Kim, Ikhan;Bahk, Jinwook;Yoon, Tae-Ho;Yun, Sung-Cheol;Khang, Young-Ho
Journal of Preventive Medicine and Public Health
/
v.50
no.2
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pp.100-126
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2017
Objectives: The aim of this study was to measure income differences in smoking prevalence at the district level and to investigate correlations among area deprivation, smoking prevalence, and income differences in smoking prevalence, stratified by urbanity. Methods: Data were pooled from the Community Health Survey data of South Korea between 2008 and 2014. The age-standardized prevalence of smoking and its interquintile income differences were calculated. We conducted correlation analyses to investigate the association of the deprivation index with smoking prevalence and interquintile differences in smoking prevalence. Results: Across 245 districts, the median prevalence of smoking in men was 45.9% (95% confidence interval [CI], 43.4 to 48.5%), with an interquartile range (IQR) of 4.6% points. In women, the median prevalence was 3.0% (95% CI, 2.4 to 3.6%) and IQR was 1.6% points. The median interquintile difference in smoking prevalence was 7.4% points (95% CI, 1.6 to 13.2% points) in men and 2.7% points (95% CI, 0.5 to 4.9% points) in women. The correlation coefficients for the association between the deprivation index and smoking prevalence was 0.58, 0.15, -0.22 in metropolitan, urban, and rural areas, respectively, among men, and 0.54, -0.33, -0.43 among women. No meaningful correlation was found between area deprivation and interquintile difference in smoking prevalence. The correlation between smoking prevalence and interquintile difference in smoking prevalence was more evident in women than in men. Conclusions: This study provides evidence of geographical variations in smoking prevalence and interquintile difference in smoking prevalence. Neither smoking prevalence nor the deprivation index was closely correlated with interquintile income difference in smoking prevalence. Measuring inequalities in smoking prevalence is crucial to developing policies aimed at reducing inequalities in smoking.
BACKGROUND/OBJECTIVES: There are few studies that forecast the future prevalence of obesity based on the predicted prevalence model including contributing factors. The present study aimed to identify factors associated with obesity and construct forecasting models including significant contributing factors to estimate the 2020 and 2030 prevalence of obesity and abdominal obesity. SUBJECTS/METHODS: Panel data from the Korea National Health and Nutrition Examination Survey and national statistics from the Korean Statistical Information Service were used for the analysis. The study subjects were 17,685 male and 24,899 female adults aged 19 years or older. The outcome variables were the prevalence of obesity (body mass index ${\geq}25kg/m^2$) and abdominal obesity (waist circumference ${\geq}90cm$ for men and ${\geq}85cm$ for women). Stepwise logistic regression analysis was used to select significant variables from potential exposures. RESULTS: The survey year, age, marital status, job status, income status, smoking, alcohol consumption, sleep duration, psychological factors, dietary intake, and fertility rate were found to contribute to the prevalence of obesity and abdominal obesity. Based on the forecasting models including these variables, the 2020 and 2030 estimates for obesity prevalence were 47% and 62% for men and 32% and 37% for women, respectively. CONCLUSIONS: The present study suggested an increased prevalence of obesity and abdominal obesity in 2020 and 2030. Lifestyle factors were found to be significantly associated with the increasing trend in obesity prevalence and, therefore, they may require modification to prevent the rising trend.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.31
no.4
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pp.214-224
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2020
Objectives: This study aimed to examine the trend in diagnostic prevalence of psychiatric disorders in children and adolescents. Methods: Individuals aged 0-18 years were included in the study based on the National Health Insurance Claims Data. To investigate the trends in diagnosis and diagnostic prevalence of psychiatric disorders reflecting the decrease in the birth rate, data were analyzed from 2010 as a reference year to 2015. Results: The number of patients diagnosed with psychiatric disorder decreased annually, from 23,412 on 2010 to 18,821 on 2015. The most common disorder was hyperkinetic disorder in male and depressive episode in female. Although there was no significant change in overall diagnostic prevalence rate of psychiatric disorders, age groups <10 years and some disorders had significant changes in prevalence rate. This study classified the diagnostic prevalence by age into two unique patterns: group in which the diagnosis rate increases with age and group in which the diagnosis rate peaks at a certain age and then decreases. Conclusion: Diagnostic prevalence of psychiatric disorders was different according to age and sex. These patterns should be reflected in the formulation of policies related to mental health and in medical practice for pediatric patients. It is urgent to identify how these patterns change in young adults.
Purpose: This study was conducted to estimate the prevalence of asthma and its risk factors in childhood asthma. Method: Random samples of 10,236 were selected from 43 kindergarten (1,418) and 57 elementary (8,718) in K city between september and November (2007). 1,079 (kindergarten children) and 7,271 (elementary children) were in the final analysis. The Korean-translated modified version of the questionnaire for the International Study of Asthma and Allergies in Childhood was used in this cross-sectional survey. Parents were surveyed to answer for the questionnaire. Result: The lifetime and 12-month prevalence of wheezing were 11.50%; 11.06% in kindergarten children and 19.24%; 4.80% in elementary children. The lifetime prevalence of asthma diagnosis and the 12-month prevalence of asthma treatment were 11.59%; 4.43% in kindergarten children and 4.43%; 10.78% in elementary children. The 12-month prevalence of night cough and exercise-induced wheezing were 12.90%; 3.33% in kindergarten children and 20.72%; 4.74% in elementary children. Risk factors analysis showed that age, paternal and maternal asthma, allergic disease, carpet use, monthly income, indoor environment were associated with a higher risk of asthma. Conclusion: The study suggests that prevalence of asthma has increased among the community children. These data have been used to manage a possible role of risk factors as predictors of childhood asthma.
In order to investigate the prevalence of occupational disease in coal mine workers in Chonnam area, a cross sectional study was conducted in 1,097 workers from September to December in 1987. The results were as follows; 1. The prevalence of pneumoconiosis including suspected cases was 6.9% and was increased by age and working duration. 2. The prevalence of pneumoconiosis excluding suspected cases was 2.8%. 3. By the kind of job, prevalence of pneumoconiosis including suspected cases was l2.9% in tunnel drivers, 6.3% in coalface workers and 6.0% in other workers. 4. The prevalence of noise induced hearing loss was 5.1% and was increased by age and working duration. 5. The prevalence of noise induced hearing loss was the highest among tunnel drivers(7.3%), but it was not significantly different by the kind of job. 6. Occupational disease caused by vibration was not found in coal mine workers.
Objective : The purpose of this research was to investigate the prevalence rate of Hwa-Byung for the whole population in a local community. Method : Hwa-Byung Diagnostic Interview Schedule(HBDIS) was carried out for 671 participants in Wonju Cohort study. HBDIS is objective questionnaire for diagnose Hwa-Byung. Collected data was analyzed by the chi-square test. Result: Prevalence rate of Hwa-Byung was 5.4% in the whole population. Prevalence rate of Hwa-Byung in male participants was 2.5%, 1.5% in 40s, 3.2% in 50s, 2.5% in 60s. Prevalence rate of Hwa-Byung in female participants was 7.4%, 7.6% in 40s, 5.5% in 50s, 8.7% in 60s. Conclusion : There was significant difference on the prevalence rate of Hwa-Byung according to sex.
Purpose: The study is to discover the relationship between malocclusion, which is known to cause temporomandibular disorder, and temporomandibular disorder and is aimed at college students who have retained their natural teeth. Methods: The study was aimed at 500 college students at two colleges located in Gyeongsangbuk-do and Daegu metropolitan city and survey research was conducted in order to discover any relationship between malocclusion and temporomandibular disorder. After excluding copies with insincere answers or errors out of the 500 copies of the questionnaire, the study used a total of 435 copies (87%) for research and analysis. Results: Females showed a prevalence of temporomandibular joint clicking and temporomandibular joint pain, and students who had crowding showed a high prevalence of temporomandibular joint pain, temporomandibular joint clicking, and trismus. Students whose occlusal condition was not good demonstrated a high prevalence of temporomandibular joint pain, temporomandibular joint clicking, and trismus. Students who had maxillary protrusion showed a prevalence of temporomandibular joint clicking and trimus, whereas students who had mandibular protrusion showed a high prevalence of temporomandibular joint clicking. Conclusion: Students whose dental condition was crowding and students whose occlusal condition was not good exhibited a high prevalence of three types of symptoms of temporomandibular disorder. Meanwhile student who had maxillary protrusion showed a high prevalence of temporomandibular joint clicking and trismus, while students who had mandibular protrusion showed a prevalence of temporomandibular joint clicking.
Objectives: To investigate trends in the prevalence of allergic disease over a 9-year period. Methods: Using National Health Insurance Service (NHIS) data, the annual number of patients with allergic disease was obtained for each regional subdivisions (small cities, counties, and districts) from 2003 to 2011. Annual populations for each sub-region were obtained and used to calculate the standardized prevalence. To compare prevalence within the study period, data was standardized spatially and temporally. For standardization, demographic data was used to obtain the registered population and demographic structure for 2010, which was used to perform direct standardization of previous years. In addition, a geographic information system (GIS) was used to visualize prevalence for individual sub-regions, and allergic diseases were categorized into five groups according to prevalence. Results: The nationwide outpatient prevalence of allergic rhinitis increased approximately 2.3-fold, from 1.27% in 2003 to 2.97% in 2013, while inpatient prevalence also increased approximately 2.4-fold,. The outpatient prevalence of asthma increased 1.2-fold, and inpatient prevalence increased 1.3-fold. The outpatient prevalence of atopic dermatitis decreased approximately 12%, and inpatient prevalence decreased 5%. Conclusions: There was a large difference between prevalence estimated from actual treatment data and prevalence based on patients' self-reported data, particularly for allergic rhinitis. Prevalence must continually be calculated and trends should be analyzed for the efficient management of allergic diseases. To this end, prevalence studies using NHIS claims data may be useful.
This study was conducted to estimate the prevalence of ametropias such as myopia and hyperopia from the community based population study. Another purpose of this study was to determine the association between ametropia and nutrient intake. The study subjects was 492 residents over 20 years of age residing in Kuri City. Ametropia was tested based on re(rector error using auto referactor. Nutrient intake was estimated from the dietary survey using 24 hour recall method. As a result of data analysis, the prevalence of myopia was 57% and that of hyperopia was 11%. Such a high rate of ametropia prevalence may suggest the increasing risk of eye health in a Korean society. Nutrient intake of myopia group was 5∼15% higher than that of normal group in most of the nutrients. Whereas intake of most nutrient except calcium, retinal, fiber for the hyperopia group was lower than that of normal group. The result may suggest that inbalance of nutrient intake has been related with ametropia.
Objectives: The purpose of present study was to investigate the experience and point prevalence rate and factors related with Low Back Pain (LBP) in train egineers. Methods: Questionnaires were completed by 324 train engineers in Daejeon railroad administration from May 2002. The information was used to estimate odds ratio (OR) and 95$\%$ confidence intervals (CI) for factors relation to LBP. A retrospective study design was used. Results: The experience rate for LBP was 67.9$\%$, 54$\%$ in one year interval prevalence, 53.4$\%$ in 6 months interval prevalence, and 47.8$\%$ in a point prevalence rate. Variables significantly associated with LBP experience were age (p=0.0327), train vibration(p=0.0015), labour hour(p=0.0034), and pay(p=0.0534). As subjects got older, the higher experience for LBP was (OR=1.1, 95$\%$ CI 1.0-1.2). LBP experience rate for people who had felt train vibration was a higher than those who did not (OR=2.5, 95$\%$ CI 1.4-4.4, OR=2.3 95$\%$ CI 1.3-4.0 in a point prevalence). The people who worked for long hour was a higher than those who did not (OR=2.8, 95$\%$ CI 1.4-5.6, OR=2.2, 95$\%$ CI 1.1-4.5 in a point prevalence). The people who were not satisfied with pay was a higher than those who were (OR=1.7, 95$\%$ CI 1.0-3.0). Factors related to a point prevalence rate were train vibration(p=0.0027), chair vibration (p=0.0444), and labour hour(p=0.0340). LBP a point prevalence rate for people who had felt the vibration of train chair was a higher than those who did not (OR=1.8 95$\%$ CI 0.7-2.0). Conclusions: Results from present study indicated that a statistically significant factors associated with LBP experience were age, train vibration, labour hour, and pay, Factors related to a point prevalence rate were also train vibration, the vibration of train chair, and labour hour.
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