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Factors that influence Health Promotion Behaviors in Korean American Older Adults

Kim, Hyoyoung
http://orcid.org/0000-0001-8840-4322
http://rave.ohiolink.edu/etdc/view?acc_num=case1522950422535815

Abstract Details

2018, Doctor of Philosophy, Case Western Reserve University, Nursing.
Korean American older adults have a high risk of health issues because of a wide range of challenges including language barriers and cultural disconnect. Previous research documenting the health of older minority American adults is limited and focuses mainly on problems; little is known about health promotion behaviors. Thus, this study investigated relationships among frailty, depressive symptoms, nutritional status, social support, self-efficacy, and health promotion behaviors in older Korean American adults. The conceptual model was based on three frameworks: Health Promotion Model, Social Cognitive Theory, and Theory of Transcultural Nursing. This study was a predictive, cross-sectional and mixed methods design conducted in three senior apartments, two Korean community churches, and a Korean community agency in Chicago, Illinois. Sample size (N=124) was determined for hierarchical multiple regression (medium effect size, power=80, alpha=0.05). The main outcome, health promotion behaviors, were measured by the Health Promoting Lifestyle Profile II. Nine questions assessed frequency of clinically relevant factors such as flu vaccination and dental exams. Independent variables were frailty, depressive symptoms, nutritional status, social support, and self-efficacy. Frailty was measured with the Gill frailty index. Depressive symptoms were measured by the Geriatric Depression Scale-Short Form (GDS-SF). The Short Form of Mini Nutritional Assessment (MNA-SF) was used to measure nutritional status. The Lubben Social Network Scale 6 (LSNS-6) assessed social support. Self-efficacy was measured by the General Self-Efficacy Scale (GESE). Ego-centric Social Network Analysis (SNA) was conducted in a subsample (20%, N=25) to investigate family, friend, and health care professional network patterns. The mean age of 124 participants was 74.6 years. The majority were female (61.3%), and had lived in the U.S. approximately 33.1 years. Approximately, 40.3% of participants rated their spoken English fluency as poor. The mean score of health promotion behaviors was 140.01 (SD=24.3), range = 80-192. In the regression model, five predictor variables (frailty, depressive symptoms, nutritional status, social support, and self-efficacy) accounted for 13% variance in health promotion behaviors. In particular, frailty (ß =.18, p=.049) and social support (ß =.25, p=.009) contributed to health promotion behaviors. Self-efficacy may have a mediating role on the relationship between social support and health promotion behaviors, and depressive symptoms (ß =-.29, p=.005) and nutritional status (ß=-.19, p=.041) were predictors for self-efficacy. SNA indicated that a small group of health care providers showed high betweenness centrality in the network. These results can guide future researchers to develop new models and test culturally sensitive targeted interventions designed to improve health and quality of life for older Korean American adults.
Patricia Higgins (Committee Chair)
Evanne Juratovac (Committee Member)
Matt Plow (Committee Member)
Thomas Hornick (Committee Member)
165 p.
Health; Health Care; Nursing
Health Promotion Behaviors; Korean American Older Adults

Recommended Citations

Citations

  • Kim, H. (2018). Factors that influence Health Promotion Behaviors in Korean American Older Adults [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1522950422535815

    APA Style (7th edition)

  • Kim, Hyoyoung. Factors that influence Health Promotion Behaviors in Korean American Older Adults. 2018. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1522950422535815.

    MLA Style (8th edition)

  • Kim, Hyoyoung. "Factors that influence Health Promotion Behaviors in Korean American Older Adults." Doctoral dissertation, Case Western Reserve University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1522950422535815

    Chicago Manual of Style (17th edition)

case1522950422535815
406
© 2018, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.