- The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study
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Mi-Ji Kim, Sung-Hyo Seo, Ae-Rim Seo, Bo-Kyoung Kim, Gyeong-Ye Lee, Yeun-Soon Choi, Jin-Hwan Kim, Jang-Rak Kim, Yune-Sik Kang, Baek-Geun Jeong, Ki-Soo Park
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J Prev Med Public Health. 2019;52(6):405-415. Published online October 24, 2019
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DOI: https://doi.org/10.3961/jpmph.19.166
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 Abstract
Summary
 PDF Supplementary Material
- Objectives
The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas.
Methods
The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants’ frailty.
Results
The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy.
Conclusions
More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty.
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Summary
Korean summary
본 연구는 우리나라 농촌지역 노인들이 인지하는 지역 환경과 노쇠의 연관성을 확인하기 위하여 자기보고식 설문지로 인지된 보행편의성 및 환경오염을 측정하였고, Kaigo-Yobo 평가척도로 노쇠를 평가하였다. 연구 결과, 노쇠에 영향을 미칠 것으로 예상되는 변수들을 통제한 후에도 인지된 보행편의성의 감소와 인지된 환경오염의 증가는 노쇠와 관련성이 있었다.
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Citations
Citations to this article as recorded by  - Effect of walkability on the physical activity of hemodialysis patients: a multicenter study
Yoichi Sato, Naoto Usui, Yoshifumi Abe, Daisuke Okamura, Yota Kuramochi, Sho Kojima, Nobuto Shinozaki, Yu Shimano, Nobuyuki Shirai, Kenta Mikami, Yoji Yamada, Masakazu Saitoh
Renal Replacement Therapy.2024;[Epub] CrossRef - Is tourist walkability and well-being different?
Myung Ja Kim, C. Michael Hall
Current Issues in Tourism.2023; 26(2): 171. CrossRef - Association Between Pollution and Frailty in Older People: A Cross-Sectional Analysis of the UK Biobank
Nicola Veronese, Laura Maniscalco, Domenica Matranga, Guido Lacca, Ligia J. Dominguez, Mario Barbagallo
Journal of the American Medical Directors Association.2023; 24(4): 475. CrossRef - Associations of Perceived and Objective Neighborhood Environment Attributes with Walking in Older Adults: A Cross-Sectional Study
Faezeh Behnamifard, Zohre Shafieiyoun, Mostafa Behzadfar
Journal of Urban Planning and Development.2023;[Epub] CrossRef - Frailty in Older Adults and Internal and Forced Migration in Urban Neighborhood Contexts in Colombia
Herney Rengifo-Reina, Tonatiuh Barrientos-Gutiérrez, Nancy López-Olmedo, Brisa N. Sánchez, Ana V. Diez Roux
International Journal of Public Health.2023;[Epub] CrossRef - The Effects of Neighborhood Physical and Social Environment on Physical Function among Japanese Community-Dwelling Older Adults: A One-Year Longitudinal Study
Masataka Ando, Naoto Kamide, Miki Sakamoto, Yoshitaka Shiba, Haruhiko Sato, Akie Kawamura, Shuichiro Watanabe
International Journal of Environmental Research and Public Health.2022; 19(13): 7999. CrossRef - Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis
Jixiang Xu, Yingwei Chen, Yujie Wang, Junling Gao, Limei Huang
International Journal of Environmental Research and Public Health.2022; 19(12): 7528. CrossRef - Differences in the Association of Neighborhood Environment With Physical Frailty Between Urban and Rural Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)
Yuri Seo, Miji Kim, Hayoung Shim, Chang Won Won
Journal of the American Medical Directors Association.2021; 22(3): 590. CrossRef - Urban services, pedestrian networks and behaviors to measure elderly accessibility
Federica Gaglione, Caitlin Cottrill, Carmela Gargiulo
Transportation Research Part D: Transport and Environment.2021; 90: 102687. CrossRef - Prevalence and risk factors of frailty among people in rural areas: a systematic review and meta-analysis
Rui Xu, Qiufang Li, Feifei Guo, Maoni Zhao, Luyao Zhang
BMJ Open.2021; 11(4): e043494. CrossRef - Perceived Neighborhood Environment Associated with Sarcopenia in Urban-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)
Yuri Seo, Miji Kim, Hyungeun Shin, Changwon Won
International Journal of Environmental Research and Public Health.2021; 18(12): 6292. CrossRef - Frailty Status and Transport Disadvantage: Comparison of Older Adults’ Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan
Takumi Abe, Akihiko Kitamura, Satoshi Seino, Yuri Yokoyama, Hidenori Amano, Yu Taniguchi, Mariko Nishi, Yu Nofuji, Tomoko Ikeuchi, Takemi Sugiyama, Shoji Shinkai
International Journal of Environmental Research and Public Health.2020; 17(17): 6367. CrossRef
- An Exploratory Study of Health Inequality Discourse Using Korean Newspaper Articles: A Topic Modeling Approach
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Jin-Hwan Kim
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J Prev Med Public Health. 2019;52(6):384-392. Published online October 25, 2019
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DOI: https://doi.org/10.3961/jpmph.19.221
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18,105
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93
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2
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Abstract
Summary
PDFSupplementary Material
- Objectives
This study aimed to explore the health inequality discourse in the Korean press by analyzing newspaper articles using a relatively new content analysis technique.
Methods
This study used the search term “health inequality” to collect articles containing that term that were published between 2000 and 2018. The collected articles went through pre-processing and topic modeling, and the contents and temporal trends of the extracted topics were analyzed.
Results
A total of 1038 articles were identified, and 5 topics were extracted. As the number of studies on health inequality has increased over the past 2 decades, so too has the number of news articles regarding health inequality. The extracted topics were public health policies, social inequalities in health, inequality as a social problem, healthcare policies, and regional health gaps. The total number of occurrences of each topic increased every year, and the trend observed for each theme was influenced by events related to its contents, such as elections. Finally, the frequency of appearance of each topic differed depending on the type of news source.
Conclusions
The results of this study can be used as preliminary data for future attempts to address health inequality in Korea. To make addressing health inequality part of the public agenda, the media’s perspective and discourse regarding health inequality should be monitored to facilitate further strategic action.
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Summary
Korean summary
건강불평등 해소는 한국사회의 중요한 목표이다. 이 연구에서는 건강불평등을 다룬 신문기사를 추출, 토픽모델링 기법을 적용해 공공의료, 사회경제적 요인에 따른 건강불평등, 사회문제로 불평등, 보건의료정책, 지역건강격차의 다섯 가지 주제를 도출하였다. 언론이 건강불평등을 다루는 방식은 학술적 연구에서 건강불평등을 다루는 방식과는 유사하였으나, 건강취약지역의 저소득층의 인식과는 차이가 있었다.
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Citations
Citations to this article as recorded by - Digital health policy decoded: Mapping national strategies using Donabedian's model
Tahereh Saheb, Tayebeh Saheb
Health Policy.2024; 147: 105134. CrossRef - Regional Health Disparities in Hypertension-Related Hospitalization of Hypertensive Patients: A Nationwide Population-Based Nested Case-Control Study
Woo-Ri Lee, Jun Hyuk Koo, Ji Yun Jeong, Min Su Kim, Ki-Bong Yoo
International Journal of Public Health.2023;[Epub] CrossRef
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