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Seong Woo Choi 6 Articles
Associations Between Socio-demographic Characteristics and Healthy Lifestyles in Korean Adults: The Result of the 2010 Community Health Survey
So Yeon Ryu, Jong Park, Seong Woo Choi, Mi Ah Han
J Prev Med Public Health. 2014;47(2):113-123.   Published online March 31, 2014
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AbstractAbstract PDF

Several previous studies have found that healthy behaviors substantially reduce non-communicable disease incidence and mortality. The present study was performed to estimate the prevalence of four modifiable healthy behaviors and a healthy lifestyle among Korean adults according to socio-demographic and regional factors.


We analyzed data from 199 400 Korean adults aged 19 years and older who participated in the 2010 Korean Community Health Survey. We defined a healthy lifestyle as a combination of four modifiable healthy behaviors: non-smoking, moderate alcohol consumption, regular walking, and a healthy weight. We calculated the prevalence rates and odds ratios of each healthy behavior and healthy lifestyle according to socio-demographic and regional characteristics.


The prevalence rates were as follows: non-smoking, 75.0% (53.7% in men, 96.6% in women); moderate alcohol consumption, 88.2% (79.7% in men, 96.9% in women); regular walking, 45.0% (46.2% in men, 43.8% in women); healthy weight, 77.4% (71.3% in men, 73.6% in women); and a healthy lifestyle, 25.5% (16.4% in men, 34.6% in women). The characteristics associated with a low prevalence of healthy lifestyle were male gender, younger age (19 to 44 years of age), low educational attainment, married, living in a rural area, living in the Chungcheong, Youngnam, or Gwangwon-Jeju region, and poorer self-rated health.


Further research should be implemented to explore the explainable factors of disparities for socio-demographic and regional characteristics to engage in the healthy lifestyle among adults.



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  • The influence of diet behavior on self-esteem according to the body image of workers in Republic of Korea: Mediating role of diet behavior
    Bohee So, Ki Han Kwon
    Journal of Human Behavior in the Social Environment.2024; 34(4): 584.     CrossRef
  • Determinants of unhealthy living by gender, age group, and chronic health conditions across districts in South Korea using the 2010-2017 Community Health Surveys
    Thi Tra Bui, Thi Huyen Trang Nguyen, Jinhee Lee, Sun Young Kim, Jin-Kyoung Oh
    Epidemiology and Health.2024; : e2024014.     CrossRef
  • Socio-demographic correlates of unhealthy lifestyle in Ethiopia: a secondary analysis of a national survey
    Yalemzewod Assefa Gelaw, Digsu N. Koye, Kefyalew Addis Alene, Kedir Y. Ahmed, Yibeltal Assefa, Daniel Asfaw Erku, Henok Getachew Tegegn, Azeb Gebresilassie Tesema, Berihun Megabiaw Zeleke, Yohannes Adama Melaku
    BMC Public Health.2023;[Epub]     CrossRef
  • Access to antenatal healthcare and the prevalence of oral clefts: a spatial analysis
    Hosung Shin, Eunsuk Ahn, Eun Joo Choi
    European Journal of Oral Sciences.2020; 128(2): 145.     CrossRef
  • Lifestyle risk score and mortality in Korean adults: a population-based cohort study
    Dong Hoon Lee, Jin Young Nam, Sohyeon Kwon, NaNa Keum, Jong-Tae Lee, Min-Jeong Shin, Hannah Oh
    Scientific Reports.2020;[Epub]     CrossRef
  • The Effect of Family-Based Empowerment on Obesity among Adolescents in Tana Toraja
    R. Erni Yetti, Muhammad Syafar, Andi Zulkifli, Rahayu Indriasari, Burhanuddin Bahar, Suriah ., Agus Bintara Birawida, Bagoes Widjanarko, Zadrak Tombeg, Saskiyanto Manggabara, Anto J. Hadi
    Pakistan Journal of Nutrition.2019; 18(9): 866.     CrossRef
  • Time trends in healthy lifestyle among adults in Germany: Results from three national health interview and examination surveys between 1990 and 2011
    Jonas D. Finger, Markus A. Busch, Christin Heidemann, Cornelia Lange, Gert B. M. Mensink, Anja Schienkiewitz, David Meyre
    PLOS ONE.2019; 14(9): e0222218.     CrossRef
  • Impact of marital status on outcomes following ST-segment elevation myocardial infarction
    Moo Hyun Kim, Kwang Min Lee, Soo Jin Kim, So Yeon Kim, Jong Seong Park, Young Rak Cho, Kyungil Park, Tae Ho Park, Young Dae Kim, Victor Serebruany
    Cardiovascular Revascularization Medicine.2018; 19(3): 237.     CrossRef
  • Adherence to Healthy Lifestyle Principles Among College Students: A Case Study
    Pavla Kubová, Helena Smolová, Hana Urbancová
    Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis.2018; 66(2): 521.     CrossRef
  • Gender differences in walking (for leisure, transport and in total) across adult life: a systematic review
    Tessa M. Pollard, Janelle M. Wagnild
    BMC Public Health.2017;[Epub]     CrossRef
  • Association of Common Variants in eNOS Gene with Primary Open Angle Glaucoma: A Meta-Analysis
    Yang Xiang, Yi Dong, Xuan Li, Xin Tang
    Journal of Ophthalmology.2016; 2016: 1.     CrossRef
  • Socioeconomic Disparities in Osteoporosis Prevalence: Different Results in the Overall Korean Adult Population and Single-person Households
    Jungmee Kim, Joongyub Lee, Ju-Young Shin, Byung-Joo Park
    Journal of Preventive Medicine and Public Health.2015; 48(2): 84.     CrossRef
  • The association between income inequality and all-cause mortality across urban communities in Korea
    Jong Park, So-Yeon Ryu, Mi-ah Han, Seong-Woo Choi
    BMC Public Health.2015;[Epub]     CrossRef
  • Self-rated Subjective Health Status Is Strongly Associated with Sociodemographic Factors, Lifestyle, Nutrient Intakes, and Biochemical Indices, but Not Smoking Status: KNHANES 2007-2012
    Sunmin Park, Jaeouk Ahn, Byung-Kook Lee
    Journal of Korean Medical Science.2015; 30(9): 1279.     CrossRef
  • Men, masculinity, and pain
    Edmund Keogh
    Pain.2015; 156(12): 2408.     CrossRef
Management of Diabetic Mellitus in Low-income Rural Patients.
Hye Yeon Kim, Woo Jun Yun, Min Ho Shin, Sun Seong Kweon, Hye Ran Ahn, Seong Woo Choi, Young Hoon Lee, Dong Hyeok Cho, Jung Ae Rhee
J Prev Med Public Health. 2009;42(5):315-322.
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  • 4 Crossref
AbstractAbstract PDF
Knowledge about the management status of diabetic melitus (DM) is essential to improve diabetic management. Moreover, low income is associated with poor adherence to treatment and increased mortality. This study was performed to evaluate the management status of DM in low-income patients in a rural area. METHODS: We enrolled 370 patients with type 2 DM living in Gokseong county, JeollaNamdo. A well-trained examiner measured the height, weight, waist circumference, blood pressure, total cholesterol, triglyceride, high density lipoprotein cholesterol, fasting blood sugar and glycosylated hemoglobin (HbA1c) levels. Carotid ultrasonography was used to measure carotid artery carotid artery intima media thickness (IMT) and plaque. ankle-brachial index (ABI) was used to evaluate peripheral artery disease. A fundoscopic examination was performed to evaluate diabetic retinopathy. A history of diabetes complications and health-related questionnaires were also completed. RESULTS: The age of diabetic subjects was 68.7+/-8.7 years and the duration of diabetes was 8.9+/-8.2 years. Most (63.5%) had hypertension, and 45.7% had triglycerides below 150 mg/dl, 38.1% had low density lipoprotein cholesterol (LDL) cholesterol below 100 mg/dl, 48.7% had urine albumin to creatinine ratio (UACR) below 30 mg/g. Less than half (45.9%) achieved the goal of HbA1c less than 7% suggested by the American Diabetes Association (ADA). 10.6% had peripheral vascular disease, 11.9% had retinopathy, and 60.8% had chronic kidney disease. CONCLUSIONS: DM management in low income patients is very poor and requires further work to improve.


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  • Comparison of Health Status in Primary Care Underserved Area Residents and the General Population in Korea
    Min So Kim, Kyae Hyung Kim, Sang Min Park, Jong-goo Lee, Yeon Seo Ko, A Ra Cho, Yoon Su Ku
    Korean Journal of Family Medicine.2020; 41(2): 119.     CrossRef
  • The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes
    Jihye Jeong, Namhee Park, So Young Shin
    Journal of Korean Academy of Community Health Nursing.2014; 25(3): 217.     CrossRef
  • Group Classification on Management Behavior of Diabetic Mellitus
    Sung-Hong Kang, Soon-Ho Choi
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(2): 765.     CrossRef
  • Relationship between Glycemic Control and Diabetic Retinopathy
    Woo-Jun Yun
    Journal of the Korean Geriatrics Society.2010; 14(4): 234.     CrossRef
The Comparison of Health Behaviors Between Widowed Women and Married Women in Jeollanamdo Province, Korea.
Seong Woo Choi, Jung Ae Rhee, Jun Ho Shin, Min Ho Shin
J Prev Med Public Health. 2008;41(4):272-278.
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AbstractAbstract PDF
To compare the health behaviors of widowed women with those of currently married women. METHODS: We randomly sampled the subjects from the Jeollanamdo Resident Registration Data and we then selected 2,331 widowed women and 4,775 married women. Well-trained examiners measured the height, weight, blood pressure and abdomen circumference, and the women were interviewed with using a questionnaire. Logistic regression analysis was used to estimate the odds ratios(OR) of the two groups. RESULTS: The smoking rate (OR=2.46; 95% confidence interval [CI]1.65, 3.66) was significantly higher for the widowed women. On the contrary, the awareness rate of a smoking cessation campaign (OR=0.80; 95% CI=0.70, 0.92), a quit tobacco telephone line (OR=0.73; 95% CI=0.61, 0.88) and a quit smoking clinic (OR=0.74; 95% CI=0.62, 0.89) were lower for the widowed women. The rate of receiving a health exam (OR=0.80; 95% CI=0.70, 0.91), the rate of undergoing gastric cancer screening (OR=0.77; 95% CI=0.68, 0.88), breast cancer screening (OR=0.79; 95% CI=0.69, 0.89), cervix cancer screening in the last 2 years (OR=0.81; 95% CI=0.71, 0.92), colon cancer screening in the last 5 years (OR=0.74; 95% CI=0.63, 0.87) were significantly lower for the widowed women. CONCLUSIONS: This study revealed that the health behaviors are significantly different between the widowed women and the married women. To improve the health behaviors of the widowed women, further study and research that will investigate the socioeconomic and environmental factors that affect the health behaviors of widowed women will be needed.


Citations to this article as recorded by  
  • Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis
    Yi Zhang, Xiangfan Chen, Yimei Sun, Sujuan Feng, Fang Wang, Haiyan Gu, Hanyu Jia, Quanxing Zhang, Wenbin Ding, Hongjian Lu, Jidong Zhang
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Effect of Spousal Loss on Depression in Older Adults: Impacts of Time Passing, Living Arrangement, and Spouse’s Health Status before Death
    Yu-Chan Hung, Yong-Hsin Chen, Meng-Chih Lee, Chih-Jung Yeh
    International Journal of Environmental Research and Public Health.2021; 18(24): 13032.     CrossRef
  • Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey
    Young-Hoon Lee, Antonio Palazón-Bru
    PLOS ONE.2018; 13(1): e0191496.     CrossRef
  • Marital Status and Health Behavior in Middle-aged Korean Adults
    Hyun Ji Yim, Hyun Ah Park, Jae Heon Kang, Kyung-Woo Kim, Young Gyu Cho, Yang Im Hur, O Jin Ee Choi
    Korean Journal of Family Medicine.2012; 33(6): 390.     CrossRef
Health Effects from Odor Pollution in Sihwa Industrial Complex.
Soo Hun Cho, Seong Woo Choi, Sun Mean Kim, Young Su Ju, Jae Yong Kim
Korean J Prev Med. 1999;32(4):473-481.
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AbstractAbstract PDF
In recent days, the problem of odor pollution in community near Sihwa Industrial complex, Kynuggi Province is becoming of significant public concern. We have investigated the health effects of the Sihwa residents from odor pollution comparing with other less polluted areas. METHODS: The Ansan and Kuri Cities were selected as control areas. The parents of the elementary and middle school students in these three areas were surveyed with structured questionnaire twice, Nov 1997 and June 1998 each. As a exposure index, the ambient air concentrations of five major air pollutants(particulates, O3, SO2, NO2, CO) and subjective odor perception were used. We have focused health outcomes such as the prevalence of nonspecific irritant symptoms, respiratory disease among family members and the score of quality of life(QOL). RESULTS: Although the mean concentrations of major air pollutants except particulates were similar or lower in Sihwa than other areas, the odor perception rate and the monthly odor perception days were significantly higher. It suggested that odor producing chemical compounds are the major source of environmental pollution problem. There were higher prevalence rates of nonspecific irritant symptoms and respiratory disease among family members in Sihwa than other control areas. The QOL score was also lower in Sihwa. The odor perception proved to be a most important factor in reporting adverse health effects and lowering the QOL score. CONCLUSION: The residents living near Sihwa industrial complex were suffering from more adverse health symptoms and poorer QOL status than control areas. And it may be due to environmental odor pollution from industrial complex. Therefore, further research will be needed for monitoring of the responsible chemicals emitted from industries.
Development of Work-related Musculoskeletal Disorder Questionnaire Using Receiver Operating Characteristic Analysis.
Jaiyong Kim, Ho Jang Kwon, Yeongsu Ju, Soo Hun Cho, Daehee Kang, Joohon Sung, Seong Woo Choi, Jae Wook Choi, Jae Young Kim, Don Gyu Kim
Korean J Prev Med. 1999;32(3):361-373.
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AbstractAbstract PDF
Receive Operating Characteristic(ROC) curve with the area under the ROC curve(AUC) is one of the most popular indicator to evaluate the criterion validity of the measurement tool. This study was conducted to develop a standardized questionnaire to discriminate workers at high-risk of work-related musculoskeletal disorders using ROC analysis. METHODS: The diagnostic results determined by rehabilitation medicine specialists in 370 persons(89 shipyard CAD workers, 113 telephone directory assistant operators, 79 women with occupation, and 89 housewives) were compared with participant's own replies to 'the questionnair on the worker's subjective physical symptoms'(Kwon, 1996). The AUC's from four models with different methods in item selection and weighting were compared with each other. These 4 models were applied to 225 persons, working in an assembly line of motor vehicle, for the purpose of AUC reliability test. RESULTS: In a weighted model with 11 items, the AUC was 0.8155 in the primary study population, and 0.8026 in the secondary study population(p=0.3780). It was superior in the aspects of discriminability, reliability and convenience. A new questionnaire of musculoskeletal disorder could be constructed by this model. CONCLUSION: A more valid questionnaire with a small number of items and the quantitative weight scores useful for the relative comparisons are the main results of this study. While the absolute reference value applicable to the wide range of populations was not estimated, the basic intent of this study, developing a surveillance tool through quantitative validation of the measures, would serve for the systematic disease prevention activities.
Reliability and Validity of the Korean Version of ISAAC Questionnaire.
Seong Woo Choi, Yeong Su Ju, Dae Sung Kim, Jae Yong Kim, Ho Jang Kwon, Dae Hee Kang, Sang Il Lee, Soo Hun Cho
Korean J Prev Med. 1998;31(3):361-371.
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AbstractAbstract PDF
Recent increases of asthma and allergies in childhood made the need for a standardized approach to international and regional comparisons of their prevalence and severity. To address these issues, "International Study of Asthma and Allergies in Childhood (ISAAC)" is currently underway. In Korea, "Nationwide Study of Asthma and Allergies in Korean Children" began in 1995 according to ISAAC protocol. ISAAC written and video questionnaires were used in this survey, but their reliability and validity were not evaluated properly yet. In this study, our aim was to evaluate the reliability and validity of two kinds of questionnaires and their usefulness in international and regional comparisons. The test and retest of two questionnaires were completed by male(n=110) and female(n=111) middle school students with two and three weeks interval each. Kappa(or weighted kappa) were calculated from each questions and validity coefficients were estimated from those statistics. In Korean version of written questionnaire, the questions for allergic rhinitis, atopic dermatitis, allergic conjunctivitis, and food allergy proved to have high kappa values(or weighted kappa values) and validity coefficients and they can be used in further studies without any correction. But some questions about asthma(especially nocturnal cough, wheezing in exercise, and severe asthma) and drug allergy need to be revised for better understanding to study subjects. Video questionnaire has the same degree of reliability and validity when compared to written questionnaire and this is the unexpected result. Accordingly, it also need to be revised to overcome the racial and cultural differences of the study subjects. In conclusion, the Korean version of written and video questionnaires may be considered to be useful methods in international and regional comparisons of asthma and allergic diseases in childhood after correction of some questions.

JPMPH : Journal of Preventive Medicine and Public Health