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Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
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Won Ju Hwang, Yunhee Park
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J Korean Acad Nurs 2015;45(6):857-867. Published online December 15, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.6.857
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Abstract
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- Abstract
Purpose
The purpose of this study was to investigate individual and organizational level of cardiovascular disease (CVD) risk factors associated with CVD risk in Korean blue-collar workers working in small sized companies.
Methods
Self-report questionnaires and blood sampling for lipid and glucose were collected from 492 workers in 31 small sized companies in Korea. Multilevel modeling was conducted to estimate effects of related factors at the individual and organizational level.
Results
Multilevel regression analysis showed that workers in the workplace having a cafeteria had 1.81 times higher CVD risk after adjusting for factors at the individual level (p=.022). The explanatory power of variables related to organizational level variances in CVD risk was 17.1%.
Conclusion
The results of this study indicate that differences in the CVD risk were related to organizational factors. It is necessary to consider not only individual factors but also organizational factors when planning a CVD risk reduction program. The factors caused by having cafeteria in the workplace can be reduced by improvement in the CVD-related risk environment, therefore an organizational-level intervention approach should be available to reduce CVD risk of workers in small sized companies in Korea.
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Citations
Citations to this article as recorded by 
- Multilevel Analysis of Factors Affecting Health-Related Quality of Life of the Elderly
Hyunjung Moon, Sunkyung Cha Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 391. CrossRef - Socioeconomic Disparities in Cardiovascular Health in South Korea
Chi-Young Lee, Eun-Ok Im Journal of Cardiovascular Nursing.2021; 36(1): 8. CrossRef - Health promotion program for office workers with SEM based on the WHO’s healthy workplace framework
Hosihn Ryu, Jiyeon Jung, Jihyun Moon Health Promotion International.2020; 35(6): 1369. CrossRef - Effects of a Yoga Program in Reducing Cardiovascular Disease Risk Factors in Workers of Small Workplaces: A Pilot Test
Won Ju Hwang, Jin Ah Kim, Ji Sun Ha Sustainability.2020; 12(23): 10038. CrossRef - An Exploration of Contextual Aspects that Influence Cardiovascular Disease Risks Perceived by Workers in a Small–Medium-Sized Workplace
Jin Ah Kim, Won Ju Hwang, Juhye Jin International Journal of Environmental Research and Public Health.2020; 17(14): 5155. CrossRef - Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review
Chi-Young Lee, Yong-Hwan Lee Journal of Preventive Medicine and Public Health.2019; 52(5): 281. CrossRef - Developing a Health-Promotion Program Based on the Action Research Paradigm to Reduce Cardiovascular Disease Risk Factors among Blue Collar Workers
Won Ju Hwang, Jin Ah Kim International Journal of Environmental Research and Public Health.2019; 16(24): 4958. CrossRef - Regional Factors on the Self-rated Health of Wage Workers
Minjung Kwon, Eunsuk Choi Journal of Korean Academy of Community Health Nursing.2018; 29(1): 21. CrossRef - A Systematic Review of Interventions for Workers with Cardiovascular Disease Risk Factors: Using an Ecological Model
Won Ju Hwang, Yunhee Park, Jin Ah Kim Korean Journal of Occupational Health Nursing.2016; 25(1): 41. CrossRef - CVD-related Knowledge, Perception, Belief and Prevention Behaviors of Korean Blue-collar Workers: Needs Assessment for Developing the Intervention Program through Qualitative Approach
Won Ju Hwang, Yunhee Park Korean Journal of Occupational Health Nursing.2016; 25(4): 362. CrossRef
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Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV
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Gwang Suk Kim, Sang Hui Chu, Yunhee Park, Jun Yong Choi, Jeong In Lee, Chang Gi Park, Linda L. McCreary
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J Korean Acad Nurs 2015;45(3):439-448. Published online June 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.3.439
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Abstract
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Purpose
The purpose of this study was to examine validity and reliability of Webel and colleagues' HIV Self-Management Scale when used with a Korean sample.
Methods
The original 20-item HIV Self-Management Scale was translated into Korean using translation and back-translation. Nine HIV nurse experts tested content validity. Principal component analysis (PCA) and confirmatory factor analysis (CFA) of data from 203 patients was used to test construct validity. Concurrent validity was evaluated using correlation with patients' self-rating as a "smart patient" measured using a visual analogue scale. Internal consistency was tested by Cronbach's alpha coefficients.
Results
All items were rated as having satisfactory content validity. Based on PCA and consideration of conceptual meaning, a three-factor solution was selected, explaining 48.76% of the variance. CFA demonstrated the adequacy of the three-domain structure of the construct HIV self-management: daily self-management health practices, social support and HIV self-management, and chronic nature of HIV self-management. Goodness-of-fit indices showed an acceptable fit overall with the full model (χ2/ df(164)=1.66, RMSEA=0.06, SRMR=0.05, TLI=0.91, and CFI=0.92). The Korean version of the HIV Self-Management Scale (KHSMS) was significantly correlated with patients' self-rated smart patient (r=.41). The subscale Cronbach's alpha coefficients ranged from .78 to .81; alpha for the total scale was .89.
Conclusion
The KHSMS provides a valid and reliable measure of self-management in Korean patients with HIV. Continued psychometric testing is recommended to provide further evidence of validity with this population.
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Lannan Peng, Yeping Wang, Xi Chen, Zhi Xie, Jie Li, Dan Luo AIDS Care.2025; 37(2): 253. CrossRef - The Impact of Stigma on Self-Management Behavior Among People with HIV in China: The Role of Social Support and Self-Esteem
Haitao Huang, Liao Zhang, Ling Tu, Xiaona Zhang, Hua Zhong, Qianwen Liu, Ying Liu, Hong Chen AIDS Patient Care and STDs.2024;[Epub] CrossRef - Self‐Management and Its Associated Factors Among People Living With HIV at University of Gondar Comprehensive Specialized Hospital: A Cross‐Sectional Study
Abdisa Gemedi Jara, Masho Tigabe Tekle, Faisel Dula Sema, Banchamlak Teferi Mekonen, Asrat Elias Ergena, Amensisa Hailu Tesfaye, Saron Naji Gebremariam, Rahel Belete Abebe, Eyayaw Ashete Belachew, Abenezer Melaku Tafese, Eden Abetu Mehari, Ali Imran BioMed Research International.2024;[Epub] CrossRef - Social support, self-efficacy, self-esteem, and self-management behaviors among people living with HIV/AIDS in China: a structural equation modeling analysis
Haitao Huang, Ling Tu, Xiaona Zhang, Liao Zhang, Jianxiong Zhang, Qin Liu, Qianwen Liu, Ying Liu, Hong Chen BMC Public Health.2024;[Epub] CrossRef - Multidimensional Frailty, Quality of Life and Self-Management in Aging Hispanics Living With HIV
Evelyn Iriarte, Rosina Cianelli, Joseph P. De Santis, Arsham Alamian, Jose G. Castro, Yui Matsuda, Alejandra-X. Araya Journal of Applied Gerontology.2024; 43(7): 899. CrossRef - Factor structure of the HIV-SM LMIC self-management questionnaire for people living with HIV in low- and middle-income countries
Tegene Legese Dadi, Girmay Medhin, Mark Spigt AIDS Research and Therapy.2024;[Epub] CrossRef - Exploring the relationship between illness perception, self‐management and quality of life among HIV‐positive men who have sex with men
Xu Wang, He Xu, Yao Zhang, Jing Zeng, Cong Liu, Rui Luo, Haidan Zhong, Weiping Cai, Linghua Li, Jing Gu Journal of Advanced Nursing.2024; 80(12): 4963. CrossRef - A Study on AIDS Self-Management Status and Its Influencing Factors
Dong-Xia Wu, Jing-Xian Hu, Jian-Hong Ma, Ke-Yi Chang, Yun Zhang, Xiao-Li Quan, Jia-Ning Han, Hai-Jing Long, Chen Chen, Wei Zhai, Huan-Huan Guo, Li-Li Zhang, Xiao-Lan Wang Journal of Multidisciplinary Healthcare.2024; Volume 17: 4373. CrossRef - The relationship between HIV-related stigma and HIV self-management among men who have sex with men: The chain mediating role of social support and self-efficacy
Yan Tao, Xueling Xiao, Jun Ma, Honghong Wang Frontiers in Psychology.2022;[Epub] CrossRef - Psychometric properties of the Turkish version of the Diabetes Family Impact Scale
Ismail Cetintas, Melahat Akgün Kostak Journal for Specialists in Pediatric Nursing.2021;[Epub] CrossRef - Identification of Self-Management Behavior Clusters Among People Living with HIV in China: A Latent Class Profile Analysis
Hong Zhang, Yao Yin, Huan Wang, Ying Han, Xia Wang, Yi Liu, Hong Chen Patient Preference and Adherence.2021; Volume 15: 1427. CrossRef - Factors influencing self-management of adults living with HIV on antiretroviral therapy in Northwest Ethiopia: a cross-sectional study
Habtamu Areri, Amy Marshall, Gillian Harvey BMC Infectious Diseases.2020;[Epub] CrossRef - Testing a Question Prompt Intervention to Improve Communication between Patients with HIV and Healthcare Providers: A Pilot Study
Gwang Suk Kim, Mi-So Shim, Jun Yong Choi, Jeong In Lee, Ji Min Kim Journal of Community Health Nursing.2020; 37(3): 153. CrossRef - Development of a Question Prompt List for Patients Living With HIV and Assessment of Their Information Needs
Gwang Suk Kim, Jae-Phil Choi, Jeong Min Yi, Mi-So Shim Journal of the Association of Nurses in AIDS Care.2019; 30(5): 575. CrossRef - Mediators and Moderators of Health-Related Quality of Life in People Living with HIV
Gwang Suk Kim, Suhee Kim, Jun Yong Choi, Jeong In Lee, Chang Gi Park, Linda L. McCreary Journal of the Association of Nurses in AIDS Care.2018; 29(4): 580. CrossRef - Psychometric Properties of Turkish Version of the Dutch Objective Burden Inventory
Canan Demir Barutcu, Hatice Mert, Murat Bektaş Asian Nursing Research.2015; 9(3): 207. CrossRef
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Experience of Treatment Adherence in Korean Patients with HIV
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Yunhee Park, Min Jeong Seo, Sanghee Kim, Soon-Young Park
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J Korean Acad Nurs 2014;44(4):407-417. Published online August 29, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.4.407
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Abstract
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Purpose
The purpose of this study was to explore the subjective experience of Highly active Antiretroviral therapy (HAART) adherence in Korean patients with HIV.
Methods
A phenomenological methodology was used for the study. Data were collected from March to December, 2013 using open-ended questions during in-depth interviews. Participants were taking HAART for HIV, and were contacted through purposive techniques.
Results
Four men and 4 women whose average treatment period was 5.9 years participated in this study. Seven themes emerged from the analysis using Colazzi's method: (a) Seizing life in a deep sense of despair, (b) Struggling with medication, (c) Facing harsh treatment from health care providers, (d) Spoiling healthy pattern, (e) Hungering for communication and emotional support, (f) Turning to accepting HIV, (g) Becoming adherent to HIV treatment.
Conclusion
Prejudice from health care providers and lack of emotional support were barriers to HAART in Korea. Intervention strategies are needed to decrease prejudices from health care providers and to increase family support.
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Citations
Citations to this article as recorded by 
- Developing an app-based self-management program for people living with HIV: a randomized controlled pilot study during the COVID-19 pandemic
Mi-So Shim, Sunah Kim, Mona Choi, Jun Yong Choi, Chang Gi Park, Gwang Suk Kim Scientific Reports.2022;[Epub] CrossRef - Testing a Question Prompt Intervention to Improve Communication between Patients with HIV and Healthcare Providers: A Pilot Study
Gwang Suk Kim, Mi-So Shim, Jun Yong Choi, Jeong In Lee, Ji Min Kim Journal of Community Health Nursing.2020; 37(3): 153. CrossRef - Nursing students' experiences as dementia partners in volunteer activities: An inductive content analysis
Dooree Kim, Yunhee Park The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 146. CrossRef - Factors Influencing Young Korean Men’s Knowledge and Stigmatizing Attitudes about HIV Infection
Mi-So Shim, Gwang Suk Kim International Journal of Environmental Research and Public Health.2020; 17(21): 8076. CrossRef - Development of a Question Prompt List for Patients Living With HIV and Assessment of Their Information Needs
Gwang Suk Kim, Jae-Phil Choi, Jeong Min Yi, Mi-So Shim Journal of the Association of Nurses in AIDS Care.2019; 30(5): 575. CrossRef - Factors Influencing the Initiation of Treatment after the Diagnosis of Korean Patients with HIV
Mi-So Shim, Gwang Suk Kim, Chang Gi Park Journal of Korean Academy of Community Health Nursing.2018; 29(3): 279. CrossRef - Causes of HIV Drug Non-Adherence in Korea: Korea HIV/AIDS Cohort Study, 2006-2015
Min Jung Kim, Sang Ah Lee, Hyun-Ha Chang, Min Ja Kim, Jun Hee Woo, Sang Il Kim, Chun Kang, Mee-Kyung Kee, Ju-yeon Choi, Yunsu Choi, Bo Youl Choi, June Myung Kim, Jun Yong Choi, Hyo Youl Kim, Joon-Young Song, Shin-Woo Kim Infection & Chemotherapy.2017; 49(3): 213. CrossRef - CVD-related Knowledge, Perception, Belief and Prevention Behaviors of Korean Blue-collar Workers: Needs Assessment for Developing the Intervention Program through Qualitative Approach
Won Ju Hwang, Yunhee Park Korean Journal of Occupational Health Nursing.2016; 25(4): 362. CrossRef
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