Research in Community and Public Health Nursing

Original Articles

[English] Factors Associated with Health-Promoting Behaviors among Late Middle-Aged Women: Focusing on Aging Anxiety, Social Support, Self-Efficacy, and Physiological Indicators: Yu Jin Shin, Hye Kyung Lee; Res Community Public Health Nurs. 2026;37(3):346-357. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01655

211 View
4 Download

Abstract PDF: Purpose
The purpose of this study was to identify the relationships between aging anxiety, social support, and self-efficacy, and to determine the factors influencing health-promoting behaviors among late middle-aged women. Methods: This study utilized a descriptive research design. The participants were 136 late middle-aged women visiting vocational training centers in Sejong Special Self-Governing City. Data were collected using structured questionnaires regarding general characteristics, aging anxiety, social support, and self-efficacy. Physiological indicators, including blood glucose levels and body mass index (BMI), were also measured. Results: The factors significantly influencing health-promoting behaviors in late middle-aged women were social support (β=.40, p<.001), subjective health status categorized as "healthy" (β=.27, p=.019) or "average" (β=.29, p=.009), blood glucose levels (β=.17, p=.010), BMI (β=.16, p=.012), and aging anxiety (β=-.16, p=.042). These factors explained 48.9% of the total variance in health-promoting behaviors (adjusted R²=.489). Conclusion: The findings suggest that psychological, social, and physiological factors should be considered when developing health promotion strategies for late middle-aged women. Community-based programs that enhance social support and nursing interventions addressing health perception, aging anxiety, and physiological health management may help support health-promoting behaviors in this population.

[English] Support Needs and Stigma in Online Mental Health Discussions: Evidence from Large-Scale Comment Analysis: Soontae An, Hannah Lee, Nayoung Oh; Res Community Public Health Nurs. 2026;37(3):329-345. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2026.01536

169 View
4 Download

Abstract PDF: Purpose
This study aimed to characterize mental health discourse in user comments on YouTube videos about depression and bipolar disorder, focusing on how personal experience, stigma, and community building are expressed in digital interactions.
Methods
A total of 100 videos were identified using the keywords “depression” and “bipolar disorder.” Using the YouTube API, video metadata and 16,241 comments were collected. Most videos were produced by individual doctors, media outlets, and general hospitals, focusing on treatment, diagnosis, and symptoms. After removing non-informative, duplicated, or commercial posts, 13,183 comments were analyzed. Using GPT-5, comments were classified into eight predefined categories.
Results
“Personal Experience” was the most frequent category (9,551), followed by “Needs for Community Building: Emotional” (3,842) and “Needs for Community Building: Instrumental” (2,873). Actual “Community Building: Emotional Support” (1,345) and “Community Building: Instrumental Support” (549) appeared less frequently. Stigma-related discourse included “Social Stigma” (1,717) and “Internalized Stigma” (1,184), while “Non-evidence-based Advice” appeared in 1,146 comments. Co-occurrence analysis revealed strong associations between “Personal Experience” and “Needs for Community Building: Emotional” (.56), “Needs for Community Building: Instrumental” (.36), and “Internalized Stigma” (.33).
Conclusion
Expert mental health video comment sections functioned primarily as experience- and emotion-centered spaces where users expressed substantial emotional and informational needs but received limited reciprocal support. These findings highlight the need for digital mental health environments integrating evidence-based information with structured support frameworks.

[English] The Impact of Adverse Childhood Experiences on Non-Suicidal Self-Injury Among Korean Adolescents: Moderating Effects of Social Support and Risk Profiling of Vulnerable Subgroups: Jungok Yu, Myo Sung Kim, Mi Young Kim; Res Community Public Health Nurs. 2026;37(3):320-328. Published online September 30, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01431

180 View
4 Download

Abstract PDF: Purpose
This study examined the prevalence of non-suicidal self-injury(NSSI) among Korean adolescents and investigated the independent and interactive associations of adverse childhood experiences(ACEs) and social support with NSSI.
Methods
Data from a descriptive cross-sectional survey of Korean adolescents were analyzed. Group differences based on NSSI status were evaluated using χ²-test or independent t-test. Hierarchical multiple logistic regression analysis was performed to determine the independent effects of ACEs and social support on NSSI, and to test whether social support moderated the relationship between ACEs and NSSI.
Results
Over one-third of the participants reported a past-year history of NSSI. Cumulative ACEs were independently associated with higher odds of NSSI, whereas higher social support was independently associated with lower odds of NSSI, confirming its robust protective role. However, the interaction between ACEs and social support was not statistically significant, indicating that social support exerts a generalized protective effect rather than selectively moderating the association between ACE exposure and NSSI.
Conclusion
These findings underscore the need for systemic, early mental health screening within school and community settings that comprehensively assesses ACEs, depressive symptoms, and self-injury risk. Furthermore, prevention strategies should prioritize multi-source support networks involving peers, educators, and professional counselors, alongside evidence-based interventions tailored to enhance emotion regulation and resilience.

[English] The Impact of Death Anxiety on Depression and Ego Integrity among Elderly Residents of Care Facilities: The Role of Social Support as a Moderator: Sangye Shin, Eunsuk Lee; Res Community Public Health Nurs. 2026;37(2):166-178. Published online June 30, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01235

6,248 View
21 Download

Abstract PDF Supplementary Material: Purpose
This study applies Turner’s Stress Process Model to examine the effects of death anxiety on depression and ego integrity among elderly residents in long-term care facilities, with particular attention to the moderating role of social support.
Methods
Participants were 301 individuals aged 65 years and older residing in care facilities in P city. Data analysis was performed using SPSS statistics version 27.0, including descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation analysis, and hierarchical regression analysis. The PROCESS macro with bootstrapping was used to examine conditional effects, and simple slope analyses were conducted to illustrate significant interactions.
Results
Death anxiety was positively associated with depression and negatively associated with ego integrity. Total social support did not significantly moderate the association between death anxiety and ego integrity. However, professional support, a subdomain of social support, significantly moderated the relationship between death anxiety and depression (β=.13, p=.014), such that the positive association between death anxiety and depression was stronger at higher levels of professional support.
Conclusion
The findings of this study suggest the importance of addressing death anxiety and depression among elderly residents in long-term care facilities. In particular, the role of professional support within institutional settings should be carefully considered in developing mental health intervention programs tailored to this population.

[English] The Effects of Self Care Capacity of Elderly People in Rural Areas Diagnosed with Chronic Disease on Health-Related Quality of Life: A Two-Mediator Serial Mediation Effect of Social Support and Health Literacy: Sanguk Kim, Minjeong Seo; Res Community Public Health Nurs. 2025;36(2):165-178. Published online June 27, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00941

11,103 View
292 Download
2 Citations

Abstract PDF

Purpose
The aim of this study was to identify the serial mediation effect of social support and health literacy in the relationship between self care capacity and health-related quality of life.
Methods
Participants were 169 elderly people who lived in rural areas and were diagnosed with chronic diseases. Data collection was conducted from July 10, 2024 to August 30, 2024 through self-reported questionnaires. The data were analyzed by IBM SPSS Statistics 27 and SPSS PROCESS Macro 4.2 program.
Results
The direct effect of self care capacity on health-related quality of life was significant (β = .21, p = .023). The indirect effect of self care capacity on health-related quality of life was β = .14 (95% confidence interval [CI] = =0.01~0.29). The double mediating effect of social support and health literacy in the relationship between self care capacity and health-related quality of life was β = .02 (95% CI=0.01~0.06).
Conclusion
It was found that the social support and health literacy of the elderly diagnosed with chronic diseases living in rural areas were affected by self care capacity, which in turn affected health-related quality of life. It is necessary to approach successful aging by improving health-related quality of life through a system that can improve self care capacity, social support, and health literacy by efficiently utilizing community resources.

Citations

Citations to this article as recorded by

Predictors of psychological symptom risk in older adults in Türkiye: the role of mental health literacy and demographic-clinical factors
Nazan Turan, Selcen Babaoğlu Aydaş, Şahinde Canbulat
BMC Geriatrics.2026;[Epub] CrossRef
Exploring the Link Between Self-Compassion and Self-Care Agency in Women with Chronic Diseases: Application of Orem’s Nursing Theory in Practice
Behice Belkis Çalişkan, Tuğba Öz, Ülkü Yilmaz
Holistic Nursing Practice.2026;[Epub] CrossRef

[English] Associations between Self-esteem, Social Support, Family Empowerment, and Health Empowerment among Children during the COVID-19 Pandemic: Hye-Jin Kim; Res Community Public Health Nurs. 2025;36(1):49-58. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00794

5,193 View
72 Download

Abstract PDF: Purpose
This study aimed to identify associations between self-esteem, social support, family empowerment, and health empowerment among children during the COVID-19 pandemic.
Methods
A cross-sectional study was conducted among fifth- to sixth-grade children and their parents who were recruited from C elementary school in Gangwon-do, South Korea. The health empowerment, self-esteem, and social support as reported by children were measured by the Korean version of Health Empowerment Scale (K-HES), Self-Esteem Scale, and Perceived Social Support, respectively. The family empowerment as reported by parents of children was measured by the Family Empowerment Scale. Linear regression analysis was performed.
Results
Of the participants, children’s self-esteem (β=.46, p<.001) and social support (β=.47, p<.001) and parents’ family empowerment (β=.27, p=.008) were significantly and positively associated with children’s health empowerment.
Conclusion
Among children in health-vulnerable environments due to the COVID-19 pandemic, establishing interventions for improving health empowerment needs to be considered as a nursing strategy for self-esteem, social support, and family empowerment at the intrapersonal and interpersonal levels.

[English] Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 in Regional Medical Centers: Jaehwa Bae, Eun Suk Choi; Res Community Public Health Nurs. 2025;36(1):9-20. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00703

7,367 View
111 Download

Abstract PDF: Purpose
This study investigates the factors affecting Posttraumatic Growth (PTG) among nurses providing care for patients with COVID-19 in regional medical centers.
Methods
A total of 170 nurses from D, P, and G regional medical centers participated in this study. Data were collected through self-administered questionnaires from March 16 to March 31, 2023. IBM SPSS Statistics 27 was used for data analysis, including descriptive statistics, t-test, ANOVA, Pearson’s correlation, and hierarchical regression analysis.
Results
Statistically significant differences in PTG were observed based on gender, religion, and experience in caring for patients with emerging infectious diseases. PTG was significantly correlated with resilience, social support, and deliberate rumination. Resilience (β=.22, p=.003), social support (β=.18, p=.012), and deliberate rumination (β=.46, p<.001) were identified as factors influencing the posttraumatic growth of the participants. These variables accounted for 50.1% (F=29.33, p<.001) of the variances in PTG.
Conclusion
The findings of this study demonstrate the necessity of developing intervention and counseling programs aimed at enhancing deliberate rumination, resilience, and social support to promote PTG among nurses caring for patients with emerging infectious diseases.

[Korean] The Effect of Dual Sensory Impairment on Cognitive Function Decline in the Elderly: The Moderating Effect of Social Support: Soo Jee Yang, Ju Young Yoon; Res Community Public Health Nurs. 2023;34(3):217-227. Published online September 27, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00255

6,307 View
113 Download

Abstract PDF: Purpose
This study verified that the dual sensory impairment (DSI) in the elderly is associated with cognitive impairment (CI) and confirmed how change in cognitive function varies depending on the social support (SS).
Methods
For a study sample of Korean older people, data from the Korean Longitudinal Study of Ageing (KLoSA) from the 7th (2018) to the 8th (2020), were included in this cross-sectional descriptive study. Among people who responded in both 2018 and 2020, a total of 2,069 people of those who are 65 years of age or older, and have living children and normal cognitive function, were analyzed. X2 -test, t-test and logistic regression analyses were utilized.
Results
First, the number of elderly with visual impairment (VI), hearing impairment, and DSI increased on 8th data compared with 7th data. In addition, 22.9% of the 2,069 people showed a decrease in cognitive function. Second, compared to the elderly with normal sensory function, the cognitive function of the elderly with only VI was found to be more degraded, and the cognitive function of the elderly with DSI was found to be much more degraded. In addition, among SS, only participation in social gatherings was found to show significant change in cognitive function of the elderly with DSI. Third, the interaction effect of participating in social gatherings was not significant in the CI of the elderly with DSI.
Conclusion
VI and DSI effected cognitive function, but participation in social gatherings such as SS has not significant interaction effect on CI of the elderly with DSI.

[Korean] The Relation among Uncertainty, Social Support, Care Burden of Mothers having Children with Developmental Disabilities: Kyoung Eun Jeong, Min Hyun Suk; Res Community Public Health Nurs. 2023;34(2):117-126. Published online June 30, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00346

8,664 View
187 Download
7 Citations

Abstract PDF

Purpose
This descriptive correlation study aimed to confirm the relation among uncertainty, social support, care burden of mothers having children with developmental disabilities.
Methods
The participants were 111 mothers having children with autistic spectrum disorder or intellectual disability. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient and multiple regression using IBM SPSS 23.0 in the study.
Results
Uncertainty and social support were significantly correlated to caregiver burden. As a result of multiple regression analysis, the factors affecting caregiver burden were children’s age, the expense for caring, the period suspected child disabilities, and uncertainty. These factors accounted for 40.8% of caregiver burden.
Conclusion
In order to reduce the burden of caring for mothers with children with developmental disabilities, it is necessary to establish a system that can detect children with developmental disabilities early and to develop and provide an integrated guide suitable for the growth and development stage of children with developmental disabilities.

Citations

Citations to this article as recorded by

Factors associated with uncertainty in parents of children with developmental disabilities: A scoping review
Heejung Choi, GyeongAe Seomun, Jeongeun Song
Disability and Health Journal.2026; 19(1): 101962. CrossRef
The mediating role of social support in the effect of uncertainty intolerance on the burden of care in parents of children with special needs
Havva Kaçan, Gamze Kaş Alay, Gülçin Gümüş Çaliş
Journal of Pediatric Nursing.2026; 88: 569. CrossRef
The Impact of Unmarried Youth’s Perceived Parenting Burden on Life Satisfaction: The Moderating Effect of Policy Evaluation
Jinwook Kim, Subin Park, Jin Kwon
Journal of Families and Better Life.2026; 44(2): 115. CrossRef
The effect of intolerance of uncertainty, sleep quality, and social support on caregiver burden in parents of children with chronic diseases: A cross-sectional study
Furkan Doğaner, Raziye Celen
Journal of Pediatric Nursing.2025; 81: e106. CrossRef
Adaptation and validation of the Korean version of the parental perception of uncertainty scale (K-PPUS) in parents of children with developmental disabilities
Heejung Choi, GyeongAe Seomun
Journal of Pediatric Nursing.2025; 82: 47. CrossRef
The effect of counseling services provided in rehabilitation centers on parents' caregiving burden and quality of life
Mehmet Uçar, Rukuye Aylaz
WORK: A Journal of Prevention, Assessment & Rehabilitation.2025; 81(2): 2763. CrossRef
Spousal support, parent–nurse partnership and caregiver burden among parents of children with chronic diseases: A cross‐sectional study
Jihye Kim, Heemin Chae, Yoonjung Kim
Journal of Clinical Nursing.2024; 33(7): 2649. CrossRef

[Korean] A Path Analysis for Health-related Quality of Life in Long-term Care Insurance In-home Service Users: Je Hyun Kim, Seung Mi Park; Res Community Public Health Nurs. 2023;34(1):1-11. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00283

7,691 View
198 Download
3 Citations

Abstract PDF

Purpose
The purpose of this study is to construct and verify a path model for the factors affecting on quality of life in long-term care insurance in-home service users.
Methods
Total 246 participants using long-term care insurance in-home service were recruited from long-term care agencies. Data collection was conducted using a structured questionnaire from March 1st to March 31st 2021. The collected data were analyzed using SPSS 26 and AMOS 26 programs.
Results
The hypothetical path model was suitable for explaining the health-related quality of life in long-term care insurance in-home service users and has an explanatory power of 39.8%. Long-term care grade, depression, perceived health status, social support, age and living arrangement had a significant total effect on the quality of life in long-term care insurance in-home service users.
Conclusion
Long-term care insurance in-home service policies need to be expanded, such as screening and relieving depression, strengthening social support, and fostering a positive perception of health to improve the quality of life of the elderly.

Citations

Citations to this article as recorded by

Factors associated with health literacy in older adults aged 65 and over: a secondary data analysis of the 2021 Korea Health Panel applying the Andersen behavioural model
Yeong Eun Kim, Ol Han, Chang Sun Moon
BMJ Open.2025; 15(3): e085696. CrossRef
Path Analysis of Factors Influencing Health-Related Quality of Life for Community-Dwelling Vulnerable Older Adults with Chronic Diseases in Korea
Hyun-Ju Lee
Research in Community and Public Health Nursing.2025; 36: 315. CrossRef
Prediction model of health-related quality of life in older adults according to gender using a decision tree model: a study based on the Korea National Health and Nutrition Examination Survey
Hee Sun Kim, Seok Hee Jeong
Journal of Korean Biological Nursing Science.2024; 26(1): 26. CrossRef

[English] Effects of Depression, Social Support of Tuberculosis Patients on Self-care: Go Un Lee, Hye Kyung Lee; J Korean Acad Community Health Nurs. 2022;33(4):456-464. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.456

5,090 View
179 Download
2 Citations

Abstract PDF

Purpose
The purpose of this study was by understanding the correlation between the depression, social support and self-care of tuberculosis patients and by identifying the factors that influence the self-care. Methods: The study subjects were 119 outpatients who were diagnosed with pulmonary and respiratory tuberculosis at a university hospital in D city. The survey questions measured depression, social support, self-care. Using the SPSS/WIN 23.0 program, the collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlations and multiple regression analysis. Results: As a result of correlation analysis, there was a statistically significant negative correlation between self-care and depression (r=-.53, p<.001), and there was a significant positive correlation between self-care and social support (r=.68, p<.001). Factors affecting self-care of the subjects were social support (β=.51, p<.001), depression (β=-.32, p<.001), drug discontinuation experience (β=-.30, p<.001) and drug resistance (β=-.14, p<.001). These factors explained 62% of the variance. Conclusion: In order to improve the self-care ability of tuberculosis patients, it is necessary to develop education and nursing intervention programs that can lower patients' depression and strengthen social support.

Citations

Citations to this article as recorded by

Silent barriers: psycho-social factors and the hidden risk of medication non-adherence among tuberculosis patients in Mongolia
Munkhzaya Namsraijav, Basbish Tsogbadrakh, Orn-Anong Wichaikhum, Azadeh Stark
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases.2026; 43: 100608. CrossRef
Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
Bongsil Lim, Min Young Kim
The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87. CrossRef

[English] 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, Duck Hee Chae; J Korean Acad Community Health Nurs. 2022;33(2):188-195. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.188

3,269 View
45 Download
2 Citations

Abstract PDF

Purpose
With the first generation of marriage-based immigrant women in East Asia now reaching their middle or old age, the need to focus investigations on their health-related quality of life has arisen. This study aimed to examine the extent to which physical and mental health, and psychosocial variables can predict health-related quality of life among Japanese middle-aged immigrant women. Methods This study has a descriptive cross-sectional design. A convenience sample of 197 Japanese middle-aged marriage-based immigrant women from two regions of South Korea were recruited between December 2017 and March 2018. Participants completed self-administered questionnaires on health-related quality of life, menopausal symptoms, depression, perceived health status, disease morbidity, social support, and acculturation. The data were analyzed using hierarchical multiple regression. Results Depression was the strongest predictor of health-related quality of life, followed by perceived health status, social support, and household income. Menopausal symptoms, presence of disease, and acculturation appeared to have no additional impact on participant’s health-related quality of life. Conclusion In times of rapid growth of global migration and the aging of immigrants in new destination countries, nursing interventions and public health policies for aging marriage-based immigrant women should be prioritized to improve their mental health by facilitating social support and disease management. In addition, social and employment policies that can help immigrant women transition to a healthy midlife are needed.

Citations

Citations to this article as recorded by

Patterns of service needs and their influence on aging anxiety among middle-aged marriage immigrant women in South Korea
Ja Hyun Shin, Jisoo Yang
Journal of Women & Aging.2025; 37(5): 319. CrossRef
Home-based walking intervention for middle-aged migrant women using 360-degree virtual videos and a wearable activity tracker: A mixed-methods pilot study
Duckhee Chae, Keiko Asami, Jaseon Kim, Kukhyeon Kim, Jeeheon Ryu, Ardith Z. Doorenbos
Research in Community and Public Health Nursing.2024; 35: 10. CrossRef

[English] Perceived Social Support of Family Caregivers for People with Dementia: Concept Analysis: Aeri Kim, Jeong Yeon Kim, Kyung Mi Woo; J Korean Acad Community Health Nurs. 2021;32(4):540-554. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.540

4,719 View
78 Download
2 Citations

Abstract PDF

Purpose
Most of the currently used concepts and measurements of social support have been relevant for general population. The main purpose of this study is to conduct the concept analysis of perceived social support(PSS) of family caregivers for people with dementia. Methods: This study adopted the Walker and Avant concept analysis methodology. Results: Findings from this concept analysis suggested four defining attributes of PSS of family caregivers for people with dementia: 1) PSS is help or assistance that family caregivers perceive as available when needed; 2) PSS is offered through socio-ecological structure; 3) PSS has a specific function to meet the needs of family caregivers; and 4) PSS includes quality aspects where family caregivers choose, use, or evaluate it. Borrowing from the socio-ecological model, this study proposed the structural aspects of PSS. This study also identified functional aspects of PSS, such as emotional support, informational support, appraisal support, and practical support. Finally, this study assessed quality aspects of PSS, such as satisfaction, timeliness, usefulness, accessibility, and coordination. Conclusion: Focusing on family caregivers for people with dementia, we proposed a new model of PSS. The present study helped refine and clarify the concept of PSS of family caregivers for people with dementia. The results of this study may also contribute to promoting the development of more effective instruments for the concept.

Citations

Citations to this article as recorded by

Examining Characteristics and Service Utilization of South Korean Home Health Care Patients: Secondary Analysis of 10-Year Data From a Tertiary Hospital
Hana Lee, Aeri Kim, Hyunsook Heo, Jisoo Lee, Kyungmi Woo
Home Health Care Management & Practice.2023; 35(1): 21. CrossRef
Experience of family caregivers using dementia management programs for patients with dementia during COVID-19: Based on focus group interviews
Doonam Oh, Jeonghae Hwang, Seonghee Jeong
Korean Journal of Health Education and Promotion.2022; 39(5): 101. CrossRef

[English] The Relationship between Parenting Stress and Health Promotion Behavior of Working Women: Mediating Effect of Supporting Resources: Gwijin Lee, Jin Hwa Lee, Bok Im Lee; J Korean Acad Community Health Nurs. 2021;32(4):529-539. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.529

2,229 View
22 Download

Abstract PDF: Purpose
The purpose of this study was to understand the parenting stress and health promotion behavior of working women, and to investigate the mediating effect of supporting resources. Supporting resources were set as social support of spouse and community, and institutional support of the organization to which the subject belongs based on previous studies and an ecological system theory.
Methods
The participants were composed of 214 female workers residing in 17 cities and provinces nationwide and having at least one child aged 1~12 years old. Data were collected online from February 19 to February 28, 2021. The collected data were analyzed using the SPSS 20.0 program to understand the level and correlation of the general characteristics and major variables, and to test the mediating effect, after controlling the variables significantly from univariate analysis, step regression analysis was performed.
Results
Among the supporting resources, the mediating effect of social support of spouse and community was statistically significant.
Conclusion
These findings suggest that it is necessary to seek ways to increase the social support of working women's spouses and people around them in order to increase the health promotion behavior of working women.

[English] The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress: Soo Yeon Park, Su Ah Cho, Eugene Lee, Sung Chul Choi, Jin A Choo; J Korean Acad Community Health Nurs. 2021;32(3):404-414. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.404

3,165 View
42 Download
5 Citations

Abstract PDF

Purpose
Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students.
Methods
This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses.
Results
Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06.
Conclusions
The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

Citations

Citations to this article as recorded by

Illness attitudes and the flourishing of university students of South Korea in a pandemic: a cross-sectional descriptive study
Insil Jang, Yoonjung Kim, Hyeji Shin
Psychology, Health & Medicine.2025; 30(8): 1607. CrossRef
Factors affecting emerging infectious disease prevention behaviors among young workers based on ecological modeling
Hyo Eun Park, Hye Young Song
Scientific Reports.2025;[Epub] CrossRef
Psychometric Properties of the Short-Form Revised Lifestyle Evaluation Scale for Metabolic Syndrome–Korean
Shinae Seo, Chun-Ja Kim, Se-Won Kang, Dae Jung Kim, Elizabeth A. Schlenk
The Science of Diabetes Self-Management and Care.2025; 51(6): 578. CrossRef
Factors Associated with Prevention of Metabolic Syndrome Among Middle-Aged Postmenopausal Korean Women: A Study Based on the Information, Motivation, Behavioral Skills (IMB) Model
Yoonjung Kim, Sooyeon Park
Patient Preference and Adherence.2023; Volume 17: 2279. CrossRef
Causal model of health literacy in dietary supplement use and sufficient health behavior among working-age adults
Ungsinun Intarakamhang, Pitchada Prasittichok
Heliyon.2022; 8(11): e11535. CrossRef

First
Prev
Page of 4
Next
Last

Search