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The Paradox of the Ugandan Health Insurance System: Challenges and Opportunities for Health Reform
Emmanuel Otieno, Josephine Namyalo
J Prev Med Public Health. 2024;57(1):91-94.   Published online December 30, 2023
DOI: https://doi.org/10.3961/jpmph.23.110
  • 817 View
  • 81 Download
AbstractAbstract AbstractSummary PDF
For nearly four decades, Ugandans have experienced a period marked by hope, conflict, and resilience across various aspects of healthcare reform. The health insurance system in Uganda lacks a legal framework and does not extend benefits to the entire population. In Uganda, community-based health insurance is common among those in the informal sector, while private medical insurance is typically provided to employees by their workplaces and agencies. The National Health Insurance Scheme Bill, introduced in 2019, was passed in 2021. If the President of Uganda gives his assent to the National Health Insurance Bill, it will become a significant policy driving health and universal health coverage. However, this bill is not without its shortcomings. In this perspective, we aim to explore the complex interplay of challenges and opportunities facing Uganda’s health sector.
Summary
Key Message
For the Ugandans, nearly the last four decades have been years of hope, conflict, and resilience in a myriad of contexts for healthcare reform. Health insurance system has no legal framework and provides benefits not to the entire national population. The 2019 National Health Insurance scheme Bill was passed in 2021. If the President of Uganda assents to the National Health Insurance Bill, it will be a compelling policy in health and health for all policies. But this Bill has several drawbacks. In this perspective, we aimed to provide intricacies and mix of challenges and opportunities for the health sector.
Original Articles
The Trajectory of Depressive Symptoms Across Years of Community Care Utilization Among Older Adults: A 14-Year Follow-up Study Using the ‘Korean Welfare Panel Survey’
Il-Ho Kim, Cheong-Seok Kim, Min-Hyeok Jeong
J Prev Med Public Health. 2023;56(6):495-503.   Published online October 6, 2023
DOI: https://doi.org/10.3961/jpmph.23.022
  • 1,088 View
  • 88 Download
AbstractAbstract AbstractSummary PDF
Objectives
While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea.
Methods
Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU.
Results
After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization.
Conclusions
This finding implies that CCU could be beneficial for improving mental health among older adults.
Summary
Korean summary
한국복지패널조사(2006-2019년)를 활용하여 지역사회 돌봄서비스의 이용기간(14년 간)에 따른 우울변화궤적을 분석하였다. 분석결과, 지난 14년간 돌봄서비스 이용기간에 따른 우울증상의 궤적은 U자형을 따랐다. 즉 노인은 돌봄서비스를 이용한 첫 해에 가장 높은 우울 수준을 보고하였으며, 이후 9년간 지속적으로 감소하였다가, 점차 증가하는 추세를 보였다.
Key Message
Using the 2006-2019 Korean Welfare Panel Survey, this study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased.
Health Behaviors Before and After the Implementation of a Health Community Organization: Gangwon’s Health-Plus Community Program
Joon-Hyeong Kim, Nam-Jun Kim, Soo-Hyeong Kim, Woong-Sub Park
J Prev Med Public Health. 2023;56(6):487-494.   Published online August 17, 2023
DOI: https://doi.org/10.3961/jpmph.23.121
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  • 206 Download
AbstractAbstract AbstractSummary PDF
Objectives
Community organization is a resident-led movement aimed at creating fundamental social changes in the community by resolving its problems through the organized power of its residents. This study evaluated the effectiveness of health community organization (HCO), Gangwon’s Health-Plus community program, implemented from 2013 to 2019 on residents’ health behaviors.
Methods
This study had a before-and-after design using 2011-2019 Korea Community Health Survey data. To compare the 3-year periods before and after HCO implementation, the study targeted areas where the HCO had been implemented for 4 years or longer. Therefore, a total of 4512 individuals from 11 areas with HCO start years from 2013 to 2016 were included. Complex sample multi-logistic regression analysis adjusting for demographic characteristics (sex, age, residential area, income level, education level, and HCO start year) was conducted.
Results
HCO implementation was associated with decreased current smoking (adjusted odds ratio [aOR], 0.73; 95% confidence interval [CI], 0.57 to 0.95) and subjective stress recognition (aOR, 0.79; 95% CI, 0.64 to 0.97). Additionally, the HCO was associated with increased walking exercise practice (aOR, 1.39; 95% CI, 1.13 to 1.71), and attempts to control weight (aOR, 1.36; 95% CI, 1.12 to 1.64). No significant negative changes were observed in other health behavior variables.
Conclusions
The HCO seems to have contributed to improving community health indicators. In the future, a follow-up study that analyzes only the effectiveness of the HCO through structured quasi-experimental studies will be needed.
Summary
Korean summary
건강주민운동은 지역사회 건강지표 향상에 기여한 것으로 보여진다. 따라서 주민참여형 건강증진사업이 주민들의 건강을 향상하기 위해서는 주민이 주체가 되어 조직화된 힘으로 지역사회의 근본적인 변화를 만들어가는 주민운동의 관점으로 시행될 필요가 있다.
Key Message
The Health Community Organization (HCO) appears to contribute to the enhancement of community health indicators. Therefore, in order to improve the health of residents through community-based participatory health promotion programs, it is necessary to implement them from the perspective of the HCO in which residents organize themselves as a mobilized force to bring about fundamental changes in the community.
Adapting the Community Readiness Model and Validating a Community Readiness Tool for Childhood Obesity Prevention Programs in Iran
Mahdieh Niknam, Nasrin Omidvar, Parisa Amiri, Hassan Eini-Zinab, Naser kalantari
J Prev Med Public Health. 2023;56(1):77-87.   Published online January 10, 2023
DOI: https://doi.org/10.3961/jpmph.22.409
  • 2,449 View
  • 94 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
It is critical to assess community readiness (CR) when implementing childhood obesity prevention programs to ensure their eventual success and sustainability. Multiple tools have been developed based on various conceptions of readiness. One of the most widely used and flexible tools is based on the community readiness model (CRM). This study aimed to adapt the CRM and assess the validity of a community readiness tool (CRT) for childhood obesity prevention programs in Iran.
Methods
A Delphi study that included 26 individuals with expertise in 8 different subject areas was conducted to adapt the CRM into a theoretical framework for developing a CRT. After linguistic validation was conducted for a 35-question CR interview guide, the modified interview guide was evaluated for its content and face validity. The quantitative and qualitative analyses were performed using Stata version 13 and MAXQDA 2010, respectively.
Results
The Delphi panelists confirmed the necessity/appropriateness and adequacy of all 6 CRM dimensions. The Persian version of the interview guide was then modified based on the qualitative results of the Delphi study, and 2 more questions were added to the community climate dimension of the original CRT. All questions in the modified version had acceptable content and face validity. The final CR interview guide included 37 questions across 6 CRM dimensions.
Conclusions
By adapting the CRM and confirming linguistic, content, and face validity, the present study devised a CRT for childhood obesity prevention programs that can be used in relevant studies in Iran.
Summary

Citations

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  • Improving community readiness among Iranian local communities to prevent childhood obesity
    Mahdieh Niknam, Nasrin Omidvar, Hassan Eini-Zinab, Naser Kalantari, Keyvan Olazadeh, Parisa Amiri
    BMC Public Health.2023;[Epub]     CrossRef
“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
  • 2,823 View
  • 104 Download
  • 5 Web of Science
  • 5 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.

Citations

Citations to this article as recorded by  
  • Leisure and Happiness of the Elderly: A Machine Learning Approach
    Eui-Jae Kim, Hyun-Wook Kang, Seong-Man Park
    Sustainability.2024; 16(7): 2730.     CrossRef
  • Social engagement and subjective health among older adults in South Korea: Evidence from the Korean Longitudinal Study of Aging (2006–2018)
    Bo Zhao, Ji Eon Kim, Jiyoung Moon, Eun Woo Nam
    SSM - Population Health.2023; 21: 101341.     CrossRef
  • Do the various leisure forms have equal effects on mental health? A longitudinal analysis of self-selected leisure activities
    Junyi Bian, Zubing Xiang
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Development of a prediction model for the depression level of the elderly in low-income households: using decision trees, logistic regression, neural networks, and random forest
    Kyu-Min Kim, Jae-Hak Kim, Hyun-Sill Rhee, Bo-Young Youn
    Scientific Reports.2023;[Epub]     CrossRef
  • The Trajectory of Depressive Symptoms Across Years of Community Care Utilization Among Older Adults: A 14-Year Follow-up Study Using the ‘Korean Welfare Panel Survey’
    Il-Ho Kim, Cheong-Seok Kim, Min-Hyeok Jeong
    Journal of Preventive Medicine and Public Health.2023; 56(6): 495.     CrossRef
A Multi-level Analysis of Factors Affecting Participation in Health Screenings in Korea: A Focus on Household and Regional Factors
So Yoon Park, Young-jeon Shin
J Prev Med Public Health. 2022;55(2):153-163.   Published online October 27, 2021
DOI: https://doi.org/10.3961/jpmph.21.268
  • 8,983 View
  • 131 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study divided the factors that affect participation in health screenings into individual, household, and regional levels and conducted a multi-level analysis to identify the factors related to participation in health screenings.
Methods
Participants from the 2017 Community Health Survey were classified into 2 groups (under 40 and 40 or older). A multi-level logistic regression analysis was conducted to identify the factors that affected participation in health screenings.
Results
The screening rate of the participants was 69.7%, and it was higher among participants aged 40 and older (80.3%) than it was among participants younger than 40 (49.8%). At the individual level, the factors that influenced participation in health screenings included age, economic activity, smoking status, physician-diagnosed hypertension, and a moderate or high physical activity level. At the household level, the odds ratio of participation in health screenings was high for participants who lived in single-person households, lived with a spouse, earned a high monthly household income, and were not beneficiaries of national basic livelihood security. At the regional level, the odds ratio at the 95% confidence interval level of participation in health screenings was high for participants who had trust in the local community and lived in an area with a proportionally high social welfare budget.
Conclusions
This study analyzed nationalwide data and confirmed that individual, household, and regional characteristics affected participation in health screenings. Therefore, policies that prioritize the improvement of regional level factors and especially household level factors are likely to be the most effective for improving the screening rate.
Summary
Korean summary
이 연구는 건강검진 수검 여부에 영향을 미치는 요인을 개인, 가구, 지역수준으로 나누어 다수준 분석을 통해 분석하였다. 건강검진 수검여부에 개인 특성뿐만 아니라 개인을 둘러싼 가구와 지역의 특성도 영향을 미친다는 것을 확인하였다. 영향요인들의 유의성을 바탕으로, 건강검진 수검률 향상을 위한 정책을 수립할 때 지역수준 요인뿐만 아니라 특별히 가구수준 요인을 개선할 수 있는 정책을 우선하는 것이 효과적일 것이다.

Citations

Citations to this article as recorded by  
  • Prediction model of health checkup and cancer screening experience of elderly population using 2021 Community Health Survey
    Myeunghee Han
    Research in Community and Public Health Nursing.2024; 35: 140.     CrossRef
  • Sex-specific Associations between Body Mass Index and Thyroid Cancer Incidence among Korean Adults
    Kyoung-Nam Kim, Kyungsik Kim, Sangjun Lee, Sue K. Park
    Cancer Epidemiology, Biomarkers & Prevention.2023; 32(9): 1227.     CrossRef
  • Factors Associated with Willingness toward Organ Donation in China: A Nationwide Cross-Sectional Analysis Using a Social–Ecological Framework
    Mengjun Zeng, Haomiao Li, Xiaohui Song, Jipin Jiang, Yingchun Chen
    Healthcare.2023; 11(6): 824.     CrossRef
Factors Related to Regional Variation in the High-risk Drinking Rate in Korea: Using Quantile Regression
Eun Su Kim, Hae-Sung Nam
J Prev Med Public Health. 2021;54(2):145-152.   Published online March 16, 2021
DOI: https://doi.org/10.3961/jpmph.20.507
  • 3,587 View
  • 123 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study aimed to identify regional differences in the high-risk drinking rate among yearly alcohol users in Korea and to identify relevant regional factors for each quintile using quantile regression.
Methods
Data from 227 counties surveyed by the 2017 Korean Community Health Survey (KCHS) were analyzed. The analysis dataset included secondary data extracted from the Korean Statistical Information Service and data from the KCHS. To identify regional factors related to the high-risk drinking rate among yearly alcohol users, quantile regression was conducted by dividing the data into 10%, 30%, 50%, 70%, and 90% quantiles, and multiple linear regression was also performed.
Results
The current smoking rate, perceived stress rate, crude divorce rate, and financial independence rate, as well as one’s social network, were related to the high-risk drinking rate among yearly alcohol users. The quantile regression revealed that the perceived stress rate was related to all quantiles except for the 90% quantile, and the financial independence rate was related to the 50% to 90% quantiles. The crude divorce rate was related to the high-risk drinking rate among yearly alcohol users in all quantiles.
Conclusions
The findings of this study suggest that local health programs for high-risk drinking are needed in areas with high local stress and high crude divorce rates.
Summary
Korean summary
본 연구는 quantile regression을 이용하여 high risk drinking 의 지역간 변이 요인을 파악하였습니다. 연구결과, high risk drinking rate 의 지역간 변이가 크고, quanile별로 관련요인을 다르다는 것을 파악하였습니다. 본 연구의 결과는 높은 지역의 스트레스와 조이혼율의 관리와 함께 지역 고위험음주율의 건강프로그램이 필요하다는 것을 암시한다.

Citations

Citations to this article as recorded by  
  • Prevalence and Related Factors of Depression Before and During the COVID-19 Pandemic: Findings From the Korea National Health and Nutrition Examination Survey
    Eung-Joon Lee, Seung Jae Kim
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Data resource profile: the Korean Community Health Status Indicators (K-CHSI) database
    Hye-Eun Lee, Yeon-gyeong Kim, Jin-Young Jeong, Dong-Hyun Kim
    Epidemiology and Health.2023; 45: e2023016.     CrossRef
  • Prevalence, awareness, and treatment of depression among community-dwelling stroke survivors in Korea
    Eung-Joon Lee, Oh Deog Kwon, Seung Jae Kim
    Scientific Reports.2022;[Epub]     CrossRef
Effects of the Out-of-pocket Payment Exemption in the Public Health Center on Medical Utilization of the Korean Elderly
Kiryong Nam, Eunhye Park, Yuhjin Chung, Chang-yup Kim
J Prev Med Public Health. 2020;53(6):455-464.   Published online October 20, 2020
DOI: https://doi.org/10.3961/jpmph.20.341
  • 3,252 View
  • 134 Download
  • 1 Crossref
AbstractAbstract PDF
Objectives
The distribution of hospitals in Korea is unbalanced in terms of accessibility. Many local public health centers (PHCs) exempt out-of-pocket payments (OOPs) based on local government laws to increase coverage. However, this varies across administrative regions, as many make this exemption for the elderly, while others do not. This study aimed to evaluate the effects of the OOP exemption at local PHCs among elderly individuals.
Methods
This study used online data on Korean national law to gather information on individual local governments’ regulations regarding OOP exemptions. Individual-level data were gathered from the 2018 Community Health Survey and regional-level data from public online sources.
Results
The study analyzed 132 regions and 44 918 elderly people. A statistical analysis of rate differences and 2-level multiple logistic regression were carried out. The rate difference according to whether elderly individuals resided in areas with the OOP exemption was 1.97%p (95% confidence interval [CI], 1.07 to 2.88) for PHC utilization, 1.37%p (95% CI, 0.67 to 2.08) for hypertension treatment, and 2.19%p (95% CI, 0.63 to 3.74) for diabetes treatment. The regression analysis showed that OOP exemption had an effect on hypertension treatment, with a fixed-effect odds ratio of 1.25 (95% CI, 1.05 to 1.48).
Conclusions
The OOP exemption at PHCs can affect medical utilization in Korea, especially for hypertension treatment. The OOP exemption should be expanded to improve healthcare utilization in Korea.
Summary

Citations

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  • Access of older people to primary health care in low and middle-income countries: A systematic scoping review
    Saydeh Dableh, Kate Frazer, Diarmuid Stokes, Thilo Kroll, Dirceu Henrique Paulo Mabunda
    PLOS ONE.2024; 19(4): e0298973.     CrossRef
COVID-19: Perspective
Unconventional Answers to Unprecedented Challenges: The Swedish Experience During the COVID-19 Outbreak
Giuseppe Valeriani, Iris Sarajlic Vukovic, Richard Mollica
J Prev Med Public Health. 2020;53(4):233-235.   Published online July 22, 2020
DOI: https://doi.org/10.3961/jpmph.20.235
  • 5,204 View
  • 217 Download
  • 11 Crossref
AbstractAbstract PDF
Since its early stages, the coronavirus disease 2019 (COVID-19) pandemic has posed immense challenges in meeting the public health and healthcare and social care needs of migrants. In line with other reports from United Kingdom and United States, data from Sweden’s health authority show that migrants have been disproportionately affected by COVID-19. Following the World Health Organization’s statements, as well as the European Public Health Association’s call for action, several centres in Sweden’s most populated areas have activated tools to implement national plans for community outreach through initiatives targeting migrants and ethnic minority groups. Unconventional means should be promoted to mitigate the impact of COVID-19 on migrants and the health of the public at large.
Summary

Citations

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  • Asylum Seekers’ Responses to Government COVID-19 Recommendations: A Cross-sectional Survey in a Swiss Canton
    Kevin Morisod, Marie-Anne Durand, Kevin Selby, Marie-Annick Le Pogam, Véronique S. Grazioli, Javier Sanchis Zozaya, Patrick Bodenmann, Christian von Plessen
    Journal of Immigrant and Minority Health.2023; 25(3): 570.     CrossRef
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    Kevin Morisod, Véronique S. Grazioli, Virginie Schlüter, Murielle Bochud, Semira Gonseth Nusslé, Valérie D'Acremont, Nolwenn Bühler, Patrick Bodenmann
    Journal of Migration and Health.2023; 7: 100175.     CrossRef
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    Natalia Skogberg, Tyler Prinkey, Eero Lilja, Päivikki Koponen, Anu E Castaneda
    BMJ Open.2023; 13(3): e069192.     CrossRef
  • Current challenges and potential solutions to the use of digital health technologies in evidence generation: a narrative review
    Hassan Mumtaz, Muhammad Hamza Riaz, Hanan Wajid, Muhammad Saqib, Muhammad Hamayl Zeeshan, Shaheer Ellahi Khan, Yesha Rajendrabhai Chauhan, Hassan Sohail, Laiba Iman Vohra
    Frontiers in Digital Health.2023;[Epub]     CrossRef
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    Jana Tempes, Uwe Bittlingmayer, Eva-Maria Bitzer, Ines Himmelsbach
    International Journal of Migration, Health and Social Care.2023; 19(3/4): 451.     CrossRef
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    Elisabeth Mangrio, Slobodan Zdravkovic, Michael Strange
    Frontiers in Public Health.2022;[Epub]     CrossRef
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    Richard F. Mollica, Dinali B. Fernando, Eugene F. Augusterfer
    Current Psychiatry Reports.2021;[Epub]     CrossRef
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    Sally E Hayward, Anna Deal, Cherie Cheng, Alison Crawshaw, Miriam Orcutt, Tushna F Vandrevala, Marie Norredam, Manuel Carballo, Yusuf Ciftci, Ana Requena-Méndez, Christina Greenaway, Jessica Carter, Felicity Knights, Anushka Mehrotra, Farah Seedat, Kayvan
    Journal of Migration and Health.2021; 3: 100041.     CrossRef
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    Rasmus Luca Lyager Brønholt, Nina Langer Primdahl, Anja M. B. Jensen, An Verelst, Ilse Derluyn, Morten Skovdal
    International Journal of Environmental Research and Public Health.2021; 18(17): 8932.     CrossRef
  • Refugees in Sweden During the Covid-19 Pandemic—The Need for a New Perspective on Health and Integration
    Mangrio Elisabeth, Paul-Satyaseela Maneesh, Strange Michael
    Frontiers in Public Health.2020;[Epub]     CrossRef
  • Addressing Healthcare Gaps in Sweden during the COVID-19 Outbreak: On Community Outreach and Empowering Ethnic Minority Groups in a Digitalized Context
    Giuseppe Valeriani, Iris Sarajlic Vukovic, Tomas Lindegaard, Roberto Felizia, Richard Mollica, Gerhard Andersson
    Healthcare.2020; 8(4): 445.     CrossRef
Original Articles
The Role of Social Support and the Neighborhood Environment on Physical Activity in Low-income, Mexican-American Women in South Texas
Jennifer J. Salinas, Marisol McDaniel, Deborah Parra-Medina
J Prev Med Public Health. 2018;51(5):234-241.   Published online July 25, 2018
DOI: https://doi.org/10.3961/jpmph.18.052
  • 5,665 View
  • 148 Download
  • 9 Crossref
AbstractAbstract PDF
Objectives
To determine the relationships between physical activity (PA), the neighborhood environment support for PA, and social support for PA among Mexican-American women living in South Texas. The Enlace study was a randomized controlled trial that tested the effectiveness of a promotora-led PA intervention among low-income Mexican origin women (n=614) living in colonias.
Methods
The dependent measures included accelerometer-measured average moderate to vigorous physical activity (MVPA) and sedentary breaks and the Community Health Activities Model Program for Seniors PA 41-item questionnaire. The independent measures included the Physical Activity and Neighborhood Environment Scale (PANES) and the 13-item Physical Activity Social Support (PASS) scale.
Results
Enlace participants were on average 40.4 (standard deviation, 10.3) years old, born in Mexico (86.1%), and uninsured (83.1%). Adjusted linear regression results indicated that each 1-point increment in the PANES overall score was associated with 0.050 (p<0.001) unit increase in sedentary break and a −0.043 (p=0.001) unit decrease in sedentary break duration. Both PANES (β=0.296; p=0.002) and PASS scores (β=0.076; p<0.001) were associated with weekly average self-reported MVPA. Interaction effects were observed between PASS scores and accelerometer-measured frequency of sedentary breaks and sedentary time duration.
Conclusions
The findings of this study indicate that the relationships between PA and built environment and social support are measure-dependent and suggest that reducing sedentary time in this population may require a closer assessment of social support for PA.
Summary

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    International Journal of Behavioral Nutrition and Physical Activity.2024;[Epub]     CrossRef
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    Tyler Prochnow, Laurel S. Curran, Christina Amo, Meg S. Patterson
    Journal of Physical Activity and Health.2023; : 1.     CrossRef
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Factors That Affect Suicidal Attempt Risk Among Korean Elderly Adults: A Path Analysis
Junsoo Ro, Jongheon Park, Jinsuk Lee, Hyemin Jung
J Prev Med Public Health. 2015;48(1):28-37.   Published online January 14, 2015
DOI: https://doi.org/10.3961/jpmph.14.030
  • 11,653 View
  • 159 Download
  • 4 Crossref
AbstractAbstract PDF
Objectives
Among the Korean elderly (those 65 years of age and older), the suicide rate is 80.3/100 000 people, which is ten times higher than the Organization for Economic Cooperation and Development average. Because South Korea is rapidly becoming an aging population, this high elderly suicidal rate will only get worse. Although the size of the elderly suicide problem is quite large, previous research in South Korea has surveyed restricted areas and not the entire country. Even though the factors that affect elderly suicide are complicated, there has been little research into these influencing factors. Thus, this research uses the national survey data (Community Health Survey) that was obtained in 2009. Additionally, we analyze factors affecting elderly suicidal ideation and attempts as well as the paths of these effects.
Methods
Community Health Survey data obtained by the Korea Centers for Disease Control and Prevention in 2009 was used for this study. We additionally examined the factors that affect suicide with chi-squared tests, t-tests, Pearson’s correlation test, and path analysis.
Results
Depressive symptoms and suicidal ideation are the only factors that directly affect suicidal attempts. Demographic, behavioral, and physical activity factors have indirect effects on suicidal attempts.
Conclusions
Depression has the strongest influence on suicidal ideation and attempts. Demographic, behavioral, and physical activity factors affect suicidal attempts mostly through depressive symptoms. In addition, there is a path that suggests that demographic, behavioral, and physical activity factors affect suicidal attempts not through depression symptoms but only through suicidal ideation. This means that the elderly who do not have depression symptoms attempt suicide according to their own situations and characteristics.
Summary

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  • Socioeconomic factors associated with suicidal behaviors in South Korea: systematic review on the current state of evidence
    Nicolas Raschke, Amir Mohsenpour, Leona Aschentrup, Florian Fischer, Kamil J. Wrona
    BMC Public Health.2022;[Epub]     CrossRef
  • Suicidal Behavior Among Elderly Inpatients: its Relation to Functional Disability and Pain
    Suzaily Wahab, Tien Yong Chua, Rosdinom Razali, Zanariah Mat Saher, Iman Hakimi Zamzam, Mohamad Adam Bujang
    Psychology Research and Behavior Management.2022; Volume 15: 737.     CrossRef
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The Effect of Sleep Duration on the Risk of Unintentional Injury in Korean Adults
Yeon-Yong Kim, Un-Na Kim, Jin-Seok Lee, Jong-Heon Park
J Prev Med Public Health. 2014;47(3):150-157.   Published online May 30, 2014
DOI: https://doi.org/10.3961/jpmph.2014.47.3.150
  • 11,426 View
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  • 6 Crossref
AbstractAbstract PDF
Objectives

The decrease or increase in sleep duration has recently been recognized as a risk factor for several diseases, including hypertension and obesity. Many studies have explored the relationship of decreased sleep durations and injuries, but few have examined the relationship between increased sleep duration and injury. The objective of this research is to identify the risk for injury associated with both decreased and increased sleep durations.

Methods

Data from the 2010 Community Health Survey were used in this study. We conducted logistic regression with average sleep duration as the independent variable, injury as a dependent variable, and controlling for age, sex, occupation, education, region (cities and provinces), smoking, alcohol use, body mass index, hypertension, diabetes, arthritis, and depression. Seven categories of sleep duration were established: ≤4, 5, 6, 7, 8, 9, and ≥10 hours.

Results

Using 7 hours of sleep as the reference, the adjusted injury risk (odds ratio) for those sleeping a total of ≤4 h/d was 1.53; 1.28 for 5 hours, for 1.11 for 6 hours, 0.98 for 8 hours, 1.12 for 9 hours, and 1.48 for ≥10 hours. The difference in risk was statistically significant for each category except for the 8 and 9 hours. In this study, risk increased as the sleep duration decreased or increased, except for the 8 and 9 hours.

Conclusions

This research found that either a decrease or increase in sleep duration was associated with an increased risk for injury. The concept of proper sleep duration can be evaluated by its associated injury risk.

Summary

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  • Musculoskeletal injuries in UK Service Personnel and the impact of in-theatre rehabilitation during Cold Weather Warfare training: Exercise CETUS 2020
    David H Ferraby, D Hayhurst, R Strachan, H Knapman, S Wood, J L Fallowfield
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    Dan Wu, Tingzhong Yang, Randall R Cottrell, Huan Zhou, Xueying Feng
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    Hongping Zhang, Feng Wei, Mo Han, Jianquan Chen, Songxu Peng, Yukai Du
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Implementation and Results of a Survey on Safe Community Programs in Gangbuk-gu, Korea: Focusing on Participants at a Local Public Health Center
Hyun-Joong Kim, Se-Min Hwang, In-Young Lee, Joon-Pil Cho, Myoung-Ok Kwon, Jae-Hun Jung, Ju-Young Byun
J Prev Med Public Health. 2014;47(1):47-56.   Published online January 29, 2014
DOI: https://doi.org/10.3961/jpmph.2014.47.1.47
  • 10,179 View
  • 83 Download
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AbstractAbstract PDF
Objectives

The purpose of this study was to investigate the current status of and problems with the Safe Community Programs in Gangbuk-gu, one of the 25 districts of the capital city of Korea.

Methods

The study subjects were 396 individuals who were involved in Safe Community Programs between 2009 and 2011. We examined the effectiveness and willingness of respondents to participate as a safety leader of the Safe Community Program with a questionnaire. We examined the injury death rates of Gangbuk-gu by using of the death certificate data of Korea's National Statistical Office. Descriptive statistics and chi-squared tests were used.

Results

The effectiveness of programs did not differ but active participation differed significantly among subjects (p<0.05). The injury death rate of Gangbuk-gu as a whole increased during the implementation period. However, senior safety, in particular, may be a helpful program for reducing injuries in Gangbuk-gu.

Conclusions

This study suggests that the lack of active participation may be a major problem of Safe Community Programs in Gangbuk-gu. Therefore, Safe Community Programs should be expanded to the entire district of Gangbuk-gu and more active participation programs should be developed.

Summary

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  • THE SAFE COMMUNITY CONCEPT – A SUCCESSFUL TOOL FOR INJURY PREVENTION AND SAFETY PROMOTION
    Birutė Strukčinskienė, Sabine Distl, Sigitas Griškonis
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English Abstract
Awareness, Treatment and Control of Hypertension and Related Factors in the Jurisdictional Areas of Primary Health Care Posts in a Rural Community of Korea.
Hyung Min Lee, Yu Mi Kim, Cheol Heon Lee, Jin Ho Shin, Mi Kyung Kim, Bo Youl Choi
J Prev Med Public Health. 2011;44(2):74-83.
DOI: https://doi.org/10.3961/jpmph.2011.44.2.74
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AbstractAbstract PDF
OBJECTIVES
This study aimed to identify and assess the factors related to the awareness, treatment, and control of hypertension based on jurisdictional areas of primary health care posts in a rural community of Korea. METHODS: This study was performed on 4598 adults aged over 30 years in a rural community and we measured their blood pressure (BP) from October. 2007 to August. 2009. Hypertension is defined as a condition characterized by a systolic BP > or =140 mmHg, a diastolic BP > or =90 mmHg or reported treatment with antihypertensive medications. We analyzed the factors related with the prevalence, awareness, treatment and control of hypertension using chi-square test and multivariate logistic regression analysis. RESULTS: The age-adjusted prevalence of hypertension was 34.7%. The age-adjusted rates of hypertension awareness, treatment and control were 50.6%, 93.9% and 64.1%, respectively. Awareness of hypertension was related with increasing age. Higher awareness was found among men who were felt more stress, were obese and had hypercholesterolemia, and among women who were regulary taking medicine for hypertension, were obese and had diabetes mellitus. In women, the hypertension treatment was related a Medical aid and education for hypertension management. Controlled hypertension was more common among men who were educated about the management of hypertension and among women who had hypercholesterolemia. CONCLUSIONS: The awareness of hypertension was low and the control of hypertension was high compared with the nationwide data (KNHANES 2005). The results suggest that understanding the characteristics of hypertension in a community is important to perform a community based hypertension control program.
Summary

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  • Decrease in Smoking and Related Factor after the Price Raise of Tobacco in Hypertension Patients: Using 2015 Korea National Health and Nutrition Examination Survey
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    Sun Mi Lim, Yoon Hyung Park, Won Gi Jhang, Young Taek Kim, Eun Mi Ahn, Ga Hyun Kim, Young Hwangbo
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    Seung Yang, Jin Soon Hwang, Hong Kyu Park, Hae Sang Lee, Hae Soon Kim, Eun Young Kim, Jung Sub Lim, Weili Zhang
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  • Prevalence, Awareness, Treatment, and Control of Hypertension among Saudi Adult Population: A National Survey
    Abdalla A. Saeed, Nasser A. Al-Hamdan, Ahmed A. Bahnassy, Abdelshakour M. Abdalla, Mostafa A. F. Abbas, Lamiaa Z. Abuzaid
    International Journal of Hypertension.2011; 2011: 1.     CrossRef
Review
Prevention in the United States Affordable Care Act.
Charles M Preston, Miriam Alexander
J Prev Med Public Health. 2010;43(6):455-458.
DOI: https://doi.org/10.3961/jpmph.2010.43.6.455
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  • 123 Download
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AbstractAbstract PDF
The Affordable Care Act (ACA) was signed into law on March 23, 2010 and will fundamentally alter health care in the United States for years to come. The US is currently one of the only industrialized countries without universal health insurance. The new law expands existing public insurance for the poor. It also provides financial credits to low income individuals and some small businesses to purchase health insurance. By government estimates, the law will bring insurance to 30 million people. The law also provides for a significant new investment in prevention and wellness. It appropriates an unprecedented $15 billion in a prevention and public health fund, to be disbursed over 10 years, as well as creates a national prevention council to oversee the government's prevention efforts. This paper discusses 3 major prevention provisions in the legislation: 1) the waiving of cost-sharing for clinical preventive services, 2) new funding for community preventive services, and 3) new funding for workplace wellness programs. The paper examines the scientific evidence behind these provisions as well as provides examples of some model programs. Taken together, these provisions represent a significant advancement for prevention in the US health care system, including a shift towards healthier environments. However, in this turbulent economic and political environment, there is a real threat that much of the law, including the prevention provisions, will not receive adequate funding.
Summary

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JPMPH : Journal of Preventive Medicine and Public Health