J Korean Diabetes.  2024 Jun;25(2):99-106. 10.4093/jkd.2024.25.2.99.

A Young Adult’s Life with Diabetes Based on a Social Ecological Model

Affiliations
  • 1Department of Social Welfare Services, Ansan University, Ansan, Korea

Abstract

Young people with diabetes in Korea face a healthcare transition from adolescence to adulthood, involving various management tasks. Imagine a patient who is struggling to stay on track with their glycemic control at a time in their life when they are also struggling to fulfill their life cycle tasks, we must consider disease management from the perspective of the individual. There are many factors that result in health inequality being regarded as an individual problem, and they may be difficult for individuals to overcome. However, most hospitals have limited approaches to account for individual factors of diabetics. Known limitations in socio-ecological approaches to diabetes care are based on such factors as limited personnel, limitations in community resource collection, differences in accessibility, and personnel work load. We performed this review of an approach that considers personal characteristics to help young diabetics secure a healthy life expectancy in cooperation with government policies.

Keyword

Life cycle theory; Social ecological model; Transition to adulthood; Young adult; Young-onset diabetes mellitus

Reference

1.Korean Diabetes Association. Diabetes fact sheet. 2022. Available from: https://www.diabetes.or.kr/bbs/?code=-fact_sheet&mode=view&number=2499&page=1&code=-fact_sheet(updated 2023 May 2).
2.Korea Disease Control and Prevention Agency. Announce-ment of the 2022 results of the National Health and Nutrition Examination Survey. Available from: https://www.kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&act=view&list_no=724014(updated 2023 Dec 7).
3.Hong JG. Three million diabetes “Young obese” a sharp increase in 30s. Available from: https://www.chosun.com/site/data/html_dir/2019/03/28/2019032800387.html(updated 2019 Mar 28).
4.Kim JI. A study on social isolation in youth: focusing on social capital, economic stability, and relative deprivation. Korean Public Adm Q. 2023. 35:315–37.
Article
5.Kim SA. The social cost of social isolation and its implications for policy. Health Welf Forum. 2022. 305:74–86.
6.Kim CH. Nutritional management of the patients with diabetes. Hanyang Med Rev. 2011. 31:220–7.
Article
7.Han MH. Health behavior, disease management, and factors related quality of life of young adults with hypertension or diabetes: 2019 Community Health Survey. Korean Public Health Res. 2022. 48:1–17.
8.Chrvala CA., Sherr D., Lipman RD. Diabetes self-manage-ment education for adults with type 2 diabetes mellitus: a systematic review of the effect on glycemic control. Patient Educ Couns. 2016. 99:926–43.
9.Tang TS., Funnell MM., Brown MB., Kurlander JE. Self-management support in “real-world” settings: an empowerment-based intervention. Patient Educ Couns. 2010. 79:178–84.
Article
10.Lee AA., Piette JD., Heisler M., Rosland AM. Diabetes dis-tress and glycemic control: the buffering effect of autono-my support from important family members and friends. Diabetes Care. 2018. 41:1157–63.
Article
11.Lee HJ., Lee YH., Park KO. Factors associated with diabetes prevalence and diabetes awareness in Korean adults aged 30-49. J Ind Converg. 2023. 21:91–7.
Article
12.Kim SY. Management of diabetes in the elderly. J Korean Diabetes. 2022. 23:128–32.
Article
13.Woo SJ., Kim EA. Factors related to diabetic patients' quality of life: The 8th Korean National Health and Nutrition Examination (1st Year, 2019). J Korean Soc Sch Community Health Educ. 2022. 23:51–64.
14.Yu SY., Kim DH. Individual and regional determinants to the chronic diseases in Seoul. J Korea Plan Assoc. 2023. 58:39–55.
Article
15.Seok HS., Kang SH. A study on the regional variation factor of hypertension prevalence. Health Soc Welf Rev. 2013. 33:210–36.
Article
16.Chun HJ. A study on the effect of urban environment using GIS and spatial econometric models on residents’ health. J Resid Environ Inst Korea. 2016. 14:109–18.
17.Kim EJ., Kim TH. Correlations between the built environment and residents’ health in Daegu. J Korean Urban Geogr Soc. 2015. 18:107–20.
18.McLeroy KR., Bibeau D., Steckler A., Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988. 15:351–77.
19.Choi YH., Ha YS., Park MA. Effectiveness of school-based smoking prevention program on ecological model in adolescents. J Korean Acad Community Health Nurs. 2012. 23:327–37.
Article
20.Kim YS. Korean male smoking, smoking cessation factors and the response of anti-smoking policies [master's the-sis]. Seoul: Seoul National University;2019.
21.Fine A., Kotelchuck M. Rethinking MCH: the life course model as an organizing framework. Rockville: U.S. Department of Health and Human Services, Health Resourc-es and Services Aministration, Maternal and Child Health Bureau;2010.
22.Kim JY., Lee JY., Yang SY., Kim HK. Core contents for digi-tal healthcare services across the life span. Korean J Health Educ Promot. 2023. 40:33–43.
Article
23.Ministry of Government Legislation. Framework Act on Youth. Act No. 19253 (2023 Mar 21). Available from: https://www.law.go.kr/LSW/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EC%B2%AD%EB%85%84%EA%B8%B0%EB%B3%B8%EB%B2%95#undefined.
24.Ministry of Government Legislation. Enforcement Decree of the Special Act on the Promotion of Youth Em-ployment. Presidential Decree No. 32447. (2022 Feb 17). Available from: https://www.law.go.kr/LSW/lsLinkCom-monInfo.do?lspttninfSeq=151221&chrClsCd=010202.
25.Ministry of Government Legislation. Support for Small and Medium Enterprise Establishment Act. Act No. 19825. (2023 Oct 31). Available from: https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EC%A4%91%EC%86%8C%EA%B8%B0%EC%97%85%EC%B0%BD%EC%97%85%EC%A7%80%EC%9B%90%E-B%B2%95#undefined.
26.Kim MK. A study on the paradigm and strategic tasks of youth policy: youth life and income. Sejong: National Research Council for Economics, Humanities and Social Sciences;2022. p. 13–6.
27.Kim SH. Identify the characteristics and status of young people facing the double isolation of economic hardship and social disconnection and develop support measures. Busan Dev Forum. 2022. 198:90–5.
28.Kim JH., Park EG. The effects of achievement type of developmental tasks of early adulthood on the perceived social isolation in youth. Stud Korean Youth. 2016. 27:257–84.
Article
29.Seiffge-Krenke I., Gelhaar T. Does successful attainment of developmental tasks lead to happiness and success in later developmental tasks? A test of Havighurst's (1948) theses. J Adolesc. 2008. 31:33–52.
Article
30.McKee-Ryan F., Song Z., Wanberg CR., Kinicki AJ. Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol. 2005. 90:53–76.
Article
31.Lee NK. The impact of social capital and self-esteem on the quality of life of the young unemployed. Health Soc Welf Rev. 2022. 42:220–42.
32.Seo JH. An analysis for the multimorbidity patterns and healthcare cost using the Korea Health Panel Survey. Health Welf Policy Forum. 2021. 302:17–28.
33.Skau JK., Nordin AB., Cheah JC., Ali R., Zainal R., Aris T, et al. A complex behavioural change intervention to reduce the risk of diabetes and prediabetes in the pre-conception period in Malaysia: study protocol for a randomised con-trolled trial. Trials. 2016. 17:215.
Article
34.Uhm MY. High blood pressure at my age.” High blood pressure in youth, is it okay? Available from: https://www.hidoc.co.kr/healthstory/news/C0000594773.
35.Seo M. Hypertension awareness rate in their 20s and 30s is only 17%, and the treatment rate is only 14%… Need for hypertension management strategy for young people. Available from: https://medigatenews.com/news/815215444.
36.Shin S. Diabetic patients in their 30s and 50s, men twice as many as women. Available from: https://www.joon-gang.co.kr/article/4648453#home.
37.Ministry of Health and Welfare. 2022 Suicide rates press release. Available from: https://www.mohw.go.kr/board.es?mid=a10503000000&bid=0027&act=view&list_no=378331.
38.Korea Development Institute (KDI). KDI economic in-formation and education center. Available from: https://eiec.kdi.re.kr/publish/reviewView.do?idx=56&fcode=000020003600004&ridx=6.
39.Song SJ., Oh SW., Yoon YS., Lim JH. Development of national policy for obesity, physical activity and nutrition. Sejong: Ministry of Health and Welfare;2020.
40.Lee YS., Lim HJ., Kim MS., Yang SY., Ahn EJ., Cho YJ. Final report on mobile healthcare service by public health cen-ters. Seoul: Korea Health Promotion Institute;2022.
42.American Diabetes Association Professional Practice Committee. 1. Improving care and promoting health in populations: Standards of Care in Diabetes-2024. Diabetes Care. 2024. 47(Suppl 1):S11–9.
Full Text Links
  • JKD
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