• Journal of the Korean Geographical Society
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• v.46 no.2
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• pp.212-232
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• 2011

The main objective of this study is to establish a population projection method based on the biregional cohort-component method and to apply it to population projections for Busan. Some drawbacks of using the net migration cohort-component method in a regional or local level population projection are demonstrated. A biregional cohort-component method, a variant of the interregional cohort-component method, is established as an alternative where in-migration and out-migration are separately considered and then are combined to produce a projection for the migration component. Predicated on the established method, population projections for Busan are undertaken for the period of 2005~2030 under three different scenarios. Considerably different projection results are obtained between the net migration and biregional methods; among others, the trend of population decline is more severe in the former than in the latter. An investigation of the temporal trend of the projected population shows that the proposed method is highly reasonable. In conclusion, the proposed method based on the biregional cohort-component method seems not only to be theoretically more robust than the net migration cohort-component method but also to be very effective in the real world application.

• Journal of the Korean Geographical Society
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• v.47 no.1
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• pp.98-120
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• 2012

The main objective of this study is to conduct subnational population projections of Korea based on a multiregional cohort-component method. This objective is accomplished by: (i) establishing a viable framework to implement the multiregional cohort-component method with reference to the Markov chain model and Rogers' multiregional population projection model; (ii) applying the established framework to subnational population projections of Korea, 2005~2030. The main results are twofold. First, the proposed method turns out to be highly valid in a methodological sense, which is seen from a high level of coincidence between the estimated and the observed. Second, the projection results turn out to be highly useful in the sense that interregional migration flow matrices are resulted for projection periods. The projected migration flows are expected to provide invaluable information for an understanding of future population change and for a formulation of policy alternatives. This study is strongly inspired by the multiregional perspective emphasizing the evolution of multiple regional populations interconnected by interregional migration flows rather than the overall national change.

• The Journal of Korean Academy of Prosthodontics
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• v.58 no.3
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• pp.193-200
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• 2020

Purpose: To investigate the relationship between dementia and complete tooth loss on both sides or one side using large demographic data. Materials and methods: A retrospective cohort study was designed using the National Health Insurance Service-Elderly Cohort Database (NHIS-ECD) which was established for people over the age of 60. The experimental group was the complete edentulous cohort, which had a history of treatment for national health insurance covered complete denture on both sides or one side from July 1, 2012 to December 31, 2013. And the control group was the dentulous cohort, which had a history of conservative dental treatment for the same period. All subjects had no history of diagnosis or treatment of dementia during this time. These cohorts were matched 1:1 by age, gender, and place of residence according to the propensity score matching method. Then the incidence of dementia was compared between these cohorts. Results: Compared with those groups, the incidence of dementia was significantly higher in the experimental group (12.13%) than in the control group (9.74%) (P<.05). No clear association between other factors has been identified. Conclusion: The analysis of large-scale demographic data shows that the incidence of dementia is high in complete edentulous patients on both sides or one side.

• Korean Journal of Psychosomatic Medicine
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• v.32 no.1
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• pp.43-51
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• 2024

Objectives : This study aims to explore the prevalence of depressive symptoms among elderly residents in the relatively stable rural areas of Jeju and to examine the relationships between levels of depression, sociodemographic factors, and health habits. Methods : The study site was within rural Jeju, where elderly individuals aged 65 and older were randomly selected from the 'Agricultural Cohort' registered at the Centers for Farmers' Safety and Health Center. Trained interviewers conducted surveys using the Short Form Geriatric Depression Scale (sGDS-K), defining those with scores of 6 or above as experiencing depressive symptoms for the analysis. Other variables such as sex, age, educational level, marital status, annual income, subjective health status, underlying disease, perceived stress levels, smoking, and drinking status were also recorded Results : Out of 533 subjects, the prevalence of depressive symptoms was 35.3%, with 28.5% in male and 45.6% in female (p<0.001). Factors significantly associated with the prevalence of depressive symptoms included marital status (p=0.014), educational level (p<0.001), annual income (p=0.034), subjective health status (p<0.001), perceived stress level (p<0.001), feeling of despair (p<0.001) and suicidal ideas (p<0.001). Multivariate logistic regression analysis revealed that subjective health status, perceived stress level, and feelings of despair were associated with the prevalence of depressive symptoms. Conclusions : The high prevalence of depressive symptoms among the rural elderly in Jeju highlights the need for targeted mental health interventions. Addressing sociocultural factors and improving early detection and intervention strategies can help reduce the socioeconomic impact of depression in this population.

• Tuberculosis and Respiratory Diseases
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• v.63 no.5
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• pp.405-411
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• 2007

Background: The objective of this study was to evaluate the clinical applicability of the repeatability criteria recommended by the American Thoracic Society/European Respiratory Society (ATS/ERS) spirometry guidelines and to determine which factors affect the repeatability of spirometry in Korean adults. Methods: We reviewed the spirometry data of 4,663 Korean adults from the Korean National Health and Nutritional Examination Survey (KNHANES) Chronic Obstructive Pulmonary Disease Cohort (COPD cohort) and the Community-based Cohort Study VI-Fishing village/Islands (community cohort). We measured the anthropometric factors and differences between the highest and second-highest FVC (dFVC) and $FEV_1$ ($dFEV_1$) from prebronchodilator spirometry. Analyses included the distribution of dFVC and $dFEV_1$, comparison of the values meeting the 1994 ATS repeatability criteria with the values meeting the 2005 ATS/ERS repeatability criteria, and the performance of linear regression for evaluating the influence of subject characteristics and the change of criteria on the spiro-metric variability. Results: About 95% of subjects were able to reproduce FVC and $FEV_1$ within 150 ml. The KNHANES based on the 1994 ATS guidelines showed poorer repeatability than the COPD cohort and community cohort based on the 2005 ATS/ERS guidelines. Demographic and anthropometric factors had little effect on repeatability, explaining only 0.5 to 3%. Conclusion: We conclude that the new spirometry repeatability criteria recommended by the 2005 ATS/ERS guidelines is also applicable to Korean adults. The repeatability of spirometry depends little on individual characteristics when an experienced technician performs testing. Therefore, we suggest that sustained efforts for public awareness of new repeatability criteria, quality control of spirograms, and education of personnel are needed for reliable spirometric results.