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Original Articles
Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
Won Ju Hwang, Yunhee Park
J Korean Acad Nurs 2015;45(6):857-867.   Published online December 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.857
AbstractAbstract PDF
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.

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
  • 216 View
  • 1 Download
  • 10 Crossref
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Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV
Gwang Suk Kim, Sang Hui Chu, Yunhee Park, Jun Yong Choi, Jeong In Lee, Chang Gi Park, Linda L. McCreary
J Korean Acad Nurs 2015;45(3):439-448.   Published online June 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.3.439
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • HIV self-management and associated factors among people living with HIV in Hunan, China: a nine-year longitudinal study
    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
  • 252 View
  • 3 Download
  • 16 Crossref
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Experience of Treatment Adherence in Korean Patients with HIV
Yunhee Park, Min Jeong Seo, Sanghee Kim, Soon-Young Park
J Korean Acad Nurs 2014;44(4):407-417.   Published online August 29, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.4.407
AbstractAbstract PDF
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.

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
  • 201 View
  • 1 Download
  • 8 Crossref
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