Research in Community and Public Health Nursing

Original Articles

Risk Perceptions of Noncommunicable Diseases among Cambodian Adults: A Cross-Sectional Study: Sung Heui Bae, Ok Nam Hwang, Ji Eun Jeong, Young Ran Yang; J Korean Acad Community Health Nurs. 2022;33(2):259-268. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.259

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Purpose
In Cambodia, noncommunicable diseases (NCDs) account for 64% of all deaths. A lack of risk perception of NCDs leads to poor measures of their prevention and management. This study aimed to investigate Cambodians’ risk perceptions of NCDs based on the health belief model. Methods A cross-sectional design was used, and using convenience sampling, participants included 200 Cambodians aged 40 years or older. A face-to-face administered structured questionnaire was used to assess demographic characteristics, health behaviors, and risk perceptions of NCDs. Results Of the constructs of NCD risk perception, perceived severity (88.2%) and benefits (86.3%) were high, but relative to these, perceived cues to action (64.1%), barriers (63.5%), and self-efficacy (58.1%) were low. Conclusion It is important to improve perceived self-efficacy in government health promotion, outreach, and improvement programs and to reduce perceived barriers through medical tests either by facility-based delivery or via outreach health services in Cambodia.

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Under-utilisation of noncommunicable disease screening and healthy lifestyle promotion centres: A cross-sectional study from Sri Lanka
Thilini Herath, Manuja Perera, Anuradhani Kasturiratne, Pracheth Raghuveer
PLOS ONE.2024; 19(4): e0301510. CrossRef

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

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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.

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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

Older Adults' Perceptions of Age-friendliness with an Emphasis on Community Supports and Health Services in a City in South Korea: Chi Young Lee, Belong Cho, Young Tae Cho, Yeon Hwan Park; J Korean Acad Community Health Nurs. 2019;30(2):234-242. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.234

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Abstract PDF

PURPOSE
This study tries to comprehend older adults' perspectives of community supports and health services in a South Korean city and identify important sociodemographic and health characteristics that affect their perspectives.
METHODS
166 older adults were involved in this cross-sectional study. Questions on background characteristics and community supports and health services criteria (categorized as service accessibility, offer of services, voluntary support, or emergency care planning) based upon the WHO's Age-Friendly Cities Guide were used. The data were analyzed using paired and independent t-tests, one-way ANOVA, and hierarchical multiple regression analyses.
RESULTS
Emergency care planning was rated as the most important by the participants (mean age=76.24 years, 22.9% male), while its current level of performance was lowly appraised (p<.001). The rated importance for each category differed based on individual characteristics. Depression (p=.016), older age (p=.012), and restricted network type (p=.039) were significantly related to ascribing a higher degree of importance to community services.
CONCLUSION
Community initiatives are warranted to optimize emergency care for older adults. This planning must be based on the unique characteristics of older adults in coordination with supportive resources. In addition, comprehensive assessments are warranted before implementing action plans to ensure that the multi-dimensional problems of older adults are incorporated.

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Systematic Literature Review (SLR) on Community Support Among the Older Adults
Abdul Aziz Marzuki, Nik Norliati Fitri Md Nor, Siti Masayu Rosliah Abdul Rashid
Ageing International.2023; 48(4): 1086. CrossRef
Assessing Age-Friendliness: Individualistic vs. Collectivistic Cultures
Nancy Brossoie, Eunju Hwang, Kimin Song, Jin Wook Jeong, Kim Young-Woo
Journal of Aging & Social Policy.2022; 34(2): 311. CrossRef

Multilevel Analysis of Factors associated with Subjective Weight Perception among Normal Body Weight Adolescents based on the 2017 Korean Youth's Risk Behavior Survey (KYRBS): Eun Ha Joeng, In Sook Lee; J Korean Acad Community Health Nurs. 2018;29(4):476-487. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.476

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Abstract PDF

PURPOSE
The present study is focused on understanding weight perception related with individual- and school-level multifactorial origins, underestimated and overestimated respectively, in normal body weight adolescents.
METHODS
Using the 2017 Korea Youth Risk Behavior Web-based Survey data of 45,902 students from 799 secondary schools, a multilevel multinomial logistic regression analysis was performed where adolescents (level1) were nested within schools (level 2).
RESULTS
At the school level, the average school body mass index (BMI, kg/mÂ²) and physical education were associated with weight perception among both boys and girls. In boys, geographic areas were associated with weight underestimation. At the individual level, perceived economic status, weekly allowance, BMI (kg/mÂ²), smartphone usage time (hrs/day) and perceived stress were associated with weight perception among both boys and girls. Age, paternal education, academic achievement and alcohol use were associated with weight perception among girls, while part-time job and physical activity were associated with weight perception among boys.
CONCLUSION
Our findings underscore the importance of individual- and school-level environments in developing correct weight perception and have implications for school health education to establish healthy lifestyle behaviors for all adolescents.

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Body Image Perception in High School Students: The Relationship with Gender, Weight Status, and Physical Activity
Stefania Toselli, Luciana Zaccagni, Natascia Rinaldo, Mario Mauro, Alessia Grigoletto, Pasqualino Maietta Latessa, Sofia Marini
Children.2023; 10(1): 137. CrossRef
Factors associated with the adoption of extreme weight control behavior by non-obese adolescents: a secondary analysis
Eunha Jeong
BMC Pediatrics.2023;[Epub] CrossRef
Association between body shape misperception and unhealthy eating behaviors among Korean adolescents
Yejin Kim, Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim
Nutrition Research and Practice.2023; 17(6): 1143. CrossRef
Analysis of Factors Related to Adolescents’ Physical Activity Behavior Based on Multichannel LSTM Model
Guiling Chang, Jinfeng Liu, Dong Chen
Computational Intelligence and Neuroscience.2022; 2022: 1. CrossRef
Factors associated with body image perception of adolescents
Hyunju Chae
Acta Psychologica.2022; 227: 103620. CrossRef
Factors Associated with the Weight Bias Internalization of the Girls in Early Adolescence
Jin Suk Ra, Soon Ok Kim
Journal of Korean Academy of Community Health Nursing.2021; 32(2): 140. CrossRef
Effect of Body Image Distortion on Health Behaviors Practice in High School Students
Hyun Jung Yun
Stress.2020; 28(2): 98. CrossRef

Gender Differences in the Effects of Weight, Weight Perception, and Weight Satisfaction on Depression in Adolescents: Jin Suk Ra, Hye Sun Kim, Jeong Lim Ryu; J Korean Acad Community Health Nurs. 2017;28(4):359-365. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.359

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Abstract PDF

PURPOSE
This study aims to investigate gender differences in the association between depressive symptoms and weight, weight perception, and body satisfaction among Korean adolescents.
METHODS
A secondary data analysis was performed on data from 33,374 adolescents who participated in the 2015 Adolescent Health Behavior Online Survey. They were classified as underweight, normal weight, or overweight/obese; weight perception was classified into perception of being underweight, normal weight, or overweight/obese; and weight satisfaction into desire to gain weight, satisfied, and desire to lose weight.
RESULTS
Among boys, perception of being underweight (adjusted odds ratio [AOR]: 1.20, 95% confidence interval [CI]: 1.07~1.35) and desire to gain weight (AOR: 1.45, 95% CI: 1.30~1.62) were associated with depression. Among girls, perception of being overweight or obese (AOR: 1.18, 95% CI: 1.07~1.29) and a desire to lose weight (AOR: 1.30, 95% CI: 1.18~1.42) were associated with depression.
CONCLUSION
Gender differences were observed in the association between weight perception and depression in adolescents. The perception of being underweight among boys and the perception of being overweight/overweight among girls were associated with depression. Thus, gender-specific intervention programs to correct weight perception and weight satisfaction are needed in order to relieve depressive symptoms in adolescents.

Citations

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Moderating Effects of Student Engagement on the Relationship Between Weight Bias Internalization and Depressive Symptoms Among Adolescent Girls With Higher Weight
Jin Suk Ra
The Journal of Early Adolescence.2024; 44(3): 365. CrossRef
Prevalence of body weight dissatisfaction among adolescents: a systematic review
Mariana Contiero San Martini, Daniela de Assumpção, Marilisa Berti de Azevedo Barros, Josiemer Mattei, Antônio de Azevedo Barros Filho
Revista Paulista de Pediatria.2023;[Epub] CrossRef
Age and gender differences in misperceptions of body shape in a Taiwanese population
Hui-Ching Weng, Sheng-Mao Chang, Jason C. Hsu, Yung-Ning Yang, Chung-Ying Lin
Journal of Eating Disorders.2023;[Epub] CrossRef
Factors Associated with the Weight Bias Internalization of the Girls in Early Adolescence
Jin Suk Ra, Soon Ok Kim
Journal of Korean Academy of Community Health Nursing.2021; 32(2): 140. CrossRef

Elderly Koreans' Perception of Nursing Homes: Se Young Kim; J Korean Acad Community Health Nurs. 2016;27(3):242-253. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.242

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Abstract PDF

PURPOSE
This research aims to understand the perceptions of nursing homes from the perspective of the elderly, explores the themes of such perception and provides supporting evidence for developing nursing intervention that focuses on the subjects of care within nursing homes.
METHODS
This research is based on qualitative research in a phenomenological methodology. The research participants included elders aged 67~83 living at home in Jeonnam, Jeonbuk Provinces and G City. Data collection methodologies included in-depth interviews and observation of participants. The data were analyzed in the phenomenological methodology by Colaizzi.
RESULTS
As a result of the research, it was found that all significant statements about the Korean elders' perception of nursing homes fell within 3 categories with 9 major themes and 23 minor themes. The three observed categories for the Korean elders' perception on nursing homes were: 'places they do not like to be in', 'places they have to be in' and 'places that makes them feel fortunate as they have a place to go'.
CONCLUSION
This research provides foundational tools that will provide a steer for changes in nursing environment, physiological support, programs and education so that the needs of the elderly can be met more sufficiently.

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Time in the State of Dementia Caregiving in South Korea: When Care Becomes (Non-)Waiting
Jieun Lee
Culture, Medicine, and Psychiatry.2023; 47(4): 898. CrossRef
Person-Centered Care Experience of Nursing Home Workers: A Qualitative Meta-Synthesis Study
Eun Young Kim, Sung Ok Chang
Journal of Korean Gerontological Nursing.2022; 24(1): 33. 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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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.

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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

A Study on Korean Adults' Health Status, Smoking Perception, and Self-efficacy of Smoking Cessation according to Smoking Status: Mi Kyung Park, Kyung Suk Kang, Nam Young Kim; J Korean Acad Community Health Nurs. 2006;17(1):83-90. Published online March 31, 2006

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Abstract PDF: PURPOSE
The present study purposed to investigate Korean adults health status, smoking perception. and self-efficacy of smoking cessation according to whether smoking or not.
METHODS
This study conducted a questionnaire survey of 694 adults at D County in Korea during the period from the 10th of June to the 10th of July 2004. The instruments used for this study were scales on health status, smoking perception and self-efficacy: of smoking cessation. Data was analyzed by frequency and percentage, mean and SD, chi2-test, t-test, ANOVA using SPSS 11.0 program.
RESULTS
The subjects of this study were 503 men and 191 women, and 60.8% of the male subjects and 6.8% of the female subjects were smokers. With respect to health status (t=-2.58, p=0.010), smoking perception (t=10.59. p<0.000) and the self-efficacy of smoking cessation (t=-23.04, p<0.000), there were significant differences according to whether smoking or not.
CONCLUSIONS
It is necessary to make repeated study to find other variables that affect adults smoking and to develop smoking cessation programs that enhance the self-efficacy of smoking cessation.

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