Journal of Preventive Medicine and Public Health

Original Article

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

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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

Citations to this article as recorded by

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

Review

The Protective Effect of Maternal Folic Acid Supplementation on Childhood Cancer: A Systematic Review and Meta-analysis of Case-control Studies: Wan Rosmawati Wan Ismail, Raudah Abdul Rahman, Nur Ashiqin Abd Rahman, Azman Atil, Azmawati Mohammed Nawi; J Prev Med Public Health. 2019;52(4):205-213. Published online July 2, 2019; DOI: https://doi.org/10.3961/jpmph.19.020

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Abstract PDF

Objectives
Maternal folic acid supplementation is considered mandatory in almost every country in the world to prevent congenital malformations. However, little is known about the association of maternal folic acid intake with the occurrence of childhood cancer. Hence, this study aimed to determine the effects of maternal folic acid consumption on the risk of childhood cancer.
Methods
A total of 158 related articles were obtained from PubMed, Google Scholar, Scopus, and ProQuest using standardized keywords, of which 17 were included in the final review.
Results
Eleven of the 17 articles showed a significant protective association between maternal folic acid supplementation and childhood cancer. Using a random-effects model, pooled odds ratios (ORs) showed a protective association between maternal folic acid supplementation and childhood acute lymphoblastic leukaemia (OR, 0.75; 95% confidence interval [CI], 0.66 to 0.86). However, there was no significant association between maternal folic acid supplementation and acute myeloid leukaemia (OR, 0.70; 95% CI, 0.46 to 1.06) or childhood brain tumours (OR, 1.02; 95% CI, 0.88 to 1.19).
Conclusions
Maternal folic acid supplementation was found to have a protective effect against childhood acute lymphoblastic leukaemia. Thus, healthcare professionals are recommended to provide regular health education and health promotion to the community on the benefits of folic acid supplementation during pregnancy.

Summary

Citations

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Environmental risk factors of Wilms tumour: A systematic review and meta-analysis
Felix M. Onyije, Roya Dolatkhah, Ann Olsson, Liacine Bouaoun, Joachim Schüz
EJC Paediatric Oncology.2024; 4: 100178. CrossRef
Activation of progesterone receptor is essential for folic acid-regulated cancer cell proliferation and migration
Hui-Chen Wang, Yen-Nien Huo, Wen-Sen Lee
The Journal of Nutritional Biochemistry.2023; 112: 109205. CrossRef
Maternal anemia and the risk of childhood cancer: A population‐based cohort study in Taiwan
Helen T. Orimoloye, Naveen Qureshi, Pei‐Chen Lee, Chia‐Kai Wu, Chai Saechao, Noah Federman, Chung‐Yi Li, Beate Ritz, Onyebuchi A. Arah, Julia E. Heck
Pediatric Blood & Cancer.2023;[Epub] CrossRef
Risk factors of childhood cancer in Armenia: a case-control study
Manushak Avagyan, Anahit Demirchyan, Lusine Abrahamyan
BMC Cancer.2023;[Epub] CrossRef
One-Carbon (Folate) Metabolism Pathway at Birth and Risk of Childhood Acute Lymphoblastic Leukemia: A Biomarker Study in Newborns
Catherine Metayer, Partow Imani, Sandrine Dudoit, Libby Morimoto, Xiaomei Ma, Joseph L. Wiemels, Lauren M. Petrick
Cancers.2023; 15(4): 1011. CrossRef
Pediatric myelodysplastic syndrome
Stephen Babcock, Katherine R. Calvo, Robert P. Hasserjian
Seminars in Diagnostic Pathology.2023; 40(3): 152. CrossRef
Folate Supplementation in Women with Pre-Existing Diabetes
Nayomi Perera, Victoria L. Rudland, David Simmons, Sarah A. L. Price
Nutrients.2023; 15(8): 1879. CrossRef
Role of Maternal Diet in the Risk of Childhood Acute Leukemia: A Systematic Review and Meta-Analysis
Jessica Blanco-Lopez, Isabel Iguacel, Silvia Pisanu, Claudia Almeida, Eva Steliarova-Foucher, Ciska Sierens, Marc Gunter, Elena Ladas, Ronald Barr, Koen Van Herck, Inge Huybrechts
International Journal of Environmental Research and Public Health.2023; 20(7): 5428. CrossRef
Prevention and Health Benefits of Prebiotics, Probiotics and Postbiotics in Acute Lymphoblastic Leukemia
Adrian Martyniak, Zuzanna Zakrzewska, Magdalena Schab, Aleksandra Zawartka, Andrzej Wędrychowicz, Szymon Skoczeń, Przemysław J. Tomasik
Microorganisms.2023; 11(7): 1775. CrossRef
Maternal dietary patterns and acute leukemia in infants: results from a case control study in Mexico
Paloma Muñoz-Aguirre, Edgar Denova-Gutiérrez, María Luisa Pérez-Saldivar, Laura E. Espinoza-Hernández, Elisa M. Dorantes-Acosta, José R. Torres-Nava, Karina A. Solís-Labastida, Rogelio Paredes-Aguilera, Martha M. Velázquez-Aviña, R. Martha Espinosa-Elizon
Frontiers in Nutrition.2023;[Epub] CrossRef
Environmental Risk Factors for Childhood Acute Lymphoblastic Leukemia: An Umbrella Review
Felix M. Onyije, Ann Olsson, Dan Baaken, Friederike Erdmann, Martin Stanulla, Daniel Wollschläger, Joachim Schüz
Cancers.2022; 14(2): 382. CrossRef
A brief review on the recent achievements in electrochemical detection of folic acid
Marzieh Alizadeh, Fariba Garkani Nejad, Zahra Dourandish, Somayeh Tajik, Fatemeh Karimi, Peyman Mohammadzadeh Jahani, Abbas Aghaei Afshar, Reza Zaimbashi, Iran Sheikhshoaie, Hadi Beitollahi
Journal of Food Measurement and Characterization.2022; 16(5): 3423. CrossRef
Directive clinique no427 : Suppléments d’acide folique et multivitamines en prévention des anomalies congénitales sensibles à l’acide folique
R. Douglas Wilson, Deborah L. O’Connor
Journal of Obstetrics and Gynaecology Canada.2022; 44(6): 720. CrossRef
Guideline No. 427: Folic Acid and Multivitamin Supplementation for Prevention of Folic Acid–Sensitive Congenital Anomalies
R. Douglas Wilson, Deborah L. O’Connor
Journal of Obstetrics and Gynaecology Canada.2022; 44(6): 707. CrossRef
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Ivon Diah Wittiarika, Agus Sulistyono, Budi Prasetyo, Lunardhi Susanto, Rize Budi Amalia, Erni Rosita Dewi
Research Journal of Pharmacy and Technology.2022; : 3645. CrossRef
The effect of a Maternal Mentoring Programme on Pregnancy Readiness among Indonesian Women: Results of a Cluster Randomised Control Trial
Siti Nurunniyah, Detty Siti Nurdiati, Madarina Julia, Emma Clare Lewis, Hamam Hadi
Africa Journal of Nursing and Midwifery.2022;[Epub] CrossRef
Environmental Risk Factors for Childhood Central Nervous System Tumors: an Umbrella Review
Thanh T. Hoang, Elizabeth Whitcomb, Erin E. Reardon, Logan G. Spector, Philip J. Lupo, Michael E. Scheurer, Lindsay A. Williams
Current Epidemiology Reports.2022; 9(4): 338. CrossRef
Association of MTHFR 677C > T, 1298A > C and MTR 2756A > G Polymorphisms with Susceptibility to Childhood Retinoblastoma: A Systematic Review and Met-Analysis
Mohsen Gohari, Mansour Moghimi, Hossein Aarafi, Ahmad Shajari, Jamal Jafari-Nedooshan, Mohammad Hosein Lookzadeh, Seyed Reza Mirjalili, Hossein Neamatzadeh
Fetal and Pediatric Pathology.2021; 40(6): 612. CrossRef
Physiological Need for Calcium, Iron, and Folic Acid for Women of Various Subpopulations During Pregnancy and Beyond
LaVerne L. Brown, Barbara E. Cohen, Emmeline Edwards, Courtney E. Gustin, Zara Noreen
Journal of Women's Health.2021; 30(2): 207. CrossRef
Is Supplementation with Micronutrients Still Necessary during Pregnancy? A Review
Sonia Santander Ballestín, Marta Isabel Giménez Campos, Jara Ballestín Ballestín, María José Luesma Bartolomé
Nutrients.2021; 13(9): 3134. CrossRef
Maternal folic acid and multivitamin supplementation: International clinical evidence with considerations for the prevention of folate-sensitive birth defects
R.D. Wilson, D.L. O'Connor
Preventive Medicine Reports.2021; 24: 101617. CrossRef
Risk Factors for Childhood Leukemia: Radiation and Beyond
Janine-Alison Schmidt, Sabine Hornhardt, Friederike Erdmann, Isidro Sánchez-García, Ute Fischer, Joachim Schüz, Gunde Ziegelberger
Frontiers in Public Health.2021;[Epub] CrossRef
Determination of Folic Acid in Food by Differential Pulse Voltammetry with ZnO@GO Nanocomposites Modified Glassy Carbon Electrode
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International Journal of Electrochemical Science.2021; 16(1): 150922. CrossRef

Special Article

Overview of the Burden of Diseases in North Korea: Yo Han Lee, Seok-Jun Yoon, Young Ae Kim, Ji Won Yeom, In-Hwan Oh; J Prev Med Public Health. 2013;46(3):111-117. Published online May 31, 2013; DOI: https://doi.org/10.3961/jpmph.2013.46.3.111

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Abstract PDF

This article evaluates the overall current disease burden of North Korea through the recent databases of international organizations. It is notable that North Korea as a nation is exhibiting a relatively low burden from deaths and that there is greater burden from deaths caused by non-communicable diseases than from those caused by communicable diseases and malnutrition. However, the absolute magnitude of problems from communicable diseases like TB and from child malnutrition, which will increase the disease burden in the future, remains great. North Korea, which needs to handle both communicable and nutritional conditions, and non-communicable diseases, whose burden is ever more increasing in the nation, can now be understood as a country with the 'double-burden' of disease.

Summary

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Trends and patterns of North Korea’s disease burden from 1990 to 2019: Results from Global Burden of Disease study 2019
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PLOS ONE.2022; 17(11): e0277335. CrossRef
Non-Communicable Diseases and Transitioning Health System in the Democratic People’s Republic of Korea during COVID-19 Lockdown
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Prediction of cardiovascular diseases mortality- and disability-adjusted life-years attributed to modifiable dietary risk factors from 1990 to 2030 among East Asian countries and the world
Nawsherwan, Wang Bin, Zhang Le, Sumaira Mubarik, Guo Fu, Yan Wang
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Trend of Disease Burden of North Korean Defectors in South Korea Using Disability-adjusted Life Years from 2010 to 2018
Keun A Kim, Yoon-Sun Jung, Chae-Bong Kim, Ki-Beom Kim, Seok-Jun Yoon
Journal of Korean Medical Science.2021;[Epub] CrossRef
Global estimated Disability-Adjusted Life-Years (DALYs) of diarrheal diseases: A systematic analysis of data from 28 years of the global burden of disease study
Natacha U. Karambizi, Christopher S. McMahan, Carl N. Blue, Lesly A. Temesvari, Srinivas Goli
PLOS ONE.2021; 16(10): e0259077. CrossRef
Surgical Diseases in North Korea: An Overview of North Korean Medical Journals
Sejin Choi, Taehoon Kim, Soyoung Choi, Hee Young Shin
International Journal of Environmental Research and Public Health.2020; 17(24): 9346. CrossRef
Perceptions of the Osteopathic Profession in New York City's Korean Communities
Justin Chin, DO, Haeinn Woo, OMS-IV, Diane Choi, OMS-III, Emily Dube, MS, Mikhail Volokitin, MD, DO, Christine Lomiguen, MD
Osteopathic Family Physician.2020; 13(1): 12. CrossRef
Epidemiology survey of infectious diseases in North Korean travelers, 2015–2017
Pengyu Han, Yanxia Teng, Xiuxin Bi, Jinge Li, Dianxing Sun
BMC Infectious Diseases.2019;[Epub] CrossRef
Underestimated Burden: Non-Communicable Diseases in North Korea
Shin Ha, Yo Han Lee
Yonsei Medical Journal.2019; 60(5): 481. CrossRef
Frequently covered diseases in North Korean internal medicine journal Internal Medicine [Naegwa]—Secondary publication
Shin Ha, Yo Han Lee
Science Editing.2019; 6(2): 99. CrossRef
Infectious disease risks among refugees from North Korea
Hiroshi Nishiura, Hyojung Lee, Baoyin Yuan, Akira Endo, Andrei R. Akhmetzhanov, Gerardo Chowell
International Journal of Infectious Diseases.2018; 66: 22. CrossRef
The life expectancy gap between North and South Korea from 1993 to 2008
Jinwook Bahk, Majid Ezzati, Young-Ho Khang
European Journal of Public Health.2018; 28(5): 830. CrossRef
The Status and Distinct Characteristics of Endocrine Diseases in North Korean Articles Published between 2006 and 2015
Kyeong Jin Kim, Shin Ha, Yo Han Lee, Jung Hyun Noh, Sin Gon Kim
Endocrinology and Metabolism.2018; 33(2): 268. CrossRef
A Program to Treat Hepatitis B in North Korea: A Model of Antiviral Therapy in a Resource-Poor Setting
Alice Unah Lee, Heidi Linton, Marcia Kilsby, David C. Hilmers
Gut and Liver.2018; 12(6): 615. CrossRef
Fighting Hepatitis B in North Korea: Feasibility of a Bi-modal Prevention Strategy
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Journal of Korean Medical Science.2015; 30(11): 1584. CrossRef
The social and political construction of health-care systems – historical observations from selected countries in Asia
John Grundy, Elizabeth Hoban, Steve Allender
Health Systems.2015; 4(2): 124. CrossRef
Public Health and International Partnerships in the Democratic People’s Republic of Korea
John Grundy, Beverley-Ann Biggs, David B. Hipgrave
PLOS Medicine.2015; 12(12): e1001929. CrossRef
North Korea: a challenge for global solidarity
Espen Bjertness, Ahmed Ali Madar
The Lancet.2014; 383(9926): 1381. CrossRef

Original Articles

Timing of Menarche and Physical Growth during Childhood and Adolescence: The Kangwha Study.: Chang Soo Kim, Chung Mo Nam, Duck Hi Kim, Hyun Chang Kim, Kang Hee Lee, Sun Ha Jee, Il Suh; Korean J Prev Med. 2000;33(4):521-529.

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Abstract PDF: OBJECTIVES
To assess height, weight and body mass index from childhood to adolescence according to the age at menarche and hence to study the influence of childhood growth on the menarche age. METHODS: "The Kangwha Study" was a community-based prospective cohort study which included the entire population of 219 female first graders in Kangwha county in 1986. Among the 219 girls, 119 girls who had received complete follow up checks during the study period(1986~1997), were included in this study, except one for whom menarche age information was unavailable. The remaining 118 girls were divided into three groups according to the timing of menarche : early(<25 percentile), intermediate and late(> or =75 percentile) maturers. RESULTS: The average age at menarche was 12.7 years : early 11.3 years, intermediate 12.6 years and late 13.7 years. The early maturers were taller and heavier between 6~8 years. But, the mean weight and body mass index at the menarche age did not differ statistically among the three groups. The weight and body mass index of the early maturers were consistently higher than those of the late maturers over the entire period of the study. CONCLUSIONS: Critical body weight and body mass index must be attained for menstruation to be attained and the age at menarche is largely determined by the childhood growth. In addition, it seems that childhood growth and age at menarche are associated with adolescent weight and body mass index.; Summary

Prediction Equations for FVC and FEV1 among Korean Children Aged 12 Years.: Jong Won Kang, Yeong Su Ju, Joohon Sung, Soo Hun Cho; Korean J Prev Med. 1999;32(1):60-64.

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Abstract PDF: OBJECTIVES
Changes in lung function are frequently used as biological markers to assess the health effects of criteria air pollutants. We tried to formulate the prediction models of pulmonary functions based on height, weight, age and gender, especially for children aged 12 years who are commonly selected for the study of health effects of the air pollution. METHODS: The target pulmonary function parameters were forced vital capacity(FVC) and forced expiratory volume in one second(FEV1). Two hundreds and fifity-eight male and 301 female 12-year old children were included in the analysis after excluding unsatisfactory tests to the criteria recommended by American Thoracic Sosiety and excluding more or less than 20% predicted value by previous prediction equations. The weight prediction equation using height as a independent variable was calculated, and then the difference of observed weight and predicted weight (i.e. residual) was used as the independent variable of pulmonary function prediction equations with height. RESULTS: The prediction equations of FVC and FEV1 for male are FVC(ml) = 50.84 x height(cm) + 7.06 x weight residual - 4838.86, FEV1(ml) = 43.57 x height(cm) + 3.16 x weight residual - 4156.66, respectively. The prediction equations of FVC and FEV1 for female are FVC(ml) = 42.57 x height(cm) + 12.50 x weight residual - 3862.39, FEV1(ml) = 36.29 x height(cm) + 7.74 x weight residual - 3200.94, respectively.; Summary

Factors influencing weight control behavior and intention of obese children and adolescents.: Yunju Kang, Myongsei Sohn, Kinam Jin, HanJoong Kim, Heechoul Ohr, Sungjae Shin; Korean J Prev Med. 1998;31(2):199-214.

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Abstract PDF: This study was undertaken to explain weight control behavior and intention of obese children and adolescents as measured by the elements of the health belief model. A total of 732 obese students from 28 schools in Seoul metropolitan area and their mothers were assessed with a self-administered questionnaire. The analyzed results are as follows; l. Among obese students, 45.3% of male students and 57.2% of female students, a significantly higher portion than male students, reported that they had tried to lose weight within the recent year. Exercise was the most frequently used method to lose weight followed by diet control, drug use, and specialized clinic visits, in descending order. 2. Male students were more likely to try to lose weight if they perceived a low threat level and their mother had a job, and female students were more likely to try to lose weight if they were younger in age, perceived a low threat level and had strong external motivating factors. 3. Female students showed a significantly higher level of intention to obesity control than male students, and the intention level of their mothers also showed the same trend. 4. In male students, the degree of weight dissatisfaction, weight control experience, the level of obesity related beliefs of students, the educational level of the mother and economic status of the family were significant predictors of intention to obesity control, and in females, age, the level of obesity related beliefs of students and intention of their mothers were significant. In the mothers of male students, obesity index of students, age of the mother and the level of obesity related beliefs of the mother were significant predictors of intention of the mother, and in the mothers of female students, obesity index of students, occupational status of the mother and obesity related beliefs of the mother were significant. 5. According to the path model of intention to obesity control, the degree of weight dissatisfaction had the most powerful effect in male students, and perceived net benefit level was the most important variable in female students. Since the weight control behavior and intention of obese students were more predictable by the degree of weight dissatisfaction than the obesity index, we can conclude that only the students dissatisfied with their weight are well motivated for obesity control. There can be a discrepancy between the mother and her child's beliefs and intention status(especially in male students), so the therapists should also assess the student's opinion as well as the mother's. In female students, the perceived net benefit level was the most important predictor of intention to obesity control, therefore the intervention program should pay particular attention to the positive benefits of weight control rather than negative aspects(threats) of obesity.; Summary

Completeness Estimation of the Korean Medical Insurance Data in Childhood Asthma.: M N Ha, H J Kwon, D H Kang, S H Cho, K Y Yoo, Y S Joo, J H Sung, J W Kang, D S Kim, S I Lee; Korean J Prev Med. 1997;30(2):428-436.

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Abstract PDF: OBJECTIVES
: The purpose of this paper is to estimate the completeness of the Korean Medical Insurance Data in childhood asthma. METHODS : Capture-recapture method was used to estimate the prevalence of childhood asthma and case ascertainment rate(completeness) of Korean Medical Insurance Data using two source model, 'Korean Medical Insurance Committee Data (KMICD)' and 'Nationwide Study of Asthma and Allergies in Korean Children'. The asthma cases were restricted to those who were born from 1981 to 1989 and were identified by their Resident Register Number. Asthma cases in Korean Medical Insurance Data were defined as cases coded by ICD-9 493 and ICD-10 J45. In 'Nationwide Study of Asthma and Allergies in Korean Children', asthma cases were defined as the children who had been diagnosed asthma and had experienced symptoms of asthma during the past 12 months. The defined cases in two data sources were matched by 13 digits Resident Register Number. The numbers of matched patients in two data sources were 245 of 32,825 eligible total subjects. Chapman and Wittes' nearly unbiased estimation was used for capture-recapture analysis of two data sources. RESULTS : Observed prevalence rate of childhood asthma was 5.3% and estimated prevalence rate by capture-recapture analysis was 11.6%. The highest prevalence rate was observed in 6-7 age group and the older the rate decreased. The completeness (the proportion of cases ascertained by KMICD to the total observed cases by two data sources) was 20.6%, and ranged from 10.8% to 28.8% by area. CONCLUSIONS : Invalid diagnosis of cases might overestimate the prevalence of childhood asthma and might underestimate the completeness of Korean Medical Insurance Committee Data in this study; Summary

Tracking of blood pressure during childhood.: Soon Young Lee, Il Seo, Jeung Mo Nam; Korean J Prev Med. 1991;24(2):161-170.

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Abstract PDF: The purpose of this study is to find the tracking blood pressure in primary school-age children. A follow-up study was conducted from 1986 to 1990 on 330 first grade children attending primary schools in Kangwha County, Kyungki-Do. Basically we employed a linear regression model with random coefficients to figure out the relation between blood pressure changes and initial blood pressure. We obtained the following results; 1. The mean blood pressures were increased grade went up in both sexs and were generally higher in female than male except for the systolic blood pressure at first grade. The size of difference was about 0.8 mmHg in mean systolic blood pressure and 1.5 mmHg in mean diastolic blood pressure. 2. The average annual increasing rates of systolic blood pressure were 2.5 mmHg in male and 3.1 mmHg in female respectively. For the diastolic blood pressure IV the average annual increasing rates were observed to be 3.0 mmHg in male and 2.9 mmHg in female respectively. Increasing rate of systolic blood pressure was significantly higher in female than male. 3. The adjusted regression coefficient of systolic blood pressure change on initial value was -0.11 in male and -0.13 in female and that coefficient of diastolic blood pressure change on initial value was -0.01 in male and -0.11 in female. This result shows that children with higher initial blood pressure do not pick up their blood pressure faster than others with lower initial blood pressure. There is no evidence of tracking of blood pressure in children. It is essential to find the earliest age having the tracking of blood pressure and we leave it for the further study.; Summary

Causes of Childhood Injuries Observed at the Emergency Rooms of Five Hospitals in Taegu.: Jung Han Park, Yeong Sook Bae; Korean J Prev Med. 1988;21(2):224-237.

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Abstract PDF: To determine the causes of and related factors to childhood injuries, the emergency room records and inpatient medical records were reviewed for 4,849 injured children out of 15,790 pediatric patients(<15 years old) who visited the emergency rooms of 3 university hospitals and 2 general hospitals in Taegu from 1 January to 31 December 1987. Out of total injured children, 54.6% were 3-8 years old and the male to female ratio of the total injured children was about 2 : 1. The leading causes of injury were falls and slips (29.1%) and traffic accident(28.2%). The frequency of injury was higher in May-October than the rest of months and 51.6% of the injuries occurred between 15 and 20 o'clock. Falls and slips took place most frequently at the stairway(25.7%). The most common interpersonal violence was inflicted injuries(85.6%) and there were 11 child rapes. Dog bites accounted for 67.6% of all biting injuries and it occurred 2.9 times more in male than in female. CO intoxication was the most common cause of poisoning (45.3%) and scalding accounted for 85.2% of all burns. Common places of drownings were river (32.2%), swimming pool (22.6%) and construction site(19.3%). To prevent childhood injuries, it is recommended to eliminate the hazardous environmental factors, to provide safe playgrounds, to educate the children for safety from kindergarten and the general public through mass communication, to establish a strict safety standard for houses, public buildings and facilities, and playgrounds.; Summary

English Abstract

Relationship between the Exposure to Ozone in Seoul and the Childhood Asthma-related Hospital Admissions according to the Socioeconomic Status.: Ji Young Son, Ho Kim, Jong Tae Lee, Sun Young Kim; J Prev Med Public Health. 2006;39(1):81-86.

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Abstract PDF: BACKGROUND
A number of studies have reported associations between the ambient air pollution concentrations and various health outcomes. Especially, ozone is well known for primary risk factor of asthma attacks. The results of a recent study indicate that the size of the effect on health outcomes due to air pollution varied according to several conditions, including age, gender, race and the socioeconomic status. Therefore, this study was conducted to examine the associations of ozone with the childhood asthma hospitalizations as stratified by the socioeconomic status (SES) at the community level in Seoul, Korea, 2002. METHODS: SES at aggregated levels was measured on the basis of average regional health-insurance rate per citizen in the area. We applied the generalized additive model to analyze the effect of ozone on asthma after controlling for the potential confounding variables that were capable of influencing the results. RESULTS: Our analysis showed that the number of children who were hospitalized for asthma increased as the SES of the residence area decreased. The estimated relative risks of hospitalization for asthma, as stratified by the SES of the community level, were 1.12 (95% confidence interval 1.00-1.25) in districts with the highest SES levels, 1.24 (95% CI=1.08-1.43) within the moderate SES levels, and 1.32 (95% CI=1.11-1.58) in the districts with the lowest SES levels. CONCLUSIONS: Our analysis showed that exposure to air pollution did not equally affect the health status of individuals. This suggests that not only the biological-sensitivity markers, but also the SES of the subjects should be considered as potentially confounding factors.; Summary

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