Journal of Preventive Medicine and Public Health

Volume 42(2); March 2009

English Abstracts

Scientific Basis of Environmental Health Contingency Planning for a Coastal Oil Spill.: Young Min Kim, Hae Kwan Cheong, Jong Ho Kim, Jong Hun Kim, Kumsook Ko, Mina Ha; J Prev Med Public Health. 2009;42(2):73-81.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.73

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OBJECTIVES
This study presents a scientific basis for the establishment of an environmental health contingency plan for dealing with accidental coastal oil spills and suggests some strategies for use in an environmental health emergency. METHODS: We reviewed the existing literature, and analyzed the various fundamental factors involved in response strategies for oil spill. Our analysis included data derived from Hebei Spirit oil spill and used air dispersion modeling. RESULTS: Spill amounts of more than 1,000 kl can affect the health of residents along the coast, especially those who belong to vulnerable groups. Almost 30% of South Korean population lives in the vicinity of the coast. The area that is at the highest risk for a spill and that has the greatest number of people at risk is the stretch of coastline from Busan to Tongyeong. The most prevalent types of oil spilt in Korean waters have been crude oil and bunker-C oil, both of which have relatively high specific gravity and contain volatile organic compounds, polycyclic aromatic hydrocarbons, and metals. In the case of a spill of more than 1,000 kl, it may be necessary to evacuate vulnerable and sensitive groups. CONCLUSIONS: The government should establish environmental health planning that considers the spill amount, the types of oil, and the distance between the spot of the accident and the coast, and should assemble a response team that includes environmental health specialists to prepare for the future oil spill.

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Acute Health Effects Among Military Personnel Participating in the Cleanup of the Hebei Spirit Oil Spill, 2007, in Taean County, Korea
Jin Gwack, Ju Hyung Lee, Young Ah Kang, Kyu-jin Chang, Moo Sik Lee, Jee Young Hong
Osong Public Health and Research Perspectives.2012; 3(4): 206. CrossRef
Hebei Spirit Oil Spill Exposure and Subjective Symptoms in Residents Participating in Clean-Up Activities
Hae-Kwan Cheong, Mina Ha, Jong Seong Lee, Hojang Kwon, Eun-Hee Ha, Yun-Chul Hong, Yeyong Choi, Woo-Chul Jeong, Jongil Hur, Seung-Min Lee, Eun-Jung Kim, Hosub Im
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A Case of Respiratory Failure after Clean-up Work of the Hebei Spirit Crude Oil Spill in Taean
Sun Young Kyung, Su Yeon Chon, Yu Jin Kim, Sang Pyo Lee, Jeong-Woong Park, Sung Hwan Jeong
Tuberculosis and Respiratory Diseases.2009; 67(3): 249. CrossRef
The Distinction of Cleanup Works of Hebei Spirit Oil Spill in Peak Expiratory Flow between Pre-works and Post-works
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Psychological Health in Residents Participating in Clean-up Works of Hebei Spirit Oil Spill.: Minkyo Song, Yun Chul Hong, Hae Kwan Cheong, Mina Ha, Hojang Kwon, Eun Hee Ha, Yeyong Choi, Woo Chul Jeong, Jongil Hur, Seung Min Lee, Eun Jung Kim; J Prev Med Public Health. 2009;42(2):82-88.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.82

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Abstract PDF

OBJECTIVES
Our objective was to examine and evaluate the psychological health of the residents of Taean during the cleanup of the Hebei Spirit (HS) oil spill and to review some factors associated with the results. METHODS: A community survey of 71 men and women was conducted 8 weeks after the HS oil spill. Questionnaires used were the PWI (Psychological Well-being Index) scale for psychosocial distress, the CES-D (Center for Epidemiologic Studies-Depression) scale for depressive symptoms, and a questionnaire created to assess suicidal impulses. RESULTS: The overall prevalence of high-risk psychosocial distress among the study group was 64.2%. The percentages of respondents with scores on the CES-D Scale above 16 and above 21 were 77.6% and 62.7%, respectively. The percentage of respondents categorized as having suicidal impulses was 18.3%. When compared with unexposed groups in the general population taken from various sources, the residents of Taean were 6.5 times as likely to have high stress and 9.4-9.7 times as likely to be depressed. No significant difference in the rate of suicidal impulse was found between the residents of Taean and the general population. Factors associated with high stress, depression, and suicidal impulses were age, a change in income, educational level, number of days working on the cleanup, and positive responses to questions about "affected daily activity" and "hospital visit due to work on cleanup." CONCLUSIONS: The results suggest that the HS oil spill had a significant impact on the psychological health of residents of Taean, but the comparability of the unexposed groups is a limitation of the study.

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The Effects of Wearing Protective Devices among Residents and Volunteers Participating in the Cleanup of the Hebei Spirit Oil Spill.: Seung Min Lee, Mina Ha, Eun Jung Kim, Woo Chul Jeong, Jongil Hur, Seok Gun Park, Hojang Kwon, Yun Chul Hong, Eun Hee Ha, Jong Seung Lee, Bong Chul Chung, Jeongae Lee, Hosub Im, Yeyong Choi, Yong Min Cho, Hae Kwan Cheong; J Prev Med Public Health. 2009;42(2):89-95.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.89

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Abstract PDF

OBJECTIVES
To assess the protective effects of wearing protective devices among the residents and volunteers who participated in the cleanup of the Hebei Spirit oil spill. METHODS: A total of 288 residents and 724 volunteers were surveyed about symptoms, whether they were wearing protective devices and potential confounding variables. The questionnaires were administered from the second to the sixth week following the accident. Spot urine samples were collected and analyzed for metabolites of 4 volatile organic compounds (VOCs), 2 polycyclic aromatic hydrocarbons (PAHs), and 6 heavy metals. The association between the wearing of protective devices and various symptoms was assessed using a multiple logistic regression adjusted for confounding variables. A multiple generalized linear regression model adjusted for the covariates was used to test for a difference in least-square mean concentration of urinary biomarkers between residents who wore protective devices and those who did not. RESULTS: Thirty nine to 98% of the residents and 62-98% of volunteers wore protective devices. Levels of fatigue and fever were higher among residents not wearing masks than among those who did wear masks (odds ratio 4.5; 95% confidence interval 1.23-19.86). Urinary mercury levels were found to be significantly higher among residents not wearing work clothes or boots (p<0.05). CONCLUSIONS: Because the survey was not performed during the initial high-exposure period, no significant difference was found in metabolite levels between people who wore protective devices and those who did not, except for mercury, whose biological half-life is more than 6 weeks.

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BTEX Exposure and its Health Effects in Pregnant Women Following the Hebei Spirit Oil Spill.: Byung Mi Kim, Eun kyo Park, So Young LeeAn, Mina Ha, Eun Jung Kim, Hojang Kwon, Yun Chul Hong, Woo Chul Jeong, Jongil Hur, Hae Kwan Cheong, Jongheop Yi, Jong Ho Kim, Bo Eun Lee, Ju Hee Seo, Moon Hee Chang, Eun Hee Ha; J Prev Med Public Health. 2009;42(2):96-103.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.96

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146 Download
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Abstract PDF

OBJECTIVES
We evaluated the health effects of exposure to BTEX (Benzene, Toluene, Ethylbenzene, m,p-Xylene, o-Xylene) in the Taean area after the Hebei Spirit oil spill. METHODS: We used a questionnaire survey to look for health effects among 80 pregnant women 2 to 3 months following the Hebei Spirit oil spill. Their BTEX exposures were estimated using the CALPUFF method. We then used a multiple logistic regression analysis to evaluate the effects of BTEX exposure on the women's health effets. RESULTS: Pregnant women who lived near the accident site reported more symptoms of eye irritation and headache than those who lived farther from the site. There was a trend of decreasing symptoms with an increase in distance from the spill site. Pregnant women exposed to higher ambient cumulative levels of Xylene were significantly more likely to report symptoms of the skin (OR 8.01 95% CI=1.74-36.76) in the first day after the accident and significantly more likely to report abdominal pain (OR 3.86 95% CI=1.02-14.59 for Ethylbenzene, OR 6.70 95% CI=1.82-24.62 for Xylene) during the 1st through 4th days following the accident. CONCLUSIONS: This study suggests that exposure to BTEX from an oil spill is correlated with an increased risk of health effects among pregnant women. This implies the need to take proper measures, including the development of a national policy for environmental health emergencies and a plan for studying the short- and long-term chronic health effects associated with such spills.

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Korean Journal of Family Medicine.2009; 30(11): 848. CrossRef

Validation Studies

Validity of Measles Immunization Certificates Submitted upon Enrollment in an Elementary School in Korea.: Kunsei Lee, Hyeongsu Kim, Eunyoung Shin, Youngtaek Kim, Sounghoon Chang, Jaewook Choi; J Prev Med Public Health. 2009;42(2):104-108.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.104

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OBJECTIVES
To increase the booster vaccination rate, the Korean government legislated a measles vaccination for elementary school students in 2001, requiring parents to submit a certificate of vaccination upon the admission of the students to elementary school. The purpose of this study was to evaluate the validity of measles vaccination certificates which were issued to parents. METHODS: Using questionnaire survey data of 890 general practitioners and 9,235 parents in 2005, we investigated the evidence for booster vaccination certificates of measles. RESULTS: In the survey of general practitioners, 59.5% of the certificates depended on the medical records of clinic, 13.5% was immunization booklets, 23.7% was re-immunizations, 1.9% was confirmation of record of other clinics, and 1.4% was parents' statements or requests without evidence. In the survey of parents, 36.2% of the certificates depended on the medical records of clinic, 43.4% was immunization booklets, 18.0% was reimmunizations, and 2.4% was parents statements or requests without evidence. CONCLUSIONS: Our findings show that a majority of the booster vaccination certificates of measles was issued on the basis of documented vaccinations and it means that the implementation of the law requiring the submission of elementary school students' vaccination certificates has been very successful in Korea.

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Increasing vaccination coverage: The school entry vaccination record check program in Guizhou Province China, 2003–2018
Shuyan Zuo, Dayong Zhang, Qiuyue Mu, Lifang Dai, Wen Du, Fei Xu, Jun Feng, James Dawson Heffelfinger
Vaccine.2020; 38(46): 7379. CrossRef
School entry vaccination requirement program: Experience from the Republic of Korea
Young June Choe, Kwangsuk Park, Eunyoung Park, Insik Kong, Jong-Koo Lee
Vaccine.2018; 36(37): 5497. CrossRef
Measles Elimination Activities in the Western Pacific Region: Experience from the Republic of Korea
Young June Choe, Youngmee Jee, Myoung-don Oh, Jong-Koo Lee
Journal of Korean Medical Science.2015; 30(Suppl 2): S115. CrossRef
Reemergence of Measles in South Korea: Implications for Immunization and Surveillance Programs
Young-Joon Park, Hye Suk Eom, Eun Seong Kim, Young June Choe, Geun-Ryang Bae, Duk-Hyoung Lee
Japanese Journal of Infectious Diseases.2013; 66(1): 6. CrossRef
Effectiveness assessment of vaccination policy against measles epidemic in Japan using an age–time two-dimensional mathematical model
Yusuke Maitani, Hirofumi Ishikawa
Environmental Health and Preventive Medicine.2012; 17(1): 34. CrossRef
Seroprevalence of measles among children affected by national measles elimination program in Korea, 2010
Eun Seong Kim, Young June Choe, Heeyeon Cho, You-Jin Kim, Hee Sook Yoon, Jeong-Sun Yang, Kisoon Kim, Geun-Ryang Bae, Duk-hyoung Lee
Vaccine.2012; 30(23): 3355. CrossRef

English Abstracts

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

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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.

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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

Prognostic Impact of Charlson Comorbidity Index Obtained from Medical Records and Claims Data on 1-year Mortality and Length of Stay in Gastric Cancer Patients.: Min Ho Kyung, Seok Jun Yoon, Hyeong Sik Ahn, Se min Hwang, Hyun Ju Seo, Kyoung Hoon Kim, Hyeung Keun Park; J Prev Med Public Health. 2009;42(2):117-122.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.117

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OBJECTIVES
We tried to evaluate the agreement of the Charlson comorbidity index values (CCI) obtained from different sources (medical records and National Health Insurance claims data) for gastric cancer patients. We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay (length of stay). METHODS: Medical records of 284 gastric cancer patients were reviewed, and their National Health Insurance claims data and death certificates were also investigated. To evaluate agreement, the kappa coefficient was tested. Multiple logistic regression analysis and multiple linear regression analysis were performed to evaluate and compare the prognostic power for predicting 1 year mortality and length of stay. RESULTS: The CCI values for each comorbid condition obtained from 2 different data sources appeared to poorly agree (kappa: 0.00-0.59). It was appeared that the CCI values based on both sources were not valid prognostic indicators of 1-year mortality. Only medical record-based CCI was a valid prognostic indicator of length of stay, even after adjustment of covariables (beta = 0.112, 95% CI = [0.017-1.267]). CONCLUSIONS: There was a discrepancy between the data sources with regard to the value of CCI both for the prognostic power and its direction. Therefore, assuming that medical records are the gold standard for the source for CCI measurement, claims data is not an appropriate source for determining the CCI, at least for gastric cancer.

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Factors Associated with Hospital Length of Stay among Women’s Cancer Patients: Based on the In-depth Injury Patient Surveillance System Data
Yoonjung Kang, Hyewon Lee
Journal of Health Informatics and Statistics.2022; 47(2): 148. CrossRef
The impact of global budgeting in Taiwan on inpatients with unexplained fever
Keh-Sen Liu, Tsung-Fu Yu, Hsing-Ju Wu, Chun-Yi Lin
Medicine.2019; 98(37): e17131. CrossRef
What happened to health service utilization, health care expenditures, and quality of care in patients with acute pancreatitis after implementation of global budgeting in Taiwan?
Ya-Lin Ko, Jyun-Wei Wang, Hui-Mei Hsu, Chia-Hung Kao, Chun-Yi Lin
Medicine.2018; 97(41): e12620. CrossRef
The impact of global budgeting on health service utilization, health care expenditures, and quality of care among patients with pneumonia in Taiwan
C.-Y. Lin, T. Ma, C.-C. Lin, C.-H. Kao
European Journal of Clinical Microbiology & Infectious Diseases.2016; 35(2): 219. CrossRef
Comparison of Hospital Standardized Mortality Ratio Using National Hospital Discharge Injury Data
Jong-Ho Park, Yoo-Mi Kim, Sung-Soo Kim, Won-Joong Kim, Sung-Hong Kang
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(4): 1739. CrossRef
Predictive Ability of Charlson Comorbidity Index on Outcomes From Lung Cancer
Apar Kishor Ganti, Emily Siedlik, Alissa S. Marr, Fausto R. Loberiza, Anne Kessinger
American Journal of Clinical Oncology.2011; 34(6): 593. CrossRef
Comparative Study on Three Algorithms of the ICD-10 Charlson Comorbidity Index with Myocardial Infarction Patients
Kyoung Hoon Kim
Journal of Preventive Medicine and Public Health.2010; 43(1): 42. CrossRef
The Impact of Medicaid Expansion to include population with low income on the preventable hospitalizations
Hyun-Chul Shin, Se-Ra Kim
Korean Journal of Health Policy and Administration.2010; 20(1): 87. CrossRef
Charlson Comorbidity Index as a Predictor of Long-Term Survival after Surgery for Breast Cancer: A Nationwide Retrospective Cohort Study in South Korea
Hye Kyung Woo, Jong Hyock Park, Han Sung Kang, So Young Kim, Sang Il Lee, Hyung Ho Nam
Journal of Breast Cancer.2010; 13(4): 409. CrossRef
A comparison of the Charlson comorbidity index derived from medical records and claims data from patients undergoing lung cancer surgery in Korea: a population-based investigation
Hyun-Ju Seo, Seok-Jun Yoon, Sang-Il Lee, Kun Sei Lee, Young Ho Yun, Eun-Jung Kim, In-Hwan Oh
BMC Health Services Research.2010;[Epub] CrossRef
Health Outcome Prediction Using the Charlson Comorbidity Index In Lung Cancer Patients
Se-Won Kim, Seok-Jun Yoon, Min-Ho Kyung, Young-Ho Yun, Young-Ae Kim, Eun-Jung Kim
Korean Journal of Health Policy and Administration.2009; 19(4): 18. CrossRef
Factors Affecting Health of the Rural Residents
Dong-Koog Son, Kyu-Sik Lee, Jong-Ku Park, Sang-Baek Koh, Ki-Nam Jin, Eun-Woo Nam, Hae-Jong Lee
Korean Journal of Health Policy and Administration.2009; 19(4): 1. CrossRef

The Association Between Public Social Expenditure and Suicides: Evidence from OECD Countries.: Yoojin Park, Myoung hee Kim, Soonman Kown, Young jeon Shin; J Prev Med Public Health. 2009;42(2):123-129.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.123

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OBJECTIVES
This study aimed to examine the association between public social expenditure (PSE) and suicides in the 27 countries of the Organization for Economic Cooperation and Development (OECD) from 1980 to 2003. METHODS: The age-standardized suicide rates and their annual change (%) were obtained from the OECD Health Data 2007. As a measure of social protection, the PSE (% GDP) was used. The covariates included the annual divorce rate (/100,000 population), fertility rate (number of children/woman aged 15 to 49 years), GDP per capita (US$PPP), male unemployment rate (%), life expectancy (years) and alcohol consumption (liter/capita) for each country, which were all obtained from the OECD Health Data 2007 and the OECD Social Indicators 2006. Using hierarchical linear models that included these covariates, the effects of PSE on suicides (Model 1) and the annual percent change (Model 2) were examined (Model 3). Also, sub-sample analyses were done for six countries that experienced political/economic transition. RESULTS: We could not find significant effects of PSE on suicides (Model 1), but we observed significantly negative effects on the annual percent change for men and women (Model 2). Such findings were replicated in the sub-sample analysis, and moreover, the effect size was much larger (Model 3). CONCLUSIONS: Our finding suggests that social welfare protection can be a pivotal factor for suicide epidemiology, and especially in countries experiencing a social crisis or transition.

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The Impact of Social Expenditure on Sustainable Human Development: Empirical Evidence on the Suicide Deaths in a Developing Country
Mert Akyuz
OMEGA - Journal of Death and Dying.2024;[Epub] CrossRef
Effects of health-related quality of life and long-term care insurance infrastructure on suicidal ideation among older Korean adults
Changsook Lee, Sun-Young Heo
Asia Pacific Journal of Social Work and Development.2023; 33(2): 101. CrossRef
Spatiotemporal clustering of suicide attempt in Kermanshah, West-Iran
Alireza Zangeneh, Nahid Khademi, Naser Farahmandmoghadam, Arash Ziapour, Reyhane Naderlou, Somayyeh Shalchi Oghli, Raziyeh Teimouri, Komali Yenneti, Shahrzad Moghadam
Frontiers in Psychiatry.2023;[Epub] CrossRef
Impacts of Economic Freedom, Health, and Social Expenditures on Well-Being Measured by the Better Life Index in OECD Countries
Seda Aydan, Gamze Bayin Donar, Cengiz Arikan
Social Work in Public Health.2022; 37(5): 435. CrossRef
Cross-national comparisons of increasing suicidal mortality rates for Koreans in the Republic of Korea and Korean Americans in the USA, 2003–2012
A. Kung, K. G. Hastings, K. I. Kapphahn, E. J. Wang, M. R. Cullen, S. L. Ivey, L. P. Palaniappan, S. Chung
Epidemiology and Psychiatric Sciences.2018; 27(1): 62. CrossRef
The Impacts of Social Protection Policies and Programs on Suicide: A Literature Review
Chungah Kim
International Journal of Health Services.2018; 48(3): 512. CrossRef
A fuzzy set approach to economic crisis, austerity and public health. Part II: How are configurations of crisis and austerity related to changes in population health across Europe?
Therese Saltkjel, Mari Holm Ingelsrud, Espen Dahl, Knut Halvorsen
Scandinavian Journal of Public Health.2017; 45(18_suppl): 48. CrossRef
The 2008/09 Economic Crisis: The Impact on Psychological Well-Being in the USA
Chiara Piovani, Nursel Aydiner-Avsar
Forum for Social Economics.2015; 44(1): 18. CrossRef
Regional Disparities of Suicide Mortality by Gender
Eun-Won Seo, Jin-Mi Kwak, Da-Yang Kim, Kwang-Soo Lee
Health Policy and Management.2015; 25(4): 285. CrossRef
Elderly's Suicide Differentials and Their Factors: Focusing on 16 Metropolises and Provinces in Korea
Hyoung-Soo Kim, Sin-Hayng Kim
The Journal of the Korea Contents Association.2014; 14(11): 215. CrossRef
Association Between Local Government Social Expenditures and Mortality Levels in Korea
Hansoo Ko, Jinseob Kim, Donggil Kim, Saerom Kim, Yukyung Park, Chang-yup Kim
Journal of Preventive Medicine and Public Health.2013; 46(1): 1. CrossRef
Suicide Rate Differences by Sex, Age, and Urbanicity, and Related Regional Factors in Korea
Kyu-Seok Cheong, Min-Hyeok Choi, Byung-Mann Cho, Tae-Ho Yoon, Chang-Hun Kim, Yu-Mi Kim, In-Kyung Hwang
Journal of Preventive Medicine and Public Health.2012; 45(2): 70. CrossRef
Economic crisis and mental health
Antti Uutela
Current Opinion in Psychiatry.2010; 23(2): 127. CrossRef

Validation Studies

A Validation of Estimating the National Cancer Incidence in Korea using the Databases of 7 Population-based Regional Cancer Registries except Seoul.: J Prev Med Public Health. 2009;42(2):130-134.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.130

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OBJECTIVES
A method of estimation using 8 population-based cancer registries databases in Korea (KRCR DB) has been introduced as another strategy for validly estimating the national cancer incidence (NCI) in Korea. The purpose of this study was to evaluate the validity of this method with using the 7 KRCR DBs, excluding Seoul covering 21% of the total population of Korea. METHODS: We designed the study method (NCSE_7) as same as the estimating method with using 8 KRCR DBs (NCSE_8) in order to ensure maximal comparability. We defined the expected number of cancer cases in each registry as the number of observed cases and then we added the weighted observed cases according to gender, age and the proportion of the population covered by each registry for the population of the seven regions and the population of all areas, with excluding these seven regions. From the expected number of total cancer incidents, the estimated NCI was calculated by dividing the expected number of cancer cases by the number of the total population. The standard error (SE) of the estimated incidence was also taken from the expected number of total cancer incidents. RESULTS: Compared with the results of the NCSE_8, the overall age-standardized rates (ASR) in men and women became over-estimated and under-estimated, respectively. Primary sites that showed statistically significant differences were the colo-rectum, prostate, breast and thyroid. The index of death certificate only (DCO)and microscopically verified (MV)% indicating levels of data quality were decreased, especially for the brain in DCO% and kidney in the MV%. CONCLUSIONS: The database of Seoul regional cancer registry has a key role for the method to estimate the valid nationwide cancer statistics in Korea with using the population-based cancer registries' databases.

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Overview of Cancer Registration Research in the Asian Pacific from 2008-2013
Malcolm A. Moore
Asian Pacific Journal of Cancer Prevention.2013; 14(8): 4461. CrossRef
Construction and Validation of Hospital-Based Cancer Registry Using Various Health Records to Detect Patients with Newly Diagnosed Cancer: Experience at Asan Medical Center
Hwa Jung Kim, Jin Hee Cho, Yongman Lyu, Sun Hye Lee, Kyeong Ha Hwang, Moo-Song Lee
Journal of Preventive Medicine and Public Health.2010; 43(3): 257. CrossRef

Evaluation Studies

An Evaluation of Sampling Design for Estimating an Epidemiologic Volume of Diabetes and for Assessing Present Status of Its Control in Korea.: Ji Sung Lee, Jaiyong Kim, Sei Hyun Baik, Ie Byung Park, Juneyoung Lee; J Prev Med Public Health. 2009;42(2):135-142.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.135

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OBJECTIVES
An appropriate sampling strategy for estimating an epidemiologic volume of diabetes has been evaluated through a simulation. METHODS: We analyzed about 250 million medical insurance claims data submitted to the Health Insurance Review & Assessment Service with diabetes as principal or subsequent diagnoses, more than or equal to once per year, in 2003. The database was re-constructed to a 'patient-hospital profile' that had 3,676,164 cases, and then to a 'patient profile' that consisted of 2,412,082 observations. The patient profile data was then used to test the validity of a proposed sampling frame and methods of sampling to develop diabetic-related epidemiologic indices. RESULTS: Simulation study showed that a use of a stratified two-stage cluster sampling design with a total sample size of 4,000 will provide an estimate of 57.04% (95% prediction range, 49.83 - 64.24%) for a treatment prescription rate of diabetes. The proposed sampling design consists, at first, stratifying the area of the nation into "metropolitan/city/county" and the types of hospital into "tertiary/secondary/primary/clinic" with a proportion of 5:10:10:75. Hospitals were then randomly selected within the strata as a primary sampling unit, followed by a random selection of patients within the hospitals as a secondly sampling unit. The difference between the estimate and the parameter value was projected to be less than 0.3%. CONCLUSIONS: The sampling scheme proposed will be applied to a subsequent nationwide field survey not only for estimating the epidemiologic volume of diabetes but also for assessing the present status of nationwide diabetes control.

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Diabetes Epidemics in Korea: Reappraise Nationwide Survey of Diabetes "Diabetes in Korea 2007"
Ie Byung Park, Jaiyong Kim, Dae Jung Kim, Choon Hee Chung, Jee-Young Oh, Seok Won Park, Juneyoung Lee, Kyung Mook Choi, Kyung Wan Min, Jeong Hyun Park, Hyun Shik Son, Chul Woo Ahn, Hwayoung Kim, Sunhee Lee, Im Bong Lee, Injeoung Choi, Sei Hyun Baik
Diabetes & Metabolism Journal.2013; 37(4): 233. CrossRef
Development of a Sampling Strategy and Sample Size Calculation to Estimate the Distribution of Mammographic Breast Density in Korean Women
Jae Kwan Jun, Mi Jin Kim, Kui Son Choi, Mina Suh, Kyu-Won Jung
Asian Pacific Journal of Cancer Prevention.2012; 13(9): 4661. CrossRef

English Abstract

Trends in Sex Ratio at Birth according to Parental Social Positions: Results from Vital Statistics Birth, 1981-2004 in Korea.: Heeran Chun, Il Ho Kim, Young Ho Khang; J Prev Med Public Health. 2009;42(2):143-150.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.143

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OBJECTIVES
South Korea has experienced unprecedented ups and downs in the sex ratio at birth (SRB), which has been a unique phenomenon in the last two decades. However, little is known about socioeconomic factors that influence the SRB. Employing the diffusion theory by Rogers, this study was undertaken to examine the trends in social variations in the SRB from 1981 to 2004 in Korea. METHODS: The data was taken from Vital Birth Statistics for the period from 1981-2004. We computed the annual male proportion of live births according to the parental education (university, middle/high school, primary) and occupation (non-manual, manual, others). Logistic regression analysis was employed to estimate the odds ratios of male birth according to social position for the equidistant three time periods (1981-1984, 1991-1994, and 2001-2004). RESULTS: An increased SRB was detected among parents with higher social position before the mid 1980s. Since then, however, a greater SRB was found for the less educated and manual jobholders. The inverse social gradient for the SRB was most prominent in early 1990s, but the gap has narrowed since the late 1990s. The mother's socioeconomic position could be a sensitive indicator of the social variations in the sex ratio at birth. CONCLUSIONS: Changes in the relationship of parental social position with the SRB were detected during the 1980-2004 in Korea. This Korean experience may well be explained by diffusion theory, suggesting there have been socioeconomic differences in the adoption and spread of sex-detection technology.

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Effects of Socio-demographic Factors on the Decreasing Trend in the Sex Ratio at Birth in Korea, 1997-2017
Jisuk Bae
Journal of Preventive Medicine and Public Health.2020; 53(5): 371. CrossRef
Does the Mother or Father Determine the Offspring Sex Ratio? Investigating the Relationship between Maternal Digit Ratio and Offspring Sex Ratio
Tae Beom Kim, Jin Kyu Oh, Kwang Taek Kim, Sang Jin Yoon, Soo Woong Kim, Martin Voracek
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La masculinisation des naissances. État des lieux et des connaissances
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Socioeconomic inequalities in health status in Korea
Kyunghee Jung-Choi, Yu-Mi Kim
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Socio-economic Differentials in Birth Masculinity in China
Christophe Z. Guilmoto, Qiang Ren
Development and Change.2011; 42(5): 1269. CrossRef
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Christophe Z. Guilmoto
Population and Development Review.2009; 35(3): 519. CrossRef

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