Journal of Preventive Medicine and Public Health

Original Articles

Individual-level Associations Between Indicators of Social Capital and Alcohol Use Disorders Identification Test Scores in Communities With High Mortality in Korea: Jang-Rak Kim, Baekgeun Jeong, Ki-Soo Park, Yune-Sik Kang; J Prev Med Public Health. 2020;53(4):245-255. Published online May 21, 2020; DOI: https://doi.org/10.3961/jpmph.19.336

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Objectives
This study examined associations among social capital indicators (social participation and generalized trust) at the individual level and alcohol use, which was quantified using Alcohol Use Disorders Identification Test (AUDIT) scores.
Methods
In total, there were 8800 participants in community health interviews, including 220 adults sampled systematically from a resident registration database of each of 40 sub-municipal administrative units of local (city or county) governments. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were calculated using polychotomous logistic regression.
Results
The aORs for abstainers versus people with AUDIT scores of 0-7, based on 3 questions on generalized trust, in comparison to those with no positive responses, were 1.15 (95% CI, 0.99 to 1.34) for 1 positive response, 1.16 (95% CI, 0.98 to 1.37) for 2 positive responses; and 1.39 (95% CI, 1.20 to 1.61) for 3 positive responses. The aORs for abstainers versus people with AUDIT scores of 0-7, in comparison to participation in no organizations, were 0.61 (95% CI, 0.54 to 0.69) for participation only in informal organizations; 2.16 (95% CI, 1.57 to 2.99) for participation only in religious organizations; 2.41 (95% CI, 1.10 to 5.29) for participation only in volunteer organizations; and 0.65 (95% CI, 0.57 to 0.74) for participation in formal organizations. Participants in formal social organizations, regardless of their participation in informal organizations, were more likely to have AUDIT scores of 8-15 (aOR, 1.29; 95% CI, 1.04 to 1.60) or ≥16 (aOR, 1.65; 95% CI, 1.22 to 2.23) than to have scores of 0-7.
Conclusions
Our findings may have implications for health policy to reduce alcohol problems.

Summary

Citations

Citations to this article as recorded by

Religious and secular spirituality: Methodological implications of definitions for health research
Camila Chagas, Leonardo Breno Martins, Fatima Regina Machado, Welligton Zangari, José Carlos Fernandes Galduróz
EXPLORE.2023; 19(1): 6. CrossRef
A Systematic Review on Alcohol Consumption among Non-Religious and Religious Adults
Camila Chagas, Leonardo Breno Martins, Andréia Gomes Bezerra, Tassiane Cristine Santos de Paula, Ana Carolina Adinolfi Xavier, Wellington Zangari, José Carlos Fernandes Galduróz
Substance Use & Misuse.2023; 58(2): 238. CrossRef

The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study: Mi-Ji Kim, Sung-Hyo Seo, Ae-Rim Seo, Bo-Kyoung Kim, Gyeong-Ye Lee, Yeun-Soon Choi, Jin-Hwan Kim, Jang-Rak Kim, Yune-Sik Kang, Baek-Geun Jeong, Ki-Soo Park; J Prev Med Public Health. 2019;52(6):405-415. Published online October 24, 2019; DOI: https://doi.org/10.3961/jpmph.19.166

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12 Crossref

Abstract Summary PDF Supplementary Material

Objectives
The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas.
Methods
The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants’ frailty.
Results
The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy.
Conclusions
More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty.

Summary

Korean summary
본 연구는 우리나라 농촌지역 노인들이 인지하는 지역 환경과 노쇠의 연관성을 확인하기 위하여 자기보고식 설문지로 인지된 보행편의성 및 환경오염을 측정하였고, Kaigo-Yobo 평가척도로 노쇠를 평가하였다. 연구 결과, 노쇠에 영향을 미칠 것으로 예상되는 변수들을 통제한 후에도 인지된 보행편의성의 감소와 인지된 환경오염의 증가는 노쇠와 관련성이 있었다.

Citations

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Effect of walkability on the physical activity of hemodialysis patients: a multicenter study
Yoichi Sato, Naoto Usui, Yoshifumi Abe, Daisuke Okamura, Yota Kuramochi, Sho Kojima, Nobuto Shinozaki, Yu Shimano, Nobuyuki Shirai, Kenta Mikami, Yoji Yamada, Masakazu Saitoh
Renal Replacement Therapy.2024;[Epub] CrossRef
Is tourist walkability and well-being different?
Myung Ja Kim, C. Michael Hall
Current Issues in Tourism.2023; 26(2): 171. CrossRef
Association Between Pollution and Frailty in Older People: A Cross-Sectional Analysis of the UK Biobank
Nicola Veronese, Laura Maniscalco, Domenica Matranga, Guido Lacca, Ligia J. Dominguez, Mario Barbagallo
Journal of the American Medical Directors Association.2023; 24(4): 475. CrossRef
Associations of Perceived and Objective Neighborhood Environment Attributes with Walking in Older Adults: A Cross-Sectional Study
Faezeh Behnamifard, Zohre Shafieiyoun, Mostafa Behzadfar
Journal of Urban Planning and Development.2023;[Epub] CrossRef
Frailty in Older Adults and Internal and Forced Migration in Urban Neighborhood Contexts in Colombia
Herney Rengifo-Reina, Tonatiuh Barrientos-Gutiérrez, Nancy López-Olmedo, Brisa N. Sánchez, Ana V. Diez Roux
International Journal of Public Health.2023;[Epub] CrossRef
The Effects of Neighborhood Physical and Social Environment on Physical Function among Japanese Community-Dwelling Older Adults: A One-Year Longitudinal Study
Masataka Ando, Naoto Kamide, Miki Sakamoto, Yoshitaka Shiba, Haruhiko Sato, Akie Kawamura, Shuichiro Watanabe
International Journal of Environmental Research and Public Health.2022; 19(13): 7999. CrossRef
Association between Age-Friendliness of Communities and Frailty among Older Adults: A Multilevel Analysis
Jixiang Xu, Yingwei Chen, Yujie Wang, Junling Gao, Limei Huang
International Journal of Environmental Research and Public Health.2022; 19(12): 7528. CrossRef
Differences in the Association of Neighborhood Environment With Physical Frailty Between Urban and Rural Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)
Yuri Seo, Miji Kim, Hayoung Shim, Chang Won Won
Journal of the American Medical Directors Association.2021; 22(3): 590. CrossRef
Urban services, pedestrian networks and behaviors to measure elderly accessibility
Federica Gaglione, Caitlin Cottrill, Carmela Gargiulo
Transportation Research Part D: Transport and Environment.2021; 90: 102687. CrossRef
Prevalence and risk factors of frailty among people in rural areas: a systematic review and meta-analysis
Rui Xu, Qiufang Li, Feifei Guo, Maoni Zhao, Luyao Zhang
BMJ Open.2021; 11(4): e043494. CrossRef
Perceived Neighborhood Environment Associated with Sarcopenia in Urban-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study (KFACS)
Yuri Seo, Miji Kim, Hyungeun Shin, Changwon Won
International Journal of Environmental Research and Public Health.2021; 18(12): 6292. CrossRef
Frailty Status and Transport Disadvantage: Comparison of Older Adults’ Travel Behaviours between Metropolitan, Suburban, and Rural Areas of Japan
Takumi Abe, Akihiko Kitamura, Satoshi Seino, Yuri Yokoyama, Hidenori Amano, Yu Taniguchi, Mariko Nishi, Yu Nofuji, Tomoko Ikeuchi, Takemi Sugiyama, Shoji Shinkai
International Journal of Environmental Research and Public Health.2020; 17(17): 6367. CrossRef

Effect of Burnout on Post-traumatic Stress Disorder Symptoms Among Firefighters in Korea: Data From the Firefighter Research on Enhancement of Safety & Health (FRESH): Woojin Kim, Munjoo Bae, Sei-Jin Chang, Jin-Ha Yoon, Da Yee Jeong, Dae-Sung Hyun, Hye-Yoon Ryu, Ki-Soo Park, Mi-Ji Kim, Changsoo Kim; J Prev Med Public Health. 2019;52(6):345-354. Published online October 24, 2019; DOI: https://doi.org/10.3961/jpmph.19.116

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231 Download
18 Crossref

Abstract Summary PDF Supplementary Material

Objectives
It is well-known that post-traumatic stress disorder (PTSD) among firefighters contributes to their job-related stress. However, the relationship between burnout and PTSD in firefighters has rarely been studied. This study therefore explored the association between burnout and its related factors, such as trauma and violence, and PTSD symptoms among firefighters in Korea.
Methods
A total of 535 firefighters participated in the Firefighter Research on Enhancement of Safety & Health study at 3 university hospitals from 2016 to 2017. The 535 participants received a baseline health examination, including questionnaires assessing their mental health. A Web-based survey was also conducted to collect data on job-related stress, history of exposure to violence, burnout, and trauma experience. The associations among burnout, its related factors, and PTSD symptoms were investigated using structural equation modeling.
Results
Job demands (β=0.411, p<0.001) and effort-reward balance (β=-0.290, p<0.001) were significantly related to burnout. Burnout (β=0.237, p<0.001) and violence (β=0.123, p=0.014) were significantly related to PTSD risk. Trauma (β=0.131, p=0.001) was significantly related to burnout; however, trauma was not directly associated with PTSD scores (β=0.085, p=0.081).
Conclusions
Our results show that burnout and psychological, sexual, and physical violence at the hands of clients directly affected participants’ PTSD symptoms. Burnout mediated the relationship between trauma experience and PTSD.

Summary

Korean summary
535명의 현직소방관을 대상으로 소방공무원에서 업무관련스트레스, 폭력노출, 외상노출, 소진(번아웃), 외상후 스트레스 장애(PTSD) 증상 설문을 시행하였고, 구조방정식 통해 업무스트레스에 의한 소진이 PTSD에 주는 영향과 다른 요인간의 연관성을 분석하였다. 그 결과, 업무 환경에서의 높은 직무요구수준과 낮은 노력-보상 균형은 소진을 증가시키며, 업무스트레스에 의한 소진과 근무 중 겪게 되는 폭력노출 경험은 PTSD 점수와 양의 연관관계를 보였다. 반면, 업무 도중 외상사건 경험은 PTSD 점수와 직접적으로 유의한 연관관계를 보이지 않았으나, 소진을 통한 간접적으로 영향을 주는 것을 확인하였다.

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