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Myoung Hee Kim 9 Articles
Pattern of Hepatitis A Incidence According to Area Characteristics Using National Health Insurance Data
Joo Youn Seo, Jae Hee Seo, Myoung Hee Kim, Moran Ki, Hee Suk Park, Bo Youl Choi
J Prev Med Public Health. 2012;45(3):164-173.   Published online May 31, 2012
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  • 13 Crossref
AbstractAbstract PDF

Over the past several years, the incidence of hepatitis A infection has been increasing rapidly in the young-adult population in Korea. We examined the effects of area-level socioeconomic status and environmental hygiene on the incidence of hepatitis A.


This study is based on the registered national population of Korea and the national health insurance data from 2004 to 2008. A total of 73 459 individuals were confirmed to have had hepatitis A. The standardized incidences of hepatitis A in 232 districts adjusted for sex and age of people were calculated for each year, and the rate ratios of the incidence rates were estimated according to area-level socioeconomic status and environmental hygiene using multiple Poisson regression models.


The incidence rates of hepatitis A infection were 15.6 (per 100 000) in 2004, 19.0 (per 100 000) in 2005, 27.2 (per 100 000) in 2006, 25.1 (per 100 000) in 2007, and 61.7 (per 100 000) in 2008. The analysis of the area-level effects showed that residential areas of the less deprived than other regions, areas with higher levels of education, and heavily populated areas were significantly associated with increased risk.


There is a very strong possibility that both area-level socioeconomic status and environmental hygiene play a role in increasing the risk of hepatitis A infection in Korea. Therefore, to reduce hepatitis A infection, we need a nationwide strategy that considers these area-level characteristics.



Citations to this article as recorded by  
  • Trends of Hepatitis A Virus Infection in Poland: Assessing the Potential Impact of the COVID-19 Pandemic and War in Ukraine
    Piotr Rzymski, Dorota Zarębska-Michaluk, Agnieszka Genowska, Piotr Tyszko, Birute Strukcinskiene, Robert Flisiak
    Viruses.2024; 16(3): 469.     CrossRef
  • Exposure to acifluorfen induces developmental toxicity in the early life stage of zebrafish
    Taeyeon Hong, Junho Park, Hahyun Park, Garam An, Hojun Lee, Gwonhwa Song, Whasun Lim
    Comparative Biochemistry and Physiology Part C: Toxicology & Pharmacology.2024; 281: 109909.     CrossRef
  • Investigating the spatio-temporal variation of hepatitis A in Korea using a Bayesian model
    Jaehong Jeong, Mijeong Kim, Jungsoon Choi
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Impact of urbanization on morbidity of hepatitis A: a national panel study in China during 2005–2018
    Bo-Wen Ming, Zhou Yang, Ze-Lin Yan, Chen Shi, Xiao-Han Xu, Li Li, Chun-Quan Ou
    Infectious Diseases of Poverty.2023;[Epub]     CrossRef
  • The chronological changes in the seroprevalence of anti-hepatitis A virus IgG from 2005 to 2019: Experience at four centers in the capital area of South Korea
    Dae Hyun Lim, Won Sohn, Jae Yoon Jeong, Hyunwoo Oh, Jae Gon Lee, Eileen L. Yoon, Tae Yeob Kim, Seungwoo Nam, Joo Hyun Sohn
    Medicine.2022; 101(48): e31639.     CrossRef
  • KM-based Treatment of Viral Hepatitis A accompanied with Pancreatitis: A case report
    Chang-Gue Son
    Journal of Korean Medicine.2020; 41(4): 106.     CrossRef
  • Seropositive rate of the anti-hepatitis A immunoglobulin G antibody in maintenance hemodialysis subjects from two hospitals in Korea
    Hyunsuk Kim, Jiwon Ryu, Young-Ki Lee, Myung Jin Choi, Ajin Cho, Ja-Ryong Koo, Sae Yun Baik, Eun Hee Lee, Jong-Woo Yoon, Jung-Woo Noh
    The Korean Journal of Internal Medicine.2019; 34(6): 1297.     CrossRef
  • Age-period-cohort analysis of hepatitis A incidence rates in Korea from 2002 to 2012
    Joo Yeon Seo, Sungyong Choi, BoYoul Choi, Moran Ki
    Epidemiology and Health.2016; 38: e2016040.     CrossRef
  • Low Compliance with National Guidelines for Preventing Transmission of Group 1 Nationally Notifiable Infectious Diseases in Korea
    Eu Suk Kim, Kyoung-Ho Song, Baek-Nam Kim, Yee Gyung Kwak, Chang-Seop Lee, Sang Won Park, Chisook Moon, Kyung Hwa Park, Hee-Chang Jang, Joon-Sup Yeom, Won Sup Oh, Chung-Jong Kim, Hong Bin Kim, Hyun-Sul Lim
    Yonsei Medical Journal.2014; 55(2): 435.     CrossRef
  • Changes in the seroprevalence of IgG anti-hepatitis A virus between 2001 and 2013: experience at a single center in Korea
    Sung Jun Chung, Tae Yeob Kim, Sun Min Kim, Min Roh, Mi Yeon Yu, Jung Hoon Lee, ChangKyo Oh, Eun Young Lee, Seung Lee, Yong Cheol Jeon, Kyo-Sang Yoo, Joo Hyun Sohn
    Clinical and Molecular Hepatology.2014; 20(2): 162.     CrossRef
  • Risk Factors for Acute Hepatitis A Infection in Korea in 2007 and 2009: A Case-Control Study
    Joo Youn Seo, Bo Youl Choi, Moran Ki, Hye Lim Jang, Hee Suk Park, Hyun Jin Son, Si Hyun Bae, Jin Han Kang, Dae Won Jun, Jin-Woo Lee, Young Jin Hong, Young Seok Kim, Chang-Hwi Kim, U Im Chang, Jong-Hyun Kim, Hyeon Woong Yang, Hong Soo Kim, Kyeong Bae Park,
    Journal of Korean Medical Science.2013; 28(6): 908.     CrossRef
  • Letter to the Editor: The Increasing Hepatitis A Incidence in Korea: Is It Possible Within a Limited Time?
    Pegah Karimi Elizee, Seyed Moayed Alavian, Seyyed Mohammad Miri
    Journal of Preventive Medicine and Public Health.2012; 45(5): 329.     CrossRef
  • Author Response: The Increasing Hepatitis A Incidence in Korea: Is It Possible Within a Limited Time?
    Joo Youn Seo, Moran Ki, Bo Youl Choi
    Journal of Preventive Medicine and Public Health.2012; 45(5): 331.     CrossRef
The Association Between Public Social Expenditure and Suicides: Evidence from OECD Countries.
Yoojin Park, Myoung hee Kim, Soonman Kown, Young jeon Shin
J Prev Med Public Health. 2009;42(2):123-129.
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  • 130 Download
  • 12 Crossref
AbstractAbstract PDF
This study aimed to examine the association between public social expenditure (PSE) and suicides in the 27 countries of the Organization for Economic Cooperation and Development (OECD) from 1980 to 2003. METHODS: The age-standardized suicide rates and their annual change (%) were obtained from the OECD Health Data 2007. As a measure of social protection, the PSE (% GDP) was used. The covariates included the annual divorce rate (/100,000 population), fertility rate (number of children/woman aged 15 to 49 years), GDP per capita (US$PPP), male unemployment rate (%), life expectancy (years) and alcohol consumption (liter/capita) for each country, which were all obtained from the OECD Health Data 2007 and the OECD Social Indicators 2006. Using hierarchical linear models that included these covariates, the effects of PSE on suicides (Model 1) and the annual percent change (Model 2) were examined (Model 3). Also, sub-sample analyses were done for six countries that experienced political/economic transition. RESULTS: We could not find significant effects of PSE on suicides (Model 1), but we observed significantly negative effects on the annual percent change for men and women (Model 2). Such findings were replicated in the sub-sample analysis, and moreover, the effect size was much larger (Model 3). CONCLUSIONS: Our finding suggests that social welfare protection can be a pivotal factor for suicide epidemiology, and especially in countries experiencing a social crisis or transition.


Citations to this article as recorded by  
  • Effects of health-related quality of life and long-term care insurance infrastructure on suicidal ideation among older Korean adults
    Changsook Lee, Sun-Young Heo
    Asia Pacific Journal of Social Work and Development.2023; 33(2): 101.     CrossRef
  • Spatiotemporal clustering of suicide attempt in Kermanshah, West-Iran
    Alireza Zangeneh, Nahid Khademi, Naser Farahmandmoghadam, Arash Ziapour, Reyhane Naderlou, Somayyeh Shalchi Oghli, Raziyeh Teimouri, Komali Yenneti, Shahrzad Moghadam
    Frontiers in Psychiatry.2023;[Epub]     CrossRef
  • Impacts of Economic Freedom, Health, and Social Expenditures on Well-Being Measured by the Better Life Index in OECD Countries
    Seda Aydan, Gamze Bayin Donar, Cengiz Arikan
    Social Work in Public Health.2022; 37(5): 435.     CrossRef
  • Cross-national comparisons of increasing suicidal mortality rates for Koreans in the Republic of Korea and Korean Americans in the USA, 2003–2012
    A. Kung, K. G. Hastings, K. I. Kapphahn, E. J. Wang, M. R. Cullen, S. L. Ivey, L. P. Palaniappan, S. Chung
    Epidemiology and Psychiatric Sciences.2018; 27(1): 62.     CrossRef
  • The Impacts of Social Protection Policies and Programs on Suicide: A Literature Review
    Chungah Kim
    International Journal of Health Services.2018; 48(3): 512.     CrossRef
  • A fuzzy set approach to economic crisis, austerity and public health. Part II: How are configurations of crisis and austerity related to changes in population health across Europe?
    Therese Saltkjel, Mari Holm Ingelsrud, Espen Dahl, Knut Halvorsen
    Scandinavian Journal of Public Health.2017; 45(18_suppl): 48.     CrossRef
  • The 2008/09 Economic Crisis: The Impact on Psychological Well-Being in the USA
    Chiara Piovani, Nursel Aydiner-Avsar
    Forum for Social Economics.2015; 44(1): 18.     CrossRef
  • Regional Disparities of Suicide Mortality by Gender
    Eun-Won Seo, Jin-Mi Kwak, Da-Yang Kim, Kwang-Soo Lee
    Health Policy and Management.2015; 25(4): 285.     CrossRef
  • Elderly's Suicide Differentials and Their Factors: Focusing on 16 Metropolises and Provinces in Korea
    Hyoung-Soo Kim, Sin-Hayng Kim
    The Journal of the Korea Contents Association.2014; 14(11): 215.     CrossRef
  • Association Between Local Government Social Expenditures and Mortality Levels in Korea
    Hansoo Ko, Jinseob Kim, Donggil Kim, Saerom Kim, Yukyung Park, Chang-yup Kim
    Journal of Preventive Medicine and Public Health.2013; 46(1): 1.     CrossRef
  • Suicide Rate Differences by Sex, Age, and Urbanicity, and Related Regional Factors in Korea
    Kyu-Seok Cheong, Min-Hyeok Choi, Byung-Mann Cho, Tae-Ho Yoon, Chang-Hun Kim, Yu-Mi Kim, In-Kyung Hwang
    Journal of Preventive Medicine and Public Health.2012; 45(2): 70.     CrossRef
  • Economic crisis and mental health
    Antti Uutela
    Current Opinion in Psychiatry.2010; 23(2): 127.     CrossRef
Strengthening Causal Inference in Studies using Non-experimental Data: An Application of Propensity Score and Instrumental Variable Methods.
Myoung Hee Kim, Young Kyung Do
J Prev Med Public Health. 2007;40(6):495-504.
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  • 86 Download
  • 8 Crossref
AbstractAbstract PDF
This study attempts to show how studies using non-experimental data can strengthen causal inferences by applying propensity score and instrumental variable methods based on the counterfactual framework. For illustrative purposes, we examine the effect of having private health insurance on the probability of experiencing at least one hospital admission in the previous year. METHODS: Using data from the 4th wave of the Korea Labor and Income Panel Study, we compared the results obtained using propensity score and instrumental variable methods with those from conventional logistic and linear regression models, respectively. RESULTS: While conventional multiple regression analyses fail to identify the effect, the results estimated using propensity score and instrumental variable methods suggest that having private health insurance has positive and statistically significant effects on hospital admission. CONCLUSIONS: This study demonstrates that propensity score and instrumental variable methods provide potentially useful alternatives to conventional regression approaches in making causal inferences using non-experimental data.


Citations to this article as recorded by  
  • Association between private health insurance and medical use by linking subjective health and chronic diseases
    Jeong Min Yang, Su bin Lee, Ye ji Kim, Douk young Chon, Jong Youn Moon, Jae Hyun Kim
    Medicine.2022; 101(32): e29865.     CrossRef
  • Gender-related difference in the relationship between smoking status and periodontal diseases: the propensity score matching approach
    Eun-Sil Choi, Hae-Young Kim
    Journal of Korean Academy of Oral Health.2017; 41(2): 122.     CrossRef
  • The Effect of Obesity on Medical Costs and Health Service Uses
    Da-Yang Kim, Jin-Mi Kwak, So-Young Choi, Kwang-Soo Lee
    The Korean Journal of Health Service Management.2017; 11(3): 65.     CrossRef
  • Effect of private health insurance on health care utilization in a universal public insurance system: A case of South Korea
    Boyoung Jeon, Soonman Kwon
    Health Policy.2013; 113(1-2): 69.     CrossRef
  • Health Disparities among Wage Workers Driven by Employment Instability in the Republic of Korea
    Minsoo Jung
    International Journal of Health Services.2013; 43(3): 483.     CrossRef
  • Survey of Editors and Reviewers of High-Impact Psychology Journals: Statistical and Research Design Problems in Submitted Manuscripts
    Alex Harris, Rachelle Reeder, Jenny Hyun
    The Journal of Psychology.2011; 145(3): 195.     CrossRef
  • Limitations of the SEER Database for Demonstrating Causal Relationships Between Treatments and Outcomes in Pediatric Intestinal Tumors
    Alysandra Lal, Dave R. Lal
    Journal of Surgical Research.2010; 161(2): 237.     CrossRef
  • Common statistical and research design problems in manuscripts submitted to high-impact psychiatry journals: What editors and reviewers want authors to know
    Alex H.S. Harris, Rachelle Reeder, Jenny K. Hyun
    Journal of Psychiatric Research.2009; 43(15): 1231.     CrossRef
Health Inequalities in Korea: Current Conditions and Implications.
Yu Mi Kim, Myoung Hee Kim
J Prev Med Public Health. 2007;40(6):431-438.
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  • 152 Download
  • 24 Crossref
AbstractAbstract PDF
The aim of this study is to summarize the current conditions and implications of health inequalities in South Korea. METHODS: Through a literature review of empirical studies and supplementary analysis of the data presented in the 1998, 2001, and 2005 KNHANEs, we evaluated the extent and trends of socioeconomic inequalities in both health risk factors, such as smoking, physical activity, and obesity, and outcomes, such as total mortality, subjective poor health status by self-reports and metabolic syndrome. Relative risks and odds ratios were used to measure differences across socioeconomic groups, and the relative index of inequality was used to evaluate the changes in inequalities over time. RESULTS: We found clear inequalities to various degrees in most health indicators. While little change was observed in mortality differences over time, the socioeconomic gaps in risk factors and morbidity have been widening, with much larger differences among the younger population. CONCLUSIONS: Socioeconomic inequalities are pervasive across various health indicators, and some of them are increasing. The trends in socioeconomic inequalities in health should be carefully monitored, and comprehensive measures to alleviate health inequalities are needed, especially for young populations.


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  • Analysis of Major Factors Affecting the Quality of Life of the Elderly in Korea in Preparation for a Super-Aged Society
    Bo-Ram Kim, Hyang-Hee Hwang
    International Journal of Environmental Research and Public Health.2022; 19(15): 9618.     CrossRef
  • Analysis of energy intakes, physical activities and metabolic syndrome according to the income level in Korean elderly people: Korean National Health and Nutrition Examination Survey 2016‒2018
    Eun-Sook Sung, Sijin Lee, Youngjun Lee, Seunghee Lee, Jonghoon Park
    Physical Activity and Nutrition.2022; 26(2): 028.     CrossRef
  • Effect of socioeconomic deprivation on outcomes of diabetes complications in patients with type 2 diabetes mellitus: a nationwide population-based cohort study of South Korea
    Dong-Woo Choi, Sang Ah Lee, Doo Woong Lee, Jae Hong Joo, Kyu-Tae Han, SeungJu Kim, Eun-Cheol Park
    BMJ Open Diabetes Research & Care.2020; 8(1): e000729.     CrossRef
  • Interactions between Ambient Air Particles and Greenness on Cause-specific Mortality in Seven Korean Metropolitan Cities, 2008–2016
    Sera Kim, Honghyok Kim, Jong-Tae Lee
    International Journal of Environmental Research and Public Health.2019; 16(10): 1866.     CrossRef
  • Recent Trends in Blood Pressure According to Economic Status: Korean National Health and Nutrition Examination Survey From 2005 to 2015
    Hyun-Young Shin, Hee-Taik Kang
    Asia Pacific Journal of Public Health.2018; 30(3): 266.     CrossRef
  • The Association between Socioeconomic Status and Adherence to Health Check-up in Korean Adults, Based on the 2010–2012 Korean National Health and Nutrition Examination Survey
    Hyun-Young Shin, Hee-Taik Kang, Jae Woo Lee, Hyoung-Ji Lim
    Korean Journal of Family Medicine.2018; 39(2): 114.     CrossRef
  • Health Inequality in Health Checkups
    Jungun Lee
    Korean Journal of Family Medicine.2018; 39(2): 65.     CrossRef
  • Anemia after gastrectomy in long-term survivors of gastric cancer: A retrospective cohort study
    Ji-Hye Jun, Jung Eun Yoo, Jung Ah Lee, Young Sik Kim, Sung Sunwoo, Bum Soo Kim, Jeong-Hwan Yook
    International Journal of Surgery.2016; 28: 162.     CrossRef
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    Hyo Lee, Byung-Hoon Kim
    Journal of Exercise Rehabilitation.2016; 12(1): 10.     CrossRef
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    Young-Ho Khang, Hye-Ryun Kim
    International Journal for Equity in Health.2016;[Epub]     CrossRef
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    Sun-Yi Kim, Jeong-Keun Lee, Yun-Hwan Lee, Ki-Hong Chun
    Journal of Korean Academy of Oral Health.2016; 40(1): 9.     CrossRef
  • Health inequalities in hypertension and diabetes management among the poor in urban areas: a population survey analysis in south Korea
    Young-Jee Jeon, Chung Reen Kim, Joo-Sung Park, Kyung-Hyun Choi, Myoung Joo Kang, Seung Guk Park, Young-Jin Park
    BMC Public Health.2016;[Epub]     CrossRef
  • Influences of ParentalEducation Level on Oral Health
    Ji Hye Kim, Mee Hee Lee, Hye Youn Kim
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(2): 1182.     CrossRef
  • Health behavior affecting on the regional variation of standardized mortality
    Jin A Han, Soo Jeong Kim, Se Rom Kim, Ki Hong Chun, Yun Hwan Lee, Soon Young Lee
    Korean Journal of Health Education and Promotion.2015; 32(3): 23.     CrossRef
  • Working conditions and leisure‐time physical activity among waged workers in South Korea: A cross‐sectional study
    Chungah Kim, Youngtae Cho
    Journal of Occupational Health.2015; 57(3): 259.     CrossRef
  • Trend of Suicide Rates According to Urbanity among Adolescents by Gender and Suicide Method in Korea, 1997–2012
    Kyung-Hwa Choi, Dong-Hyun Kim
    International Journal of Environmental Research and Public Health.2015; 12(5): 5129.     CrossRef
  • Trends in income-related health inequalities in self-assessed health in Korea, 1998–2011
    Jong Won Min
    Global Public Health.2014; 9(9): 1053.     CrossRef
  • Widening social disparities in alcohol-attributable deaths among Korean men aged 40–59 years during the transitional period of the economic crisis (1995–2005)
    Eunyoung Shim, Youngtae Cho
    International Journal of Public Health.2013; 58(4): 521.     CrossRef
  • Health Inequalities Policy in Korea: Current Status and Future Challenges
    Young-Ho Khang, Sang-il Lee
    Journal of Korean Medical Science.2012; 27(Suppl): S33.     CrossRef
  • National Screening Program for Transitional Ages in Korea: A New Screening for Strengthening Primary Prevention and Follow-up Care
    Hyun Su Kim, Dong Wook Shin, Won Chul Lee, Young Taek Kim, Belong Cho
    Journal of Korean Medical Science.2012; 27(Suppl): S70.     CrossRef
  • Difference in Health-related Quality of Life among Social Classes and Related Factors in Korea
    Gyeong-Tae Lim, In-Sun Kwon, Soon-Young Kim, Young-Chae Cho, Hea-Sung Nam
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(5): 2189.     CrossRef
  • Health status and epidemiological capacity and prospects: WHO Western Pacific Region
    Tony Blakely, Frank Pega, Yosikazu Nakamura, Robert Beaglehole, Liming Lee, Colin Fonotau Tukuitonga
    International Journal of Epidemiology.2011; 40(4): 1109.     CrossRef
  • Analysis for the Impact of Adulthood and Childhood Socioeconomic Positions and Intergenerational Social Mobility on Adulthood Health
    Jae-Hee Seo, Ho Kim, Young-Jeon Shin
    Journal of Preventive Medicine and Public Health.2010; 43(2): 138.     CrossRef
  • Socioeconomic Inequity in Self-Rated Health Status and Contribution of Health Behavioral Factors in Korea
    Minkyung Kim, Woojin Chung, Seungji Lim, Soojin Yoon, Jakyoung Lee, Eunkyung Kim, Lanju Ko
    Journal of Preventive Medicine and Public Health.2010; 43(1): 50.     CrossRef
Why Do Health Inequalities Matter?.
Young Jeon Shin, Myoung Hee Kim
J Prev Med Public Health. 2007;40(6):419-421.
  • 4,436 View
  • 91 Download
  • 1 Crossref
AbstractAbstract PDF
The aim of this study was to introduce the concept of health inequalities, and to discuss the underlying assumptions and ethical backgrounds associated with the issue, as well as the theoretical and practical implications of health inequalities. METHODS: Based on a review of the literature, we summarize the concepts of health inequalities and inequities and discuss the underlying assumptions and ethical backgrounds associated with these issues from the view of social justice theory. We then discuss the theoretical and practical implications of health inequalities. RESULTS: Health inequality involves ethical considerations, such as judgments on fairness, and it could provide a sensitive barometer to reflect the fairness of social arrangements. Discussion on health inequalities could deepen our understanding of the social etiology of health and provide a basis for the development of comprehensive and integrative social policies. CONCLUSIONS: Health equity is not a social goal in and of itself, but should be considered as a part of a broader effort to seek social justice.


Citations to this article as recorded by  
  • A Study on Factors Affecting Cancer Mortality in Busan
    Su-Kyung Song, Hye-Sook Kim, Kyoung-Min Lim
    The Korean Journal of Health Service Management.2014; 8(4): 81.     CrossRef
Social Support and Self-rated Health Status in a Low Income Neighborhood of Seoul, Korea.
Min Kyoung Lim, Myoung Hee Kim, Young Jeon Shin, Weon Seob Yoo, Bong Min Yang
Korean J Prev Med. 2003;36(1):54-62.
  • 3,103 View
  • 166 Download
AbstractAbstract PDF
To assess the distribution of social support, and explore its effects on self-rated health status in a low income neighborhood of Seoul, Korea. METHODS: In September 2001 we conducted a survey in a low income neighborhood of Seoul, Korea, in which 862 residents, aged 18 years or over, participated. We measured the general sociodemographic characteristics, self-rated health status and social support with the instrument developed from Korean translation of the Medical Outcomes Study Social Support Survey (MOS-SSS) scale of the US. Logistic regression was used to identify the determinants of social support, and explore its effects on self-rated health status. RESULTS: Lower social class, women or divorced people had much less social support compared to higher social class, men or those never married, respectively. Those families on much lower income also received less social support. Social support has a positive impact on the self-rated health status, which remains statistically significant even when other relevant variables are adjusted. CONCLUSIONS: This study suggests that social support has an important role in health, and the socially disadvantaged have lower social support. Therefore, to improve the health status of the poor, it is necessary to encourage community participation, and develop strategies that could strengthen their provision of social support.
The Association between the Psychosocial Well-being Status and Adverse Lipid Profiles in a Rural Korean Community.
Chang Hoon Kim, Myoung Hee Kim, Sung Il Cho, Jung Hyun Nam, Bo Youl Choi
Korean J Prev Med. 2003;36(1):24-32.
  • 8,510 View
  • 21 Download
AbstractAbstract PDF
To identify the psychosocial well-being status in a rural community, and examine the association between the psychosocial well-being status and adverse lipid profile. METHOD: In 2001, we surveyed 575 subjects in Yangpyoung, Kyounggido, including medical examination, fasting-blood sample and questionnaires for the psychosocial well-being status, socioeconomic position and behavioral risk factors. The logistic regression analysis was used to examine explanatory factors of the psychosocial well-being status, and association between the psychosocial well-being status and adverse lipid profiles. RESULT: The association between the psychosocial well-being status and adverse lipid profiles was not strong. The total cholesterol and triglyceridelevels were associated with psychosocial well-being. The adjusted odds ratio for moderate psychosocial well-being relating to total cholesterol was 1.90 (95%CI, 0.82-4.04), but that for triglyceride was 0.65 (95%CI, 0.36-1.21). The HDL-Cholesterol and LDL-Cholesterol level were not associated with the psychosocial well-being status. CONCLUSION: The total cholesterol and psychosocial well-being status were weakly associated, but the between the psychosocial well-being status and adverse lipid profiles were not consistent.
Prevalence of Congenital Heart Disease from the Elementary Student Heart Disease Screening Program.
Hong Jue Lee, Myoung Hee Kim, Jo Won Jung, Seong Ho Kim, Bo Youl Choi
Korean J Prev Med. 2001;34(4):427-436.
  • 2,552 View
  • 26 Download
AbstractAbstract PDF
To estimate the prevalence of congenital heart disease from the 1998 student heart disease screening program. METHODS: The heart disease screening program for elementary students was conducted in Kyonggi-do, in 1998. The subjects of the present study comprised the 40,402 students who attended the schools in the catchment area of a collaborative university hospital and who participated in the primary examination. The congenital heart disease (CHD) patients were initially identified through a questionnaire about prior medical history, and further through diagnostic tests & medical examinations in the secondary & the tertiary examinations. Certain assumptions were used in the estimation of the number of CHD cases among non-participants of the secondary & tertiary examinations. The overall prevalence of CHD was estimated by adding the CHD detection rates of the participants and the estimated prevalence of the non-participants. RESULTS: Among the 40,402 primary participants, 1,655 were referred further, of whom 79.1% (1,309) participated in the secondary examination. Of these, 121 were referred to the tertiary examination, with a participation rate at this last stage of 80.2%. The positive predictive value (PPV) of the screening tools was the highest when the results of both EKG and the questionnaire were positive. Because 85.9% of the detected cases had a past history of CHD, PPV was higher when the selection criteria in the questionnaire included past CHD history than when it didnt. The CHD detection rate among the participants was 1.76 cases/1,000 and the presumed number of cases among the non-participants was 31; giving an estimated final CHD prevalence of 2.52 cases/1,000 (95% CI : 2.06-3.06). Among the identified cases of CHD, VSD (52.8%) was the most common, followed by PDA (9.7%), TOF (9.7%) & PS (9.7%). CONCLUSION: Because the characteristics of the non-participants differed from those of the participants, the estimation of prevalence was influenced by the participation rate. Of the detected cases, 85.9% had a past history of diagnosis or operation for CHD. These findings suggested that the prevalence estimated in this study may be an underestimation of the actual condition. Therefore, a birth cohort study is required in order to more accurately estimate the prevalence and the effects of the program.
Evaluation of the Completeness of Case Reporting during the 1998 Cheju-do Mumps Epidemic, Using Capture-recapture Methods .
Myoung Hee Kim, Jin Kyoung Park, Mo Ran Ki, Young Joo Hur, Bo Youl Choi, Joung Soon Kim
Korean J Prev Med. 2000;33(3):313-322.
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AbstractAbstract PDF
To estimate mumps incidence during the study period and to evaluate the completeness of case reporting. METHODS: Capture-recapture methods, originally developed for counting wildlife animals, were used. The data sources were 1) the National Notifiable Communicable Disease Reporting System (NNCDRS; 848 cases), 2) the School Health Reporting System, temporarily administered by the Division of Education (SHRS; 1,026 cases), and 3) a survey of students (785 cases). We estimated the number of unobserved mumps cases by matching the three data sources and fitting loglinear models to the data. We then determined the estimated total number of mumps cases by adding this to the number of observed cases. Completeness was defined as the proportion of observed cases from each source to the total of estimated cases. RESULTS: The total number of observed cases was 1,844 and the total number of estimated cases was 1,935 (95% CI: 1,878-2,070). The overall completeness was 43.8% of the NNCDRS, 53.0% of the SHRS, and 40.6% of the survey. However, completeness varied by area and age. CONCLUSION: Although the completeness of NNCDRS data appeared higher than in the past, it is difficult to generalize this result. In Korea, it is possible to estimate the size of health hazards relatively cheaply and quickly, by applying capture-recapture methods to various data using a multiple data collection system.

JPMPH : Journal of Preventive Medicine and Public Health