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Seung Eun Lee 3 Articles
The Association Among Individual and Contextual Factors and Unmet Healthcare Needs in South Korea: A Multilevel Study Using National Data
Seung Eun Lee, Miyeon Yeon, Chul-Woung Kim, Tae-Ho Yoon
J Prev Med Public Health. 2016;49(5):308-322.   Published online September 7, 2016
DOI: https://doi.org/10.3961/jpmph.16.035
  • 8,126 View
  • 208 Download
  • 14 Crossref
AbstractAbstract PDF
Objectives
The objective of this study is to investigate associations between contextual characteristics and unmet healthcare needs in South Korea after accounting for individual factors.
Methods
The present study used data from the 2012 Korean Community Health Survey (KCHS) of 228 902 adults residing within 253 municipal districts in South Korea. A multilevel analysis was conducted to investigate how contextual characteristics, defined by variables that describe the regional deprivation, degree of urbanity, and healthcare supply, are associated with unmet needs after controlling for individual-level variables.
Results
Of the surveyed Korean adults, 12.1% reported experiencing unmet healthcare needs in the past. This figure varied with the 253 districts surveyed, ranging from 2.6% to 26.2%. A multilevel analysis found that the association between contextual characteristics and unmet needs varied according to the factors that caused the unmet needs. The degree of urbanity was associated with unmet need due to “financial burden” (odds ratio [OR], 0.53; 95% confidence interval [CI], 0.42 to 0.66 for rural vs. metropolitan), but not unmet need due to “service not available when needed.” There were no significant associations between these unmet need measures and regional deprivation. Among individual-level variables, income level showed the highest association with unmet need due to “financial burden” (OR, 5.63; 95% CI, 4.76 to 6.66), while employment status showed a strong association with unmet need due to “service not available when needed.”
Conclusions
Our finding suggests that different policy interventions should be considered for each at-risk population group to address the root cause of unmet healthcare needs.
Summary

Citations

Citations to this article as recorded by  
  • Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors
    Doo Woong Lee, Jieun Jang, Jaeyong Shin
    SSM - Population Health.2024; 25: 101580.     CrossRef
  • Satisfaction with local healthcare services and medical need among hypertensive patients: a nationwide study
    Woorim Kim, Yeong Jun Ju, Soon Young Lee
    BMC Public Health.2024;[Epub]     CrossRef
  • Factors affecting unmet healthcare needs in female baby boomers: Andersen model application in Korea
    Min-Jeong Park, Mi-Young Chung, Verda Salman
    PLOS ONE.2023; 18(6): e0286425.     CrossRef
  • Impact of Long Working Hours and Shift Work on Unmet Health Care Need Among Korean Workers
    Hye-Eun Lee, Jeongbae Rhie
    Safety and Health at Work.2022; 13(1): 17.     CrossRef
  • Effect of socioeconomic disparities on the risk of COVID-19 in 8 metropolitan cities in the Korea: a community-based study
    Myung-Jae Hwang, Shin Young Park, Tae-Ho Yoon, Jinhwa Jang, Seon-Young Lee, Myeongsu Yoo, Yoo-Yeon Kim, Hae-Kwan Cheong, Donghyok Kwon, Jong-Hun Kim
    Epidemiology and Health.2022; 44: e2022107.     CrossRef
  • Unmet Healthcare Needs and Associated Factors Among Korean Enlisted Soldiers
    Eunkyoung Bae, Jeongok Park, Eunyoung Jung
    Military Medicine.2021; 186(1-2): e186.     CrossRef
  • Contextual Factors Associated with Pregnancy Termination among Young Women in Nigeria
    Bola Lukman Solanke
    Women's Reproductive Health.2021; 8(2): 137.     CrossRef
  • Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases
    Ji-Young Han, Hyeon-Sook Park
    Journal of Korean Academy of Community Health Nursing.2021; 32(2): 131.     CrossRef
  • Factors Influencing Unmet Healthcare Needs among Older Korean Women
    Jung A. Choi, Oksoo Kim
    International Journal of Environmental Research and Public Health.2021; 18(13): 6862.     CrossRef
  • Cost–related unmet need for healthcare services in Kenya
    Purity Njagi, Jelena Arsenijevic, Wim Groot
    BMC Health Services Research.2020;[Epub]     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
  • Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea
    Seung Eun Lee, Miyeon Yeon, Chul-Woung Kim, Tae-Ho Yoon, Dongjin Kim, Jihee Choi
    Osong Public Health and Research Perspectives.2019; 10(5): 295.     CrossRef
  • Gender Differences in Factors Associated With Colorectal Cancer Screening: A National Cross-Sectional Study in Korea
    Youngmi Kang, Heesook Son
    Asia Pacific Journal of Public Health.2017; 29(6): 495.     CrossRef
  • Regional Disparity and Factors Influencing Unmet Medical Needs: A Study Based on the Sixth Korea National Health and Nutrition Examination Survey (2015)
    Ji Hye Lim
    Osong Public Health and Research Perspectives.2017; 8(5): 295.     CrossRef
Dental Care Utilization for Examination and Regional Deprivation
Cheol-Sin Kim, Sun-Young Han, Seung Eun Lee, Jeong-Hee Kang, Chul-Woung Kim
J Prev Med Public Health. 2015;48(4):195-202.   Published online July 23, 2015
DOI: https://doi.org/10.3961/jpmph.15.026
  • 23,889 View
  • 113 Download
  • 7 Crossref
AbstractAbstract PDF
Objectives
Receiving proper dental care plays a significant role in maintaining good oral health. We investigated the relationship between regional deprivation and dental care utilization.
Methods
Multilevel logistic regression was used to identify the relationship between the regional deprivation level and dental care utilization purpose, adjusting for individual-level variables, in adults aged 19+ in the 2008 Korean Community Health Survey (n=220 258).
Results
Among Korean adults, 12.8% used dental care to undergo examination and 21.0% visited a dentist for other reasons. In the final model, regional deprivation level was associated with significant variations in dental care utilization for examination (p<0.001). However, this relationship was not shown with dental care utilization for other reasons in the final model.
Conclusions
This study’s findings suggest that policy interventions should be considered to reduce regional variations in rates of dental care utilization for examination.
Summary

Citations

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  • Utilization of dental care among adult populations: a scoping review of applied models
    Ashkan Negintaji Zardak, Mostafa Amini-Rarani, Ibrahim Abdollahpour, Faezeh Eslamipour, Bahareh Tahani
    BMC Oral Health.2023;[Epub]     CrossRef
  • Dental Expenditure by Household Income in Korea over the Period 2008–2017: A Review of the National Dental Insurance Reform
    Hosung Shin, Han-A Cho, Bo-Ra Kim
    International Journal of Environmental Research and Public Health.2021; 18(8): 3859.     CrossRef
  • Relationship between Subjective Oral Discomfort and Health-Related Quality of Life in the South Korean Elderly Population
    Kyung-Yi Do, Sook Moon
    International Journal of Environmental Research and Public Health.2020; 17(6): 1906.     CrossRef
  • Change over a period of 9 years in self-reported oral health of a middle-aged population using 4-6th KNHANES data
    Song-Yi Kim, Nam-Hee Kim
    Journal of Korean Academy of Oral Health.2019; 43(2): 50.     CrossRef
  • The role of healthcare system in dental check‐ups in 27 European countries: multilevel analysis
    Shiho Kino, Eduardo Bernabé, Wael Sabbah
    Journal of Public Health Dentistry.2017; 77(3): 244.     CrossRef
  • The Association Among Individual and Contextual Factors and Unmet Healthcare Needs in South Korea: A Multilevel Study Using National Data
    Seung Eun Lee, Miyeon Yeon, Chul-Woung Kim, Tae-Ho Yoon
    Journal of Preventive Medicine and Public Health.2016; 49(5): 308.     CrossRef
  • Dental care utilization in the west of Iran: a cross-sectional analysis of socioeconomic determinants
    Satar Rezaei, Esmail Ghahramani, Mohammad Hajizadeh, Bijan Nouri, Sheno Bayazidi, Fatemah Khezrnezhad
    International Journal of Human Rights in Healthcare.2016; 9(4): 235.     CrossRef
The Incidence of Stroke by Socioeconomic Status, Age, Sex, and Stroke Subtype: A Nationwide Study in Korea
Su Ra Seo, Su Young Kim, Sang-Yi Lee, Tae-Ho Yoon, Hyung-Geun Park, Seung Eun Lee, Chul-Woung Kim
J Prev Med Public Health. 2014;47(2):104-112.   Published online March 31, 2014
DOI: https://doi.org/10.3961/jpmph.2014.47.2.104
  • 12,254 View
  • 169 Download
  • 29 Crossref
AbstractAbstract PDF
Objectives

To date, studies have not comprehensively demonstrated the relationship between stroke incidence and socioeconomic status. This study investigated stroke incidence by household income level in conjunction with age, sex, and stroke subtype in Korea.

Methods

Contributions by the head of household were used as the basis for income levels. Household income levels for 21 766 036 people were classified into 6 groups. The stroke incidences were calculated by household income level, both overall within income categories and further by age group, sex, and stroke subtype. To present the inequalities among the six ranked groups in a single value, the slope index of inequality and relative index of inequality were calculated.

Results

In 2005, 57 690 people were first-time stroke patients. The incidences of total stroke for males and females increased as the income level decreased. The incidences of stroke increased as the income level decreased in those 74 years old and under, whereas there was no difference by income levels in those 75 and over. Intracerebral hemorrhage for the males represented the highest inequality among stroke subtypes. Incidences of subarachnoid hemorrhage did not differ by income levels.

Conclusions

The incidence of stroke increases as the income level decreases, but it differs according to sex, age, and stroke subtype. The difference in the relative incidence is large for male intracerebral hemorrhage, whereas the difference in the absolute incidence is large for male ischemic stroke.

Summary

Citations

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  • Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization study
    Weidong Nong, Gui Mo, Chun Luo
    Frontiers in Public Health.2023;[Epub]     CrossRef
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    Preventive Medicine Reports.2023; 35: 102354.     CrossRef
  • Effect of income level on stroke incidence and the mediated effect of simultaneous diagnosis of metabolic syndrome diseases; a nationwide cohort study in South Korea
    Seungmin Jeong, Sung-il Cho, So Yeon Kong
    Diabetology & Metabolic Syndrome.2022;[Epub]     CrossRef
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    BMJ Open.2022; 12(8): e059956.     CrossRef
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    Journal of Health Informatics and Statistics.2022; 47(4): 268.     CrossRef
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JPMPH : Journal of Preventive Medicine and Public Health