Research in Community and Public Health Nursing

Original Articles

[English] Influence of Health Behaviors, Women's Health, and Employment Characteristics on Obesity Among Married Working Women: A Descriptive Cross-Sectional Study: Hye Young Song, Gye Hyun Jung; Res Community Public Health Nurs. 2026;37(3):413-423. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01795

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Abstract PDF: Purpose
This study aimed to identify sociodemographic, health-behavior, women’s health, and employment characteristics associated with obesity among married working women in Korea. Methods: This descriptive cross-sectional secondary analysis used pooled data from the 2022–2023 Korea National Health and Nutrition Examination Survey (KNHANES). The final sample included 1,364 married salaried women aged 19–64 years with complete data on all study variables. Complex-sample Rao–Scott chi-square tests and hierarchical logistic regression analyses were performed using KNHANES stratification, clustering, and sampling weights.
Results
The weighted prevalence of obesity was 26.9%. In the fully adjusted model, obesity was associated with middle school education or less (vs. college or higher), mid-high household income (vs. high income), absence of strength training, sleep duration <6 h (vs. 6-8 h), hypertension, and diabetes. The addition of employment characteristics produced little change in model explanatory power.
Conclusion
Obesity among married working women was associated with socioeconomic characteristics, health behaviors, and metabolic health conditions. Because this study was cross-sectional, the findings should be interpreted as associations rather than causal relationships. Obesity-prevention strategies for this population should prioritize modifiable health behaviors while also considering the broader social context in which these behaviors occur.

[English] Structural Model of Health Promoting Behaviors of General Hospital Nurses: Se Si Ra Kim, Eun A Kim; Res Community Public Health Nurs. 2026;37(3):296-308. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01634

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Abstract PDF: Purpose
This study aimed to test and validate a structural model explaining health promoting behaviors among nurses working in general hospitals and to identify key factors influencing health promoting behaviors.
Methods
A hypothetical model was constructed based on the Theory of Planned Behavior and prior empirical studies. Health consciousness, social support, and self-efficacy were specified as exogenous variables, while behavior intention and health promoting behaviors were treated as endogenous variables. Data were collected from June 8 to June 24, 2024, from 345 nurses employed at three general hospitals in a G metropolitan city. Partial least squares structural equation modeling (PLS-SEM) was conducted using SPSS Statistics 26.0 and SmartPLS 4.0.9.6 to assess model fit and test the hypotheses.
Results
The PLSc model showed SRMR=.06, dULS=1.13 and dG=.43, but did not meet the predefined criterion for model fit based on dULS; therefore, PLS-SEM was used for the final analysis. VIF values confirmed the absence of multicollinearity. The adjusted R² for health promoting behaviors was 58%. Health consciousness had the strongest effect, followed by social support, self-efficacy, and behavior intention. Predictive relevance (Q²) ranged from .36 to .56. Six of the seven hypotheses were supported.
Conclusion
Therefore, in nursing education and practice, it is necessary to develop and apply strategic interventions that enhance health consciousness and self-efficacy and strengthen social support and behavior intention.

[English] Personal Assistant Service Patterns and Health Behaviors Among Adults with Disabilities: A Latent Class Analysis: Min Ji Kang, Ju Young Yoon; Res Community Public Health Nurs. 2026;37(3):358-373. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01613

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Abstract PDF: Purpose
This study aimed to classify patterns of Personal Assistant Service (PAS) among adults with disabilities in Korea using latent class analysis (LCA) based on the Behavioral Model for Vulnerable Populations (BMVP).
Methods
A cross-sectional descriptive study was conducted using data from the Disability and Life Dynamics Panel (2018-2023). The most recent observation per individual was selected to ensure analytic independence, yielding 482 adults. LCA was performed using six service use domains. Multinomial logistic regression examined factors associated with class membership, and modified Poisson regression assessed associations between latent classes and five health behaviors.
Results
Three classes were identified: Comprehensive Support (36.3%), Physical and Social Support (36.1%), and Household Support (27.6%). Compared with non-users, service users showed greater socioeconomic and health vulnerability, including more severe disability, lower income, living alone, lower social support, and higher depression. Women and individuals with greater disability severity and daily-living limitations showed higher odds of belonging to the Comprehensive Support class. After adjusting for covariates, the Comprehensive Support class showed a significantly lower prevalence of physical activity and alcohol consumption compared to the Household Support class, while previously observed differences in fast food intake were attenuated.
Conclusion
PAS is associated with health behaviors among adults with disabilities, although current service structures may not fully address health enhancing behaviors. Expanding PAS to include tailored physical activity support, health management, and psychosocial care may help reduce health disparities among adults with disabilities.

[English] Psychological Distress among Mongolian International Undergraduate Students in South Korea and Their Domestic Peers in Mongolia: A Cross-Sectional Study: Battushig Bolorchimeg, Duckhee Chae, Nakyung Kim; Res Community Public Health Nurs. 2026;37(3):261-270. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01508

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Abstract PDF Supplementary Material: Purpose
This study examined the impact of international migration on mental health by comparing paid employment, health behaviors, loneliness, and psychological distress between Mongolian international undergraduates in South Korea and their peers in Mongolia. Methods: A cross-sectional design was used with a convenience sample of 200 undergraduates recruited from five universities in South Korea and two universities in Mongolia. Data were analyzed using independent t-tests, χ² tests, Pearson correlation analyses, and multivariable regression analyses. Results: Compared to their peers in Mongolia, international students were more likely to be employed, engage in health risk behaviors (alcohol use, smoking), and report greater loneliness. These patterns were particularly evident among female students, with higher rates of paid employment, smoking, and loneliness. Loneliness predicted psychological distress in both groups after controlling for age and gender (domestic students: B=0.60, 95% CI 0.37-0.84; international students: B=0.35, 95% CI 0.11-0.58), while paid employment (B=6.00, 95% CI 0.49-11.52) predicted distress only among international students. Conclusion: These findings highlight the need for targeted mental health support for international students, especially females, focusing on reducing loneliness and employment-related stress as well as policies to ease financial pressures and ensure fair working conditions for self-funded students.

[English] The Effects of Health-Promoting Behavior, Health Self-Efficacy, and Health Literacy on Aging Anxiety among Late Middle-Aged Adults: A Cross-Sectional Descriptive Study: Hye Su Jung, So Young Shin; Res Community Public Health Nurs. 2026;37(2):200-211. Published online June 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01599

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Abstract PDF: Purpose
This study aimed to investigate the levels and correlations of health-promoting behavior, health self-efficacy, health literacy, and aging anxiety, and the factors influencing aging anxiety in late middle-aged adults.
Methods
The subjects included 164 late middle-aged adults aged 50–64 years residing in B metropolitan city, South Korea. An online questionnaire was administered through a professional online research company from June 10th to 16th, 2025 to assess general characteristics, health-promoting behavior, health self-efficacy, health literacy, and aging anxiety. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Duncan tests, Pearson correlation coefficients, and multiple linear regression.
Results
A total of 164 subjects with a mean (±SD) age of 56.70 (±4.08) years were included in the final analyses. Aging anxiety had significant negative correlations with health-promoting behavior (r=-.38, p<.001), health self-efficacy (r=-.31, p<.001), and health literacy (r=-.17, p=.029). In the final multiple regression analysis, having one chronic disease (β=.24, p=.003), subjective health rated as ‘average’ (β=.28, p=.002) and ‘poor’ (β=.29, p=.010), and perceived economic status rated as ‘moderate’ (β=.33, p=.008) and ‘low’ (β=.34, p=.010) were associated with higher aging anxiety, whereas higher health-promoting behavior (β=-.23, p=.003) and health self-efficacy (β=-.21, p=.010) were associated with lower aging anxiety. The model explained 33% of the variance in aging anxiety (F=8.93, p<.001).
Conclusion
Enhancing health-promoting behavior and health self-efficacy and improving chronic disease management, subjective health, and economic stability of late middle-aged adults will ultimately reduce their aging anxiety and positively impact their psychological well-being and healthy aging.

[English] Assessing the association between Health Literacy and Health-Related Lifestyle Behaviors Among the older adults in Pathum Thani, Thailand: A Cross-Sectional Survey: Issara Siramaneerat, Warisara Sukumolchan, Chalit Chaowilai, Rutshaporn Chaitoopthong; Res Community Public Health Nurs. 2026;37(2):179-189. Published online June 30, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01494

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Abstract PDF: Purpose
The study explores the relationship between socio-demographic factors, health literacy, and health-related behavior (HLB) among elderly individuals in Pathum Thani, Thailand.
Methods
A total of 440 elderly participants were selected through convenience sampling and completed surveys assessing socio-demographic factors, health literacy, and health perception of illness. The data were analyzed using multiple linear regression to identify predictors of HLB.
Results
In the final model, marital status (married), higher income levels, income sufficiency, and living with family were significant predictors of HLB (p<.05). Health literacy was a significant positive predictor (β=.18, p<.01), while illness perception also showed a significant positive effect (β=.12, p<.001). The model explained 38% of the variance in HLB (R²=.38). Notably, health literacy and illness perception contributed additional explanatory power beyond socio-demographic factors.
Conclusion
Both socio-demographic and cognitive factors play important roles in shaping health-related behaviors among older adults. Interventions should prioritize improving health literacy and promoting appropriate illness perceptions to enhance healthy behaviors in this population.

[English] Association Between Usual Source of Care Types and Health Behaviors: Smoking Cessation, Alcohol Abstinence, and Physical Activity: Jeong-Hee Kang, Chul-Woung Kim; Res Community Public Health Nurs. 2026;37(1):101-112. Published online March 31, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01445

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Abstract PDF: Purpose
This study explores the relationship between types of usual source of care (USC) and health behaviors.
Methods
It used the 2019–2021 Korea Health Panel Annual Data (Version 2.2), including 11,498 adults aged 19 and older. The dependent variables were three health behaviors: smoking cessation, alcohol abstinence, and engagement in regular physical activity.
Results
Individuals with a usual physician offering either comprehensiveness or coordination (Type 4) were 1.24 times more likely to quit smoking than those with no regular care (Type 1) (p=.047). Those whose physicians provided both functions (Type 5) were 1.25 times more likely to quit smoking (p=.038). For alcohol abstinence, individuals who regularly visited a facility but did not have a usual physician (Type 2), as well as those with a partially functional physician (Type 4), were 1.16 times more likely to abstain than Type 1 (p=.027 and p=.042, respectively). Regarding physical activity, individuals in Types 2 and 4 were more likely to exercise regularly, with odds ratios of 1.24 (p<.001) and 1.23 (p=.001), respectively.
Conclusion
This study highlights that having a usual source of care (USC)—especially one that offers core primary care functions such as comprehensiveness or coordination—is positively associated with healthier behaviors, particularly smoking cessation. These effects may be strengthened by recent government-led incentive programs that support behavioral change. These findings suggest that expanding both access to and the quality of USC may be key to improving population health behaviors.

[English] Social Network Analysis of Adults’ Obesity-Related Health Behaviors According to Life Cycle Stage: Seung-bin Park, Insoon Kang; Res Community Public Health Nurs. 2024;35(4):375-388. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00738

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Abstract PDF: Purpose
This secondary data analysis study examined adults’ levels and networks of obesity-related health behaviors according to the life cycle stage.
Methods
Participants included 5,203 adults aged 19–79 years who participated in the third year of the eighth Korea National Health and Nutrition Examination Survey (2021). Life cycle stages were divided into young, middle-aged, and older adult groups. Obesity status was classified based on a body mass index of 25 kg/m2. Selected obesity-related health behaviors included alcohol abstinence, not smoking, proper sleep, eating breakfast, fruit intake, vegetable intake, not eating out, aerobic physical activity, walking, and weight training. Obesity-related health behavior networks were analyzed for density, inclusiveness, degree, and degree/closeness/betweenness centrality using social network analysis.
Results
Participants’ obesity rate was 37.6%, with the highest rate observed in the older adult group (39.2%). In all life cycle stages, the non-obese group had a higher density and average degree in the obesity-related health behavior network than the obese group. The young adult group showed higher centrality for vegetable intake, not smoking, alcohol abstinence, and proper sleep. The middle-aged group generally had higher centrality for health behaviors, whereas the older adult group had lower overall centrality for health behaviors, especially proper sleep and physical activity-related behaviors.
Conclusion
There were differences in the levels and network structures of obesity-related health behaviors according to the life cycle stage, indicating a need for differentiated obesity-management strategies according to the life cycle stage.

Review Article

[English] Optimistic bias: Concept analysis: Miseon Shin, Juae Jeong; Res Community Public Health Nurs. 2024;35(1):112-123. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00360

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Abstract PDF: Purpose
The purpose of this study was to analyze and clarify the concept of ‘optimistic bias.’
Methods
A review of the literature was conducted using several databases. The databases were searched using the following keywords: optimistic bias, optimism bias, and concept analysis. The literature on optimistic bias was reviewed using the framework of Walker and Avant’s conceptual analysis process.
Results
Optimistic bias can be defined by the following attributes: 1) underestimation of personal risk, 2) vague confidence, 3) positive future prediction and 4) lack of risk recognition. The antecedents of optimistic bias are as follows: 1) risk perception, 2) self-efficacy, and 3) risk controllability. The consequences of optimistic bias are as follows: 1) reduced anxiety, 2) providing emotional stability, 3) negative consequences for preventive health behavior, 4) lack of attention to risk-related information, and 5) negative consequences for self-protection behavior.
Conclusion
The definition and attributes of optimistic bias identified by this study can provide a common understanding of this concept and help to develop a nursing intervention program effective in preventing, protecting, and improving health of subjects in the field of nursing practice.

Original Articles

[English] A Multi-component Living Lab on Health Engagement for Advancing Self-care Agency among Migrant Workers in South Korea: A mixed methods study: Youlim Kim, Hyeonkyeong Lee, Sookyung Kim, Junghee Kim; Res Community Public Health Nurs. 2023;34(4):281-293. Published online December 29, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00199

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Abstract PDF Supplementary Material: Purpose
Migrant workers battle to access health services and adapt to a new culture. Self-care agency can be essential for health self-management. This study examines the effects of a health engagement program to improve self-care agency using a living lab approach among migrant workers living in South Korea.
Methods
This study used a mixed-methods design, including a non-equivalent pre-post-test control group and three focus group interviews. Participants included 42 migrant workers from nine countries recruited via flyers, posters, and internet bulletins posted by a migrant community organization. During the 12 weeks, only the intervention group participants received four workshops addressing healthy physical activity, healthy dietary habits, effective cultural adaptation, stress management, and two outdoor cultural activities. They also participated in focus group interviews after the second, third, and fourth group activities and discussed the benefits of healthy behaviors and specific ways to implement them in real life.
Results
Participants in the intervention group showed an increase in self-care agency, health literacy, and acculturation after the 12- week intervention. Themes were derived based on the lessons from living lab activities, barriers to health behavior practices, and methods to overcome these.
Conclusion
This study demonstrated that multi-component intervention using a living lab effectively increased migrants’ participation in health promotion activities by strengthening health in their self-care agency. The qualitative and living lab approach effectively obtained comprehensive results on strategies to enhance healthy behavior engagement.

[English] Educational Status and Needs of Premature Birth Prevention and Its Association with Preconception Health Behavior among Women of Childbearing Age in Korea: Sun Hee Kim, Ji-Yeon Hong, Mi Kyung Park; J Korean Acad Community Health Nurs. 2022;33(4):372-384. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.372

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Abstract PDF

Purpose
The aim of this study was to investigate the educational status and needs of premature birth prevention, and to identify factors associated with preconception health behaviors. Methods: The study design was a crosssectional descriptive study. Data were collected through an online questionnaire survey, and the subjects were 192 women of childbearing age in Korea. Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis test, Spearman's correlation coefficients, and multiple regression. Results: The proportion of subjects who received education on premature birth prevention was 8.9%, and 75.5% of subjects answered that they needed education on premature birth prevention. They demanded education through online media, small groups, cases, cartoons (webtoon) with stories, pictures, and videos. A related factor of preconception health behavior was self-efficacy for high-risk pregnancy health care (β=.20, p=.012), which accounted for 8.2% of the total variance related to preconception health behavior. Conclusion: There was a need for more development of education programs to prevent premature birth for women of childbearing age. Its education programs should be applied with online, small group activities using various educational media. It is also required to promote preconception health behavior through self-efficacy for high-risk pregnancy health care.

Citations

Citations to this article as recorded by

Operation status, quality, and premature birth information in obstetrics and gynecology facility websites in Korea: an evaluation study
Sun-Hee Kim
Women's Health Nursing.2025; 31(3): 203. CrossRef
Factors associated with clinical nurses’ preconception health behavior in Korea: a cross-sectional survey
Yoon-Jung Park, Sun-Hee Kim
Women's Health Nursing.2024; 30(1): 79. CrossRef
Examining the Effectiveness of Interactive Webtoons for Premature Birth Prevention: Protocol for a Randomized Controlled Trial
Sun-Hee Kim, Jennie C De Gagne
JMIR Research Protocols.2024; 13: e58326. CrossRef

[English] The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress: Soo Yeon Park, Su Ah Cho, Eugene Lee, Sung Chul Choi, Jin A Choo; J Korean Acad Community Health Nurs. 2021;32(3):404-414. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.404

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5 Citations

Abstract PDF

Purpose
Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students.
Methods
This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses.
Results
Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06.
Conclusions
The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

Citations

Citations to this article as recorded by

Illness attitudes and the flourishing of university students of South Korea in a pandemic: a cross-sectional descriptive study
Insil Jang, Yoonjung Kim, Hyeji Shin
Psychology, Health & Medicine.2025; 30(8): 1607. CrossRef
Factors affecting emerging infectious disease prevention behaviors among young workers based on ecological modeling
Hyo Eun Park, Hye Young Song
Scientific Reports.2025;[Epub] CrossRef
Psychometric Properties of the Short-Form Revised Lifestyle Evaluation Scale for Metabolic Syndrome–Korean
Shinae Seo, Chun-Ja Kim, Se-Won Kang, Dae Jung Kim, Elizabeth A. Schlenk
The Science of Diabetes Self-Management and Care.2025; 51(6): 578. CrossRef
Factors Associated with Prevention of Metabolic Syndrome Among Middle-Aged Postmenopausal Korean Women: A Study Based on the Information, Motivation, Behavioral Skills (IMB) Model
Yoonjung Kim, Sooyeon Park
Patient Preference and Adherence.2023; Volume 17: 2279. CrossRef
Causal model of health literacy in dietary supplement use and sufficient health behavior among working-age adults
Ungsinun Intarakamhang, Pitchada Prasittichok
Heliyon.2022; 8(11): e11535. CrossRef

[English] 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

2,902 View
50 Download
3 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

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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
Trends and regional distribution in health-related quality of life across sex and employment status: a repeated population-based cross-sectional study
Soon-Ki Ahn, Hyun-Ju Seo, Min-Jung Choi
Journal of Occupational 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

[English] Updated Theory of Planned Behavior in Predicting Parents’ Intentions to Vaccinate Their Sons in Elementary School against Human Papillomavirus: Eun Hee Kang, Eun Hyun Lee; J Korean Acad Community Health Nurs. 2021;32(2):195-204. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.195

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6 Citations

Abstract PDF

Purpose
This study was to determine how attitude, subjective norm, and perceived behavioral control (PBC) were related to parents' intentions to vaccinate their sons in elementary school against human papillomavirus (HPV), applying the updated theory of planned behavior. Two hypotheses were examined: PBC would moderate the relationship of attitude to intention and subjective norm to intention, respectively.
Methods
This was a cross-sectional study with 231 participants recruited in November, 2018. Inclusion criteria for the participants were parents with 5th-6th grade boys in elementary schools. The moderation effects of the hypotheses were analyzed using the PROCESS macro for SPSS.
Results
PBC significantly moderated the relationship of attitude to intention on HPV vaccination. The simple effect of attitude to intention was significant under three different levels of the PBC (low, moderate, and high), but the magnitudes of the relationships were not homogeneous. The magnitude of the relationship between attitude and intention was the lowest for the parents with the low level of the PBC. In the relationship of subjective norm to intention on HPV vaccination, the moderating effect of the PBC was not supported. Subjective norm and PBC directly predicted the intention on HPV vaccination.
Conclusion
In order to promote the parents' intentions to vaccinate their sons in elementary school against HPV, we need a program that can improve parents’ attitude, subjective norm, and PBC, requiring special attention to the parents with the low PBC.

Citations

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Impact of human papillomavirus vaccination knowledge, health beliefs, and self-efficacy on vaccination intention in adolescent sons in Korea: a descriptive survey study
Jiyeon Bark, Haejin Kim, So Im Ryu
Journal of Korean Biological Nursing Science.2025; 27(1): 49. CrossRef
Examining the impact of sex-biased information on health behaviors: a study of HPV vaccination among male college students based on the extended theory of planned behavior
Tong-Chen Lucas Wang, Mei-Juan Zhang, Hualin Zhang
Frontiers in Public Health.2025;[Epub] CrossRef
Factors Influencing the Intention of COVID-19 Infection Preventive Behaviors Among Hemodialysis Patients in Korea: A Cross-sectional Study
Su In Ham, Kyu Eun Lee
Journal of Health Informatics and Statistics.2024; 49(2): 142. CrossRef
Factors Affecting Intention of Signing the Advance Directives in Middle Aged Adults in Korea Based on the Theory of Planned Behavior: A Cross-sectional Study
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Journal of Health Informatics and Statistics.2024; 49(3): 279. CrossRef
Predictors of parental behavioral intentions for vaccinating their children against COVID-19 as determined by the modified theory of planned behavior
Mi-Young Kwon, Nam-Yi Kim
The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 292. CrossRef
An Integrative Review of the Influence on Human Papillomavirus Vaccination Adherence among Adolescents
Hyewon Shin, Sunyeob Choi, Ju-Young Lee
Healthcare.2023; 11(18): 2534. CrossRef

[English] 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

2,764 View
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8 Citations

Abstract PDF

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

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eClinicalMedicine.2026; 94: 103877. CrossRef
The impact of health literacy on health-related quality of life among individuals with physical disabilities: a path analysis based on the integrated model of health literacy
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Impact of acupuncture on mortality in patients with disabilities and newly diagnosed heart failure: a nationwide cohort study
Hyungsun Jun, Dasol Park, Jae-Uk Sul, Moon Joo Cheong, Haerim Kim, Inae Youn, Jungtae Leem
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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
Tobacco use among adults with disabilities in nine countries–Demographic and Health Survey, 2016–2021
Alissa C. Kress, Aastha Vashist, Qing C. Zhang, Adriana Dragicevic, Gibril J. Njie, Biplab Datta
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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
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Association between Light Intensity Physical Activity and All-cause Mortality in Older Adults with Physical Disability
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