- Factors Affecting the Downward Mobility of Psychiatric Patients: A Korean Study of National Health Insurance Beneficiaries
-
Un-Na Kim, Yeon-Yong Kim, Jin-Seok Lee
-
J Prev Med Public Health. 2016;49(1):53-60. Published online December 22, 2015
-
DOI: https://doi.org/10.3961/jpmph.15.052
-
-
8,959
View
-
104
Download
-
10
Crossref
-
Abstract
PDF
- Objectives
The purpose of this study is to examine the magnitude of and the factors associated with the downward mobility of first-episode psychiatric patients.
Methods This study used the claims data from the Korean Health Insurance Review and Assessment Service. The study population included 19 293 first-episode psychiatric inpatients diagnosed with alcohol use disorder (International Classification of Diseases, 10th revision [ICD-10] code F10), schizophrenia and related disorders (ICD-10 codes F20-F29), and mood disorders (ICD-10 codes F30-F33) in the first half of 2005. This study included only National Health Insurance beneficiaries in 2005. The dependent variable was the occurrence of downward mobility, which was defined as a health insurance status change from National Health Insurance to Medical Aid. Logistic regression analysis was used to assess factors associated with downward drift of first-episode psychiatric patients.
Results About 10% of the study population who were National Health Insurance beneficiaries in 2005 became Medical Aid recipients in 2007. The logistic regression analysis showed that age, gender, primary diagnosis, type of hospital at first admission, regular use of outpatient clinic, and long-term hospitalization are significant predictors in determining downward drift in newly diagnosed psychiatric patients.
Conclusions This research showed that the downward mobility of psychiatric patients is affected by long-term hospitalization and medical care utilization. The findings suggest that early intensive intervention might reduce long-term hospitalization and the downward mobility of psychiatric patients.
-
Summary
-
Citations
Citations to this article as recorded by
- Internet addiction of university students in the Covid-19 process
İsmail Şan, Hanife Gülhan Orhan Karsak, Eyüp İzci, Kübra Öncül Heliyon.2024; 10(8): e29135. CrossRef - Gender differences among long-stay inpatients with schizophrenia in China: A cross-sectional study
Ming-ru Hou, Jun Wang, Jian-hua Xue, Jian-qin Pei, Yan Shi, Xian-wen Li Heliyon.2023; 9(5): e15719. CrossRef - Emerging zoonotic viral infections of occupational health importance
Nicoletta Vonesch, Alessandra Binazzi, Michela Bonafede, Paola Melis, Anna Ruggieri, Sergio Iavicoli, Paola Tomao Pathogens and Disease.2019;[Epub] CrossRef - Seroprevalence and risk factors of hepatitis E among women of childbearing age in the Xieng Khouang province (Lao People’s Democratic Republic), a cross-sectional survey
Syxiong Bisayher, Hubert Barennes, Elisabeth Nicand, Yves Buisson Transactions of The Royal Society of Tropical Medicine and Hygiene.2019; 113(6): 298. CrossRef - Continuation of schizophrenia treatment with three long-acting injectable antipsychotics in South Korea: A nationwide population-based study
Sung Woo Joo, Seung-Hyun Shon, GumJee Choi, MinJung Koh, Seung Woo Cho, Jungsun Lee European Neuropsychopharmacology.2019; 29(9): 1051. CrossRef - Hepatitis E Virus: Epidemiology, Diagnosis, and Management
Nae-Yun Heo The Korean Journal of Gastroenterology.2019; 74(3): 130. CrossRef - Seroepidemiology and molecular characterization of hepatitis E virus infection in swine and occupationally exposed workers in Punjab, India
M. Bansal, S. Kaur, D. Deka, R. Singh, J. P. S. Gill Zoonoses and Public Health.2017; 64(8): 662. CrossRef - The Relationship between Internet Use and Health Behaviors among Adolescents
Eun Gyeong Kim Journal of Korean Academy of Community Health Nursing.2015; 26(1): 52. CrossRef - Cross-lagged relationships between problematic Internet use and lifestyle changes
Chih-Hung Lin, Ssu-Kuang Chen, Shan-Mei Chang, Sunny S.J. Lin Computers in Human Behavior.2013; 29(6): 2615. CrossRef - Análisis de las propiedades psicométricas de la versión en español del Internet Addiction Test
D.X. Puerta-Cortés, X. Carbonell, A. Chamarro Trastornos Adictivos.2012; 14(4): 99. CrossRef
- The Effect of Sleep Duration on the Risk of Unintentional Injury in Korean Adults
-
Yeon-Yong Kim, Un-Na Kim, Jin-Seok Lee, Jong-Heon Park
-
J Prev Med Public Health. 2014;47(3):150-157. Published online May 30, 2014
-
DOI: https://doi.org/10.3961/jpmph.2014.47.3.150
-
-
11,862
View
-
91
Download
-
6
Crossref
-
Abstract
PDF
- Objectives
The decrease or increase in sleep duration has recently been recognized as a risk factor for several diseases, including hypertension and obesity. Many studies have explored the relationship of decreased sleep durations and injuries, but few have examined the relationship between increased sleep duration and injury. The objective of this research is to identify the risk for injury associated with both decreased and increased sleep durations. MethodsData from the 2010 Community Health Survey were used in this study. We conducted logistic regression with average sleep duration as the independent variable, injury as a dependent variable, and controlling for age, sex, occupation, education, region (cities and provinces), smoking, alcohol use, body mass index, hypertension, diabetes, arthritis, and depression. Seven categories of sleep duration were established: ≤4, 5, 6, 7, 8, 9, and ≥10 hours. ResultsUsing 7 hours of sleep as the reference, the adjusted injury risk (odds ratio) for those sleeping a total of ≤4 h/d was 1.53; 1.28 for 5 hours, for 1.11 for 6 hours, 0.98 for 8 hours, 1.12 for 9 hours, and 1.48 for ≥10 hours. The difference in risk was statistically significant for each category except for the 8 and 9 hours. In this study, risk increased as the sleep duration decreased or increased, except for the 8 and 9 hours. ConclusionsThis research found that either a decrease or increase in sleep duration was associated with an increased risk for injury. The concept of proper sleep duration can be evaluated by its associated injury risk.
-
Summary
-
Citations
Citations to this article as recorded by
- Musculoskeletal injuries in UK Service Personnel and the impact of in-theatre rehabilitation during Cold Weather Warfare training: Exercise CETUS 2020
David H Ferraby, D Hayhurst, R Strachan, H Knapman, S Wood, J L Fallowfield BMJ Military Health.2023; 169(6): 517. CrossRef - Prevalence and behavioural associations of unintentional injuries among Chinese college students: a 50-University population-based study
Dan Wu, Tingzhong Yang, Randall R Cottrell, Huan Zhou, Xueying Feng Injury Prevention.2019; 25(1): 52. CrossRef - Association of physical activity, sedentary time, and sleep duration on the health-related quality of life of college students in Northeast China
Yinjian Ge, Shimeng Xin, Dechun Luan, Zhili Zou, Mengting Liu, Xue Bai, Qian Gao Health and Quality of Life Outcomes.2019;[Epub] CrossRef - Risk factors for unintentional injuries among the rural elderly: a county-based cross-sectional survey
Hongping Zhang, Feng Wei, Mo Han, Jianquan Chen, Songxu Peng, Yukai Du Scientific Reports.2017;[Epub] CrossRef - Unintentional Injuries among Psychiatric Outpatients with Major Depressive Disorder
Ching-I Hung, Chia-Yih Liu, Ching-Hui Yang, Yinglin Xia PLOS ONE.2016; 11(12): e0168202. CrossRef - The Effect of Sleep Duration and Relief of Fatigue after Sleep on the Risk of Injury at School among Korean Adolescents
Jungok Yu, Jungsoon Kim Journal of Korean Academy of Community Health Nursing.2015; 26(2): 100. CrossRef
|