Journal of Preventive Medicine and Public Health

Volume 41(5); September 2008

English Abstracts

Estimating the Economic Burden of Osteoporotic Vertebral Fracture among Elderly Korean Women.: Hye Young Kang, Dae Ryong Kang, Young Hwa Jang, Sung Eun Park, Won Jung Choi, Seong Hwan Moon, Kyu Hyun Yang; J Prev Med Public Health. 2008;41(5):287-294.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.287

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OBJECTIVES
To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. METHODS: From 2002 to 2004, we identified all National Health Insurance claims records for women > or = 50 years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," Ysuch that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with > or = one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. RESULTS: During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. CONCLUSIONS: Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

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Absolute Bed Rest Duration of 3 Days for Osteoporotic Vertebral Fractures: A Retrospective Study
Sung Tan Cho, Seung Joo Kim, Bum Joon Nam, Kun Woo Kim, Gyu Hyeon Lee, Jin Hwan Kim
Asian Spine Journal.2022; 16(6): 898. CrossRef
Estimating the future clinical and economic benefits of improving osteoporosis diagnosis and treatment among women in South Korea: a simulation projection model from 2020 to 2040
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Archives of Osteoporosis.2021;[Epub] CrossRef
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A meta-analysis of breastfeeding and osteoporotic fracture risk in the females
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Osteoporosis International.2017; 28(2): 495. CrossRef
Economic Burden of Osteoporotic Fracture of the Elderly in South Korea: A National Survey
Jinhyun Kim, Eunhee Lee, Sungjae Kim, Tae Jin Lee
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Lifestyle and Genetic Predictors of Stiffness Index in Community-dwelling Elderly Korean Men and Women
Kyung-Ae Park, Yeon-Hwan Park, Min-Hee Suh, Smi Choi-Kwon
Asian Nursing Research.2015; 9(3): 251. CrossRef
The Epidemiology and Importance of Osteoporotic Spinal Compression Fracture in South Korea
Hun-Kyu Shin, Jong-Hyon Park
Journal of Korean Society of Spine Surgery.2015; 22(3): 99. CrossRef
The Socioeconomic Burden of Coronary Heart Disease in Korea
Hoo-Sun Chang, Han-Joong Kim, Chung-Mo Nam, Seung-Ji Lim, Young-Hwa Jang, Sera Kim, Hye-Young Kang
Journal of Preventive Medicine and Public Health.2012; 45(5): 291. CrossRef
Epidemiology and Economic Burden of Osteoporosis in South Korea
Yong-Chan Ha
Journal of the Korean Fracture Society.2011; 24(1): 114. CrossRef
How Much Amount of Socioeconomic Loss Is Caused by Digestive Diseases?
Kyung Sik Park
The Korean Journal of Gastroenterology.2011; 58(6): 297. CrossRef
Study of the Level of Osteoporosis Awareness among Women Dwelling in Urban Area
Miyoung Chung, Kyunghye Hwang, Euysoon Choi
Korean Journal of Women Health Nursing.2009; 15(4): 362. CrossRef

The Effect of the Cost Exemption Policy for Hospitalized Children under 6 Years Old on the Medical Utilization in Korea.: Kyeong Su Jeon, Seok Jun Yoon, Hyeong Sik Ahn, Hyun Woong Shin, Young Hye Yoon, Se Min Hwang, Min Ho Kyung; J Prev Med Public Health. 2008;41(5):295-299.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.295

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Abstract PDF

OBJECTIVES
The Korean government in January 2006 instigated an exemption policy for hospitalized children under the age of six years old. This study examines how this policy affected the utilization of medical care in Korea. METHODS: A total of 1,513,797 claim records from the Health Insurance Review Agency were analyzed by complete enumeration methods. The changes of medical utilization were compared from 2005 to 2006. In addition, the changes of medical utilization between 2004 and 2005 were compared as a pseudocontrol group. RESULTS: The admission rate increased 1.14-fold from 15.20% in 2004 to 17.32% in 2005, and this further increased 1.08-fold to 18.65% in 2006. The increase of patients with a common cold (1.2-fold) was higher than that of both the general patients (1.08-fold) and the patients with the top 10 fatal diseases (0.91-fold). The average length of stay per case for clinics showed the highest increase rates (1.06-fold). The rates of patients with the common cold showed a higher increase (1.05-fold) than that of the general patients. The average medical expense per case was increased by 1.10-fold from 2005 to 2006, which was higher than that from 2004 to 2005 (1.04-fold). The increase rate for patients with the common cold was higher at 1.18-fold than that of the general patients. CONCLUSIONS: The cost exemption policy has especially led to an increase in the utilization of clinics and the utilization by patients with a common cold.

Summary

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Incidence and prevalence of immune thrombocytopenia under the copayment waiver policy for pediatric patients in Korea: Data from the National Health Claims Database
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Lupus.2021; 30(4): 655. CrossRef
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Effect of Socioeconomic Status on Healthcare Utilization in Patients with Rare and Incurable Diseases
Jun Im, Myeong-Hui Kim, Jeong-Su Im, Dae-Gyu O
Korean Journal of Health Policy and Administration.2009; 19(4): 66. CrossRef

Comparative Study

Comparisons of Health Inequalities in Small Areas with Using the Standardized Mortality Ratios in Korea.: Ji Hyun Kim, Tae Ho Yoon; J Prev Med Public Health. 2008;41(5):300-306.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.300

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OBJECTIVES
This study was performed to compare the standardized mortality ratios among different small areas and to explore the usefulness of standardized mortality ratios in South Korea. METHODS: To calculate the standardized mortality ratio (SMR), we obtained the national deaths certificate data (2004-2006) and national registration population data (2003-2006), and these were provided by the National Statistical Office. The small areas (Eup.Myoun.Dong) were based on the subdivisions of counties. Among the 3,580 small areas classified by the National Statistical Office, 3,571 areas were included in this study. The basic statistics and decile distributions of the SMRs for all the regional levels were calculated, and the small area maps were also produced for some selected regions. To evaluate the precision of SMR, we calculated the 95% confidence intervals of the SMR in selected small areas. RESULTS: The mean and the standard deviation of the SMRs among all small areas were 100.8 and 17.0, respectively. The range was 30.6-211.7 and the inter-quartile range was 20.7. Seoul metropolitan city displayed the lowest mean SMR among 16 regions in South Korea, and 34.6 percent of the small area SMRs belonged to the first decile(the lowest group). On the contrary, the mean SMR of Gyeongsangnam province was highest, and 26.1 percent of the small area SMRs belonged to the tenth decile(the highest group). In some areas, the precision of the SMR, which was calculated by the 95% confidence intervals, remained questionable, yet it was quite stable for almost areas. CONCLUSIONS: The standardized mortality ratios can be useful for allocating health resources at the small area level in Korea.

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Comparison of three small-area mortality metrics according to urbanity in Korea: the standardized mortality ratio, comparative mortality figure, and life expectancy
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Life Expectancy in Areas around Subway Stations in the Seoul Metropolitan Area in Korea, 2008–2017
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Use of the National Health Information Database for Estimating Town-Level Mortality in Korea: Comparison with the National Administrative Data, 2014–2017
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Journal of Korean Medical Science.2019;[Epub] CrossRef
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English Abstracts

Study on the Health Status of the Residents near Military Airbases in Pyeongtaek City.: Hyunjoo Kim, Sangchul Roh, Ho Jang Kwon, Ki Chung Paik, Moo Yong Rhee, Jae Yun Jeong, Myung Ho Lim, Mi Jin Koo, Chang Hoon Kim, Hae Young Kim, Jeong Hun Lim, Dong Hyun Kim; J Prev Med Public Health. 2008;41(5):307-314.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.307

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OBJECTIVES
We conducted an epidemiologic survey to evaluate the effect of the aircraft noise exposure on the health of the residents near the military airbases in Pyeongtaek City. METHODS: The evaluation of environmental noise level, questionnaire survey, and health examination were performed for 917 residents. The study population consisted of four groups: subjects who lived in the village close to the fighter airbase (high exposure), subjects who lived along the course of fighters (intermediate exposure), and subjects near a helicopter airbase, and the control group. RESULTS: The prevalence of the aircraft noise related accident and irritable bowel syndrome in the exposure groups were higher than that of the control group. The risks of noise induced hearing loss, hypertension and diabetes mellitus were higher in the exposed groups than in the control group. The prevalence of anxiety disorder and primary insomnia were higher in the exposed groups than in the control group. Prevalence odd ratios of the risk for primary insomnia after adjusting age, sex, agricultural noise, and occupation were 4.03 [95% confidence interval (95% CI) 1.56-10.47] for the subject near the helicopter airbase, 1.23 (95% CI 0.40-3.76) for those intermediately exposed to fighter noise, and 4.99 (95% CI 2.14-11.64) for those highly exposed to fighter noise. CONCLUSIONS: The results of the present study suggest that the aircraft noise may have adverse effects on hearing function, cardiovascular health and mental health. Therefore, it seems to be needed to take proper measures including the control of the aircraft noise and the management of the exposed people's health.

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Association between noise exposure and diabetes: A systematic review and meta-analysis
Mohammad Javad Zare Sakhvidi, Fariba Zare Sakhvidi, Amir Houshang Mehrparvar, Maria Foraster, Payam Dadvand
Environmental Research.2018; 166: 647. CrossRef
The Prevalence of Functional Gastrointestinal Disorders in the Chinese Air Force Population
Wenming Wu, Xu Guo, Yunsheng Yang, Lihua Peng, Gaoping Mao, Hyder Qurratulain, Weifeng Wang, Gang Sun
Gastroenterology Research and Practice.2013; 2013: 1. CrossRef
Overview of the Environmental Damage, Property Loss, and Health Impairment of Residents around a US Air Force Firing Range
Hyun-Sul Lim
Korean Journal of Environmental Health Sciences.2011; 37(3): 173. CrossRef

How Are Consumers, Service and Market Factors Related to Customer Loyalty in Medical Service?: Targeting the Medical Consumer in a City.: Sunhee Lee, Hyunmi Kim, Juhye Kim, Gwiyeom Ha; J Prev Med Public Health. 2008;41(5):315-322.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.315

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OBJECTIVES
This study was performed to explore customer royalty and the related factors. METHODS: 900 households(a 1% sample) were randomly selected from the total population of K city located in Kangwon province. An interview survey was performed with using a structured questionnaire for the subjects(923 persons) who had used medical service during the year before the survey, and the survey was done September, 2002. RESULTS: When comparing the relating factors related with customer royalty according to the sociodemographic characteristics, the older group showed a significantly higher level of recognition for service quality, service reputation, internal customers.attitudes and switching cost. The lower income group showed a higher level of recognition for service quality, service image and switching cost. The lower educated group showed a higher level of recognition for service reputation, service image and internal customers.attitudes. The higher educated group showed a higher level of recognition for perceived risk, and seeking variety. In addition, the expert group or the service and manufacturing workers group showed a higher level of recognition for service involvement. On multiple regression analysis, internal customers' attitudes, service image, service reputation, service quality, switching cost, and substitutability showed significant relations with customer loyalty. CONCLUSIONS: This study showed that customer loyalty was significantly influenced by service factors like internal customers' attitudes, service image, service reputation, and service quality, and by market factors like switching cost, and substitutability. The results of this study can be used as a baseline for developing strategies to create and keep customers with high loyalty.

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Original Article

The Effects of Actual and Perceived Body Weight on Unhealthy Weight Control Behaviors and Depressed Mood among Adult Women in Seoul, Korea.: Dong Sik Kim, Hyun Sun Kim, Youngtae Cho, Sung Il Cho; J Prev Med Public Health. 2008;41(5):323-330.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.323

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OBJECTIVES
This study was conducted to examine the mediating function of body weight perception (BWP) on the relationship between body mass index (BMI) and unhealthy weight control behaviors (UWCB: e.g., fasting, or taking diet pills or laxatives) and between BMI and depressed mood, and to explore the effect of distorted BWP on UWCB and depressed mood among adult women. METHODS: A regionally representative sample of 8,581 women aged 20-64 years residing in Seoul, the capital of Korea, completed the 2001 Seoul Citizens Health Indicator Survey which provides self-reported information about height, weight, BWP, UWCB, depressed mood, demographic/ socioeconomic characteristics, and health-related behaviors. Data were analyzed using bivariate and multivariate logistic regression. RESULTS: BMI was significantly associated both with UWCB and depressed mood, even controlling for all covariates. However, the magnitude and significance of each association was considerably attenuated when BWP was taken into account, indicating that BWP functioned, in part, as a mediator between BMI and UWCB and between BMI and depressed mood, respectively. Among the combinations of BMI and BWP, women who perceived themselves to be heavier than their actual BMIs appeared more likely to use UWCB, whereas women who had a distorted BWP, either underestimation or overestimation as compared with their BMIs, tended to be at greater risk for depressed mood than those who had an undistorted BWP. CONCLUSIONS: These findings suggest that how women perceive their body weight may be an important predictor and/or mediator of UWCB and depressed mood among adult Korean women.

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English Abstracts

Measuring Workload of Home Visit Care Activities Using Relative Values.: Seong Ok Han, Eun Cheol Park, Dae Ryong Kang, Im Ok Kang; J Prev Med Public Health. 2008;41(5):331-338.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.331

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Abstract PDF: OBJECTIVES
The purpose of this study was to measure the workload of home visit care activities and their relative values. This study examined also factors that affect the workload of home visit care activities. METHODS: The participants of this study were 126 homehelpers of 50 home visit care agencies at the 2nd Longterm Care Insurance Demonstration Project. The workload of home visit care activities was divided into total work and four dimensions ; physical efforts, mental efforts, stress and time. Home visit care activities consisted of four categories with 24 items. We used magnitude estimation method to measure their relative values of the four dimensions. The participants answered the relative values of each activities based on the reference service. We used the activity for supporting their elderly's evacuation as the reference service. RESULTS: Most of the respondents were over 40 years old female. They consumed most their time supporting elderly's going out. They consumed their highest physical, mental efforts, and stress for activities of coping with emergency situation. The Pearson correlation coefficients showed significant relationships between workload and each dimensions. This study showed that all four dimensions are statistically significant predictors of workload of home visit care activities. Also, we found that the home-helper's career affects the workload of home visit care activities. CONCLUSIONS: The workload of home visit care activities could be explained by physical efforts, mental efforts, stress and time.; Summary

'Informed Consent' in Public Health Activities: Based on the Universal Declaration on Bioethics and Human Rights, UNESCO.: Kwang Ho Meng; J Prev Med Public Health. 2008;41(5):339-344.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.339

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OBJECTIVES
The objective of this paper is to discuss the importance of obtaining informed consent for conducting epidemiological studies and public health activities, based on the Report of the UNESCO's Working Group on Informed Consent. METHODS: The Report of the UNESCO's Working Group on Informed Consent was reviewed and discussed in connection with the ethical considerations of public health activities and epidemiological research. RESULTS: It was at the Nuremberg Trial for the German war criminals of the Second World War that the principle of 'consent' was first stated as a consequence of the medical abuses carried out during the War. As a result of the Trial, the Nuremberg Code came out in 1947. Since then, various international declarations or ethical principles on 'informed consent' have been developed and published. These ethical principles on 'informed consent' have mostly to do with the clinical research that involves human subjects, and not with epidemiological studies and public health activities. However, UNESCO recently issued a comprehensive Report on Informed Consent based on the Universal Declaration on Bioethics and Human Rights adopted in 2005, and this included detailed guidelines on informed consent in epidemiological studies and public health activities. CONCLUSIONS: Universal Declaration on Bioethics and Human Rights emphasizes the principle of autonomy to protect the human rights of the human subjects involved in any public health activities and epidemiological research. As a practical guideline, obtaining informed consent is strongly recommended.

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A Literature Review on Health Effects of Exposure to Oil Spill.: Mina Ha, Won Jin Lee, Seungmin Lee, Hae Kwan Cheong; J Prev Med Public Health. 2008;41(5):345-354.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.345

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OBJECTIVES
Our objective is to review and summarize the previous studies on the health effects of exposure to oil spills in order to make suggestions for mid- and long-term study plans regarding the health effects of the Hebei Spirit oil spill occured in Korea. METHODS: We searched PubMed to systemically retrieve reports on the human health effects related to oil spill accidents. The papers' reference lists and reviews on the topic were searched as well. RESULTS: We found 24 articles that examined seven oil spill accidents worldwide over the period from 1989 to August 2008, including the Exxon Valdes, Braer, Sea Empress, Erika, Nakhodka, Prestige and Tasman Spirit oil spills. Most of the studies applied cross-sectional and short-term follow-up study designs. The exposure level was measured by assessing the place of residence, using a questionnaire and environmental and personal monitoring. Studies on the acute or immediate health effects mainly focused on the subjective physical symptoms related to clean-up work or residential exposure. Late or mid-term follow-up studies were performed to investigate a range of health effects such as pulmonary function and endocrine, immunologic and genetic toxicity. The economic and social impact of the accidents resulted in the socio-psychological exposure and the psychosocial health effects. CONCLUSIONS: Studies of the health effects of exposure to oil spills should consider a range of health outcomes, including the physical and psychological effects, and the studies should be extended for a considerable period of time to study the long-term chronic health effects.

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Multiple Roles and Health among Korean Women.: Su Jin Cho, Soong Nang Jang, Sung Il Cho; J Prev Med Public Health. 2008;41(5):355-363.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.355

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Abstract PDF

OBJECTIVES
Most studies about multiple roles and women's health suggested that combining with paid job, being married and having children was more likely to improve health status than in case of single or traditional roles. We investigated whether there was better health outcome in multiple roles among Korean women coinciding with previous studies of other nations. METHODS: Data were from the 2005 Korea National Health & Nutritional Examination Survey, a subsample of women aged 25-59 years (N=2,943). Health status was assessed for self-rated poor health, perceived stress and depression, respectively based on one questionnaire item. The age-standardized prevalence of all health outcomes were calculated by role categories and socioeconomic status. Multiple logistic regression was used to assess the association of self rated health, perceived stress, and depression with multiple roles adjusted for age, education, household income, number of children and age of children. RESULTS: Having multiple roles with working role was not associated with better health and psychological wellbeing. Compared to those with traditional roles, employed women more frequently experienced perceived stress, with marital and/or parental roles. Non-working single mothers suffered depression more often than women with traditional roles or other role occupancy. Socioeconomic status indicators were potent independent correlates of self-rated health and perceived stress. CONCLUSIONS: Employment of women with other roles did not confer additional health benefit to traditional family responsibility. Juggling of work and family responsibility appeared more stressful than traditional unemployed parental and marital role in Korean women.

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Erratum: Global Activity of Cancer Registries and Cancer Control and Cancer Incidence Statistics in Korea.: Hai Rim Shin; J Prev Med Public Health. 2008;41(5):364-364.; DOI: https://doi.org/10.3961/jpmph.2008.41.5.364

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