Journal of Preventive Medicine and Public Health

Original Articles

Predictors of Quality of Life Among Older Residents in Rural and Urban Areas in Indonesia: An Approach Using the International Classification of Functioning, Disability, and Health: Dwi Rosella Komalasari, Chutima Jalayondeja, Wattana Jalayondeja, Yusuf Alam Romadon; J Prev Med Public Health. 2025;58(2):199-207. Published online November 29, 2024; DOI: https://doi.org/10.3961/jpmph.24.423

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Objectives
The International Classification of Functioning, Disability, and Health (ICF) model provides a comprehensive framework for understanding health and quality of life (QoL) in older adults in both rural and urban settings, each presenting unique advantages and challenges. This study aimed to explore the relationship between factors based on the ICF model and QoL among older residents of these areas.
Methods
A cross-sectional study was conducted, involving 286 older adults aged 60 years or older from rural and urban areas of Surakarta, Central Java, Indonesia. The WHOQoL-BREF was utilized to assess QoL. The co-factors included personal factors, impairments, and activity limitations.
Results
Multiple linear regression analysis indicated that cardiovascular endurance was the strongest significant factor associated with QoL in rural areas (B=0.027, standard error [SE]=0.013, p=0.050). In urban areas, gender emerged as the most significant factor influencing QoL (B=-13.447, SE=2.360, p<0.001), followed by hemoglobin level (B=-1.842, SE=0.744, p=0.015), age (B=-0.822, SE=0.217, p<0.001), and cognitive function (B=0.396, SE=0.162, p=0.016).
Conclusions
Efforts to improve QoL for older adults in rural areas should focus on enhance physical performance through exercise. In urban areas, the maintenance of QoL is influenced by personal factors. It is crucial to address physical performance through exercise to enhance QoL in rural settings. Meanwhile, focusing on mental health, financial security, and social connections is recommended to improve QoL for older adults in urban areas.

Summary

Key Message
The ICF model offers a comprehensive framework to assess health and QoL in older adults living in rural and urban areas. Both areas highlight the distinct advantages and challenges unique. Cardiovascular endurance is a vital factor in determining the QoL for older adults in rural areas, while hemoglobin levels, age, and cognition shape the well-being of those in urban environments.

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Determinants of Quality of Life among Older Adults Living in Agricultural Communities in Nakhon Si Thammarat, Thailand
Yodfah Ratmanee
Community and Social Development Journal.2026; 27(1): 142. CrossRef

Postpartum Depression in Young Mothers in Urban and Rural Indonesia: Alifa Syamantha Putri, Tri Wurisastuti, Indri Yunita Suryaputri, Rofingatul Mubasyiroh; J Prev Med Public Health. 2023;56(3):272-281. Published online May 7, 2023; DOI: https://doi.org/10.3961/jpmph.22.534

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Abstract PDF

Objectives
Young mothers are vulnerable to postpartum depression due to role transition-related stress. Understanding the causes underlying these stressors is essential for developing effective interventions.
Methods
This study analyzed the 2018 Indonesian Basic Health Research data. The Mini International Neuropsychiatric Interview was used to assess postpartum depression symptoms in mothers aged 15-24 years with infants aged 0-6 months. In 1285 subjects, the risk factors for postpartum depression were evaluated using multivariate logistic regression.
Results
The overall prevalence of depression in the 6 months postpartum was 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Urban and rural young mothers showed distinct postpartum depression risk factors. In urban areas, living without a husband (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.24 to 11.76), experiencing preterm birth (OR, 4.67; 95% CI, 1.50 to 14.50), having pregnancy complications (OR, 3.03; 95% CI, 1.20 to 7.66), and having postpartum complications (OR, 5.23; 95% CI, 1.98 to 13.80) were associated with a higher risk of postpartum depression. In rural areas, postpartum depression was significantly associated with a smaller household size (OR, 3.22; 95% CI, 1.00 to 10.38), unwanted pregnancy (OR, 4.40; 95% CI, 1.15 to 16.86), and pregnancy complications (OR, 3.41; 95% CI, 1.31 to 8.88).
Conclusions
In both urban and rural contexts, postpartum depression relates to the availability of others to accompany young mothers throughout the postpartum period and offer support with reproductive issues. Support from the family and the healthcare system is essential to young mothers’ mental health. The healthcare system needs to involve families to support young mothers’ mental health from pregnancy until the postpartum period.

Summary

Citations

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Assessing maternal postnatal depression, bonding and practices in mothers of preterm and low birth weight infants in Indonesia
Ricvan Dana Nindrea, Linda Rosalina, Milya Novera, Long Chiau Ming, Nissa Prima Sari, Nabil Aresto Avilla, Fanisha Anugrah Rahmadhani Putri, Nailah Putri Rivani
MethodsX.2026; 16: 103750. CrossRef
REPERCUSSÕES DA GRAVIDEZ E DO PUERPÉRIO NA SAÚDE MENTAL DE MÃES ADOLESCENTES
Kezia Cristina Batista dos Santos, Amanda Lohanna Marinho Teixeira, Mayra Sharlenne Moraes Araújo, Joelmara Furtado dos Santos
Revista Multidisciplinar do Nordeste Mineiro.2026; 1(02): 1. CrossRef
A Systematic Literature Review of Husband’s Support for the Incidence of Postpartum Depression in Indonesia
Nasrilia Rahmadina, Simanjuntak Widya Linawati, Salsabila Hana Husniah Khairunnisa, Ray Wagiu Basrowi, Dela Riadi
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Integration of yoga exercise and educational postpartum class reduces cortisol level and depression score in mothers with postpartum depression risk
Zahra Azizah Danistya, Lilik Herawati, Herdika Ayu Retno Kusumasari, Budi Prasetyo, Sakinah Nuzuliya Izza, Mohd Nahar Azmi Mohamed
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Postpartum depressive symptoms and associated factors among women with lactation mastitis: a cross-sectional study
Jianrong Li, Yiming Hou, Nana Chen, Yingyi Fan, Xiaohua Pei
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Caregivers’ Baseline Mental Health Problems and Early Childhood Social Skills at One-Year Follow-Up in an Urban Area of Indonesia
Hilda Meriyandah, Yuri Nurdiantami, Smarika Shresta, Maiko Shigeeda, Tokie Anme
Children.2026; 13(4): 508. CrossRef
Postpartum depression and associated factors among childbearing women from the recent Demographic and Health Survey data of Mozambique: Multilevel analysis
Mamaru Melkam, Bezawit Melak Fente, Yohannes Mekuria Negussie, Zufan Alamrie Asmare, Hiwot Altaye Asebe, Beminate Lemma Seifu, Alemayehu Kasu Gebrehana, Sintayehu Simie Tsega, Meklit Melaku Bezie, Angwach Abrham Asnake
Heliyon.2025; 11(1): e41106. CrossRef
Intelligent Internet of Medical Things for Depression: Current Advancements, Challenges, and Trends
Md Belal Bin Heyat, Deepak Adhikari, Faijan Akhtar, Saba Parveen, Hafiz Muhammad Zeeshan, Hadaate Ullah, Yun-Hsuan Chen, Lu Wang, Mohamad Sawan, Stefano Cirillo
International Journal of Intelligent Systems.2025;[Epub] CrossRef
Women with Postpartum Depression: A Literature Review
Ridha Wahyuni, Nik Nairan Abdullah, Akmal Hisyam Arshad
Environment-Behaviour Proceedings Journal.2025; 10(31): 231. CrossRef
Maternal postnatal depression, bonding, and health care practices in providing essential services for preterm and low birth weight infants in Indonesia
Ricvan Dana Nindrea, Long Chiau Ming, Nissa Prima Sari
Clinical Epidemiology and Global Health.2025; 33: 102028. CrossRef
Association between infant feeding practices, COVID-19 related cognitive factors, and postpartum depression during the COVID-19 pandemic: a cross-sectional online study in Thailand
Wichukorn Suriyawongpaisal, Punpawee Kittikul, Eun Young Lee, Li-Yin Chien, Yan-Shing Chang, Kelly Pereira Coca, Doungjai Buntup, Seo Ah Hong
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The efficacy of integrative antenatal class (IAC) to improve the psychological well-being of pregnant mothers
Lastri M. Winarni, Rita Damayanti, Sabarinah Prasetyo, Yati Afiyanti
Journal of Education and Health Promotion.2025;[Epub] CrossRef
Midwifery Counseling Strategies to Prevent Unintended Pregnancies among Young Mothers
Andi Sitti Umrah, Andi Kasrida Dahlan, Juliani Juliani
Journal of Applied Nursing and Health.2025; 7(2): 172. CrossRef
Factors associated with postpartum depression among women with birth complications in Ghana
Naomi Kyeremaa Yeboa, Elizabeth Chodzaza, Magdalene Akos Odikro, Masumbuko Albert Baluwa, Listowel Ferka, Lyson Ndaona, Ursula Kafulafula
British Journal of Midwifery.2025; 33(9): 480. CrossRef
Motherhood and mental health of adolescent girls in low- and middle-income countries: A scoping review
Amber Hussain, Yared Asmare Aynalem, Tanya Park, Salima Meherali, Ejemai Eboreime
PLOS Global Public Health.2025; 5(9): e0005134. CrossRef
Cross-Cultural Adaptation of Edinburg Postpartum Depression Scale in Postpartum Mental Health Screening on Indonesian Version
Ratna Dewi Putri, Martha Irene Kartasurya, Sri Achadi Nugraheni, Bagoes Widjanarko, J.-H. Han, S. Changrob, A. Rachmatullah, W. Sabiiti, M.I. Kartasurya
BIO Web of Conferences.2025; 193: 00077. CrossRef
Common Mental Disorders and Associated Factors During Pregnancy and the Postpartum Period in Indonesia: An Analysis of Data From the 2018 Basic Health Research
Arum Ariasih, Besral, Meiwita Budiharsana, Sudarto Ronoatmodjo
Journal of Preventive Medicine and Public Health.2024; 57(4): 388. CrossRef
Association Between Maternal Weight Perception Before and During Pregnancy and Postpartum Depression Status in Southern China
Qin Zhang, Menglu Qiu, Laidi Guo, Yuanyuan Li, Zhencheng Xie, Wanyi Yang, Lishan Ouyang, Jia Yin, Yun Zhou, Minghan Fu, Ye Ding, Zhixu Wang
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Budaya dan Intervensi Depresi Postpartum: Tinjauan Literatur Sistematik Lintas Benua
Ria Anggraini, Ninik Setiyowati
Jurnal Psikologi.2024;[Epub] CrossRef
Qualitative Study of Perinatal Mental Health Services: Experiences and Perspectives of Health Workers and Patients
Evi Diliana Rospia, Dwi Kartika Cahyaningtyas, Siti Mardiyah WD, Cahaya Indah Lestari
EMBRIO.2023; 15(2): 216. CrossRef

Regional Differences in the Effects of Social Relations on Depression Among Korean Elderly and the Moderating Effect of Living Alone: Chanki Kim, Eun Jee Chang, Chang-yup Kim; J Prev Med Public Health. 2021;54(6):441-450. Published online October 22, 2021; DOI: https://doi.org/10.3961/jpmph.21.337

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Abstract Summary PDF Supplementary Material

Objectives
Socioeconomic disadvantages interact with numerous factors which affect geriatric mental health. One of the main factors is the social relations of the elderly. The elderly have different experiences and meanings in their social lives depending on their socio-cultural environment. In this study, we compared the effects of social relations on depression among the elderly according to their living arrangement (living alone or living with others) and residential area.
Methods
We defined social relations as “meetings with neighbors” (MN). We then analyzed the impact of MN on depression using data from the Korean Longitudinal Study of Aging Panel with the generalized estimating equation model. We also examined the moderating effect of living alone and performed subgroup analysis by dividing the sample according to which area they lived in.
Results
MN was associated with a reduced risk of depressive symptoms among elderlies. The size of the effect was larger in rural areas than in large cities. However, elderly those who lived alone in rural areas had a smaller protective impact of MN on depression, comparing to those who lived with others. The moderating effect of living alone was significant only in rural areas.
Conclusions
The social relations among elderlies had a positive effect on their mental health: The more frequent MN were held, the less risk of depressive symptoms occurred. However, the effect may vary depending on their living arrangement and environment. Thus, policies or programs targeting to enhance geriatric mental health should consider different socio-cultural backgrounds among elderlies.

Summary

Korean summary
본 연구는 사회적 관계가 노인의 우울에 미치는 영향이 독거 상태 및 거주 지역에 따라 달라지는지 확인하였다. 사회적 관계를 이웃과의 만남 빈도로 정의하고 고령화연구패널자료를 분석한 결과 사회적 관계의 효과 크기는 대도시에서 가장 작었고 독거의 조절효과는 농어촌에서만 유의하였다.

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A Comparative Study on Enhancing the Function of the Heath Center in a urban area.: Weon Young Lee, Young Jeon Shin, Young Jun Kwon, Bo Youl Choi, Ok Ryun Moon, Hye Jeong Jeon; Korean J Prev Med. 1998;31(4):857-874.

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Study on the Indoor-Outdoor NO2 Levels and Related Factors in Urban Aprtments.: Byung Seong Suh, Sung Hwan Kim, In Shik Kim, Yum Young Hur, Sou Young Do, Jung Man Kim, Joon Youn Kim; Korean J Prev Med. 1997;30(3):609-622.

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Abstract PDF: Nitrogen dioxide (NO2) has been regarded as one of the main elements among air pollutants, and we measured NO2levels of near gas range, kitchen, living room and outdoor on 489 apartments in Pusan area. NO2were sampled by using Palmes tubes (diffusion tube sampler) during August 16-25, 1995 (summer) and January 15-29, 1996 (winter), respectively. Authors wanted to know comparison of NO2levels in summer and winter, NO2 levels categorized by variables, and variables affected to NO2levels. According to this study, we conducted to establish the degree of indoor-outdoor air pollution of urban apartments in Korea and methods to reduce indoor air pollution. The results of this study were summarized as follows: 1) Mean NO2levels of near gas range, kitchen, living room, and outdoor were 25.9+/-10.0 ppb, 23.3+/-8.0 ppb, 19.9+/-6.1 ppb, and 19.0+/-6.0 ppb in summer, and 34.5+/-16.8 ppb, 28.2+/-13.4 ppb, 25.3+/-12.5 ppb, 21.8+/-9.8 ppb in winter, respectively. 2) Mean NO2levels according to the floor levels were not significantly different in summer, and in winter, NO2levels were decreased as the floor levels were increasing, but those were increased above 16th floor. 3) Variables showing significant correlation (p<0.05) with NO2levels were as follows; Summer: floor level, family size, number of family during a meal, number using gas range during rice cooking per day, and natural ventilation. Winter: floor level, family size, number of person who have been respiratory disease in a house, number of family during a meal, total number of meals, and number using gas range during rice or side-dish cooking per day. 4) We suggest that the methods of reducing indoor NO2levels are ventilation during cooking, complete combustion, decreasing number and time of cooking, and substitution of fuels.; Summary

A Study on Food Intake and Associated Factors of the Urban Poor Elderly.: Bong Soo Cho, Don Kyoun Kim, Su Ill Lee, Byung Mann Cho, Yeung Ook Kim, Kwang Wook Koh; Korean J Prev Med. 1995;28(1):59-72.

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Abstract PDF: This study was carried out to analyse the food intake and associated factors of the urban poor elderly by comparing poor district, Unbong rental apartment in Bonsong 2 dong with other areas in Pusan. 135 elderlies(men 36, women 99) in Unbong rental apartment 136 elderlies(men 45, women 91 ) in the other areas were investigated during the period of March to August in l994. The assumption that the study area represented poor district was satisfied because the age and sex distribution was not significantly different, and the income of the study area was significantly lower than that of the control area. The variables of hospitalized in previous 12 month, gastrointestinal problem, alcohol drinking, cigarette smoking did not differ significantly. But the variables of chronic disease, take medicine, perceive, vitamin supplement differed significantly between two groups. Therefore some factors associated with health state in the study area are worse than those of the control areas. At most of all variables, nutrients intake of the study area did not reach the recommended dietary allowances(RDA) for Koreans, and that nutrient intakes of the study area were significantly lower than those of the control area. The hypothesis of this study that nutrient status depends on economical status was proved. As for the score of nutritional knowledge, the study area was significantly lower than the control area. But as for the score of nutritional behavior, two areas were not significantly different. The latter is counter result of our hypothesis, owing to the effect of the confounding factors including education etc. As for the correlation of variables, not only economic status and educational level, but the score of nutritional knowledge effects strongly on nutrient status in the study area, the poor district. Therefore, adequate nutritional education to the elderly in the poor district should be considered.; Summary

Effects of Regional Medical Insurance on Utilization of Medical Care in Urban Population.: Seok Beom Kim, Pock Soo Kang; Korean J Prev Med. 1994;27(1):117-134.

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Abstract PDF: The effects of regional medical insurance on utilization of medical care in urban population was examined in this study. The data was collected in a 2-year follow-up household survey conducted at Taegu city before and after implementation of the regional medical insurance. The study population was divided into 2 groups. Cohort I was the uninsured in 1989 and cohort II was the insured in 1989. After the coverage of medical insurance, physician visit rate per 1,000 population, use-disability ratio and use-restricted activity ratio in cohort I were increased compared to cohort II in both of acute and chronically ill people. The use-disability ratio and use-restricted activity ratio of the insured poor were lower than those of the insured nonpoor in both of cohort I and cohort II. The major reasons for pharmacy use were accessibility and affordability before the coverage of medical insurance in cohort I, however, after the coverage of medical insurance, the important reason was accessibility rather than affordabifity. In logistic regression analysis of physician visit, the significant independent variables were acute illness episode(+), chronic illness episode(+) and income(+) in both of cohort I and cohort II. In cohort I, after the coverage of medical insurance, more people replied that the medical cost of hospital and clinic was reasonable. The people who covered by the regional medical insurance were more dissatisfied with the imposed premium than those who covered by other types of medical insurance in both of cohort I and cohort II. More people in cohort II than cohort I were dissatisfied with the services from hospitals and clinics after implementation of the regional medical insurance. In conclusion. after the coverage of medical insurance, the gap between the poor and the nonpoor still exists in terms of medical care utilization.; Summary

Comparison of Subjective Symptoms of Workers in Rapidly and Weekly Rotating Shift Systems.: Young Yeon Jung, Gwang Seo Choi, Kuck Hyeun Woo, Gu Wung Han; Korean J Prev Med. 1992;25(4):374-385.

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Abstract PDF: Some circadian rhythms can become disorganized due to rotating shift work. This lack of organization, termed desynchronization, can produce a group of symptoms such as insomnia, GI disturbance and fatigue among many rotating shift workers. The magnitude of these symptoms are influenced by personal and environmental factors and the patterns of shift work. This study was carried out to investigate the subjective symptoms related to rotational schedules of shift work after personal and environmental factors adjusted. 182 male workers in rapidly rotating shift system and 86 male workers in weekly rotating shift system were conducted the questionnaire on personal factors and subjective sleep, GI and fatigue symptoms. Major findings obtained from this study are as follows: 1. The symptoms of 'feeling tired at work' and 'being irritable' were more frequent in weekly rotating shift workers(P<0.05), and the mean of symptom score was significantly higher in weekly rotating shift workers(P<0.01). 2. According to 6 hours of sleeping which is a definite elevation point of fatigue, there was not a significant difference between two groups in sleeping hours. Among workers in rapidly rotating shift system, the mean of symptom score was significantly higher in workers of less than 6 hours of sleeping(P<0.05), but it was not different among weekly rotating shift workers. 3. The symptoms of GI disturbance were more frequent in weekly rotating shift workers but statistically mot significant. 4. The positive rate of mental and physical fatigue symptoms were significantly higher in weekly rotating shift workers(P<0.01) and mental and physical fatigue symptoms were more frequent in them(P<0.01). 5. After the effect of the factors that were significantly different between two groups by X2-test were controlled, the mean score of sleep disturbance was significantly higher in weekly rotating shift workers(P<0.01) and mental physical fatigue symptoms were more frequent in them(P<0.01). Based on these study results, subjective symptoms were more common in the weekly rotating shift workers. In future, medical examination and laboratory test will be also administered to evaluate a more accurate health outcomes and the review of current shift schedules will be required.; Summary

Minimum Optimal Scale of the Self-Employed Health insurance Programs in Korea.: Gang Won Park, Jung Un Lee, Hae Kyung Kim, Ok Ryun Moon; Korean J Prev Med. 1992;25(4):333-342.

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Abstract PDF: The purpose of this study is to estimate the minimum optimal scale(MOS) of the self-employed health insurance associations. Considering the high proportion of operating expenses, the author have selected 254 regional health insurance associations from the 1990 Finance Report of the self-employed health insurance programs. both a quadratic function and a hyperbolic function were chosen for the analysis. The dependent variables are the average maintenance cost per insured person and per household, and the independent variables are the number of insured members and of household. The minimum optimal scale was obtained from the differentiation of the quadratic function. Major findings are summarized as follows: 1. The M.O.S. was calculated as 166,174 members (27,442 households) for the rural self-employed health insurance associations and 258,462 members (75,446 households) for the urban. Providing that both the rural and urban health insurance associations would e integrated, the M.O.S. be found to become 231,687 members (68,101 households) 2. Compared with the optimal minimum scale, the magnitude of the current health insurance association found to be much smaller, less than half of the optimal scale. 3. In order to reduce the operating cost, it is necessary to enlarge the operational scale of self-employed health insurance associations.; Summary

Physician Utilization and its Determinants in Rural and Urban Slun Areas.: Jin Hee Lee, Kee Ho Ko, Yong Sik Kim, Jung Ae Rhee; Korean J Prev Med. 1988;21(2):404-418.

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Abstract PDF: The household survey was performed in a urban slum and a rural Chonnam areas to measure the level of illness and medical care utilization and to find the determinants of physician utilization. The data revealed that age-adjusted prevalence rates of acute and chronic diseases were much the same in both areas ranged between 10.0 to 11.3%. But medical care utilization was more frequent in urban slum than in rural area. The facility of the first medical contact was also different. Some personal and disease related variables including disease severity and activity restricted day were significantly, but somewhat differently by area, associated with physician utilization pattern. When applying Anderson model, the medical need factors explained 42.2 and 40.4% of physician utilization in urban slum and in rural areas respectively, while the enabling factors explained 18.0 and 12.2% and the predisposing factors explained 17.1 and 8.9% correspondingly.; Summary

A Study on the Indoor-Outdoor NO2 Levels and Personal Exposures to NO2 with Analysis of Factors Affecting the NO2 Concentrations: Centering on Urban Homes and Housewives.: Jin Ho Chun, Chae Un Lee, Joon Youn Kim, Yo Han Chung; Korean J Prev Med. 1988;21(1):132-151.

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Abstract PDF: This study was conducted to establish the control program for preventing unfavorable health effects of nitrogen dioxide(NO2) exposure in homes by preparing the fundamental data for evaluation of relationships between NO2 levels and influencing factors through measurements of indoor-outdoor NO2 levels and personal NO2 exposures for housewives with questionnaire survey on 172 homes in Pusan area from April to June, 1987. NO2 measurements were made by using diffusion tube samplers(Palmes tube NO2 sampler) for one week at 4 sites in homes ; kitchen(KIT), bedroom(BED), living room(LIV), outdoor(OUT) and near the collar housewives(personal exposure livel, PNO). The details of questionnaire were number of household members(FAM), number of regular smokers(SMOKER), daily number of meals eaten(MEAL), type of housing units(HOUSE), location of house with distance from the heavy traffic roads as walking time(DIST), and of kitchen(KAREA), kind of cooking fuels(FUEL), cooking time of each meal(CTIME), usage of kitchen fan for cooking(FAN), type of heating facilities(HEAT) and so on of subject homes. The obtained results were as follows : 1) The mean NO2 level was significantly higher at indoors than outdoors(p<0.01) and the kitchen NO2 level was the highest with 33.7+/-13.6ppb(9.5-81.5ppb). The mean personal exposure level of NO2 for housewives was 20.6+/-8.8ppb(3.1-46.9ppb). 2) The mean indoor NO2 level was significantly higher in the group of household members above 5 than below 4(p<0.05), in detached dwellings than apartments(p<0.001), within 5 minutes of distance than over 5 minutes(p<0.001), in the group of unusing fan(p<0.001), in the group of longer cooking time(p<0.001), and it was in order of coal briquette, gas, electricity and oil by kind of cooking fuels(p<0.05). 3) Variables showing significant correlation(p<0.001) with indoor NO2 level were kitchen NO2 level(r=0.8677), cooking time(r=0.5921), outdoor NO2 exposure level(r=0.4615), usage of kitchen fan(r=0.3573) and location of house(r=-0.2988). 4) As a result of multiple regression analysis, the most significant influencing variable to the kitchen NO2 level was cooking time [KIT=-0.378+/-11.772(CRIME)+0.298(OUT)+3.102(FAN)], it was kitchen NO2 level to the indoor NO2 level [IND = 6.996+0.458 (KIT) + 0.230 (OUT) - 1.127 (KAREA)], and it was indoor NO2 level to the personal NO2 exposure level [PNO=15.562+0.729(IND)-4.542(DIST)-0.200(KIT)]. 5) It was recognized that artificial ventilation in the kitchen, suppression of unnecessary combustion and replacement of cooking fuel, as much as possible, were effective means for decreasing indoor NO2 levels in homes.; Summary

English Abstract

The Usefulness of Obesity Indices for the Coronary Risk Factors in an Urban Inhabitants.: Sung Kyeong Park, Kwang Hwan Kim, Young Chae Cho; J Prev Med Public Health. 2006;39(6):447-454.

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Abstract PDF: OBJECTIVES
To determine obesity for the screening of individuals at high risk of coronary heart disease in urban areas. METHODS: Data were obtained from 4,137 adults between 19 and 85 years of age (2,372 males, 1,765 females), not recognized as taking medicines for cardiovascular diseases, who underwent a health check-up at the health promotion center of university hospitals in cities between Jan. 2003 and Dec. 2004. The variables studied were divided into two broad categories, and their relationships examined: obesity indices and risk factors for coronary heart disease. To reveal the relation between each of the obesity indices and the proportion of individuals at risk of coronary heart disease, the obesity indices were stratified and odds ratios obtained after age adjustment. RESULTS: From a gender comparison of anthropometric measures, men were found to have significantly greater heights, weights, and waist and hip circumferences than women. From a gender comparison by the obesity indices, women were found to have significantly higher BMI, %Fat, waist to hip and waist to stature ratios than men. As obesity indices, the waist to stature ratio and the waist circumference were strongly correlated with coronary risk factors, both in men and women. The age-adjusted odds ratio of coronary risk factors increased significantly with increasing waist circumference, BMI, %fat, waist to hip and waist to stature ratios, and were highest specifically for the waist to stature ratio and the waist circumference. CONCLUSIONS: The study results showed that the waist to stature ratio and the waist circumference, as obesity indices, were most closely correlated with coronary risk factors. It is suggested that the waist to stature ratio and, specifically, the waist circumference can be effectively used in the field of health management for screening those with high levels of coronary risk factors.; Summary

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