• Women's Health Nursing
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• v.27 no.2
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• pp.93-103
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• 2021

Purpose: The purpose of this study was to explore unmet healthcare needs among low-income overweight and obese women and to identify the factors affecting unmet healthcare needs. Methods: The study was a secondary analysis of data from the 2017 Korea National Health and Nutrition Examination Survey. A final sample of 388 out of 8,127 participants was analyzed using complex descriptive statistics, the chi-square test, the independent t-test, and logistic regression. Results: The mean age of the participants was 66.51±1.05 years. Unmet healthcare needs were experienced by 19.4% of low-income overweight and obese women. Women with depression, stress, and poor self-reported health status were significantly more likely than their counterparts to experience unmet healthcare needs. Poor self-reported health status was confirmed to be related to unmet health needs in low-income overweight and obese women (odds ratio, 2.65; p=.011). Conclusion: The study provides the novel insight that the unmet healthcare needs of low-income overweight and obese women were influenced by self-reported health status. Healthcare providers should make efforts to develop strategies to reduce unmet healthcare needs among low-income overweight and obese women, who constitute a vulnerable population.

• Journal of Digital Convergence
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• v.16 no.7
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• pp.479-491
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• 2018

This study aims to figure out factors influencing health and moderating effect of social support resource between those factors and health of low income women in diverse spheres. The data of low income women were 239 cases and were utilized SPSS ver. 21 program. The main results of this study are as follows: firstly, health of low income women is identified medium level. Secondly, education level, self-efficacy and social support resource are related to the self-rated health of low income women. Especially, social support resource functions as moderators on between education and self-rated level of the health of low income women. Consequently, the findings suggest the need to expand the social intervention range to promote health of low income women from cost benefit to psychological support such as capacity building for self-management and establishment of safety-net to extend social support. And subsequently, the time attribute of the factors related to low-income women's health and the diverse characteristics of the subjects should be considered.

• Women's Health Nursing
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• v.27 no.4
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• pp.348-357
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• 2021

Purpose: This study aimed to explore and understand the health promoting behaviors of low-income overweight and obese women in Korea. Methods: Data were collected from 10 low-income overweight and obese women working at a community self-sufficiency center through semi-structured in-depth interviews. Individual interviews were conducted and transcribed. Deductive content analysis was done, using the MAXQDA program. Results: The health promoting behaviors practiced by low-income overweight and obese women were affected by intrapersonal, interpersonal, and organizational/ community factors. Six categories were identified and two category clusters were derived that could best describe their health promoting experiences. As main category clusters, despite "feeling that the body and mind are not healthy" participants noted "difficulty maintaining a healthy lifestyle." Overall, the participants had poor nutritional status, lacked physical activity, experienced much stress in intrapersonal level, and faced intrapersonal-level barriers to health promoting behaviors. Moreover, participants had a lack of personal will, and lack of specific information to practice health promoting behaviors, a lack of time, and too many overall burdens to earn a living for their family while trying to maintain health promotion behaviors. Conclusion: Lifestyle interventions for nutrition management, encouragement of physical activity, and stress management are needed for overweight and obese low-income women. In addition, social support and policies are needed to improve their living environment.

• Korean Journal of Adult Nursing
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• v.17 no.5
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• pp.732-742
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• 2005

Purpose: This study was conducted to compare self-rated health, health status, and health promotion behaviors between non-low income and low income elderly women in the urban setting. Method: The subjects of this study consisted of 668 Korean elderly women over 65years. The data was analyzed by the SAS(ver.8.02) computer program, and it included descriptive statistics, ${\chi}^2-test$, analysis of covariance, pearson correlation coefficient and multivariate logistic regression. Results: 1) The non-low income elderly women had significantly higher scores(self-rated health, health status, and health promotion behavior) than the low income elderly women. 2) In low income elderly women, age, number of children were the main effect factors of health status, and level of education, burden of medical expense were the main effect factors of health promotion behaviors. In non-low income elderly women, number of children was the main effect factors of health status, and level of education, level of pocket money were the main effect factors of health promotion behaviors. Conclusion: This study showed that the establishment of a health care system for elderly according to their social-economic level is very important for providing productive care apposite to the situation of elderly.

• Korean Journal of Community Nutrition
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• v.16 no.6
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• pp.706-715
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• 2011

This study aims to identify the dietary patterns relevant to obesity of Korean women among low income classes. Adults 20-64 years were used as study subjects from the data of 2005 Korea National Health and Nutrition Examination Survey. We compared obese and normal-weight women in terms of their nutrients intake, diet quality and food patterns. Diet quality was assessed by using the Nutritional Adequacy Ratio (NAR) and Index of Nutritional Quality (INQ). Our results showed higher prevalence of obesity among lower socioeconomic status women. In men, there were no significant associations with socioeconomic status and prevalence of obesity. Higher risk of nutritional inadequacy was observed among obese women compared to normal weight women. Obese women showed significantly lower INQ for nutrients such as Ca, Fe, Vitamin A, Thiamin, Riboflavin and Vitamin C compared to other women. They consumed significantly higher amount of rice (p < 0.05) and lower amount of vegetables (p < 0.01). By contrast, obese men from low income classes showed higher intake of those nutrients. Obese men also consumed significantly higher amount of meats than normal weight men. Therefore, this study suggests that gender-specific approaches based on economic situation should be considered in developing the intervention program for managing obesity for low income classes.

• The Journal of Korean Obstetrics and Gynecology
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• v.22 no.4
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• pp.135-148
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• 2009

Purpose: The purpose of this study is to recognize correlation between stress and menstrual pattern among low-income women. Methods: From 5th October to 24th October 2009 we researched 14 low-income mothers by questionnaires to investigate their stress and menstrual patterns. Results: The mean level of their stress was $6.71{\pm}2.92$. The less the income was, the higher the stress was. Among the women, the stress of those who do not had husbands was also high. Most of the women's menarche came late and their menstrual cycle was long. The menstrual color was a little dark and they had blood clots and pain during menstruation. Their mental states also often changed over the period and they had pattern of blood stasis. The study observed that the higher the stress was, the worse the menstrual pain was. Conclusion: Low-income women are under stress by their socioeconomic status and their menstrual patterns often change. Stress has correlation with menstruation.

• Women's Health Nursing
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• v.28 no.1
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• pp.56-64
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• 2022

Purpose: This study aimed to investigate the effects of health-promoting behaviors (HPB), marital intimacy, and parenting stress on the quality of life (QoL) of low-income women with young children in Korea, an underserved group. Methods: This cross-sectional survey employed a descriptive correlational design. Using convenience sampling, 123 low-income women with children younger than 6 years were recruited from 14 health and community centers in Jeonju, Korea, from June 2020 to May 2021. Participants completed a questionnaire on QoL, HPB, marital intimacy, and parenting stress. Data were analyzed using descriptive statistics, independent t-test, analysis of variance, Pearson correlation, and hierarchical regression analysis. Results: Participants, who were on average 37.41±3.65 years old and had 1 to 2 children (n=98, 79.7%), reported a mid-level (3.14 out of 1-5) of QoL. Marital intimacy (β=.38, p<.001) was the most influential factor on the QoL of low-income women with young children. In descending order, HPB (β=.35, p<.001) and non- employment status (β=-.21, p=.003) had a significant influence on QoL (F=15.64, p<.001), and the overall explanatory power was 49.0%. Conclusion: Considering the mid-level QoL of low-income women with young children, programs aimed at improving the QoL of low-income women need to promote marital intimacy and maintain HPB, while considering their employment status. Strategies that include couple counseling, health care to encourage healthy lifestyles, and reemployment education are needed.

• Journal of Korean Academy of Nursing
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• v.35 no.6
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• pp.1144-1152
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• 2005

Purpose: The purpose of this research was to examine the effects of exercise program on knowledge and attitude of excercise, and depression in low-income elderly women. Method: The research design was a nonequivalent control group pretest-posttest design. The subjects were 26 in the experimental group and 22 in the control group among 46 low-income women over age 65. The independent variable is the exercise program, and the dependent variables are knowledge and attitude of excercise and depression. The exercise program was performed for 45-50 minutes, twice a week for 8 weeks. Data was collected from March. 12. to May. 8. 2004. Result: Participants were given a pre-test and post-test for the selected variables. The experimental group reported significant improvements in their knowledge and attitude of excercise and depression scores compared with the control group. Conclusion: The results indicated that the exercise program had the potential to manage low-income elderly women's health promotion. Furthermore, the exercise program can enhance life satisfaction in low-income elderly women.

• Journal of the Korean Home Economics Association
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• v.24 no.4
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• pp.163-177
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• 1986

The purpose of this study is to present basic data of clarifying the differences between employed and unemployed wives' family and comparing low classes with other classes for the more reasonable and successful home administration through investigating and analyzing decision-making patterns of the families of working women in the low income group. The questionnaires were distributed in September 1984 to 300 working women in the city of Seoul and Sung-Nam. Statistical methods such as frequency, percentage and the mean value were used for grasping general characteristics of the families and F-test, Pearson's Correlations were used for investigating the interrelation of the related variables. The results of this study were as follows; 1) Wife's participation indecision-making was increased while joint decision-making was decreased compared with those of unemployed wives' family and other classes. 2) Both of the degree of conjugal participation in decision-making and joint decision-making were influenced by wife's educational level, disparity in educations of couple, husbands' occupation, family income, wife's age. But duration of marriage affected only the degree of joint decision-making. Especially family income and husbands; occupations turned to be important variables in low income families. 3) In case of wife's satisfaction with her occupation, joint decision-making was well achieved or not according to certain decision items. Though wife and husband satisfied with their marriage, joint decision-making was not well performed in working wives' family with low income.

• Journal of Korean Academy of Nursing
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• v.29 no.6
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• pp.1336-1354
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• 1999

Researchers have rarely explored menopausal experience in the context of the totality of women's lives, subsequently making the picture of menopause incomplete, discrete and fragmented. Respecting the totality of women's lives, this study addressed how a vulnerable group of women-low income Korean immigrant women-experience menopause within a context of multiple transitions. This is a cross-sectional study using methodological triangulation. A sample of 119 first-generation Korean immigrant women aged 40 to 60 years, who were in low-income jobs, was recruited using convenience sampling methods. From the total sample, 21 peri-or post-menopausal women were recruited for in-depth interviews following the collection of the survey data. Questionnaires, short interviews, and in- depth interviews were used to collect data. The quantitative data were analyzed using descriptive and inferential statistics. Thematic analysis was used to interpret interview data. The findings indicate that menopause was given the lowest priority amidst women's multiple and demanding roles within a gendered multiple transitional (immigration, work and menopause) context. The lack of language clarity to describe women's experience, cultural background, inadequate knowledge, and lack of social supports made menopause hidden, invisible, and inaudible. Conclusions and implications for nursing practice are guided by the goal of understanding women's experiences and meanings of menopause and supporting women through reflecting these experiences into their health care.