Journal of Preventive Medicine and Public Health

Volume 51(4); July 2018

Special Article

Researches of Epigenetic Epidemiology for Infections and Radiation as Carcinogen: Jong-Myon Bae; J Prev Med Public Health. 2018;51(4):169-172. Published online July 2, 2018; DOI: https://doi.org/10.3961/jpmph.18.070

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In recent years, a number of studies have been reported on the various types of cancer arising from epigenetic alterations, including reports that these epigenetic alterations occur as a result of radiation exposure or infection. Thyroid cancer and breast cancer, in particular, have high cancer burden, and it has been confirmed that radiation exposure or onco-viral infection are linked to increased risk of development of these two types of cancer, respectively. Thus, the environment-epigenetic alteration-cancer occurrence (EEC) hypothesis has been suggested. This paper reviews the trends in research supporting this hypothesis for radiation exposure and onco-viral infection. If more evidences accumulate for the EEC hypothesis from future research, those findings may greatly aid in the prevention, early diagnosis, treatment, and prognosis of the thyroid cancer and breast cancer.

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Expression level and function analysis of serum miRNAs in workers with occupational exposure to benzene series
Kai Dai, Chen Wang, Wu Yao, Changfu Hao
Chemosphere.2023; 313: 137460. CrossRef
HDAC1 and HDAC2 Double Knockout Triggers Cell Apoptosis in Advanced Thyroid Cancer
Ching-Ling Lin, Ming-Lin Tsai, Chun-Yu Lin, Kai-Wen Hsu, Wen-Shyang Hsieh, Wei-Ming Chi, Li-Chi Huang, Chia-Hwa Lee
International Journal of Molecular Sciences.2019; 20(2): 454. CrossRef

Original Articles

Factors Influencing Vaccination in Korea: Findings From Focus Group Interviews: Bomi Park, Eun Jeong Choi, Bohyun Park, Hyejin Han, Su Jin Cho, Hee Jung Choi, Seonhwa Lee, Hyesook Park; J Prev Med Public Health. 2018;51(4):173-180. Published online May 25, 2018; DOI: https://doi.org/10.3961/jpmph.18.063

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Abstract PDF

Objectives
Immunization is considered one of the most successful and cost-effective public health interventions protecting communities from preventable infectious diseases. The Korean government set up a dedicated workforce for national immunization in 2003, and since then has made strides in improving vaccination coverage across the nation. However, some groups remain relatively vulnerable and require intervention, and it is necessary to address unmet needs to prevent outbreaks of communicable diseases. This study was conducted to characterize persistent challenges to vaccination.
Methods
The study adopted a qualitative method in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. Three focus group interviews were conducted with 15 professionals in charge of vaccination-related duties. The interviews were conducted according to a semi-structured guideline, and thematic analysis was carried out. Data saturation was confirmed when the researchers agreed that no more new codes could be found.
Results
A total of 4 main topics and 11 subtopics were introduced regarding barriers to vaccination. The main topics were vaccine hesitancy, personal circumstances, lack of information, and misclassification. Among them, vaccine hesitancy was confirmed to be the most significant factor impeding vaccination. It was also found that the factors hindering vaccination had changed over time and disproportionately affected certain groups.
Conclusions
The study identified ongoing unmet needs and barriers to vaccination despite the accomplishments of the National Immunization Program. The results have implications for establishing tailored interventions that target context- and group-specific barriers to improve timely and complete vaccination coverage.

Summary

Citations

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Twenty Years of Progress and the Way Forward: Immunization Registry Information System in Korea
Junghee Kim, Minju Song, Seohyeon Ahn, Seunghyun Lewis Kwon
Journal of Korean Medical Science.2024;[Epub] CrossRef
Parental intention to vaccinate daughters with the human papillomavirus vaccine in Korea: a nationwide cross-sectional survey
Yejin Ha, Kyeongmin Lee, Bomi Park, Mina Suh, Jae Kwan Jun, Kui Son Choi
Epidemiology and Health.2023; 45: e2023076. CrossRef
Letter to the Editor: Effectiveness of the Varicella Vaccine Among Korean Children: Suggestions for Future Research
BongKyoo Choi, Hyunjeong Cho, Younchul Shin, Eun-Kyoung Lee
Journal of Korean Medical Science.2022;[Epub] CrossRef
Vaccine hesitancy and emerging parental norms: A qualitative study in Taiwan
Chen‐I Kuan
Sociology of Health & Illness.2022; 44(3): 692. CrossRef
Physical and mental health characteristics related to trust in and intention to receive COVID-19 vaccination: results from a Korean community-based longitudinal study
Ye Jin Jeon, Youngrong Lee, Ji Su Yang, Young Su Park, Sun Jae Jung
Epidemiology and Health.2022; 44: e2022064. CrossRef
Vaccine Hesitancy and Concerns About Vaccine Safety and Effectiveness in Shanghai, China
Abram L. Wagner, Zhuoying Huang, Jia Ren, Megan Laffoon, Mengdi Ji, Leah C. Pinckney, Xiaodong Sun, Lisa A. Prosser, Matthew L. Boulton, Brian J. Zikmund-Fisher
American Journal of Preventive Medicine.2021; 60(1): S77. CrossRef
Paradoxical health care utilization patterns among children in Korea who did not receive mandatory pneumococcal vaccination
Sangho Sohn, Kwan Hong, Hari Hwang, Byung Chul Chun
Vaccine.2021; 39(7): 1096. CrossRef
Differential Demographic and Clinical Characteristics between MMR Vaccinated and Unvaccinated Children in South Korea: A Nationwide Study
Dongwon Yoon, Juhwan Kim, Juyoung Shin
Vaccines.2021; 9(6): 653. CrossRef
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Vivian Colón-López, Diana T. Medina-Laabes, Roxana Soto Abreu, Olga L. Díaz Miranda, Ana P. Ortiz, María E. Fernández, Pamela C. Hull
BMC Public Health.2021;[Epub] CrossRef
The need for pertussis vaccination among older adults and high-risk groups: a perspective from advanced economies of the Asia Pacific region
Leong Hoe Nam, Cheng-Hsun Chiu, Jung Yeon Heo, Margaret Ip, Ki-Suck Jung, Robert Menzies, Rodney Pearce, Philippe Buchy, Jing Chen, Michael Nissen, Kyu-Bin Oh
Expert Review of Vaccines.2021; 20(12): 1603. CrossRef
Comparison of the Seroprevalence of Measles Antibodies among Healthcare Workers in Two Korean Hospitals in 2019
Yee Gyung Kwak, Je Eun Song, Gang-Bok Oh, In Hye Jeong, Chong Rae Cho, Namhee Kim, Hyeon Mi Yoo, Gyeong Min Yoo, Myung Jin Lee, Baek-Nam Kim
Infection & Chemotherapy.2020; 52(1): 93. CrossRef
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Sıddıka Songül Yalçin, Ayça Gelgeç Bakacak, Osman Topaç
BMC Public Health.2020;[Epub] CrossRef
Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study
Alexandre de Figueiredo, Clarissa Simas, Emilie Karafillakis, Pauline Paterson, Heidi J Larson
The Lancet.2020; 396(10255): 898. CrossRef
Sustained Vaccination Coverage during the Coronavirus Disease 2019 Epidemic in the Republic of Korea
Jeong Hee Yu, Hang jin Jeong, Seon Ju Kim, Jae Young Lee, Young June Choe, Eun Hwa Choi, En Hi Cho
Vaccines.2020; 9(1): 2. CrossRef
Why do some Korean parents hesitate to vaccinate their children?
Kyujin Chang, Soon Young Lee
Epidemiology and Health.2019; 41: e2019031. CrossRef

Determinants of Potentially Unnecessary Cervical Cancer Screenings in American Women: Munseok Seo, James R. Langabeer II; J Prev Med Public Health. 2018;51(4):181-187. Published online June 7, 2018; DOI: https://doi.org/10.3961/jpmph.18.023

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Abstract PDF

Objectives
To identify factors responsible for potentially clinically unnecessary cervical cancer screenings in women with prior hysterectomy.
Methods
A retrospective cross-sectional study was conducted using the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS). This study targeted adult women and examined whether they received a both a Papanicolaou (Pap) test and undergone a hysterectomy in the last three years. We conducted multivariate analyses, including weighted proportions and odds ratios (ORs), based on the modified BRFSS weighting method (raking). The inclusion criteria were adult women (>18 years old) who reported having received a Pap test within the last 3 years.
Results
Of all women (n=252 391), 72 366 had received a Pap test, and 32 935 of those women (45%, or 12.5 million, weighted) had a prior hysterectomy. We found that age, race/ethnicity, marital status, family income, health status, time since last routine checkup, and health insurance coverage were all significant predictors. Black, non-Hispanic women were 2.23 times more likely to receive Pap testing after a hysterectomy than white women (OR, 2.23; 95% confidence interval [CI], 1.99 to 2.50). Similarly, the odds for Hispanic women were 2.34 times higher (OR, 2.34; 95% CI, 1.97 to 2.80). The odds were also higher for those who were married (OR, 1.17; 95% CI, 1.08 to 1.27), healthier (OR, 1.24; 95% CI, 1.14 to 1.35), and had health insurance (OR, 1.54; 95% CI, 1.28 to 1.84), after controlling for confounders.
Conclusions
We conclude that women may potentially receive Pap tests even if they are not at risk for cervical cancer, and may not be adequately informed about the need for screenings. We recommend strategies to disseminate recommendations and information to patients, their families, and care providers.

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Three large scale surveys highlight the complexity of cervical cancer under-screening among women 45–65 years of age in the United States
Diane M. Harper, Melissa Plegue, Kathryn M. Harmes, Masahito Jimbo, Sherri SheinfeldGorin
Preventive Medicine.2020; 130: 105880. CrossRef
Socio-demographic Characteristics and Use of Pap Smear for Cervical Cancer Screening Among Women of Eastern Part of India
Dipanwita Ghosh, Sutapa Mahata, Pranab Kumar Sahoo, Sinjini Sarkar, Asoke Roy, Karabi Datta, Manisha Vernekar, Syamsundar Mandal, Vilas D. Nasare
Indian Journal of Gynecologic Oncology.2019;[Epub] CrossRef
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How Much Do Older Adults Living Alone in Rural South Korea Know About Dementia?: Mi Sook Kim, Dong-Soo Shin, Yong-jun Choi, Jin Soon Kim; J Prev Med Public Health. 2018;51(4):188-195. Published online June 19, 2018; DOI: https://doi.org/10.3961/jpmph.17.084

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Abstract PDF

Objectives
This study aimed to examine the level of dementia knowledge of older Korean adults living alone in rural areas and to identify related factors.
Methods
A cross-sectional descriptive design was applied. The participants were 231 older adults living alone who were recruited from 12 of the 13 primary health care posts in the rural area of Chuncheon. Participants’ level of dementia knowledge was assessed using the Dementia Knowledge Scale. Data were analyzed using descriptive statistics, and the t-test, analysis of variance, chi-square test, and Mann-Whitney test were applied.
Results
Participants’ mean age was 77.3±5.4 years, and women comprised 79.7% of the sample. Over half of the participants (61.9%) had no formal education, and all the participants were enrolled in Medical Aid. The participants’ average percentage of correct answers was 61.6%. The highest rate (94.4%) was for the item “Dementia can change one’s personal character.” The item with the lowest proportion of correct answers was “Dementia is not treatable” (23.4%). Dementia knowledge was significantly associated with age, education, health coverage, source of living expenses, and dementia risk.
Conclusions
Dementia knowledge among Korean rural older adults living alone was relatively low. Participants’ misconceptions about symptoms and treatment could hinder them from seeking early treatment. The results of this study suggest the need for active outreach and health care delivery for rural older adults living alone in South Korea.

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Estimates of Long-Term Care Utilization and Lifetime Distribution of Medical Cost for Dementia in Korea
Seok Jong Chung, Jee Eun Lee, Dong Wook Kim, So Ra Yoon, Dong Gyo Shin, Moon Young Choi, Jun Hong Lee
Korean Journal of Clinical Geriatrics.2021; 22(1): 22. CrossRef
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Urinary Mercury Levels Among Workers in E-waste Shops in Nakhon Si Thammarat Province, Thailand: Somsiri Decharat; J Prev Med Public Health. 2018;51(4):196-204. Published online June 19, 2018; DOI: https://doi.org/10.3961/jpmph.18.049

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Abstract PDF

Objectives
To determine urinary mercury levels in e-waste workers in Southern Thailand and the airborne mercury levels in the e-waste shops where they worked, to describe the associations between urinary and airborne mercury levels, and to evaluate the prevalence of mercury exposure-related health effects among e-waste workers.
Methods
A cross-sectional study was conducted by interviewing 79 workers in 25 e-waste shops who lived in Nakhon Si Thammarat Province, Thailand. Information on general and occupational characteristics, personal protective equipment use, and personal hygiene was collected by questionnaire. Urine samples were collected to determine mercury levels using a cold-vapor atomic absorption spectrometer mercury analyzer.
Results
The e-waste workers’ urinary mercury levels were 11.60±5.23 μg/g creatinine (range, 2.00 to 26.00 μg/g creatinine) and the mean airborne mercury levels were 17.00±0.50 μg/m3 (range, 3.00 to 29.00 μg/m3). The urinary and airborne mercury levels were significantly correlated (r=0.552, p<0.001). The prevalence of self-reported symptoms was 46.8% for insomnia, 36.7% for muscle atrophy, 24.1% for weakness, and 20.3% for headaches.
Conclusions
Personal hygiene was found to be an important protective factor, and should therefore be stressed in educational programs. Employers should implement engineering measures to reduce urinary mercury levels and the prevalence of associated health symptoms among e-waste workers.

Summary

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Zifan Zhu, Yongjun Wang, Yuanlong Wang, Maoling Fu, Xinxin Luo, Guojun Wang, Jian Zhang, Xiujuan Yang, Wei Shan, Cunxue Li, Tiebang Liu
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Alviti Kankanamalage Hasith Priyashantha, Nidyanandan Pratheesh, Pratheesh Pretheeba
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Gwen Aubrac, Ashley Bastiansz, Niladri Basu
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Rajarathinam Nithya, Chandrasekaran Sivasankari, Arunachalam Thirunavukkarasu
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Regimen-related Mortality Risk in Patients Undergoing Peritoneal Dialysis Using Hypertonic Glucose Solution: A Retrospective Cohort Study: Chinakorn Sujimongkol, Cholatip Pongskul, Supannee Promthet; J Prev Med Public Health. 2018;51(4):205-212. Published online June 19, 2018; DOI: https://doi.org/10.3961/jpmph.18.066

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Abstract PDF

Objectives
The main purpose of this study was to quantify the risk of mortality linked to various regimens of hypertonic peritoneal dialysis (PD) solution.
Methods
A retrospective cohort study of patients using home-based PD was carried out. The prescribed regimen of glucose-based PD solution for all patients, determined on the basis of their individual conditions, was extracted from their medical chart records. The primary outcome was death. The treatment regimens were categorized into 3 groups according to the type of PD solution used: original PD (1.5% glucose), shuffle PD (1.5 and 2.5% glucose), and serialized PD (2.5 and 4.5% glucose). Multivariate analysis (using the Weibull model) was applied to comprehensively examine survival probabilities related to the explanatory variable, while adjusting for other potential confounders.
Results
Of 300 consecutive patients, 38% died over a median follow-up time of 30 months (interquartile range: 15-46 months). Multivariate analysis showed that a treatment regimen with continued higher-strength PD solution (serialized PD) resulted in a lower survival rate than when the conventional strength solution was used (adjusted hazard ratio, 2.6; 95% confidence interval, 1.6 to 4.6, p<0.01). Five interrelated risk factors (age, length of time on PD, hemoglobin levels, albumin levels, and oliguria) were significant predictors contributing to the outcome.
Conclusions
Frequent exposure to high levels of glucose PD solution significantly contributed to a 2-fold higher rate of death, especially when hypertonic glucose was prescribed continuously.

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International Journal of Molecular Sciences.2023; 24(23): 17094. CrossRef

Perspective

Horses as a Potential Reservoir of Lyme Borreliosis in Jeju-do, Korea: Jong-Myon Bae; J Prev Med Public Health. 2018;51(4):213-214. Published online June 7, 2018; DOI: https://doi.org/10.3961/jpmph.18.081

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Abstract PDF

Lyme borreliosis (LB) is the most common tick-borne infectious disease in North America, and it was designated as a national notifiable infectious disease in Korea in December 2010. While no cases in Jeju-do were recorded from 2012 to 2016, a recent survey reported that the seroprevalence of Borrelia burgdorferi using enzyme-linked immunosorbent assays in horses in Jeju-do was 19.0% (95% confidence interval, 12.0 to 28.3%). This fact suggests that horses may be a potential reservoir of LB in Jeju-do and that individuals in close contact with horses may be a high-risk group. Thus, a serological study in this high-risk group is urgently needed.

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Correspondences

Environmental Air Pollution and the Risk of Osteoporosis and Bone Fractures: Vu H. Nguyen; J Prev Med Public Health. 2018;51(4):215-216. Published online July 31, 2018; DOI: https://doi.org/10.3961/jpmph.18.114

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Environmental Air Pollution and the Risk of Osteoporosis and Bone Fractures: Motoyuki Nakao, Yoko Ishihara; J Prev Med Public Health. 2018;51(4):217-218. Published online July 31, 2018; DOI: https://doi.org/10.3961/jpmph.18.115

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