- Socioeconomic Disparities in Osteoporosis Prevalence: Different Results in the Overall Korean Adult Population and Single-person Households
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Jungmee Kim, Joongyub Lee, Ju-Young Shin, Byung-Joo Park
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J Prev Med Public Health. 2015;48(2):84-93. Published online March 6, 2015
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DOI: https://doi.org/10.3961/jpmph.14.047
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The present study was conducted in order to examine the association between socioeconomic status (SES) and osteoporosis prevalence in Korea and to assess whether different associations are found in single-person households.
Methods A cross-sectional population-based study was conducted using the Korea National Health and Nutrition Examination Survey, from 2008 to 2011. The study subjects were people aged ≥ 50 years with osteoporosis as defined by bone mineral density. Multivariate logistic models were used to estimate prevalence odds ratios (pORs) and 95% confidence intervals (CIs). Gender differences in the likelihood of osteoporosis were analyzed based on household income, education level, and residential area.
Results There were 8221 osteoporosis patients aged ≥ 50 years, of whom 927 lived in single-person households. There was a gender-specific association between osteoporosis prevalence and all three SES factors that we analyzed: income, education, and residential area. After adjusting for age, SES, and health behaviors, including body mass index (BMI), low household income was only significantly associated with osteoporosis in men, whereas education level had an inverse relationship with osteoporosis only in women (p= 0.01, p<0.001, respectively). However, after controlling for age and BMI, rural residency was only associated with osteoporosis in women living in single-person households (pOR, 1.59; 95% CI, 1.05 to 2.43).
Conclusions The Korean adult population showed a gender-specific relationship between SES and osteoporosis prevalence, with a different pattern found in single-person households.
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Suk-Woong Kang, Ji-Hee Yang, Won-Chul Shin, Yoon-Ji Kim, Min-Hyeok Choi International Journal of Environmental Research and Public Health.2021; 18(18): 9478. CrossRef - Effects of different living conditions on the risk of osteoporosis in Chinese community-dwelling elderly: a 3-year cohort study
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- Levothyroxine Dose and Fracture Risk According to the Osteoporosis Status in Elderly Women
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Young-Jin Ko, Ji Young Kim, Joongyub Lee, Hong-Ji Song, Ju-Young Kim, Nam-Kyong Choi, Byung-Joo Park
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J Prev Med Public Health. 2014;47(1):36-46. Published online January 29, 2014
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DOI: https://doi.org/10.3961/jpmph.2014.47.1.36
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To evaluate the association between fracture risk and levothyroxine use in elderly women with hypothyroidism, according to previous osteoporosis history. MethodsWe conducted a cohort study from the Korean Health Insurance Review and Assessment Service claims database from January 2005 to June 2006. The study population comprised women aged ≥65 years who had been diagnosed with hypothyroidism and prescribed levothyroxine monotherapy. We excluded patients who met any of the following criteria: previous fracture history, hyperthyroidism, thyroid cancer, or pituitary disorder; low levothyroxine adherence; or a follow-up period <90 days. We categorized the daily levothyroxine doses into 4 groups: ≤50 µg/d, 51 to 100 µg/d, 101 to 150 µg/d, and >150 µg/d. The hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated with the Cox proportional hazard model, and subgroup analyses were performed according to the osteoporosis history and osteoporosis-specific drug prescription status. ResultsAmong 11 155 cohort participants, 35.6% had previous histories of osteoporosis. The adjusted HR of fracture for the >150 µg/d group, compared with the 51 to 100 µg/d group, was 1.56 (95% CI, 1.03 to 2.37) in osteoporosis subgroup. In the highly probable osteoporosis subgroup, restricted to patients who were concurrently prescribed osteoporosis-specific drugs, the adjusted HR of fracture for the >150 µg/d group, compared with the 51 to 100 µg/d group, was 1.93 (95% CI, 1.14 to 3.26). ConclusionsWhile further studies are needed, physicians should be concerned about potential levothyroxine overtreatment in elderly osteoporosis patients.
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- Zolpidem Use and Risk of Fracture in Elderly Insomnia Patients
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Dong-Yoon Kang, Soyoung Park, Chul-Woo Rhee, Ye-Jee Kim, Nam-Kyong Choi, Joongyub Lee, Byung-Joo Park
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J Prev Med Public Health. 2012;45(4):219-226. Published online July 31, 2012
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DOI: https://doi.org/10.3961/jpmph.2012.45.4.219
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To evaluate the risk of fractures related with zolpidem in elderly insomnia patients. MethodsHealth claims data on the entire South Korean elderly population from January 2005 to June 2006 were extracted from the Health Insurance Review and Assessment Service database. We applied a case-crossover design. Cases were defined as insomnia patients who had a fracture diagnosis. We set the hazard period of 1 day length prior to the fracture date and four control periods of the same length at 5, 10, 15, and 20 weeks prior to the fracture date. Time independent confounding factors such as age, gender, lifestyle, cognitive function level, mobility, socioeconomic status, residential environment, and comorbidity could be controlled using the casecrossover design. Time dependent confounding factors, especially co-medication of patients during the study period, were adjusted by conditional logistic regression analysis. The odds ratios and their 95% confidence intervals (CIs) were estimated for the risk of fracture related to zolpidem. ResultsOne thousand five hundred and eight cases of fracture were detected in insomnia patients during the study period. In our data, the use of zolpidem increased the risk of fracture significantly (adjusted odds ratio [aOR], 1.72; 95% CI, 1.37 to 2.16). However, the association between benzodiazepine hypnotics and the risk of fracture was not statistically significant (aOR, 1.00; 95% CI, 0.83 to 1.21). Likewise, the results were not statistically significant in stratified analysis with each benzodiazepine generic subgroup. ConclusionsZolpidem could increase the risk of fracture in elderly insomnia patients. Therefore zolpidem should be prescribed carefully and the elderly should be provided with sufficient patient education.
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- Comparison of Sexual Risky Factors of Men Who Have Sex With Men and Sex-buying Men as Groups Vulnerable to Sexually Transmitted Diseases
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Minsoo Jung, Joongyub Lee, Dong Seok Kwon, Byung-Joo Park
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J Prev Med Public Health. 2012;45(3):156-163. Published online May 31, 2012
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DOI: https://doi.org/10.3961/jpmph.2012.45.3.156
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Abstract
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- Objectives
It is necessary to examine groups carrying out sexually risky behavior because the prevalence of sexually transmitted diseases (STDs) is high among them. In this study, the prevalence of STDs among homosexuals and sex-buying men in South Korea was investigated, along with their sexual risk factors. MethodsMen who have sex with men (MSMs, n=108) were recruited in Seoul and Busan by applying the time location sampling method, while sex-buying men (n=118) were recruited from a john school in Gyeonggi province, the suburbs of Seoul. Dependent variables included past or present infection with syphilis, Chlamydia, gonorrhea, and human immunodeficiency virus. Independent variables included health behavior, social support, sexual behavior, and safe sex. ResultsIt was found that when the MSMs were non-drunk while having sexual intercourse (odds ratio [OR], 0.132), they showed a higher STD infection rate when they had a higher number of anal sex partners (OR, 5.872), rarely used condoms (OR, 1.980), had lower self-efficacy (OR, 0.229), and were more anxious about becoming infected with an STD (OR, 3.723). However, the men who paid for sex showed high STD infections when they had more sex partners (OR, 2.286) and lower education levels (OR, 3.028). ConclusionsSTD infections among the two groups were high when they were engaged with many sex partners and not having protected sex. In other words, there was a gap in risky sex behavior within such groups, which was significantly related to the possibility of developing an STD. Therefore, the preventive intervention against STDs for these groups needs to be expanded to include management of sex behaviors.
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Jane Whelan, Victoria Abbing-Karahagopian, Laura Serino, Magnus Unemo BMC Infectious Diseases.2021;[Epub] CrossRef - Cost-effectiveness analysis of pre-exposure prophylaxis for the prevention of HIV in men who have sex with men in South Korea: a mathematical modelling study
Heun Choi, Jiyeon Suh, Woonji Lee, Jun Hyoung Kim, Jung Ho Kim, Hye Seong, Jin Young Ahn, Su Jin Jeong, Nam Su Ku, Yoon Soo Park, Joon Sup Yeom, Changsoo Kim, Hee-Dae Kwon, Davey M. Smith, Jeehyun Lee, Jun Yong Choi Scientific Reports.2020;[Epub] CrossRef - Differences in Risky Sexual Behavior According to Sexual Orientation in Korean Adolescents
Ji-Su Kim, Kyunghee Kim, Yeunhee Kwak Journal of Homosexuality.2019; 66(1): 17. CrossRef - Associated with Differences in Sexual Risk-Taking Behaviors Among Migrants in South Korea
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Horim Yi, Hyemin Lee, Jooyoung Park, Bokyoung Choi, Seung-Sup Kim Epidemiology and Health.2017; 39: e2017046. CrossRef - Changing Patterns of HIV Epidemic in 30 Years in East Asia
S. Pilar Suguimoto, Teeranee Techasrivichien, Patou Masika Musumari, Christina El-saaidi, Bhekumusa Wellington Lukhele, Masako Ono-Kihara, Masahiro Kihara Current HIV/AIDS Reports.2014; 11(2): 134. CrossRef - Sexual Behavior and Condom Use among Gay Men, Female Sex Workers, and Their Customers: Evidence from South Korea
Minsoo Jung, Deepak Shukla PLoS ONE.2013; 8(6): e66867. CrossRef - Seltene Ursache einer unteren gastrointestinalen Blutung
T. Zink, C. Singe, M. Bohrer, D. Schilling Der Gastroenterologe.2012; 7(6): 522. CrossRef
- Indoor Physical Activity Reduces All-Cause and Cardiovascular Disease Mortality Among Elderly Women
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Soyoung Park, Joongyub Lee, Dong Yoon Kang, Chul Woo Rhee, Byung-Joo Park
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J Prev Med Public Health. 2012;45(1):21-28. Published online January 31, 2012
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DOI: https://doi.org/10.3961/jpmph.2012.45.1.21
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- Objectives
The aim of this study was to investigate whether a medium to high degree of total physical activity and indoor physical activity were associated with reduced all-cause and cardiovascular mortality among elderly Korean women. MethodsA prospective cohort study was done to evaluate the association between physical activity and mortality. The cohort was made up of elderly (≥65 years of age) subjects. Baseline information was collected with a self-administered questionnaire and linked to death certificates retrieved from a database. Cox proportional hazard models were used to estimate the hazard ratios (HRs) with 95% confidence interval (CI) levels. ResultsWomen who did not suffer from stroke, cancer, or ischemic heart disease were followed for a median of 8 years (n=5079). A total of 1798 all-cause deaths were recorded, of which 607 (33.8%) were due to cardiovascular disease. The group with the highest level of total physical activity and indoor physical activity was significantly associated to a reduced all-cause mortality (HR, 0.60; 95% CI, 0.51 to 0.71 and HR, 0.58; 95% CI, 0.50 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. Additionally, the group with the highest level of total physical activity and indoor physical activity was significantly associated to a lower cardiovascular disease mortality (HR, 0.53; 95% CI, 0.40 to 0.71 and HR, 0.51; 95% CI, 0.39 to 0.67, respectively) compared to the group with the lowest level of total physical activity and indoor physical activity. ConclusionsOur study showed that regular indoor physical activity among elderly Korean women has healthy benefits.
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Ying Liu, Xiao-Ou Shu, Wanqing Wen, Eiko Saito, M Shafiur Rahman, Shoichiro Tsugane, Akiko Tamakoshi, Yong-Bing Xiang, Jian-Min Yuan, Yu-Tang Gao, Ichiro Tsuji, Seiki Kanemura, Chisato Nagata, Myung-Hee Shin, Wen-Harn Pan, Woon-Puay Koh, Norie Sawada, Hui International Journal of Epidemiology.2018; 47(3): 771. CrossRef - PROPIEDADES PSICOMÉTRICAS DEL AUTOINFORME DE BARRERAS PARA LA PRÁCTICA DEL EJERCICIO FÍSICO (ABPEF)
J. Domínguez-Alonso, A. López-Castelo, I. Portela-Pino Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte.2018; 18(72): 737. CrossRef - Bénéfices de l’activité physique en endurance chez les seniors âgés de 70 ans ou plus : une revue systématique
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- The Risk of Fracture with Taking Alpha Blockers for Treating Benign Prostatic Hyperplasia.
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Joongyub Lee, Nam Kyoung Choi, Sun Young Jung, Ye Jee Kim, Jong Mi Seong, Seung June Oh, Byung Joo Park
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J Prev Med Public Health. 2009;42(3):165-170.
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DOI: https://doi.org/10.3961/jpmph.2009.42.3.165
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We evaluated the risk of fracture associated with hypotension-related adverse drug reaction caused by taking alpha blockers to treat benign prostatic hyperplasia (BPH). METHODS: We used the Health Insurance Review and Assessment Service database from January 1st 2005 to June 30th 2006 for this study. The male patients with BPH and who had a prescription for alpha blockers following any fractures were defined as the cases. We set the 20 day long hazard period prior to the index date and the four control periods whose lengths were same with hazard period. After 1:4 matching of the hazard and control periods, conditional logistic regression was used to calculate the odds ratios for the risk of fractures as related to the alpha blocker exposure. RESULTS: Doxazosin and tamsulosin showed the increased risk of fractures, whereas terazosin did not. After stratification using the defined daily doses, a protective effect was shown for the patients who took terazosin at the doses lower than 0.4 DDD and the hazardous effect at the doses higher than or equal to 0.4 DDD. There was no significant difference for the risk of patients taking tamsulosin at the doses higher than 1.0 DDD but there was a statistically significant increase in the risk at the doses higher than or equal to 1.0 DDD. CONCLUSIONS: Alpha blockers for BPH may increase the risk of fracture in elderly patients who have comorbidities and take the concomitant medications. Alpha blockers need to be prescribed with caution, although some have high prostate specificity.
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- Risk for Hip Fracture due to Alpha Blocker Treatment in Korean Women: National Health Insurance Database Study
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Chao‐Lun Lai, Raymond Nien‐Chen Kuo, Ho‐Min Chen, Ming‐Fong Chen, Kinwei Arnold Chan, Mei‐Shu Lai British Journal of Clinical Pharmacology.2015; 80(5): 1208. CrossRef - The Association of Alpha-Blockers and 5-Alpha Reductase Inhibitors in Benign Prostatic Hyperplasia With Fractures
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P. Vestergaard, L. Rejnmark, L. Mosekilde Osteoporosis International.2011; 22(2): 731. CrossRef - Databases in Asia and Record-Linkage
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