Research in Community and Public Health Nursing

Original Articles

Prevalence and Risk Factors of Diabetic Retinopathy in Diabetes People using Korean National Health and Nutrition Examination Survey VII: Ihn Sook Jeong, Chan Mi Kang; J Korean Acad Community Health Nurs. 2022;33(4):408-417. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.408

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Abstract PDF: Purpose
This study aimed to investigate the prevalence and risk factors of diabetic retinopathy (DR) in people with diabetes mellitus (DM) using Korean National Health and Nutrition Examination Survey VII (2017~2018). Methods: DM was defined as in two ways; 1) doctor's diagnosis (Group 1, n=549), 2) one of doctor's diagnosis, medication, or hyperglycemia (Group 2, n=849). The DR prevalence was measured as the prevalence proportion (%). Risk factors for developing DR were analyzed using multiple logistic regression, and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Results: The prevalence of DR was 25.87% in Group 1 and 20.14% in Group 2. Risk factors for DR were identified as insulin therapy (Group 1: OR=5.31, Group 2: OR=5.27), DM duration ≥10 years (Group 1: OR=2.20, Group 2: OR=3.10), and systolic blood pressure ≥140 mmHg (Group 1: OR=2.26, Group 2: OR=2.23) for both groups. Conclusion: Considering the DR prevalence, eye examinations education is highly recommended as part of a diabetes management programs in the community. It is also proposed to shorten the eye examination cycle for people with risk factors and establish a referral system to link between screening to treatment.

Predictors of Accidental Falls in the Community-dwelling Elderly by Age: Nan Ju Park, Yong Soon Shin; J Korean Acad Community Health Nurs. 2019;30(2):141-149. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.141

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PURPOSE
The purpose of this study is to identify risk factors of accidental falls by age in the Korean elderly.
METHODS
The study subjects included 10,242 community-dwelling elders aged 65 or over. The data were analyzed by logistic regression analysis.
RESULTS
The risk factors of accidental falls in the younger old group (aged 65~74) include fear of falling (OR=16.28, 95% CI: 12.03~22.03), depression (OR=1.24, 95% CI: 1.06~1.44), and hearing impairment (OR=1.20, 95% CI: 1.01~1.43). The risk factors of accidental falls in the older old group (aged 75~84) include fear of falling (OR=11.54, 95% CI: 7.04~18.93), muscle strength (OR=1.36, 95% CI: 1.15~1.60), number of chronic disease (OR=1.65, 95% CI: 1.09~2.50), and presence of spouse (OR=1.27, 95% CI: 1.06~1.51). The risk factors of accidental falls in the oldest old group (aged 85 years old or older) include fear of falling (OR=8.05, 95% CI: 1.85~34.98) and exercise (OR=2.91, 95% CI: 1.36~6.24). Fear of falling is defined as a common factor in the all age groups.
CONCLUSION
Different strategies should be developed for age groups to prevent elderly falls with understanding of contributing factors of falls in each group.

Citations

Citations to this article as recorded by

Predictors of Depression in Elderly According to Gender during COVID-19: Using the Data of 2020 Community Health Survey
Hye-Jung Jun, Kyoung-Mi Kim
Healthcare.2024; 12(5): 551. CrossRef
Nomogram for Predicting the Risk Factors for Falls in Older People: A Secondary Data Analysis Based on the 2021 Community Health Survey
Sook Kyoung Park, Hyuk Joon Kim, Young-Me Lee, Hye Young Kim
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2024;[Epub] CrossRef
Health-related quality of life in older women with injuries: a nationwide study
Yeunhee Kwak, Jung-Won Ahn
Frontiers in Public Health.2023;[Epub] CrossRef
Factors influencing fall in the community-dwelling elderly: Data from the 2020 national survey of older people: A secondary analysis study
Chang Kwan Lee
Journal of Korean Gerontological Nursing.2023; 25(3): 320. CrossRef
Validity of the Morse Fall Scale and the Johns Hopkins Fall Risk Assessment Tool for fall risk assessment in an acute care setting
Young Ju Kim, Kyoung‐Ok Choi, Suk Hyun Cho, Seok Jung Kim
Journal of Clinical Nursing.2022; 31(23-24): 3584. CrossRef
A model for predicting fall experience in the elderly population over 65 years old: Decision tree analysis
Myeunghee Han
Journal of Korean Gerontological Nursing.2022; 24(4): 366. CrossRef
Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
Mi Young Kim, Yujeong Kim
BMC Geriatrics.2022;[Epub] CrossRef
Health-Related Quality of Life of Elderly Women with Fall Experiences
Jiyoung Song, Eunwon Lee
International Journal of Environmental Research and Public Health.2021; 18(15): 7804. CrossRef
Factors Associated with the Fear of Falling after Discharge in Older Adults Who had Surgery after Experiencing a Fall Fracture
Jin-Yeong Kim, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2021; 23(4): 395. CrossRef

Risk Factors for Unawareness of Obstructive Airflow Limitation among Adults with Chronic Obstructive Pulmonary Disease: Mi Rae Jo, Hee Young Oh; J Korean Acad Community Health Nurs. 2018;29(3):290-299. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.290

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1 Citations

Abstract PDF

PURPOSE
The purpose of the present study is to examine risk factors for unawareness of obstructive airflow limitation among adults with chronic obstructive pulmonary disease.
METHODS
Secondary data analysis was performed with the data from the 6th Korea National Health and Nutrition Examination Survey (KNHANES; 2013â€“2014). The data were analyzed with the IBM SPSS 22.0 version using frequency, percentage, odds ratio, and logistic regression.
RESULTS
Ninety-eight percent of subject with a pulmonary function test score of FEV1/FVC < 0.7 (N=833) did not recognize that their lung function was impaired. The heavy drink, absence of tuberculosis or asthma diagnosis, and no symptom of expelling phlegm were identified as major risk factors for unawareness of airflow limitation.
CONCLUSION
In order to increase awareness of airflow limitation and to prevent the worsening of the condition, the pulmonary function screening test should be provided to community residents including those who do not show symptoms of respiratory illness.

Citations

Citations to this article as recorded by

Disease Awareness and Treatment Experience of Patients with Chronic Obstructive Pulmonary Disease
Hyun Jung Noh, Su Hyun Kim, Woo Joung Joung
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 188. CrossRef

Factors Influencing the Initiation of Treatment after the Diagnosis of Korean Patients with HIV: Mi So Shim, Gwang Suk Kim, Chang Gi Park; J Korean Acad Community Health Nurs. 2018;29(3):279-289. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.279

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1 Citations

Abstract PDF

PURPOSE
This study has been conducted to identify factors that influence the initiation of treatment after the diagnosis of Korean patients with HIV.
METHODS
A cross-sectional study design was used, and 290 patients with HIV from outpatient departments of 7 hospitals participated. Self-report questionnaires included items on the days from the primary diagnosis to the initiation of treatment, and the patients' demographic and disease related characteristics. Negative binomial regression model (NBR) was utilized to determine risk factors influencing the initiation of treatment after the diagnosis of the patients with HIV.
RESULTS
The skewness of days was 6.62, and the degree of asymmetry of distribution was severe. In NBR, patients who were in their 40s and 50s, female, unmarried and living with their family, jobless, in a middle or high level of economic status, and diagnosed before 2014 showed a higher risk of delayed treatment than patients who were younger, male, married and living with family, in a low level of economic status, and diagnosed in 2014 or afterwards.
CONCLUSION
The findings suggest the necessity of intervention to promote HIV patients' early entry into treatment based on the participants' characteristics.

Citations

Citations to this article as recorded by

Barriers and facilitators on the HIV care continuum among adults living with HIV in high-income countries: a scoping review protocol
Gwang Suk Kim, Youngin Kim, Min Kyung Park, Sang A Lee, Youngjin Lee, Mi-So Shim
Systematic Reviews.2022;[Epub] CrossRef

The Prevalence and Associated Factors of the Metabolic Syndrome in Pre-menopausal Housewives: An Analysis of the 2010~2015 Korean National Health and Nutrition Examination Survey: Chul Gyu Kim, Young Ji Kim; J Korean Acad Community Health Nurs. 2018;29(1):108-119. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.108

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4 Citations

Abstract PDF

PURPOSE
The purpose of this study is to estimate the prevalence of the metabolic syndrome in pre-menopausal housewives and to explore controllable and uncontrollable factors regarding metabolic syndrome.
METHODS
The study population of this cross-sectional survey was from the Korean Health and Nutrition Examination Survey (KHANES) 2010 through 2015, including the fifth and sixth population-based studies. The criteria for metabolic syndrome include waist circumference, blood pressure, fasting plasma glucose, triglyceride, high-density lipoprotein (HDL) based on Korean Clinical Practice Guideline for Metabolic Syndrome by the Korean Academy of Family Medicine 2015.
RESULTS
Among the 2,498 subjects, 247 subjects had metabolic syndrome and the prevalence was estimated to be 9.9%. The number of subjects who met the criterion of HDL was 936 (36.2%), which was the most prevalent among the criteria for metabolic syndrome. Statistically significant (p < .05) factors include age, livinghood benefit group, perceived health status, obesity, family history of DM, sleeping time, awareness of stress,leukocyte, and erythrocyte count. The odds ratio of obesity in the BMI â‰¥25 group was 12.59 times as high as that of the BMI < 25 group (p < .001) for metabolic syndrome.
CONCLUSION
The prevalence of metabolic syndrome in pre-menopausal housewives in the survey was not low, and it is necessary to develop and apply comprehensive health habit management programs to improve controllable factors including exercise and food intake.

Citations

Citations to this article as recorded by

Effect of Household Type on the Prevalence of Metabolic Syndrome in Korea: Using Propensity Score Matching
Jisu Park, Ilsu Park
Healthcare.2022; 10(10): 1894. CrossRef
Comparison of metabolic syndrome and related factors in married pre-menopausal white- and blue-collar woman
Seungmi Park, Chul-Gyu Kim, Youngji Kim
Archives of Environmental & Occupational Health.2022; 77(9): 744. CrossRef
Sociodemographic and Health Characteristics Associated with Metabolic Syndrome in Men and Women Aged ≥50 Years
Goeun Chung, Hye-Sun Jung, Hye-Jin Kim
Metabolic Syndrome and Related Disorders.2021; 19(3): 159. CrossRef
Mental Health Status of Adults with Cardiovascular or Metabolic Diseases by Gender
Yeunhee Kwak, Yoonjung Kim, Soo Jin Kwon, Haekyung Chung
International Journal of Environmental Research and Public Health.2021; 18(2): 514. CrossRef

Risk Factors for Suicidal Ideation among Middle Class Korean: Focusing on Psychosocial Comparison - An Analysis of a Nationwide Survey of the 8th Korea Health Panel Data: Ahra Jo, Bora Kang, Young Ju Seo, Eun Ha Gil, Hee Young Oh; J Korean Acad Community Health Nurs. 2018;29(1):1-10. Published online March 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.1.1

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1 Citations

Abstract PDF

PURPOSE
The purpose of this study was to examine the prevalence and risk factors of suicidal ideation among middle class Korean.
METHODS
Cross sectional study was designed for secondary data analysis. From the 8th Korea Health Panel survey (2008~2013), a total of 6,037 data was drawn and analyzed by developmental stage using descriptive statistics including frequency, percentage, Ï‡Â² test, and logistic regression analysis.
RESULTS
Across all age groups, high physical-mental stress, frustration, anxiety about the future and low self-perceived health status or social class were found to be the risk factors of suicidal ideation. Peer-compared subjective health status and frustration significantly influenced the adolescents. The young adults' suicidal ideation was mainly influenced by physical and mental stress, frustration and absence of economic activity. For the middle-aged, physical and mental stress, frustration, future anxiety, low peer-compared subjective health status were found to be the major influencing factors. The predominant risk factors for the elderly were frustration and low peer-compared subjective health status.
CONCLUSION
Making comparisons to others significantly influence suicidal ideation throughout all life cycles. Improvement of mental health and suicide prevention can be enhanced by avoiding negative comparison to others.

Citations

Citations to this article as recorded by

Factors affecting suicidal ideation among premenopausal and postmenopausal women
Go‐Un Kim, Hae Kyoung Son, Mi‐Young Kim
Journal of Psychiatric and Mental Health Nursing.2021; 28(3): 356. CrossRef

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