Objectives In recent years, serious concerns have been raised regarding the impacts of rising temperatures on health. The present study was conducted to investigate the relationship between elevated temperatures and kidney disease through a systematic review and meta-analysis.
Methods In October 2017, 2 researchers independently searched related studies in PubMed and Embase. A meta-analysis was conducted using a random-effects model, including only studies that presented odds ratios, relative risks, or percentage changes, along with 95% confidence intervals (CIs). The characteristics of each study were summarized, and the Egger test and funnel plots were used to evaluate publication bias.
Results Eleven studies that met the criteria were included in the final analysis. The pooled results suggest an increase of 30% (95% CI, 20 to 40) in kidney disease morbidity with high temperatures. In a disease-specific subgroup analysis, statistically significant results were observed for both renal colic or kidney stones and other renal diseases. In a study design–specific subgroup analysis, statistically significant results were observed in both time-series analyses and studies with other designs. In a temperature measure–specific subgroup analysis, significant results were likewise found for both studies using mean temperature measurements and studies measuring heat waves or heat stress.
Conclusions Our results indicate that morbidity due to kidney disease increases at high temperatures. We also found significant results in subgroup analyses. However, further time-series analyses are needed to obtain more generalizable evidence.
Summary
Korean summary
최근들어 기온상승에 따른 건강영향과 관련하여 전 세계적으로 심각한 우려가 제기되고 있으며, 저자들은 이에 착안하여 본 연구에서 체계적 문헌고찰과 메타분석을 통해 기온상승과 신장질환 발생간의 연관성을 연구하고자 하였다. 연구결과에서는 임계온도 이상으로 기온이 상승하면 참고치에 비해 신장질환으로의 이환율이 30% (95% 신뢰구간, 20% 에서 40%) 증가함을 보였고, 부집단 분석에서도 역시 유의한 결과를 나타내었다. 그러나 보다 일반화 가능한 근거를 얻기 위해서는 기온상승과 신장질환 발생에 관한 더 많은 시계열 분석 연구가 필요할 것으로 사료된다.
Citations
Citations to this article as recorded by
Heat exposure and chronic kidney disease: a temporal link in a Taiwanese agricultural county Che-Jui Chang, Chun-Yi Chi, Hsiao-Yu Yang International Journal of Environmental Health Research.2024; 34(3): 1511. CrossRef
Pathophysiologie und Management der Hitzeerkrankung Thomas Bein Medizinische Klinik - Intensivmedizin und Notfallmedizin.2024; 119(5): 373. CrossRef
The association between climate and emergency department visits for renal and urinary disease in Charlottesville, Virginia Jesus S. Neyra, Robert E. Davis Environmental Research.2024; 240: 117525. CrossRef
Impact of heat on emergency hospital admissions related to kidney diseases in Texas: Uncovering racial disparities Chunyu Guo, Erjia Ge, Manzhu Yu, Changwei Li, Xiangqian Lao, Shuang Li, Jason Glaser, Yongqun He, Marina Almeida-Silva, Sisi Meng, Wei-Chung Su, Junfeng Zhang, Shao Lin, Kai Zhang Science of The Total Environment.2024; 909: 168377. CrossRef
Associations between short-term exposure to ambient temperature and renal disease mortality in Japan during 1979–2019: A time-stratified case-crossover analysis Zin Wai Htay, Chris Fook Sheng Ng, Yoonhee Kim, Youn-Hee Lim, Masao Iwagami, Masahiro Hashizume Environmental Epidemiology.2024; 8(1): e293. CrossRef
Workplace induced heat-related-illness and kidney disorders amongst coal cutters of underground mines Madiha Ijaz, Sajid R Ahmad, Muhammad Akram, William S Carter Indoor and Built Environment.2024; 33(6): 1003. CrossRef
Long-term exposure to high perceived temperature and risk of mortality among patients with chronic kidney disease Jeonghwan Lee, Sohee Oh, Jae-Young Byon, Whanhee Lee, Boram Weon, Ara Ko, Wencheng Jin, Dong Ki Kim, Sejoong Kim, Yun Kyu Oh, Yon Su Kim, Chun Soo Lim, Jung Pyo Lee Heliyon.2024; 10(3): e25222. CrossRef
Molecular Challenges and Opportunities in Climate Change-Induced Kidney Diseases Eder Luna-Cerón, Alfredo Pherez-Farah, Indumathi Krishnan-Sivadoss, Carlos Enrique Guerrero-Beltrán Biomolecules.2024; 14(3): 251. CrossRef
Ambient heat and acute kidney injury: case-crossover analysis of 1 354 675 automated e-alert episodes linked to high-resolution climate data Shakoor Hajat, Anna Casula, Peninah Murage, Daniel Omoyeni, Tom Gray, Zoe Plummer, Retha Steenkamp, Dorothea Nitsch The Lancet Planetary Health.2024; 8(3): e156. CrossRef
Ambient heat exposure and kidney function in patients with chronic kidney disease: a post-hoc analysis of the DAPA-CKD trial Zhiyan Zhang, Hiddo J L Heerspink, Glenn M Chertow, Ricardo Correa-Rotter, Antonio Gasparrini, Niels Jongs, Anna Maria Langkilde, John J V McMurray, Malcolm N Mistry, Peter Rossing, Robert D Toto, Priya Vart, Dorothea Nitsch, David C Wheeler, Ben Caplin The Lancet Planetary Health.2024; 8(4): e225. CrossRef
High ambient temperature impact on the pattern of emergency-room visits due to renal colic in the Middle East Orel Hemo, Arad Dotan, Asaf Shvero, Nir Kleinmann, Zohar A. Dotan, Dorit E. Zilberman Urolithiasis.2024;[Epub] CrossRef
A population-based case-control analysis of risk factors associated with mortality during the 2021 western North American heat dome: focus on chronic conditions and social vulnerability Kathleen E McLean, Michael J Lee, Eric S Coker, Sarah B Henderson Environmental Research: Health.2024; 2(3): 035010. CrossRef
The effect of ambient temperatures on hospital admissions for kidney diseases in Central Australia Mohammad Radwanur Talukder, Md Tauhidul Islam, Supriya Mathew, Chris Perry, Dung Phung, Shannon Rutherford, Alan Cass Environmental Research.2024; 259: 119502. CrossRef
Effects of changes in temperature and precipitation as climate factors that influence the spread of climate-related diseases: a systematic review Maeti George African Geographical Review.2024; : 1. CrossRef
Association of summer temperatures and acute kidney injury in South Korea: a case-crossover study Joonho Ahn, Sanghyuk Bae, Byung Ha Chung, Jun-Pyo Myong, Min Young Park, Youn-Hee Lim, Mo-Yeol Kang International Journal of Epidemiology.2023; 52(3): 774. CrossRef
Associations Between Ambient Extreme Heat Exposure and Emergency Department Visits Related to Kidney Disease Yanji Qu, Wangjian Zhang, Asi-Yahola M. Boutelle, Ian Ryan, Xinlei Deng, Xiaoqing Liu, Shao Lin American Journal of Kidney Diseases.2023; 81(5): 507. CrossRef
Association of Area‐Level Heat and Social Vulnerability With Recurrent Hospitalizations Among Individuals With Rheumatic Conditions Leah Santacroce, Paul F. Dellaripa, Karen H. Costenbader, Jamie Collins, Candace H. Feldman Arthritis Care & Research.2023; 75(1): 22. CrossRef
Risk Factors for Incident CKD in Black and White Americans: The REGARDS Study Katharine L. Cheung, Deidra C. Crews, Mary Cushman, Ya Yuan, Katherine Wilkinson, D. Leann Long, Suzanne E. Judd, Michael G. Shlipak, Joachim H. Ix, Alexander L. Bullen, David G. Warnock, Orlando M. Gutiérrez American Journal of Kidney Diseases.2023; 82(1): 11. CrossRef
Sauna bathing, renal function and chronic kidney disease: Cross‐sectional and longitudinal findings from the KIHD study Setor K. Kunutsor, Jussi Kauhanen, Jari A. Laukkanen European Journal of Clinical Investigation.2023;[Epub] CrossRef
Urban heat island impacts on heat-related cardiovascular morbidity: A time series analysis of older adults in US metropolitan areas Stephanie E. Cleland, William Steinhardt, Lucas M. Neas, J. Jason West, Ana G. Rappold Environment International.2023; 178: 108005. CrossRef
The Impact of Hot Ambient Temperature and Prolonged Fasting Duration during Ramadan on Patients with Chronic Kidney Disease: A Literature Review Ali AlSahow, Joshua Rein International Journal of Nephrology.2023; 2023: 1. CrossRef
Methodological and reporting quality of systematic reviews on health effects of air pollutants were higher than extreme temperatures: a comparative study Xuping Song, Qiyin Luo, Liangzhen Jiang, Yan Ma, Yue Hu, Yunze Han, Rui Wang, Jing Tang, Yiting Guo, Qitao Zhang, Zhongyu Ma, Yunqi Zhang, Xinye Guo, Shumei Fan, Chengcheng Deng, Xinyu Fu, Yaolong Chen, Kehu Yang, Long Ge, Shigong Wang BMC Public Health.2023;[Epub] CrossRef
Health effects of climate change: Focusing on health sector risks Jieun Oh, Ayoung Kim, Cinoo Kang, Ho Kim Journal of Climate Change Research.2023; 14(6-1): 859. CrossRef
Long-term air pollution exposure and decreased kidney function: A longitudinal cohort study in Bangkok Metropolitan Region, Thailand from 2002 to 2012 Kanawat Paoin, Kayo Ueda, Prin Vathesatogkit, Thammasin Ingviya, Suhaimee Buya, Racha Dejchanchaiwong, Arthit Phosri, Xerxes Tesoro Seposo, Chagriya Kitiyakara, Nisakron Thongmung, Akiko Honda, Hirohisa Takano, Piyamitr Sritara, Perapong Tekasakul Chemosphere.2022; 287: 132117. CrossRef
Association between ambient temperature and hospitalization for renal diseases in Brazil during 2000–2015: A nationwide case-crossover study Bo Wen, Rongbin Xu, Yao Wu, Micheline de Sousa Zanotti Stagliorio Coêlho, Paulo Hilario Nascimento Saldiva, Yuming Guo, Shanshan Li The Lancet Regional Health - Americas.2022; 6: 100101. CrossRef
Heat-related mortality amplified during the COVID-19 pandemic Pedro M. Sousa, Ricardo M. Trigo, Ana Russo, João L. Geirinhas, Ana Rodrigues, Susana Silva, Ana Torres International Journal of Biometeorology.2022; 66(3): 457. CrossRef
Knowledge Gaps and Research Priorities on the Health Effects of Heatwaves: A Systematic Review of Reviews Andrea Conti, Martina Valente, Matteo Paganini, Marco Farsoni, Luca Ragazzoni, Francesco Barone-Adesi International Journal of Environmental Research and Public Health.2022; 19(10): 5887. CrossRef
Temporal variations of the association between summer season heat exposure and hospitalizations for renal diseases in Queensland, Australia, 1995–2016 Peng Lu, Jiaming Miao, Shurong Feng, Donna Green, Youn-Hee Lim, Xiuwei Gao, Shanshan Li, Yuming Guo Environmental Research Letters.2022; 17(6): 064047. CrossRef
Mortality and morbidity of chronic kidney disease associated with ambient environment in metropolitans in Taiwan Yasmin Zafirah, Yu-Kai Lin, Gerry Andhikaputra, Fung-Chang Sung, Li-Wen Deng, Yu-Chun Wang Atmospheric Environment.2022; 289: 119317. CrossRef
The Risk Factors for Radiolucent Nephrolithiasis among Workers in High-Temperature Workplaces in the Steel Industry I-Cheng Lu, Chen-Cheng Yang, Chi-Hsien Huang, Szu-Ying Chen, Chi-Wei Lin, Chia-Hsiang Lin, Hung-Yi Chuang International Journal of Environmental Research and Public Health.2022; 19(23): 15720. CrossRef
The effect of the heatwave on the morbidity and mortality of diabetes patients; a meta-analysis for the era of the climate crisis Jinyoung Moon Environmental Research.2021; 195: 110762. CrossRef
Hot weather as a risk factor for kidney disease outcomes: A systematic review and meta-analysis of epidemiological evidence Jingwen Liu, Blesson M. Varghese, Alana Hansen, Matthew A. Borg, Ying Zhang, Timothy Driscoll, Geoffrey Morgan, Keith Dear, Michelle Gourley, Anthony Capon, Peng Bi Science of The Total Environment.2021; 801: 149806. CrossRef
Estimation of the kidney metabolic heat generation rate Helcio R.B. Orlande, Nelson Afonso Lutaif, José Antonio Rocha Gontijo International Journal for Numerical Methods in Biomedical Engineering.2019;[Epub] CrossRef
Global Associations of Air Pollution and Conjunctivitis Diseases: A Systematic Review and Meta-Analysis Renchao Chen, Jun Yang, Chunlin Zhang, Bixia Li, Stéphanie Bergmann, Fangfang Zeng, Hao Wang, Boguang Wang International Journal of Environmental Research and Public Health.2019; 16(19): 3652. CrossRef
Jeoungbin Choi, Moran Ki, Ho Jang Kwon, Boyoung Park, Sanghyuk Bae, Chang-Mo Oh, Byung Chul Chun, Gyung-Jae Oh, Young Hoon Lee, Tae-Yong Lee, Hae Kwan Cheong, Bo Youl Choi, Jung Han Park, Sue K. Park
J Prev Med Public Health. 2019;52(1):14-20. Published online January 23, 2019
One of the primary goals of epidemiology is to quantify various aspects of a population’s health, illness, and death status and the determinants (or risk factors) thereof by calculating health indicators that measure the magnitudes of various conditions. There has been some confusion regarding health indicators, with discrepancies in usage among organizations such as the World Health Organization the, Centers for Disease Control and Prevention (CDC), and the CDC of other countries, and the usage of the relevant terminology may vary across papers. Therefore, in this review, we would like to propose appropriate terminological definitions for health indicators based on the most commonly used meanings and/or the terms used by official agencies, in order to bring clarity to this area of confusion. We have used appropriate examples to make each health indicator easy for the reader to understand. We have included practical exercises for some health indicators to help readers understand the underlying concepts.
Summary
Korean summary
본 논문에서는 질병과 사망, 출생 관련 지표들의 개념과 종류를 설명하고, 특히 연구자들이 흔히 혼동하여 사용하는 지표들에 대한 적절한 정의를 제시하였다. 또한 지표들의 예시를 부록으로 수록하여 독자들이 지표의 개념을 보다 쉽게 습득하도록 돕고자 하였다.
Citations
Citations to this article as recorded by
Dying whilst on probation: a scoping review of mortality amongst those under community justice supervision SE Perrett, C Craddock, BJ Gray Perspectives in Public Health.2024;[Epub] CrossRef
Preschool and child health: Evidence from China's universal child care reform Meiqing Ren Economics of Education Review.2024; 100: 102540. CrossRef
Understanding demographic events and migration patterns in two urban slums of Nairobi City in Kenya Evans Omondi, Samuel Iddi, Sharon Chepkemoi, Bylhah Mugotitsa, Steve Cygu, Boscow Okumu, Abdhalah Ziraba, Damazo T. Kadengye, Agnes Kiragga Scientific Reports.2024;[Epub] CrossRef
Prevalence of users of medication targeting obstructive lung disease, the reasons for prescriptions and the use of spirometry in Upernavik Health Center in the period from 2011-2016, a retrospective observational study as basis for future quality developm Hans Kallerup, Mette Bordinggaard Brøndserud International Journal of Circumpolar Health.2022;[Epub] CrossRef
On the severity of COVID‐19 infections in 2021 in Italy Fabio Divino, Antonello Maruotti, Alessio Farcomeni, Giovanna Jona‐Lasinio, Gianfranco Lovison, Massimo Ciccozzi Journal of Medical Virology.2022; 94(4): 1281. CrossRef
High-risk landscapes of Japanese encephalitis virus outbreaks in India converge on wetlands, rain-fed agriculture, wild Ardeidae, and domestic pigs and chickens Michael G Walsh, Amrita Pattanaik, Navya Vyas, Deepak Saxena, Cameron Webb, Shailendra Sawleshwarkar, Chiranjay Mukhopadhyay International Journal of Epidemiology.2022; 51(5): 1408. CrossRef
Using correlation analysis to examine the impact of Covid-19 pandemics on various socioeconomic aspects: Case study of Indonesia Fitriadi Fitriadi, Jiuhardi Jiuhardi, Arfiah Busari, Yana Ulfah, Hakim Permadi, Erwin Kurniawan, Dio Darma Geographica Pannonica.2022; 26(2): 128. CrossRef
Mortality among psychiatric inpatients in China: A national survey Xiaodong Wu, Lei Xia, Yating Yang, Ling Zhang, Mengdie Li, Tingfang Liu, Yuanli Liu, Robert O. Cotes, Feng Jiang, Yi-lang Tang, Huanzhong Liu Asian Journal of Psychiatry.2022; 77: 103262. CrossRef
Mortality Analysis During July & September 2022 At Benazir Bhutto Hospital Rawalpindi Rizwana Shahid, Sadia Khan, Rabbia Khalid, Muhammad Umar, Shaikh Abdul Rehman, Nargis Zaidi Pakistan Journal of Health Sciences.2022; : 40. CrossRef
Predicción del índice de mortalidad por enfermedad cardiovascular mediante la caminata al azar probabilista Javier Rodríquez Velásquez, Ediltrudis Ramos de la Cruz, Jairo Javier Jattin Balcázar, Jorge Gómez Rojas, Ribká Soracipa Muñoz Revista de Salud Pública.2022; 24(5): 1. CrossRef
Low mammalian species richness is associated with Kyasanur Forest disease outbreak risk in deforested landscapes in the Western Ghats, India Michael G. Walsh, Rashmi Bhat, Venkatesh Nagarajan-Radha, Prakash Narayanan, Navya Vyas, Shailendra Sawleshwarkar, Chiranjay Mukhopadhyay One Health.2021; 13: 100299. CrossRef
Mortality and complications of scrub typhus in the paediatric population: a systematic review and meta-analysis Kaushik Mukhopadhyay, Samir Chakrabarty, Chandan Chatterjee, Saheli Chatterjee Misra Transactions of The Royal Society of Tropical Medicine and Hygiene.2021; 115(11): 1234. CrossRef
Relation between molar-incisor hypomineralization (MIH) occurrence and war pollutants in bombarded regions R Elzein, E Chouery, F Abdel-Sater, R Bacho, F Ayoub Nigerian Journal of Clinical Practice.2021; 24(12): 1808. CrossRef
Use of Population-Based Surveys for Estimating the Population Size of Persons Who Inject Drugs in the United States Heather Bradley, Elizabeth M Rosenthal, Meredith A Barranco, Tomoko Udo, Patrick S Sullivan, Eli S Rosenberg The Journal of Infectious Diseases.2020; 222(Supplement): S218. CrossRef
Whence the next pandemic? The intersecting global geography of the animal-human interface, poor health systems and air transit centrality reveals conduits for high-impact spillover Michael G. Walsh, Shailendra Sawleshwarkar, Shah Hossain, Siobhan M. Mor One Health.2020; 11: 100177. CrossRef
The Impact of COVID-19 on African American Communities in the United States Elena Cyrus, Rachel Clarke, Dexter Hadley, Zoran Bursac, Mary Jo Trepka, Jessy G. Dévieux, Ulas Bagci, Debra Furr-Holden, Makella Coudray, Yandra Mariano, Sandra Kiplagat, Ines Noel, Gira Ravelo, Michelle Paley, Eric F. Wagner Health Equity.2020; 4(1): 476. CrossRef
SAĞLIK RİSK FAKTÖRLERİNE GÖRE ÜLKELERİN KÜMELENMESİ VE ÇOK KRİTERLİ KARAR VERME TEKNİKLERİYLE SAĞLIK DURUMU GÖSTERGELERİNİN ANALİZİ Faruk YILMAZ, Selma SÖYÜK Sosyal Guvence.2020;[Epub] CrossRef
Prohibition on Changing Workplaces and Fatal Occupational Injuries among Chinese Migrant Workers in South Korea Ju-Yeun Lee, Sung-il Cho International Journal of Environmental Research and Public Health.2019; 16(18): 3333. CrossRef
Objectives The Regional Cardiocerebrovascular Center (RCCVC) Project designated local teaching hospitals as RCCVCs, in order to improve patient outcomes of acute cardiocerebrovascular emergencies by founding a regional system that can adequately transfer and manage patients within 3 hours. We investigated the effects of RCCVC establishment on treatment volume and 30-day mortality.
Methods We constructed a panel dataset by extracting all acute myocardial infarction cases that occurred from 2007 to 2016 from the Health Insurance Review and Assessment Service claims data, a national and representative source. We then used a panel fixed-effect model to estimate the impacts of RCCVC establishment on patient outcomes.
Results We found that the number of cases of acute myocardial infarction that were treated increased chronologically, but when the time effect and other related covariates were controlled for, RCCVCs only significantly increased the number of treatment cases of female in large catchment areas. There was no statistically significant impact on 30-day mortality.
Conclusions The establishment of RCCVCs increased the number of treatment cases of female, without increasing the mortality rate. Therefore, the RCCVCs might have prevented potential untreated deaths by increasing the preparedness and capacity of hospitals to treat acute myocardial infarction patients.
Summary
Korean summary
권역심뇌혈관질환센터 설립 사업은 지역별로 심뇌혈관센터를 지정/육성하여, 심뇌혈관질환 발생시 3시간 이내 진료체계를 구축함으로써 급성심근경색과 뇌졸중의 급성기 응급상황에 대한 대응을 강화하고자 시행되었다. 본 연구는 권역심뇌혈관질환센터 설립 정책으로 인해 시술 건수와 30일 내 사망 등과 같은 치료 성과가 지역 수준에서 향상되었는지 살펴보기 위해 건강보험 청구자료로 지역 수준 패널자료를 구축하여 권역심뇌혈관질환센터 설립의 효과를 추정하였다. 분석 결과, 시계열적 효과와 관련 변수를 통제하였을 때 권역심뇌혈관질환센터 설립 이후 설립 지역에서 여성의 치료 사례 수가 통계적으로 유의하게 증가하였고, 사망률은 유의미한 변화가 관찰되지 않았다. 따라서 권역심뇌혈관질환센터 설립은 대비성 향상과 치료 사례 수 증가를 통해 추가적인 치료를 받은 급성심근경색 환자의 잠재적인 원외 사망을 방지하는 효과가 있는 것으로 판단된다.
Citations
Citations to this article as recorded by
Reduced Alcohol Consumption and Major Adverse Cardiovascular Events Among Individuals With Previously High Alcohol Consumption Dong Oh Kang, Dae-In Lee, Seung-Young Roh, Jin Oh Na, Cheol Ung Choi, Jin Won Kim, Eung Ju Kim, Seung-Woon Rha, Chang Gyu Park, Ye-Seul Kim, Yonghwan Kim, Hyo-Sun You, Hee-Taik Kang, Eunseo Jo, Jinseob Kim, Jae-woo Lee, Jin-Man Jung JAMA Network Open.2024; 7(3): e244013. CrossRef
Relevance Index Regional Variation by Each Disease and Its Essential Medical Field: A Retrospective Data Analysis From 2016-2020 in Korea Young-Eun Kim, Jeehee Pyo, Haneul Lee, HyeRan Jeong, Young-Kwon Park, Jeong-Wook Seo, Minsu Ock, Seok-Jun Yoon Journal of Korean Medical Science.2023;[Epub] CrossRef
The effects of socioeconomic and geographic factors on chronic phase long-term survival after stroke in South Korea Dougho Park, Su Yun Lee, Eunhwan Jeong, Daeyoung Hong, Mun-Chul Kim, Jun Hwa Choi, Eun Kyong Shin, Kang Ju Son, Hyoung Seop Kim Scientific Reports.2022;[Epub] CrossRef
Comparisons of Prehospital Delay and Related Factors Between Acute Ischemic Stroke and Acute Myocardial Infarction Cindy W. Yoon, Hoonji Oh, Juneyoung Lee, Joung‐Ho Rha, Seong‐Ill Woo, Won Kyung Lee, Han‐Young Jung, Byeolnim Ban, Jihoon Kang, Beom Joon Kim, Won‐Seok Kim, Chang‐Hwan Yoon, Heeyoung Lee, Seongheon Kim, Sung Hun Kim, Eun Kyoung Kang, Ae‐Young Her, Jae‐Kwa Journal of the American Heart Association.2022;[Epub] CrossRef
Comparison of Factors Associated With Direct Versus Transferred-in Admission to Government-Designated Regional Centers Between Acute Ischemic Stroke and Myocardial Infarction in Korea Dae-Hyun Kim, Seok-Joo Moon, Juneyoung Lee, Jae-Kwan Cha, Moo Hyun Kim, Jong-Sung Park, Byeolnim Ban, Jihoon Kang, Beom Joon Kim, Won-Seok Kim, Chang-Hwan Yoon, Heeyoung Lee, Seongheon Kim, Eun Kyoung Kang, Ae-Young Her, Cindy W Yoon, Joung-Ho Rha, Seong- Journal of Korean Medical Science.2022;[Epub] CrossRef
Machine learning enhances the performance of short and long-term mortality prediction model in non-ST-segment elevation myocardial infarction Woojoo Lee, Joongyub Lee, Seoung-Il Woo, Seong Huan Choi, Jang-Whan Bae, Seungpil Jung, Myung Ho Jeong, Won Kyung Lee Scientific Reports.2021;[Epub] CrossRef
Presence of Thrombectomy-capable Stroke Centers Within Hospital Service Areas Explains Regional Variation in the Case Fatality Rate of Acute Ischemic Stroke in Korea Eun Hye Park, Yong Jin Gil, Chanki Kim, Beom Joon Kim, Seung-sik Hwang Journal of Preventive Medicine and Public Health.2021; 54(6): 385. CrossRef
Objectives The purpose of this study was to investigate the role of self-esteem as a moderator of the factors influencing suicidality among middle-schoolers.
Methods Moderated multiple regression analysis was applied to assess the influence of happiness, depression, and hostility on suicidality and to determine the degree to which self-esteem served as a moderator of those relationships. Data were collected from 268 students at a middle school in Busan, Korea, using a self-administered structured questionnaire.
Results Happiness, depression, and hostility had significant direct effects on suicidality. Self-esteem showed no direct effect, but had a significant moderating effect on the relationship between hostility and suicidal behavior.
Conclusions These results suggest that various interventions, such as counseling programs, should be designed to alleviate hostility and depression and to enhance happiness and self-esteem among early adolescents.
Summary
Korean summary
본 연구는 중학생의 자살성향에 영향을 주는 주요 요인을 식별하고, 자아존중감의 조절효과를 확인하여 청소년 자살예방 방안 모색을 위한 실마리를 제공하고자 하였다. 실증자료의 분석 결과 자살성향에 행복, 우울, 적대감이 유의한 직접효과, 그리고 조절변수인 자아존중감이 적대감과 상호작용하여 유의한 조절효과를 보였다(p<0.05). 청소년 자살 예방의 실효성을 높이기 위해서는 행복감의 증진, 우울과 적대감의 완화 등 원인변수에 대한 개입과 동시에 조절변수인 자아존중감을 향상시키기 위한 가정과 학교의 체계적인 노력이 필요함을 시사한다.
Citations
Citations to this article as recorded by
Happiness and Its Association With Suicide Ideation and Attempt in Korea: The Roles of Socio-Environmental, Psychological, and Health-Related Factors Minjae Choi, Joshua Kirabo Sempungu, Mi-Hyui Kim, Joonhee Han, Yo Han Lee Journal of Korean Medical Science.2024;[Epub] CrossRef
Cyberbullying victimization and depression: self-esteem as a mediator and approach coping strategies as moderators Thi Truc Quynh Ho, MA, Chuanhua Gu, PhD Journal of American College Health.2023; 71(1): 94. CrossRef
Measuring Happiness in Adolescent Samples: A Systematic Review Justė Lukoševičiūtė, Gita Argustaitė-Zailskienė, Kastytis Šmigelskas Children.2022; 9(2): 227. CrossRef
Spatio-temporal Distribution of Suicide Risk in Iran: A Bayesian Hierarchical Analysis of Repeated Cross-sectional Data Seyed Saeed Hashemi Nazari, Kamyar Mansori, Hajar Nazari Kangavari, Ahmad Shojaei, Shahram Arsang-Jang Journal of Preventive Medicine and Public Health.2022; 55(2): 164. CrossRef
Religiosity, happiness and suicidal behaviour: a cross-sectional comparative study in Iran Mahboubeh Dadfar, David Lester, Ahmed M. Abdel-Khalek Mental Health, Religion & Culture.2021; 24(2): 128. CrossRef
A Social-Ecological Approach to Understanding the Relationship between Cyberbullying Victimization and Suicidal Ideation in South Korean Adolescents: The Moderating Effect of School Connectedness Jungup Lee, JongSerl Chun, Jinyung Kim, Jieun Lee, Serim Lee International Journal of Environmental Research and Public Health.2021; 18(20): 10623. CrossRef
Sağlık alanında öğrenim gören üniversite birinci sınıf öğrencilerinde sosyal görünüş kaygısını etkileyen faktörlerin belirlenmesi: gözlemsel araştırma Ayla AÇIKGÖZ, Alper YILMAZ, Beste YILDIRIM, Ceren YILDIZ, Leyla YILDIZ, Umut YILDIRIM Pamukkale Medical Journal.2021;[Epub] CrossRef
Need to establish a new adolescent suicide prevention programme in South Korea Jiacheng Liu General Psychiatry.2020; 33(4): e100200. CrossRef
Objectives The aim of this study was to investigate cancer patients’ utilization of tertiary hospitals in Seoul before and after the benefit expansion policy implemented in 2013.
Methods This was a before-and-after study using claims data of the Korean National Health Insurance Service from 2011 to 2016. The unit of analysis was inpatient episodes, and inpatient episodes involving a malignant neoplasm (International Classification of Diseases, Tenth Revision codes: C00-C97) were included in this study. The total sample (n=5 565 076) was divided into incident cases and prevalent cases according to medical use due to cancer in prior years. The tertiary hospitals in Seoul were divided into two groups (the five largest hospitals and the other tertiary hospitals in Seoul).
Results The proportions of the incident and prevalent episodes occurring in tertiary hospitals in Seoul were 34.9% and 37.2%, respectively, of which more than 70% occurred in the five largest hospitals in Seoul. Utilization of tertiary hospitals in Seoul was higher for inpatient episodes involving cancer surgery, patients with a higher income, patients living in areas close to Seoul, and patients living in areas without a metropolitan city. The utilization of the five largest hospitals increased by 2 percentage points after the policy went into effect.
Conclusions The utilization of tertiary hospitals in Seoul was concentrated among the five largest hospitals. Future research is necessary to identify the consequences of this utilization pattern.
Summary
Korean summary
2014년부터 2016년까지 암 발생자 입원의 34.9%가 서울 소재 상급종합병원에서 이루어졌으며, 그중 73.9%가 5대 상급종합병원에서 이루어졌다. 4대 중증질환 보장성 강화 정책 후에 암환자의 서울 소재 상급종합병원 이용은 6.1%(2% 포인트) 증가하였으며, 5대 상급종합병원 이용률은 증가(정책 전: 23.6%, 정책 후: 25.8%), 그 외 서울 소재 상급종합병원 이용률은 감소하였다(정책 전: 9.3%, 정책 후: 9.1%).
Citations
Citations to this article as recorded by
Relationship between patient outcomes and patterns of fragmented cancer care in older adults with gastric cancer: A nationwide cohort study in South Korea Dong-Woo Choi, Seungju Kim, Sun Jung Kim, Dong Wook Kim, Kwang Sun Ryu, Jae Ho Kim, Yoon-Jung Chang, Kyu-Tae Han Journal of Geriatric Oncology.2024; 15(2): 101685. CrossRef
Impact of Disability Status on Mortality in Patients with Gastric Cancer: A Nationwide Study Focusing on Regional Disparities Woo-Ri Lee, Kyu-Tae Han, Mingee Choi, Seojin Park, Woorim Kim Healthcare.2023; 11(5): 641. CrossRef
Descriptive Analysis of Gastric Cancer Mortality in Korea, 2000-2020 Tung Hoang, Hyeongtaek Woo, Sooyoung Cho, Jeeyoo Lee, Sayada Zartasha Kazmi, Aesun Shin Cancer Research and Treatment.2023; 55(2): 603. CrossRef
A 6-year nationwide population-based study on the current status of gastric endoscopic resection in Korea using administrative data Jae Yong Park, Mi-Sook Kim, Beom Jin Kim, Jae Gyu Kim Scientific Reports.2023;[Epub] CrossRef
Cancer care patterns in South Korea: Types of hospital where patients receive care and outcomes using national health insurance claims data Dong‐Woo Choi, Sun Jung Kim, Seungju Kim, Dong Wook Kim, Wonjeong Jeong, Kyu‐Tae Han Cancer Medicine.2023; 12(13): 14707. CrossRef
Changes in the Utilization of Health Care Services by Cancer Patients during the COVID-19 Pandemic Seung Hee Seo, Sooyoung Cho, Shin Hye Yoo, Bhumsuk Keam, Aesun Shin Yonsei Medical Journal.2023; 64(7): 463. CrossRef
Impact of Cardiovascular Diseases on Mortality in Gastric Cancer Patients with Preexisting Chronic Disease Kyu-Tae Han, Dong Wook Kim, Woorim Kim Yonsei Medical Journal.2022; 63(11): 1043. CrossRef
Is time-to-treatment associated with higher mortality in Korean elderly lung cancer patients? Kyu-Tae Han, Woorim Kim, Areum Song, Yeong Jun Ju, Dong-Woo Choi, Seungju Kim Health Policy.2021; 125(8): 1047. CrossRef
Do Patients Residing in Provincial Areas Transport and Spend More on Cancer Treatment in Korea? Woorim Kim, Kyu-Tae Han, Seungju Kim International Journal of Environmental Research and Public Health.2021; 18(17): 9247. CrossRef
Objectives The purpose of this study was to estimate the mediating effect of subjective unmet healthcare needs on poor health. The mediating effect of unmet needs on health outcomes was estimated.
Methods Cross-sectional research method was used to analyze Korea Health Panel data from 2011 to 2015, investigating the mediating effect for each annual dataset and lagged dependent variables.
Results The magnitude of the effect of low income on poor health and the mediating effect of unmet needs were estimated using age, sex, education level, employment status, healthcare insurance status, disability, and chronic disease as control variables and selfrated health as the dependent variable. The mediating effect of unmet needs due to financial reasons was between 14.7% to 32.9% of the total marginal effect, and 7.2% to 18.7% in lagged model.
Conclusions The fixed-effect logit model demonstrated that the existence of unmet needs raised the likelihood of poor self-rated health. However, only a small proportion of the effects of low income on health was mediated by unmet needs, and the results varied annually. Further studies are necessary to search for ways to explain the varying results in the Korea Health Panel data, as well as to consider a time series analysis of the mediating effect. The results of this study present the clear implication that even though it is crucial to address the unmet needs, but it is not enough to tackle the income related health inequalities.
Summary
Korean summary
이 연구에서는 2011년부터 2015년까지의 한국의료패널 자료를 이용하여 미충족의료과 불건강의 관련성을 살펴보고, 불건강을 매개하는 미충족의료의 크기를 추정했다. 미충족의료는 개인고정효과를 보정하였을 때 불건강에 유의한 영향 준다는 것을 확인할 수 있었고, 미충족의료가 매개하는 저소득의 건강 효과는 저소득이 불건강에 미치는 전체 효과 중 일부에 지나지 않았으며, 효과의 크기는 분석 연도 별로 일정하지 않게 나타났다. 이는 건강불평등을 줄이기 위한 정책 개입에서 미충족의료 해소가 유의미한 정책 목표로 가치가 있지만 그 한계 또한 명확하다는 것을 의미한다.
Citations
Citations to this article as recorded by
How did unmet care needs during the pandemic affect health outcomes of older European individuals? Julien Bergeot, Florence Jusot Economics & Human Biology.2024; 52: 101317. CrossRef
Unmet healthcare needs among older people in South Korea Yong-Sook Eo, Jinpil Um International Journal of Healthcare Management.2024; : 1. CrossRef
The prevalence and determinants of unmet healthcare needs in Bulgaria Ivan Maslyankov, Mónica Hernández, Noorsuzana Mohd Shariff PLOS ONE.2024; 19(10): e0312475. CrossRef
Unmet healthcare needs among the population aged 50+ and their association with health outcomes during the COVID-19 pandemic Carlota Quintal, Luis Moura Ramos, Micaela Antunes, Óscar Lourenço European Journal of Ageing.2023;[Epub] CrossRef
THE EFFECT OF PARTICIPATION IN JKN ON UNMET NEEDS FOR HEALTHCARE SERVICES Farikh Alfa Firori, I Dewa Gede Karma Wisana Jurnal Administrasi Kesehatan Indonesia.2023; 11(2): 186. CrossRef
Factors and at-risk group associated with hypertension self-management patterns among people with physical disabilities: a latent class analysis Hye Jin Nam, Ju Young Yoon BMC Public Health.2022;[Epub] CrossRef
Changes in Barriers That Cause Unmet Healthcare Needs in the Life Cycle of Adulthood and Their Policy Implications: A Need-Selection Model Analysis of the Korea Health Panel Survey Data Woojin Chung Healthcare.2022; 10(11): 2243. CrossRef
Intergenerational Differences in Factors Affecting Unmet Health Care Needs in South Korea: Comparison of Middle-aged and Older Adults Eunjeong Noh Journal of Intergenerational Relationships.2021; 19(1): 144. CrossRef
Identification of Unmet Healthcare Needs: A National Survey in Thailand Sukanya Chongthawonsatid Journal of Preventive Medicine and Public Health.2021; 54(2): 129. CrossRef
Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017 Ju-Hee Nho, Sook Kyoung Park Korean Journal of Women Health Nursing.2021; 27(2): 93. CrossRef
Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases Ji-Young Han, Hyeon-Sook Park Journal of Korean Academy of Community Health Nursing.2021; 32(2): 131. CrossRef
Association between osteoarthritis and unmet medical needs in Korea: limitations in activities as a mediator Hooin Jo, Eun-san Kim, Boyoung Jung, Soo-Hyun Sung, In-Hyuk Ha BMC Public Health.2020;[Epub] CrossRef
Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study Ju Young Kim, Dae In Kim, Hwa Yeon Park, Yuliya Pak, Phap Ngoc Hoang Tran, Truc Thanh Thai, Mai Thi Thanh Thuy, Do Van Dung International Journal of Environmental Research and Public Health.2020; 17(17): 6320. CrossRef
Factors Underlying Unmet Medical Needs: A Cross-Sectional Study Young Suk Yoon, Boyoung Jung, Dongsu Kim, In-Hyuk Ha International Journal of Environmental Research and Public Health.2019; 16(13): 2391. CrossRef
Objectives This study examined cancer knowledge, beliefs, and practice among faith-based Chinese in the USA versus Taiwan to gain better understandings on how environment and culture might play a role for tailored cancer education programs.
Methods A self-administered survey included a validated 10-item Cancer Screening Belief Scale (CSBS), an 8-item Cancer Screening Knowledge Test (CSKT), and a 14-item cancer Warning Signs Test (CWST) was administered. Participants were recruited from 9 Chinese churches (5 in the USA and 4 in Taiwan).
Results A total of 372 Chinese participated, 50% lived in the USA and 50% in Taiwan. Mean age was 44.31 (standard deviation, 14.74), 60% males, and majority had college education (85%). Taiwan participants scored higher on both CSKT (6.13 vs. 5.52; p<0.001) and CWST (6.80 vs. 5.38; p<0.001). Although perceived screening benefits and barriers were similar, Taiwan participants endorsed higher on screening norms (11.67 vs. 10.82; p<0.001). Taiwan participants also indicated more doctor recommending cancer screenings (42.1% vs. 29.6%; p=0.015), USA participants were more likely to have had annual health exams (65.4% vs. 48.9%; p=0.002). Regression results showed that those resided in the USA were 2.38 times more likely to report annual health exams. Married status (odds ratio [OR], 2.85), college education (OR, 2.38), doctor’s recommendation (OR, 2.87), no family cancer history (OR, 2.47), and those with lower barriers were significant factors on annual health exams.
Conclusions Taiwan participants scored higher on cancer knowledge and screening norms, while more USA participants reported annual health exams. Taiwan’s universal healthcare might play a role on the different healthcare seeking patterns.
Objectives In the Republic of Korea (ROK), the notified incidence of tuberculosis in foreign-born individuals (NITFBI) has increased recently, as has the rate of multidrug-resistant (MDR) and rifampicin-resistant (RR) tuberculosis in foreigners staying in the ROK. As Jeju Province in ROK has a no-visa entry policy, control programs for NITFBI should be consolidated. The aim was to evaluate the status of NITFBI, with a focus on the distribution of MDR/RR tuberculosis by nationality.
Methods Data on tuberculosis incidence in individuals born in Jeju Province and in foreign-born individuals were extracted from the Korean Statistical Information Service of Statistics Korea, and the Infectious Disease Surveillance Web Statistics of the Korea Centers for Disease Control and Prevention, respectively.
Results Among all notified incident cases of tuberculosis, the proportion of NITFBI increased from 1.46% in 2011 to 6.84% in 2017. China- and Vietnam-born individuals accounted for the greatest proportion of the 95 cases of NITFBI. Seven cases of MDR/RR tuberculosis were found, all involving patients born in China.
Conclusions In Jeju Province, ROK, NITFBI might become more common in the near future. Countermeasures for controlling active tuberculosis in immigrants born in high-risk nations for tuberculosis should be prepared in Jeju Province, since it is a popular tourist destination.
Summary
Korean summary
제주도는 국제자유도시를 천명하면서, 30일 무비자 입국을 허용하고 있다. 이에 따라 외국인 결핵환자가 증가하고 있다. 제주도 결핵 신환자 신고 중 외국인의 분율은 2011년 1.46%에서 2017년 6.84%로 증가했으며, 약제 내성에 있어서는 총 7건이었다. 향후 제주도내 외국인 결핵환자 신고수가 증가하는 가운데 약제내성 결핵환자도 증가할 수 있음을 예측하고, 외국인에 대한 활동성 결핵관리 정책을 보완하고 지침을 강화할 필요가 있다.