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"social support"

Original Articles
Contraceptive use among sexually active school-going adolescents in three Southeast Asian Countries: a cross-sectional study
Yuni Purwatiningsih, Suparmi , Siti Masitoh, Tin Afifah, Bunga Astria Paramashanti, Esti Nugraheny, Yunefit Ulfa, Sinta Dewi Lestyoningrum, Ning Sulistiyowati, Debri Rizki Faisal
Received April 29, 2025  Accepted July 20, 2025  Published online December 2, 2025  
DOI: https://doi.org/10.4082/kjfm.25.0115    [Epub ahead of print]
Background
Sexual and reproductive health remains a significant public health issue, especially in low- and middle-income countries where access to contraception and sexuality education is often limited. This study examined factors associated with the use of condoms and other birth control methods among school-going adolescents in Brunei Darussalam, Indonesia, and Thailand.
Methods
This study utilized cross-sectional data from the Global School-based Student Health Survey conducted in Brunei Darussalam (2019), Thailand (2021), and Indonesia (2023), involving 868 sexually active school-going adolescents. Multivariate logistic regression was applied to assess the association between demographic, psychosocial, and behavioral risk factors with use of condoms and other birth control methods among adolescents who reported being sexually active.
Results
Condom use was significantly higher among adolescents in Thailand than those in Indonesia (adjusted odds ratio [AOR], 8.035); no significant difference was observed in Brunei Darussalam. High parental support was positively associated with condom use (AOR, 1.883). Regarding other birth control methods, adolescents aged 17 years and older were more likely to use contraception than their younger peers (AOR, 1.557). Adolescents in Thailand also demonstrated a higher use of other birth control methods (AOR, 2.132). Additionally, experiencing a single symptom of psychological distress was positively associated with using other birth control methods.
Conclusion
Age, number of sexual partners, psychological distress, parental support, and national context significantly influenced contraceptive use among adolescents in Southeast Asia. Enhancing parental involvement, expanding access to adolescent-friendly health services, and strengthening comprehensive sexuality education are crucial strategies for reducing the risk of unintended pregnancy and sexually transmitted infections among adolescents.
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The Association between Social Support and Happiness among Elderly in Iran
Babak Moeini, Majid Barati, Maryam Farhadian, Milad Heydari Ara
Korean J Fam Med 2018;39(4):260-265.   Published online July 4, 2018
DOI: https://doi.org/10.4082/kjfm.17.0121
Background
Elderly people’s life is affected by multiple factors including social support, which is of the utmost importance. This study aimed to explore the association between social support and happiness as well as the impact of types of social support on happiness among elders.
Methods
This descriptive and analytical study was carried out on 411 elderly men and women referred to the retirement, cultural, and rehabilitation centers in Hamadan, west of Iran. Participants were selected by a multi-stage random sampling method. The research instrument included a questionnaire consisting of three parts: demographic information, the Oxford Argyle Happiness Inventory, and a Questionnaire derived from Social Support Theory. The questionnaire was completed through a self-report study. The collected data were analyzed using Pearson correlation coefficients, multiple linear regression, independent t-tests, and one-way analysis of variance in IBM SPSS Software ver. 22.0.
Results
The mean for happiness was reported as 41.17±15.2. The values given for social support were 29.40±11.95 and for its dimensions were 7.53±3.89 and 13.70±4.90 for informational support and emotional support, respectively. Moreover, the mean value for appraisal support was 3.48±2.37 and was 4.70±2.56 for instrumental support. Multiple linear regression analysis revealed that social support and demographic variables could account for approximately 25% (R2 =0.25) of changes in the variable of happiness.
Conclusion
High social support could increase happiness among elders. The quality and quantity of social support can be taken into account as proper determinants and predictors of happiness among elders.

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Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study
Aghbabak Maheri, Roya Sadeghi, Davoud Shojaeizadeh, Azar Tol, Mehdi Yaseri, Alireza Rohban
Korean J Fam Med 2018;39(2):101-107.   Published online March 22, 2018
DOI: https://doi.org/10.4082/kjfm.2018.39.2.101
Background

Considering the high prevalence of depression and anxiety among thalassemia patients and the role of social support in preventing mental disorders, this study aimed to determine prevalence of depression, anxiety, and perceived social support (PSS) among adults with beta-thalassemia major.

Methods

This cross-sectional study was performed with 389 adults with beta-thalassemia major. Data were collected via a questionnaire consisting of three parts: demographic and medical information, the Persian version of the hospital anxiety and depression scale, and the Persian version of the Multidimensional Scale of Perceived Social Support. Data were analyzed using IBM SPSS ver. 23.0 (IBM Corp., Armonk, NY, USA) through analytical statistics (independent-samples t-test, one-way analysis of variance, Pearson correlation coefficient, and multilevel linear regression), and the results less than 0.05 were considered to be significant.

Results

The mean scores of depression, anxiety, and PSS of patients were 7.42±3.17, 7.47±4.35, and 41.8±8.64, respectively. Of 389 patients, 19.8% had depression and 23.7% had an anxiety disorder. Relationships of depression and anxiety with age, the level of education, job, and family income were statistically significant, as were those of PSS with age, thalassemia center, family income, job, and the level of education. PSS from family, friends, and significant others were the significant predictive factors of depression and anxiety among adult patients with beta-thalassemia major.

Conclusion

Considering the PSS as a factor influencing the reduction in depression and anxiety in thalassemia patients, social support from the social networks (spouse, family members, friends, and healthcare workers) should be integrated with interventions that are designed to improve the mental and physical health of thalassemia patients.

Citations

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The Mediating Role of Parental Support in the Relationship between Life Stress and Suicidal Ideation among Middle School Students
Bong-Hee Kang, Jae-Heon Kang, Hyun-Ah Park, Young-Gyu Cho, Yang-Im Hur, Won Yong Sim, Gyeong-Ran Byeon, Kyoungwoo Kim
Korean J Fam Med 2017;38(4):213-219.   Published online July 20, 2017
DOI: https://doi.org/10.4082/kjfm.2017.38.4.213
Background

Youth suicide is increasingly being recognized as a major social problem in South Korea. In this study, we aimed to explore the effects of parental support on the relationship between life stress and suicidal ideation among middle-school students.

Methods

This study analyzed data from a cross-sectional study on mental health conducted by the South Korea National Youth Policy Institute between May and July of 2013. Questionnaire responses from 3,007 middle-school students regarding stress factors, thoughts of suicide during the past year, and parental support were analyzed in terms of 3 subscale elements: emotional, academic, and financial support.

Results

Among the participants, 234 male students (7.8%) and 476 female students (15.8%) reported experiencing suicidal ideation in the past year. Life stress significantly influenced suicidal ideation (P<0.001), and parental support and all of the subscale elements had a significant influence on decreasing suicidal ideation. As shown in model 1, life stress increased suicidal ideation (adjusted odds ratio [aOR], 1.318; P<0.001), and, in model 2, the effect of life stress on suicidal ideation decreased with parental support (aOR, 1.238; P<0.001).

Conclusion

Parental support was independently related to a decrease in suicidal ideation, and life stress was independently related to an increase in suicidal ideation. Parental support buffered the relationship between life stress and suicidal ideation.

Citations

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Social Support, Self-concept and Self-efficacy as Correlates of Adolescents' Physical Activity and Eating Habits.
Dong Hee Kim, In Soon Kang, Sangyeoup Lee
J Korean Acad Fam Med 2007;28(4):292-301.   Published online April 10, 2007
Background
Despite growing knowledge of the importance of the management of diet and physical activity in the prevention of obesity in adolescence, a better understanding of social psychological influences could assist efforts in family, school and community settings. Methods: Among the 3,653 adolescents who were randomly selected from seven separate school districts in Busan, 2,938 (83.9%) completed the questionnaire. The students who agreed to participate in this study were given a questionnaire which included social support as the Child and Adolescent Social Support Scale, self-efficacy as the physical self-efficacy questionnaire, self-concept as the Song and Hattie Test, physical activity as a Leisure-Time Exercise Questionnaire and eating habits as the Harris questionnaire. Results: The support from parents, teachers, classmates, close friends and other people in the community predicted the level of adolescents' self-concept and physical activity, while only the support from teachers and other people in the community predicted adolescents' dietary self-efficacy. Adolescents' self-concept and physical activity self-efficacy significantly predicted the level of physical activity. Self-concept and dietary self-efficacy also predicted healthier eating habits. Only the support from close friends predicted adolescents' healthy eating habits. The support from parents, teachers, close friends, classmates and other people in the community predicted the level of physical activity through increasing the level of self- concept or physical activity self-concept. Conclusion: Although adolescents' behavior are ultimately individualized, they are formed through cognitive processes which are affected by social support. These social levels, therefore, should be supportive of adolescents' physical activity and healthier eating habits by providing frequent support and encouragement to establish positive self-concept and self-efficacy.
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Effect of Spousal Support on Smoking Cessation Outcome of Self-quitters.
Eal Whan Park
J Korean Acad Fam Med 2006;27(8):652-658.   Published online August 10, 2006
Background
: Positive spousal support is considered to be effective for successful smoking cessation. In this study, interaction behaviors of spouses for smoking cessation and association of characteristics of spousal relationship with smoking cessation outcome was assessed.

Methods : Self-quitters who visited a family medicine clinic or a health promotion center were inquired on their smoking status and the relationship with their spouse by using the PIQ (partner interaction questionnaire). In a follow-up period of 3 and 6 months, current smoking status of each patient was assessed again by telephone.

Results : The smoking cessation rate among the subjects was 14.1%. There were significant differences between the successful quitters group and the failed group in age and smoking years (P<0.05). For the mean PIQ scores based on 71 persons, the mean total PIQ score was 42.9 (SD 12.8), the mean positive PIQ score was 18.8 (SD 7.7), and the mean negative score was 24.1 (SD 6.9). We analyzed the association of PIQ scores with continuous abstinence at 3- and 6-month follow-ups. And there was no relationship between negative behaviors and abstinence at 3 and 6 months. Also, there was no relationship between the positive/negative score ratio and continuous abstinence at 3 and 6 months.

Conclusion : The self quitters' partners were fairly interactive, but more of the interactions were negative in nature. Our data suggest that frequency of positive and negative interactions are not significantly related to the success rate of smoking cessation at 3- and 6-month follow-up periods.
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Factors Related to Cognitive Impairment of Elderly Patients in Kyongin District.
Ji Won Kang, Sung Taek Kim, Byung Wook Yoo, Jung Eun Oh, Sung Ho Hong, Choo Yon Cho
J Korean Acad Fam Med 2003;24(5):461-472.   Published online May 10, 2003
Background
: With the rapid increase in elderly population arousing from development of medical technology and in standards of living, mental disorders as well as organic disorders according to aging constitute a serious social problem. This study aimed to find a factor related closely to cognitive impairment by analyzing the risk factors influencing cognitive impairment, which is one of the typical geriatric neuropsychiatric conditions.

Methods : This study was conducted using a questionnaire survey and history taking and physical examination was done in 200 elderly patients over sixty-five, who had visited either of the four universities hospitals in the Kyongin district from July 1997 to June 2002. A variety of factors being widely known to be related to cognitive impairment by was investigated using the existing comprehensive geriatric assessment. By using MMSE-K (Korea version of Mini- Mental State Examination), the relation between cognitive impairment and each variable was analyzed by using chi-square test and logistic regression analysis with SPSS 10.0k/PC statistical program.

Results : The number of males and females was 73 (36.5%) and 127 (63.5%), respectively, among the total number of 200 examinees. Males and females having symptoms of cognitive impairment was 25 (34.2%) and 49 (38.6%) among the total number of 74 (37%), respectively. Total mean point of MMSE-K was 24±5.4, 24±5.3 in males and 23.9±5.5 in females. According to the results of multi-variable quantities analysis, it was shown that the cognitive impairment had positive relation to age (P= 0.004), but negative relation to regular exercising (P= 0.016), instrumental activities of daily living (P=0.039) and social support (P=0.003).

Conclusion : The factors having a close relation to cognitive impairment of elderly people were social support, age, regular exercising and instrumental activities of daily living.
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The association between social support and health status in the rural elderly.
Ka Young Lee, Tae Jin Park
J Korean Acad Fam Med 2000;21(5):672-683.
BACKGROUND
The purpose of this study was to evaluate the association between social support and health status for the elderly in a rural area where social network has been decreased.
METHODS
One hundred and 58 elderly patients who visited free medical services participated in the survey that contained items about social support, heath status, socioeconomic status, health behaviors, and depression. Subjects were divided into three groups according to their social support index scores and two groups according to their health status. The health behaviors, socioeconomic status, and depression were considered as confounders. The associations between social support and confounders were analyzed by oneway analysis of variance, Cochran Mantel-Haenszel test, x2-test, and t-test. Then, multiple logistic regression analyses were done to find the adjusted association between social support and health status.
RESULTS
Social support was related to education (P=0.012), economic level (P=0.007), smoking status (P=0.028), depression score (P<0.001), and health status (P<0.001). Health status was related to age (P=0.02), economic level (P<0.001), and depression score (P<0.001). The unadjusted prevalence odds ratios (POR) for poor health status were 7.3 (95% CI: 2.8-19.2) in the poorly supported group and 1.3 (95% CI: 0.5-3.5) in moderately supported group compared with the highly supported group. The corresponding adjusted POR increased to 14.3 (95% CI: 2.8-73.3) in poorly supported group and 6.2 (95% CI: 1.2-31.9) in moderately supported group.
CONCLUSION
The poor social support was associated with poor health status and the relationship increased more with adjustment of confounders. Several methods to improve social support is necessary to maintain and enhance health status in the rural elderly.
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  • 5 Download
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