Research in Community and Public Health Nursing

Original Articles

[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

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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

Citations to this article as recorded by

Associations between disability and tobacco use in 31 low-income and middle-income countries: a secondary analysis of cross-sectional data from Multiple Indicator Cluster Surveys
Zhengdong Zhong, Shengyue Qiu, Jiazhou Yu, Sara Rotenberg, Li Xiang, Hannah Kuper, Shanquan Chen
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
Bohye Kim, Ju Young Yoon
Quality of Life Research.2026;[Epub] CrossRef
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
Frontiers in Medicine.2025;[Epub] CrossRef
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
PLOS Global Public Health.2024; 4(6): e0003232. CrossRef
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
Healthcare.2023; 11(12): 1802. CrossRef
Association between Light Intensity Physical Activity and All-cause Mortality in Older Adults with Physical Disability
Inhwan Lee, Hyunsik Kang
Exercise Science.2022; 31(3): 337. CrossRef

[English] The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis: Ji Eun Kim, In Sook Lee; J Korean Acad Community Health Nurs. 2015;26(2):89-99. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.89

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7 Citations

Abstract PDF

PURPOSE
The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly.
METHODS
We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching.
RESULTS
The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less.
CONCLUSION
Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

Citations

Citations to this article as recorded by

A Scale for Continuity of Care in Home Health Care: A Development and Validation Study
Jiyeon Kim, Sook-Ja Yang
Research in Community and Public Health Nursing.2025; 36: 35. CrossRef
Comparison between the Aged Care Facilities Provided by the Long-Term Care Insurance (LTCI) and the Nursing Hospitals of the National Health Insurance (NHI) for Elderly Care in South Korea
Hyeri Shin
Healthcare.2022; 10(5): 779. CrossRef
Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
Kyuri Lee, Dukyoo Jung
International Journal of Environmental Research and Public Health.2021; 18(5): 2319. CrossRef
Development and Application of Cost Management Program for Visiting Nursing Centers Using Time-Driven Activity-Based Costing
Juhang Kim, Ji Young Lim
Journal of Korean Academy of Nursing.2019; 49(5): 586. CrossRef
Demand and willing to pay for oral hygiene service in long-term care insurance of elderly
Han-Nah Kim, Gi-Yon Kim, Hie-Jin Noh, Nam-Hee Kim
Journal of Korean Academy of Oral Health.2018; 42(4): 204. CrossRef
Association between home-visit nursing utilization and all-cause hospitalization among long-term care insurance beneficiaries: A retrospective cohort study
Yeong Jun Ju, Hyo Jung Lee, Woorim Kim, Sang Ah Lee, Kyu-Tae Han, Eun-Cheol Park
International Journal of Nursing Studies.2017; 75: 93. CrossRef
Regional Comparison of Home Visiting Care Service Satisfaction among Elder Beneficiaries of the Long Term Care Insurance
Chanyeong Kwak
Journal of Korean Academy of Community Health Nursing.2016; 27(2): 114. CrossRef

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