Research in Community and Public Health Nursing

Original Articles

[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.

[English] The Mediating Effect of Sleep Quality in the Relationship between Academic Stress and Social Network Service Addiction Tendency among Adolescents: Eun Sook Bae, Hye Seung Kang, Ha Na Lee; J Korean Acad Community Health Nurs. 2020;31(3):290-299. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.290

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4 Citations

Purpose
The purpose of this study is to examine the mediating effect of sleep quality in the relationship between academic stress and social network service (SNS) addiction tendency among adolescents.
Methods
The participants were composed of 204 high school students who were enrolled at private schools in Incheon metropolitan city. Data were collected from August 16 to September 10, 2019. The collected data were analyzed using a regression analysis, and SPSS Process Macro was used to test the mediating effect. Results: The direct effect of academic stress on SNS addiction tendency and the indirect effect of academic stress mediated with sleep quality about SNS addiction tendency were statistically significant.
Conclusion
These findings suggest that positive intervention for academic stress and effective intervention program enhancing sleep quality should be provided for adolescents in order to prevent SNS addiction.

Citations

Citations to this article as recorded by

Electronic Media Use and Sleep Quality: Updated Systematic Review and Meta-Analysis
Xiaoning Han, Enze Zhou, Dong Liu
Journal of Medical Internet Research.2024; 26: e48356. CrossRef
A one-year longitudinal study on the mediating role of problematic TikTok use and gender differences in the association between academic stress and academic procrastination
Qingqi Liu, Jingjing Li
Humanities and Social Sciences Communications.2024;[Epub] CrossRef
Changes in Sleep Satisfaction of Korean Adolescents in the Pre- and Post-COVID-19 Eras and Its Effects on Health Behaviors
Dahyeon Lee, Kang-Sook Lee, Sejin Kim, Woohyun Chung, Jeung Jegal, Hyeonjung Han
International Journal of Environmental Research and Public Health.2023; 20(3): 1702. CrossRef
The COVID-19 related stress and social network addiction among Chinese college students: A moderated mediation model
Ziao Hu, Yangli Zhu, Jun Li, Jiafu Liu, Maozheng Fu, Alejandro Vega-Muñoz
PLOS ONE.2023; 18(8): e0290577. CrossRef

[English] Effects of a Self-Care Reinforcement Program for Socially Vulnerable Elderly Women with Metabolic Syndrome in Korea: Mi Kyung Park, Ki Wol Sung; J Korean Acad Community Health Nurs. 2019;30(3):271-280. Published online September 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.3.271

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5 Citations

Abstract PDF

PURPOSE
This study evaluates the efficacy of a Self-Care Reinforcement Program (SCRP) based on the Selection Optimization Compensation (SOC) model, in socially vulnerable elderly women with metabolic syndrome.
METHODS
This study adopts a pretest-posttest nonequivalent control group design. The participants were 64 socially vulnerable elderly Korean women with metabolic syndrome (experimental group: 31, control group: 33). Participants' body composition analysis, nutrient intake, risk factors of metabolic syndrome, depressive symptoms, and social network were measured. Data were analyzed with an independent t-test; statistical significance levels were set at p<.05. The SCRP, including metabolic syndrome education, nutritional education, exercise, and social network, was performed three times a week for 8 weeks.
RESULTS
There were statistically significant differences between the experimental and control groups in terms of systolic blood pressure, diastolic pressure, fasting blood sugar, triglycerides, sodium intake, depressive symptoms, and social networks.
CONCLUSION
The SCRP is effective and can be recommended as a community health nursing intervention for socially vulnerable elderly women with metabolic syndrome.

Citations

Citations to this article as recorded by

Evaluation of a health promotion program based on Community-based Participatory Research for older adults at risk for metabolic syndrome: a mixed methods study
Juhyeon Yang, Bohyun Park
BMC Public Health.2025;[Epub] CrossRef
The Effects of Health Literacy, Social Support, and Health-Promoting Behaviors on Metabolic Syndrome Among Middle-Aged and Older Women Living in Rural Areas of Republic of Korea
Eun-Kyung Lee, Yong-Sook Eo
Healthcare.2025; 13(24): 3279. CrossRef
Analysis of energy intakes, physical activities and metabolic syndrome according to the income level in Korean elderly people: Korean National Health and Nutrition Examination Survey 2016‒2018
Eun-Sook Sung, Sijin Lee, Youngjun Lee, Seunghee Lee, Jonghoon Park
Physical Activity and Nutrition.2022; 26(2): 028. CrossRef
Phytochemical Investigation of Marker Compounds from Indigenous Korean Salix Species and Their Antimicrobial Effects
Yoon Seo Jang, Da Eun Lee, Joo-Hyun Hong, Kyung Ah Kim, Bora Kim, Yeo Rang Cho, Moon-Jin Ra, Sang-Mi Jung, Jeong-Nam Yu, Seongpil An, Ki Hyun Kim
Plants.2022; 12(1): 104. CrossRef
Effects of the Participatory Action Research on Reducing the Risk of Metabolic Syndrome in Adult Women
Yong-Sook Eo
International Journal of Environmental Research and Public Health.2021; 18(21): 11103. CrossRef

[English] Mediating Effects of Interpersonal Problems in the Relationship between Social Network Service Use Tendency and Depression among University Students: Min Jeong Park, Mi Young Chung; J Korean Acad Community Health Nurs. 2019;30(1):38-46. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.38

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Abstract PDF: PURPOSE
The purpose of this study isto identify the mediating effects of interpersonal problems in the relationship between Social Network Service (SNS) use tendency and depression among university students.
METHODS
Data were collected from April 28 to May 7, 2018 and the participants included 222 university students, who responded to the question regarding SNS use tendency, interpersonal problems and depression. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using the SPSS/WIN 23.0 program.
RESULTS
A positive correlation is found between depression and SNS use tendency (r=.24, p<.001), and among interpersonal problems (r=.62, p<.001), SNS use tendency and interpersonal problems (r=.34, p<.001). Interpersonal problems have a full mediating effect on the relationship between SNS use tendency and depression (Sobel test: 5.24, p<.001).
CONCLUSION
These results suggest that it is important to manage interpersonal problems to prevent depression caused by SNS use tendency.

[English] Effects of University Students' Social Comparison Orientation on Their SNS Addiction through Self-esteem: In Suk Yang, Sun A Whang; J Korean Acad Community Health Nurs. 2018;29(3):371-381. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.371

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3 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify the mediating effects of self-esteem between social comparison orientation and social network service (SNS) addiction in university students.
METHODS
Descriptive cross-sectional survey design was employed. The data were statistically analyzed by using the descriptive and inferential statistics. Sobel test and Bootstrap method, and Kappa squared mediation effect size measure were used to identify the mediator's significance. A convenience sample of 195 subjects was recruited from two universities in Korea.
RESULTS
The mean age of the subjects was 22.58Â±1.81. The subjects showed relatively high levels of SNS addiction with a mean score of 14.33Â±4.80. The overall model significantly explained 37.0% of variances in the subjects' SNS addiction after controlling gender, age, grade, major, period of SNS using, time spent on SNS per day, and times accessed SNS per day. Of the predictors, time spent on SNS per day, social comparison orientation, and self-esteem were significantly associated with SNS addiction. Self-esteem was the mediator between social comparison orientation and SNS addiction.
CONCLUSION
When developing strategies for preventing SNS addiction, interventions for reducing time spent on SNS per day, not having upward social comparison orientation, and improving the self-esteem should be considered. These findings might provide a theoretical basis for developing effective strategies for preventing SNS addiction in university students.

Citations

Citations to this article as recorded by

Beyond the Likes: Investigating the Role of Social Comparison, Fear of Missing Out, and Depression in the Link between Multidimensional Facebook Use Intensity and Problematic Facebook Use
Hyun Jee Park
Psychological Reports.2026;[Epub] CrossRef
Factors Influencing the Perception of Decent Work by Nurses
Chung Hee Woo, Yu Jin Lee
Journal of Korean Academy of Nursing Administration.2025; 31(3): 227. CrossRef
Examining the Impact of Upward Comparison Subdimensions on the Psychological Well-Being of College Students Using Instagram
Indeok Song
Korean Journal of Journalism & Communication Studies.2023; 67(2): 79. CrossRef

[English] Acculturation, Social Network, and Health-related Quality of Life in Korean-Chinese Immigrants: Meen Hye Lee, Hyeon Kyeong Lee, Sue Kim, Yeon Soo Jang; J Korean Acad Community Health Nurs. 2013;24(4):438-450. Published online December 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.4.438

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4 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify relationships between acculturation, social network, and health-related quality of life (HRQOL) among Korean-Chinese immigrants.
METHODS
A cross-sectional descriptive study was conducted with 147 Korean-Chinese immigrants who were residing more than 1 year in Korea. Physical and mental dimensions of HRQOL were assessed by Short Form-12 Health Survey that consisted of a physical component summary (PCS) and a mental component summary (MCS). Data were analyzed with Pearson's correlation and multiple regression.
RESULTS
The mean PCS score was 41.14+/-10.72 and the mean MCS score was 49.09+/-11.31 (possible range 10-70). Depression (beta=-6.43) and Social network frequency (beta=2.44) explained 28.4% of the variance in PCS while depression (beta=-11.54) and visiting clinic/hospital (beta=-4.00) explained 34.3% of the variance in MCS. Acculturation was not significantly associated with HRQOL.
CONCLUSION
This study confirmed that the social network frequency influences HRQOL among Korean-Chinese Immigrants. The findings suggest that social network analysis should be considered in the process of developing health intervention strategies for Korean-Chinese immigrants.

Citations

Citations to this article as recorded by

The Moderating Effect of Social Networks on Health-Promoting Behaviors Among Korean Older Adults
Hyewon Shin, William N. Dudley, Minjoo Hong, Jennie C. De Gagne
Sage Open.2024;[Epub] CrossRef
Influencing Factors on Health-related Quality of Life among Japanese Middle-aged Marriage-based Immigrant Women in South Korea: A Cross-Sectional Study
Keiko Asami, Duckhee Chae
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 188. CrossRef
Health‐related quality of life among migrant workers: The impact of health‐promoting behaviors
Sunghye Cho, Hyeonkyeong Lee, Eui Geum Oh, Gwang Suk Kim, Yong‐Chan Kim, Chang‐gi Park
Nursing & Health Sciences.2020; 22(2): 318. CrossRef
Factors on Healthcare Utilization by Asian Immigrants in the United States
Aeyoung So, Jennie C. De Gagne, Jina Oh
Journal of Korean Public Health Nursing.2015; 29(1): 53. CrossRef

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