여성건강간호학회지 (Women's Health Nursing)

  • 제28권1호
  • /
  • Pages.56-64
  • /
  • 2022
  • /
  • 3022-7666(pISSN)
  • /
  • 3022-8247(eISSN)
한국여성건강간호학회 (Korean Society of Women Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

Factors influencing quality of life in low-income women with young children in Korea: a cross-sectional study

  • Kim, Yun Mi (Department of Nursing, Hanil University and Presbyterian Theological Seminary) ;
  • Nho, Ju-Hee (College of Nursing, Research Institute of Nursing Science, Jeonbuk National University)
  • 투고 : 2021.12.14
  • 심사 : 2022.03.03
  • 발행 : 2022.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No. NRF-2018R1C1B6001070).

참고문헌

  1. Organisation for Economic Co-operation and Development (OECD). OECD iLibray. Income inequality (indicator) [Internet]. Paris: Author; 2022 [cited 2022 Jan 24]. Available from: https://doi.org/10.1787/459aa7f1-en
  2. Lam CL, Guo VY, Wong CK, Yu EY, Fung CS. Poverty and health-related quality of life of people living in Hong Kong: comparison of individuals from low-income families and the general population. J Public Health (Oxf). 2017;39(2):258-265. https://doi.org/10.1093/pubmed/fdw046
  3. Keyvanara M, Khasti BY, Zadeh MR, Modaber F. Study of the relationship between quality of life and socioeconomic status in Isfahan at 2011. J Educ Health Promot. 2015;4:92. https://doi.org/10.4103/2277-9531.171806
  4. Kim GE, Kim EJ. Factors affecting the quality of life of single mothers compared to married mothers. BMC Psychiatry. 2020;20(1):169. https://doi.org/10.1186/s12888-020-02586-0
  5. Jang HJ, Sung M-H. Impact of menstrual attitudes, premenstrual syndrome, and stress response on quality of life among nursing students. Korean J Women Health Nurs. 2018;24(4):346-354. https://doi.org/10.4069/kjwhn.2018.24.4.346
  6. Gliksman MD, Kawachi I, Hunter D, et al. Childhood socioeconomic status and risk of cardiovascular disease in middle aged US women: a prospective study. J Epidemiol Community Health. 1995;49(1):10-15. https://doi.org/10.1136/jech.49.1.10
  7. Kavanagh A, Bentley RJ, Turrell G, Shaw J, Dunstan D, Subramanian SV. Socioeconomic position, gender, health behaviours and biomarkers of cardiovascular disease and diabetes. Soc Sci Med. 2010;71(6):1150-1160. https://doi.org/10.1016/j.socscimed.2010.05.038
  8. Will JC, Farris RP, Sanders CG, Stockmyer CK, Finkelstein EA. Health promotion interventions for disadvantaged women: overview of the WISEWOMAN projects. J Womens Health (Larchmt). 2004;13(5):484-502. https://doi.org/10.1089/1540999041281025
  9. Choi EJ, Kim CW. Factors associated with tobacco and alcohol use. Korean J Health Educ Promot. 2008;25(5):39-51.
  10. Wang H, Xu C, Fan X. Effect of marital relationship on women's quality of life: testing the mediating role of subjective well-being. J Community Psychol. 2019;47(2):327-337. https://doi.org/10.1002/jcop.22123
  11. Falconier MK, Epstein NB. Relationship satisfaction in Argentinean couples under economic strain: Gender differences in a dyadic stress model. J Soc Pers Relat. 2010;27(6):781-799. https://doi.org/10.1177/0265407510373260
  12. Jung KH, Chun N. Influence of stress, social support and lifestyle on health-related quality of life in middle aged women. J Korean Biol Nurs Sci. 2019;21(1):62-69. https://doi.org/10.7586/jkbns.2019.21.1.62
  13. Lim SA. Relationship of parents' parenting stress and their depression with their child's happiness. Korean J Child Stud. 2018;39(1):49-59. https://doi.org/10.5723/kjcs.2018.39.1.49
  14. Galbally M, Watson SJ, Boyce P, Lewis AJ. The role of trauma and partner support in perinatal depression and parenting stress: an Australian pregnancy cohort study. Int J Soc Psychiatry. 2019;65(3):225-234. https://doi.org/10.1177/0020764019838307
  15. Johansson M, Benderix Y, Svensson I. Mothers' and fathers' lived experiences of postpartum depression and parental stress after childbirth: a qualitative study. Int J Qual Stud Health Well-being. 2020;15(1):1722564. https://doi.org/10.1080/17482631.2020.1722564
  16. Rafferty Y, Griffin KW. Parenting behaviours among low-income mothers of preschool age children in the USA: implications for parenting programmes. Int J Early Years Educ. 2010; 18(2):143-157. https://doi.org/10.1080/09669760.2010.494428
  17. Korea Development Institute. Information about policies of economy [Internet]. Sejong: Author; 2020 [cited 2022 Mar 14]. Available from: https://eiec.kdi.re.kr/policy/materialView.do?num= 203619&topic=
  18. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191. https://doi.org/10.3758/bf03193146
  19. Zhang Y, Ou F, Gao S, Gao Q, Hu L, Liu Y. Effect of low income on health-related quality of life: a cross-sectional study in northeast China. Asia Pac J Public Health. 2015;27(2):NP1013-NP1025. https://doi.org/10.1177/1010539513496839
  20. Lee HG, Kim SH. Structural analysis of the health related quality of life in working women with preschool children. J Korean Acad Community Health Nurs. 2020;31(3):223-233. https://doi.org/10.12799/jkachn.2020.31.3.223
  21. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc. 2000;39(3):571-579.
  22. Hwang WJ, Hong OS, Rankin SH. Predictors of health-promoting behavior associated with cardiovascular diseases among Korean blue-collar workers. Asia Pac J Public Health. 2015;27(2):NP691-NP702. https://doi.org/10.1177/1010539513500338
  23. Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76-81.
  24. Lee KH. A measure of marital intimacy. J Korean Home Econ Assoc. 1995;33(4):235-249.
  25. Abidin RR. Parenting stress index-fourth edition (PSI-4). Lutz, PL: Psychological Assessment Resources; 2012.
  26. Chung KM, Yang Y, Jeong SM, Lee KS, Park JA. Standardization study for the Korean version of parenting stress index fourth edition short form (K-PSI-4-SF). Korean J Psychol: General. 2019;24(4):785-807. https://doi.org/10.17315/kjhp.2019.24.4.001
  27. Koo BJ. The influence of resilience, hope, marital intimacy, and family support on quality of life for middle-aged women. J Korean Acad Psychiatr Ment Health Nurs. 2008;17(4):421-430.
  28. Basharpoor S, Sheykholeslami A. The relation of marital adjustment and family functions with quality of life in women. Eur J Psychol. 2015;11(3):432-441. https://doi.org/10.5964/ejop.v11i3.859
  29. Guo VY, Yu EY, Wong RSM, et al. Maternal mental quality of life mediates the associations between intimate partner abuse against mothers and their children's behaviours and quality of life in low-income Chinese families. Qual Life Res. 2017;26(12):3297-3306. https://doi.org/10.1007/s11136-017-1664-8
  30. Ko MJ, Kim HS. A study on the personality characteristics and marital conflicts of married men and women from low-income families. Korean J Fam Welf. 2014;19(3):489-508. https://doi.org/10.13049/kfwa.2014.19.3.489
  31. Yang HM, Choo JA, Kim HJ. Health-promoting behavior and quality of life among community-dwelling, middle-aged women: a comparative study between overweight and normal-weight groups. Korean J Health Promt. 2018;18(4):159-168. https://doi.org/10.15384/kjhp.2018.18.4.159
  32. Nho JH, Kim EJ. Health promoting behaviors in low-income overweight and obese women in Korea: An exploratory qualitative study. Korean J Women Health Nurs. 2021;27(4):348-357. https://doi.org/10.4069/kjwhn.2021.11.30
  33. Son YJ. The influencing factors on health related quality of life (HRQOL) in married working women. Korean J Adult Nurs. 2007;19(3):422-435.
  34. Yoon SU, Jeong MA, Oh NR. Job stress, work-family promotion, quality of life on the work-family balance in dental hygienists with preschool children. J Korea Contents Assoc. 2019;19(12):327-335. https://doi.org/10.5392/JKCA.2019.19.12.327