoms and the Mediating Effect of Resilience in Chinese College Students: A 1-Year Longitudinal Study
Shaojie Li, Guanghui Cui, Yongtian Yin, Kaixuan Tang, Lei Chen, Xinyao Liu
Frontiers in Public Health.2022;[Epub] CrossRef
Mediating role of psychological resilience in the relationship between mindfulness and nomophobia
Ibrahim Arpaci, Selim Gundogan
British Journal of Guidance & Counselling.2022; 50(5): 782. CrossRef
Effects of a group mindfulness-based cognitive programme on smartphone addictive symptoms and resilience among adolescents: study protocol of a cluster-randomized controlled trial
Anson Chui Yan Tang, Regina Lai Tong Lee
BMC Nursing.2021;[Epub] CrossRef
Exploring psychosocial factors that influence smartphone dependency among Korean adolescents
Hyeon Sik Chu, Young Ran Tak, Hanyi Lee, Geilson Lima Santana
PLOS ONE.2020; 15(5): e0232968. CrossRef
Psychometric Properties of the Smartphone Addiction Scale – Short Version (SAS-SV) in a Sample of Iranian Adolescents
Sadeq Fallahtafti, Nikzad Ghanbaripirkashani, Seyed Shahram Alizadeh, Ramin Safiyari Rovoshi
International Journal of Developmental Science: Biopsychosocial Mechanisms of Change, Human Development, and Psychopathology - Perspectives from Psychology, Neuroscience, and Genetics.2019; 14(1-2): 19. CrossRef
Predicting the Time Spent Playing Computer and Mobile Games among Medical Undergraduate Students Using Interpersonal Relations and Social Cognitive Theory: A Cross-Sectional Survey in Chongqing, China
Li Chen, Ruiyi Liu, Huan Zeng, Xianglong Xu, Rui Zhu, Manoj Sharma, Yong Zhao
International Journal of Environmental Research and Public Health.2018; 15(8): 1664. CrossRef
Short version of the Smartphone Addiction Scale in Chinese adults: Psychometric properties, sociodemographic, and health behavioral correlates
Tzu Tsun Luk, Man Ping Wang, Chen Shen, Alice Wan, Pui Hing Chau, John Oliffe, Kasisomayajula Viswanath, Sophia Siu-chee Chan, Tai Hing Lam
Journal of Behavioral Addictions.2018; 7(4): 1157. CrossRef
The Role of Empathy and Life Satisfaction in Internet and Smartphone Use Disorder
Bernd Lachmann, Cornelia Sindermann, Rayna Y. Sariyska, Ruixue Luo, Martin C. Melchers, Benjamin Becker, Andrew J. Cooper, Christian Montag
Frontiers in Psychology.2018;[Epub] CrossRef

[English] Job Competencies and Educational Needs Perceived by New Community Health Practitioners: Hyun Kyung Kim, Young Eun, Kyung Ja June, Ae Young So, Hee Gerl Kim, Mi Ran Eom, Yeon Yi Song, Eun Suk Choi, Ji Yeon Park, Hyoung Suk Kim; J Korean Acad Community Health Nurs. 2014;25(2):85-96. Published online June 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.2.85

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4 Citations

Abstract PDF

PURPOSE
This study was performed to identify job competencies and needs for job education perceived by new community health practitioners.
METHODS
This study used a qualitative research design. Eight new community health practitioners participated in this study. Data were collected through in-depth interviews and analyzed using content analysis.
RESULTS
Five job competencies were identified in this study, including primary care, public health management, interpersonal relationship, teaching and counseling, and leadership. The contents of job education that they needed were management of major symptoms and chronic diseases, understanding and prescription of medications, emergency responses and care, management of endemic diseases, planning and management of public health programs, writing official documentsand computer works, and leadership training. The learning methods they preferred were connecting theory and practice, situation- or case-based learning, skill- or practice-based learning, and increased opportunities of clinical practice.
CONCLUSION
The findings of this study provided the direction of job education for new community health practitioners. Job education for new community health practitioners needs to consider the job competencies and educational needs identified in this study.

Citations

Citations to this article as recorded by

Factors Associated with Nurse Self-Leadership: A Cross-Sectional Study of Nurses Working at Public Health Centers and Primary Healthcare Posts
Saeryun Kim, Younkyoung Kim
Research in Community and Public Health Nursing.2024; 35: 195. CrossRef
Needs assessment of community health practitioners for community care competency of older adults
Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park
Research in Community and Public Health Nursing.2023; 34: 32. CrossRef
Effects of Nursing Professionalism and Job Stress on the Problem Solving Ability of Community Health Practitioners
Min Sun Song, Nam Young Yang, Jin Hak Kim
Journal of Korean Academy of Nursing Administration.2020; 26(3): 274. CrossRef
A Design for and Evaluation of a Critical Thinking Class for New Community Health Practitioners
Ji Yeon Park, MinGyu Seo, Hyoung Suk Kim, Kyung Hee Yoo, Kyung Ja June
The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 141. CrossRef

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