Journal of Preventive Medicine and Public Health

Yong-Jun Choi

3 Articles

How Much Do Older Adults Living Alone in Rural South Korea Know About Dementia?: Mi Sook Kim, Dong-Soo Shin, Yong-jun Choi, Jin Soon Kim; J Prev Med Public Health. 2018;51(4):188-195. Published online June 19, 2018; DOI: https://doi.org/10.3961/jpmph.17.084

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Objectives
This study aimed to examine the level of dementia knowledge of older Korean adults living alone in rural areas and to identify related factors.
Methods
A cross-sectional descriptive design was applied. The participants were 231 older adults living alone who were recruited from 12 of the 13 primary health care posts in the rural area of Chuncheon. Participants’ level of dementia knowledge was assessed using the Dementia Knowledge Scale. Data were analyzed using descriptive statistics, and the t-test, analysis of variance, chi-square test, and Mann-Whitney test were applied.
Results
Participants’ mean age was 77.3±5.4 years, and women comprised 79.7% of the sample. Over half of the participants (61.9%) had no formal education, and all the participants were enrolled in Medical Aid. The participants’ average percentage of correct answers was 61.6%. The highest rate (94.4%) was for the item “Dementia can change one’s personal character.” The item with the lowest proportion of correct answers was “Dementia is not treatable” (23.4%). Dementia knowledge was significantly associated with age, education, health coverage, source of living expenses, and dementia risk.
Conclusions
Dementia knowledge among Korean rural older adults living alone was relatively low. Participants’ misconceptions about symptoms and treatment could hinder them from seeking early treatment. The results of this study suggest the need for active outreach and health care delivery for rural older adults living alone in South Korea.

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Estimates of Long-Term Care Utilization and Lifetime Distribution of Medical Cost for Dementia in Korea
Seok Jong Chung, Jee Eun Lee, Dong Wook Kim, So Ra Yoon, Dong Gyo Shin, Moon Young Choi, Jun Hong Lee
Korean Journal of Clinical Geriatrics.2021; 22(1): 22. CrossRef
The Changes for Strength of Oropharyngeal Muscles in Patients with Dementia and Dysphagia
Eun Kyu Ji, Hae Hyun Wang, Sung June Jung, Kyoung Bo Lee, Joon Sung Kim, Bo Young Hong, Tae-Woo Kim, Seong Hoon Lim
Brain & Neurorehabilitation.2019;[Epub] CrossRef

Origins and Evolution of Social Medicine and Contemporary Social Medicine in Korea: Dal Sun Han, Sang-Soo Bae, Dong-Hyun Kim, Yong-jun Choi; J Prev Med Public Health. 2017;50(3):141-157. Published online April 16, 2017; DOI: https://doi.org/10.3961/jpmph.16.106

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Abstract PDF Supplementary Material

Social medicine is recognized as one of medical specialties in many countries. However, social medicine has never been formally introduced to Korea, presumably because the term and its principles were not accepted for some years in the past in American medicine, which has strongly influenced Korean medicine. This paper describes the origins and evolution of social medicine and briefly discusses contemporary social medicine in Korea. Social medicine was initiated in France and Germany in 1848. Since then, it has expanded globally and developed in diverse ways. Included in core principles of social medicine is that social and economic conditions have important effects on health and disease, and that these relationships must be subjected to scientific investigation. The term ‘social medicine’ is rarely used in Korea, but many of its subject matters are incorporated into preventive medicine which, besides prevention, deals with population health that is inescapably social. However, the Korean preventive medicine directs little attention to the basic concepts and principles of social medicine, upon which systematic development of social medicine can be based. Thus, it is necessary to supplement the social medicine contents of preventive medicine through formalizing the linkages between the two fields. One way of doing so would be to change the title of ‘preventive medicine’ course in medical colleges to ‘preventive and social medicine,’ as in many other countries, and to adjust the course contents accordingly.

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Older Adults’ Perception of Chronic Illness Management in South Korea: Minah Kang, Jaiyong Kim, Sang-Soo Bae, Yong-Jun Choi, Dong-Soo Shin; J Prev Med Public Health. 2014;47(4):236-243. Published online July 31, 2014; DOI: https://doi.org/10.3961/jpmph.2014.47.4.236

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Abstract PDF

Objectives
Despite the recent emphasis on a patient-centered chronic care model, few studies have investigated its use in older adults in South Korea. We explored how older Korean adults perceive and cope with their chronic illness. Methods: We conducted focus group interviews in Seoul, Korea in January 2010. Focus groups were formed by disease type (hypertension and type 2 diabetes) and gender using purposive sampling. Inclusion criteria were patients aged 60 and over who had been diagnosed with diabetes or hypertension and received care at a community health center for at least six months prior to participation. Interview data were analyzed through descriptive content analysis. Results: Among personal factors, most participants felt overwhelmed when they received their diagnosis. However, with time and control of their acute symptoms using medication, their worry diminished and participants tended to denying being identified as a patient or sick person. Among socio-familial factors, participants reported experiencing stigma with their chronic illness and feeling it was a symbol of weakness. Instead of modifying their lifestyles, which might interfere with their social relationships, they resorted to only following their medicine regime prescribed by their doctor. Participants also reported feeling that their doctor only prescribed medications and acted in an authoritative and threatening manner to induce and reinforce participants’ compliance with treatment. Conclusions: For successful patient-centered management of chronic illnesses, supportive environments that include family, friends, and healthcare providers should be established.

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Chronic Illness.2021; 17(2): 81. CrossRef
Causal beliefs about hypertension and self-care behaviour in Korean patients
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Developing a culturally tailored stroke prevention walking programme for Korean immigrant seniors: a focus group study
Sarah E. Choi, Ivy Kwon, Emiley Chang, Daniel Araiza, Carol Lee Thorpe, Catherine A. Sarkisian
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