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Original Articles
- Increased Prevalence of Chronic Disease in Back Pain Patients Living in Car-dependent Neighbourhoods in Canada: A Cross-sectional Analysis
- Amy Zeglinski-Spinney, Denise C. Wai, Philippe Phan, Eve C. Tsai, Alexandra Stratton, Stephen P. Kingwell, Darren M. Roffey, Eugene K. Wai
- J Prev Med Public Health. 2018;51(5):227-233. Published online August 10, 2018
- DOI: https://doi.org/10.3961/jpmph.18.038
- 5,460 View
- 121 Download
- 2 Crossref
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Abstract
PDF - Objectives
Chronic diseases, including back pain, result in significant patient morbidity and societal burden. Overall improvement in physical fitness is recommended for prevention and treatment. Walking is a convenient modality for achieving initial gains. Our objective was to determine whether neighbourhood walkability, acting as a surrogate measure of physical fitness, was associated with the presence of chronic disease.
Methods
We conducted a cross-sectional study of prospectively collected data from a prior randomized cohort study of 227 patients referred for tertiary assessment of chronic back pain in Ottawa, ON, Canada. The Charlson Comorbidity Index (CCI) was calculated from patient-completed questionnaires and medical record review. Using patients’ postal codes, neighbourhood walkability was determined using the Walk Score, which awards points based on the distance to the closest amenities, yielding a score from 0 to 100 (0- 50: car-dependent; 50-100: walkable).
Results
Based on the Walk Score, 134 patients lived in car-dependent neighborhoods and 93 lived in walkable neighborhoods. A multivariate logistic regression model, adjusted for age, gender, rural postal code, body mass index, smoking, median household income, percent employment, pain, and disability, demonstrated an adjusted odds ratio of 2.75 (95% confidence interval, 1.16 to 6.53) times higher prevalence for having a chronic disease for patients living in a car-dependent neighborhood. There was also a significant dose-related association (p=0.01; Mantel-Haenszel chi-square=6.4) between living in car-dependent neighbourhoods and more severe CCI scores.
Conclusions
Our findings suggest that advocating for improved neighbourhood planning to permit greater walkability may help offset the burden of chronic disease. -
Summary
Citations
Citations to this article as recorded by
- Contributions and Limitations Walk Score® in the Context of Walkability: A Scoping Review
Jennifer Ann Brown, Kimberley D. Curtin, Mathew Thomson, Janice Y. Kung, Candace I. J. Nykiforuk
Environment and Behavior.2023; 55(6-7): 468. CrossRef - Do Walking-Friendly Built Environments Influence Frailty and Long-Term Care Insurance Service Needs?
Seigo Mitsutake, Tatsuro Ishizaki, Yuri Yokoyama, Mariko Nishi, Mohammad Javad Koohsari, Koichiro Oka, Shohei Yano, Takumi Abe, Akihiko Kitamura
Sustainability.2021; 13(10): 5632. CrossRef
- The Association Among Individual and Contextual Factors and Unmet Healthcare Needs in South Korea: A Multilevel Study Using National Data
- Seung Eun Lee, Miyeon Yeon, Chul-Woung Kim, Tae-Ho Yoon
- J Prev Med Public Health. 2016;49(5):308-322. Published online September 7, 2016
- DOI: https://doi.org/10.3961/jpmph.16.035
- 8,144 View
- 209 Download
- 14 Crossref
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Abstract
PDF
- Objectives
The objective of this study is to investigate associations between contextual characteristics and unmet healthcare needs in South Korea after accounting for individual factors.
Methods
The present study used data from the 2012 Korean Community Health Survey (KCHS) of 228 902 adults residing within 253 municipal districts in South Korea. A multilevel analysis was conducted to investigate how contextual characteristics, defined by variables that describe the regional deprivation, degree of urbanity, and healthcare supply, are associated with unmet needs after controlling for individual-level variables.
Results
Of the surveyed Korean adults, 12.1% reported experiencing unmet healthcare needs in the past. This figure varied with the 253 districts surveyed, ranging from 2.6% to 26.2%. A multilevel analysis found that the association between contextual characteristics and unmet needs varied according to the factors that caused the unmet needs. The degree of urbanity was associated with unmet need due to “financial burden” (odds ratio [OR], 0.53; 95% confidence interval [CI], 0.42 to 0.66 for rural vs. metropolitan), but not unmet need due to “service not available when needed.” There were no significant associations between these unmet need measures and regional deprivation. Among individual-level variables, income level showed the highest association with unmet need due to “financial burden” (OR, 5.63; 95% CI, 4.76 to 6.66), while employment status showed a strong association with unmet need due to “service not available when needed.”
Conclusions
Our finding suggests that different policy interventions should be considered for each at-risk population group to address the root cause of unmet healthcare needs. -
Summary
Citations
Citations to this article as recorded by- Association between area deprivation index and concerns to COVID-19: A multi-level analysis of individual and area factors
Doo Woong Lee, Jieun Jang, Jaeyong Shin
SSM - Population Health.2024; 25: 101580. CrossRef - Satisfaction with local healthcare services and medical need among hypertensive patients: a nationwide study
Woorim Kim, Yeong Jun Ju, Soon Young Lee
BMC Public Health.2024;[Epub] CrossRef - Factors affecting unmet healthcare needs in female baby boomers: Andersen model application in Korea
Min-Jeong Park, Mi-Young Chung, Verda Salman
PLOS ONE.2023; 18(6): e0286425. CrossRef - Impact of Long Working Hours and Shift Work on Unmet Health Care Need Among Korean Workers
Hye-Eun Lee, Jeongbae Rhie
Safety and Health at Work.2022; 13(1): 17. CrossRef - Effect of socioeconomic disparities on the risk of COVID-19 in 8 metropolitan cities in the Korea:
a community-based study
Myung-Jae Hwang, Shin Young Park, Tae-Ho Yoon, Jinhwa Jang, Seon-Young Lee, Myeongsu Yoo, Yoo-Yeon Kim, Hae-Kwan Cheong, Donghyok Kwon, Jong-Hun Kim
Epidemiology and Health.2022; 44: e2022107. CrossRef - Unmet Healthcare Needs and Associated Factors Among Korean Enlisted Soldiers
Eunkyoung Bae, Jeongok Park, Eunyoung Jung
Military Medicine.2021; 186(1-2): e186. CrossRef - Contextual Factors Associated with Pregnancy Termination among Young Women in Nigeria
Bola Lukman Solanke
Women's Reproductive Health.2021; 8(2): 137. CrossRef - Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases
Ji-Young Han, Hyeon-Sook Park
Journal of Korean Academy of Community Health Nursing.2021; 32(2): 131. CrossRef - Factors Influencing Unmet Healthcare Needs among Older Korean Women
Jung A. Choi, Oksoo Kim
International Journal of Environmental Research and Public Health.2021; 18(13): 6862. CrossRef - Cost–related unmet need for healthcare services in Kenya
Purity Njagi, Jelena Arsenijevic, Wim Groot
BMC Health Services Research.2020;[Epub] CrossRef - Effect of socioeconomic deprivation on outcomes of diabetes complications in patients with type 2 diabetes mellitus: a nationwide population-based cohort study of South Korea
Dong-Woo Choi, Sang Ah Lee, Doo Woong Lee, Jae Hong Joo, Kyu-Tae Han, SeungJu Kim, Eun-Cheol Park
BMJ Open Diabetes Research & Care.2020; 8(1): e000729. CrossRef - Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea
Seung Eun Lee, Miyeon Yeon, Chul-Woung Kim, Tae-Ho Yoon, Dongjin Kim, Jihee Choi
Osong Public Health and Research Perspectives.2019; 10(5): 295. CrossRef - Gender Differences in Factors Associated With Colorectal Cancer Screening: A National Cross-Sectional Study in Korea
Youngmi Kang, Heesook Son
Asia Pacific Journal of Public Health.2017; 29(6): 495. CrossRef - Regional Disparity and Factors Influencing Unmet Medical Needs: A Study Based on the Sixth Korea National Health and Nutrition Examination Survey (2015)
Ji Hye Lim
Osong Public Health and Research Perspectives.2017; 8(5): 295. CrossRef
- Dental Care Utilization for Examination and Regional Deprivation
- Cheol-Sin Kim, Sun-Young Han, Seung Eun Lee, Jeong-Hee Kang, Chul-Woung Kim
- J Prev Med Public Health. 2015;48(4):195-202. Published online July 23, 2015
- DOI: https://doi.org/10.3961/jpmph.15.026
- 23,896 View
- 113 Download
- 7 Crossref
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Abstract
PDF
- Objectives
Receiving proper dental care plays a significant role in maintaining good oral health. We investigated the relationship between regional deprivation and dental care utilization.
Methods
Multilevel logistic regression was used to identify the relationship between the regional deprivation level and dental care utilization purpose, adjusting for individual-level variables, in adults aged 19+ in the 2008 Korean Community Health Survey (n=220 258).
Results
Among Korean adults, 12.8% used dental care to undergo examination and 21.0% visited a dentist for other reasons. In the final model, regional deprivation level was associated with significant variations in dental care utilization for examination (p<0.001). However, this relationship was not shown with dental care utilization for other reasons in the final model.
Conclusions
This study’s findings suggest that policy interventions should be considered to reduce regional variations in rates of dental care utilization for examination. -
Summary
Citations
Citations to this article as recorded by- Utilization of dental care among adult populations: a scoping review of applied models
Ashkan Negintaji Zardak, Mostafa Amini-Rarani, Ibrahim Abdollahpour, Faezeh Eslamipour, Bahareh Tahani
BMC Oral Health.2023;[Epub] CrossRef - Dental Expenditure by Household Income in Korea over the Period 2008–2017: A Review of the National Dental Insurance Reform
Hosung Shin, Han-A Cho, Bo-Ra Kim
International Journal of Environmental Research and Public Health.2021; 18(8): 3859. CrossRef - Relationship between Subjective Oral Discomfort and Health-Related Quality of Life in the South Korean Elderly Population
Kyung-Yi Do, Sook Moon
International Journal of Environmental Research and Public Health.2020; 17(6): 1906. CrossRef - Change over a period of 9 years in self-reported oral health of a middle-aged population using 4-6th KNHANES data
Song-Yi Kim, Nam-Hee Kim
Journal of Korean Academy of Oral Health.2019; 43(2): 50. CrossRef - The role of healthcare system in dental check‐ups in 27 European countries: multilevel analysis
Shiho Kino, Eduardo Bernabé, Wael Sabbah
Journal of Public Health Dentistry.2017; 77(3): 244. CrossRef - The Association Among Individual and Contextual Factors and Unmet Healthcare Needs in South Korea: A Multilevel Study Using National Data
Seung Eun Lee, Miyeon Yeon, Chul-Woung Kim, Tae-Ho Yoon
Journal of Preventive Medicine and Public Health.2016; 49(5): 308. CrossRef - Dental care utilization in the west of Iran: a cross-sectional analysis of socioeconomic determinants
Satar Rezaei, Esmail Ghahramani, Mohammad Hajizadeh, Bijan Nouri, Sheno Bayazidi, Fatemah Khezrnezhad
International Journal of Human Rights in Healthcare.2016; 9(4): 235. CrossRef
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