Journal of Preventive Medicine and Public Health

Special Article

Adjustment for Multimorbidity in Estimations of the Burden of Diseases Using Korean NHIS Data: Yoonhee Shin, Eun Jeong Choi, Bomi Park, Hye Ah Lee, Eun-Kyung Lee, Hyesook Park; J Prev Med Public Health. 2022;55(1):28-36. Published online January 31, 2022; DOI: https://doi.org/10.3961/jpmph.21.583

3,100 View
111 Download

Abstract Summary PDF Supplementary Material: The current multimorbidity correction method in the Global Burden of Disease studies assumes the independent occurrence of diseases. Those studies use Monte-Carlo simulations to adjust for the presence of multiple disease conditions for all diseases. The present study investigated whether the above-mentioned assumption is reasonable based on the prevalence confirmed from actual data. This study compared multimorbidity-adjusted years of lived with disability (YLD) obtained by Monte-Carlo simulations and multimorbidity-adjusted YLD using multimorbidity prevalence derived from National Health Insurance Service data. The 5 most common diseases by sex and age groups were selected as diseases of interest. No significant differences were found between YLD estimations made using actual data and Monte-Carlo simulations, even though assumptions about the independent occurrence of diseases should be carefully applied. The prevalence was not well reflected according to disease characteristics in those under the age of 30, among whom there was a difference in YLD between the 2 methods. Therefore, when calculating the burden of diseases for Koreans over the age of 30, it is possible to calculate the YLD with correction for multimorbidity through Monte-Carlo simulation, but care should be taken with under-30s. It is useful to apply the efficiency and suitability of calibration for multiplicative methods using Monte-Carlo simulations in research on the domestic disease burden, especially in adults in their 30s and older. Further research should be carried out on multimorbidity correction methodology according to the characteristics of multiple diseases by sex and age.; Summary

Korean summary
질병부담 산출 시 몬테카를로 시뮬레이션을 통한 복합질환 보정 방법에 대해 다빈도 질환 실제 데이터 기반으로 검증해 봄으로써 30세 이상 연령에서 추정값에 큰 차이가 없음을 확인하였다. 하지만 30세 미만에서는 포함되는 질환 종류에 따라 실제 데이터 기반으로 복합질환을 보정하는 것이 불가능하거나 시뮬레이션으로 구한 값이 부정확하였다. 따라서, 질환 특성을 반영한 복합질환 보정방법론 개발이 필요함을 제안하며 본 연구 결과는 한국인 질병부담 연구에서 몬테카를로 시뮬레이션을 이용한 복합질환 보정 방법의 활용근거로 사용될 수 있을 것이다.

Original Article

Factors Influencing Vaccination in Korea: Findings From Focus Group Interviews: Bomi Park, Eun Jeong Choi, Bohyun Park, Hyejin Han, Su Jin Cho, Hee Jung Choi, Seonhwa Lee, Hyesook Park; J Prev Med Public Health. 2018;51(4):173-180. Published online May 25, 2018; DOI: https://doi.org/10.3961/jpmph.18.063

10,409 View
256 Download
15 Crossref

Objectives
Immunization is considered one of the most successful and cost-effective public health interventions protecting communities from preventable infectious diseases. The Korean government set up a dedicated workforce for national immunization in 2003, and since then has made strides in improving vaccination coverage across the nation. However, some groups remain relatively vulnerable and require intervention, and it is necessary to address unmet needs to prevent outbreaks of communicable diseases. This study was conducted to characterize persistent challenges to vaccination.
Methods
The study adopted a qualitative method in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. Three focus group interviews were conducted with 15 professionals in charge of vaccination-related duties. The interviews were conducted according to a semi-structured guideline, and thematic analysis was carried out. Data saturation was confirmed when the researchers agreed that no more new codes could be found.
Results
A total of 4 main topics and 11 subtopics were introduced regarding barriers to vaccination. The main topics were vaccine hesitancy, personal circumstances, lack of information, and misclassification. Among them, vaccine hesitancy was confirmed to be the most significant factor impeding vaccination. It was also found that the factors hindering vaccination had changed over time and disproportionately affected certain groups.
Conclusions
The study identified ongoing unmet needs and barriers to vaccination despite the accomplishments of the National Immunization Program. The results have implications for establishing tailored interventions that target context- and group-specific barriers to improve timely and complete vaccination coverage.

Summary

Citations

Citations to this article as recorded by

Twenty Years of Progress and the Way Forward: Immunization Registry Information System in Korea
Junghee Kim, Minju Song, Seohyeon Ahn, Seunghyun Lewis Kwon
Journal of Korean Medical Science.2024;[Epub] CrossRef
Parental intention to vaccinate daughters with the human papillomavirus vaccine in Korea: a nationwide cross-sectional survey
Yejin Ha, Kyeongmin Lee, Bomi Park, Mina Suh, Jae Kwan Jun, Kui Son Choi
Epidemiology and Health.2023; 45: e2023076. CrossRef
Letter to the Editor: Effectiveness of the Varicella Vaccine Among Korean Children: Suggestions for Future Research
BongKyoo Choi, Hyunjeong Cho, Younchul Shin, Eun-Kyoung Lee
Journal of Korean Medical Science.2022;[Epub] CrossRef
Vaccine hesitancy and emerging parental norms: A qualitative study in Taiwan
Chen‐I Kuan
Sociology of Health & Illness.2022; 44(3): 692. CrossRef
Physical and mental health characteristics related to trust in and intention to receive COVID-19 vaccination: results from a Korean community-based longitudinal study
Ye Jin Jeon, Youngrong Lee, Ji Su Yang, Young Su Park, Sun Jae Jung
Epidemiology and Health.2022; 44: e2022064. CrossRef
Vaccine Hesitancy and Concerns About Vaccine Safety and Effectiveness in Shanghai, China
Abram L. Wagner, Zhuoying Huang, Jia Ren, Megan Laffoon, Mengdi Ji, Leah C. Pinckney, Xiaodong Sun, Lisa A. Prosser, Matthew L. Boulton, Brian J. Zikmund-Fisher
American Journal of Preventive Medicine.2021; 60(1): S77. CrossRef
Paradoxical health care utilization patterns among children in Korea who did not receive mandatory pneumococcal vaccination
Sangho Sohn, Kwan Hong, Hari Hwang, Byung Chul Chun
Vaccine.2021; 39(7): 1096. CrossRef
Differential Demographic and Clinical Characteristics between MMR Vaccinated and Unvaccinated Children in South Korea: A Nationwide Study
Dongwon Yoon, Juhwan Kim, Juyoung Shin
Vaccines.2021; 9(6): 653. CrossRef
Understanding parents’ views toward the newly enacted HPV vaccine school entry policy in Puerto Rico: a qualitative study
Vivian Colón-López, Diana T. Medina-Laabes, Roxana Soto Abreu, Olga L. Díaz Miranda, Ana P. Ortiz, María E. Fernández, Pamela C. Hull
BMC Public Health.2021;[Epub] CrossRef
The need for pertussis vaccination among older adults and high-risk groups: a perspective from advanced economies of the Asia Pacific region
Leong Hoe Nam, Cheng-Hsun Chiu, Jung Yeon Heo, Margaret Ip, Ki-Suck Jung, Robert Menzies, Rodney Pearce, Philippe Buchy, Jing Chen, Michael Nissen, Kyu-Bin Oh
Expert Review of Vaccines.2021; 20(12): 1603. CrossRef
Comparison of the Seroprevalence of Measles Antibodies among Healthcare Workers in Two Korean Hospitals in 2019
Yee Gyung Kwak, Je Eun Song, Gang-Bok Oh, In Hye Jeong, Chong Rae Cho, Namhee Kim, Hyeon Mi Yoo, Gyeong Min Yoo, Myung Jin Lee, Baek-Nam Kim
Infection & Chemotherapy.2020; 52(1): 93. CrossRef
Unvaccinated children as community parasites in National Qualitative Study from Turkey
Sıddıka Songül Yalçin, Ayça Gelgeç Bakacak, Osman Topaç
BMC Public Health.2020;[Epub] CrossRef
Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study
Alexandre de Figueiredo, Clarissa Simas, Emilie Karafillakis, Pauline Paterson, Heidi J Larson
The Lancet.2020; 396(10255): 898. CrossRef
Sustained Vaccination Coverage during the Coronavirus Disease 2019 Epidemic in the Republic of Korea
Jeong Hee Yu, Hang jin Jeong, Seon Ju Kim, Jae Young Lee, Young June Choe, Eun Hwa Choi, En Hi Cho
Vaccines.2020; 9(1): 2. CrossRef
Why do some Korean parents hesitate to vaccinate their children?
Kyujin Chang, Soon Young Lee
Epidemiology and Health.2019; 41: e2019031. CrossRef

Brief Report

The Pyramid of Injury: Estimation of the Scale of Adolescent Injuries According to Severity: Hyejin Han, Bomi Park, Bohyun Park, Namsoo Park, Ju Ok Park, Ki Ok Ahn, Yang Ju Tak, Hye Ah Lee, Hyesook Park; J Prev Med Public Health. 2018;51(3):163-168. Published online May 23, 2018; DOI: https://doi.org/10.3961/jpmph.18.027

6,697 View
161 Download
6 Crossref

Abstract PDF

Objectives
Due to their developmental characteristics, adolescents have a higher probability than other age groups of experiencing injuries caused by accidents, violence, and intentional self-harm. The severity and characteristics of injuries vary by the intentionality and mechanism of injury; therefore, there is a need for a national-level estimate of the scale and the severity of injuries in adolescents that takes these factors into account.
Methods
By using data from the Emergency Department-based Injury In-depth Surveillance Data, National Emergency Department Information System, the Korean National Hospital Discharge In-depth Injury Survey, and cause of death statistics, we calculated the emergency department (ED) visit rate, hospitalization rate, and death rate of injuries per 100 000 adolescents for each injury mechanism. The calculated rates were used to generate the injury pyramid ratio (ratio of death rate to hospitalization rate to ED visit rate) to visualize the scale and the severity of the injury.
Results
The mortality rate in adolescents due to injury was 10/100 000; the corresponding rates for hospitalization and ED visits were 1623 and 4923, respectively, resulting in an injury pyramid ratio with the general pyramid form, with a 1:162:492 ratio of deaths to hospitalizations to ED visits. The mortality rate due to suicide/intentional self-harm was 5/100 000, while 35 were hospitalized for this reason and 74 made ED visits. The pyramid ratio of 1:7:15 for intentional self-harm/suicide showed a steep pyramidal form, indicating considerable lethality. The mortality rate due to motor vehicle collisions (MVCs) was 3/100 000; 586 were hospitalized for this reason, while 1023 made ED visits. The pyramid ratio of 1:195:341 for MVCs showed a gradual pyramid form, indicating that the lethality was low and the scale of injury was high.
Conclusions
The main categories of injuries in adolescents were visualized in pyramid form, contributing to an understanding of the scale of each injury by mechanism in terms of levels of death, hospitalization, and ED visits. These findings will be helpful for understanding how to prioritize injuries in adolescents.

Summary

Citations

Citations to this article as recorded by

Burden of Childhood Injuries in India and Possible Public Health Interventions: A Systematic Review
Mohan Kumar, Vineet Kumar Pathak, Saparya Tripathi, Anita Upadhyay, Vivek V. Singh, Chandrakant Lahariya
Indian Journal of Community Medicine.2023; 48(5): 648. CrossRef
Joinpoint Regression About Injury Mortality and Hospitalization in Korea
Hyun Jin Park, Ui Jeong Kim, Won kyung Lee, Bohyun Park, Yoonhee Shin, Seonhwa Lee, Eun Jeong Choi, Nam-eun Kim, Ju Ok Park, Hyesook Park
Journal of Korean Medical Science.2022;[Epub] CrossRef
Identifying intentional injuries among children and adolescents based on Machine Learning
Xiling Yin, Dan Ma, Kejing Zhu, Deyun Li, Kyoung-Sae Na
PLOS ONE.2021; 16(1): e0245437. CrossRef
The injury mechanisms and injury pyramids among children and adolescents in Zhuhai City, China
Xiling Yin, Wencan Dai, Yukai Du, Deyun Li
BMC Public Health.2021;[Epub] CrossRef
Comparison of Intentional and Unintentional Injuries Among Chinese Children and Adolescents
Xiling Yin, Deyun Li, Kejing Zhu, Xiaodong Liang, Songxu Peng, Aijun Tan, Yukai Du
Journal of Epidemiology.2020; 30(12): 529. CrossRef
Global Lifetime and 12-Month Prevalence of Suicidal Behavior, Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents between 1989 and 2018: A Meta-Analysis
Kim-San Lim, Celine H. Wong, Roger S. McIntyre, Jiayun Wang, Zhisong Zhang, Bach X. Tran, Wanqiu Tan, Cyrus S. Ho, Roger C. Ho
International Journal of Environmental Research and Public Health.2019; 16(22): 4581. CrossRef

First
Prev
Page of 1
Next
Last

Search