Korean J Health Promot.  2022 Sep;22(3):131-142. 10.15384/kjhp.2022.22.3.131.

Barriers to the Healthy Lifestyle Practices of 30-50s Living in the Community: Applying Focus Group Interview

Affiliations
  • 1Department of Nursing, Graduate School of Inje University, Busan, Korea
  • 2Department of Preventive Medicine, College of Medicine, Inje University, Busan, Korea
  • 3College of Nursing·Institute of Health Science Research, Inje University, Busan, Korea

Abstract

Background
Prevention of chronic diseases such as hypertension and diabetes is important, but few studies have identified barriers to healthy lifestyle practices among adults in their 30-50s. Therefore, this study is intended to be used as basic data for establishing a prevention and control strategy for chronic diseases.
Methods
This study is a qualitative content analysis study using the focus group interview methodology. According to the inductive content analysis method, data were analyzed through the steps of ‘making sense of the data and whole’, ‘open coding’, ‘grouping’, ‘categorization’, and ‘abstraction’.
Results
The categories of barriers to healthy lifestyle practice were derived as follows. ‘Low interest in health care’ in the intrapersonal domain, ‘absence of an assistant’ in the interpersonal domain, ‘organizational environment in which it is difficult to a healthy lifestyle practice’ in the organizational domain, ‘lack of infrastructure’ and ‘restrictions on use of public health centers’ in the community domain.
Conclusions
For the prevention and management of chronic diseases, adults in their 30-50s should be encouraged to take an interest in healthy lifestyle practices and increase their will. For healthy lifestyle practice, it is necessary to allow family members and friends to participate as helpers. In addition, at work, employers should pay attention to workers' health management, adjust working hours, and reduce the burden of company dinner to create an organizational environment for healthy lifestyle practice. Lastly, infrastructure such as public sports facilities should be additionally expanded, and the contents of public health centers' programs should be promoted.

Keyword

Chronic disease; Healthy lifestyle; Focus groups; Qualitative research

Reference

1. World Health Organization. Noncommunicable diseases [Internet]. Genevra: World Health Organization;2021. [Accessed July 24, 2022]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases.
2. Korean Society of Hypertension. Korea hypertension fact sheet 2021 [Internet]. Seoul: Clinical Hypertension;2021. [Accessed July 24, 2022]. Available from: https://www.koreanhypertension.org/reference/guide?mode=read&idno=4581.
3. Korean Diabetes Association. Diabetes fact sheets in Korea 2020 [Internet]. Seoul: Korean Diabetes Association;2020. [Accessed May 29, 2022]. Available from: https://www.diabetes.or.kr/bbs/?code=fact_sheet&mode=view&number=1972&page=1&code=fact_sheet.
4. Jung KM, Lee SJ, Park ES, Park YJ, Kim SG, Choi DS. Self-care and related factors in young and middle adulthood patients with type 2 diabetes. J Korean Diabetes. 2015; 16(1):65–77.
Article
5. Kim JE, Jeon SH, Cho S. Factors influencing Korean young adults’ intentions to prevent diabetes. Advertising Research. 2018; 20(4):231–73.
Article
6. Kim YA. Diabetes management status among adults in Republic of Korea 2008-2012 [Internet]. Cheongju: Korea Disease Control and Prevention Agency;2014. [Accessed May 29, 2022]. Available from: https://health.dobong.go.kr/bbs.asp?bmode=D&pcode=3782&intPage=13&code=10005008.
8. Hong EY. The mediating effect of self-efficacy in the relationship between diabetes knowledge and health promoting behaviors: focus on gender. J Korean Acad Soc Nurs Educ. 2015; 21(4):508–17.
9. Roh MY, Lee H, Lee CY, Kim GS. Correlates of physical activity among Korean navy personnel: an ecological approach. J Korean Acad Community Health Nurs. 2012; 23(3):296–306.
Article
10. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988; 15(4):351–77.
Article
11. Jeon JY, Kim DJ. Need for diabetes prevention study. J Korean Diabetes. 2015; 16(3):161–7.
Article
12. Peyrot M, Rubin RR. Behavioral and psychosocial interventions in diabetes: a conceptual review. Diabetes Care. 2007; 30(10):2433–40.
13. Zori S, Kohn N, Gallo K, Friedman MI. Critical thinking of registered nurses in a fellowship program. J Contin Educ Nurs. 2013; 44(8):374–80.
Article
14. Lee MS, Ko MH, Son HM, Kim JH, Kang SR, Oh SE, et al. Performing a qualitative research. 1st ed. Paju: Soomoonsa;2018. p. 352.
15. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004; 24(2):105–12.
Article
16. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008; 62(1):107–15.
Article
17. Kim MY, Jeon MK, Choi SJ, Kim JH, Kim H, Leem CS. Experience of healthcare providers in the advanced practice nurse system. J Korean Crit Care Nurs. 2021; 14(2):42–56.
Article
18. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park: SAGE Publishing;1985. p. 1–416.
19. Kim H. Gender differences in health promoting behavior and related factors among university students using pender's health promotion model. J Edu Res. 2007; 21(1):198–219.
20. Choi EJ. Increasing healthy lifestyle practice among adult population. Sejong: Korea Institute for Health and Social Affairs;;2008. p. 32–41.
21. Christensen P. The health-promoting family: a conceptual framework for future research. SSM. 2004; 59(2):377–87.
Article
22. Vedanthan R, Bansilal S, Soto AV, Kovacic JC, Latina J, Jaslow R, et al. Family-based approaches to cardiovascular health promotion. J Am Coll Cardiol. 2016; 67(14):1725–37.
Article
23. Kim EK, Kim BG, Park JT, Kim HR, Koo JW. Factors affecting the health promotion activities of workers. Korean J Occup Environ Med. 2007; 19(1):56–64.
Article
24. Shim WS. Change of paradigm for the get-together culture and modeling for the new practices: with emphasis on qualitative approach structural issues and improvement directions. Journal of Culture Industry. 2017; 17(4):25–32.
25. Choe MA, Hah YS, Kim KS, Yi M, Choi JA. A study on exercise behavior, exercise environment and social support of middle-aged women. J Korean Acad Nurs. 2008; 38(1):101–10.
Article
26. Lee JH, Kim W, Kim JH. An influence of satisfaction level for each model of sports-for-all facilities on facilitation and contribution of sports-for-all. Journal of Sport and Leisure Studies. 2009; 37(2):1503–14.
Article
27. Ryu JA. An exploratory study about income class differences in community health center use : a qualitative case study on users of public health centers in Seoul’s Northwest area. Humanities and Social Sciences. 2020; 44(2):187–222.
Article
28. Kim SH, Kim JH, Park JH, Son HN, Song JY, Yoo HJ, et al. Satisfaction with the healthy life practicing programs of public health centers. Health & Nursing. 2014; 1(48):113–28.
29. Korea Health Promotion Institute. A collection of non-face-toface implementation cases for the integrated health promotion project for local communities in 2021 [Internet]. Seoul: Korea Health Promotion Institute;2021. [Accessed July 17, 2022]. Available from: https://www.khealth.or.kr/kps/publish/view?menuId=MENU00890&page_no=B2017003&pageNum=1&siteId=&srch_text=%EB%B9%84%EB%8C%80%EB%A9%B4&srch_cate=&srch_type=ALL&str_clft_cd_list=&str_clft_cd_type_list=&board_idx=10745.
30. Park YJ, Park HH, Ryu SY. Factors associated with active participation in health promotion programs at a public health center. J Agric Med Community Health. 2010; 35(3):287–300.
Article
Full Text Links
  • KJHP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr