Journal of Preventive Medicine and Public Health

Volume 54(1); January 2021

COVID-19: Special Articles

Mainstreaming of Health Equity in Infectious Disease Control Policy During the COVID-19 Pandemic Era: Hongjo Choi, Seong-Yi Kim, Jung-Woo Kim, Yukyung Park, Myoung-Hee Kim; J Prev Med Public Health. 2021;54(1):1-7. Published online January 15, 2021; DOI: https://doi.org/10.3961/jpmph.20.593

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The Korean government’s strategy to combat coronavirus disease 2019 (COVID-19) has focused on non-pharmaceutical interventions, such as social distancing and wearing masks, along with testing, tracing, and treatment; overall, its performance has been relatively good compared to that of many other countries heavily affected by COVID-19. However, little attention has been paid to health equity in measures to control the COVID-19 pandemic. The study aimed to examine the unequal impacts of COVID-19 across socioeconomic groups and to suggest potential solutions to tackle these inequalities. The pathways linking social determinants and health could be entry points to tackle the unequal consequences of this public health emergency. It is crucial for infectious disease policy to consider social determinants of health including poor housing, precarious working conditions, disrupted healthcare services, and suspension of social services. Moreover, the high levels of uncertainty and complexity inherent in this public health emergency, as well as the health and socioeconomic inequalities caused by the pandemic, underscore the need for good governance other than top-down measures by the government. We emphasize that a people-centered perspective is a key approach during the pandemic era. Mutual trust between the state and civil society, strong accountability of the government, and civic participation are essential components of cooperative disaster governance.

Summary

Korean summary
"이 연구는 코로나19 대유행이 건강불평등에 미치는 영향을 검토하고, 불평등 완화 방안을 제시하고자 한다. 건강의 사회적 결정요인은 코로나19와 건강불평등을 이해하기 위한 출발점이다. 건강의 사회적 결정요인은 코로나19 감염과 그로 인한 사망 등 직접영향 경로와 코로나19 대응과정의 문제로 건강불평등을 야기하는 간접영향 경로에 모두 관여한다. 공중보건위기로 인한 건강불평등을 줄이기 위해서는 시민참여를 통한 협력적 거버넌스 강화와 모든 건강정책에서 사람중심돌봄의 관점을 견지하는 것이 필요하다."

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Illustrating the impact of commercial determinants of health on the global COVID-19 pandemic: Thematic analysis of 16 country case studies
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Ambient PM_2.5 exposures could increase risk of tuberculosis recurrence
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Unequal burdens of COVID-19 infection: a nationwide cohort study of COVID-19-related health inequalities in Korea
Jeangeun Jeon, Jieun Park, Min-Hyeok Choi, Hongjo Choi, Myoung-Hee Kim
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The Unequal Effects of Social Distancing Policy on Subway Ridership during the COVID-19 Pandemic in Seoul, South Korea
Jaeyoung Ha, Suyoung Jo, Hee-kyoung Nam, Sung-il Cho
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Disaster vulnerability and community resilience factors affecting post-disaster wellness: A longitudinal analysis of the Survey on the Change of Life of Disaster Victim
Jimin Gim, Sangjoon Shin
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Disaster Vulnerability and Community Resilience Factors Affecting Post-Disaster Wellness
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Pleading Voices Behind Bars: Health Equity for Detainees During the COVID-19 Pandemic in the Philippines
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COVID-19 International Collaborative Research by the Health Insurance Review and Assessment Service Using Its Nationwide Real-world Data: Database, Outcomes, and Implications: Yeunsook Rho, Do Yeon Cho, Yejin Son, Yu Jin Lee, Ji Woo Kim, Hye Jin Lee, Seng Chan You, Rae Woong Park, Jin Yong Lee; J Prev Med Public Health. 2021;54(1):8-16. Published online January 26, 2021; DOI: https://doi.org/10.3961/jpmph.20.616

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Abstract PDF

This article aims to introduce the inception and operation of the COVID-19 International Collaborative Research Project, the world’s first coronavirus disease 2019 (COVID-19) open data project for research, along with its dataset and research method, and to discuss relevant considerations for collaborative research using nationwide real-world data (RWD). COVID-19 has spread across the world since early 2020, becoming a serious global health threat to life, safety, and social and economic activities. However, insufficient RWD from patients was available to help clinicians efficiently diagnose and treat patients with COVID-19, or to provide necessary information to the government for policy-making. Countries that saw a rapid surge of infections had to focus on leveraging medical professionals to treat patients, and the circumstances made it even more difficult to promptly use COVID-19 RWD. Against this backdrop, the Health Insurance Review and Assessment Service (HIRA) of Korea decided to open its COVID-19 RWD collected through Korea’s universal health insurance program, under the title of the COVID-19 International Collaborative Research Project. The dataset, consisting of 476 508 claim statements from 234 427 patients (7590 confirmed cases) and 18 691 318 claim statements of the same patients for the previous 3 years, was established and hosted on HIRA’s in-house server. Researchers who applied to participate in the project uploaded analysis code on the platform prepared by HIRA, and HIRA conducted the analysis and provided outcome values. As of November 2020, analyses have been completed for 129 research projects, which have been published or are in the process of being published in prestigious journals.

Summary

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COVID-19: Perspective

New Obligations of Health Insurance Review and Assessment Service: Taking Full-fledged Action Against the COVID-19 Pandemic: Seung Mi Yoo, Seol Hee Chung, Won Mo Jang, Kyoung Chang Kim, Jin Yong Lee, Sun Min Kim; J Prev Med Public Health. 2021;54(1):17-21. Published online January 26, 2021; DOI: https://doi.org/10.3961/jpmph.20.594

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Abstract Summary PDF

In 2020, the coronavirus disease 2019 (COVID-19) pandemic has caused unprecedented disruptions to global health systems. The Korea has taken full-fledged actions against this novel infectious disease, swiftly implementing a testing-tracing-treatment strategy. New obligations have therefore been given to the Health Insurance Review and Assessment Service (HIRA) to devote the utmost effort towards tackling this global health crisis. Thanks to the universal national health insurance and state-of-the-art information communications technology (ICT) of the Korea, HIRA has conducted far-reaching countermeasures to detect and treat cases early, prevent the spread of COVID-19, respond quickly to surging demand for the healthcare services, and translate evidence into policy. Three main factors have enabled HIRA to undertake pandemic control preemptively and systematically: nationwide data aggregated from all healthcare providers and patients, pre-existing ICT network systems, and real-time data exchanges. HIRA has maximized the use of data and pre-existing network systems to conduct rapid and responsive measures in a centralized way, both of which have been the most critical tactics and strategies used by the Korean healthcare system. In the face of new obligations, our promise is to strive for a more responsive and resilient health system during this prolonged crisis.

Summary

Korean summary
건강보험심사평가원은 전 국민과 전체 요양기관의 축적된 정보, 전체 요양기관과 연결된 네트워크, 실시간 데이터 공유를 통해 이번 코로나19 위기 대응에 기여했다. 건강보험심사평가원은 1) 진단검사∙약제 등재, 2) 요양기관 내 고위험군 감지, 3) 마스크 중복구매 방지 시스템 구축, 4) 주요 보건의료자원 가동현황 모니터링 시스템 구축, 5) 환자관리 정보시스템 구축 및 익명화된 환자 데이터 공개로 국제협력연구 촉진의 다섯 가지 전략을 성공적으로 수행했다. 건강보험심사평가원은 현재의 보건위기 상황을 극복하고, 코로나19 시대 이후로도 새롭게 주어진 위기대응의 역할과 소명을 다할 것이다.

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Detecting mpox infection in the early epidemic: an epidemiologic investigation of the third and fourth cases in Korea
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COVID-19: Original Article

An Observational Study in Manipur State, India on Preventive Behavior Influenced by Social Media During the COVID-19 Pandemic Mediated by Cyberchondria and Information Overload: Renu Bala, Amit Srivastava, Gouri Devi Ningthoujam, Thadoi Potsangbam, Amita Oinam, Ch Lily Anal; J Prev Med Public Health. 2021;54(1):22-30. Published online December 1, 2020; DOI: https://doi.org/10.3961/jpmph.20.465

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Abstract PDF Supplementary Material

Objectives
The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency posing unprecedented challenges for health authorities. Social media may serve as an effective platform to disseminate health-related information. This study aimed to assess the extent of social media use, its impact on preventive behavior, and negative health effects such as cyberchondria and information overload.
Methods
A cross-sectional observational study was conducted between June 10, 2020 and August 9, 2020 among people visiting the outpatient department of the authors’ institution, and participants were also recruited during field visits for an awareness drive. Questions were developed on preventive behavior, and the Short Cyberchondria Scale and instruments dealing with information overload and perceived vulnerability were used.
Results
The study recruited 767 participants with a mean age of about 45 years. Most of the participants (>90%) engaged in preventive behaviors, which were influenced by the extent of information received through social media platforms (β=3.297; p<0.001) and awareness of infection when a family member tested positive (β=29.082; p<0.001) or a neighbor tested positive (β=27.964; p<0.001). The majority (63.0%) of individuals often searched for COVID-19 related news on social media platforms. The mean±standard deviation scores for cyberchondria and information overload were 9.09±4.05 and 8.69±2.56, respectively. Significant and moderately strong correlations were found between cyberchondria, information overload, and perceived vulnerability to COVID-19.
Conclusions
This study provides evidence that the use of social media as an information- seeking platform altered preventive behavior. However, excessive and misleading information resulted in cyberchondria and information overload.

Summary

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Predictors of Cyberchondria During the COVID-19 Pandemic: Cross-sectional Study Using Supervised Machine Learning
Alexandre Infanti, Vladan Starcevic, Adriano Schimmenti, Yasser Khazaal, Laurent Karila, Alessandro Giardina, Maèva Flayelle, Seyedeh Boshra Hedayatzadeh Razavi, Stéphanie Baggio, Claus Vögele, Joël Billieux
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The Impact of COVID-19 Pandemic on Searching for Health-Related Information and Cyberchondria on the General Population in Italy
Matteo Vismara, Daniele Vitella, Roberta Biolcati, Federica Ambrosini, Veronica Pirola, Bernardo Dell'Osso, Roberto Truzoli
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COVID-19: Brief Report

Particle Filtration Efficiency Testing of Sterilization Wrap Masks: Destiny F. Chau, Patrick O'Shaughnessy, Michael L. Schmitz; J Prev Med Public Health. 2021;54(1):31-36. Published online December 22, 2020; DOI: https://doi.org/10.3961/jpmph.20.394

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Abstract PDF Supplementary Material: Objectives
Non-traditional materials are used for mask construction to address personal protective equipment shortages during the coronavirus disease 2019 (COVID-19) pandemic. Reusable masks made from surgical sterilization wrap represent such an innovative approach with social media frequently referring to them as “N95 alternatives.” This material was tested for particle filtration efficiency and breathability to clarify what role they might have in infection prevention and control.
Methods
A heavyweight, double layer sterilization wrap was tested when new and after 2, 4, 6, and 10 autoclave sterilizing cycles and compared with an approved N95 respirator and a surgical mask via testing procedures using a sodium chloride aerosol for N95 efficiency testing similar to 42 CFR 84.181. Pressure testing to indicate breathability was also conducted.
Results
The particle filtration efficiency for the sterilization wrap ranged between 58% to 66%, with similar performance when new and after sterilizing cycles. The N95 respirator and surgical mask performed at 95% and 68% respectively. Pressure drops for the sterilization wrap, N95 and surgical mask were 10.4 mmH₂O, 5.9 mmH₂O, and 5.1 mmH₂O, respectively, well below the National Institute for Occupational Safety and Health limits of 35 mmH₂O during initial inhalation and 25 mmH₂O during initial exhalation.
Conclusions
The sterilization wrap’s particle filtration efficiency is much lower than a N95 respirator, but falls within the range of a surgical mask, with acceptable breathability. Performance testing of non-traditional mask materials is crucial to determine potential protection efficacy and for correcting misinterpretation propagated through popular media.; Summary

Original Articles

Associations Between Thyroid Hormone Levels and Urinary Concentrations of Bisphenol A, F, and S in 6-Year-old Children in Korea: Yoonyoung Jang, Yoon-Jung Choi, Youn-Hee Lim, Kyung-Shin Lee, Bung-Nyun Kim, Choong Ho Shin, Young Ah Lee, Johanna Inhyang Kim, Yun-Chul Hong; J Prev Med Public Health. 2021;54(1):37-45. Published online November 23, 2020; DOI: https://doi.org/10.3961/jpmph.20.310

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Abstract Summary PDF Supplementary Material

Objectives
Bisphenol A (BPA) is used in the electrical, mechanical, medical, and food industries. Previous studies have suggested that BPA is an endocrine disruptor. Regulation of BPA has led to increased use of bisphenol F (BPF) and bisphenol S (BPS). However, few studies have investigated the associations of BPF and BPS with thyroid dysfunction in children. Our study investigated the associations of prenatal BPA and early childhood BPA, BPF, and BPS exposure with thyroid function in 6-year-old children.
Methods
Prenatal BPA concentrations were measured during the second trimester of pregnancy in an established prospective birth cohort. We measured urinary BPA, BPF, and BPS concentrations and thyroid hormone levels (thyroid-stimulating hormone, total T₃, and free T₄) in 6-year-old children (n=574). We examined the associations between urinary bisphenol concentrations and percentage change of thyroid hormone concentrations using multivariate linear regression. We also compared thyroid hormone levels by dividing the cohort according to BPA, BPF, and BPS concentrations.
Results
The associations between prenatal BPA and total T₃ levels were statistically significant in all models, except for girls when using a crude model. The associations between urinary BPA and BPS concentrations and levels of all thyroid hormones were not statistically significant. However, we observed that lower free T₄ levels (-1.94%; 95% confidence interval, -3.82 to -0.03) were associated with higher urinary BPF concentrations in girls only.
Conclusions
Our findings identified significant associations between prenatal BPA exposure and total T₃ levels in all children and between BPF exposure and free T₄ levels in girls only.

Summary

Korean summary
비스페놀 A의 건강위해성에 대한 역학적 근거들이 축적되어 비스페놀 A 대신 BPF와 BPS와 같은 대체물질이 사용되고 있다. 본 논문에서는 어머니의 산전 비스페놀 A 노출과 6세 어린이의 비스페놀 A, 비스페놀 F, 비스페놀 S 노출 정도에 따라 어린이의 갑상선호르몬 농도에 어떠한 영향을 미치는가 보고자 하였다. 어머니의 산전 비스페놀 A 노출은 어린이의 total T3 농도에 유의하게 영향을 미쳤으며, 특히 여자아이에게서 비스페놀 F 노출이 한 단위 증가할수록 free T4 농도가 유의하게 감소하는 것을 관찰하였다. 본 논문의 의의는 비스페놀 F, S가 어린이의 갑상선기능에 어떠한 영향을 미치는지 역학적 근거를 제시하였다는 점이나, 인과적 연관성을 위해서는 시간적 선후관계를 고려한 더 많은 연구가 필요하다.

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The Joint Effects of Bisphenols and Iodine Exposure on Thyroid during Pregnancy
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Associations of exposure to bisphenol A and its substitutes with neurodevelopmental outcomes among infants at 12 months of age: A cross-sectional study
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Association of urinary bisphenols with thyroid function in the general population: a cross-sectional study of an industrial park in China
Yang Hu, Shiming Lai, Ying Li, Xiaodong Wu, Mingluan Xing, Xueqing Li, Dandan Xu, Yuan Chen, Jie Xiang, Ping Cheng, Xiaofeng Wang, Zhijian Chen, Hao Ding, Peiwei Xu, Xiaoming Lou
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Associations of Urinary Bisphenol a, Bisphenol F, and Bisphenol S with the Risk of Papillary Thyroid Cancer: A Case-Control Study
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The Impact of Bisphenol A on Thyroid Function in Neonates and Children: A Systematic Review of the Literature
Diamanto Koutaki, George Paltoglou, Aikaterini Vourdoumpa, Evangelia Charmandari
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Relationship Between Shift Intensity and Insomnia Among Hospital Nurses in Korea: A Cross-sectional Study: Yuhjin Chung, Hyunjoo Kim, Dong-Hee Koh, Ju-Hyun Park, Seohyun Yoon; J Prev Med Public Health. 2021;54(1):46-54. Published online December 22, 2020; DOI: https://doi.org/10.3961/jpmph.20.555

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Abstract Summary PDF Supplementary Material

Objectives
This study explored the relationship between shift intensity and insomnia among hospital nurses.
Methods
The participants were 386 female hospital nurses who underwent a special health examination for night workers in 2015. The Korean Insomnia Severity Index (ISI), indices of shift work intensity, and other covariates such as amount of exercise, level of alcohol consumption, employment duration, and hours worked were extracted from the health examination data. The indices for shift intensity were (1) number of 3 consecutive night shifts and (2) number of short recovery periods after a previous shift, both assessed over the prior 3 months. Multiple logistic regression analysis adjusted for the aforementioned covariates was performed to evaluate the association of shift intensity with insomnia, defined as an ISI score of ≥8.
Results
The nurses with insomnia tended to be younger (p=0.029), to have worked 3 consecutive night shifts more frequently (p<0.001), to have experienced a greater number of short recovery periods after the previous shift (p=0.021), and to have worked for more hours (p=0.006) than the nurses without insomnia. Among the other variables, no statistically significant differences between groups were observed. Experiences of 3 or more consecutive night shifts (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.29 to 4.20) and 3 or more short recovery periods (OR, 2.01; 95% CI, 1.08 to 3.73) were associated with increased odds of insomnia.
Conclusions
The results suggest that decreasing the shift intensity may reduce insomnia among hospital nurses working rotating shifts.

Summary

Korean summary
불면증상의 척도로서 ‘한국판 불면증 심각도 평가척도’를, 교대근무강도의 지표로서 지난 3개월 간의 ‘3회 연속 야간근무 횟수’와 ‘교대근무 이후 짧은 휴식기간’을 사용하여, 대학병원 야간 근무 간호사 386명의 불면증상과 교대근무강도 간의 연관성을 탐색하고자 하였다. 로지스틱 회귀분석 결과, ‘3회 연속 야간근무 횟수’와 ‘교대근무 이후 짧은 휴식기간’은 불면증상의 오즈비 증가와 관련이 있었다. 이 결과는 교대근무강도를 저하시켜야 순환 교대근무 병원 간호사들의 불면증상을 줄일 수 있음을 시사한다.

Citations

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Qualidade de vida e engajamento no trabalho em profissionais de enfermagem no início da pandemia de COVID-19
Taisa Moitinho de Carvalho, Luciano Garcia Lourenção, Maria Helena Pinto, Renata Andrea Pietro Pereira Viana, Ana Maria Batista da Silva Gonçalves Moreira, Leticia Pepineli de Mello, Gilney Guerra de Medeiros, Antonio Marcos Freire Gomes
Ciência & Saúde Coletiva.2023; 28(10): 2903. CrossRef
Quality of life and work engagement among nursing staff at the start of the COVID-19 pandemic
Taisa Moitinho de Carvalho, Luciano Garcia Lourenção, Maria Helena Pinto, Renata Andrea Pietro Pereira Viana, Ana Maria Batista da Silva Gonçalves Moreira, Leticia Pepineli de Mello, Gilney Guerra de Medeiros, Antonio Marcos Freire Gomes
Ciência & Saúde Coletiva.2023; 28(10): 2903. CrossRef
Prevalence of Insomnia among Medical Staff during the Epidemic Prevention and Control: A Perspective on Health Behavior
Jinhua Sun, Xiaoqing Wang, Liman Jian, Bo Dong
American Journal of Health Behavior.2023; 47(4): 714. CrossRef
Insomnia among Intensive Care Unit Nurses in the United Arab Emirates and its Association to Work Productivity and Quality of Life
Hassnaa Shaban Mobarak, Fatma Refaat Ahmed, Nabeel Al-Yateem, Wegdan Bani-Issa, Muna Ibrahim Alhosani, Mohannad Eid AbuRuz
The Open Nursing Journal.2023;[Epub] CrossRef
Personality Traits and Insomnia Symptoms in Shift Workers
Brigitte Holzinger, Lucille Mayer, Gerhard Klösch
Frontiers in Psychology.2021;[Epub] CrossRef
The Association Between the Number of Consecutive Night Shifts and Insomnia Among Shift Workers: A Multi-Center Study
Juho Sim, Byung-Yoon Yun, Jiho Lee, Sung Kyung Kim, Seunghyun Lee, Ara Cho, Seunghan Kim, Chang-young Kim, Yeon Suh Oh, Jin-Ha Yoon
Frontiers in Public Health.2021;[Epub] CrossRef
Alcohol Abuse and Insomnia Disorder: Focus on a Group of Night and Day Workers
Fulvio Plescia, Luigi Cirrincione, Daniela Martorana, Caterina Ledda, Venerando Rapisarda, Valentina Castelli, Francesco Martines, Denis Vinnikov, Emanuele Cannizzaro
International Journal of Environmental Research and Public Health.2021; 18(24): 13196. CrossRef

Modeling Survival in Patients With Brain Stroke in the Presence of Competing Risks: Solmaz Norouzi, Mohammad Asghari Jafarabadi, Seyed Morteza Shamshirgaran, Farshid Farzipoor, Ramazan Fallah; J Prev Med Public Health. 2021;54(1):55-62. Published online December 7, 2020; DOI: https://doi.org/10.3961/jpmph.20.463

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Abstract PDF: Objectives
After heart disease, brain stroke (BS) is the second most common cause of death worldwide, underscoring the importance of understanding preventable and treatable risk factors for the outcomes of BS. This study aimed to model the survival of patients with BS in the presence of competing risks.
Methods
This longitudinal study was conducted on 332 patients with a definitive diagnosis of BS. Demographic characteristics and risk factors were collected by a validated checklist. Patients’ mortality status was investigated by telephone follow-up to identify deaths that may be have been caused by stroke or other factors (heart disease, diabetes, high cholesterol, etc.). Data were analyzed by the Lunn-McNeil approach at alpha=0.1.
Results
Older age at diagnosis (59-68 years: adjusted hazard ratio [aHR], 2.19; 90% confidence interval [CI], 1.38 to 3.48; 69-75 years: aHR, 5.04; 90% CI, 3.25 to 7.80; ≥76 years: aHR, 5.30; 90% CI, 3.40 to 8.44), having heart disease (aHR, 1.65; 90% CI, 1.23 to 2.23), oral contraceptive pill use (women only) (aHR, 0.44; 90% CI, 0.24 to 0.78) and ischemic stroke (aHR, 0.52; 90% CI, 0.36 to 0.74) were directly related to death from BS. Older age at diagnosis (59-68 years: aHR, 21.42; 90% CI, 3.52 to 130.39; 75-69 years: aHR, 16.48; 90% CI, 2.75 to 98.69; ≥76 years: aHR, 26.03; 90% CI, 4.06 to 166.93) and rural residence (aHR, 2.30; 90% CI, 1.15 to 4.60) were directly related to death from other causes. Significant risk factors were found for both causes of death.
Conclusions
BS-specific and non-BS-specific mortality had different risk factors. These findings could be utilized to prescribe optimal and specific treatment.; Summary

Associations of Handgrip Strength and Handgrip Strength Asymmetry With Depression in the Elderly in Korea: A Cross-sectional Study: Kyungduk Hurh, Yoonsik Park, Gyu Ri Kim, Sung-In Jang, Eun-Cheol Park; J Prev Med Public Health. 2021;54(1):63-72. Published online December 30, 2020; DOI: https://doi.org/10.3961/jpmph.20.315

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156 Download
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Abstract Summary PDF Supplementary Material

Objectives
Recent studies have suggested that assessing handgrip strength (HGS) asymmetry together with HGS may be helpful for evaluating problems in geriatric patients. This study aimed to identify whether HGS asymmetry, weakness, or both were associated with depression in Korean older adults.
Methods
This study included 4274 subjects from the sixth and seventh Korea National Health and Nutrition Examination Survey. Depression was measured using the Patient Health Questionnaire-9. The maximum HGS of the dominant hand was used as a representative value. HGS symmetry was categorized by the ratio of the HGS of the dominant hand to that of non-dominant hand. The odds ratio (OR) for depression was calculated according to the HGS and its symmetry.
Results
In total, 240 (12.5%) men and 534 (22.7%) women had depression. HGS or HGS asymmetry showed no statistically significant associations with depression in elderly men. Elevated odds of depression were observed in elderly women with low HGS (OR, 1.93; 95% confidence interval [CI], 1.33 to 2.81) or prominent HGS asymmetry (OR, 1.46; 95% CI, 1.02 to 2.08). There was a positive additive interaction between asymmetric HGS and weakness, as women with low and prominently asymmetric HGS showed higher odds of depression (OR, 3.77; 95% CI, 2.16 to 6.59) than women with high and symmetric HGS.
Conclusions
Depression in elderly Korean women was associated with both low and asymmetric HGS. Our findings support the potential value of HGS asymmetry as an indicator of HGS.

Summary

Korean summary
본 연구에서는 국민건강영양조사 자료를 이용하여, 국내 60세 이상 노인 인구에서 악력 저하 및 양손 악력의 비대칭과 우울증 유병과의 상관관계를 분석하였다. 분석 결과 60세 이상 여성에서 악력 저하 및 양손 악력의 비대칭이 우울증 유병과 관련이 있었으며, 악력 저하와 비대칭이 동반된 경우에는 우울증 유병에 대하여 상가작용이 존재하였다. 이는 향후 노인의 악력 측정 시, 양손 악력의 비대칭에 대하여도 주목할 필요가 있음을 시사한다.

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Risk factors associated with weak and asymmetric handgrip strength in older Chinese adults
Minghui Weng, Jianlin Pu, Binyou Wang, Yilin Wang
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Journal of Geriatric Oncology.2023; 14(7): 101583. CrossRef
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Duanfang Cai, Hongli Zhang, Yilin Wang
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Yuying Zhang, Weiqing Chen, Bing Cao, Li Lin, Jinghua Li, Vivian Yawei Guo
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The relationship between low handgrip strength with or without asymmetry and fall risk among middle-aged and older males in China: evidence from the China Health and Retirement Longitudinal Study
Yilin Wang, Yalian Huang, Xiaoyan Chen
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Jihyun Baek, Yunmi Kim, Hyun-Young Kim
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Association between changes in handgrip strength and depression in Korean adults: a longitudinal panel study
Hyunkyu Kim, Wonjeong Jeong, Seung Hoon Kim, Yu Shin Park, Sung-In Jang, Eun-Cheol Park
Scientific Reports.2022;[Epub] CrossRef
Muscle Strength Moderates the Relationship between Nutritional Health Risk and Depression in Korean Older Adults
Jeonghyeon Kim, Seamon Kang, Haeryun Hong, Hyunsik Kang, Ju-Hyoung Kim, Sang-Koo Woo
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Depressive symptoms and physical function among the elderly in nursing homes during the COVID-19 pandemic in China: A cross-sectional study
Lunan Gao, Jinhong Yang, Jiang Liu, Tingting Xin, Yuxiu Liu
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Association between handgrip strength asymmetry and falls in elderly Koreans: A nationwide population-based cross-sectional study
Young Joo Go, Duk Chul Lee, Hye Jun Lee
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Household Overcrowding in Iran, a Low-middle-income Country: How Major of a Public Health Concern Is It?: Leila Jansar Hosseini, Ali Hussein Samadi, Abraha Woldemichael, Masoumeh Najaf Gharebelagh, Satar Rezaei, Enayatollah Homaie Rad; J Prev Med Public Health. 2021;54(1):73-80. Published online January 11, 2021; DOI: https://doi.org/10.3961/jpmph.20.568

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118 Download
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Abstract PDF Supplementary Material

Objectives
Household overcrowding (HC) can contribute to both physical and mental disorders among the members of overcrowded households. This study aimed to measure the status of HC and its main determinants across the provinces of Iran.
Methods
Data from 39 864 households from the 2016 Iranian Household Income and Expenditures Survey were used in this study. The Equivalized Crowding Index (ECI) and HC index were applied to measure the overcrowding of households. Regression models were estimated to show the relationships between different variables and the ECI.
Results
The overall, urban, and rural prevalence of HC was 8.2%, 6.3%, and 10.1%, respectively. The highest prevalence of HC was found in Sistan and Baluchestan Province (28.7%), while the lowest was found in Guilan Province (1.8%). The number of men in the household, rural residency, the average age of household members, yearly income, and the household wealth index were identified as the main determinants of the ECI and HC.
Conclusions
The study demonstrated that the ECI and HC were higher in regions near the borders of Iran than in other regions. Therefore, health promotion and empowerment strategies are required to avoid the negative consequences of HC, and screening programs are needed to identify at-risk families.

Summary

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Social determinants of health and diabetes: Results from a cohort study in Iran
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Perspective

Group Antenatal Care: A Paradigm Shift to Explore for Positive Impacts in Resource-poor Settings: Bhanu Pratap Singh Gaur, Jyothi Vasudevan, Bhabani Pegu; J Prev Med Public Health. 2021;54(1):81-84. Published online December 8, 2020; DOI: https://doi.org/10.3961/jpmph.20.349

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128 Download
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Abstract PDF

The delivery of high-quality antenatal care is a perennial global concern for improving maternal and neonatal outcomes. Antenatal care is currently provided mainly on a one-to-one basis, but growing evidence has emerged to support the effectiveness of group antenatal care. Providing care in a small group gives expectant mothers the opportunity to have discussions with their peers about certain issues and concerns that are unique to them and to form a support system that will improve the quality and utilization of antenatal care services. The aim of this article is to promote group antenatal care as a means to increase utilization of healthcare.

Summary

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