Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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The mediating effects of post-pandemic health promotion behaviors in the relationship between anxiety and quality of life in young adults in South Korea: a cross-sectional study

  • Received : 2024.03.28
  • Accepted : 2024.04.29
  • Published : 2024.05.31
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Abstract

Purpose: This study aimed to investigate the mediating effects of health promotion behavior (HPB) in the relationship between anxiety and quality of life (QoL) in young adults living in the post-pandemic era. Methods: A cross-sectional descriptive online survey design was utilized. Data on anxiety, QoL, HPB, and demographic characteristics were collected from 213 adults aged 19-35 years in Korea via an online survey in January 2024. The collected data were analyzed using SPSS 27.0 and PROCESS MACRO 4.2 software. Results: Strong correlations were observed among anxiety, QoL, and post-pandemic HPB (PP-HPB) in young adults, and anxiety and PP-HPB were identified as significant predictors of QoL. The total effect of anxiety on QoL was significant (B = -1.40, bootstrapped SE = 0.10), with both the direct effect (B = -0.70, bootstrapped SE = 0.09) and the indirect effect (B = -0.70, bootstrapped SE = 0.11) being significant. This suggests that PP-HPB partially mediated the relationship between anxiety and QoL. Conclusion: This study highlights the importance of strengthening HPB with consideration of life changes since the coronavirus disease 2019 pandemic to improve QoL among young adults with anxiety.

Keywords

Acknowledgement

This work was supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (MSIT) (No. NRF2021R1F1A1062667).

References

  1. Van den Broucke S. Why health promotion matters to the COVID-19 pandemic, and vice versa. Health Promotion International. 2020;35(2):181-186. https://doi.org/10.1093/heapro/daaa042
  2. Heo M, Jang Y. Implications for health management through an analysis of changes in life patterns of generation Z college students experiencing the COVID-19 pandemic: a qualitative study. Journal of Multidisciplinary Healthcare. 2023;16:1661-1670. https://doi.org/10.2147/JMDH.S415120
  3. Charalampous M, Grant C, Tramontano C, Michailidis E. Systematically reviewing remote e-workers' well-being at work: a multidimensional approach. European Journal of Work and Organizational Psychology. 2019;28(1):51-73. https://doi.org/10.1080/1359432X.2018.1541886
  4. Taylor S, Asmundson G. Life in a post-pandemic world: what to expect of anxiety-related conditions and their treatment. Journal of Anxiety Disorders. 2020;72:102231. https://doi.org/10.1016/j.janxdis.2020.102231
  5. Marconcin P, Werneck A, Peralta M, Ihle A, Gouveia E, Ferrari G, et al. The association between physical activity and mental health during the first year of the COVID-19 pandemic: a systematic review. BMC Public Health. 2022;22(1):209. https://doi.org/10.1186/s12889-022-12590-6
  6. Dunbar G, Stoke M, Hodges T, Beaumont G. The development of SBQOL-A unique scale for measuring quality of life. The British Journal of Medical Economics. 1992;2:65-74.
  7. Ha T. Development of the structural model of middle-aged men's subjective quality of life. Journal of Digital Convergence. 2016;14(5):125-135. https://doi.org/10.14400/JDC.2016.14.5.125
  8. Han J. Quality of life in Korea and its social determinants. Korean Journal of Governance Studies. 2015;10(2):67-94. https://doi.org/10.16973/jgs.2015.10.2.004
  9. Kim Y, Jang E. The optimal cut off score according to self-rated health in early adulthood. The Korean Journal of Health Service Management. 2017;11(2):105-115. https://doi.org/10.12811/kshsm.2017.11.2.105
  10. Iem Y. Anxiety experiences in the youth through the gaze of university students-an exploratory study using photovoice. Journal of Democracy and Human Rights. 2018;18(1):105-152.
  11. Farfan-Latorre M, Estrada-Araoz E, Lavilla-Condori W, Ulloa-Gallardo N, Calcina-Alvarez D, Meza-Orue L, et al. Mental health in the post-pandemic period: dpression, anxiety, and stress in Peruvian university students upon return to face-to-face classes. Sustainability. 2023;15(15):11924. https://doi.org/10.3390/su151511924
  12. Nguyen A, Taylor H, Taylor R, Ambroise A, Hamler T, Qin W, et al. The role of subjective, interpersonal, and structural social isolation in 12-month and lifetime anxiety disorders. BMC Public Health. 2024;24(1):1-10. https://doi.org/10.1186/s12889-024-18233-2
  13. Akat M, Karatas K. Psychological effects of COVID-19 pandemic on society and its reflections on education. Turkish Studies. 2020;15(4):1-13. https://dx.doi.org/10.7827/TurkishStudies.44336
  14. Heo M, Jang Y. Analysis of influencing factors of health-related quality of life among Korean adults in their 20s using the HINT-8 index-using the primary data of the 8th Korea national health and nutrition examination survey. Crisisonomy. 2023;19(8):137-149. https://doi.org/10.14251/crisisonomy.2023.19.8.137
  15. Lloyd D, Newell S, Dietrich U. Health inequity: a review of the literature. Lismore: Northern Rivers Area Health Service; 2004. State Health Publication No. 040177
  16. Pender N, Murdaugh C, Parsons M. Health promotion in nursing practice. 6th ed. Boston: Pearson Prentice Hall; 2006.
  17. Norouzinia R, Aghabarari M, Kohan M, Karimi M. Health promotion behaviors and its correlation with anxiety and some students' demographic factors of Alborz university of medical sciences. Journal of Health Promotion Management. 2013;2(4):39-49.
  18. Song H, Baek H, Kim M. Health promoting lifestyle, anxiety and self-esteem: Korean immigrants in New York. Journal of Preventive Medicine & Public Health. 2002;35(2):116-122.
  19. Lee M, Kim K, Cho M, Ahn J, Kim S. Study of stress, health promotion behavior, and quality of life of nursing students in clinical practice and factors associated with their quality of life. Journal of Muscle and Joint Health. 2014;21(2):125-134. https://doi.org/10.5953/JMJH.2014.21.2.125
  20. Orji C, Ghosh S, Nwaobia O, Ibrahim K, Ibiloye E, Brown C. Health behaviors and health-related quality of life among US adults aged 18-64 years. American Journal of Preventive Medicine. 2021;60(4):529-536. https://doi.org/10.1016/j.amepre.2020.10.020
  21. Green L, Kreuter M. Health promotion planning: an educational and environmental approach. 2nd ed. Mountain View: Mayfield Publishing; 1991.
  22. Zung W. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371-379. https://doi.org/10.1016/s0033-3182(71)71479-0
  23. Lee J. Development of the Korean form of Zung's self-rating depression scale. Journal of Yeungnam Medical Science. 1995;12(2):292-305. https://doi.org/10.12701/yujm.1995.12.2.292
  24. Gill D, Chang Y, Murphy K, Speed K, Hammond C, Rodriguez E, et al. Quality of life assessment for physical activity and health promotion. Applied Research in Quality of Life. 2011;6:181-200. https://doi.org/10.1007/s11482-010-9126-2
  25. Park S, Lyu M, Jang J, Kim J. Development and preliminary validation of Korean version of quality of life survey. Korean Journal of Sport Psychology. 2015;26(1):61-72.
  26. Heo M, Jang Y, Kim H. Development and validation of a scale measuring the post pandemic-health promotion behavior (PP-HPB) of young adults in the digital era. Journal of Multidisciplinary Healthcare. 2023;16:2449-2462. https://doi.org/10.2147/jmdh.s421060
  27. Hayes A, Preacher K. Statistical mediation analysis with a multicategorical independent variable. British Journal of Mathematical and Statistical Psychology. 2014;67(3):451-470. https://doi.org/10.1111/bmsp.12028
  28. Goodwin R, Weinberger A, Kim J, Wu M, Galea S. Trends in anxiety among adults in the United States, 2008-2018: rapid increases among young adults. Journal of Psychiatric Research. 2020;130:441-446. https://doi.org/10.1016/j.jpsychires.2020.08.014
  29. Brown P, Roose S. Age and anxiety and depressive symptoms: the effect on domains of quality of life. International Journal of Geriatric Psychiatry. 2011;26(12):1260-1266. https://doi.org/10.1002/gps.2675
  30. Greenberg T, Bertocci M, Versace A, Santos J, Chase H, Siffler R, et al. Depression and anxiety mediate the relationship between frontotemporal white matter integrity and quality of life in distressed young adults. Journal of Psychiatric Research. 2021;132:55-59. https://doi.org/10.1016/j.jpsychires.2020.10.001
  31. Zung W. The measurement of affects: depression and anxiety. In: Pichot P, Olivier-Martin R, editors. Modern problems of pharmacopsychiatry. Psychological measurements in psychopharmacology. Vol. 7. Karger Publishers; 1974. p. 170-188. https://doi.org/10.1159/000395075
  32. Dunstan D, Scott N. Norms for Zung's self-rating anxiety scale. BMC Psychiatry. 2020;20:1-8. https://doi.org/10.1186/s12888-019-2427-6
  33. Gill D, Hammond C, Reifsteck E, Jehu C, Williams R, Adams M, et al. Physical activity and quality of life. Journal of Preventive Medicine & Public Health. 2013;46(suppl 1):S28-S34. https://doi.org/10.3961/jpmph.2013.46.S.S28
  34. Hsieh C. The relative importance of health. Social Indicators Research. 2008;87:127-137. https://doi.org/10.1007/s11205-007-9162-y
  35. Lee M, Kim K, Cho M, Ahn J, Kim S. Study of stress, health promotion behavior, and quality of life of nursing students in clinical practice and factors associated with their quality of life. Journal of Muscle and Joint Health. 2014;21(2):125-134. https://doi.org/10.5953/JMJH.2014.21.2.125
  36. Heo M, Lee G, Kim M, Shin H, Kim M. Analyzing the influence of post-pandemic health promotion behaviors in early adulthood in Korea-focusing on SNS addiction tendency and time management ability. Crisisonomy. 2023;19(10):57-72. https://doi.org/10.14251/crisisonomy.2023.19.10.57
  37. National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health. How much sleep do I need? Sleep and sleep disorders [Internet]. Centers for Disease Control and Prevention; 2022 Sep 14 [cited 2024 Jan 26]. Available from: https://www.cdc.gov/sleep/about_sleep/how_much_sleep.html
  38. Ko E, Choi H, Han S, Kim H. The effect of smartphone addiction on insomnia. Journal of the Korea Academia-Industrial Cooperation Society. 2023;24(3):49-59. https://doi.org/10.5762/KAIS.2023.24.3.49