Journal of Preventive Medicine and Public Health

Sin Kam

38 Articles

Evaluation of the Public Health Emergency Response to the COVID-19 Pandemic in Daegu, Korea During the First Half of 2020: Hwajin Lee, Keon-Yeop Kim, Jong-Yeon Kim, Sin Kam, Kyeong Soo Lee, Jung Jeung Lee, Nam Soo Hong, Tae-Yoon Hwang; J Prev Med Public Health. 2022;55(4):360-370. Published online June 22, 2022; DOI: https://doi.org/10.3961/jpmph.22.068

2,975 View
148 Download
2 Crossref

Abstract Summary PDF Supplementary Material

Objectives
This study evaluated the response in Daegu, Korea to the first wave of the coronavirus disease 2019 (COVID-19) pandemic according to a public health emergency response model.
Methods
After an examination of the official data reported by the city of Daegu and the Korea Centers for Disease Control and Prevention, as well as a literature review and advisory meetings, we chose a response model. Daegu’s responses were organized into 4 phases and evaluated by applying the response model.
Results
In phase 1, efforts were made to block further transmission of the virus through preemptive testing of a religious group. In phase 2, efforts were concentrated on responding to mass infections in high-risk facilities. Phase 3 involved a transition from a high-intensity social distancing campaign to a citizen participation–based quarantine system. The evaluation using the response model revealed insufficient systematic preparation for a medical surge. In addition, an incorporated health-related management system and protection measures for responders were absent. Nevertheless, the city encouraged the participation of private hospitals and developed a severity classification system. Citizens also played active roles in the pandemic response by practicing social distancing.
Conclusions
This study employed the response model to evaluate the early response in Daegu to the COVID-19 pandemic and revealed areas in need of improvement or maintenance. Based on the study results, creation of a systematic model is necessary to prepare for and respond to future public health emergencies like the COVID-19 pandemic.

Summary

Korean summary
이 연구는 공중보건 위기대응 모형을 적용하여 코로나19 1차 유행에 대한 대구시의 대응을 평가하였습니다. 모형의 세부적 요소인 15개 역량에 따른 평가 결과, 대구의 대응에서 개선 또는 유지해야 할 영역들이 확인되었습니다. 이 결과를 바탕으로, 한국형 공중보건 위기대응 모형을 체계적으로 구축해야 할 것입니다.

Citations

Citations to this article as recorded by

Factors influencing psychological concerns about COVID-19 in South Korea: direct and indirect damage during the early stages of pandemic
Min-sung Kim, Sung-il Cho
BMC Public Health.2024;[Epub] CrossRef
Estimation of the Effectiveness of a Tighter, Reinforced Quarantine for the Coronavirus Disease 2019 (COVID-19) Outbreak: Analysis of the Third Wave in South Korea
Marn Joon Park, Ji Ho Choi, Jae Hoon Cho
Journal of Personalized Medicine.2023; 13(3): 402. CrossRef

A Survival Analysis of Gastric or Colorectal Cancer Patients Treated With Surgery: Comparison of Capital and a Non-capital City: Nam-Soo Hong, Kyeong Soo Lee, Sin Kam, Gyu Seog Choi, Oh Kyoung Kwon, Dong Hee Ryu, Sang Won Kim; J Prev Med Public Health. 2017;50(5):283-293. Published online July 3, 2017; DOI: https://doi.org/10.3961/jpmph.17.043

5,795 View
223 Download
3 Crossref

Abstract PDF Supplementary Material

Objectives
The objective of the present study was to compare prognosis of patients with gastric or colorectal cancer according to places where they received surgeries. Methods: The cancer patients underwent surgeries in sampled hospitals located in Daegu were matched 1:1 to the patients who visited sampled hospitals in Seoul using propensity score method. After the occurrences of death were examined, Kaplan-Meier method was used for survival analysis and the log-rank test was performed to compare the survival curves. Results: A total of six out of 291 gastric cancer patients who had surgeries in Daegu died (2.1%) and ten deaths (3.4%) occurred from patients went Seoul hospitals. Out of 84 gastric cancer patients who had chemotherapy after surgeries in Daegu, 13 (15.5%) patients died while 18 (21.4%) deaths occurred among patients underwent surgeries in Seoul. Six deaths (6.9%) out of 87 colorectal cancer patients who had surgeries in Daegu were reported. Five patients (5.7%) died among the patients underwent surgeries in Seoul. Among the colorectal cancer patients with chemotherapy after surgeries, 13 patients (12.4%) who visited hospitals in Daegu and 14 (13.3%) patients who used medical centers in Seoul died. There were no significant differences according to places where patients used medical services. Conclusions: The result of this study is expected to be used as basic data for policy making to resolve centralization problem of cancer patients and to help patients to make rational choices in selection of medical centers.

Summary

Citations

Citations to this article as recorded by

Domestic medical travel from non-Seoul regions to Seoul for initial breast cancer treatment: a nationwide cohort study
Jae Ho Jeong, Jinhong Jung, Hee Jeong Kim, Jong Won Lee, Beom-Seok Ko, Byung Ho Son, Kyung Hae Jung, Il Yong Chung
Annals of Surgical Treatment and Research.2023; 104(2): 71. CrossRef
MCR1 and KPC2 Co-producing Klebsiella pneumoniae Bacteremia: First Case in Korea
Ji Young Park, Sang Taek Heo, Ki Tae Kwon, Do Young Song, Kwang Jun Lee, Ji Ae Choi
Infection & Chemotherapy.2019; 51(4): 399. CrossRef
The Effect of Residential Area and Hospital Bed Size on the Use of Hospital in Other Regions for Cancer Inpatients
Sung-Soo Kim
Journal of Health Informatics and Statistics.2018; 43(1): 18. CrossRef

Enrollment in Private Medical Insurance and Utilization of Medical Services Among Children and Adolescents: Data From the 2009-2012 Korea Health Panel Surveys: Dong Hee Ryu, Sin Kam, Young-Taek Doo; J Prev Med Public Health. 2016;49(2):118-128. Published online March 24, 2016; DOI: https://doi.org/10.3961/jpmph.16.003

8,210 View
107 Download
2 Crossref

Abstract PDF

Objectives
The purposes of this study were to examine the status of children and adolescents with regard to enrollment in private medical insurance (PMI) and to investigate its influence on their utilization of medical services.
Methods
The present study assessed 2973 subjects younger than 19 years of age who participated in five consecutive Korea Health Panel surveys from 2009 to 2012.
Results
At the initial assessment, less than 20% of the study population had not enrolled in any PMI program, but this proportion decreased over time. Additionally, the number of subjects with more than two policies increased, the proportions of holders of indemnity-type only (‘I’-only) and of fixed amount+indemnity-type (‘F+I’) increased, whereas the proportion of holders with fixed amount-type only (‘F’-only) decreased. Compared with subjects without private insurance, PMI policyholders were more likely to use outpatient and emergency services, and the number of policies was proportionately related to inpatient service utilization. Regarding out-patient care, subjects with ‘F’-only PMI used these services more often than did uninsured subjects (odds ratio [OR], 1.69), whereas subjects with ‘I’-only PMI or ‘F+I’ PMI utilized a broad range of inpatient, outpatient, and emergency services relative to uninsured subjects (ORs for ‘I’-only: 1.39, 1.63, and 1.38, respectively; ORs for ‘F+I’: 1.67, 2.09, and 1.37, respectively).
Conclusions
The findings suggest public policy approaches to standardizing PMI contracts, reform in calculation of premiums in PMI, re-examination regarding indemnity insurance products, and mutual control mechanisms to mediate between national health insurance services and private insurers are required.

Summary

Citations

Citations to this article as recorded by

Pediatric Health Access and Private Medical Insurance: Based on the Ecology of Medical Care in Korea
Dong-Hee Ryu, Yong-jun Choi, Jeehye Lee
Children.2022; 9(8): 1101. CrossRef
Community-Based Health Insurance Increased Health Care Utilization and Reduced Mortality in Children Under-5, Around Bwindi Community Hospital, Uganda Between 2015 and 2017
Nahabwe Haven, Andrew E. Dobson, Kuule Yusuf, Scott Kellermann, Birungi Mutahunga, Alex G. Stewart, Ewan Wilkinson
Frontiers in Public Health.2018;[Epub] CrossRef

Incidence of and Factors for Self-reported Fragility Fractures Among Middle-aged and Elderly Women in Rural Korea: An 11-Year Follow-up Study: Soon-Ki Ahn, Sin Kam, Byung-Yeol Chun; J Prev Med Public Health. 2014;47(6):289-297. Published online October 2, 2014; DOI: https://doi.org/10.3961/jpmph.14.020

13,050 View
96 Download
1 Crossref

Abstract PDF

Objectives
This community-based cohort study was performed to investigate the incidence of and factors related to self-reported fragility fractures among middle-aged and elderly women living in rural Korea.
Methods
The osteoporosis cohort recruited 430 women 40 to 69 years old in 1999, and 396 of these women were followed over 11 years. In 1999, questionnaires from all participants assessed general characteristics, medical history, lifestyle, menstrual and reproductive characteristics, and bone mineral density. In 2010, self-reported fractures and the date, site, and cause of these fractures were recorded. Cox proportional hazards models were used to calculate hazard ratios (HRs).
Results
Seventy-six participants among 3949.7 person-years experienced fragility fractures during the 11-year follow-up. The incidence of fragility fractures was 1924.2 per 100 000 person-years (95% confidence interval [CI], 1491.6 to 2356.8). In the multivariate model, low body mass index (HR, 2.66; 95% CI, 1.13 to 6.24), a parental history of osteoporosis (HR, 2.03; 95% CI, 1.18 to 3.49), and postmenopausal status (HR, 3.50; 95% CI, 1.05 to 11.67) were significantly related to fragility fracture.
Conclusions
Fracture prevention programs are needed among postmenopausal, rural, Korean women with a low body mass index and parental history of osteoporosis Korea.

Summary

Citations

Citations to this article as recorded by

Comparison of intraoperative radiation exposure with and without use of distal targeting device: a randomized control study
Jun-Il Yoo, Hojin Jeong, Jaeboem Na, Sang-Youn Song, Jung-Taek Kim, Yong-Han Cha, Chan Ho Park
Archives of Orthopaedic and Trauma Surgery.2019; 139(11): 1579. CrossRef

Factors Related to Increasing Trends in Cigarette Smoking of Adolescent Males in Rural Areas of Korea: Nam Soo Hong, Sin Kam, Keon Yeop Kim; J Prev Med Public Health. 2013;46(3):139-146. Published online May 31, 2013; DOI: https://doi.org/10.3961/jpmph.2013.46.3.139

9,736 View
105 Download
7 Crossref

Abstract PDF

Objectives

Cigarette smoking prevalence among adolescent males in rural areas of Korea has increased in recent years. The aim of this study was to explore the factors related to increasing trends in cigarette smoking among adolescent males living in rural areas.

Methods

The raw data from the Korea Youth Risk Behavior Web-based Survey from 2006 to 2009 were used. Data were analyzed by using the method of complex survey data analysis considering complex sampling design. Multiple logistic regression models were used to explore the factors affecting cigarette smoking. We evaluated the linear time trends in the prevalence of factors that were related to current smoking status and the linear time trends in cigarette smoking in groups stratified by the exposure to each factor using logistic regression models. Finally, we examined the contributions of the factors to the time trends in cigarette smoking by adjusting for each of those factors in the baseline regression models and changes in the adjusted odds ratio by survey year.

Results

A statistically significant increasing trend in smoking was observed after adjusting for the factors affecting cigarette smoking. Significant factors related to cigarette use were perceived stress, experience with depression, current alcohol drinking, exposure to secondhand smoke, and academic performance. The factor related to increasing trends in cigarette smoking was academic performance.

Conclusions

Stress about academic performance is an important factor affecting the increase in cigarette smoking among adolescent males in a rural area of Korea.

Summary

Citations

Citations to this article as recorded by

Association of health-risk behaviors with perceived academic performance among middle and high school students: A cross-sectional study in Shanghai, China
Chunyan Luo, Xuelai Wang, Yanting Yang, Qiong Yan, Lijing Sun, Dongling Yang, Hadi Ghasemi
PLOS ONE.2023; 18(5): e0285261. CrossRef
Türkiye'de Bir Çocuk Hastanesinde Motivasyonel Görüşme Kullanarak Ergenlerde Sigara Bırakma Müdahalesi: Bir Pilot Çalışma
Demet TAŞ, Alkım ÖDEN
Turkish Journal of Pediatric Disease.2020; : 1. CrossRef
Active, passive, and electronic cigarette smoking is associated with asthma in adolescents
So Young Kim, Songyong Sim, Hyo Geun Choi
Scientific Reports.2017;[Epub] CrossRef
Association between Family and Friend Smoking Status and Adolescent Smoking Behavior and E-Cigarette Use in Korea
Myoung Joung, Mi Han, Jong Park, So Ryu
International Journal of Environmental Research and Public Health.2016; 13(12): 1183. CrossRef
A systematic review of secondhand tobacco smoke exposure and smoking behaviors: Smoking status, susceptibility, initiation, dependence, and cessation
Chizimuzo T.C. Okoli, Jonathan Kodet
Addictive Behaviors.2015; 47: 22. CrossRef
Risk Factors for Current Smoking Among American and South Korean Adolescents, 2005–2011
Sung Suk Chung, Kyoung Hwa Joung
Journal of Nursing Scholarship.2014; 46(6): 408. CrossRef
Physical activity and cardiovascular risk factors in university students in the city of Leon, Mexico
Maciste H. Macías-Cervantes, Victoriano Pérez-Vázquez, Antonio E. Rivera-Cisneros, Andrés Martínez-Rivera, Joel Ramírez-Emiliano, Carlos Kornhauser
Health.2013; 05(11): 1861. CrossRef

The Factors Associated with Changes in the Stage of Breast Cancer Screening Behavior among the Woman who are Eligible for the Korean National Cancer Screening Program.: Hyo Kyung Son, Sin Kam, Ki Soo Park, Jang Rak Kim, Rock Bum Kim, Sun Kyun Park; J Prev Med Public Health. 2009;42(2):109-116.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.109

4,466 View
56 Download
4 Crossref

Abstract PDF

OBJECTIVES
This study was performed to evaluate the relationships between psychosocial characteristics and changes in the stage of breast cancer screening behavior. METHODS: The 474 study subjects were randomly sampled from 21,459 women (age range, 40-70 years) who were eligible for the Korean National Cancer Screening Program in 2006 in Jinju, Gyeongsangnam-do. The information, including behaviors and sociodemographic characteristics, attitudes, subjective norms and self-efficacy, was collected by trained interviewers via home visits. The breast cancer screening stages were grouped as precontemplation, contemplation, action, maintenance and relapse, according to Rakowski. RESULTS: Of the 474 women, 18.8% were in the precontemplation stage, 23.3% were in the contemplation stage, 13.1% were in the action stage, 36.6% were in the maintenance stage, and 8.2% were in the relapse stage. The distribution of stages was associated with attitude, subjective norms and self-efficacy (p for trend<0.01). To investigate the overall relationship between the variables, we conducted a linear structural equation model analysis based on the theory of planned behavior. The subjective norms and self-efficacy influenced the stage of the women's screening behavior. CONCLUSIONS: We should target on self-efficacy about the screening behavior of women by performing timely, thoughtful interventions. The support from family members, friends and other people is crucial for women to undergo breast cancer screening and to improve the breast cancer screening rate.

Summary

Citations

Citations to this article as recorded by

Factor structure and internal reliability of cultural belief scales about colorectal cancer screening among Koreans in the Republic of Korea
Shin-Young Lee
BMC Public Health.2018;[Epub] CrossRef
Physical activity, social support and participation of women knowledge about cervical cancer screening, the screening attitude multiplicative influence of cervical cancer screening
Yun-Hwa Ko
Journal of Digital Convergence.2016; 14(7): 439. CrossRef
Study on the Factors Related With Intention of Cancer Screening Among Korean Residents
Bong Ki Kim, Heui Sug Jo, Hey Jean Lee
Asia Pacific Journal of Public Health.2015; 27(2): NP2133. CrossRef
Psychosocial predictors of four health‐promoting behaviors for cancer prevention using the stage of change of Transtheoretical Model
Jean H. Choi, Kyong‐Mee Chung, Keeho Park
Psycho-Oncology.2013; 22(10): 2253. CrossRef

The Factors Implicated When an Individual Starts to Smoke Again After a 6 Month Cessation.: Hyo Kyung Son, Un Young Jung, Ki Soo Park, Sin Kam, Sun Kyun Park, Won Kee Lee; J Prev Med Public Health. 2009;42(1):42-48.; DOI: https://doi.org/10.3961/jpmph.2009.42.1.42

4,824 View
67 Download
12 Crossref

Abstract PDF

OBJECTIVES
This study was conducted to examine the factors implicated when people start smoking again after a 6 month cessation, and was carried out at the smoking cessation clinic of a public health center. METHODS: The study subjects were 191 males who had attended the smoking cessation clinic of a public health center for 6 months in an attempt to quit smoking. Data was collected, by phone interview, regarding individual smoking habits, if any, over the 6 month study period. The factors which may have caused an individual to smoke again were examined. This study employed a health belief model as it theoretical basis. RESULTS: Following a 6 month cessation, 24.1% of the study group began to smoke again during the 6 month test period. In a simple analysis, the factors related to individuals relapsing and smoking again included barriers of stress reduction, body weight gain and induction of smoking by surroundings among perceived barriers factor of our health belief model (p<0.05). In multiple logistic regression analysis for relapsed smoking, significant factors included barriers of stress reduction and induction of smoking by surroundings (p<0.05). The most important reason of for an individual to relapse into smoking was stress (60.9%) and the most likely place for a relapse to occur was a drinking establishment (39.1%). CONCLUSIONS: Our results indicate that both regular consultations and a follow-up management program are important considerations in a public health center program geared towards maintaining smoking cessation.

Summary

Citations

Citations to this article as recorded by

Factors associated with long-term smoking relapse in those who succeeded in smoking cessation using regional smoking cessation programs
Seung Hun Lee, Yu Hyeon Yi, Young In Lee, Hyo Young Lee, Kyoung-Min Lim
Medicine.2022; 101(31): e29595. CrossRef
Factors Related to Smoking Recurrence within Six-months Smoking Cessation among Employees in Enterprises with Smaller than 300 Workers
Byung Jun Jin, Chul-Woung Kim, Seung Eun Lee, Hyo-Bin Im, Tae-Yong Lee
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 107. CrossRef
Factors related to the smoking relapse of out-of-school adolescents
Ji Eun Bae, Chul-Woung Kim, Seung Eun Lee, Hyo-Bin Im, In Young Kim, Tae-Yong Lee, Sang-Yi Lee, Myungwha Jang
Korean Journal of Health Education and Promotion.2021; 38(3): 13. CrossRef
Re-smoking and related factors of prisoners after release who were in a forced smoking cessation environment for 1 year or more
Jina Jung, Hae-Sung Nam
Korean Journal of Health Education and Promotion.2019; 36(3): 27. CrossRef
Factors Related to Smoking Relapse among Military Personnel in Korea: Data from Smoking Cessation Clinics, 2015–2017
Eunjoo Kwon, Eun-Hee Nah
Korean Journal of Health Promotion.2018; 18(3): 138. CrossRef
Short-Term Impact of a Comprehensive Smoke-Free Law Following a Partial Smoke-Free Law on PM2.5 Concentration Levels at Hospitality Venues on the Peripheries of College Campuses
Sol Yu, Wonho Yang, Kiyoung Lee, Sungcheon Kim, Kwonchul Ha, Sungroul Kim
International Journal of Environmental Research and Public Health.2015; 12(11): 14034. CrossRef
Factors Associated with Failure in The Continuity of Smoking Cessation Among 6 Month's Smoking Cessation Succeses in the Smoking Cessation Clinic of Public Health Center
Hyeon-Soon Choi, Hae-Sook Sohn, Yun-Hee Kim, Myeong-Jin Lee
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(10): 4653. CrossRef
Smoking Relapse and Related Factors Within One Year Among Successes of the Smoking Cessation Clinics of Public Health Centers
Mi Jag Kim, Ihn Sook Jeong
Journal of Preventive Medicine and Public Health.2011; 44(2): 84. CrossRef
Evidence-based smoking cessation counseling: motivational intervention and relapse prevention
Soon-Woo Park
Journal of the Korean Medical Association.2011; 54(10): 1036. CrossRef
The Patterns and Risk Factors of Smoking Relapse among People Successful in Smoking Cessation at the Smoking Cessation Clinics of Public Health Centers
Yi Soon Kim, Yun Hee Kim
Journal of Korean Academy of Community Health Nursing.2011; 22(4): 365. CrossRef
Factors Associated with Relapse to Smoking Behavior Using Health Belief Model
Hee-Suk Kim, Sang-Soo Bae
Journal of agricultural medicine and community health.2011; 36(2): 87. CrossRef
A Longitudinal Study on the Causal Association Between Smoking and Depression
Eunjeong Kang, Jaehee Lee
Journal of Preventive Medicine and Public Health.2010; 43(3): 193. CrossRef

Nutritional Status and the Characteristics Related to Malnutrition in Children Under Five Years of Age in Nghean, Vietnam.: Nguyen Ngoc Hien, Sin Kam; J Prev Med Public Health. 2008;41(4):232-240.; DOI: https://doi.org/10.3961/jpmph.2008.41.4.232

11,117 View
798 Download
98 Crossref

Abstract PDF

OBJECTIVES
This study was conducted to assess the nutritional status and characteristics related to malnutrition in children less than five years of age in Nghean, Vietnam. METHODS: In this study, which was conducted in November 2007, 650 child-mother pairs were selected using a two-stage cluster sampling methodology. A structured questionnaire was then administered to the mothers in their home settings. Anthropometric measurement was then used to determine if children were underweight (weight-for-age), wasting (weight-for-height) and stunting (height-for-age) based on reference data from the National Center for Health Statistics (NCHS)/World Health Organization (WHO). Logistic regression analysis was then used to describe the hierarchical relationships between potential risk factors and malnutrition. RESULTS: The mean Z-scores for weight-for-age, heightfor-age and weight-for-height were -1.46 (95% CI=-1.57, -1.35), -1.44 (95% CI=-1.56, -1.32) and -0.71 (95% CI=-0.82, -0.60), respectively. Of the children included in this study, 193 (31.8%) were underweight, 269 (44.3%) were stunting and 72 (11.9%) were wasting. Region of residence, the mother's level of education and occupation, household size, number of children in the family, weight at birth and duration of exclusive breastfeeding were found to be significantly related to malnutrition. CONCLUSIONS: The findings of this study indicate that malnutrition is still an important problem among children less than five years of age in Nghean, Vietnam. In addition, maternal, socio-economic and environment factors were found to be significant factors for malnutrition among children under five.

Summary

Citations

Citations to this article as recorded by

Associated factors of malnutrition status among children and adolescents living with HIV in Tanzania: Individual-level analysis and marginal effect estimation
Samuel Chacha, Jing Hui, Teng Yuxin, Wang Ziping, Huang Yan, Saumu Ali, Wahida Abeid, William Dominick, Emmanuel Malimu, Florian Emanuel, Saidi Saidi, Deogratias Lyimo, Veronica Mwanyika, Elfrida Kumalija, Shaonong Dang
International Journal of STD & AIDS.2024; 35(2): 136. CrossRef
Adolescent pregnancy is associated with child undernutrition: Systematic review and meta‐analysis
Caroline Welch, Christopher K. Wong, Natasha Lelijveld, Marko Kerac, Stephanie V. Wrottesley
Maternal & Child Nutrition.2024;[Epub] CrossRef
Factors associated with stunting status among under-5 years children in Bangladesh: Quantile regression modelling approach
Mashfiqul Huq Chowdhury, Mst. Farjana Aktar, Md. Akhtarul Islam, Noor Muhammad Khan
Children and Youth Services Review.2023; 155: 107199. CrossRef
Evaluation of Albumin and Ischemia Modified Albumin Levels in Children with Acute Malnutrition
Ahmet GÜZELÇİÇEK, Mahmut DEMİR, Abdullah SOLMAZ, Hüseyin GÜMÜŞ, Adnan KİRMİT
Harran Üniversitesi Tıp Fakültesi Dergisi.2023; 20(1): 190. CrossRef
Modeling of Risk Factors of Childhood Stunting Cases in Malang Regency using Geographically Weighted Regression (GWR)
Muhamad Anismuslim, Henny Pramoedyo, Sri Andarini, . Sudarto
The Open Public Health Journal.2023;[Epub] CrossRef
Trend of risk and correlates of under-five child undernutrition in Bangladesh: an analysis based on Bangladesh Demographic and Health Survey data, 2007–2017/2018
Md Tahidur Rahman, Md Jahangir Alam, Noyon Ahmed, Dulal Chandra Roy, Papia Sultana
BMJ Open.2023; 13(6): e070480. CrossRef
Evaluation of malnutrition and screening tools in hospitalized children
Meryem Elif Öztürk, Nurcan Yabancı Ayhan
Clinical Nutrition ESPEN.2023; 57: 770. CrossRef
Exploring the paradox of Muslim advantage in undernutrition among under-5 children in India: a decomposition analysis
Shreya Banerjee, Shirisha P.
BMC Pediatrics.2023;[Epub] CrossRef
Preliminary exploration of the use of the Children’s Eating Behaviour Questionnaire (CEBQ) and Feeding Practices and Structure Questionnaire (FPSQ) in Vietnamese mothers
S. Ayre, D. Gallegos, S. Nambiar, C. Q. Tran, D. N. Do, E. Jansen
European Journal of Clinical Nutrition.2022; 76(3): 442. CrossRef
Determinants of malnutrition among children: A systematic review
Om Raj Katoch
Nutrition.2022; 96: 111565. CrossRef
Maternal Underweight and Its Association with Composite Index of Anthropometric Failure among Children under Two Years of Age with Diarrhea in Bangladesh
Rina Das, Md Farhad Kabir, Per Ashorn, Jonathon Simon, Mohammod Jobayer Chisti, Tahmeed Ahmed
Nutrients.2022; 14(9): 1935. CrossRef
Spatial variation and determinants of underweight among children under 5 y of age in Ethiopia: A multilevel and spatial analysis based on data from the 2019 Ethiopian Demographic and Health Survey
Mohammed Seid Ali, Tewodros Getaneh Alemu, Masresha Asmare Techane, Chalachew Adugna Wubneh, Nega Tezera Assimamaw, Getaneh Mulualem Belay, Tadesse Tarik Tamir, Addis Bilal Muhye, Destaye Guadie Kassie, Amare Wondim, Bewuketu Terefe, Bethelihem Tigabu Tar
Nutrition.2022; 102: 111743. CrossRef
Nutritional status and related factors among ethnic preschool children in Northern Thailand: a cross-sectional study
Jantip Janpeang, Chatmongkon Suwannapoom, Natnaree Anukunwathaka
Child Health Nursing Research.2022; 28(3): 176. CrossRef
Magnitude of under-nutrition among under five children in Ethiopia based on 2019 Mini-Ethiopia Demographic and Health Survey: Generalized Linear Mixed Model (GLMM)
Temam Beshir Raru, Galana Mamo Ayana, Bedasa Taye Merga, Belay Negash, Alemayehu Deressa, Abdi Birhanu, Fila Ahmed Hassen, Kedir Teji Roba
BMC Nutrition.2022;[Epub] CrossRef
Determinants of nutritional status during the first 1000 days of life in Lebanon: Sex of the child matters
Rana F. Chehab, Lara Nasreddine, Michele R. Forman
Paediatric and Perinatal Epidemiology.2021; 35(4): 501. CrossRef
Nutritional status of school children living in Northern part of Sri Lanka
M. G. Sathiadas, Annieston Antonyraja, Arunath Viswalingam, Kasthuri Thangaraja, V. P. Wickramasinghe
BMC Pediatrics.2021;[Epub] CrossRef
Identifying climatic and non-climatic determinants of malnutrition prevalence in Bangladesh: A country-wide cross-sectional spatial analysis
Sifat E Rabbi, Mohammad Ali, Luis C. Costa, Prajal Pradhan, Atiya Rahman, Fakir Md Yunus, Jürgen P. Kropp
Spatial and Spatio-temporal Epidemiology.2021; 37: 100422. CrossRef
Modeling non-Gaussian data analysis on determinants of underweight among under five children in rural Ethiopia: Ethiopian demographic and health survey 2016 evidences
Sara Abera Bekele, Moges Zerihun Fetene, Srinivas Goli
PLOS ONE.2021; 16(5): e0251239. CrossRef
The determinants of under-5 age children malnutrition and the differences in the distribution of stunting–A study from Armenia
Pavitra Paul, Bhanu Arra, Mihran Hakobyan, Marine G. Hovhannisyan, Jussi Kauhanen, Kannan Navaneetham
PLOS ONE.2021; 16(5): e0249776. CrossRef
Exclusive History Of Asi With Stunting Events In A Childhood
Elma Nur Alfian, Cholifah
Academia Open.2021;[Epub] CrossRef
Rural and Urban Correlates of Stunting Among Under-Five Children in Sierra Leone: A 2019 Nationwide Cross-Sectional Survey
Quraish Sserwanja, Kassim Kamara, Linet M Mutisya, Milton W Musaba, Shirin Ziaei
Nutrition and Metabolic Insights.2021; 14: 117863882110470. CrossRef
Nutrition status and inequality among children in different geographical regions of Maharashtra, India
Rushikesh P. Khadse, Himanshu Chaurasia
Clinical Epidemiology and Global Health.2020; 8(1): 128. CrossRef
Inequality of childhood undernutrition in Bangladesh: A decomposition approach
Abdur Razzaque Sarker, Marufa Sultana, Nurnabi Sheikh, Raisul Akram, Nausad Ali, Rashidul Alam Mahumud, Khorshed Alam, Alec Morton
The International Journal of Health Planning and Management.2020; 35(2): 441. CrossRef
Childhood malnutrition within the indigenous Wayuú children of northern Colombia
Eric A. Russell, Cristhian Daza Atehortua, Suzanna L. Attia, Alicia E. Genisca, Arnaldo Palomino Rodriguez, Andrew Headrick, Lina Solano, Elizabeth A. Camp, Ana María Galvis, Heather L. Crouse, James A. Thomas
Global Public Health.2020; 15(6): 905. CrossRef
Smartphone-Based Maternal Education for the Complementary Feeding of Undernourished Children Under 3 Years of Age in Food-Secure Communities: Randomised Controlled Trial in Urmia, Iran
Navisa Seyyedi, Bahlol Rahimi, Hamid Reza Farrokh Eslamlou, Hadi Lotfnezhad Afshar, Armin Spreco, Toomas Timpka
Nutrients.2020; 12(2): 587. CrossRef
An assessment of nutritional status in children of rural, northern KwaZulu-Natal province
Kelly R. Gate, Nompumelelo G. Mfeka-Nkabinde, Kantharuben Naidoo
South African Family Practice.2020;[Epub] CrossRef
Malnutrition status of children under 5 years in Bangladesh: A sociodemographic assessment
Sorif Hossain, Promit Barua Chowdhury, Raaj Kishore Biswas, Md. Amir Hossain
Children and Youth Services Review.2020; 117: 105291. CrossRef
Factors associated with child malnutrition in mountainous ethnic minority communities in Lao PDR
Sayvisene Boulom, Dirk R. Essink, Myung-Hee Kang, Sengchanh Kounnavong, Jacqueline E.W. Broerse
Global Health Action.2020; 13(sup2): 1785736. CrossRef
Dietary consumption and its effect on nutrition outcome among under-five children in rural Malawi
Kennedy Machira, Tobias Chirwa, William Joe
PLOS ONE.2020; 15(9): e0237139. CrossRef
Electrolyte Imbalance in Children With Severe Acute Malnutrition at a Tertiary Care Hospital in Pakistan: A Cross-Sectional Study
Mohammad Raza, Sohail Kumar, Muzamil Ejaz, Dua Azim, Saad Azizullah, Azhar Hussain
Cureus.2020;[Epub] CrossRef
Statistical Modeling of Determinants of Anemia Prevalence among Children Aged 6–59 Months in Nigeria: A Cross-Sectional Study
Ropo Ebenezer Ogunsakin, Bayowa Teniola Babalola, Oludare Akinyemi, Duran Canatan
Anemia.2020; 2020: 1. CrossRef
Risk Factors Associated with Malnutrition among Children Under-Five Years in Sub-Saharan African Countries: A Scoping Review
Phillips Edomwonyi Obasohan, Stephen J. Walters, Richard Jacques, Khaled Khatab
International Journal of Environmental Research and Public Health.2020; 17(23): 8782. CrossRef
Prevalence of Stunting and Its Associated Factors Among Children Aged 6–59 Months in Angolela Tera District, Northeast Ethiopia
Leweyehu Alemaw Mengiste, Yoseph Worku, Yared Asmare Aynalem, Wondimeneh Shibabaw Shiferaw
Nutrition and Dietary Supplements.2020; Volume 12: 311. CrossRef
Assessment of growth and development of under five children as per new WHO child growth standards
Geetanjli Kalyan, Jyoti Sarin, Virpal Kaur, Gurinder Singh, Amritpal Kaur
IP Journal of Paediatrics and Nursing Science.2020; 3(3): 73. CrossRef
Pengaruh Pemberian Asi Ekslusif Dengan Kejadian Stunting Di Desa Haekto Kabupaten Timor Tengah Utara Provinsi Nusa Tenggara Timur
Daeng Agus Vieya Putri, Tanti Susanti Lake
Judika (Jurnal Nusantara Medika).2020; 4(2): 67. CrossRef
Food security is not the only solution to prevent under-nutrition among 6–59 months old children in Western Amhara region, Ethiopia
Yeshalem Mulugeta Demilew, Abiot Tefera Alem
BMC Pediatrics.2019;[Epub] CrossRef
A qualitative exploration of factors affecting mothers of malnourished children under 5 years old in Kiribati
Antje Reiher, Masoud Mohammadnezhad
F1000Research.2019; 8: 83. CrossRef
Mobile phone applications to overcome malnutrition among preschoolers: a systematic review
Navisa Seyyedi, Bahlol Rahimi, Hamid Reza Farrokh Eslamlou, Toomas Timpka, Hadi Lotfnezhad Afshar
BMC Medical Informatics and Decision Making.2019;[Epub] CrossRef
A qualitative exploration of behavioral factors affecting mothers of malnourished children under 5 years old in Kiribati
Antje Reiher, Masoud Mohammadnezhad
F1000Research.2019; 8: 83. CrossRef
Predictive Model for the Risk of Severe Acute Malnutrition in Children
Olivier Mukuku, Augustin Mulangu Mutombo, Lewis Kipili Kamona, Toni Kasole Lubala, Paul Makan Mawaw, Michel Ntetani Aloni, Stanislas Okitotsho Wembonyama, Oscar Numbi Luboya
Journal of Nutrition and Metabolism.2019; 2019: 1. CrossRef
Determinants of stunting among children aged 0–59 months in Nepal: findings from Nepal Demographic and health Survey, 2006, 2011, and 2016
Ramesh P. Adhikari, Manisha Laxmi Shrestha, Ajay Acharya, Nawaraj Upadhaya
BMC Nutrition.2019;[Epub] CrossRef
Prevalence and associated factors of chronic undernutrition among under five children in Adama town, Central Ethiopia: a cross-sectional study design
Jalane Mekonen, Samrawit Addisu, Hussen Mekonnen
BMC Research Notes.2019;[Epub] CrossRef
Correlates of stunting among under-five children in Bangladesh: a multilevel approach
Papia Sultana, Md. Mahfuzur Rahman, Jahanara Akter
BMC Nutrition.2019;[Epub] CrossRef
Child Malnutrition in Indonesia: Can Education, Sanitation and Healthcare Augment the Role of Income?
Indunil De Silva, Sudarno Sumarto
Journal of International Development.2018; 30(5): 837. CrossRef
Dietary and nondietary determinants of nutritional status among adolescent girls and adult women in India
Madhari S. Radhika, Boddula Swetha, B. Naveen Kumar, N. Bala Krishna, Avula Laxmaiah
Annals of the New York Academy of Sciences.2018; 1416(1): 5. CrossRef
Associations between feeding practices and growth and neurodevelopmental outcomes at 36 months among children living in low- and low-middle income countries who participated in the BRAIN-HIT trial
Barbara T. Do, Nellie I. Hansen, Carla Bann, Rebecca L. Lander, Shivaprasad S. Goudar, Omrana Pasha, Elwyn Chomba, Sangappa M. Dhaded, Vanessa R. Thorsten, Jan L. Wallander, Fred J. Biasini, Richard Derman, Robert L. Goldenberg, Waldemar A. Carlo
BMC Nutrition.2018;[Epub] CrossRef
Individual and household risk factors of severe acute malnutrition among under-five children in Mao, Chad: a matched case-control study
Jovana Dodos, Chiara Altare, Mahamat Bechir, Mark Myatt, Brigitte Pedro, Francois Bellet, Jean Lapegue, Joachim Peeters, Mathias Altmann
Archives of Public Health.2018;[Epub] CrossRef
Prevalence and Determinants of Stunting Among Preschool Children and Its Urban–Rural Disparities in Bangladesh
Raisul Akram, Marufa Sultana, Nausad Ali, Nurnabi Sheikh, Abdur Razzaque Sarker
Food and Nutrition Bulletin.2018; 39(4): 521. CrossRef
Different forms of malnutrition among under five children in Bangladesh: a cross sectional study on prevalence and determinants
Sunanda Das, Jahida Gulshan
BMC Nutrition.2017;[Epub] CrossRef
Child, maternal and household-level correlates of nutritional status: a cross-sectional study among young Samoan children
Courtney C Choy, Mayur M Desai, Jennifer J Park, Elizabeth A Frame, Avery A Thompson, Take Naseri, Muagututia S Reupena, Rachel L Duckham, Nicole C Deziel, Nicola L Hawley
Public Health Nutrition.2017; 20(7): 1235. CrossRef
Household Food Insecurity and Its Association with Nutritional Status of Children 6–59 Months of Age in East Badawacho District, South Ethiopia
Bealu Betebo, Tekle Ejajo, Fissahaye Alemseged, Desalegn Massa
Journal of Environmental and Public Health.2017; 2017: 1. CrossRef
Child wasting is a severe public health problem in the predominantly rural population of Ethiopia: A community based cross–sectional study
Amare Tariku, Gashaw Andargie Bikis, Haile Woldie, Molla Mesele Wassie, Abebaw Gebeyehu Worku
Archives of Public Health.2017;[Epub] CrossRef
Magnitude and predictors of undernutrition among children aged six to fifty nine months in Ethiopia: a cross sectional study
Hiwot Darsene, Ayele Geleto, Abebaw Gebeyehu, Solomon Meseret
Archives of Public Health.2017;[Epub] CrossRef
Associations among anthropometric measures, food consumption, and quality of life in school-age children in Tanzania
Mayumi Ohnishi, Sebalada Leshabari, Joel Seme Ambikile, Kazuyo Oishi, Yuko Nakao, Mika Nishihara
Journal of Rural Medicine.2017; 12(1): 38. CrossRef
Care and not wealth is a predictor of wasting and stunting of ‘The Coffee Kids’ of Jimma Zone, southwest Ethiopia
Kalkidan Hassen Abate, Tefera Belachew
Nutrition and Health.2017; 23(3): 193. CrossRef
Determinants of Acute Malnutrition among Children Aged 6–59 Months in Public Health Facilities of Pastoralist Community, Afar Region, Northeast Ethiopia: A Case Control Study
Anwar Seid, Berhanu Seyoum, Firehiwot Mesfin
Journal of Nutrition and Metabolism.2017; 2017: 1. CrossRef
Investigation of Nutritional Status of Children based on Machine Learning Techniques using Indian Demographic and Health Survey Data
Sangita Khare, S Kavyashree, Deepa Gupta, Amalendu Jyotishi
Procedia Computer Science.2017; 115: 338. CrossRef
Malnutrition and Morbidity Profile of Under Five Children: A Cross-Sectional Scenario in a Rural Area of Bangladesh
Sumon Chandra Debnath
MOJ Public Health.2017;[Epub] CrossRef
Hubungan Riwayat Penyakit Diare dan Praktik Higiene dengan Kejadian Stunting pada Balita Usia 24-59 Bulan di Wilayah Kerja Puskesmas Simolawang, Surabaya
Chamilia Desyanti, Triska Susila Nindya
Amerta Nutrition.2017; 1(3): 243. CrossRef
Risk Factors for Child Malnutrition in Bangladesh: A Multilevel Analysis of a Nationwide Population-Based Survey
Mohammad Rocky Khan Chowdhury, Mohammad Shafiur Rahman, Mohammad Mubarak Hossain Khan, Mohammad Nazrul Islam Mondal, Mohammad Mosiur Rahman, Baki Billah
The Journal of Pediatrics.2016; 172: 194. CrossRef
Nutritional status of children 0–59 months in selected intervention communities in northern Ghana from the africa RISING project in 2012
Mary Glover-Amengor, Isaac Agbemafle, Lynda Larmkie Hagan, Frank Peget Mboom, Gladys Gamor, Asamoah Larbi, Irmgard Hoeschle-Zeledon
Archives of Public Health.2016;[Epub] CrossRef
Malnutrion and Associated Factors of Aboriginal Preschoolers in Gua Musang, Kelantan, Malaysia
Oui Pek Geik, Razalee Sedek, Ahmad Faris Awang
Pakistan Journal of Nutrition.2016; 15(2): 133. CrossRef
The role of mother’s education in the nutritional status of children in Serbia
Zeljka Stamenkovic, Bosiljka Djikanovic, Ulrich Laaser, Vesna Bjegovic-Mikanovic
Public Health Nutrition.2016; 19(15): 2734. CrossRef
The use of massive transfusion protocol for trauma and non-trauma patients in a civilian setting: what can be done better?
R Wijaya, HM Cheng, CK Chong
Singapore Medical Journal.2016; 57(05): 238. CrossRef
Undernutrition and associated factors among children aged 6-59 months in East Belesa District, northwest Ethiopia: a community based cross-sectional study
Wagaye Fentahun, Mamo Wubshet, Amare Tariku
BMC Public Health.2016;[Epub] CrossRef
Acute and chronic malnutrition and their predictors in children aged 0–5 years in São Tomé: a cross-sectional, population-based study
A. Valente, D. Silva, E. Neves, F. Almeida, J.L. Cruz, C.C. Dias, A. da Costa-Pereira, A. Caldas-Afonso, A. Guerra
Public Health.2016; 140: 91. CrossRef
Prevalence and Predictors of Malnutrition among Guatemalan Children at 2 Years of Age
Jason M. Nagata, James Gippetti, Stefan Wager, Alejandro Chavez, Paul H. Wise, Abelardo I Aguilera
PLOS ONE.2016; 11(11): e0164772. CrossRef
Trends in socioeconomic inequalities in child malnutrition in Vietnam: findings from the Multiple Indicator Cluster Surveys, 2000–2011
Vu Duy Kien, Hwa-Young Lee, You-Seon Nam, Juhwan Oh, Kim Bao Giang, Hoang Van Minh
Global Health Action.2016; 9(1): 29263. CrossRef
Prevalence and risk factors for stunting and severe stunting among children under three years old in mid‐western rural areas of China
Y. Jiang, X. Su, C. Wang, L. Zhang, X. Zhang, L. Wang, Y. Cui
Child: Care, Health and Development.2015; 41(1): 45. CrossRef
Exclusive breastfeeding duration during the first 6 months of life is positively associated with length-for-age among infants 6–12 months old, in Mangochi district, Malawi
P Kamudoni, K Maleta, Z Shi, G Holmboe-Ottesen
European Journal of Clinical Nutrition.2015; 69(1): 96. CrossRef
The social context of severe child malnutrition: a qualitative household case study from a rural area of the Democratic Republic of Congo
Hallgeir Kismul, Anne Hatløy, Peter Andersen, Mala Mapatano, Jan Van den Broeck, Karen Marie Moland
International Journal for Equity in Health.2015;[Epub] CrossRef
Nutritional status among boys and girls of a central Indian Town (Sagar)
Rachna Thakur, Rajesh K. Gautam
Anthropological Review.2015; 78(2): 197. CrossRef
Determinants of stunting and severe stunting among under-fives in Tanzania: evidence from the 2010 cross-sectional household survey
Lulu Chirande, Deborah Charwe, Hadijah Mbwana, Rose Victor, Sabas Kimboka, Abukari Ibrahim Issaka, Surinder K. Baines, Michael J. Dibley, Kingsley Emwinyore Agho
BMC Pediatrics.2015;[Epub] CrossRef
Gender perceptions predict sex differences in growth patterns of indigenous Guatemalan infants and young children
Alison Tumilowicz, Jean-Pierre Habicht, Gretel Pelto, David L Pelletier
The American Journal of Clinical Nutrition.2015; 102(5): 1249. CrossRef
Predictors of acute undernutrition among children aged 6 to 36 months in east rural Ethiopia: a community based nested case - control study
Gudina Egata, Yemane Berhane, Alemayehu Worku
BMC Pediatrics.2014;[Epub] CrossRef
The relationship between BMI and dietary intake of primary school children from a rural area of South Africa: The Ellisras longitudinal study
C. Van Den Ende, J.W.R. Twisk, K.D. Monyeki
American Journal of Human Biology.2014; 26(5): 701. CrossRef
Determinants of stunting and severe stunting among under-fives: evidence from the 2011 Nepal Demographic and Health Survey
Rina Tiwari, Lynne M Ausman, Kingsley Emwinyore Agho
BMC Pediatrics.2014;[Epub] CrossRef
Risk factors of malnutrition among preschool children in Terengganu, Malaysia: a case control study
Hui Jie Wong, Foong Ming Moy, Sulochana Nair
BMC Public Health.2014;[Epub] CrossRef
Individual and contextual factors associated with childhood stunting in Nigeria: a multilevel analysis
Victor T. Adekanmbi, Gbenga A. Kayode, Olalekan A. Uthman
Maternal & Child Nutrition.2013; 9(2): 244. CrossRef
Predictors of the number of under-five malnourished children in Bangladesh: application of the generalized poisson regression model
Mohammad Mafijul Islam, Morshed Alam, Md Tariquzaman, Mohammad Alamgir Kabir, Rokhsona Pervin, Munni Begum, Md Mobarak Hossain Khan
BMC Public Health.2013;[Epub] CrossRef
Nutritional Practices among Ethnic Minorities and Child Malnutrition in Mountainous Areas of Central Vietnam
Le Thi Huong, Vu Thi Thu Nga
Food and Nutrition Sciences.2013; 04(01): 82. CrossRef
Understanding Child Stunting in India: A Comprehensive Analysis of Socio-Economic, Nutritional and Environmental Determinants Using Additive Quantile Regression
Nora Fenske, Jacob Burns, Torsten Hothorn, Eva A. Rehfuess, Zulfiqar A. Bhutta
PLoS ONE.2013; 8(11): e78692. CrossRef
Prevalence and Determinants of Undernutrition and its Trends among Pre-School Tribal Children of Maharashtra State, India
I. I. Meshram, N. Arlappa, N. Balakrishna, A. Laxmaiah, K. Mallikarjun Rao, C. Gal Reddy, M. Ravindranath, S. Sharad Kumar, G. N. V. Brahmam
Journal of Tropical Pediatrics.2012; 58(2): 125. CrossRef
Maternal Exposure to Intimate Partner Violence and the Risk of Undernutrition Among Children Younger Than 5 Years in Bangladesh
Mosiur Rahman, Krishna C. Poudel, Junko Yasuoka, Keiko Otsuka, Kayoko Yoshikawa, Masamine Jimba
American Journal of Public Health.2012; 102(7): 1336. CrossRef
Effect of mother’s education on child’s nutritional status in the slums of Nairobi
Benta A Abuya, James Ciera, Elizabeth Kimani-Murage
BMC Pediatrics.2012;[Epub] CrossRef
Socio-economic and demographic factors affecting the Composite Index of Anthropometric Failure (CIAF)
Jaydip Sen, Nitish Mondal
Annals of Human Biology.2012; 39(2): 129. CrossRef
Home Gardening Is Associated with Filipino Preschool Children's Dietary Diversity
Aegina B. Cabalda, Pura Rayco-Solon, Juan Antonio A. Solon, Florentino S. Solon
Journal of the American Dietetic Association.2011; 111(5): 711. CrossRef
Nutritional status and HIV in rural South African children
Elizabeth W Kimani-Murage, Shane A Norris, John M Pettifor, Stephen M Tollman, Kerstin Klipstein-Grobusch, Xavier F Gómez-Olivé, David B Dunger, Kathleen Kahn
BMC Pediatrics.2011;[Epub] CrossRef
Maternal Autonomy and Low Birth Weight in India
Priyanka Chakraborty, Alex K. Anderson
Journal of Women's Health.2011; 20(9): 1373. CrossRef
Food Security and Nutritional Outcomes among Urban Poor Orphans in Nairobi, Kenya
Elizabeth W. Kimani-Murage, Penny A. Holding, Jean-Christophe Fotso, Alex C. Ezeh, Nyovani J. Madise, Elizabeth N. Kahurani, Eliya M. Zulu
Journal of Urban Health.2011; 88(S2): 282. CrossRef
Vitamins and minerals for women: recent programs and intervention trials
Ted Greiner
Nutrition Research and Practice.2011; 5(1): 3. CrossRef
Meat Consumption is Associated with Less Stunting among Toddlers in Four Diverse Low-Income Settings
Nancy F. Krebs, Manolo Mazariegos, Antoinette Tshefu, Carl Bose, Neelofar Sami, Elwyn Chomba, Waldemar Carlo, Norman Goco, Mark Kindem, Linda L. Wright, K. Michael Hambidge
Food and Nutrition Bulletin.2011; 32(3): 185. CrossRef
Prevalence of undernutrition among children (5–12 years) belonging to three communities residing in a similar habitat in North Bengal, India
Nitish Mondal, Jaydip Sen
Annals of Human Biology.2010; 37(2): 199. CrossRef
Prevalence and predictors of undernutrition among infants aged six and twelve months in Butajira, Ethiopia: The P-MaMiE Birth Cohort
Girmay Medhin, Charlotte Hanlon, Michael Dewey, Atalay Alem, Fikru Tesfaye, Bogale Worku, Mark Tomlinson, Martin Prince
BMC Public Health.2010;[Epub] CrossRef
Risk factors for childhood malnutrition in Roma settlements in Serbia
Teresa Janevic, Oliver Petrovic, Ivana Bjelic, Amber Kubera
BMC Public Health.2010;[Epub] CrossRef
Malaria and Under-Nutrition: A Community Based Study Among Under-Five Children at Risk of Malaria, South-West Ethiopia
Amare Deribew, Fessehaye Alemseged, Fasil Tessema, Lelisa Sena, Zewdie Birhanu, Ahmed Zeynudin, Morankar Sudhakar, Nasir Abdo, Kebede Deribe, Sibhatu Biadgilign, Qamaruddin Nizami
PLoS ONE.2010; 5(5): e10775. CrossRef
Nutritional status, feeding practice and incidence of infectious diseases among children aged 6 to 18 months in northern mountainous Vietnam
Masayo Nakamori, Nguyen Xuan Ninh, Nguyen Cong Khan, Cao Thu Huong, Nguyen Anh Tuan, Le Bach Mai, Vu Thi Thu Hien, Bui Thi Nhung, Takashi Nakano, Nobuo Yoshiike, Kaoru Kusama, Shigeru Yamamoto
The Journal of Medical Investigation.2010; 57(1,2): 45. CrossRef
Parental BMI and Childhood Undernutrition in India: An Assessment of Intrauterine Influence
S. V. Subramanian, Leland K. Ackerson, George Davey Smith
Pediatrics.2010; 126(3): e663. CrossRef

The Levels of Psychosocial Stress, Job Stress and Related Factors of Medical Doctors Practicing at Local Clinics.: Moon Kuk Kang, Yune Sik Kang, Jang Rak Kim, Baek Geun Jeong, Ki Soo Park, Sin Kam, Dae Yong Hong; J Prev Med Public Health. 2007;40(2):177-184.; DOI: https://doi.org/10.3961/jpmph.2007.40.2.177

5,279 View
60 Download
10 Crossref

Abstract PDF

OBJECTIVES
This study was conducted to investigate the levels of psychosocial stress, job stress and their related factors among medical doctors practicing at local clinics. METHODS: A survey using a self administered questionnaire was administered to 1,456 doctors practicing at private clinics via post for 2 months (2006. 1 - 2006. 3). Psychosocial stress, job stress,demographic factors, job related factors and health related behaviors were investigated. Among the eligible study population, the respondents were 428 doctors (29.4%). RESULTS: The average scores of psychosocial stress and job stress were 2.19 and 3.13, respectively. The levels of psychosocial stress and job stress were statistically lower in older respondents, those who worked shorter or who were more satisfied with their job, and those with higher socioeconomic status. The level of psychosocial stress was related with smoking status, drinking status and exercise. The level of job stress was related with smoking status and exercise. In multiple linear regression analysis using psychosocial stress as a dependent variable, age, working hours per day, job satisfaction and perception on socioeconomic status were significant independent variables. In analysis using job stress as a dependent variable, age, working hours per day and job satisfaction were significant independent variables. CONCLUSIONS: Stress affects the doctor-patient relationship, productivity and overall health level of people. Therefore, it is important to manage and relieve the stress of doctors. It is suggested that more advanced studies on stress level and related factors and ways to improve the stress and health related behaviors of medical doctors should be conducted.

Summary

Citations

Citations to this article as recorded by

A Preliminary Study About Occupational Stress and Career Satisfaction of Korean Psychiatrists
Dae yong Sim, Jong Hyuk Choi, Yeong Gi Kyeon
Journal of Korean Neuropsychiatric Association.2022; 61(1): 28. CrossRef
Work–Life Conflict and Its Health Effects on Korean Gastroenterologists According to Age and Sex
Eun Sun Jang, Seon Mee Park, Young Sook Park, Jong Chan Lee, Nayoung Kim
Digestive Diseases and Sciences.2020; 65(1): 86. CrossRef
The effect of mindfulness in motion-based trainings on resiliency, emotion regulation, and job stress
Mohammad Taghi Movassagh, Nasrin Arshadi, Soodabeh Bassaknejad, Kiomars Beshlideh
Journal of Occupational Health and Epidemiology.2019; 8(1): 49. CrossRef
Relationship of Sleep Quality, Physical Stress, Psychological Stress, and Job Stress among Residents
So-Young Yoo, Young-Ah Choi, Young-Kyu Park, Sung-Min Cho, Kyung-Shik Lee, Ga-Young Joo, Hyun Keun Lee
Korean Journal of Health Promotion.2017; 17(1): 9. CrossRef
Correlation of occupational stress with depression, anxiety, and sleep in Korean dentists: cross-sectional study
Kyung-Won Song, Won-Seok Choi, Hee-Jung Jee, Chi-Sung Yuh, Yong-Ku Kim, Leen Kim, Heon-Jeong Lee, Chul-Hyun Cho
BMC Psychiatry.2017;[Epub] CrossRef
Relationship between occupational stress and depressive mood among interns and residents in a tertiary hospital, Seoul, Korea
Keon Kim, Sunhwa Lee, Yoon Hee Choi
Clinical and Experimental Emergency Medicine.2015; 2(2): 117. CrossRef
Stress management and mind-body medicine: focusing on relaxation and meditation
Yune Sik Kang
Journal of the Korean Medical Association.2011; 54(3): 284. CrossRef
Mind-Body Approach in the Area of Preventive Medicine: Focusing on Relaxation and Meditation for Stress Management
Yunesik Kang
Journal of Preventive Medicine and Public Health.2010; 43(5): 445. CrossRef
The Work Related Psychosocial Factor and Disease among Health Professional
Sang Baek Koh
Journal of the Korean Medical Association.2010; 53(6): 467. CrossRef
Job Satisfaction, Subjective Class Identification and Associated Factors of Professional Socialization in Korean Physicians
Hyung-Gon Yoon, Seok-Jun Yoon, In-Kyoung Hwang, Yeong-Bae Mun, Hee-Young Lee
Journal of Preventive Medicine and Public Health.2008; 41(1): 30. CrossRef

Factors Affecting Re-smoking in Male Workers.: Jin Hoon Yang, Hee Sook Ha, Sin Kam, Ji Seun Lim, Yune Sik Kang, Duk Hee Lee, Byung Yeol Chun; J Prev Med Public Health. 2005;38(2):208-214.

2,358 View
49 Download

Abstract PDF: OBJECTIVES
This study was performed to examine the factors affecting re-smoking in male workers. METHODS: A self-administrated questionnaire survey was conducted during April 2003 to examine the smoking state of 1, 154 employees of a company that launched a smoking cessation campaign in1998. Five hundred and eighty seven persons, who had stopped smoking for at least one week, were selected as the final study subjects. This study collected data on smoking cessation success or failure for 6 months, and looked at the factors having an effect on resmoking within this period. This study employed the Health Belief Model as its theoretical basis. RESULTS: The re-smoking rate of the 587 study subjects who had stopped smoking for at least one week was 44.8% within the 6 month period. In a simple analysis, the resmoking rates were higher in workers with a low age, on day and night shifts, blue collar, of a low rank, where this was their second attempt at smoking cessation and for those with a shorter job duration (p< 0.05). Of the cues to action variables in the Heath Belief Model, re-smoking was significantly related with the perceived susceptibility factor, economic advantages of smoking cessation among the perceived benefits factor, the degree of cessation trial's barrier of the perceived barriers factor, smoking symptom experience, recognition of the degree of harmfulness of environmental tobacco smoke and the existence of chronic disease due to smoking (p< 0.05). In the multiple logistic regression analysis for re-smoking, the significant variables were age, perceived susceptibility for disease, economic advantages due to smoking cessation, the perceived barrier for smoking cessation, recognition on the degree of harmfulness of environmental tobacco smoke, the existence of chronic disease due to smoking and the number of attempts at smoking cessation (p< 0.05). CONCLUSION: From the result of this study, for an effective smoking ban policy within the work place, health education that improves the knowledge of the adverse health effects of smoking and the harmfulness of environmental tobacco smoke will be required, as well as counter plans to reduce the barriers for smoking cessation.; Summary

The Association between Serum GGT Level within Normal Range and Risk Factors of Cardiovascular Diseases.: Ji Seun Lim, Yu Jin Kim, Byung Yeol Chun, Jin Hoon Yang, Duk Hee Lee, Sin Kam; J Prev Med Public Health. 2005;38(1):101-106.

2,499 View
57 Download

Abstract PDF: OBJECTIVES
We conducted this study to examine the association between serum GGT levels within the normal range and the risk factors of cardiovascular diseases METHODS: We examined the cross-sectional association between serum GGT and the systolic and diastolic blood pressure, fasting blood glucose, total cholesterol, triglyceride, high density lipoprotein cholesterol (HDL-cholesterol), and uric acid among 975 subjects that participated in the health examination of a university hospital located in Daegu city. All the patients' GGT levels were within the normal range. RESULTS: After adjustment were made for age, body mass index (BMI), smoking status, drinking frequency, exercise frequency and coffee intake, the serum GGT level was positively associated with fasting blood glucose (p< 0.01), total cholesterol (p< 0.01), and triglyceride (p< 0.01) in men, and it was positively associated with fasting blood glucose (p< 0.01), total cholesterol (p< 0.05), triglyceride (p< 0.01), and uric acid (p< 0.01) in women. The associations were not significantly different depending on the status of alcohol drinking or obesity, except for the associations of serum GGT with diastolic blood pressure (P for interaction=0.04) and uric acid (P for interaction=0.04) between the lean and obese subjects. CONCLUSIONS: Serum GGT levels within the normal range were positively associated with fasting blood glucose, triglyceride and uric acid in most subgroups irrespective of the drinking or obesity status. These results suggest that GGT has important clinical implications as being more than just a marker of alcohol consumption and hepatobiliary disease.; Summary

Development of Measurement Scale for the Quality of Life in Hypertensive Patients.: Keon Yeop Kim, Byung Yeol Chun, Sin Kam, Sang Won Lee, Ki Soo Park, Shung Chull Chae; J Prev Med Public Health. 2005;38(1):61-70.

2,588 View
43 Download

Abstract PDF: OBJECTIVES
To develop a tool for multidimensional measurement of the quality of life, which was psychometrically sound, short, and easy to administer for patients with hypertension. METHODS: A sample of 1, 115 hypertensive patients aged 20 or above in Cheong-Song County was studied from June 1997 to October 1998. In the development of the instrumental stage, the authors first conceptualized the quality of life. Item generation, item reduction, and questionnaire formatting were followed. Item-level (item descriptive, missing%, item internal consistency, item discriminant validity) analysis, scale-level (scale descriptive, floor and ceiling effect) analysis, and other tests (Cronbach's alpha, inter-dimension correlations, factor analysis, clinical validity) were performed to evaluate the validity and reliability of the new measurement scale. After 1 year, responsiveness and confirmatory factor analysis were performed. RESULTS: The results of both item-level and scale-level analyses were acceptable. An acceptable degree of internal consistency was observed for each of the dimensions (Cronbach's alpha was 0.60 or higher). Inter-dimension correlations were below 0.50 and the factor analysis result was the same as the intended dimension structure. Correlation coefficients between perceived health status, stress and dimensions were proven to be acceptable. The result of comparing dimensional score means among ADL and MMSE-K groups above 60 years was statistically significant (p< 0.05). The result of confirmatory factor analysis concluded that the dimensional structure model was well fitted. However, the result of responsiveness test using sensitivity and specificity was unsatisfactory. CONCLUSIONS: The newly developed measurement scale is psychometrically reliable and valid instrument for measuring quality of life in hypertensive patients.; Summary

The Problems on Approving For-profit Ownership of Medical Institutions.: Sin Kam; J Prev Med Public Health. 2004;37(2):104-110.

1,818 View
34 Download

Abstract PDF: No abstract available.; Summary

Professional Job Perception, Job Stress and Job Satisfaction of Westerm Doctors and Oriental Doctors Practicing at Local Clinic.: Jong Yeon Kim, Sin Kam, Yune Sik Kang, Yong Kee Cho, Sang Won Lee, Dae Gu Jin, Soon Gi Ahn, Byung Yeol Chun, Min Hae Yeh; J Prev Med Public Health. 2004;37(1):44-50.

2,490 View
51 Download

Abstract PDF: OBJECTIVE
This study was conducted in order to investigate the professionalism, job stress and job satisfaction in western and oriental doctors in Korea. METHODS: The authors conducted a survey using a selfadministered questionnaire, conducted between August and September, 2001. The study subjects were 457 western doctors and 161 oriental doctors practicing at local clinics in Daegu City. RESULTS: For the professionalism scale, the score for 'belief in service to the public' of western doctors was significantly higher than that of oriental doctors (p< 0.05) whereas the scores for 'sense of calling to the field' and 'feeling of autonomy' were higher in oriental doctors (p< 0.01). For the job stress scale, the scores for 'work factor', and 'clinical responsibility/decision factor' of western doctors were significantly higher than those of oriental doctors (p< 0.01). Of the western doctors, 59.7% expressed satisfaction with their job as a doctor, 69.5% responded that the role of a doctor was appropriate to their aptitude, and 61.8% answered that they wouldn't consider other kinds of job even if offered. In case of oriental doctors, these responses were83.1%, 82.5%, and 82.3%, espectively. CONCLUSION: The job stress scores of western doctors were higher than those of oriental doctors, but the job satisfaction was lower. The reasons for the above results are not clear. Further studies are required to understand the characteristics of job stress and job satisfaction in doctors.; Summary

Professional Job Perception, Job Stress and Job Satisfaction of Doctors Practicing in Local Clinic in Daegu City.: Dae Gu Jin, Sin Kam, Yune Sik Kang, Yong Kee Cho, Sang Won Lee, Jong Yeon Kim, Soon Gi Ahn, Byung Yeol Chun, Min Hae Yeh; Korean J Prev Med. 2003;36(2):153-162.

2,533 View
35 Download

Abstract PDF: OBJECTIVE
This study was conducted in order to investigate professional job perception, job stress and job satisfaction in doctors. METHOD: The authors conducted a survey using a self-administered questionnaire, conducted between August and September, 2001. The study subjects were 457 doctors practicing at local clinics in Daegu City. RESULTS: For the professionalism scale, the score for 'sense of calling to field' and 'feeling of autonomy' were relatively high. Age, working hours per day, and perception of socioeconomic status significantly influenced the professionalism scale scores (p< 0.01). For the job stress scale, the scores for 'clinical responsibility/ decision' factor were the highest of all the surveyed factors. Working hours per day significantly influenced the job stress scores (p< 0.01). To investigate the overall relationship between the variables, the authors conducted a linear structural equation model analysis. The equation was statistically appropriate and a good fit. The job stress, and the professionalism factors, respectively influenced job satisfaction negatively and positively (T> 2.0). The working hours per day and status perception also influenced their job satisfaction (T> 2.0). CONCLUSION: To promote the job satisfaction of doctors, the development of coping tools and other intervention methods are needed to increase doctor's professional job perception and reduce their job stress. Further studies are required to understand the characteristics of job satisfaction and for its promotion with doctors.; Summary

Annual Visit Days, Prescription Days and Medical Expenses of Hypertensive Patients.: Bu Dol Lim, Byung Yeol Chun, Sin Kam, Jeong Soo Im, Soon Woo Park, Jung Han Park; Korean J Prev Med. 2002;35(4):340-350.

42,235 View
57 Download

Abstract PDF: OBJECTIVES
To evaluate the annual visit days, the annual prescription days and the medical costs of hypertensive patients. METHODS: The medical insurance records of 40,267 incident patients with the diagnostic code of hypertension from September 1998 through August 1999 in Daegu city were reviewed. RESUJLTS: The proportion of the most proper medical care pattern group (Group VIII) who visited for 6-15 days with 240 prescription days or more a year was only 6.2%. The proper care group (Group IX) who visited for more than 16 days with 240 prescription days or more a year was 9.3%. The overall proper care group (Group VIII+IX) was therefore 15.5%. The proportion of the insufficient care group (Group I,IV) in both the number of visiting days and prescription days was 57.4%. The mean prescription day of the most proper group (Group VIII) was 29 days; the mean annual medical expenses, 453,587won; the mean annual amount paid by patients, 218,013won; and mean medical expenses per prescription day, 1,483won. The proportion of the overall proper care group (Group VIII+IX) was significantly higher in adults aged 50-59, those who were enrolled in industrial workers health insurance as well as government employees and private school teachers health insurance, and those who made a higher contribution per month (p<0.01). According to the type of medical facilities, the proportion of the most proper medical care pattern group was highest in the general hospitals (9.3%) but the overall proper care group was higher in the public health centers (22.1%) and private clinics (17.1%). CONCLUSIONS: The management system of hypertension should be reinforced urgently. Therefore, it is necessary to develop guidelines including the number of visiting days per year and prescription days per visit day, and make the system provide medical facilities to more properly care for hypertensive patients.; Summary

The Efficient Methods of Population-based Cancer Registration in Daegu City.: Dae Gu Jin, Sin Kam, Byung Yeol Chun, Soon Ki Ahn, Jong Yeon Kim; Korean J Prev Med. 2002;35(4):322-330.

4,847 View
23 Download

Abstract PDF: OBJECTIVE
This study was conducted to automatically improve the completeness and validity of the Daegu Cancer Registry, using cross record linkage of many data sources, and to develop a computerized patient enrollment system for efficient communication among cancer researchers via the internet. METHOD: We analyzed 10,229 cancer patients who were reported in the National Cancer Registry, and from pathological reports, health insurance cancer claims lists, cancer patient records at hospital information centers and death certificates from the Korea National Statistical Office. RESULT: We confirmed 4,624 cancer patients and found 897 of new cases from a review of medical chart. The new cases were detected efficiently using cross record linkage. We developed a computerized patient enrollment system, based on a client-server model, for the input of cancer patients, and then developed a web-based reporting homepage and patient enrollment system for the internet. CONCLUSION: This system could manage cancer databases systematically, and could be given to other researchers as a basic database.; Summary

Serum Total Cholesterol Levels and Related Factors in a Rural Adult Population.: Soon Ki Ahn, Byung Yeol Chun, Sin Kam, Dae Gu Jin, Jong Yeon Kim; Korean J Prev Med. 2002;35(3):255-262.

2,088 View
27 Download

Abstract PDF: OBJECTIVES
To investigate the total cholesterol levels and related factors in a rural adult population. METHODS: 3,207 adults( 1,272 men and 1,935 women) were examined in 1997. Their heights, weights, and fasting serum total cholesterol levels were measured, and their body mass indices were calculated. A questionnaire interviewing method was used to collect risk factor data. RESULTS: The mean value of total cholesterol were 190.5 mg/dl, and 198.8 mg/dl, and the age-adjusted prevalence rates for hypercholesterolemia (above 240 mg/dl) were 13.7% and 10.2%, in men and women, respectively. From simple analyses, age, educational level, coffee intake, amount of meat and food intake, waist circumference, waist-hip circumference ratio(WHR), and body mass index(BMI) were significant risk factors in men (p<0.05) relating to serum total cholesterol levels. In women, age, educational level, hypertension history, diabetes history, herbal drug history, amount of food intake, alcohol consumption, waist circumference, WHR, BMI, and menopausal status were significant risk factors (p<0.05). In multiple linear regression analyses, waist circumference (p<0.01), BMI (p<0.01), and coffee intake (p<0.05) proved to be significant risk factors in men. Whereas, menopausal status (p<0.01), BMI (p<0.01), herbal drug history (p<0.01), amount of food intake (p<0.05), waist circumference (p<0.05), and alcohol consumption (p<0.05) were significant risk factors in women. Conclusions : The significant risk factors, for both men and women, relating to the serum total cholesterol were waist circumference and BMI. Thus, for the reduction of serum total cholesterol level, it is recommended that health education for the control of obesity should be implemented.; Summary

A Cross-Sectional Study on gamma-GTP and its Related Factors in Male Workers.: Keon Yeop Kim, Sin Kam, Jong Hyun Lee, Young Ae Ha, Kyung Eun Lee; Korean J Prev Med. 2002;35(2):169-174.

65,535 View
82 Download

Abstract PDF: OBJECTIVE
To investigate gamma-Glutamyltransferase (gamma-GTP) and its related factors in male industrial workers. METHOD: Five hundred and forty male workers without heart disease, diabetes mellitus, renal disease, hepatitis, and other liver diseases were surveyed in October 1998. Blood samples were collected to test for gamma-GTP, total-cholesterol and fasting blood glucose. A self-administered questionnaire survey on life style was also done. RESULTS: The total geometric mean value of gamma-GTP was 30.6 U/L. According to a univariate analysis: age, BMI(body mass index, kg/m2), alcohol consumption, current smoking, stress, diastolic blood pressure, and blood total cholesterol were significantly associated with gamma-GTP(p<0.05). From a multiple regression analysis: BMI, alcohol consumption, current smoking, diastolic blood pressure and total-cholesterol were significantly related to gamma-GTP(p<0.05). Coffee consumption was negatively related to gamma-GTP, but not significantly. CONCLUSION: We recommend that a change in health behavior (i.e. reducing alcohol intake, controlling BMI and not smoking) is necessary to decrease gamma-GTP in male workers.; Summary

Incidence of Hypertension in a Cohort of an Adult Population.: Byung Yeol Chun, Sin Kam, Hee Sook Oh, Sang Won Lee, Kook Hyeun Woo, Moon Young Ahn; Korean J Prev Med. 2002;35(2):141-146.

4,879 View
31 Download

Abstract PDF: OBJECTIVES
This study was performed in order to assess the incidence of hypertension based on two-years follow-up of a rural hypertension-free cohort in Korea. METHODS: The study cohort comprised 2,580 subjects aged above 20 (1,107 men and 1,473 women) of Chung-Song County in Kyungpook Province judged to be hypertensive-free at the baseline examination in 1996. For each of two examinations in the two-year follow-up, those subjects free of hypertension were followed for the development of hypertension to the next examination one year (1997) and two years later (1998). The drop-out rate was 24.7% in men and 19.6% in women. Hypertension was defined as follows 1) above mild hypertension as a SBP above 140 mmHg or a DBP above 90 mmHg, 2) above moderate hypertension as a SBP above 160 mmHg or a DBP above 100 mmHg or when the participant reported having used antihypertensive medication after beginning this survey. RESULTS: The age-standardized incidence of above mild hypertension was 6 per 100 person years (PYS) in men and that of above moderate hypertension was 1.2. In women, the age-standardized rate for above mild hypertension was 5.7 and 1.5 for above mild and moderate hypertension, respectively. However, the rates of incidence as calculated by the risk method were 4.8% and 1.0% in men and 4.6%, 1.2% in women, respectively. In both genders, incidence was significantly associated with advancing age(p<0.01), In men, the incidences of above moderate hypertension by age group were 0.5 per 100 PYS aged 20-39, 0.7 aged 40-49, 1.7 aged 50-59, 3.6 aged 60-69, and 5.8 aged above 70(p<0.01). In women, those the incidence measured 0.6 per 100 PYS aged 20-39, 1.8 aged 40-49, 1.3 aged 50-59, 3.3 aged 60-69, and 5.6 aged above 70(p<0.01). After age 60, the incidence of hypertension increased rapidly. CONCLUSIONS: The incidence data of hypertension reported in this study may serve as a reference data for evaluating the impact of future public efforts in the primary prevention of hypertension in Korea.; Summary

Therapeutic Compliance and Its Related Factors of Lung Cancer Patients.: Si Hyun Nam, Sin Kam, Jae Yong Park, Sang Chul Chae, Moon Seob Bae, Moo Chul Shin, Min Hae Yeh; Korean J Prev Med. 2002;35(1):13-23.

2,234 View
33 Download

Abstract PDF: OBJECTIVES
To investigate the therapeutic compliance and its related factors in lung cancer patients. METHODS: The subjects of this study comprised 277 patients first diagnosed with lung cancer at Kyungpook National University Hospital between Jan 1999 and Sept 1999. Of these, 141 (50.9%) participated in the study by properly replying to structured questionnaires. The data was analyzed using a simplified Health Decision Model. This model includes categories of variables covering therapeutic compliance, health beliefs, patient preferences, knowledge and experience, social interaction, sociodemographic and clinical characteristics. RESULTS: The therapeutic compliance rate of the 141 study subjects was 78.0%. An analysis of health beliefs and patient preferences revealed health concern (p<0.05), dependency on medicine (p<0.05), perceived susceptibility and severity (p<0.05) as well as preferred treatment (p<0.01) as factors related to therapeutic compliance. Factors from the sociodemographic characteristics and clinical factors that were related to therapeutic compliance were age (p<0.01), monthly income (p<0.05), histological type (p<0.05) and clinical stage (p<0.05) of cancer. CONCLUSIONS: In order to improve therapeutic compliance in lung cancer patients it is necessary to educate the aged, low-income patients, or patients who have small cell lung cancer or lung cancer of an advanced stage for which surgery is not indicated. Additionally, it is essential for medical personnel to have a deep concern about patients who have poor lifestyles, a low dependency on medicine, or a high perceived susceptibility and severity. Practically, early diagnosis of lung cancer and thoughtful considerations of low-income patients are important. By means of population-based education in a community, we may promote attention to health and enhance the early diagnosis of lung cancer.; Summary

Job Stress and Its Related Factors in South Korean Doctors.: Yune Sik Kang, Sin Kam, Sang Won Lee, Byung Yeol Chun, Min Hae Yeh; Korean J Prev Med. 2001;34(2):141-148.

3,068 View
53 Download

Abstract PDF: OBJECTIVE
To investigate the sources, extent and related factors in South Korean doctors. METHODS: The study subjects were 934 doctors in Taegu, Kyungpook Province, Korea(540 independent practitioners, 105 employed at hospitals and 289 residents in training). Information concerning job stress was obtained using a 9-item questionnaire. Information regarding related factors such as demographic characteristics(age, sex, marital status), perceptions on the socioeconomic status of doctors and working conditions(work time, on-call days per week) was also obtained by self-administered questionnaire during April and May, 2000. RESULTS: Major sources of job stress included clnical responsibility/judgement factor, patient factor and work loading factor. The job stress score of residents was the highest among three groups. The score was lower in older doctors. The score was low among those who thought doctors socioeconomic status was not good. The longer the work time, the higher the job stress score was. Multiple regression analysis was conducted to control for the mutual influence of independent variables. In regression analysis, the score of residents was higher than practitioners. Work time and socioeconomic status perception had negative effects on job stress score. CONCLUSION: The average job stress score of the doctors was high. Age, work type, working conditions and perceptions of socioeconomic status were found to besignificantly related to job stress score. Although the job stress of doctors is somewhat inevitable due to the nature of the doctor's job, control of work time, development of coping tools and other intervention methods are needed to reduce job stress of doctors. Further studies are required to understand the characteristics of job stress and reduce the job stress of doctors.; Summary

Therapeutic Compliance and Its Related Factors of Patients with Hypertension in Rural Area.: Sang Won Lee, Sin Kam, Byung Yeol Chun, Min Hae Yeh, Yun Sik Kang, Keon Yeop Kim, Young Sook Lee, Ki Soo Park, Jae Hee Son, Hee Sook Oh, Moon Young Ahn, Pu Dol Lim; Korean J Prev Med. 2000;33(2):215-225.

2,331 View
42 Download

Abstract PDF: OBJECTIVE
The purpose of this study was to examine the therapeutic compliance and its related factors in the rural hypertensives. METHOD: A questionnaire survey and blood pressure measurement were performed to 3,876 residents of a rural area, and 660 hypertensives were selected as subjects of study. The study employed a hypothetical model which was composed of constructs from the health belief model and KAP model. The analysis techniques employed included contingency table analysis and structural equation modeling. RESULT: The proportion of those who were compliant to the treatment of hypertension was 44.2% of subjects. As the result of structural equation modeling, when patients had more favorable attitude toward treatment, higher perceived benefit, or lower perceived barriers to treatment, the therapeutic compliance was significantly higher(T>2.0). When patients had more knowledge about hypertension, or higher perceived severity of hypertension, the attitude toward the treatment of hypertension was more favorable significantly(T>2.0). And when patients had the support for treatment from family or neighbor, the attitude toward treatment was more favorable(T>2.0). When patients had experience of health education, they had more knowledge, higher perceived susceptibility of complication, perceived severity for hypertension, and perceived benefit of treatment, compare to patients without health education(T>2.0). CONCLUSION: In consideration of above findings, in order to improve the therapeutic compliance in the rural hypertensives, it would be necessary to change attitude, perception, knowledge about hypertension and its treatment, by various methods such as effective health education and programs for maintaining the supportive environment for hypertension treatment.; Summary

The Risk Factors for the Development of Hypertension in a Rural Area - An 1-Year Prospective Cohort Study.: Hee Sook Oh, Byung Yeol Chun, Sin Kam, Min Hae Yeh, Yun Sik Kang, Keon Yeop Kim, Young Sook Lee, Ki Soo Park, Jae Hee Son, Sang Won Lee, Moon Young Ahn; Korean J Prev Med. 2000;33(2):199-207.

2,213 View
29 Download

Abstract PDF: OBJECTIVES
This study was performed to identify the risk factors related to the development of hypertension in a rural area. METHOD: Total of 3,573 subjects in Chung-Song County were interviewed and examined in 1996. The study cohort comprised 2,580 hypertension-free subjects aged above 20. One-year follow up was completed for 1,781 subjects(69.0%) in 1997. General characteristics(age, gender, education level, economic status, marital status), the family history of hypertension, diet, alcohol, smoking, coffee, stress, past history of oral contraceptive and menopausal status in female, height, weight, waist and hip circumference, baseline blood pressure, and serum total cholesterol were considered as risk factors. RESULTS: Multivariate analysis using logistic regression model indicated that age(RR=1.50, 95% CI; 1.15-1.96), the family history of hypertension(RR=2.11, 95% CI; 1.04-4.26), waist-hip ratio(WHR) (RR=2.09, 95% CI; 1.15-3.79), and baseline systolic blood pressure(130-139/<120mmHg)(RR=3.34, 95% CI; 1.47-7.60) were significant risk factors associated with the development of hypertension above the borderline level in male. In female, age(RR=1.06, 95% CI; 1.03-1.09), change in menopausal status(no--> yes/no-->no) (RR=3.32, 95% CI; 1.01-10.87), baseline systolic blood pressure(120-129/<120mmHg: RR=2.00, 95% CI; 1.02-3.90)(130-139/<120mmHg: RR=2.64, 95% CI; 1.34-5.20) and baseline diastolic blood pressure(85-89/<80mmHg)(RR=4.09, 95% CI; 1.86-8.96) were identified as risk factors. CONCLUSIONS: Age and high normal blood pressure were significant risk factors for the development of hypertension above the borderline level. In addition, the family history of hypertension and WHR in men, and the change of menopausal status in women might be significant risk factors in Korea.; Summary

Factors Affecting Health Practice of Primary School Students: Based on Health Promotion Model.: Kyung Won Kwon, Sin Kam, Ki Soo Park; Korean J Prev Med. 2000;33(2):137-149.

3,106 View
77 Download

Abstract PDF: OBJECTIVES
The purpose of this study was to examine the factors related to children's health behavior. METHODS: A self-administered questionnaire survey was carried out for 431 (boys; 227, girls; 204) children, 6th grade students, in Taegu from December 14 to 18 in 1998. This study employed health promotion model as a hypothetical model. Collected data were analysed through the chi-square test, ANOVA, and path analysis. RESULTS: By univariate analysis, in case of boys, health practice was related to perceived self efficacy, perceived health status, perceived benefits of health-promoting behaviors, and perceived barriers, and in girls, health practice was related to perceived self efficacy, perceived benefits of health-promoting behaviors, perceived barriers, and cues to action. By path analysis, in case of boys, the better economic status, the younger mothers' age, the higher score of family cohesion and adaptability, healthier, the more perceived benefits, and the less perceived barriers were, the more health behaviors were practiced. Girls did the more health practice, in case of living with parents only, the higher score of family cohesion and adaptability, the more perceived self-efficacy, the less perceived barriers, and the more cues to action. Family cohesion had the most important effect on health practice of primary school students. CONCLUSIONS: In order to promote health behavior of primary school students, a good family environment as well as health education might be very important. That is, we have to try together in home and as well as in school.; Summary

Factors Related to the Intention of Participation in a Worksite Smoking Cessation Program.: Jae Hee Son, Sung Ah Kim, Sin Kam, Min Hae Yeh, Ki Su Park, Hee Sook Oh; Korean J Prev Med. 1999;32(3):297-305.

2,337 View
36 Download

Abstract PDF: OBJECTIVES
This study was conducted to evaluate factors related to the intention of participation in a worksite smoking cessation program. METHODS: To explain the health behavior of participating intention in a worksite smoking cessation program, the health belief model(HBM) was used as study model, and 144 self-administered questionnaires were completed by electronic company workers. Variables of the health belief model were composed of perceived susceptibility to smokinginduced disease, perceived severity of smoking-induced disease, economical gain as perceived benefit of smoking cessation, and nicotine dependency as perceived barrier of smoking cessation. Variables of sociodemographics, smoking status, knowledge about adverse health effects of smoking, and cues to smoking cessation were used as modifying factors. RESULTS: Perceived severity(POR=1.99, 95%CI: 1.03-3.83), perceived benefit(POR=2.11, 95%CI: 1.07-4.17), and perceived barrier(POR=0.29, 95%CI: 0.11-0.76) were significant variables to the intention of participation in a worksite smoking cessation program in the logistic regression analysis. The perceived severity was significantly affected by knowledge about adverse health effects of smoking(POR=2.17, 95%CI: 1.23-3.84). The perceived barrier was significantly affected by education level(POR=3.66, 95%CI: 1.17-11.44), age to first cigarette (POR=0.32, 95%CI: 0.10-0.98), pack-years(POR=5.47, 95%CI: 2.37-12.61). To the perceived benefit, the model was not fitted. CONCLUSIONS: Our results found that counterplans improving the knowledge about adverse health effects of smoking, preventing early smoking, and decreasing smoking amount should be considered for an effective smoking ban policy.; Summary

Structural Relationships among Health Concern, Health Practice and Health Status of the Disabled.: Ki Soo Park, Byung Yeol Chun, Sin Kam, Min Hae Yeh, Yun Sik Kang, Keon Yeop Kim, Jae Hee Son, Young Suk Lee; Korean J Prev Med. 1999;32(3):276-288.

2,113 View
25 Download

Abstract PDF: OBJECTIVES
This study was performed to determine the relationships among Health concern, health practice and health status of the disabled. METHODS: A self-administered questionnaire survey was carried out for 1,662 disabled persons in Taegu city from April to July, 1997. RESULTS: Health concern had a significant and positive relationship with health practice(p<0.05) and health practice also had a significant and positive relationship with self-rated health status(p<0.05) in men and women. To determine the structural model of the Health concern, health practice, health status and sociodemographic variables, the covariance structural analysis was used. In men, age, economic status, medical security type, educational level and type of disability had significant direct effects on Health concern(T>2.0). Educational level and type of disability had significant direct effects on health practice(T>2.0). And Economic status, medical security type and job status had significant direct effects on health status(T>2.0). In women, economic status and educational level had significant direct effects on Health concern(T>2.0). However there was no variable which had a significant direct effect on health practice. Job status had a significant direct effect on health status(T>2.0). In men and women, health practice was significantly increased with increasing Health concern and the more health practice, the higher health status(T>2.0). CONCLUSIONS: It is recommended that the institutional approach which improve the economic status of the disabled with understanding their behavior and attitude should be established to increase health status, in addition, the health policy for encouraging the disabled, such as health education, consulting and health promotion program, should be done.; Summary

Determinanats of Health Care Utilization of the Physically Disabled.: Keon Yeop Kim, Young Sook Lee, Ki Soo Park, Jae Hee Son, Sin Kam, Byung Yeol Chun, Jae Yong Park, Min Hae Yeh; Korean J Prev Med. 1998;31(2):323-334.

2,200 View
25 Download

Abstract PDF: To investigate determinants of health care utilization of the physically, disabled over 20 years old in age living in Taegu city, a self-administered questionnaire survey was carried out for 337 disabled persons with chronic illness from April to July, 1997. Health care utilization rate was 81.9%(69.l% for hospital or clinic and 12.8% for pharmacy). Marital status, job, health concern, and response to illness showed statistically, significant relationship with health care utilization(p<0.05). By, path analysis, job, economic status, medical security type and response to illness had a significant direct effect on health care utilization(p<0.05), however, health concern and regular source of care had an indirect effect. The reasons of no health utilization were due to economic problem(31.l%), no symptom(18.0%), inconvenience to seek care or no accompanying persons to be helped(14.8%), unseriousness of the severity of the illness(14.8%), too busy to be treated or no free time(8.2%), hopeless prognosis to be treated(6.6%) in order. In conclusion, it is recommended that the program for expanding medicaid, improving socioeconomic status by getting a job and health education to increase the health Concern toward physically disabled should be implemented to increase health care utilization rate.; Summary

Interns' Resident's Professional Job Perception and Its Effect to Their Job Satisfaction.: Yune Sik Kang, Sin Kam, Min Hae Yeh; Korean J Prev Med. 1997;30(1):209-228.

2,076 View
30 Download

Abstract PDF: In order to investigate the professional job perception and job satisfaction of interns and residents and its related factors, the author conducted survey using self administered questionnaire for 2 months(August and September, 1996). The study subjects were 562 interns and residents who worked at one university hospital(tertiary hospital) and two general hospitals(secondary hospital) in Taegu, Korea. Among them, 297(52.8%) responded completely. The results were as follows ; Respondents thought that people component was most important, science and status components were next among professional value scales which meant the desirable attitudes required to conduct professional works. But, the score of professional value scales was generally high and not affected by other variables in multiple linear regression analysis. They seemed to have very normative and ideal perceptions about professional values. The score of professionalism scales, which were attitudinal and behavioral traits about professional job, of high grade residents was significantly higher than that of interns and lower grade residents. The score of reference to professional organization and autonomy factor were increasing significantly as the grade increased. Working conditions and perception for socioeconomic status of doctors influenced the score of professionalism scale significantly. It seemed that professional socialization was made during the training periods of interns and residents. Most of respondents answered that current socioeconomic status of doctors were middle and high strata but they responded that the socioeconomic status of doctors would fall in the future. They seemed to have a pessimistic thought about doctor's status. Generally the respondents thought that they were satisfied with doctor job and fit to the job, but 51.9% answered that if possible they would get other jobs. It seemed to reflect their critical thinking on doctors' status. Perceptions about socioeconomic status of doctors, professional value and professionalism influenced job satisfaction significantly. The interns and residents had high sense of calling to doctors and thought that doctors were socially important job. Generally they were satisfied with their job. Interns and residents had normative thoughts about the trait which competent doctors must have. During the training period, they seemed to have attitude and perception as a professional and to make professional socializations.; Summary

A Survey on Status of Pregnancy and Delivery at a Rural Village, Napal(Dolakha Bazar Area).: Young Woo Ahn, Yune Sik Kang, Sin Kam, Jong Young Lee; Korean J Prev Med. 1996;29(4):721-732.

1,870 View
24 Download

Abstract PDF: This study was conducted to investigate the status of pregnancy and delivery and relationship among knowledge, attitude and practice about pregnancy and delivery in poor country, Nepal. A questionnaire survey by interviewer was conducted to examine the general characteristics, knowledge about pregnancy and delivery, attitude about pregnancy and delivery, the rate of prenatal care and delivery condition of women who had an experience of delivery during last year(1994. 4. 13~1995. 4. 12) at a rural area, nepal(Dolakha Bazar Area). The major findings are as follows; Among respondents, 87.5 percentage never had health education and the degree of knowledge about pregnancy and delivery was low. Among respondents, 56.6 percentage had the attitude that they didn't want antenatal care, 42.8% of respondents answered that they wouldn't visit hospital or health center when vaginal bleeding occurred and 82.9% thought that the delivery itself was dirty. The proportion of women who experienced antenatal care was 28.3%, the proportion of health facilities delivery was 5.3%, which was very low and 82.6% of home delivery case didn't sanitate the tool to cut the umbilical cord. The women who had positive attitude about antenatal care and health facility utilization experienced more antenatal care and health facilities delivery. On consideration of above findings, health education for pregnancy and delivery is required to improve mother-child health status in poor country. To make efficient health education, the target population group, such as the uneducated, inhabitants far from health center or medical facility, must be chosen. To help the poor countries in medical field, the study on health status and its related factors on these countries like this article would be required.; Summary

Drug Abuse Status and Its Determinants of Male High School Students in Taegu.: Jung Rak Nam, Sin Kam, Jae Yong Park, Chang Hyun Han, Young Ae Ha; Korean J Prev Med. 1996;29(3):451-470.

2,198 View
21 Download

Abstract PDF: To identify the drug abuse status and its determinant factors in high school boys in Taegu, the study was performed from April to May, 1995. Study population were selected by cluster sampling method and total 5,665 students replied to the self-administered questionnaire survey(2,207 in academic high school, 3,458 in business high school). The major findings were as follows; The proportion of drinking, smoking experience was 55.0%, 45.8%, respectively, and the proportion of current drinker, current smoker was 27.2%, 27.5%. The drinking, smoking experience rate of second grade students was higher than first grade and it was higher in business high school boys. The proportion of a stimulant, a hallucinogen, hemp leaf cigarets experience was 3.2%, 1.6%, 0.1%, respectively. Drug abuse had significant association with home environment(lower economic status, frequent move, death of father or mother, apart from family), parents environment(parents' indifference, parents' drinking and smoking, etc.), school life(lower school grades, intimate friend's drug abuse, etc.), generous attitude to drug abuse, higher level of stress. Students who replied that the law prohibited immature person(students) from drinking and smoking showed lower drug abuse rate. In multiple logistic regression analysis, second grade students, business high school students, parents' indifference, lower school grades, intimate friend's drug abuse, no recognition of the fact that the law prohibits high school students from drinking and smoking, generous attitude to drug abuse, higher level of stress were significantly related with alcohol abuse and smoking. Other drugs abuse were related with above factors. On consideration of above findings, to prevent students from drug abuse, we have to try together in house, school, and society.; Summary

The Relationship between Change in Obesity Indices and Change in Serum Lipids in Adult Male Workers.: Young Ae Ha, Byung Yeol Chun, Sin Kam, Sung Kook Lee, Min Hae Yeh; Korean J Prev Med. 1996;29(3):439-450.

1,789 View
20 Download

Abstract PDF: This study was conducted to evaluate the relationship between change in obesity indices and change in serum lipids in adult male workers. Two-hundred-eight adult male workers of an industry in Taegu city were followed-up from 1991 to 1995. Height, weight, circumferences of hip and waist, blood pressure were measured and serum lipids were analysed. Data on life style were obtained using self-administered questionnaires. Mean differences of anthropometric measurements between 1991 and 1995 were as follows; 1.63kg in weight, 3.61cm in waist circumferences, 4.23cm in hip circumferences, 0.52kg/m2 in BMI and -0.021 in WHR. Those of lipids were as follows; 15.09mg/dl in total cholesterol, 20.43mg/dl in triglyceride, 9.40mg/dl in HDL-cholesterol, 2.87 in MI-index(p<0.01) and 350mg/dl in LDL-cholesterol. The changed value of BMI and Katsura index were strongly correlated with that of total cholesterol(r=0.174, p<0.05), the changed value of BMI correlated with that of triglyceride(r=0.374, p<0.01) and the changed value of weight correlated with that of MI index(r=-0.173, p<0.05). The changed value of WHR was significantly correlated with that of total cholesterol(r=0.162, p<0.05), however, was not significantly correlated with HDL-cholesterol, LDL-cholesterol, triglyceride and MI index. The changed value of weight, BMI and Katsura index were correlated with that of triglyceride(r=0.262, p<0.01; r=0.267, p<0.01; r=0.258, p<0.01) and the changed value of MI index(r=-0.143, p<0.05; r=-0.158; r=-0.144, p<0.01), adjusting the pattern of change in life style. The changed values of HDL-cholesterol and MI index between 1991 and 1995 in low WHR group were significantly higher than those in high WHR group(p<0.05, p<0.01), adjusting the baseline value of them. Similar pattern was observed when considering Katsura index. When stratifying by BMI value of 1991, in low BMI group, the changed value of HDL-cholesterol and MI index showed the same pattern as above, however the of triglyceride was statistically higher in obese group than in non obese group(p<0.05). In conclusion BMI might be a better indicator to predict serum lipids change than other obesity indices.; Summary

Factors Influencing Workers' Perception and Attitude Toward Special Periodic Health Screening Test.: Si Hyun Nam, Sin Kam, Jae Yong Park; Korean J Prev Med. 1995;28(2):334-346.

2,031 View
39 Download

Abstract PDF: To investigate the factors influencing workers' perception and attitude toward special periodic health screening test for workers, a survey with self-administered questionnaires was performed on 279 workers who had special periodic health screening test from september 1 to October 15, 1994. A study model was developed by modifying the health belief model. The end and intermediate response variables of the model were the voluntary participation and necessity perception on the special screening for workers, and The result of analysis was consistent with the study model. Rates for the necessity perception and voluntary participation on the special1 screening for workers were 77.2%, 79.2%, respectively. Factors influencing on the voluntary participation were necessity perception, benefit of special screening for workers, and cue to action. And on the necessity perception were susceptibility and severity to occupational disease, knowledge to special screening for workers, and support of company. General and occupational characteristics influencing on the susceptibility and severity to occupational disease were sex, age, educational level, work duration, and health education. On the knowledge to special screening for workers were age, educational level, work duration, and locus-of-control. On the benefit of special screening for workers were age, locus-of-control, pride on health, and health education. Therefore, to increase the voluntary participation and necessity perception on the special periodic health screening for workers, l) if a worker is judged as occupational disease, the judgment should be widely known in his workplace, 2) the screening result forms should be directly sent to the workers themselves, 3) for the positivity of employers, the campaign and education program subjected to them should be planned, 4) health education should give the first consideration to the younger, lower educational level, and newly employed women, and its frequency should be increased and it should be more frequently dealt with occupation-related subjects, and 5) the employers should have a careful concern in not being disadvantageous to workers due to result of screening.; Summary

Determinant Factors for Expenditure of the Medical Insurance Program for Self-Employeds.: Sin Kam, Jae Yong Park, Min Hae Yeh; Korean J Prev Med. 1995;28(1):153-173.

1,916 View
21 Download

Abstract PDF: This study was conducted to examine the determinant factors for expenditure of the medical insurance program for self-employeds based on the analysis of 1991 "The Medical Insurance program for self-Employeds Statical Yearbook", and also similar yearbooks in the metropolitan and other provinces. The major findings are as follows: We have divided benefits into these four components such as the utilization rate for out-patients. expenses per claim for out-patients as paid by the insurer, utilization rate for in-patients, and the expenses per claim for in-patients as paid by the insurer, in order to examine the determinant factors for it. The results of the study revealed the following findings: in urban areas, the supply of medical care had more influence on the benefits than other demographic and economic variables, while, in county areas, both the supply of medical care and the rate of those aged over 65 affected the provision of benefits. The determinant factors for financial balance of the medical insurance program for self-employeds are: first, the determinant factor for administrative expenses was the number of households. The more the number of household, the less the administrative expenses per the insured. This shows that the economy of scale is being. And so, the administrative district must be taken into consideration in the incorporation of small regional medical societies and should be re-organized for more efficient management. Second. in urban areas. the supply of medical care had more influence on utilization rate and expenses per claim as paid by insurer, and therefore it is necessary to control it. In county areas the supply of medical care and the rate of those aged over 65 raised the utilization rate and expenses per claim as paid by insurer. For the financial stability of county areas. a common fund for medical care for the aged and expansion of finance stabilization fund would be necessary. But, in county areas, it would be unnecessary to control the supply of medical care because it was much more insufficient than in urban areas. The vitalization of public health facilities must be carried out in county areas, for they reduced benefits. Since the more insured in a single household, the less the utilization of the medical insurance program, benefits for habilitation at home should be given consideration. The law of majority and the economy of scale were applied here, and therefore the incorporation of regional medical societies must be taken into consideration. In integrating regional medical societies, it would be absolutely necessary to review the structural differences among all regional medical societies, the medical demand of each region, and also the local characteristics of each region.; Summary

Adequacy of Medical Manpower and Medical Fee for Newborn Nursery Care.: Jung Han Park, Soo Yong Kim, Sin Kam; Korean J Prev Med. 1991;24(4):531-548.

1,895 View
22 Download

Abstract PDF: To assess the adequacy of medical manpower and medical fee for the newborn nursery care, the author visited 20 out of 24 hospitals with the pediatric training program in Youngnam area between July 29 and August 14, 1991. Total number of newborn, both normal and sick, admission and discharge in 1--30 June 1991 was obtained from the logbook of nursery. Head nurse and staff pediatrician of the nursery were interviewed to get the current staffing for the nursery and their subjective opinion on the adequacy of nursery manpower and the difficulties in recruiting manpower. Average medical fee charged for the maternity and normal newborn nursery care was obtained from the division of self-audit of medical insurance claim of each hospital. Average minimum requirement of nursing care time for one normal newborn per day was 179.5 (+/-58.6) minutes; 2023(+/-50.7) minutes for the university hospitals and 164.2(+/-60.5) minutes for the general hospitals. The ratio of minimum requirement of nursing care time and available nursing time was 1.42 on the average. Taking the additional requirement of nursing care for the sick newborns into consideration, the ratio was 2.06. The numbers of R. N. and A. N. in the nurserys of study hospitals were 31%, and 17%, respectively, of the nursing manpower for the nursery recommended by the American Academy of Pediatrics. These findings indicate that the nursing manpower in newborn nursery is in severe shortage. Ninety percent of the head nurses and 85% of the staff pediatrician stated that the newborn nursery is short of R.N. and 75% of them said that the nurse's aide is also short. Major reason for not recruiting R.N. was the financial constraint of hospital. For the recruitment of nurse's aide, short supply was the second most important reason next to the financial constraint. However, limit of quarter in T.O. was the major reason for the national university hospitals. Average total medical fee for the maternity and newborn nursery cares of a normal vaginal delivery who stayed two nights and three days at hospital was 219,430Won. Out of the total medical fee, 20,323Won(9.3%) was for the newborn nursery care. In case of C-section delivery six nights and seven days, who stayed otal medical fee was 732,578Won and out of the total fee 76,937Won (12.0%) was for the newborn care. Cost for a newborn care per day by cost accounting was 16,141Won for the tertiary care hospitals and 14,576Won for the all other hopitals. The ratio of cost and the fee schedule of the medical insurance for a newborn care per day was 5.0 for the tertiary care hospitals and 4.9 for the all other hospitals. Considering the current wage level of the medical personnel, capital investment for the hospital facilities and equipments, and the cost for hospital maintenance, it is hard to expect adequate quality care in the newborn nursery under the current medical insurance fee schedule.; Summary

Trend and forecast of the medical care utilization rate, the medical expense per case and the treatment days per case in medical insurance program for employees by ARIMA model.: Kyu Pyo Jang, Sin Kam, Jae Yong Park; Korean J Prev Med. 1991;24(3):441-458.

1,999 View
38 Download

Abstract PDF: The objective of this study was to provide basic reference data for stabilization scheme of medical insurance benefits through forecasting of the medical care utilization rate, the medical expense per case, and the treatment days per case in medical insurance program for government employees and private school teachers and for industrial workers. For the achievement of above objective, this study was carried out by Bos-Jenkins time series analysis (ARIMA Model), using monthly statistical data from Jan. 1979 to Dec. 1989, of medical insurance program for government employees and private school teachers and for industrial workers. The results are as follows; ARIMA model of the medical care utilization rate in medical insurance program for government employees and private school teachers was ARIMA (1, 1, 1) and it for outpatient in medical insurance program for industrial workers was ARIMA (1, 1, 1), while it for inpatient in medical insurance program for industrial workers was ARIMA (1, 0, 1). ARIMA model of the medical expense per case in medical insurance program for government employees and private school teachers and for outpatient in medical insurance program for industrial workers were ARIMA (1, 1, 0), while it for inpatient in medical insurance program for industrial workers was ARIMA (1, 0, 1). ARIMA model of the treatment days per case of both medical insurance program for government employees and private school teachers and industrial workers were ARIMA (1, 1, 1). Forecasting value of the medical care utilization rate for inpatient in medical insurance program for government employees and private school teachers was 0.0061 at dec. 1989, 0.0066 at dec. 1994 and it for outpatient was 0.280 at dec. 1989, 0.294 at dec. 1994, while it for inpatient in medical insurance program for industrial workers was 0.0052 at dec. 1989, 0.0056 at dec. 1994 and it for outpatient was 0.203 at dec. 1989, 0.215 at 1994. Forecasting value of the medical expense per case for inpatient in medical insurance program for government employees and private school teachers was 332,751 at dec. 1989, 354,511 at dec. 1994 and it for outpatient was 11,925 at dec. 1989, 12,904 at dec. 1994, while it for inpatient in medical insurance program for industrial workers was 281,835 at dec. 1989, 293,973 at dec. 1994 and it for outpatient was 11,599 at dec. 1989, 11,585 at 1994. Forecasting value of the treatment days per case for inpatient in medical insurance program for government employees and private school teachers was 13.79 at dec. 1989, 13.85 at dec. 1994 and it for outpatient was 5.03 at dec. 1989, 5.00 at dec. 1994, while it for inpatient in medical insurance program for industrial workers was 12.23 at dec. 1989, 12.85 at dec. 1994 and it for outpatient was 4.61 at dec. 1989, 4.60 at 1994.; Summary

Cytologic screening for cervical cancer and factors related to cervical cancer.: Yong Jae Jeon, Chi Young Lee, Byung Yeol Chun, Sin Kam, Min Hae Yeh; Korean J Prev Med. 1991;24(3):428-440.

1,754 View
20 Download

Abstract PDF: This study was conducted to estimate the prevalence rate of cervical cancer and to investigate its risk factors. 5,417 asymptomatic married women were screened from March, 1984 to December, 1990 in Taegu city. Of 5,417 examinees, 3,817 (70.46%) were normal, 1,542 (28.7%) showed inflammatory change, 51 (0.94%) were dysplasia and 7 (0.13%) were carcinoma in situ or invasive carcinomas. The prevalence of abnormal finding (dysplasia, carcinoma in situ or invasive carcinoma) was 1,070 per 100,000 population. The prevalence of dysplasia was 940 per 100,000 and that of carcinoma in situ or invasive carcinoma was 130 per 100,000. Age-adjusted prevalence rate for abnormal finding adjusted with standard population of Taegu city was estimated to be 850 per 100,000. The prevalence of cervical cancer was significantly increased with age (P<0.05). The prevalence of cervical cancer was significantly decreased with age at marriage and educaitonal level (P<0.05). The history of induced abortion and the number of pregnancies were significantly associated with the prevalence of cervical cancer (P<0.05), whereas, the number of parity was not. Age at marriage was significantly associated with the prevalence of cervical cancer after stratification by age (P<0.05). However, the level of education, parity, induced abortion, number of pregnancies were not significant. Inflammation and human papiloma virus infection were associated with cervical cancer with odds ratio of 13.48(95% confidence interval 7.80~23.40) and 474.29 (95% confidence interval 196.80~1143.10), respectively. In conclusion, for early detection of cervical cancer it should be recommended to perform mass cytological screening. In particular, regular and periodic cytologic screening, starting at age 25, for cervical cancer should be recommended for those women who have frequent cervical inflammation and for those women married before age of 20.; Summary

A case-control study for risk factor related to hypertension.: Sin Kam, Min Hae Yeh, Sung Kook Lee, Byung Yeol Chun; Korean J Prev Med. 1991;24(2):221-231.

4,547 View
560 Download

Abstract PDF: A case-control study was conducted to investigate the risk factors (Part of job, Obesity, Alcohol, Smoking, Milk, Salt, and Family history) for hypertension. We selected 330 hypertension cases (male; 247, female; 83) and 1,336 controls (male; 887, female; 449) from employees in Taegu city from 1 May to 30 November, 1988. Data was analysed using a logistic regression model. Statistically Significant elevated odds ratio were noted for alcohol (odds ratio=3.23), obesity (odds ration=2.31), salt (odds ratio=1.75) in male (P<0.05) and those in female were noted for alcohol (odds ratio=16.49), family history (odds ratio=3.70), obesity (odds ratio=1.74) and salt (odds ratio=1.73) (P<0.05). Statistically significant reduced odds ratio was noted for milk in both sexes (odds ratio=0.69 for male and 0.65 for female) (P<0.05) and the dose-response relationship between milk intake and hypertension was confirmed (P<0.05). Therefore, milk seems to be preventive factor for hypertension. Smoking was not significantly associated with hypertension in both sexes. The part of job was significantly associated with hypertension in female by simple analysis (P<0.05) but the relationship was disappeared when multivariate analysis (logistic regression analysis) was done.; Summary

Author index