Journal of Preventive Medicine and Public Health

Brief Report

How Well Do U.S. Primary Care and Obstetrics and Gynecology Clinicians Screen for Pregnancy Complications at Well Woman Visits? A Retrospective Cohort Study: Eli D. Medvescek, Sorana Raiciulescu, Andrew S. Thagard, Katerina Shvartsman; J Prev Med Public Health. 2023;56(2):190-195. Published online March 15, 2023; DOI: https://doi.org/10.3961/jpmph.22.492

1,378 View
58 Download

Abstract PDF: Objectives
Pregnancy complications, including pre-eclampsia, gestational diabetes (GDM), and perinatal mood and anxiety disorders (PMADs), impact long-term health. We compared the frequency of screening documentation for pregnancy complications versus a general medical history at well woman visits between providers in primary care and obstetrics and gynecology.
Methods
We conducted a retrospective cohort study of subjects with at least 1 prior birth who presented for a well woman visit in 2019-2020. Charts were reviewed for documentation of a general medical history (hypertension, diabetes, and mood disorders) versus screening for comparable obstetric complications (pre-eclampsia, GDM, and PMADs). The results were compared using the McNemar and chi-square tests as appropriate.
Results
In total, 472 encounters were identified, and 137 met the inclusion criteria. Across specialties, clinicians were significantly more likely to document general medical conditions than pregnancy complications, including hypertensive disorders (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.18 to 5.48), diabetes (OR, 7.67; 95% CI, 3.27 to 22.0), and mood disorders (OR, 10.5; 95% CI, 3.81 to 40.3). Obstetrics and gynecology providers were more likely to document any pregnancy history (OR, 4.50; 95% CI, 1.24 to 16.27); however, they were not significantly more likely to screen for relevant obstetric complications (OR, 2.49; 95% CI, 0.90 to 6.89). Overall, the rate of pregnancy complication documentation was low in primary care and obstetrics and gynecology clinics (8.8 and 19.0%, respectively).
Conclusions
Obstetrics and gynecology providers more frequently documented a pregnancy history than those in primary care; however, the rate was low across specialties, and providers reported screening for clinically relevant complications less frequently than for general medical conditions.; Summary

Original Article

Determinants of Adherence to Diabetes Screening in Iranian Adults With a Positive Family History of Diabetes: Narges Malih, Mohammad-Reza Sohrabi, Alireza Abadi, Shahnam Arshi; J Prev Med Public Health. 2021;54(3):190-198. Published online April 7, 2021; DOI: https://doi.org/10.3961/jpmph.20.496

3,141 View
163 Download
2 Web of Science
4 Crossref

Objectives
Insufficient evidence exists regarding factors that affect screening adherence among people with a family history of diabetes, who comprise roughly half of all patients with diabetes. Therefore, we aimed to identify the determinants of diabetes screening adherence in adults with a family history of diabetes who had not yet been diagnosed with diabetes.
Methods
This cross-sectional study was conducted at selected urban primary healthcare facilities in Tehran, Iran. The study population was clinically non-diabetic adults above 20 years of age with a family history of diabetes in at least 1 first-degree relative. All eligible people identified on randomly-selected days of the month were invited to join the study.
Results
Among 408 participants, 128 (31.4%) had received a fasting blood glucose check during the last year. Using binary logistic regression, the independent predictors of screening adherence were knowledge of adverse effects of diabetes such as sexual disorders (odds ratio [OR], 3.05) and renal failure (OR, 2.73), the impact of family members’ advice on receiving diabetes screening (OR, 2.03), recommendation from a healthcare provider to have a fasting blood glucose check (OR, 2.61), and intention to have a fasting blood glucose check within the next 6 months (OR, 2.85). Other variables that predicted screening adherence were age (OR, 1.05), job (being a housekeeper; OR, 3.39), and having a college degree (OR, 3.55).
Conclusions
Knowledge of the adverse effects of diabetes, physicians’ and healthcare providers’ advice about the benefits of early disease detection, and family members’ advice were independent predictors of screening adherence.

Summary

Citations

Citations to this article as recorded by

Socio-personal factors affecting adherence to treatment in patients with type 2 diabetes: A systematic review and meta-analysis
Nahid Shahabi, Yadolah Fakhri, Teamur Aghamolaei, Zahra Hosseini, Atefeh Homayuni
Primary Care Diabetes.2023; 17(3): 205. CrossRef
Clinical traits and systemic risks of familial diabetes mellitus according to age of onset and quantity: an analysis of data from the community-based KoGES cohort study
Ju-Yeun Lee, Kyungsik Kim, Sangjun Lee, Woo Ju An, Sue K. Park
Epidemiology and Health.2023; 45: e2023029. CrossRef
BİR ÜNİVERSİTE AKADEMİSYENLERİNİN SAĞLIK DAVRANIŞLARINA VE TARAMA PROGRAMLARINA UYUMU: KESİTSEL BİR ÇALIŞMA
Hatice İKİIŞIK, Sibel SAKARYA
ESTÜDAM Halk Sağlığı Dergisi.2022; 7(1): 98. CrossRef
Association between a family history of diabetes and carotid artery atherosclerosis in Korean adults
Sun Young Shim, Ga Bin Lee, Jee-Seon Shim, Sun Jae Jung, Hyeon Chang Kim
Epidemiology and Health.2021; 43: e2021049. CrossRef

Special Article

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

7,968 View
234 Download
7 Crossref

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.

Summary

Citations

Citations to this article as recorded by

Is it about time to develop social surgery?
Christos Tsagkaris, Marios Papadakis, Lolita Matiashova
The American Journal of Surgery.2023; 225(1): 151. CrossRef
Students or medical professionals: whose knowledge improved after social-medicine training? Results from a quasi-experimental evaluation study
Beate Muschalla, Stefanie Baron, Theresa Klevers
Social Psychiatry and Psychiatric Epidemiology.2022; 57(7): 1505. CrossRef
Undergraduate Education in Forensic Medicine in Germany, Japan, and Korea
Gi Yeong Huh
Korean Journal of Legal Medicine.2022; 46(4): 95. CrossRef
Rockefeller Foundation Philanthropy and Modern Public Health in China and India
Tiasangla Longkumer
Crossroads.2022; 21(1-2): 90. CrossRef
Use and impact of social prescribing: a mixed-methods feasibility study protocol
Anant Jani, Harshana Liyanage, Uy Hoang, Lucy Moore, Filipa Ferreira, Ivelina Yonova, Victoria Tzortziou Brown, Simon de Lusignan
BMJ Open.2020; 10(9): e037681. CrossRef
Making social prescriptions mainstream
Anant Jani, Muir Gray
Journal of the Royal Society of Medicine.2019; 112(11): 459. CrossRef
Influence of an art museum visit on individuals’ psychological and physiological indicators of stress
Kristina Ter-Kazarian, Jessica J. Luke
Museums & Social Issues.2019; 14(1-2): 45. CrossRef

Validation Studies

Reliability of a Questionnaire for Women's Reproductive History.: Kwang Pil Ko, Sue Kyung Park, Yeonju Kim, Jisuk Bae, Jae kwan Jun, Jin Gwack, Keun Young Yoo; J Prev Med Public Health. 2008;41(3):181-185.; DOI: https://doi.org/10.3961/jpmph.2008.41.3.181

5,352 View
59 Download
9 Crossref

Abstract PDF

OBJECTIVES
This study was performed to evaluate the reproducibility of a questionnaire concerned with reproductive history and to ascertain which characteristics of the subjects (age, the visit-revisit intervals, education and chronic disease) are associated with good reliability in the Korean Multi-Center Cancer Cohort (KMCC) study. MATERIALS AND METHODS: A total of 19,688 participants were enrolled between 1993 and 2004. Among them, we selected 386 participants who were aged 40 or more and who re-visited within 8 years after the first visit. Reliability was measured by the percent agreement according to error range for the continuous variables and the percent agreement and kappa statistics for the categorical variables. RESULTS: The pregnancy histories were reliable (kappa=0.67) and the reasons for being menopausal among the postmenopausal women were also reliable (kappa=0.92). The percent agreement of the breast-feeding history was high (96.1%), although the kappa statistic was low. For the continuous variables, when the error range of one variable was considered to be reliable, the percent agreement of the age at menarche and the age at the first full term pregnancy was good (69.4% and 83.6%), whereas that of the age at menopause was low (51.5%). The factors associated with high reliability were a younger age, the presence of chronic disease and a short visit-revisit time interval. CONCLUSIONS: The agreements for parity, the reasons for menopause, and the breastfeeding history in the reproductive history questionnaire used in the KMCC were relatively good. The questionnaire for the menarche age and the menopausal age might have lower reliability due to the difference between Korean age and American age. To obtain reliable information, more attention should be given to the items in questionnaire-based surveys, and especially for surveying old-aged women.

Summary

Citations

Citations to this article as recorded by

Hormone‐related events and periodontitis in women
Mario Romandini, Hye‐Sun Shin, Pierluigi Romandini, Andreina Laforí, Massimo Cordaro
Journal of Clinical Periodontology.2020; 47(4): 429. CrossRef
Validity and Reliability of the Questionnaire for Assessing Women’s Reproductive History in Azar Cohort Study
Mohammad Zakaria Pezeshki, Atefeh Shadman, Mahasti Alizadeh, Sevil Hakimi, Fariba Heidari
Journal of Caring Sciences.2017; 6(2): 183. CrossRef
Hormone-related factors and post-menopausal onset depression: Results from KNHANES (2010–2012)
Sun Jae Jung, Aesun Shin, Daehee Kang
Journal of Affective Disorders.2015; 175: 176. CrossRef
Menarche age, menopause age and other reproductive factors in association with post-menopausal onset depression: Results from Health Examinees Study (HEXA)
Sun Jae Jung, Aesun Shin, Daehee Kang
Journal of Affective Disorders.2015; 187: 127. CrossRef
Persistent effects of women’s parity and breastfeeding patterns on their body mass index: results from the Million Women Study
K L Bobrow, M A Quigley, J Green, G K Reeves, V Beral
International Journal of Obesity.2013; 37(5): 712. CrossRef
Relationship Between Body Mass Index and Early Menarche of Adolescent Girls in Seoul
Chang-Mo Oh, In-Hwan Oh, Kyung-Sik Choi, Bong-Keun Choe, Tai-Young Yoon, Joong-Myung Choi
Journal of Preventive Medicine and Public Health.2012; 45(4): 227. CrossRef
Childhood Hair Product Use and Earlier Age at Menarche in a Racially Diverse Study Population: A Pilot Study
Tamarra James-Todd, Mary Beth Terry, Janet Rich-Edwards, Andrea Deierlein, Ruby Senie
Annals of Epidemiology.2011; 21(6): 461. CrossRef
Menstrual factors and cancer risk among Korean women
A. Shin, Y.-M. Song, K.-Y. Yoo, J. Sung
International Journal of Epidemiology.2011; 40(5): 1261. CrossRef
The Impact of Socioeconomic Status across Early Life on Age at Menarche Among a Racially Diverse Population of Girls
Tamarra James-Todd, Parisa Tehranifar, Janet Rich-Edwards, Lina Titievsky, Mary Beth Terry
Annals of Epidemiology.2010; 20(11): 836. CrossRef

Historical Article

Historical Advances in Health Inequality Research.: Young Ho Khang; J Prev Med Public Health. 2007;40(6):422-430.; DOI: https://doi.org/10.3961/jpmph.2007.40.6.422

4,902 View
110 Download
6 Crossref

Abstract PDF

The socioeconomic inequalities in health have recently become an important public health concern in South Korea, and the issue has gained increasing attention from many South Korean researchers due to the increasing income inequality and widening social polarization following its economic crisis in the late 1990s. However, despite the mounting literature on health inequalities published in recent years, the history of research on health inequality in South Korea is premature in comparison to the long histories in several Western countries. Understanding the historical background underlying the issue of health inequality research may aid in establishing and accumulating scientifically solid evidence in South Korea. It may also direct the South Korean research community to develop research agendas that are more politically and academically appropriate for South Korean society. This paper describes the historical development of health inequality research in the West and introduces several important issues contributing to the advancement of health inequality research. Specifically, the major studies conducted before and after the UK Black Report are presented. In addition, the history and current status of health inequality research in South Korea are documented and evaluated. Finally, several research agendas for the quantitative and qualitative improvement of health inequality research in South Korea are proposed.

Summary

Citations

Citations to this article as recorded by

The Gap in Community Sports: Utilization of Sports Facilities in South Korea
Minuk Kang, Youngjik Lee
International Journal of Environmental Research and Public Health.2022; 19(8): 4495. CrossRef
Regional Disparity of Cardiovascular Mortality and Its Determinants
Hyeon Jin Kang, Soonman Kwon
Health Policy and Management.2016; 26(1): 12. CrossRef
The association between income inequality and all-cause mortality across urban communities in Korea
Jong Park, So-Yeon Ryu, Mi-ah Han, Seong-Woo Choi
BMC Public Health.2015;[Epub] CrossRef
A Study on Factors Affecting Cancer Mortality in Busan
Su-Kyung Song, Hye-Sook Kim, Kyoung-Min Lim
The Korean Journal of Health Service Management.2014; 8(4): 81. CrossRef
Socioeconomic inequalities in health status in Korea
Kyunghee Jung-Choi, Yu-Mi Kim
Journal of the Korean Medical Association.2013; 56(3): 167. CrossRef
Health Inequalities Policy in Korea: Current Status and Future Challenges
Young-Ho Khang, Sang-il Lee
Journal of Korean Medical Science.2012; 27(Suppl): S33. CrossRef

Original Articles

Reproductive History and Hip Fracture in the Elderly Women in Korea: A Cohort Study.: Seung Mi Lee, Yooni Kim, Koung Eun Youn, Byung Joo Park; Korean J Prev Med. 2002;35(4):305-312.

2,409 View
25 Download

Abstract PDF: OBJECTIVES
The reproductive history of women has been suggested to have a possible influence on the risk of osteoporotic fractures. The purpose of this study was to assess the association between reproductive history and hip fractures in the elderly women. METHODS: The study subjects were drawn from women members of the Korean Elderly Pharmacoepidemiologic Cohort (KEPEC), aged 65 years or over, whose reproductive histories were available, and who were beneficiaries of the Korea Medical Insurance Corporation (KMIC) in 1993 and lived in Busan city, Korea. The information on reproductive histories, and possible confounders, were collected from mailed questionnaires. Potential hip fracture cases were collected from the claims data obtained between 1993 and 1998, with a hospital survey conducted to confirm the final diagnoses. Rate ratios and their 95% confidence intervals, were calculated using a Cox's proportional hazard model. RESUJLTS: Following up 5,219 women for 6 years, 51 cases were confirmed with hip fractures. When adjusted for age, weight and physical activity, the rate ratio of hip fractures in women who had given birth three or more times was 0.56 (95% CI: 0.25 - 1.25), compared with those who had given birth two or less times. When adjusted for age, number of births, weight and physical activity, the rate ratio in women who first gave birth when younger than 22 years was 0.60 (95% CI: 0.34 - 1.08) compared with those who had giving birth at 22 years or older. CONCLUSIONS: According to these findings, an early age when first giving birth might decrease the risk of hip fractures in elderly Korean women.; Summary

A Case-Control Study of Primary Liver Cancer and Liver Disease History.: Dong Hyun Kim, Byung Joo Park, Keun Young Yoo, Yoon Ok Ahn, Hyo Suk Lee, Chung Yong Kim, Sang Il Lee, Moo Song Lee, Hyung Sik Ahn, Heon Kim, Tae Soo Park; Korean J Prev Med. 1994;27(2):217-225.

1,985 View
20 Download

Abstract PDF: The relationship between past liver disease history and the risk of primary liver cancer was analyzed in a hospital-based case-control study conducted in Seoul on 165 patients with histologically or serologically confirmed hepatocellular carcinoma and individually age-and sex-matched 165 controls in hospital for ophthalmologic, ontologic, or nasopharyngeal problems. Significant association were observed for liver diseases occurring 5 or more years before liver cancer diagnosis[OR, 4.9;97% confidence interval(CI), 1.6~14.0) and family history of liver disease(OR, 9.0;95% CI, 2.1~38.8). These associations were mot appreciably modified by allowance for major identified potential confounding factors, From these results, it is possible to speculate that liver cell injuries caused by Considering the significant effect of family history of liver diseases on PLCA risk after adjusting past liver disease history, there might be genetic susceptibility in the carcinogenic mechanism of liver cancer. Further investigations are needed to clarify the effect of family history of liver disease on PLCA risk.; Summary

English Abstract

One Year Follow-up Study of Symptomatic Cases of Ulnar Neuropathy at the Elbow in a Rural Population.: Young Joo Sim, Hyun Sul Lim; J Prev Med Public Health. 2006;39(5):404-410.

2,071 View
32 Download

Abstract PDF: OBJECTIVES
This study examined the natural history of symptomatic patients who did or did not display abnormal results on nerve conduction studies (NCS). METHODS: Forty hundred fifty adults were selected among a total of 578 residents who participated in the health examination in a rural Korean district. A symptom questionnaire and NCS were used to diagnose ulnar neuropathy at the elbow (UNE). There were 6.4% of the subjects with UNE, 5.1% of the subjects showed symptoms without a NCS, and 84.2% of the subjects who were asymptomatic. One year later, 20 symptomatic limbs with an abnormality on the ulnar NCS and 22 symptomatic limbs without any abnormality in the ulnar NCS were enrolled in a follow-up study. The natural history of UNE was evaluated by examining the changes in the clinical and electrodiagnostic examinations. RESULTS: The 1-year follow-up of the enrolled limbs found that for the symptomatic limbs with an abnormality on the NCS, the degree of severe of the clinical grade changed from 20% to 10%. In contrast, for the symptomatic limbs that were without any abnormality in the NCS, the change of the severe degree of the clinical grade was from 0% to 18.2%. Also, for the electrodiagnostic change, only symptomatic limbs without NCS abnormalities showed significant changes in motor latency, amplitude and conduction velocity at the 1-year follow-up. CONCLUSIONS: The 1-year follow-up study revealed symptomatic limbs that were without any abnormality on the ulnar NCS were more likely to progress than the symptomatic limbs with an abnormality on the ulnar NCS.; Summary

First
Prev
Page of 1
Next
Last

Search