Research in Community and Public Health Nursing

Original Articles

[Korean] Factors Related to Length of Stay for COVID-19 Patients: A Retrospective Study: Hoosun Cho, Eunsu Kim; Res Community Public Health Nurs. 2025;36(2):221-229. Published online June 27, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00885

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Abstract PDF: Purpose
The purpose of this study was to investigate factors related to the length of stay of patients with COVID-19 in one region. Methods: The study included 729 elderly patients with COVID-19 who were hospitalized. Data were collected through a survey of patients with epidemiological investigation in the Integrated Disease and Health Management System by public health center staff from April 2020 to January 2022. The collected data were analyzed using the t-test, ANOVA, Pearson's correlation coefficient, and Hierarchical regression analysis. Results: In this study, the average length of hospital stay was approximately 10.3 days, and the hierarchical regression analysis results showed that as age (β = .28, p < .001) increased, the length of hospital stay became shorter when diagnosed in the delta mutation period (β = -.15, p = .001) compared to before the delta mutation period, and when vaccination was administered three or more times (β = -.18, p = .003). The explanatory power of the final model was approximately 18% (Adjusted R2=.16, F = 13.23, p < .001).
Conclusion
The results of this study emphasize the importance of early detection and preemptive treatment of COVID-19 in the older adults and other high-risk groups and the need to reduce the severity by implementing additional vaccinations.

[English] Updated Theory of Planned Behavior in Predicting Parents’ Intentions to Vaccinate Their Sons in Elementary School against Human Papillomavirus: Eun Hee Kang, Eun Hyun Lee; J Korean Acad Community Health Nurs. 2021;32(2):195-204. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.195

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6 Citations

Purpose
This study was to determine how attitude, subjective norm, and perceived behavioral control (PBC) were related to parents' intentions to vaccinate their sons in elementary school against human papillomavirus (HPV), applying the updated theory of planned behavior. Two hypotheses were examined: PBC would moderate the relationship of attitude to intention and subjective norm to intention, respectively.
Methods
This was a cross-sectional study with 231 participants recruited in November, 2018. Inclusion criteria for the participants were parents with 5th-6th grade boys in elementary schools. The moderation effects of the hypotheses were analyzed using the PROCESS macro for SPSS.
Results
PBC significantly moderated the relationship of attitude to intention on HPV vaccination. The simple effect of attitude to intention was significant under three different levels of the PBC (low, moderate, and high), but the magnitudes of the relationships were not homogeneous. The magnitude of the relationship between attitude and intention was the lowest for the parents with the low level of the PBC. In the relationship of subjective norm to intention on HPV vaccination, the moderating effect of the PBC was not supported. Subjective norm and PBC directly predicted the intention on HPV vaccination.
Conclusion
In order to promote the parents' intentions to vaccinate their sons in elementary school against HPV, we need a program that can improve parents’ attitude, subjective norm, and PBC, requiring special attention to the parents with the low PBC.

Citations

Citations to this article as recorded by

Impact of human papillomavirus vaccination knowledge, health beliefs, and self-efficacy on vaccination intention in adolescent sons in Korea: a descriptive survey study
Jiyeon Bark, Haejin Kim, So Im Ryu
Journal of Korean Biological Nursing Science.2025; 27(1): 49. CrossRef
Examining the impact of sex-biased information on health behaviors: a study of HPV vaccination among male college students based on the extended theory of planned behavior
Tong-Chen Lucas Wang, Mei-Juan Zhang, Hualin Zhang
Frontiers in Public Health.2025;[Epub] CrossRef
Factors Influencing the Intention of COVID-19 Infection Preventive Behaviors Among Hemodialysis Patients in Korea: A Cross-sectional Study
Su In Ham, Kyu Eun Lee
Journal of Health Informatics and Statistics.2024; 49(2): 142. CrossRef
Factors Affecting Intention of Signing the Advance Directives in Middle Aged Adults in Korea Based on the Theory of Planned Behavior: A Cross-sectional Study
Hyun Jeong Park, Kyu Eun Lee
Journal of Health Informatics and Statistics.2024; 49(3): 279. CrossRef
Predictors of parental behavioral intentions for vaccinating their children against COVID-19 as determined by the modified theory of planned behavior
Mi-Young Kwon, Nam-Yi Kim
The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 292. CrossRef
An Integrative Review of the Influence on Human Papillomavirus Vaccination Adherence among Adolescents
Hyewon Shin, Sunyeob Choi, Ju-Young Lee
Healthcare.2023; 11(18): 2534. CrossRef

[English] Factors Influencing Influenza Vaccination Intention among Health Personnel in General Hospitals: An Application of the Theory of Planned Behavior: Ji Young You, Jin Hyang Yang; J Korean Acad Community Health Nurs. 2021;32(2):175-185. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.175

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6 Citations

Abstract PDF

Purpose
Influenza immunization among health personnel is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. The purpose of this study is to identify factors associated with the influenza vaccination intention among health personnel based on the theory of planned behavior. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 131 health personnel in five general hospitals in two cities in South Korea. The data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 26.0 program.
Results
There were statistically significant differences in influenza vaccination intention according to the high-risk group in the family, occupation, length of employment, and influenza vaccination status within a year. The influenza vaccination intention of these health personnel showed significant positive correlations with attitude, subjective norms, and perceived behavioral control towards influenza vaccination. Multiple regression analysis for influenza vaccination intention revealed that the significant predictors were attitude, subjective norms, influenza vaccination within a year and physician in occupation. These factors explained 41.4% of the variance.
Conclusion
The results suggest a need to strengthen attitude and subjective norms. The findings also suggest that their characteristics through influenza vaccination status within a year and occupation should be considered for tailored interventions related to the intention. Furthermore, it is necessary to develop programs strengthening attitude and subjective norms to enhance influenza vaccination intention among health personnel.

Citations

Citations to this article as recorded by

Influenza vaccination intention among emergency medical service personnel: examining the role of health perception within the theory of planned behavior
Demhat Şahin Uyar, Tezcan Şahin
BMC Public Health.2026;[Epub] CrossRef
Physicians’ Intentions to Recommend Influenza Vaccine: A Multi-Centered Hospital-Based Study Using the Theory of Planned Behavior in Bangladesh
Md Abdullah Al Jubayer Biswas, Mahbubur Rahman, Sazzad Hossain Khan, Ahamed Khairul Basher, Md Ariful Islam, Ashrak Shad Pyash, Homayra Rahman Shoshi, Md Altaf Ahmed Riaj, Md Nazrul Islam, Md Arif Rabbany, Md Azizul Haque, Shishir Ranjan Chakraborty, Syed
International Journal of Environmental Research and Public Health.2025; 22(1): 84. CrossRef
Factors related to the intention of pre-clinical vaccination among nursing students
Kahyung Ahn, Minsu Jang, Jihyeon Kang, Yuri Kim, Ahyeon Shin, Yeon-Hwan Park
The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 225. CrossRef
Factors Associated With Airline Cabin Crews’ Influenza Vaccination Intention in the Workplace-based Setting
Layoung Kim, Gwang Suk Kim, Kyung Hee Lee, Jungha Kim
Workplace Health & Safety.2023; 71(5): 245. CrossRef
Factors influencing COVID-19 vaccination intention among parents of children aged 5-11 years in South Korea: a cross-sectional study
Jung Hwa Kang, Yunsoo Kim
Child Health Nursing Research.2023; 29(3): 237. CrossRef
Factors Influencing the COVID-19 Vaccination Intentions in Nurses: Korea, February 2021
Ju Young Park, Jiyeon Ha
Journal of Korean Academy of Nursing.2021; 51(5): 537. CrossRef

[English] HPV Knowledge, HPV Vaccination Intention, and Barriers on HPV Vaccination in Male Undergraduate Students of Health Department and Non-health Department: Jung Ah Choi, Kyoung Ah Kim; J Korean Acad Community Health Nurs. 2016;27(2):144-152. Published online June 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.2.144

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4 Citations

Abstract PDF

PURPOSE
The aim of this study was to identify the level of Human papillomavirus (HPV) knowledge, intention of HPV vaccination, and barriers on HPV vaccination among male undergraduate students of Health department and Non-health department.
METHODS
A total of 149 male undergraduate students responded to self-administered questionnaires about their HPV knowledge, HPV vaccination intention, and their barriers on HPV vaccination. ANOVA, t-test and Ï‡2 test (Fisher's exact test) were used for data analysis.
RESULTS
Mean score of HPV knowledge was 3.39Â±3.05, and there was significant difference between Health department (4.15Â±3.08) and Non-health department (2.58Â±2.82) in HPV knowledge (t=3.241, p=.001). There was no significant difference in HPV vaccination acceptance between the two groups. The barriers on HPV vaccination were 'lack of information about HPV vaccine efficacy' and 'lack of information about HPV vaccination time and strategy', and there were significant differences in barriers on HPV vaccination between the two groups.
CONCLUSION
The knowledge on HPV was low, and HPV vaccination was hindered due to lack of information about HPV vaccine despite their intention to obtain HPV vaccine. HPV education to promote HPV vaccination should be targeted among male students.

Citations

Citations to this article as recorded by

Prevalence and genotype distribution of human papillomavirus among Korean males: Implications for vaccination strategies
Seon Beom Jo, Sun Tae Ahn, Jong Wook Kim, Mi Mi Oh, Dong Soo Lee, Yong-Hak Sohn, Du Geon Moon
Investigative and Clinical Urology.2026; 67(1): 62. CrossRef
Human papillomavirus (HPV) vaccination in males: Associations of HPV-related knowledge and perceptions with HPV vaccination intention among Korean mothers of boys
Jihye Choi, Paula Cuccaro, Christine Markham, Sooyoun Kim, Irene Tamí-Maury
Preventive Medicine Reports.2024; 37: 102566. CrossRef
Human Papillomavirus (HPV) Vaccination Intent among Mothers of Adolescent Sons: A National Survey on HPV Knowledge, Attitudes and Beliefs in South Korea
Jihye Choi, Seyoung Kim, Seung-Ju Lee, Sangrak Bae, Sooyoun Kim
The World Journal of Men's Health.2023; 41(2): 413. CrossRef
The Influence of Knowledge of Human Papilloma Virus and Health Beliefs Related to Human Papilloma Virus Vaccination on the Intention of Cervical Cancer Prevention Behavior in Nurses
Da Hee Lee, Yeong Lang Eim, So Young Choi
Asian Oncology Nursing.2020; 20(3): 123. CrossRef

[English] The Correlates of Influenza Vaccination among Korean Elderly Men and Women: Hee Sun Kang, Han Ju Lee, Mi Won Kim; J Korean Acad Community Health Nurs. 2011;22(1):45-55. Published online March 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.1.45

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10 Citations

Abstract PDF

PURPOSE
This study aimed to investigate the rate of and factors associated with influenza vaccination in Korean elderly people.
METHODS
For this retrospective cross-sectional study, we used data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008. A total of 1,516 men and women aged 65 or above were included. The data were analyzed using descriptive statistics and logistic regression.
RESULTS
The overall rate of influenza vaccination in 2008 was 73.6%. The vaccination rate was lower in women (73.2%) than in men (74.2%; p<.001). It was lower in the elderly aged 80 and above, those living in metropolitan areas, smokers, those who did not receive regular health screening, those who had no history of hospitalization within one year, and those who had liver diseases than in the other groups. The rate of vaccination was higher in those with cancer. Logistic regression analysis revealed that for both men and women, the significant correlates associated with vaccination were demographic factors, chronic disease and health behavior.
CONCLUSION
The influenza vaccination coverage needs to be improved. Efforts should be made to reach the elderly population with relatively low influenza vaccination rates and to increase awareness about the importance of vaccination at a personal and community level.

Citations

Citations to this article as recorded by

Review of Randomized Controlled Trials on Herbal Medicine for Influenza Prevention
Jayun Kim, Seong-cheon Woo, Yee-ran Lyu, Yang-chun Park
The Journal of Internal Korean Medicine.2025; 46(3): 421. CrossRef
Current status of influenza vaccination and factors affecting vaccination rates among older men and women
So-jin Lee, Kyung-sun Ryu, Jun-young Song
Korean Journal of Health Education and Promotion.2024; 41(1): 59. CrossRef
Factors Influencing the Practice of Healthy Living as an Integrated Indicator of the Elderly’s Drinking, Smoking, and Walking Patterns: Using Korea Community Health Surveys
Eunha Kim, Inhee Choo, Yunhwan Noh
International Journal of Environmental Research and Public Health.2022; 19(4): 1936. CrossRef
Trends in Influenza Vaccination Coverage Rates among Korean Cancer Survivors: Analysis of the Korea National Health and Nutrition Examination Survey III–VI
Ye-Seul Kim, Jae-woo Lee, Hee-Taik Kang, Yonghwan Kim, Hyo-Sun You
Korean Journal of Family Medicine.2020; 41(1): 45. CrossRef
Current Immunization Status and Factors Affecting the Influenza Vaccination in Kidney Transplant Patients
Han Kyung Cho, Jae Sim Jeong, Seongmi Moon, Mi-Na Kim
Journal of Korean Biological Nursing Science.2016; 18(2): 118. CrossRef
Influenza Vaccination Status in Korean Adult Population in Relation with Socioeconomic and Medical Factors
Gyeong-Ran Byeon, Yang-Im Hur, Jae-Heon Kang, Hyun-Ah Park, Kyoung-Woo Kim, Young-Gyu Cho, Koh-Eun Shin, Bong-Hee Kang
Korean Journal of Health Promotion.2016; 16(1): 20. CrossRef
A Study of Predictive Factors Affecting Health: Promoting Behaviors of North Korean Adolescent Refugees
Jin-Won Noh, Hyo-Young Yun, Hyunchun Park, Shi-Eun Yu
Journal of Preventive Medicine and Public Health.2015; 48(5): 231. CrossRef
Association between Living Arrangements and Influenza Vaccination Rates among Elderly South Korean People: The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-2)
Hye Min Cho, Joo-Yeon Kim, Seo Eun Hwang, Jae Chul Kim, Moo-Young Kim, Soo Hyoung Lee
Korean Journal of Family Medicine.2015; 36(4): 186. CrossRef
Hepatitis A Virus Vaccination Status and Related Factors among College Students
Jae Seong Baek, Mi Ah Han, Jong Park, Na-Ra Yun
Korean Journal of Health Promotion.2014; 14(3): 103. CrossRef
Differences in Vaccination Status and Awareness between Influenza and Pneumococcal Vaccinations in the Elderly
Seungmi Park, Jeong Sil Choi
Journal of muscle and joint health.2013; 20(2): 122. CrossRef

[English] The Influencing Factors of Influenza Vaccination in the Elderly Participating in Lifetime Transitional Health Examination: Eun Shil Yim, Kyung Ha Kim, Hyun Ju Chae; J Korean Acad Community Health Nurs. 2010;21(4):502-511. Published online December 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.4.502

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3 Citations

Abstract PDF

PURPOSE
The purpose of this study was to investigate the influencing factors of influenza vaccination in the elderly participating in lifetime transitional health examination.
METHODS
This study was a secondary analysis of data collected from lifetime transitional health examination (for 66-year-old people) conducted by the National Health Insurance Corporation (NHIC) from January 1 to December 31, 2008. Questionnaires were received from NHIC to obtain information regarding gender, chronic diseases, health-related behaviors, and ADL. A total of 255,333 participants who responded all the questions in the questionnaire were included in the analysis. Collected data were analyzed by descriptive statistics, chi2 test, and multiple logistic regression.
RESULTS
The influenza vaccine coverage rate in 66-year-old people was 66.1%. The influenza vaccine coverage rate was higher in female elders and those with hypertension, diabetes, heart disease or past smoking, and lower in those with stroke, current smoking, drinking, no-exercise or ADL-dependency.
CONCLUSION
Strategies for improving the influenza vaccination coverage rate in the elderly are needed. The strategies should give priority to the elderly with current smoking, drinking, and no-exercise, and home visiting programs are needed for the elderly with stroke and ADL-dependency.

Citations

Citations to this article as recorded by

Current status of influenza vaccination and factors affecting vaccination rates among older men and women
So-jin Lee, Kyung-sun Ryu, Jun-young Song
Korean Journal of Health Education and Promotion.2024; 41(1): 59. CrossRef
Health Behavior, Health Service Use, and Health Related Quality of Life of Adult Women in One-person and Multi-person Households
Hyun Ju Chae, MiJong Kim
Korean Journal of Women Health Nursing.2019; 25(3): 299. CrossRef
Social Disparities in Utilization of Preventive Health Services among Korean Women Aged 40-64
Hyun Hee Park, In Ae Chun, So Yeon Ryu, Jong Park, Mi Ah Han, Sung Woo Chio, Jun Ho Shin
Journal of Health Informatics and Statistics.2016; 41(4): 369. CrossRef

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