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From articles published in Journal of Preventive Medicine and Public Health during the past two years (2022 ~ ).

Review
Qualitative Research in Healthcare: Necessity and Characteristics
Jeehee Pyo, Won Lee, Eun Young Choi, Seung Gyeong Jang, Minsu Ock
J Prev Med Public Health. 2023;56(1):12-20.   Published online January 10, 2023
DOI: https://doi.org/10.3961/jpmph.22.451
  • 15,013 View
  • 729 Download
  • 24 Web of Science
  • 26 Crossref
AbstractAbstract AbstractSummary PDF
Quantitative and qualitative research explore various social phenomena using different methods. However, there has been a tendency to treat quantitative studies using complicated statistical techniques as more scientific and superior, whereas relatively few qualitative studies have been conducted in the medical and healthcare fields. This review aimed to provide a proper understanding of qualitative research. This review examined the characteristics of quantitative and qualitative research to help researchers select the appropriate qualitative research methodology. Qualitative research is applicable in following cases: (1) when an exploratory approach is required on a topic that is not well known, (2) when something cannot be explained fully with quantitative research, (3) when it is necessary to newly present a specific view on a research topic that is difficult to explain with existing views, (4) when it is inappropriate to present the rationale or theoretical proposition for designing hypotheses, as in quantitative research, and (5) when conducting research that requires detailed descriptive writing with literary expressions. Qualitative research is conducted in the following order: (1) selection of a research topic and question, (2) selection of a theoretical framework and methods, (3) literature analysis, (4) selection of the research participants and data collection methods, (5) data analysis and description of findings, and (6) research validation. This review can contribute to the more active use of qualitative research in healthcare, and the findings are expected to instill a proper understanding of qualitative research in researchers who review qualitative research reports and papers.
Summary
Korean summary
이 원고는 질적연구 방법론의 필요성 및 특징과 함께 보건의료 분야에서 질적연구 방법론이 활용된 선행 연구들을 정리하였다. 이는 보건의료 분야의 사회과학적 특성을 더 잘 드러내는 질적연구 방법론의 적용 및 확대에 도움이 될 것이다.

Citations

Citations to this article as recorded by  
  • A qualitative pilot study exploring clients’ and health-care professionals’ experiences with aquatic therapy post-stroke in Ontario, Canada
    Andresa R. Marinho-Buzelli, Abirami Vijayakumar, Elizabeth Linkewich, Catherine Gareau, Hasnain Mawji, Zoe Li, Sander L. Hitzig
    Topics in Stroke Rehabilitation.2024; 31(1): 86.     CrossRef
  • The Mindfulness-Based Social Work and Self-Care Programme: A Focus Group Study
    Alan Maddock, Karen McGuigan, Pearse McCusker, Jane Kellock
    Clinical Social Work Journal.2024; 52(1): 48.     CrossRef
  • Kazakhstani elite athletes’ perspectives on the Tokyo 2020 olympic and paralympic games postponement and their preparation during the COVID-19 pandemic: A qualitative study
    Venera Abdulla, Natalya Glushkova, Kulman Nyssanbayeva, Maira Bakasheva, Dominic Sagoe
    Performance Enhancement & Health.2024; 12(1): 100270.     CrossRef
  • Surgical De-escalation in Breast Cancer: Qualitative Research Introduces Hope for Patients and Illuminates a Blind Spot Within Blinded Studies
    Jose G. Bazan, Benjamin W. Corn
    International Journal of Radiation Oncology*Biology*Physics.2024; 118(2): 455.     CrossRef
  • Quantitative, Qualitative, Mixed Methods, and Triangulation Research Simplified
    Lina Najib Kawar, Ghada B. Dunbar, Emma M. Aquino-Maneja, Sarah L. Flores, Victoria Rondez Squier, Kim Reina Failla
    The Journal of Continuing Education in Nursing.2024; 55(7): 338.     CrossRef
  • Co-designing an intervention using the COM-B model to change an eating behaviour in people living with achalasia
    Melika Kalantari, Amelia Hollywood, Rosemary Lim, Majid Hashemi
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • Qualitative case study on the disability acceptance experiences of soldiers with disabilities
    Haneul Lee, Jeehee Pyo, Minsu Ock, Hyun Joo Kim
    International Journal of Qualitative Studies on Health and Well-being.2024;[Epub]     CrossRef
  • Qualitative Comparison of Perceptions Regarding Patient Engagement for Patient Safety by Physicians, Nurses, and Patients
    Seung Gyeong Jang, Minsu Ock, Soyoon Kim
    Patient Preference and Adherence.2024; Volume 18: 1065.     CrossRef
  • Coping Mechanisms Utilized by Individuals With Drug Addiction in Overcoming Challenges During the Recovery Process: A Qualitative Meta-synthesis
    Agus Setiawan, Junaiti Sahar, Budi Santoso, Muchtaruddin Mansyur, Syamikar Baridwan Syamsir
    Journal of Preventive Medicine and Public Health.2024; 57(3): 197.     CrossRef
  • Quality of Life of deaf adolescents in high school: A systematic literature review
    Abdullah Madhesh
    Research in Developmental Disabilities.2024; 151: 104764.     CrossRef
  • Perspectives of Family Caregivers on Healthcare Provided to Older Adults With Hypertension and/or Diabetes Mellitus in Ghana
    Edward Appiah Boateng, Rosemary Agyapomah, Isaac Amankwaa, Veronica Millicent Dzomeku, Lawrencia Oppong Peprah
    Gerontology and Geriatric Medicine.2024;[Epub]     CrossRef
  • From exclusion to inclusion: unveiling the macro and micro dynamics of second chance education
    Georgia Karakitsiou, Aikaterini Arvaniti, Spyridon Plakias, Anna Tsiakiri, George M. Pamboris, Maria Samakouri, Katerina Kedraka
    Studies in the Education of Adults.2024; : 1.     CrossRef
  • Psychometric Characteristics of the Fear of Cancer Recurrence Inventory-Severity Subscale Among Korean Cancer Survivors
    So-Young Park
    Journal of Preventive Medicine and Public Health.2024; 57(4): 319.     CrossRef
  • Scoping review of the music-based movement therapy Ronnie Gardiner Method
    Laura Harjunen, K. Östman, P. Pohl
    Disability and Rehabilitation.2024; : 1.     CrossRef
  • Perceptions and attitudes of nurse practitioners toward artificial intelligence adoption in health care
    Moustaq Karim Khan Rony, Sharker Md. Numan, Fateha tuj Johra, Khadiza Akter, Fazila Akter, Mitun Debnath, Sujit Mondal, Md. Wahiduzzaman, Mousumi Das, Mohammad Ullah, Mohammad Habibur Rahman, Shuvashish Das Bala, Mst. Rina Parvin
    Health Science Reports.2024;[Epub]     CrossRef
  • The Dresden Model of Adaptability: A Holistic Approach to Human-Centeredness, Resilience, Sustainability, and the Impact on the Sustainable Development Goals in the Era of Industry 5.0
    Nicole Jäpel, Pia Bielitz, Dirk Reichelt
    Digital.2024; 4(3): 726.     CrossRef
  • The importance of qualitative research in the contemporary era
    Kalaiselvan Ganapathy
    Global Journal of Health Sciences and Research.2024; 2: 59.     CrossRef
  • Follow-up care experience of patients with invasive meningococcal disease and their family caregivers: a qualitative study
    Alexiane Baloche, Pierrick Bedouch, Florence Carrouel, Laurent Argaud, Karine Kolev, Guillaume Mortamet, Carole Schwebel, Gérard Mick, Claude Dussart
    BMC Infectious Diseases.2024;[Epub]     CrossRef
  • Conducting and Writing Quantitative and Qualitative Research
    Edward Barroga, Glafera Janet Matanguihan, Atsuko Furuta, Makiko Arima, Shizuma Tsuchiya, Chikako Kawahara, Yusuke Takamiya, Miki Izumi
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • “The chameleon among diseases” - an explorative view of sarcoidosis and identification of the consequences for affected patients and relatives using qualitative interviews
    Charlotte Hilker, Johanna Weis, Stefanie Ziehfreund, Elizabeth V. Arkema, Tilo Biedermann, Alexander Zink
    Orphanet Journal of Rare Diseases.2023;[Epub]     CrossRef
  • Qualitative Research in Healthcare: Data Analysis
    Dasom Im, Jeehye Pyo, Haneul Lee, Hyeran Jung, Minsu Ock
    Journal of Preventive Medicine and Public Health.2023; 56(2): 100.     CrossRef
  • ‘How is our job affecting us?’ Neonatal Intensive Care Unit healthcare providers and their pregnancy: A descriptive qualitative study
    Gaia Dussi, Stefano Bembich, Roberta Crevatin, Sara Buchini, Silvana Schreiber, Livia Bicego, Andrea Cassone, Raffaella Dobrina
    Journal of Advanced Nursing.2023; 79(10): 3776.     CrossRef
  • Investigating Functional Impairment in Chronic Low Back Pain: A Qualitative Study from the Patients and Specialists’ Perspectives
    Arturo Cuomo, Franco Marinangeli, Alberto Magni, Emiliano Petrucci, Alessandro Vittori, Marco Cascella
    Journal of Personalized Medicine.2023; 13(6): 1012.     CrossRef
  • Author Response: Students’ Positive Coping Strategies From Disaster: A Narrative Analysis
    Minsu Ock
    Journal of Preventive Medicine and Public Health.2023; 56(4): 390.     CrossRef
  • Knowledge, Attitude, and Practice of Qualitative Research Among Health Sciences Faculty
    Mohamud Mohamud, Alwaleed A Albarkani, Emad Masuadi, Abdullaziz A Alsahly, Abdulaziz I Alkudairy, Yazeed F Shalabi, Abdulrahman Faqih, Khaled A Alaukili, Saad J Alsahli
    Cureus.2023;[Epub]     CrossRef
  • A qualitative study on hope in iranian end stage renal disease patients undergoing hemodialysis
    Masoume Rambod, Nilofar Pasyar, Ali Mohammad Parviniannasab
    BMC Nephrology.2023;[Epub]     CrossRef
Systematic Review
Challenges to Achieving Universal Health Coverage Throughout the World: A Systematic Review
Alireza Darrudi, Mohammad Hossein Ketabchi Khoonsari, Maryam Tajvar
J Prev Med Public Health. 2022;55(2):125-133.   Published online March 8, 2022
DOI: https://doi.org/10.3961/jpmph.21.542
  • 9,454 View
  • 327 Download
  • 15 Web of Science
  • 25 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
No systematic review has explored the challenges related to worldwide universal health coverage (UHC). This study reviewed challenges on the road to UHC.
Methods
A systematic electronic search of all studies that identified the challenges of worldwide UHC was conducted, without any restrictions related to the publication date or language. A hand search and a bibliographic search were also conducted to identify which texts to include in this study. These sources and citations yielded a total of 2500 articles, only 26 of which met the inclusion criteria. Relevant data from these papers were extracted, summarized, grouped, and reported in tables.
Results
Of the 26 included studies, 7 (27%) were reviews, 6 (23%) were reports, and 13 (50%) had another type of study design. The publication dates of the included studies ranged from 2011 to 2020. Nine studies (35%) were published in 2019. Using the World Health Organization conceptual model, data on all of the challenges related to UHC in terms of the 4 functions of health systems (stewardship, creating resource, financing, and delivering services) were extracted from the included studies and reported.
Conclusions
This study provides a straightforward summary of previous studies that explored the challenges related to UHC and conducted an in-depth analysis of viable solutions.
Summary

Citations

Citations to this article as recorded by  
  • Impact of the COVID-19 pandemic on the services provided by the Peruvian health system: an analysis of people with chronic diseases
    David Villarreal-Zegarra, Luciana Bellido-Boza, Alfonso Erazo, Max Pariona-Cárdenas, Paul Valdivia-Miranda
    Scientific Reports.2024;[Epub]     CrossRef
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    Nurul Qalby, Dian S. Arsyad, Andriany Qanitha, Maarten J. Cramer, Yolande Appelman, Dara R. Pabittei, Pieter A. Doevendans, Idar Mappangara, Akhtar Fajar Muzakkir
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    Ayelign Mengesha Kassie, Elizabeth Eakin, Biruk Beletew Abate, Aklilu Endalamaw, Anteneh Zewdie, Eskinder Wolka, Yibeltal Assefa
    BMC Health Services Research.2024;[Epub]     CrossRef
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    Saydeh Dableh, Kate Frazer, Diarmuid Stokes, Thilo Kroll, Dirceu Henrique Paulo Mabunda
    PLOS ONE.2024; 19(4): e0298973.     CrossRef
  • Universal Health Care and the Maternal and Child Health Handbook for Indigenous Peoples: The Case of Tagbanua Mothers and Children of Coron Island, Palawan
    Calvin S. de los Reyes, Yasuhide Nakamura, Marilyn E. Crisostomo
    Hypertension Research in Pregnancy.2024; 12(2): 28.     CrossRef
  • Collaborations and Networks Within Communities for Improved Utilization of Primary Healthcare Centers: On the Road to Universal Health Coverage
    Chinelo Obi, Iheomimichineke Ojiakor, Enyi Etiaba, Obinna Onwujekwe
    International Journal of Public Health.2024;[Epub]     CrossRef
  • Fatores associados à omissão do cuidado e ao clima de segurança do paciente
    Kaique Duarte Cavalcante Silva, Dayse Edwiges Carvalho, Juliana Carvalho de Lima, Lucas Aragão Souza, Ana Elisa Bauer de Camargo Silva
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    Kaique Duarte Cavalcante Silva, Dayse Edwiges Carvalho, Juliana Carvalho de Lima, Lucas Aragão Souza, Ana Elisa Bauer de Camargo Silva
    Revista Gaúcha de Enfermagem.2024;[Epub]     CrossRef
  • Information Management for the Neurosurgical Care of Brain Tumors: A Scoping Review of Literature from Low- and Middle-Income Countries
    Muhammad Shakir, Hammad Atif Irshad, Aly Hamza Khowaja, Izza Tahir, Syeda Fatima Shariq, Ali I. Rae, Radzi Hamzah, Saksham Gupta, Kee B. Park, Syed Ather Enam
    World Neurosurgery.2024; 190: 208.     CrossRef
  • Reimagining policy implementation science in a global context: a theoretical discussion
    Kellie List, Peter Agamile, Didier Yélognissè Alia, Peter Cherutich, Kristen Danforth, John Kinuthia, Arianna Rubin Means, Irene Mukui, Nancy Ngumbau, Yanfang Su, Anjuli Dawn Wagner, Bryan J. Weiner, Sarah Masyuko
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    Sydney N. N. T. Odonkor, Ferdinand Koranteng, Martin Appiah-Danquah, Lorena Dini, Ama Pokuaa Fenny
    PLOS Global Public Health.2023; 3(8): e0001286.     CrossRef
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    Dalmacito A. Cordero
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    Hanna E Huffstetler, Shashika Bandara, Ipchita Bharali, Kaci Kennedy Mcdade, Wenhui Mao, Felicia Guo, Jiaqi Zhang, Judy Riviere, Liza Becker, Mina Mohamadi, Rebecca L Rice, Zoe King, Zoha Waqar Farooqi, Xinqi Zhang, Gavin Yamey, Osondu Ogbuoji
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Reviews
DALY Estimation Approaches: Understanding and Using the Incidence-based Approach and the Prevalence-based Approach
Young-Eun Kim, Yoon-Sun Jung, Minsu Ock, Seok-Jun Yoon
J Prev Med Public Health. 2022;55(1):10-18.   Published online January 19, 2022
DOI: https://doi.org/10.3961/jpmph.21.597
  • 7,263 View
  • 309 Download
  • 24 Web of Science
  • 23 Crossref
AbstractAbstract AbstractSummary PDF
Disability-adjusted life-year (DALY) estimates may vary according to factors such as the standard life expectancy, age weighting, time preference and discount rate, calculation of disability weights, and selection of the estimation method. DALY estimation methods are divided into the following 3 approaches: the incidence-based approach, the pure prevalence-based approach, and the hybrid approach. These 3 DALY estimation approaches each reflect different perspectives on the burden of disease using unique characteristics, based on which the selection of a suitable approach may vary by the purpose of the study. The Global Burden of Disease studies, which previously estimated DALYs using the incidence-based approach, switched to using the hybrid approach in 2010, while the National Burden of Disease studies in Korea still mainly apply the incidence-based approach. In order to increase comparability with other international burden of disease studies, more DALY studies using the prevalence-based approach need to be conducted in Korea. However, with the limitations of the hybrid approach in mind, it is necessary to conduct more research using a disease classification system suitable for Korea. Furthermore, more detailed and valid data sources should be established before conducting studies using a broader variety of DALY estimation approaches. This review study will help researchers on burden of disease use an appropriate DALY estimation approach and will contribute to enhancing researchers’ ability to critically interpret burden of disease studies.
Summary
Korean summary
장애보정생존연수 산출 방법은 발생률 접근법, 순수 유병률 접근법 및 하이브리드 접근법으로 나뉜다. 이러한 3가지 장애보정생존연수 산출 접근법은 각각 고유한 특성을 가지고 질병부담에 대한 다양한 관점을 반영하기 때문에, 연구 목적에 따라 산출 접근법의 선택이 달라질 수 있다. 이번 연구의 결과는 연구자들이 장애보정생존연수 산출 방법의 타당성을 향상시키기 위하여 질병부담 연구에 사용할 산출 접근법을 결정하는 데 도움이 될 것이다.

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Qualitative Research in Healthcare: Data Analysis
Dasom Im, Jeehye Pyo, Haneul Lee, Hyeran Jung, Minsu Ock
J Prev Med Public Health. 2023;56(2):100-110.   Published online February 15, 2023
DOI: https://doi.org/10.3961/jpmph.22.471
  • 13,078 View
  • 692 Download
  • 17 Web of Science
  • 21 Crossref
AbstractAbstract AbstractSummary PDF
Qualitative research methodology has been applied with increasing frequency in various fields, including in healthcare research, where quantitative research methodology has traditionally dominated, with an empirically driven approach involving statistical analysis. Drawing upon artifacts and verbal data collected from in-depth interviews or participatory observations, qualitative research examines the comprehensive experiences of research participants who have experienced salient yet unappreciated phenomena. In this study, we review 6 representative qualitative research methodologies in terms of their characteristics and analysis methods: consensual qualitative research, phenomenological research, qualitative case study, grounded theory, photovoice, and content analysis. We mainly focus on specific aspects of data analysis and the description of results, while also providing a brief overview of each methodology’s philosophical background. Furthermore, since quantitative researchers have criticized qualitative research methodology for its perceived lack of validity, we examine various validation methods of qualitative research. This review article intends to assist researchers in employing an ideal qualitative research methodology and in reviewing and evaluating qualitative research with proper standards and criteria.
Summary
Korean summary
질적연구 방법론은 보건의료 연구에서 연구 참여자가 경험하는 주요 현상을 잘 포착할 수 있도록 해 준다. 이 논문에서는 합의적 질적연구, 현상학적 연구, 질적 사례 연구, 근거이론, 포토보이스, 내용 분석 등 6가지의 대표적인 질적 연구 방법론에 대한 간략한 철학적 배경과 구체적인 데이터 분석 및 해석 방법을 소개한다.

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A Review of the Types and Characteristics of Healthy Life Expectancy and Methodological Issues
Young-Eun Kim, Yoon-Sun Jung, Minsu Ock, Seok-Jun Yoon
J Prev Med Public Health. 2022;55(1):1-9.   Published online January 16, 2022
DOI: https://doi.org/10.3961/jpmph.21.580
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  • 17 Web of Science
  • 18 Crossref
AbstractAbstract AbstractSummary PDF
An index that evaluates the health level of a population group considering both death and loss of function due to disease is called a summary measure of population health (SMPH). SMPHs are broadly divided into life year indices and life expectancy indices, the latter of which comprise healthy life expectancy (HLE). HLE is included as a policy target in various national and regional level healthcare plans, and the term “HLE” is commonly used in academia and by the public. However, the overall level of understanding of HLE—such as the precise definition of HLE and methods of calculating HLE—still seems to be low. As discussed in this study, the types of HLE are classified into disability-free life expectancy, disease-free life expectancy, quality-adjusted life expectancy, self-rated HLE, and disability-adjusted life expectancy. Their characteristics are examined to facilitate a correct understanding and appropriate utilization of HLE. In addition, the Sullivan method, as a representative method for calculating HLE, is presented in detail, and major issues in the process of calculating HLE, such as selection of the population group and age group, estimation of death probability, calculation of life years, and incorporation of health weights, are reviewed. This study will help researchers to select an appropriate HLE type and evaluate the validity of HLE research results, and it is expected to contribute to the vitalization of HLE research.
Summary
Korean summary
건강수명의 유형은 무장애기대수명, 질병 없는 기대수명, 질보정기대수명, 자가평가보정 기대수명, 장애보정기대수명으로 분류된다. 건강수명의 올바른 이해와 적절한 활용을 돕기 위해 이들의 특성을 검토하였다. 이번 연구는 연구자들이 적절한 건강수명 유형을 선택하고 건강수명 연구 결과의 타당성을 평가하는 데 도움이 될 것이며, 건강수명 연구의 활성화에 기여할 것으로 기대된다.

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Original Article
Association Between Sleep Quality and Anxiety in Korean Adolescents
Hyunkyu Kim, Seung Hoon Kim, Sung-In Jang, Eun-Cheol Park
J Prev Med Public Health. 2022;55(2):173-181.   Published online February 10, 2022
DOI: https://doi.org/10.3961/jpmph.21.498
  • 5,281 View
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AbstractAbstract AbstractSummary PDF
Objectives
Anxiety disorder is among the most prevalent mental illnesses among adolescents. Early detection and proper treatment are important for preventing sequelae such as suicide and substance use disorder. Studies have suggested that sleep duration is associated with anxiety disorder in adolescents. In the present study, we investigated the association between sleep quality and anxiety in a nationally representative sample of Korean adolescents.
Methods
This cross-sectional study was conducted using data from the 2020 Korea Youth Risk Behavior Web-based Survey. The Generalized Anxiety Disorder-7 questionnaire was used to evaluate anxiety. The chi-square test was used to investigate and compare the general characteristics of the study population, and multiple logistic regression analysis was used to analyze the relationship between sleep quality and anxiety.
Results
In both sexes, anxiety was highly prevalent in participants with poor sleep quality (adjusted odds ratio [aOR], 1.56; 95% confidence interval [CI], 1.43 to 1.71 in boys; aOR, 1.30; 95% CI, 1.19 to 1.42 in girls). Regardless of sleep duration, participants with poor sleep quality showed a high aOR for anxiety.
Conclusions
This study identified a consistent relationship between sleep quality and anxiety in Korean adolescents regardless of sleep duration.
Summary
Korean summary
청소년건강행태조사를 이용하여 청소년들의 수면의 질과 불안과의 연관성을 분석하였다. 좋지 않은 수면의 질은 불안감과 연관성이 있었으며 이 연관성은 대상자들의 수면시간과 상관없이 나타났다.

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Systematic Review
Low Social Support and Risk for Depression in People With Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis
Akhmad Azmiardi, Bhisma Murti, Ratih Puspita Febrinasari, Didik Gunawan Tamtomo
J Prev Med Public Health. 2022;55(1):37-48.   Published online January 10, 2022
DOI: https://doi.org/10.3961/jpmph.21.490
  • 5,682 View
  • 217 Download
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  • 13 Crossref
AbstractAbstract PDF
Objectives
Depression is a frequent complication of type 2 diabetes mellitus. This study aimed to investigate the relationship between low social support and risk for depression in people with type 2 diabetes through a meta-analysis.
Methods
PubMed, ProQuest, SpringerLink, ScienceDirect, Scopus, the Cochrane Library, Embase, and Google Scholar were searched for English-language articles published up to 2021. Pooled adjusted odds ratios (aORs) were calculated using a random-effect model with 95% confidence intervals (CIs). Heterogeneity was evaluated by using the Cochrane Q test and I2 statistics. The risk of publication bias was estimated using a funnel plot, the Egger test, and the Begg test. The Joanna Briggs Institute Critical Appraisal Tools were used to assess the quality of evidence and the risk of bias.
Results
Eleven studies were included in this meta-analysis, containing a total of 3151 people with type 2 diabetes mellitus. The pooled analysis showed that people with type 2 diabetes mellitus who had low social support had twice as high a risk of depression as those with high social support (aOR, 2.02; 95% CI, 1.51 to 2.70; p<0.001). A random-effect model was used because the heterogeneity was high (I2= 87%).
Conclusions
Low social support was found to increase the risk of depression among people with type 2 diabetes mellitus. Further investigation into factors that may moderate this relationship is required.
Summary

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    Jan Luebke
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Special Article
Cohort Profile: Korean Tuberculosis and Post-Tuberculosis Cohort Constructed by Linking the Korean National Tuberculosis Surveillance System and National Health Information Database
Dawoon Jeong, Hee-Yeon Kang, Jinsun Kim, Hyewon Lee, Bit-Na Yoo, Hee-Sun Kim, Hongjo Choi
J Prev Med Public Health. 2022;55(3):253-262.   Published online April 22, 2022
DOI: https://doi.org/10.3961/jpmph.21.635
  • 4,228 View
  • 152 Download
  • 11 Web of Science
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AbstractAbstract AbstractSummary PDFSupplementary Material
We aimed to review the current data composition of the Korean Tuberculosis and Post-Tuberculosis Cohort, which was constructed by linking the Korean Tuberculosis Surveillance System (KNTSS; established and operated by the Korean Disease Control and Prevention Agency since 2000) and the National Health Information Database (NHID; established by the National Health Insurance Service in 2012). The following data were linked: KNTSS data pertaining to patients diagnosed with tuberculosis between 2011 and 2018, NHID data of patients with a history of tuberculosis and related diseases between 2006 and 2018, and data (obtained from the Statistics Korea database) on causes of death. Data from 300 117 tuberculosis patients (177 206 men and 122 911 women) were linked. The rate of treatment success for new cases was highest in 2015 (86.7%), with a gradual decrease thereafter. The treatment success rate for previously treated cases showed an increasing trend until 2014 (79.0%) and decreased thereafter. In total, 53 906 deaths were confirmed among tuberculosis patients included in the cohort. The Korean Tuberculosis and Post-Tuberculosis Cohort can be used to analyze different measurement variables in an integrated manner depending on the data source. Therefore, these cohort data can be used in future epidemiological studies and research on policy-effect analysis, treatment outcome analysis, and health-related behaviors such as treatment discontinuation.
Summary
Korean summary
TB Post 코호트(Korean Tuberculosis and Post-Tuberculosis Cohort)는 한국의 결핵 모니터링 및 관리에 대한 인구집단 수준에서의 새로운 근거를 마련하고자 구축한 우리나라 결핵 환자 코호트입니다. 국가 결핵감시체계의 일환으로 구축된 질병관리청의 결핵신고자료와 국민건강보험공단의 국민건강정보DB 자료, 통계청 사망원인 자료의 연계로 구축되었으며, 각 자료원이 보유한 정보를 활용하여 통합적인 결핵 환자 연구가 가능할 것으로 기대하고 있습니다. 결핵의 정책 효과 연구뿐만 아니라, 치료 성공, 실패, 중단 등 치료결과에 대한 영향 요인 및 환자들의 건강 관련 행태에 대한 역학 연구 등 향후 다양한 연구에 활용될 수 있을 것으로 기대됩니다.

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  • A Quasi-experimental Study on the Effect of Pre-entry Tuberculosis Screening for Immigrants on Treatment Outcomes in South Korea: A Difference-in-Differences Analysis
    Sarah Yu, Dawoon Jeong, Hee-Yeon Kang, Young Ae Kang, Gyeong In Lee, Hongjo Choi
    Journal of Epidemiology and Global Health.2024; 14(1): 154.     CrossRef
  • Relationship between metformin use and mortality in tuberculosis patients with diabetes: a nationwide cohort study
    Eunki Chung, Dawoon Jeong, Jeongha Mok, Doosoo Jeon, Hee-Yeon Kang, Heejin Kim, Heesun Kim, Hongjo Choi, Young Ae Kang
    The Korean Journal of Internal Medicine.2024; 39(2): 306.     CrossRef
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    Taehee Chang, Sung-il Cho, Dae sung Yoo, Kyung-Duk Min
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  • Beyond reducing direct medical cost: examining health outcomes in tuberculosis through a difference-in-differences analysis of South Korea’s out-of-pocket payment exception policy
    Sarah Yu, Daseul Moon, Dawoon Jeong, Young Ae Kang, Gyeong In Lee, Hongjo Choi
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Timing and predictors of death during treatment in patients with multidrug/rifampin-resistant tuberculosis in South Korea
    Eunjeong Son, Hongjo Choi, Jeongha Mok, Young Ae Kang, Dawoon Jeong, Doosoo Jeon
    The Korean Journal of Internal Medicine.2024; 39(4): 640.     CrossRef
  • Comparison of Patients Who Were Not Evaluated and Lost to Follow-Up with Multidrug/Rifampin-Resistant Tuberculosis in South Korea
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  • Sex differences in the impact of diabetes mellitus on tuberculosis recurrence: a retrospective national cohort study
    Dararat Eksombatchai, Dawoon Jeong, Jeongha Mok, Doosoo Jeon, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Hongjo Choi, Young Ae Kang
    International Journal of Infectious Diseases.2023; 127: 1.     CrossRef
  • Nationwide Treatment Outcomes of Patients With Multidrug/Rifampin-Resistant Tuberculosis in Korea, 2011–2017: A Retrospective Cohort Study (Korean TB-POST)
    Hongjo Choi, Jeongha Mok, Young Ae Kang, Dawoon Jeong, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Doosoo Jeon
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Prevalence and associated factors of diabetes mellitus among patients with tuberculosis in South Korea from 2011 to 2018: a nationwide cohort study
    Dawoon Jeong, Jeongha Mok, Doosoo Jeon, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Jeong Mi Seo, Hongjo Choi, Young Ae Kang
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  • Impact of Anti-Tuberculosis Drug Use on Treatment Outcomes in Patients with Pulmonary Fluoroquinolone-Resistant Multidrug-Resistant Tuberculosis: A Nationwide Retrospective Cohort Study with Propensity Score Matching
    Hongjo Choi, Dawoon Jeong, Young Ae Kang, Doosoo Jeon, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Jeongha Mok
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    Se Hyun Kwak, Dawoon Jeong, Jeongha Mok, Doosoo Jeon, Hee-Yeon Kang, Hee Jin Kim, Hee-Sun Kim, Hongjo Choi, Young Ae Kang, Frederick Quinn
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Systematic Review
Vitamin D Deficiency and Comorbidities as Risk Factors of COVID-19 Infection: A Systematic Review and Meta-analysis
Pinki Mishra, Rizwana Parveen, Ram Bajpai, Nidhi Agarwal
J Prev Med Public Health. 2022;55(4):321-333.   Published online June 13, 2022
DOI: https://doi.org/10.3961/jpmph.21.640
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AbstractAbstract PDFSupplementary Material
Objectives
Extensive evidence links low vitamin D status and comorbidities with coronavirus disease 2019 (COVID-19) outcomes, but the results of published studies are contradictory. Therefore, we investigated the association of lower levels of vitamin D and comorbidities with the risk of COVID-19 infection.
Methods
We searched MEDLINE (via PubMed), Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov for articles published until August 20, 2021. Sixteen eligible studies were identified (386 631 patients, of whom 181 114 were male). We included observational cohort and case-control studies that evaluated serum levels of vitamin D in COVID-19-positive and COVID-19-negative patients. Mean differences (MDs) with 95% confidence intervals (CIs) were calculated.
Results
Significantly lower vitamin D levels were found in COVID-19-positive patients (MD, -1.70; 95% CI, -2.74 to -0.66; p=0.001), but with variation by study design (case-control: -4.04; 95% CI, -5.98 to -2.10; p<0.001; cohort: -0.39; 95% CI, -1.62 to 0.84; p=0.538). This relationship was more prominent in female patients (MD, -2.18; 95% CI, -4.08 to -0.28; p=0.024) than in male patients (MD, -1.74; 95% CI, -3.79 to 0.31; p=0.096). Male patients showed higher odds of having low vitamin D levels (odds ratio [OR], 2.09; 95% CI, 1.38 to 3.17; p<0.001) than female patients (OR, 1.17; 95% CI, 0.74 to 1.86; p=0.477). Comorbidities showed inconsistent, but generally non-significant, associations with COVID-19 infection.
Conclusions
Low serum vitamin-D levels were significantly associated with the risk of COVID-19 infection. This relationship was stronger in female than in male COVID-19 patients. Limited evidence was found for the relationships between comorbidities and COVID-19 infection, warranting large population-based studies to clarify these associations.
Summary

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Perspective
Gender in Climate Change: Safeguarding LGBTQ+ Mental Health in the Philippine Climate Change Response From a Minority Stress Perspective
Rowalt Alibudbud
J Prev Med Public Health. 2023;56(2):196-199.   Published online March 13, 2023
DOI: https://doi.org/10.3961/jpmph.22.501
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  • 8 Crossref
AbstractAbstract PDF
Climate-related events unevenly affect society, worsening mental health disparities among vulnerable populations. This paper highlights that lesbians, gays, bisexuals, transgender, queers, and other individuals identifying as sexual and gender minorities (LGBTQ+) could be considered a climate-vulnerable population in the Philippines, one of the most climate-vulnerable countries. As such, this paper elucidated that LGBTQ+ Filipinos can be marginalized in climate response efforts due to their sexual orientation and gender minority identities. According to the minority stress theory, discrimination against LGBTQ+ individuals may predispose them to mental health problems. Thus, there is a need to institute an LGBTQ+ inclusive mental health response for climate-related events to address discrimination against LGBTQ+ individuals and uphold their mental health.
Summary

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    Rowalt Alibudbud
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    Sheri R. Levy, Meroona Gopang, Luisa Ramírez, Allan B. I. Bernardo, Martin D. Ruck, Anni Sternisko
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Special Article
Examining the Role of Psychosocial Stressors in Hypertension
Komal Marwaha
J Prev Med Public Health. 2022;55(6):499-505.   Published online November 30, 2022
DOI: https://doi.org/10.3961/jpmph.21.266
  • 5,543 View
  • 254 Download
  • 7 Crossref
AbstractAbstract PDF
Despite advances in medicine and preventive strategies, fewer than 1 in 5 people with hypertension have the problem under control. This could partly be due to gaps in fully elucidating the etiology of hypertension. Genetics and conventional lifestyle risk factors, such as the lack of exercise, unhealthy diet, excess salt intake, and alcohol consumption, do not fully explain the pathogenesis of hypertension. Thus, it is necessary to revisit other suggested risk factors that have not been paid due attention. One such factor is psychosocial stress. This paper explores the evidence for the association of psychosocial stressors with hypertension and shows that robust evidence supports the role of a chronic stressful environment at work or in marriage, low socioeconomic status, lack of social support, depression, anxiety, post-traumatic stress, childhood psychological trauma, and racial discrimination in the development or progression of hypertension. Furthermore, the potential pathophysiological mechanisms that link psychosocial stress to hypertension are explained to address the ambiguity in this area and set the stage for further research.
Summary

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Original Articles
Health-related Quality of Life Instrument With 8 Items for Use in Patients With Type 2 Diabetes Mellitus: A Validation Study in Korea
Juyoung Kim, Hyeon-Jeong Lee, Min-Woo Jo
J Prev Med Public Health. 2022;55(3):234-242.   Published online May 12, 2022
DOI: https://doi.org/10.3961/jpmph.22.020
  • 3,863 View
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AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study assessed the validity and reliability of the Health-related Quality of Life Instrument with 8 Items (HINT-8) in patients with diabetes. HINT-8 is a newly-developed, generic health-related quality of life (HRQoL) instrument.
Methods
Three HRQoL instruments—HINT-8, EuroQoL 5-Dimension 5-Level (EQ-5D-5L), and Short Form Health Survey version 2.0 (SF-36v2)—were provided to 300 patients with diabetes visiting a tertiary hospital for follow-up visits in Korea. The HRQoL scores obtained using the HINT-8 were evaluated for subgroups with known differences based on demographics and diabetes-related characteristics (known-group validity). The mean scores of the instruments were compared between groups segmented by their responses to the HINT-8 (discriminatory ability). Correlation coefficients of the HINT-8 with other instruments were calculated (convergent and divergent validity). The Cohen kappa and intra-class correlation coefficient (ICC) were also evaluated (test-retest reliability).
Results
The average HINT-8 indexes were lower among women, older, and less-educated subjects. Subjects who did not list any problems on the HINT-8 had significantly higher HRQoL scores than those who did. The correlation coefficients of the HINT-8 with the EQ-5D-5L index and EuroQoL visual analogue scale were 0.715 (p<0.001) and 0.517 (p<0.001), respectively. The correlation coefficients between the HINT-8 index and the scores of 8 domains of the SF-36v2 ranged from 0.478 (p<0.001) to 0.669 (p<0.001). The Cohen kappa values for the HINT-8 ranged from 0.268 to 0.601, and the ICC of the HINT-8 index was 0.800 (95% confidence interval [CI], 0.720 to 0.860).
Conclusions
This study showed that the HINT-8 is a valid and reliable HRQoL instrument for patients with diabetes.
Summary
Korean summary
이 연구는 한국인의 사회문화적 특성을 반영하여 개발된 건강관련 삶의 질 도구인 HINT-8의 타당도 및 신뢰도를 대표적인 만성 질환인 제2형 당뇨 환자를 대상으로 검증하였다. 연구결과는 제2형 당뇨 환자에서 HINT-8의 활용 가능성을 보여주었을 뿐만 아니라 일반적 건강관련 삶의 질 도구 중 가장 널리 사용되고 있는 EQ-5D-5L보다 HINT-8이 삶의 질 상태를 더욱 정교하게 구분하고 있음을 보여주었다.

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    Chiwook Chung, Ah-Ram Kim, Dongbum Kim, Hee Kwon, Seong Ho Lee, Il-Young Jang, Min-Woo Jo, Do-Yoon Kang, Sei Won Lee
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“Leisure Life Satisfaction:” Will It Have a Beneficial Impact on Depression Among Older Adults in Community Care Settings in Korea?
Il-Ho Kim, Cheong-Seok Kim
J Prev Med Public Health. 2022;55(4):398-406.   Published online July 7, 2022
DOI: https://doi.org/10.3961/jpmph.22.160
  • 3,171 View
  • 113 Download
  • 6 Web of Science
  • 6 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
While the risk of depression is expected to substantially increase among older adults receiving community care, leisure life satisfaction can be regarded as a key component in enhancing the mental health of those receiving community care. However, it is not yet known whether community care utilization increases the risk of depression, or what role is played by leisure life satisfaction in these settings. This study investigated the relationship between community care utilization and depression, as well as the main effect and the moderating role of leisure life satisfaction on the link between community care utilization and depression among older adults.
Methods
This study, using the 2019 Korean Welfare Panel Survey, conducted multiple regression analysis on data from 4494 elderly people aged 65 years or older.
Results
After controlling for potential covariates, older community care recipients were more likely to report symptoms of depression than those who did not receive community care. Meanwhile, leisure life satisfaction was negatively associated with depression in older adults. The test for interaction between community care utilization and leisure life satisfaction revealed that leisure life satisfaction significantly attenuated the link between depression and community care utilization.
Conclusions
The findings of this study imply that leisure life satisfaction could play a meaningful role in improving the mental health of older adults receiving community care. Welfare policies affecting older adults should consider leisure life satisfaction as an important resource for reducing depression in community care settings.
Summary
Korean summary
본 연구는 2019년 한국복지패널조사의 4,494명의 노인들을 대상으로 돌봄노인의 우울 수준과 여가생활 만족의 조절효과를 검증하였다. 연구결과, 돌봄노인의 우울증상이 일반노인에 비하여 유의하게 높았다(p<0.001). 반면 여가생활 만족은 돌봄서비스 이용노인의 우울 증상을 조절하는 효과가 있었다. 이 연구의 결과는 여가생활 만족이 돌봄노인의 정신건강을 향상시키는데 의미 있는 역할을 할 수 있다는 것을 암시한다.

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Special Articles
The KoreaN Cohort Study for Outcomes in Patients With Chronic Kidney Disease (KNOW-CKD): A Korean Chronic Kidney Disease Cohort
Kook-Hwan Oh, Sue K. Park, Jayoun Kim, Curie Ahn
J Prev Med Public Health. 2022;55(4):313-320.   Published online July 1, 2022
DOI: https://doi.org/10.3961/jpmph.22.031
  • 5,001 View
  • 247 Download
  • 4 Web of Science
  • 6 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
The KoreaN Cohort Study for Outcomes in Patients With Chronic Kidney Disease (KNOW-CKD) was launched in 2011 with the support of the Korea Disease Control and Prevention Agency. The study was designed with the aim of exploring the various clinical features and characteristics of chronic kidney disease (CKD) in Koreans, and elucidating the risk factors for CKD progression and adverse outcomes of CKD. For the cohort study, nephrologists at 9 tertiary university-affiliated hospitals participated in patient recruitment and follow-up. Biostatisticians and epidemiologists also participated in the basic design and structuring of the study. From 2011 until 2016, the KNOW-CKD Phase I recruited 2238 adult patients with CKD from stages G1 to G5, who were not receiving renal replacement therapy. The KNOW-CKD Phase II recruitment was started in 2019, with an enrollment target of 1500 subjects, focused on diabetic nephropathy and hypertensive kidney diseases in patients with reduced kidney function who are presumed to be at a higher risk of adverse outcomes. As of 2021, the KNOW-CKD investigators have published articles in the fields of socioeconomics, quality of life, nutrition, physical activity, renal progression, cardiovascular disease and outcomes, anemia, mineral bone disease, serum and urine biomarkers, and international and inter-ethnic comparisons. The KNOW-CKD researchers will elaborate a prediction model for various outcomes of CKD such as the development of end-stage kidney disease, major adverse cardiovascular events, and death.
Summary
Korean summary
KNOW-CKD 코호트 연구는 전국적 규모의 다기관 만성콩팥병 장기 추적 코호트 연구로서 2011년 질병관리청의 후원으로 시작된 연구이다. 이 연구는 우리나라 만성콩팥병의 임상적인 경과와 합병증, 신기능 악화 정도와 심혈관계 사건, 사망 등 주요 사건의 발생 위험 요인들을 규명하고자 기획되었다. 궁극적으로 KNOW-CKD 연구는 말기신부전으로의 진행과 사망, 심혈관계 주요 사건 등 만성콩팥병의 예후 예측 모델을 구축하는 것을 목표로 한다.

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    Kidney Research and Clinical Practice.2024; 43(1): 8.     CrossRef
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    Mi Jung Kwon, Jwa-Kyung Kim, Min-Jeong Kim, Dae Myoung Yoo, Na-Eun Lee, Kyeong Min Han, Nan Young Kim, Ho Suk Kang, Hyo Geun Choi, Eun Soo Kim
    Journal of Personalized Medicine.2024; 14(4): 356.     CrossRef
  • Association of Handgrip Strength and Nutritional Status in Non-Dialysis-Dependent Chronic Kidney Disease Patients: Results from the KNOW-CKD Study
    Minsang Kim, Yeong-Won Park, Dha Woon Im, Yujin Jeong, Hyo Jin Noh, Soo Jin Yang, Eunjeong Kang, Hyunjin Ryu, Jayoun Kim, Ja-Ryong Koo, Ki Ryang Na, Eun Young Seong, Kook-Hwan Oh
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Measuring Trends in the Socioeconomic Burden of Disease in Korea, 2007-2015
Tae Eung Kim, Ru-Gyeom Lee, So-Youn Park, In-Hwan Oh
J Prev Med Public Health. 2022;55(1):19-27.   Published online January 31, 2022
DOI: https://doi.org/10.3961/jpmph.21.594
  • 4,805 View
  • 157 Download
  • 6 Web of Science
  • 6 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
This study estimated the direct and indirect socioeconomic costs of 238 diseases and 22 injuries from a social perspective in Korea from 2007 to 2015. The socioeconomic cost of each disease group was calculated based on the Korean Standard Disease Classification System. Direct costs were estimated using health insurance claims data provided by the National Health Insurance Service. The numbers of outpatients and inpatients with the main diagnostic codes for each disease were selected as a proxy indicator for estimating patients’ medical use behavior by disease. The economic burden of disease from 2007 to 2015 showed an approximately 20% increase in total costs. From 2007 to 2015, communicable diseases (including infectious, maternal, pediatric, and nutritional diseases) accounted for 8.9-12.2% of the socioeconomic burden, while non-infectious diseases accounted for 65.7-70.7% and injuries accounted for 19.1-22.8%. The top 5 diseases in terms of the socioeconomic burden were self-harm (which took the top spot for 8 years), followed by cirrhosis of the liver, liver cancer, ischemic heart disease, and upper respiratory infections in 2007. Since 2010, the economic burden of conditions such as low back pain, falls, and acute bronchitis has been included in this ranking. This study expanded the scope of calculating the burden of disease at the national level by calculating the burden of disease in Koreans by gender and disease. These findings can be used as indicators of health equality and as useful data for establishing community-centered (or customized) health promotion policies, projects, and national health policy goals.
Summary
Korean summary
2007년에서 2015년 기간의 건강보험 자료 등을 이용하여, 해당기간의 경제적 질병부담을 측정하였으며, 해당 기간동안 경제적 질병부담은 20%의 증가를 나타내었다. 동 기간동안 비감염성 질환의 경제적 질병부담의 비율은 약 70%로 나타났으며, 감염성 질환은 약 10%, 손상은 20%로 나타났다. 한편 개별 질병군 기준으로는 자살을 포함한 자해가 1위를 차지한 해가 가장 많았다.

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JPMPH : Journal of Preventive Medicine and Public Health
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