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Differences in Factors Associated with Depressive Symptoms between Urban and Rural Female Adolescents in Korea
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Gyuyoung Lee, Ok Kyung Ham, Bo Gyeong Lee, Abuan Micah Kim
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J Korean Acad Nurs 2018;48(4):475-484. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.4.475
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Abstract
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- Abstract
Purpose
To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior.
Methods
We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI).
Results
Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, aca-demic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/ anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05).
Conclusion
Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.
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Citations
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- Rural Suicide: A Systematic Review and Recommendations
Tyler R. Pritchard, Jennifer L. Buckle, Kristel Thomassin, Stephen P. Lewis Clinical Psychological Science.2025; 13(1): 3. CrossRef - Urban-Rural Differences in the Prevalence of Depressive Symptoms in Korean Adults
Ji-An Jeong, Sun A Kim, Jung Ho Yang, Min-Ho Shin Chonnam Medical Journal.2023; 59(2): 128. CrossRef - Urbanicity and depression: A global meta-analysis
Colin Xu, Lucille Miao, Devon Turner, Robert DeRubeis Journal of Affective Disorders.2023; 340: 299. CrossRef - Short Video-Based Mental Health Intervention for Depressive Symptoms in Junior High School Students: A Cluster Randomized Controlled Trial
Yuting Yang, Hao Wang, Wen Sha, Xiaoqin Guo, Wei Deng, Jingyi Wang, Chaowei Fu Psychology Research and Behavior Management.2023; Volume 16: 4169. CrossRef - Association between mental health and executive dysfunction and the moderating effect of urban–rural subpopulation in general adolescents from Shangrao, China: a population-based cross-sectional study
Qingmin Lin, Cody Abbey, Yunting Zhang, Guanghai Wang, Jinkui Lu, Sarah-Eve Dill, Qi Jiang, M K Singh, Xinshu She, Huan Wang, Scott Rozelle, Fan Jiang BMJ Open.2022; 12(8): e060270. CrossRef - Measuring Happiness in Adolescent Samples: A Systematic Review
Justė Lukoševičiūtė, Gita Argustaitė-Zailskienė, Kastytis Šmigelskas Children.2022; 9(2): 227. CrossRef - Effects of Life Skill Training on the School Violence Attitudes and Behavior Among Elementary School Children
Jae Yeon Lee, Ok Kyung Ham, Hyun Soo Oh, Eun Jin Lee, Young Ko, Bongjeong Kim The Journal of School Nursing.2022; 38(4): 336. CrossRef - Factors Affecting Obesity in Urban and Rural Adolescents: Demographic, Socioeconomic Characteristics, Health Behavior and Health Education
Gyu-Young Lee, Youn-Joo Um International Journal of Environmental Research and Public Health.2021; 18(5): 2405. CrossRef - Sociodemographic characteristics associated with adolescent depression in urban and rural areas of Hubei province: a cross-sectional analysis
Guo Li, Junhua Mei, Jing You, Jinfeng Miao, Xiaoyan Song, Wenzhe Sun, Yan Lan, Xiuli Qiu, Zhou Zhu BMC Psychiatry.2019;[Epub] CrossRef
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Factors associated with Self-Rated Health in Metabolic Syndrome and Relationship between Sleep Duration and Metabolic Syndrome Risk Factors
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Bo Gyeong Lee, Jae Yeon Lee, Sun Ah Kim, Dong Min Son, Ok Kyung Ham
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J Korean Acad Nurs 2015;45(3):420-428. Published online June 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.3.420
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Abstract
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Purpose
Purpose was to explore associations between sleep duration and metabolic syndrome (MS) risks, and to determine factors associated with self-rated health (SRH) of adults with MS compared to other adults.
Methods
This is a secondary data analysis based on the Fifth Korea National Health and Nutrition Examination Survey KNHANES V (N=12662). Study instruments included sleep duration, MS risk factors, SRH and health-related quality of life (HRQoL).
Results
Mean age of participants was 43.68±12.26 years. Fifty-eight percent were women, and 18.3% were identified as having MS. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and SRH were significantly different according to sleep duration (p<.05) among all participants. In the non MS group, male gender, younger age (19~30 and 41~50 age brackets) upper income level, sufficient sleep duration, and high density lipoprotein (HDL) were positively associated with SRH, whereas, lower education levels (≤ middle school), glucose level, and waist circumference were negatively associated with SRH (p<.05). In the MS group, lower income, lower education levels (≤ middle school), glucose level, and waist circumference were negatively associated with SRH, whereas, having an occupation was positively associated with SRH (p<.05).
Conclusion
Results suggest that tailored approaches are required for prevention and control of MS and sleep duration of each individual should be considered rather than applying standardized guidelines. However, as sleep quality was not included in the analysis, further investigations regarding influence of sleep quality on MS and SRH and controlling for other lifestyle and health behavior factors are required.
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- Effects of Sleep Duration on Prevalence of Metabolic Syndrome and Metabolic Syndrome Components in Korean Adults
Jiyoung PARK, Byung-sun CHOI Korean Journal of Health Promotion.2024; 24(4): 167. CrossRef - Lifestyle and Health Behaviors Associated with Metabolic Syndrome and Cardiovascular Disease
Goeun Chung, Hye-Jin Kim Metabolic Syndrome and Related Disorders.2024; 22(2): 105. CrossRef - Health-related quality of life associated with coexisting chronic conditions in postmenopausal women
Bo Gyeong Lee, Haein Lee Health Care for Women International.2024; 45(11): 1220. CrossRef - The Unique Role of Self-Rated Health in Metabolic Syndrome and its Diagnostic Cardiometabolic Abnormalities: An Analysis of Population-Based Data
K. Umeh, S. Adaji, L. Graham Journal of Medical Psychology.2023; 25(1): 7. 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 according to sleep duration in stroke survivors: A population‐based nationwide cross‐sectional study
Hye‐Mi Moon, Yoonjung Kim Geriatrics & Gerontology International.2020; 20(3): 223. CrossRef - The Association between Muscle Mass and Metabolic Syndrome Configuration among Korean Adults
Hwa-Ji Kim, Sung-Je Cho, Seong-Hwa Jeong Journal of Health Informatics and Statistics.2019; 44(3): 279. CrossRef - A Study on Risk Factors of Metabolic Syndrome and Health Behaviors in a Region - 2014 community health survey -
Ok-hee Ahn, Seong-hui Choi, Seo-Hyeon Kim, Si-Ok Ryu, Young-Mi Choi Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 218. CrossRef - Predictors of Sleep Quality Among Young Adults in Korea: Gender Differences
Ae Kyung Chang, Jinyi Choi Issues in Mental Health Nursing.2016; 37(12): 918. CrossRef - Impact of Menopausal Status, Metabolic Syndrome and its Risk Factors on Impaired Quality of Life above Middle-aged Women
Jisoon Kim, Sukhee Ahn Korean Journal of Women Health Nursing.2016; 22(4): 275. CrossRef
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Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea
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Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park
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J Korean Acad Nurs 2012;42(7):928-935. Published online December 12, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.7.928
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Abstract
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- Abstract
Purpose
The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling.
Methods
Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis.
Results
Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization.
Conclusion
The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/ or promotion of community awareness.
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- Exploring the role of social representations in micro-health insurance scheme enrolment and retainment in sub-Saharan Africa: a scoping review
Albino Kalolo, Lara Gautier, Manuela De Allegri Health Policy and Planning.2022; 37(7): 915. CrossRef - Factors Influencing Emergency Department Nurses’ Compliance with Standard Precautions Using Multilevel Analysis
Su Jung Kim, Eun Ju Lee International Journal of Environmental Research and Public Health.2021; 18(11): 6149. CrossRef - Factors Affecting Emotional · Behavioral Problems in Early Adolescence: A Multilevel Model Study
Hee Young Park, Yeon Hee Choi Journal of Korean Academy of Community Health Nursing.2017; 28(4): 482. CrossRef - Equity of access under Korean national long-term care insurance: implications for long-term care reform
Ju Moon Park International Journal for Equity in Health.2015;[Epub] CrossRef - Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
Won Ju Hwang, Yunhee Park Journal of Korean Academy of Nursing.2015; 45(6): 857. CrossRef - Prevalence and Predictors of Polypharmacy among Korean Elderly
Hong-Ah Kim, Ju-Young Shin, Mi-Hee Kim, Byung-Joo Park, Terence J. Quinn PLoS ONE.2014; 9(6): e98043. CrossRef
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Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries
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Yang Heui Ahn, Eui Sook Kim, Ok Kyung Ham, Soo Hyun Kim, Soon Ok Kim, Myung Kyung Song
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J Korean Acad Nurs 2012;42(4):549-558. Published online August 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.4.549
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Abstract
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Purpose
The purpose of this study was to validate the Needs Assessment Tool for Case Management (NATCM) for use with Korean medical aid beneficiaries.
Methods
Psychometric testing was performed with a sample of 645 Korean medical aid beneficiaries, which included 41 beneficiaries who were selected using proportional sampling method, to examine intraclass correlation coefficients (ICC). Data were evaluated using item analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha, and ICC.
Results
Through psychometric testing the final version of NATCM was found to consist of two subscales: 1) Appropriateness of Health Care Utilization (5 items) and 2) Self Care Ability (6 items). The two subscale model was validated by CFA (RMSEA=.08, GFI=.97, and CFI=.93). Internal consistency measured by Cronbach's alpha was .82, and subscale reliability ranged from .79 to .84. The ICC of the NATCM between case managers was .73 and between case managers and health care professionals. .82.
Conclusion
This study suggests that the final version of NATCM is a brief, reliable, and valid instrument to measure needs of Korean medical aid beneficiaries. Therefore, the NATCM can be effectively utilized as an important needs assessment as well as outcome evaluation tool for case management programs in Korea.
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Citations
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- Trends of Research on the Case Management of Medicaid Beneficiaries in Korea
Soon Ock Kim, Jeonghyun Cho Journal of Korean Public Health Nursing.2015; 29(3): 412. CrossRef - Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases
Yang Heui Ahn, Yeonok Suh, Ok Kyung Ham, Hee Kyung Kim The Korean Journal of Rehabilitation Nursing.2015; 18(2): 98. CrossRef
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Health Behaviors between a Health Promotion Demonstration Health Center and a General Health Center
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Taewha Lee, Chung Yul Lee, Hee Soon Kim, Ok Kyung Ham
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Journal of Korean Academy of Nursing 2005;35(3):461-468. Published online June 30, 2005
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DOI: https://doi.org/10.4040/jkan.2005.35.3.461
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Abstract
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Purpose
The purpose of the study was to compare community residents' perceptions, participation, satisfaction, and behavioral changes between a health promotion demonstration health center and general health center.
Method
The design of the study was ex-post facto that compared community residents in demonstration health centers and general health centers. The sample included 2,261 community residents who were conveniently selected from demonstration (792 participants) and general health centers (1,496 participants).
Result
The results of the study were as follows: 1) Perception and participation rates of exercise, nutrition, and hypertension management programs were significantly higher in the participants of demonstration health centers than those of general health centers.; 2) Satisfaction rates of all programs except the smoking cessation program were significantly higher in the participants of demonstration health centers than those of general health centers. However, only the exercise rate among risk behaviors of participants was significantly higher in demonstration health centers than general health centers.
Conclusion
Systematic efforts for health promotion were effective not only in improving the community's awareness, participation, and satisfaction of the program, but also in changing health behaviors. This evidence should be used to foster and disseminate health promotion programs toother health centers to improve community residents' health status and quality of life.
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- The Influence of Local Residents’ Perception about National Healthcare Projects on the Level of Satisfaction
You Ho Kim Journal of Health Informatics and Statistics.2019; 44(4): 375. CrossRef - Utilization and Factors Associated in Public Health Centers in Incheon Metropolitan City
Gyeong-Soon Han Journal of dental hygiene science.2015; 15(6): 728. CrossRef - The Effect of a Health Promotion Program through Multi-level Health Promotion
Gyung-Hee Kim, Hee Sang Yoon Journal of Korean Academy of Community Health Nursing.2010; 21(1): 92. CrossRef
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A Comparison of Smoking Control Strategies in Korea and the United States
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Chung Yul Lee, Ok Kyung Ham, Yoon Mi Hong
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Journal of Korean Academy of Nursing 2004;34(8):1379-1387. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.8.1379
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Abstract
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The purpose of this study was to compare smoking control strategies between Korea and the United States. Korea and other developing countries may learn from the experience of the United States in dealing with the growing epidemic of cigarettes. In particular, smoking control objectives, structures, laws and regulations, funds, programs and activities, research, and surveillance systems were compared. The comparison was conducted at the federal, states/provincial, and county levels of the two countries. The data were collected through various governmental websites, contact with people directly, and a literature review. Based on the comparison, seven recommendations for smoking control strategies were made primarily for Korea.
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Health Problems and Health Behaviors of Preschoolers
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Hee Soon Kim, Chung Yul Lee, Tae Wha Lee, Ok Kyung Ham
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Journal of Korean Academy of Nursing 2004;34(1):182-190. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.1.182
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Abstract
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Purpose
This study was conducted to understand the health status and health behaviors of preschoolers to provide baseline data for developing health promotion programs.
Method
Parents of children attending day-care centers were recruited for the study. Participating day-care centers were selected using a stratified sampling method. Data was collected from June to August 2002 using a questionnaire.
Result
Among 754 preschoolers, 17.3% were overweight, while 18.2% were underweight. The most frequent infectious diseases that children have had previously were hand-foot-mouth disease (20.2%) and chicken pox (18.7%). Current health conditions that children have frequently are respiratory disease (28%) and atopic dermatitis (23.8%). Only 61% brush their teeth everyday at bedtime, 54.3% wash their hands every time after returning home, 8.8% wear bicycle helmets, 9.3% use a child car seat, and 8.1% eat fruits and vegetables five times a day. Children residing in the metropolitan area were more likely to have positive health behaviors, and children of parents with an advanced college level education were more likely to have positive health behaviors than those with only a high school level education.
Conclusion
Based on the study results, health professionals could plan and develop health promotion programs to change unhealthy behaviors of preschoolers targeting high-risk groups.
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Suchang Ham, Hanyi Lee The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 287. CrossRef - The relationship between mothers' knowledge and practice level of cough etiquette and their children's practice level in South Korea
Jungsun Kim, Sangeun Oh Child Health Nursing Research.2021; 27(4): 385. CrossRef - Parenting styles and the dietary intake of pre-school children: a systematic review
Alissa J. Burnett, Karen E. Lamb, Jennifer McCann, Anthony Worsley, Kathleen E. Lacy Psychology & Health.2020; 35(11): 1326. CrossRef - Effects of Korean Medicine Health Promotion program for Children-Focus on Education and Prevention Programs-
Angela Dongmin Sung, Hyun-Kyung Sung, Haemo Park, Sundong Lee Journal of Korean Medicine.2017; 38(4): 90. CrossRef - Development and Effects of a Drinking Prevention Program for Preschool Children
Younkyoung Kim, Chong Mi Lee, Jong Park Journal of Korean Academy of Nursing.2016; 46(2): 183. CrossRef - Relationship between Preschool Child-Mother Interaction, Child's Health Status, Health-Related Quality of Life, and Social Development.
Sunghee Park Child Health Nursing Research.2014; 20(4): 255. CrossRef - Factors Influencing Maternal Support for Physical Activity of Preschool Children.
Jin Suk Ra, Sun Mi Chae Child Health Nursing Research.2014; 20(1): 30. CrossRef - Health Status of Vulnerable Preschool Children and Their Mothers' Health Management.
Young Sil Kang, In Soo Kwon Child Health Nursing Research.2013; 19(3): 159. CrossRef - Prevalence of Dietary Supplement Use in Korean Children and Adolescents: Insights from Korea National Health and Nutrition Examination Survey 2007-2009
Ji Ye Yoon, Hyun Ah Park, Jae Heon Kang, Kyung Woo Kim, Yang Im Hur, Jin Joo Park, Ran Lee, Hyun Hye Lee Journal of Korean Medical Science.2012; 27(5): 512. CrossRef - Perception of Child Day Care Center Teachers on Issues and Needs in Child Health Management
Shin-Jeong Kim, Jung-Eun Lee, Soon-Ok Yang, Kyung-Ah Kang, Eun Yong Chang, Kyung-Sook Oh, Won-Kyung Seo, Seung-Hee Lee, Sung-Hee Kim Journal of Korean Academy of Child Health Nursing.2011; 17(1): 10. CrossRef - Development and Evaluation of a Combined Health Promotion Program for Preschool Children
Na Young Choi, Mi Yang Jeon, Hyun Mi Seo, Jeong Won Seok, Mi Seon Kim, Hyeon Cheol Jeong Journal of Korean Academy of Child Health Nursing.2010; 16(4): 314. CrossRef - Relationship of Knowledge and Practical Will to Practice of Cancer Prevention Lifestyle by Late School-aged Children
Mi Hye Cho, In Soo Kwon Journal of Korean Academy of Child Health Nursing.2010; 16(4): 259. CrossRef - Development and Effect of a Web-based Child Health Care Program for the Staff at Child Daycare Centers
Ji Soo Kim Journal of Korean Academy of Nursing.2010; 40(2): 213. CrossRef - Influence of Parents' Parenting Efficacy on Health Promotion Behavior in Early Childhood
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Evaluation of a Community-Based Program for Breast Self-Examination Offered by the Community Health Nurse Practitioners in Korea
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Chung Yul Lee, Hee Soon Kim, Il Sun Ko, Ok Kyung Ham
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Journal of Korean Academy of Nursing 2003;33(8):1119-1126. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.8.1119
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Abstract
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Background
Breast cancer is the most common form of cancer among Korean women. Only 14% of urban women and 10% of rural women in Korea, however, participated in breast cancer screening behavior in 1998 (Korean Ministry of Health & Welfare, 1999).
Purpose
The aim of this study was to evaluate the effect of community-based breast self-examination (BSE) education programs in Korea.
Methods
First, breast cancer risk appraisals were done with 1,977 rural women. Of the 1,977 women, nearly 30% (n= 494) had a higher or equal to borderline risk of developing breast cancer. This quasi-experimental study was conducted to target these women with a high or equal to borderline risk of breast cancer. The risk appraisal feedback and breast self-examination education were used as an intervention for breast cancer prevention and early detection.
Results
After a 3-month follow-up, 30.5% of the women in the intervention group performed regular BSE compared to 10.2% of women in the control group. The mean knowledge score related to breast cancer and BSE was significantly higher for the women in the intervention group than that in the control group.
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- Effectiveness of an Ongoing, Community-Based Breast Cancer Prevention Program for Korean American Women
Eun Koh, Ga-Young Choi, Ji Young Cho Health & Social Work.2016; 41(1): 51. CrossRef - Effects of Tailored Message Education About Breast Cancer Risk Appraisal for Obese Korean Women
SoMi Park, ChaeWeon Chung, Barbara B. Cochrane Oncology Nursing Forum.2013; 40(6): E382. CrossRef - The effectiveness of a nurse-delivered breast health promotion program on breast cancer screening behaviours in non-adherent Turkish women: A randomized controlled trial
Selda Secginli, Nursen O. Nahcivan International Journal of Nursing Studies.2011; 48(1): 24. CrossRef - Effects on Nursing Students of Cognition-Behavior Integrated Breast Cancer Prevention Education Using an Interchangeable Nodule Model
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