• Title/Summary/Keyword: Health Risk

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Risk Perceptions of Noncommunicable Diseases among Cambodian Adults: A Cross-Sectional Study

  • Bae, Sung-Heui;Hwang, Oknam;Jeong, Jieun;Yang, Youngran
    • Research in Community and Public Health Nursing
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    • v.33 no.2
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    • pp.259-268
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    • 2022
  • Purpose: In Cambodia, noncommunicable diseases (NCDs) account for 64% of all deaths. A lack of risk perception of NCDs leads to poor measures of their prevention and management. This study aimed to investigate Cambodians' risk perceptions of NCDs based on the health belief model. Methods: A cross-sectional design was used, and using convenience sampling, participants included 200 Cambodians aged 40 years or older. A face-to-face administered structured questionnaire was used to assess demographic characteristics, health behaviors, and risk perceptions of NCDs. Results: Of the constructs of NCD risk perception, perceived severity (88.2%) and benefits (86.3%) were high, but relative to these, perceived cues to action (64.1%), barriers (63.5%), and self-efficacy (58.1%) were low. Conclusion: It is important to improve perceived self-efficacy in government health promotion, outreach, and improvement programs and to reduce perceived barriers through medical tests either by facility-based delivery or via outreach health services in Cambodia.

Human Risk Assessment for Exposure to Heavy Metals within Finishing Materials of Playground Facilities for Children in Gwangju (광주지역 어린이 놀이시설 마감재의 중금속 노출에 의한 인체 위해성평가)

  • Sang-Hoon Yoon;So-Young Kim;Eun Cho;Tae-Hui Nam;Jin-Hwan Park;Hwa-Jin Kong;Ki-Won Lee;Gwang-Yeob Seo;Jeong-Hun Park;Kyoung-Woo Min
    • Journal of Environmental Health Sciences
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    • v.50 no.2
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    • pp.146-156
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    • 2024
  • Background: Children who use playground facilities are exposed to potential risks due to the high concentration of heavy metals contained in the finishing materials of facilities in children's playgrounds. Objectives: The purpose of this study was to investigate the concentration of heavy metals in the finishing materials of outdoor children's playgrounds where harmful heavy metals exist in Gwangju and to conduct human risk assessment for children and adults by age to find the risks and limitations. Methods: The bottom and top layers of double-painted paint were peeled off and collected together from the finishing materials of children's play facilities such as slides, swings, and seesaws in 147 children's parks in Gwangju. Heavy metals were analyzed using ICP-OES, etc., and human risk assessment was performed using the concentrations of heavy metals. Results: Based on 1.0E-04, which requires legal regulation, CTE was found to pose a carcinogenic risk for preschool children and no carcinogenic risk for the rest of the age groups. However, RME showed that both men and women of all ages had a carcinogenic risk. For reference, when the carcinogenic risk was based on 1.0E-06, CTE was found to pose a carcinogenic risk from infants to elementary school students, and RME was found to have a carcinogenic risk in all age groups. It was judged that there is a non-carcinogenic risk if the non-carcinogenic risk exceeds 1 based on the hazard index (HI) 1. In CTE, there was no non-carcinogenic risk, and RME for preschooler males (1.49E+00) and females (1.56E+00) were found to have non-carcinogenic risk. Conclusions: This study was meaningful in that it examines the differences in the current management of heavy metals concentration standards and potential carcinogenic and non-carcinogenic risks to the human body and discusses the relationship between heavy metals and human health effects.

Noncommunicable Diseases: Current Status of Major Modifiable Risk Factors in Korea

  • Kim, Hyeon Chang;Oh, Sun Min
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.4
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    • pp.165-172
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    • 2013
  • A noncommunicable disease (NCD) is a medical condition or disease that is by definition non-infectious and non-transmissible among people. Currently, NCDs are the leading causes of death and disease burden worldwide. The four main types of NCDs, including cardiovascular disease, cancer, chronic lung disease, and diabetes, result in more than 30 million deaths annually. To reduce the burden of NCDs on global health, current public health actions stress the importance of preventing, detecting, and correcting modifiable risk factors; controlling major modifiable risk factors has been shown to effectively reduce NCD mortality. The World Health Organization's World Health Report 2002 identified tobacco use, alcohol consumption, overweight, physical inactivity, high blood pressure, and high cholesterol as the most important risk factors for NCDs. Accordingly, the present report set out to review the prevalence and trends of these modifiable risk factors in the Korean population. Over the past few decades, we observed significant risk factor modifications of improved blood pressure control and decreased smoking rate. However, hypertension and cigarette smoking remained the most contributable factors of NCDs in the Korean population. Moreover, other major modifiable risk factors show no improvement or even worsened. The current status and trends in major modifiable risk factors reinforce the importance of prevention, detection, and treatment of risk factors in reducing the burden of NCDs on individuals and society.

Exposure and Risk Assessment of Nitrogen Dioxide and Ozone for Sub-population Groups using Monte-Carlo Simulations (Monte-Carlo 모의실험을 통한 부분 인구집단별 이산화질소와 오존의 노출 및 위해성 평가)

  • Park, Jinhyeon;Ryu, Hyeonsu;Yang, So Young;Park, Yunkyung;Heo, Jung;Kim, Eunchae;Choe, Youngtae;Cho, Mansu;Yang, Wonho
    • Journal of Environmental Health Sciences
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    • v.45 no.2
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    • pp.113-125
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    • 2019
  • Objectives: Although the risk assessments for nitrogen dioxide ($NO_2$) and ozone ($O_3$) have been extensively studied, most of the existing risk assessments were limited mainly to indoor environments such as workplaces, schools, and multi-use facilities. Therefore, integrated risk assessment is needed to consider exposure in all microenvironments, including outdoors. The purpose of this study was to assess the differences in risk among sub-population groups according to time-activity patterns and reported concentrations, as well as the lifetime risk of Koreans. Methods: In this study, we estimated time-weighted average exposure concentrations of $NO_2$ and $O_3$ for preschool children, students, housewives, workers, and seniors using residential time and indoor concentrations (house, school or workplace, other), outdoors, and transport by meta-analysis method. The risk for $NO_2$ and $O_3$ were assessed by hazard quotient using reference concentrations 30 and 60 ppb, respectively. The risk assessments were conducted through 1,000,000 Monte-Carlo simulations for probabilistic analysis. Results: Preschool children, students, housewives, workers, and seniors spent 91.9, 86.0, 79.8, 82.2, and 77.3% of their day in a house, school, or workplace, respectively. The risk assessment for the lifetime of a housewife and a worker showed that 33.8 and 28.4% of hazard quotients of $NO_2$ exceed 1, respectively, and more than 99% of hazard quotient of $O_3$ were less than 1. Conclusions: The risk of $NO_2$ and $O_3$ by sub-population group and for the lifetime of housewives and workers were assessed. The risk for $NO_2$ was higher than for $O_3$ and showed a different risk by sub-population group. Both $NO_2$ and $O_3$ showed a higher risk for housewives than for workers. This study can be used as a basis for lifetime exposure and risk assessment for $NO_2$ and $O_3$.

Factors Influencing Health Behavior Related to Particulate Matter in Older Adults (노인의 미세먼지 관련 건강행위와 영향요인)

  • Park, Min Kyung;Kim, Gwang Suk
    • Journal of Korean Academy of Nursing
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    • v.50 no.3
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    • pp.431-443
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    • 2020
  • Purpose: This study aimed to investigate health behavior related to particulate matter (PM) in older adults and examine the factors affecting it. Methods: A cross-sectional survey design was used. Data were collected from 150 voluntary older adult participants from Songpa-gu in Seoul. The survey questions measured service perception and experience related to PM, risk perception related to PM, attitude toward risk of PM, and health behavior related to PM. Results: The average score for health behavior related to PM was 79.37, ranging from 51 to 115. There was a significant positive correlation between health behavior related to PM and risk perception related to PM (r=.58, p<.001) as well as between health behavior related to PM and attitude toward risk of PM (r=.70, p<.001). Multiple linear regression revealed that health behavior related to PM was predicted by levels of the existence of disease related to PM (β=.14, p=.019), service experience related to PM (β=.20, p=.021), risk perception related to PM (β=.20, p=.019), and attitude toward risk of PM (β=.44, p<.001). The model including these variables accounted for 47.0% of health behavior related to PM. Conclusion: Korean older adults have the low level of health behavior related to PM. The findings of this study emphasize that risk perception and attitude toward risk of PM should be evaluated, and the underlying diseases related to PM and their service experience should be considered in developing intervention to improve health behavior related to PM.

Application of Matrices and Risk Assessment of Industries and Processes using DMF (DMF 취급 사업장에 대한 매트릭스 적용 및 위험성 평가 연구)

  • Ha, Kwon Chul;Park, Dong-Uk;Yoon, Chung Sik;Choi, Sang Jun;Lee, Gwang Yong;Paik, Do Hyun;Nam, Tek Hyung;Lee, Jae Hwan;Lee, Jong Keun;Jung, Eun-Kyo
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.18 no.4
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    • pp.303-309
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    • 2008
  • The reduction of risk within the workplace has long been focus of attention both through industry initiatives and legislation. Exposure matrices according to industries and processes treated DMF (N,N-Dimethylformamide) were constructed based on KOSHA (Korean Occupational Safety and Health Agency)'s 2005 exposure database which were gathered from Korean agencies of workplace hazards evaluation for business place. These exposure matrices were assessed by danger value (DV) that was calculated from combination of hazard rating, duration of use rating, and risk probability rating of exposure to chemical hazardous agents in accordance with Hallmark Risk Assessment Tool. The results of risk assessment is divided four kinds of control bands which were related with control measures. The applicability of risk assessment using exposure matrices was performed by field study and survey for high matrices group. This study found that more attentions should be paid to two industries, manufacture of sewn wearing apparel and manufacture of textiles, among 19 industries, and to 3 processes, coating, processing & mixing, and lab, among 80 processes because those were regarded as having the highest risk.

Comparative Risk Analysis for Priority Ranking of Environmental Problems (환경 문제의 우선 순위 도출을 위한 비교 위해도 분석에 관한 연구)

  • 김예신;임영욱;남정모;장재연;이동수;신동천
    • Environmental Analysis Health and Toxicology
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    • v.17 no.4
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    • pp.285-298
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    • 2002
  • In Korea, no CRA (comparative risk analysis) studies have been undertaken, nor have their methodologies of such studies been established. Therefore, the objectives of this study were to establish the framework of CRA consisting of health risk, economic risk and perceived risk, and to estimate and compare these risks among the three environmental problems of air pollution, indoor air pollution and drinking water contamination, which are themselves subject to the eight sub -problems of hazardous air pollutants (HAPs), regulated pollutants (representative as PM 10) and dioxins (PCDDs/PCDFs) in air pollution, indoor air pollutants (IAPs) and radon in indoor air pollution, and drinking water pollutants (DWPs), disinfection by -products (DBPs) and radionuclides in drinking water contamination in Seoul, Korea. After which, the priorities of these problems were set by individual and integrated risk. From the results, the rankings of both health risk and economical risk were in the following order: radon, PM10, IAPs, HAPs, DWPs, dioxins, DBPs, and radionuclides among the eight sub problems. On the contrary, the ranking of perceived risk was in the following order: HAPs, dioxins, radionuclides, PM10, DWPs, IAPs, Radon and then DBPs among the eight sub-problems.

Fall Risk in the Community-dwelling Elderly who Received Home Care Services: Focused on Residential Environment and Perception of Fall Risk (방문간호를 받는 재가노인의 낙상위험)

  • Lee, Chong Mi;Cho, Bok-Hee
    • Journal of muscle and joint health
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    • v.21 no.1
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    • pp.36-45
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    • 2014
  • Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi's residential environmental risk scale (2010) and the Hong's fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.

Do Psychological Factors Increase the Risk for Low Back Pain Among Nurses? A Comparing According to Cross-sectional and Prospective Analysis

  • Sadeghian, Farideh;Hosseinzadeh, Samaneh;Aliyari, Roqayeh
    • Safety and Health at Work
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    • v.5 no.1
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    • pp.13-16
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    • 2014
  • Background: This study assesses influences of baseline psychological risk factors on prevalence of low back pain (LBP) at baseline and follow-up among nurses. Methods: A prospective longitudinal study was performed at two phases, baseline and 1-year follow-up among 246 nurses of university hospitals in Shahroud, Iran. A standardized Cultural and Psychosocial Influences on Disability questionnaire was used for data collection. Logistic regression was performed for analysis. Results: At the baseline of the study, 58.9% of nurses reported back pain in the previous 12 months. Age (p = 0.001), belief that work causes pain (p = 0.022), and somatization tendency (p = 0.002) significantly increased risk of LBP. At 1-year follow-up, prevalence of LBP was 45.7% and expectation of back pain at baseline (p = 0.016) significantly increased risk of LBP in this phase (p < 0.05). Conclusion: Results indicate that risk factors for prevalence of back pain at baseline and 1-year follow-up are different. At baseline, the risk factors are age, belief that work causes pain, and somatization tendency, and at follow-up, expectation of pain is the major risk factor.

Effect of oral health status on risk factors for obstructive sleep apnea in middle-aged Koreans: the Korea National Health and Nutrition Examination Survey (2019) (한국 중장년층의 구강 건강 상태가 폐쇄성 수면 무호흡증 위험인자에 미치는 영향: 국민건강영양조사를 바탕으로(2019년도))

  • Kim, Yu-Rin
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.4
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    • pp.249-257
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    • 2022
  • Objectives: This study aimed to investigate the effect of the oral health status on risk factors for obstructive sleep apnea (OSA) using data from the 2019 National Health and Nutrition Examination Survey. Methods: Of a total of 2,422 persons, 1,295 and 1,127 were categorized into the control group (CG) and OSA risk group (OSARG), respectively. The effect of the oral health status on OSA risk factors was presented in Model 1 by performing a complex sample linear regression analysis. Results: Our findings showed that OSA risk factors decreased by 0.075 points when there were no speaking problems with demographic characteristics adjusted. In addition, when systemic diseases were adjusted for, OSA risk factors decreased to 0.074 points (p<0.05). Conclusions: Therefore, in order to reduce oral problems that affect OSA risk factors, dentists and dental hygienists should seek accurate recognition of OSA and effective oral care methods.