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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
  • 1,175 View
  • 188 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.
Associations Between Conventional Healthy Behaviors and Social Distancing During the COVID-19 Pandemic: Evidence From the 2020 Community Health Survey in Korea
Rang Hee Kwon, Minsoo Jung
J Prev Med Public Health. 2022;55(6):568-577.   Published online October 14, 2022
DOI: https://doi.org/10.3961/jpmph.22.351
  • 2,608 View
  • 112 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
Many studies have shown that social distancing, as a non-pharmaceutical intervention (NPI) that is one of the various measures against coronavirus disease 2019 (COVID-19), is an effective preventive measure to suppress the spread of infectious diseases. This study explored the relationships between traditional health-related behaviors in Korea and social distancing practices during the COVID-19 pandemic.
Methods
Data were obtained from the 2020 Community Health Survey conducted by the Korea Disease Control and Prevention Agency (n=98 149). The dependent variable was the degree of social distancing practice to cope with the COVID-19 epidemic. Independent variables included health-risk behaviors and health-promoting behaviors. The moderators were vaccination and unmet medical needs. Predictors affecting the practice of social distancing were identified through hierarchical multiple logistic regression analysis.
Results
Smokers (adjusted odds ratio [aOR], 0.924) and frequent drinkers (aOR, 0.933) were more likely not to practice social distancing. A greater degree of physical activity was associated with a higher likelihood of practicing social distancing (aOR, 1.029). People who were vaccinated against influenza were more likely to practice social distancing than those who were not (aOR, 1.150). However, people with unmet medical needs were less likely to practice social distancing than those who did not experience unmet medical needs (aOR, 0.757).
Conclusions
Social distancing practices were related to traditional health behaviors such as smoking, drinking, and physical activity. Their patterns showed a clustering effect of health inequality. Therefore, when establishing a strategy to strengthen social distancing, a strategy to protect the vulnerable should be considered concomitantly.
Summary
Korean summary
본 연구는 코로나-19 판데믹 기간 동안 한국사회에서 전통적인 건강 행태와 의료이용 행태가 사회적 거리두기 실천과 어떻게 연관되는지 탐구하였다. 연구 결과에 따르면 흡연과 음주 같은 건강위험 행태는 사회적 거리두기의 실천 가능성을 낮추었고 운동과 같은 건강증진 행태는 사회적 거리두기의 실천 가능성을 높였다. 아울러 인플루엔자 백신 접종을 받은 집단은 미접종 집단에 비하여 사회적 거리두기의 실천 가능성이 높았다. 따라서 사회적 거리두기와 같은 방역정책을 수립할 때 인구집단의 건강행태 특성을 고려할 필요가 있다.

Citations

Citations to this article as recorded by  
  • Behavioral Predictors Associated With COVID-19 Vaccination and Infection Among Men Who Have Sex With Men in Korea
    Minsoo Jung
    Journal of Preventive Medicine and Public Health.2024; 57(1): 28.     CrossRef
  • Physical Distancing for Gay Men from People Living with HIV During the COVID-19 Pandemic
    Minsoo Jung
    Journal of Homosexuality.2024; : 1.     CrossRef
  • Non-rigorous versus rigorous home confinement differently impacts mental health, quality of life and behaviors. Which one was better? A cross-sectional study with older Brazilian adults during covid-19 first wave
    Lucimere Bohn, Pedro Pugliesi Abdalla, Euripedes Barsanulfo Gonçalves Gomide, Leonardo Santos Lopes da Silva, André Pereira dos Santos
    Archives of Public Health.2023;[Epub]     CrossRef
Concordance in the Health Behaviors of Couples by Age: A Cross-sectional Study
Seungmin Jeong, Sung-Il Cho
J Prev Med Public Health. 2018;51(1):6-14.   Published online November 27, 2017
DOI: https://doi.org/10.3961/jpmph.17.137
  • 10,197 View
  • 251 Download
  • 11 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
To investigate concordance in the health behaviors of women and their partners according to age and to investigate whether there was a stronger correlation between the health behaviors of housewives and those of their partners than between the health behaviors of non-housewives and those of their partners.
Methods
We used data obtained from women participants in the 2015 Korea Community Health Survey who were living with their partners. The outcome variables were 4 health behaviors: smoking, drinking, eating salty food, and physical activity. The main independent variables were the partners’ corresponding health behaviors. We categorized age into 4 groups (19-29, 30-49, 50-64, and ≥ 65 years) and utilized multivariate logistic regression analysis, stratifying by age group. Another logistic regression analysis was stratified by whether the participant identified as a housewife.
Results
Data from 64 971 women older than 18 years of age were analyzed. Of the 4 health behaviors, the risk of smoking (adjusted odds ratio [aOR], 4.65; 95% confidence interval [CI], 3.93 to 5.49) was highest when the participant’s partner was also a smoker. Similar results were found for an inactive lifestyle (aOR, 2.56; 95% CI, 2.45 to 2.66), eating salty food (aOR, 2.48; 95% CI, 2.36 to 2.62); and excessive drinking (aOR, 1.89; 95% CI, 1.80 to 1.98). In comparison to non-housewives, housewives had higher odds of eating salty food.
Conclusions
The health behaviors of women were positively correlated with those of their partners. The magnitude of the concordance differed by age group.
Summary

Citations

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  • The refusal of COVID-19 vaccination and its associated factors: a meta-analysis
    Fredo Tamara, Jonny K. Fajar, Gatot Soegiarto, Laksmi Wulandari, Andy P. Kusuma, Erwin A. Pasaribu, Reza P. Putra, Muhammad Rizky, Tajul Anshor, Maya Novariza, Surya Wijaya, Guruh Prasetyo, Adelia Pradita, Qurrata Aini, Mario V.P.H. Mete, Rahmat Yusni, Ya
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  • The refusal of COVID-19 vaccination and its associated factors: a systematic review
    Fredo Tamara, Jonny K. Fajar, Gatot Soegiarto, Laksmi Wulandari, Andy P. Kusuma, Erwin A. Pasaribu, Reza P. Putra, Muhammad Rizky, Tajul Anshor, Maya Novariza, Surya Wijaya, Guruh Prasetyo, Adelia Pradita, Qurrata Aini, Mario V.P.H. Mete, Rahmat Yusni, Ya
    F1000Research.2023; 12: 54.     CrossRef
  • Let’s Enjoy an Evening on the Couch? A Daily Life Investigation of Shared Problematic Behaviors in Three Couple Studies
    Theresa Pauly, Janina Lüscher, Corina Berli, Christiane A. Hoppmann, Rachel A. Murphy, Maureen C. Ashe, Wolfgang Linden, Kenneth M. Madden, Denis Gerstorf, Urte Scholz
    Personality and Social Psychology Bulletin.2023; : 014616722211437.     CrossRef
  • Between- and Within-Couple Concordance for Health Behaviors Among Japanese Older Married Couples: Examining the Moderating Role of Working Time
    Kazuhiro Harada, Kouhei Masumoto, Shuichi Okada
    International Journal of Behavioral Medicine.2023;[Epub]     CrossRef
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    Mitchell Conery, Struan F. A. Grant
    Annals of Human Biology.2023; 50(1): 258.     CrossRef
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    Tanya B. Horwitz, Jared V. Balbona, Katie N. Paulich, Matthew C. Keller
    Nature Human Behaviour.2023; 7(9): 1568.     CrossRef
  • Similarities in cardiometabolic risk factors among random male-female pairs: a large observational study in Japan
    Naoki Nakaya, Kumi Nakaya, Naho Tsuchiya, Toshimasa Sone, Mana Kogure, Rieko Hatanaka, Ikumi kanno, Hirohito Metoki, Taku Obara, Mami Ishikuro, Atsushi Hozawa, Shinichi Kuriyama
    BMC Public Health.2022;[Epub]     CrossRef
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    Jessica K. Perrotte, Eric C. Shattuck, Colton L. Daniels, Xiaohe Xu, Thankam Sunil
    BMC Public Health.2021;[Epub]     CrossRef
  • Spousal similarities in cardiometabolic risk factors: A cross-sectional comparison between Dutch and Japanese data from two large biobank studies
    Naoki Nakaya, Tian Xie, Bart Scheerder, Naho Tsuchiya, Akira Narita, Tomohiro Nakamura, Hirohito Metoki, Taku Obara, Mami Ishikuro, Atsushi Hozawa, Harold Snieder, Shinichi Kuriyama
    Atherosclerosis.2021; 334: 85.     CrossRef
  • Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study
    Dann-Pyng Shih, Chu-Ting Wen, Hsien-Wen Kuo, Wen-Miin Liang, Li-Fan Liu, Chien-Tien Su, Jong-Yi Wang
    Nutrients.2020; 12(11): 3332.     CrossRef
  • Determinants of successful lifestyle change during a 6-month preconception lifestyle intervention in women with obesity and infertility
    Matty D. A. Karsten, Anne M. van Oers, Henk Groen, Meike A. Q. Mutsaerts, Mireille N. M. van Poppel, Anouk Geelen, Cornelieke van de Beek, Rebecca C. Painter, Ben W. J. Mol, Tessa J. Roseboom, Annemieke Hoek
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Factors Associated With Subjective Life Expectancy: Comparison With Actuarial Life Expectancy
Jaekyoung Bae, Yeon-Yong Kim, Jin-Seok Lee
J Prev Med Public Health. 2017;50(4):240-250.   Published online June 27, 2017
DOI: https://doi.org/10.3961/jpmph.17.036
  • 7,863 View
  • 167 Download
  • 13 Crossref
AbstractAbstract PDF
Objectives
Subjective life expectancy (SLE) has been found to show a significant association with mortality. In this study, we aimed to investigate the major factors affecting SLE. We also examined whether any differences existed between SLE and actuarial life expectancy (LE) in Korea. Methods: A cross-sectional survey of 1000 individuals in Korea aged 20-59 was conducted. Participants were asked about SLE via a self-reported questionnaire. LE from the National Health Insurance database in Korea was used to evaluate differences between SLE and actuarial LE. Age-adjusted least-squares means, correlations, and regression analyses were used to test the relationship of SLE with four categories of predictors: demographic factors, socioeconomic factors, health behaviors, and psychosocial factors. Results: Among the 1000 participants, women (mean SLE, 83.43 years; 95% confidence interval, 82.41 to 84.46 years; 48% of the total sample) had an expected LE 1.59 years longer than that of men. The socioeconomic factors of household income and housing arrangements were related to SLE. Among the health behaviors, smoking status, alcohol status, and physical activity were associated with SLE. Among the psychosocial factors, stress, self-rated health, and social connectedness were related to SLE. SLE had a positive correlation with actuarial estimates (r=0.61, p<0.001). Gender, household income, history of smoking, and distress were related to the presence of a gap between SLE and actuarial LE. Conclusions: Demographic factors, socioeconomic factors, health behaviors, and psychosocial factors showed significant associations with SLE, in the expected directions. Further studies are needed to determine the reasons for these results.
Summary

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    Wendemi Sawadogo, Tilahun Adera, James B. Burch, Maha Alattar, Robert Perera, Virginia J. Howard
    Journal of Stroke and Cerebrovascular Diseases.2024; 33(4): 107615.     CrossRef
  • Interaction between self-perceived disease control and self-management behaviours among Chinese middle-aged and older hypertensive patients: the role of subjective life expectancy
    Jiao Lu, Linhui Liu, Jiaming Zheng, Zhongliang Zhou
    BMC Public Health.2022;[Epub]     CrossRef
  • Associations between existing and newly diagnosed chronic health conditions and change in subjective life expectancy: Results from a panel study
    Anushiya Vanajan, Catalin Gherdan
    SSM - Population Health.2022; 20: 101271.     CrossRef
  • Segmentation and estimation of claim severity in motor third-party liability insurance through contrast analysis
    Marian Reiff, Erik Šoltés, Silvia Komara, Tatiana Šoltésová, Silvia Zelinová
    Equilibrium. Quarterly Journal of Economics and Economic Policy.2022; 17(3): 803.     CrossRef
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    American Journal of Human Biology.2021;[Epub]     CrossRef
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    Jeong-Hwa Ho
    Asian Population Studies.2021; 17(2): 148.     CrossRef
  • Sex, rurality and socioeconomical status in Spanish centennial population (2017)
    Pedro Fuentes, Sandra Amador, Ana Maria Lucas-Ochoa, Lorena Cuenca-Bermejo, Emiliano Fernández-Villalba, Valeria Raparelli, Colleen Norris, Alexandra Kautzky-Willer, Karolina Kublickiene, Louise Pilote, María Trinidad Herrero
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    Kirthi S. Bellamkonda, Tanner Kim, Ronnie Rosenthal, Alan Dardik, Naiem Nassiri
    Journal of Vascular Surgery Cases, Innovations and Techniques.2020; 6(3): 361.     CrossRef
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    Richard K. Moussa, Vakaramoko Diaby
    BMC Public Health.2020;[Epub]     CrossRef
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    Jamie A.G. Hamilton, Curtis J. Henry
    Aging and Cancer.2020; 1(1-4): 30.     CrossRef
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    Jihye Lee, Jin-Ah Sim, Ji-Won Kim, Young Ho Yun
    Asian Nursing Research.2019; 13(2): 99.     CrossRef
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    Ji Yeon An
    Journal of Korean Gerontological Nursing.2018; 20(1): 22.     CrossRef
The Relationship of Socioeconomic and Behavioral Risk Factors With Trends of Overweight in Korea
Jin Hee Shin, Matthew E. Dupre, Truls Østbye, Gwen Murphy, Mina Silberberg
J Prev Med Public Health. 2015;48(6):310-318.   Published online November 17, 2015
DOI: https://doi.org/10.3961/jpmph.15.001
  • 8,422 View
  • 114 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
Previous studies have shown that overweight (including obesity) has increased significantly in Korea in recent decades. However, it remains unclear whether this change has been uniform among all Koreans and to what extent socioeconomic and behavioral factors have contributed to this increase.
Methods
Changes in overweight were estimated using data from the 1998, 2001, 2005, 2007-2009, and 2010-2012 Korea National Health and Nutrition Examination Survey (n=55 761).
Results
Overweight increased significantly among men but not among women between 1998 and 2012. Changes in socioeconomic and behavioral factors over the time period were not associated with overall trends for both men and women. However, we found significant differences in the prevalence of overweight relative to key risk factors. For men, overweight increased at a significantly greater rate among the non-exercising (predicted probability [PP] from 0.23 to 0.32] and high-calorie (PP from 0.18 to 0.37) groups compared to their active and lower-calorie counterparts, respectively. For women, overweight increased only among the non-exercising (PP from 0.27 to 0.28) and low-income (PP from 0.31 to 0.36) groups during this period.
Conclusions
These findings suggest that programs aimed at reducing overweight should target Korean men and women in specific socioeconomic and behavioral risk groups differentially.
Summary

Citations

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  • Recent Trends in Blood Pressure According to Economic Status: Korean National Health and Nutrition Examination Survey From 2005 to 2015
    Hyun-Young Shin, Hee-Taik Kang
    Asia Pacific Journal of Public Health.2018; 30(3): 266.     CrossRef
  • Recent trends in the prevalence of underweight, overweight, and obesity in Korean adults: The Korean National Health and Nutrition Examination Survey from 1998 to 2014
    Hyun-Young Shin, Hee-Taik Kang
    Journal of Epidemiology.2017; 27(9): 413.     CrossRef
Influence of Asthma on the Longitudinal Trajectories of Cigarette Use Behaviors From Adolescence to Adulthood Using Latent Growth Curve Models
Jisuk Bae
J Prev Med Public Health. 2015;48(2):111-117.   Published online March 24, 2015
DOI: https://doi.org/10.3961/jpmph.14.053
  • 8,828 View
  • 76 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives
While epidemiologic research indicates that the prevalence of risk-taking behaviors including cigarette smoking among young people with asthma is substantial, the longitudinal patterns of cigarette smoking in this vulnerable population have received little attention. The aim of this study was to evaluate differences in the longitudinal trajectories of cigarette use behaviors from adolescence to adulthood between young people with and without asthma.
Methods
Data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) during the years 1994 to 1995 (Wave I, adolescence), 2001 to 2002 (Wave III, young adulthood), and 2007 to 2008 (Wave IV, adulthood) were analyzed (n=12 244). Latent growth curve models were used to examine the longitudinal trajectories of cigarette use behaviors during the transition to adulthood according to asthma status.
Results
Regardless of asthma status, the trajectory means of cigarette use behaviors were found to increase, and then slightly decrease from adolescence to adulthood. In total participants, there were no statistically significant differences in initial levels and changes in cigarette use behaviors according to asthma status. However, in select sex and race subgroups (i.e., females and non-whites), former asthmatics showed greater escalation in cigarette use behaviors than did non-asthmatics or current asthmatics.
Conclusions
This study indicated that the changing patterns of cigarette use behaviors during the transition to adulthood among young people with asthma are comparable to or even more drastic than those among young people without asthma.
Summary

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    Nicole M Ruppe, Ashley H Clawson, Rachel L Ankney, Ginger Welch, Larry L Mullins, John M Chaney
    Journal of Pediatric Psychology.2023; 48(6): 572.     CrossRef
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    Marta Vazquez‐Ortiz, Elizabeth Angier, Katharina Blumchen, Pasquale Comberiati, Bettina Duca, Audrey DunnGalvin, Claudia Gore, Valérie Hox, Britt Jensen, Helena Pite, Alexandra F. Santos, Silvia Sanchez, Cherry Alviani, Teresa Garriga‐Baraut, Rebecca Knib
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    Scott E. Hadland, Leslie Renee Walker
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Associations Between Socio-demographic Characteristics and Healthy Lifestyles in Korean Adults: The Result of the 2010 Community Health Survey
So Yeon Ryu, Jong Park, Seong Woo Choi, Mi Ah Han
J Prev Med Public Health. 2014;47(2):113-123.   Published online March 31, 2014
DOI: https://doi.org/10.3961/jpmph.2014.47.2.113
  • 11,775 View
  • 120 Download
  • 14 Crossref
AbstractAbstract PDF
Objectives

Several previous studies have found that healthy behaviors substantially reduce non-communicable disease incidence and mortality. The present study was performed to estimate the prevalence of four modifiable healthy behaviors and a healthy lifestyle among Korean adults according to socio-demographic and regional factors.

Methods

We analyzed data from 199 400 Korean adults aged 19 years and older who participated in the 2010 Korean Community Health Survey. We defined a healthy lifestyle as a combination of four modifiable healthy behaviors: non-smoking, moderate alcohol consumption, regular walking, and a healthy weight. We calculated the prevalence rates and odds ratios of each healthy behavior and healthy lifestyle according to socio-demographic and regional characteristics.

Results

The prevalence rates were as follows: non-smoking, 75.0% (53.7% in men, 96.6% in women); moderate alcohol consumption, 88.2% (79.7% in men, 96.9% in women); regular walking, 45.0% (46.2% in men, 43.8% in women); healthy weight, 77.4% (71.3% in men, 73.6% in women); and a healthy lifestyle, 25.5% (16.4% in men, 34.6% in women). The characteristics associated with a low prevalence of healthy lifestyle were male gender, younger age (19 to 44 years of age), low educational attainment, married, living in a rural area, living in the Chungcheong, Youngnam, or Gwangwon-Jeju region, and poorer self-rated health.

Conclusions

Further research should be implemented to explore the explainable factors of disparities for socio-demographic and regional characteristics to engage in the healthy lifestyle among adults.

Summary

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    Bohee So, Ki Han Kwon
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    Yalemzewod Assefa Gelaw, Digsu N. Koye, Kefyalew Addis Alene, Kedir Y. Ahmed, Yibeltal Assefa, Daniel Asfaw Erku, Henok Getachew Tegegn, Azeb Gebresilassie Tesema, Berihun Megabiaw Zeleke, Yohannes Adama Melaku
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    R. Erni Yetti, Muhammad Syafar, Andi Zulkifli, Rahayu Indriasari, Burhanuddin Bahar, Suriah ., Agus Bintara Birawida, Bagoes Widjanarko, Zadrak Tombeg, Saskiyanto Manggabara, Anto J. Hadi
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    Jonas D. Finger, Markus A. Busch, Christin Heidemann, Cornelia Lange, Gert B. M. Mensink, Anja Schienkiewitz, David Meyre
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    Moo Hyun Kim, Kwang Min Lee, Soo Jin Kim, So Yeon Kim, Jong Seong Park, Young Rak Cho, Kyungil Park, Tae Ho Park, Young Dae Kim, Victor Serebruany
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    Pavla Kubová, Helena Smolová, Hana Urbancová
    Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis.2018; 66(2): 521.     CrossRef
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    Tessa M. Pollard, Janelle M. Wagnild
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    Yang Xiang, Yi Dong, Xuan Li, Xin Tang
    Journal of Ophthalmology.2016; 2016: 1.     CrossRef
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    Jungmee Kim, Joongyub Lee, Ju-Young Shin, Byung-Joo Park
    Journal of Preventive Medicine and Public Health.2015; 48(2): 84.     CrossRef
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    Jong Park, So-Yeon Ryu, Mi-ah Han, Seong-Woo Choi
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  • Self-rated Subjective Health Status Is Strongly Associated with Sociodemographic Factors, Lifestyle, Nutrient Intakes, and Biochemical Indices, but Not Smoking Status: KNHANES 2007-2012
    Sunmin Park, Jaeouk Ahn, Byung-Kook Lee
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    Edmund Keogh
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Differences in Cigarette Use Behaviors by Age at the Time of Diagnosis With Diabetes From Young Adulthood to Adulthood: Results From the National Longitudinal Study of Adolescent Health
Jisuk Bae
J Prev Med Public Health. 2013;46(5):249-260.   Published online September 30, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.5.249
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Objectives

Previous observations propose that risk-taking behaviors such as cigarette smoking are prevailing among young people with chronic conditions including diabetes. The purpose of this study was to examine whether cigarette smoking is more prevalent among diabetics than non-diabetics and whether it differs by age at the time of diagnosis with diabetes from young adulthood (YAH) to adulthood (AH).

Methods

We used US panel data from the National Longitudinal Study of Adolescent Health (Add Health Study) during the years 2001 to 2002 (Wave III, YAH) and 2007 to 2008 (Wave IV, AH). Multivariate logistic regression models were applied to estimate odds ratios (ORs) and 95% confidence intervals (CIs) of cigarette use behaviors according to age at the time of diagnosis with diabetes, after adjusting for demographic and selected behavioral factors.

Results

Of 12 175 study participants, 2.6% reported having been diagnosed with diabetes up to AH. Early-onset diabetics (age at diagnosis <13 years) were more likely than non-diabetics to report frequent cigarette smoking (smoking on ≥20 days during the previous 30 days) in YAH (OR, 3.34; 95% CI, 1.27 to 8.79). On the other hand, late-onset diabetics (age at diagnosis ≥13 years) were more likely than non-diabetics to report heavy cigarette smoking (smoking ≥10 cigarettes per day during the previous 30 days) in AH (OR, 1.54; 95% CI, 1.03 to 2.30).

Conclusions

The current study indicated that diabetics are more likely than non-diabetics to smoke cigarettes frequently and heavily in YAH and AH. Effective smoking prevention and cessation programs uniquely focused on diabetics need to be designed and implemented.

Summary

Citations

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English Abstracts
Socioeconomic Inequity in Self-Rated Health Status and Contribution of Health Behavioral Factors in Korea.
Minkyung Kim, Woojin Chung, Seungji Lim, Soojin Yoon, Jakyoung Lee, Eunkyung Kim, Lanju Ko
J Prev Med Public Health. 2010;43(1):50-61.
DOI: https://doi.org/10.3961/jpmph.2010.43.1.50
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AbstractAbstract PDF
OBJECTIVES
The study is investigated socioeconomic variations in self-rated health status and contribution of health behavioral factors in Korea. METHODS: A nationally representative sample (2,800 men and 3,230 women aged 20-64 years) from the 2005 Korea National Health and Nutrition Surveys was analyzed using logistic regression. RESULTS: Self-rated health was lower among lower socioeconomic groups compared with higher socioeconomic groups, with gender being irrelevant. This association was attenuated when health behavioral and socio-demographic factors were adjusted. When each health behavioral factor was considered separately, mediators such as smoking in men, and stress or exercise in women explained a large part of the decreased socioeconomic health inequalities. CONCLUSIONS: In Korea, subjective health inequalities arise from different socioeconomic status, but this difference is decreased by health behavioral factors. Therefore, socioeconomic inequity in self-rated health status can be corrected more effectively by promotional health behaviors.
Summary

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Association between the Physical Activity of Korean Adolescents and Socioeconomic Status.
In Hwan Oh, Goeun Lee, Chang Mo Oh, Kyung Sik Choi, Bong Keun Choe, Joong Myung Choi, Tai Young Yoon
J Prev Med Public Health. 2009;42(5):305-314.
DOI: https://doi.org/10.3961/jpmph.2009.42.5.305
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AbstractAbstract PDF
OBJECTIVES
The physical activity of Korean adolescents and its distribution based on social characteristics have not yet been fully assessed. This study intends to reveal the distribution of physical activity by its subgroups and offer possible explanatory variables. METHODS: The 3rd Korea Youth Risk Behavior Web-based Survey was analyzed for this study. The appropriateness of physical activity was defined by Korea's Health Plan 2010 and physical inactivity was assessed independently. Family affluence scale, parents' education levels, subjective economic status, grade, and school location were considered explanatory variables. All statistical analysis was conducted using SAS ver. 9.1. RESULTS: The proportion of participants engaging in vigorous physical activity was high in males (41.6%), at a low grade (38.5%), within the high family affluence scale group (35.5%). The distribution of participants engaging in moderate physical activity showed similar patterns, but the overall proportion was lower (9.8%). Low family affluence and students with lower subjective economic status reported a higher prevalence of physical inactivity. In multiple logistic regression analysis for physical activity, significant factors included family affluence scale (p<0.05). For physical inactivity, family affluence scale, parents education levels, and subjective economic status were included as significant factors (p<0.05). CONCLUSIONS: The results suggest that the physical activity and inactivity of adolescents may be affected by socioeconomic variables, such as family affluence scale. This implies the need to take proper measures to address these socio-economic inequalities.
Summary

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Comparative Study
The Comparison of Health Behaviors Between Widowed Women and Married Women in Jeollanamdo Province, Korea.
Seong Woo Choi, Jung Ae Rhee, Jun Ho Shin, Min Ho Shin
J Prev Med Public Health. 2008;41(4):272-278.
DOI: https://doi.org/10.3961/jpmph.2008.41.4.272
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AbstractAbstract PDF
OBJECTIVES
To compare the health behaviors of widowed women with those of currently married women. METHODS: We randomly sampled the subjects from the Jeollanamdo Resident Registration Data and we then selected 2,331 widowed women and 4,775 married women. Well-trained examiners measured the height, weight, blood pressure and abdomen circumference, and the women were interviewed with using a questionnaire. Logistic regression analysis was used to estimate the odds ratios(OR) of the two groups. RESULTS: The smoking rate (OR=2.46; 95% confidence interval [CI]1.65, 3.66) was significantly higher for the widowed women. On the contrary, the awareness rate of a smoking cessation campaign (OR=0.80; 95% CI=0.70, 0.92), a quit tobacco telephone line (OR=0.73; 95% CI=0.61, 0.88) and a quit smoking clinic (OR=0.74; 95% CI=0.62, 0.89) were lower for the widowed women. The rate of receiving a health exam (OR=0.80; 95% CI=0.70, 0.91), the rate of undergoing gastric cancer screening (OR=0.77; 95% CI=0.68, 0.88), breast cancer screening (OR=0.79; 95% CI=0.69, 0.89), cervix cancer screening in the last 2 years (OR=0.81; 95% CI=0.71, 0.92), colon cancer screening in the last 5 years (OR=0.74; 95% CI=0.63, 0.87) were significantly lower for the widowed women. CONCLUSIONS: This study revealed that the health behaviors are significantly different between the widowed women and the married women. To improve the health behaviors of the widowed women, further study and research that will investigate the socioeconomic and environmental factors that affect the health behaviors of widowed women will be needed.
Summary

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English Abstracts
Factors Influencing the Intention to have Stomach Cancer Screening.
Myung Il Hahm, Kui Son Choi, Su Yeon Kye, Min Son Kwak, Eun Cheol Park
J Prev Med Public Health. 2007;40(3):205-212.
DOI: https://doi.org/10.3961/jpmph.2007.40.3.205
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AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to identify the factors influencing the intention to have stomach cancer screening using the theory of planned behavior (TPB) in Korea. METHODS: For this population-based study, 1,535 adult respondents (aged 40 to 70 years) were recruited using multi-stratified random sampling and a face-to-face administered questionnaire. This study was based on Ajzen's theory of planned behavior. Intentions were divided into three scenarios for fee payment in the next two years: (1) free of charge, (2) co-payment, and (3) full charge. Multiple linear regression was used to identify the factors influencing the intention to have stomach cancer screening. RESULTS: Perceived behavioral control and attitude toward stomach cancer screening were significant predictors of the intention to have stomach cancer screening. However, subjective norm only influenced the intention to have stomach cancer screening with full charge in the next two years. CONCLUSIONS: The results suggest that attitude and perceived behavioral control are likely to contribute toward increasing the intention to have stomach cancer screening. Especially, perceived behavioral control is a good predictor. Because the study subjects were nation wide residents, the study results can be generalized.
Summary

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The Levels of Psychosocial Stress, Job Stress and Related Factors of Medical Doctors Practicing at Local Clinics.
Moon Kuk Kang, Yune Sik Kang, Jang Rak Kim, Baek Geun Jeong, Ki Soo Park, Sin Kam, Dae Yong Hong
J Prev Med Public Health. 2007;40(2):177-184.
DOI: https://doi.org/10.3961/jpmph.2007.40.2.177
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AbstractAbstract PDF
OBJECTIVES
This study was conducted to investigate the levels of psychosocial stress, job stress and their related factors among medical doctors practicing at local clinics. METHODS: A survey using a self administered questionnaire was administered to 1,456 doctors practicing at private clinics via post for 2 months (2006. 1 - 2006. 3). Psychosocial stress, job stress,demographic factors, job related factors and health related behaviors were investigated. Among the eligible study population, the respondents were 428 doctors (29.4%). RESULTS: The average scores of psychosocial stress and job stress were 2.19 and 3.13, respectively. The levels of psychosocial stress and job stress were statistically lower in older respondents, those who worked shorter or who were more satisfied with their job, and those with higher socioeconomic status. The level of psychosocial stress was related with smoking status, drinking status and exercise. The level of job stress was related with smoking status and exercise. In multiple linear regression analysis using psychosocial stress as a dependent variable, age, working hours per day, job satisfaction and perception on socioeconomic status were significant independent variables. In analysis using job stress as a dependent variable, age, working hours per day and job satisfaction were significant independent variables. CONCLUSIONS: Stress affects the doctor-patient relationship, productivity and overall health level of people. Therefore, it is important to manage and relieve the stress of doctors. It is suggested that more advanced studies on stress level and related factors and ways to improve the stress and health related behaviors of medical doctors should be conducted.
Summary

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Original Articles
The Relationship of Social Class and Health Behaviors with Morbidity in Korea.
Mia Son
Korean J Prev Med. 2002;35(1):57-64.
  • 2,587 View
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AbstractAbstract PDF
OBJECTIVE
To explore the relationship of social class and health behaviors with self-reported morbidity. METHODS: The 1995 General Household Survey in Korea was used to investigate self-reported morbidity. Logistic regression was used to examine the relationship of social class and health behaviors with self-reported chronic disease and perceived general health. RESULTS: For chronic disease and general perceived health, age adjusted odds ratios were higher for manual workers, lower-educated group as well as those in the lower income group; this held true for both men and women. Health behaviours had little effect on the relationship between social class and morbidity. The relationship between health behaviors and morbidity was very weak. The lower social class expressed higher levels of negative health behaviors, although this relationship appeared to be very weak in Korea. CONCLUSIONS: This study suggests that an understanding of health differentials that addresses the issue of social inequalities in Korea is required.
Summary
Application of the Theory of Planned Behavior and the Theory of Reasoned Action to Predicting Cervix Cancer Screening Behavior.
Kun Sei Lee, Yong Ik Kim, Chang Yup Kim, Young Soo Shin
Korean J Prev Med. 2001;34(4):379-388.
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AbstractAbstract PDF
BACKRGROUND: Cervix cancer is the most common form of cancer among Korea women. In spite of proof that cervical cancer screening could reduce death rates substantially, the screening rates reported by previous Korean studies remain stubbornly very low. Behavioral studies to increase the cervix cancer screening rate are essential in order to develop the cancer screening program. OBJECTIVE: To evaluate the factors which are related to the intention and behavior for cervix cancer screening using the Theory of Planned Behavior (TPB) and the Theory of Reasoned Action (TRA). METHODS: The survey was conducted from July 21st to 26th in 1998. Of 3,218 women, 393(12.2%) between 30 and 65 years old, voluntarily participated in the survey in the 3 Myeons in Choongju city. Charge-free cervix cancer screening was provided for the subjects 3 months later. RESULTS: The R-square of both TPB and TRA to the intention (30% and 42%, respectively) was greater than the actual behavior (21% and 13%, respectively. TPB and TRA were found to provide an appropriate framework for the study of cervix cancer screening behavior. However, TRA was more powerful in explaining the intention, not only because the perceived behavioral control component exhibited lower reliability and validity than other components(attitude and subjective norm), but also because there may have been a few limitations in this study design. Consequently, the use of TRA is preferred in attempting to explain intention and actual behavior in this study. CONCLUSIONS: This study suggests that a successful intervention program should focus on changing attitudes and reducing psychologic barriers, rather than on just providing information. Physician recommendations, and the support of family members and friends are also very important factors in cervix cancer program participation. Physicians, friends, family members, and opinion leaders in rural areas, all of whom could affect the individual subjective norm, may all have the potential to play great roles as facilitators.
Summary

JPMPH : Journal of Preventive Medicine and Public Health