Research in Community and Public Health Nursing

Original Articles

Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases: Ji-Young Han, Hyeon-Sook Park; J Korean Acad Community Health Nurs. 2021;32(2):131-139. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.131

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Purpose
In adults with chronic diseases, unmet healthcare needs are likely to increase the risk of worsening the illness and complications. This study was conducted to explore factors affecting unmet healthcare needs among adults with chronic diseases.
Methods
A cross sectional study was performed using the data from the seventh Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ), 2016-2017. The sample of this study consisted of 6,104 adults with chronic diseases. The data were analyzed by Rao-Scott x² test and logistic regression using complex samples analysis.
Results
The proportion of subjects who experienced unmet healthcare needs was 10.9% of adults with chronic diseases. The factors affecting unmet healthcare needs of adults with chronic diseases were age, gender, employment status, household income, subjective health status, activity limitation, and perceived stress.
Conclusion
The findings of this study suggest that various factors may be associated with their unmet healthcare needs. Finally, the development of strategies to reduce unmet healthcare needs for people with chronic diseases should consider the associated factors presented in the study.

Citations

Citations to this article as recorded by

Association between Perceived Activity Restriction Due to People’s Perception of Aging and Unmet Medical Needs among Middle-Aged and Elderly People: A Population-Based Study
Jeong-Min Yang, Min-Soo Kim, Ji-Sung Hong, Jae-Hyun Kim
Medicina.2024; 60(1): 87. CrossRef

The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center: Dong Ok Lee, Young Ran Chin; J Korean Acad Community Health Nurs. 2019;30(4):528-538. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.528

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Abstract PDF

PURPOSE
The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years.
METHODS
We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used.
RESULTS
Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (Î²=0.29, p < .001), age (70~79 to 60~69; Î²=0.98, p=.018) and sex (female to male; Î²=2.55, p < .001).
CONCLUSION
This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of â€˜community careâ€™ and â€˜ageing in placeâ€™.

Citations

Citations to this article as recorded by

Factors influencing the stages of frailty among Korean older adults focusing on objective and subjective social isolation
Song Yi Han, Hye Young Jang, Young Ko
BMC Geriatrics.2022;[Epub] CrossRef
Long-term Monitoring of Changes in Blood Pressure, Blood Glucose, and Total Cholesterol Levels among Frail Older Individuals Receiving Home Health Care Nursing in South Korea
Young-Ran Chin, Hyo Young Lee
Journal of Community Health Nursing.2021; 38(1): 13. CrossRef
Type 1 Diabetes Home Care Project and Educational Consultation
Eun Chong Shin
The Journal of Korean Diabetes.2020; 21(2): 88. CrossRef

Factors Affecting Unmet Healthcare Needs of Working Married Immigrant Women in South Korea: Jin Seon Yi, In Sook Lee; J Korean Acad Community Health Nurs. 2018;29(1):41-53. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.41

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4 Citations

Abstract PDF

PURPOSE
This study was conducted to identify the factors affecting on unmet healthcare needs of married immigrant women, especially who are working in South Korea.
METHODS
It is designed as a cross-sectional descriptive study. We analyzed data from 8,142 working married immigrant women to the â€˜National Survey of Multicultural Families 2015.â€™ Based on Andersen's health behavior model, logistic regression was conducted to determine the predictors of unmet healthcare need.
RESULTS
The prevalence of unmet healthcare needs among the subjects was 11.6%. In multivariate analysis, significant predictors of unmet needs included existence of preschooler, country of origin, period of residence in predisposing factors, monthly household income, helpful social relationship, social discrimination, Korean proficiency, working hour per week in enabling factors, and self-rated health, experience of grief or desperation in need factors.
CONCLUSION
The association between labor-related factors and unmet healthcare needs of marriage immigrant women currently working was found from nationally representative sample. Support policies for immigrant women working more than legally defined hours and having preschooler should be supplemented to reduce unmet healthcare needs. In addition, eradicating discrimination in workplace, enlarging social relationship, and developing culturally competent nursing services tailored to health problems caused by labor are needed.

Citations

Citations to this article as recorded by

Unmet Healthcare Needs and Related Factors Among Immigrants: A Cross-Sectional Secondary Analysis of 2019 Korea Community Health Survey Data
SookKyoung Park, Hye Young Kim, Young-Me Lee
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2023; 60: 004695802211468. CrossRef
Factors associated with self-rated health among immigrant workers in South Korea: Analyzing the results of the 2020 survey on immigrants' living conditions and labor force
Soo Jin Kang, Jinseub Hwang, Dohyang Kim, Bongjeong Kim
Frontiers in Public Health.2022;[Epub] CrossRef
Acceptance of the COVID-19 Vaccine by Foreigners in South Korea
Chiara Achangwa, Tae-Jun Lee, Moo-Sik Lee
International Journal of Environmental Research and Public Health.2021; 18(22): 12035. CrossRef
Too long to wait: South Asian migrants’ experiences of accessing health care in Australia
Manju Adhikari, Sabitra Kaphle, Yamuna Dhakal, Sabina Duwadi, Rajan Subedi, Sonu Shakya, Sunil Tamang, Mukesh Khadka
BMC Public Health.2021;[Epub] CrossRef

Self Role Perception of Health Teachers in Elementary Schools: Jeong Hee Lee, Byoung Sook Lee; J Korean Acad Community Health Nurs. 2010;21(4):398-408. Published online December 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.4.398

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5 Citations

Abstract PDF

PURPOSE
The purpose of this study was to describe and understand elementary school health teachers' role perception in their own perspectives.
METHODS
Data were collected from three focus groups composed of five participants for each group. Each focus group had an interview for two and a half hours on the average. The main question was "What is your perception on the roles of health teachers in elementary schools?" Qualitative data from transcribed notes and field notes were analyzed using qualitative content analysis.
RESULTS
Five main roles were identified from the participants. The participants perceived themselves as 'an expert of health education in school and community', 'a health service provider for school members', 'a health guardian for school members', 'the coordinator of healthcare related works in school', and 'the leader of school health'.
CONCLUSION
The participants have multiple role identities, which are very important for health management of school members. And the roles such as an expert of health education and a leader for school health are recently emphasized. The findings of this study can provide useful information to design orientation programs for newly appointed health teachers and continuing education programs for enhancing role performance of health teachers in elementary schools.

Citations

Citations to this article as recorded by

Perceived Discrimination and Workplace Violence among School Health Teachers: Relationship with School Organizational Climate
Joohee Kim, Young Ko
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 432. CrossRef
The Emergency Care Experience and Demand for Support of School Nurse
Jae Hee Yoon, In Sook Lee
Journal of Korean Academy of Community Health Nursing.2017; 28(2): 182. CrossRef
Professional Identity of Elementary School Health Teachers: A Grounded Theory Approach.
Jin Ok Kwon, Jina Oh, Eun Ha Kim, Dae Dong Hahn
Child Health Nursing Research.2015; 21(1): 64. CrossRef
Role Adaptation Process of Elementary School Health Teachers: Establishing Their Own Positions
Jeong Hee Lee, Byoung Sook Lee
Journal of Korean Academy of Nursing.2014; 44(3): 305. CrossRef
Role Expectation of School Health Teachers Recognized by Elementary Students and Nursing Students
Mi Kyung Kwon, Kyung-Sook Bang, Ju Youn Yu
The Journal of Korean Academic Society of Nursing Education.2012; 18(3): 456. CrossRef

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