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Spatio-temporal Distribution of Suicide Risk in Iran: A Bayesian Hierarchical Analysis of Repeated Cross-sectional Data
Seyed Saeed Hashemi Nazari, Kamyar Mansori, Hajar Nazari Kangavari, Ahmad Shojaei, Shahram Arsang-Jang
J Prev Med Public Health. 2022;55(2):164-172.   Published online February 10, 2022
DOI: https://doi.org/10.3961/jpmph.21.385
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  • 119 Download
  • 2 Web of Science
  • 1 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
We aimed to estimate the space-time distribution of the risk of suicide mortality in Iran from 2006 to 2016.
Methods
In this repeated cross-sectional study, the age-standardized risk of suicide mortality from 2006 to 2016 was determined. To estimate the cumulative and temporal risk, the Besag, York, and Mollié and Bernardinelli models were used.
Results
The relative risk of suicide mortality was greater than 1 in 43.0% of Iran’s provinces (posterior probability >0.8; range, 0.46 to 3.93). The spatio-temporal model indicated a high risk of suicide in 36.7% of Iran’s provinces. In addition, significant upward temporal trends in suicide risk were observed in the provinces of Tehran, Fars, Kermanshah, and Gilan. A significantly decreasing pattern of risk was observed for men (β, -0.013; 95% credible interval [CrI], -0.010 to -0.007), and a stable pattern of risk was observed for women (β, -0.001; 95% CrI, -0.010 to 0.007). A decreasing pattern of suicide risk was observed for those aged 15-29 years (β, -0.006; 95% CrI, -0.010 to -0.0001) and 30-49 years (β, -0.001; 95% CrI, -0.018 to -0.002). The risk was stable for those aged >50 years.
Conclusions
The highest risk of suicide mortality was observed in Iran’s northwestern provinces and among Kurdish women. Although a low risk of suicide mortality was observed in the provinces of Tehran, Fars, and Gilan, the risk in these provinces is increasing rapidly compared to other regions.
Summary

Citations

Citations to this article as recorded by  
  • Spatial, geographic, and demographic factors associated with adolescent and youth suicide: a systematic review study
    Masoud Ghadipasha, Ramin Talaie, Zohreh Mahmoodi, Salah Eddin Karimi, Mehdi Forouzesh, Masoud Morsalpour, Seyed Amirhosein Mahdavi, Seyed Shahram Mousavi, Shayesteh Ashrafiesfahani, Roya Kordrostami, Nahid Dadashzadehasl
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
Associations Between Preschool Education Experiences and Adulthood Self-rated Health
Jeehye Lee, Jinwook Bahk, Young-Ho Khang
J Prev Med Public Health. 2017;50(4):228-239.   Published online May 10, 2017
DOI: https://doi.org/10.3961/jpmph.16.110
  • 6,992 View
  • 206 Download
  • 1 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
This study aimed to examine the association between preschool education experiences and adulthood self-rated health using representative data from a national population-based survey. Methods: Data from the Korean Labor and Income Panel Study in 2006 and 2012 were used. A total of 2391 men and women 21-41 years of age were analyzed. Log-binomial regression analyses were conducted to examine the associations between preschool education experience and self-rated health in adulthood. Parental socioeconomic position (SEP) indicators were considered as confounders of the association between preschool education experience and adulthood subjective health, while current SEP indicators were analyzed as mediators. Age-adjusted prevalence ratios (PRs) and the associated 95% confidence intervals (CIs) were estimated. Results: Compared with men without any experience of preschool education, those with both kindergarten and other preschool education experiences showed a lower prevalence of self-rated poor health (PR, 0.65; 95% CI, 0.47 to 0.89). In women, however, such an association was not evident. The relationship of preschool education experiences with self-rated poor health in adulthood among men was confounded by parental SEP indicators and was also mediated by current SEP indicators. After adjustment for parental and current SEP indicators, the magnitude of the associations between preschool education experiences and adulthood subjective health was attenuated in men. Conclusions: Preschool education experience was associated with adulthood self-rated health in men. However, this association was explained by parental and current SEP indicators. Further investigations employing a larger sample size and objective health outcomes are warranted in the future.
Summary

Citations

Citations to this article as recorded by  
  • Self-rated health and its determinants in patients with hypertension in Isfahan in 2019
    Asieh Mansouri, Alireza Khosravi Farsani, Noushin Mohammadifard, Fatemeh Nouri, Mahnaz Jozan, Ghazaal Alavi Tabatabaei, Rezvan Salehidoost, Hamed Rafiee
    BMC Public Health.2024;[Epub]     CrossRef
A Longitudinal Study on the Causal Association Between Smoking and Depression.
Eunjeong Kang, Jaehee Lee
J Prev Med Public Health. 2010;43(3):193-204.
DOI: https://doi.org/10.3961/jpmph.2010.43.3.193
  • 6,014 View
  • 164 Download
  • 33 Crossref
AbstractAbstract PDF
OBJECTIVES
The objective of this study was to analyze the causal relationship between smoking and depression using longitudinal data. METHODS: Two waves of the Korea Welfare Panel collected in 2006 and 2007 were used. The sample consisted of 14 426 in 2006 and 13 052 in 2007 who were aged 20 and older. Smoking was measured by smoking amount (none/ or = two packs). Depression was defined when the summated CESD (center for epidemiological studies depression)-11 score was greater than or equal to 16. The causal relationship between smoking and depression was tested using logistic regression. In order to test the causal effect of smoking on depression, depression at year 2 was regressed on smoking status at year 1 only using the sample without depression at year 1. Likewise, smoking status at year 2 was regressed on depression at year 1 only using those who were not smoking at year 1 in order to test the causal effect of depression on smoking. The statistical package used was Stata 10.0. Sampling weights were applied to obtain the population estimation. RESULTS: The logistic regression testing for the causal relationship between smoking and depression showed that smoking at year 1 was significantly related to depression at year 2. Smoking amounts associated with depression were different among age groups. On the other hand, the results from the logistic regression testing for the opposite direction of the relationship between smoking and depression found no significant association regardless of age group. CONCLUSIONS: The study results showed some evidence that smoking caused depression but not the other way around.
Summary

Citations

Citations to this article as recorded by  
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    Neuroscience & Biobehavioral Reviews.2024; 161: 105652.     CrossRef
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    Seth Frndak, Samie Syed, Julian Saleh, Megan Kocher, Xiaozhong Wen
    Journal of Clinical Nursing.2022; 31(11-12): 1643.     CrossRef
  • The long‐term health effects of initiating smoking in adolescence: Evidence from a national longitudinal survey
    Aliaksandr Amialchuk, Onur Sapci
    Health Economics.2022; 31(4): 597.     CrossRef
  • Tobacco smoking and depressive symptoms in Chinese middle-aged and older adults: Handling missing values in panel data with multiple imputation
    Xiahua Du, Rina Wu, Lili Kang, Longlong Zhao, Changle Li
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Physical activity mitigates the link between adverse childhood experiences and depression among U.S. adults
    Michael F. Royer, Christopher Wharton, Catalina Castaño
    PLOS ONE.2022; 17(10): e0275185.     CrossRef
  • Smoking and Neuropsychiatric Disease—Associations and Underlying Mechanisms
    Omar Hahad, Andreas Daiber, Matthias Michal, Marin Kuntic, Klaus Lieb, Manfred Beutel, Thomas Münzel
    International Journal of Molecular Sciences.2021; 22(14): 7272.     CrossRef
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    Sukaina Alzyoud, Farah Massoud
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    Shivam Kamthan, Saurabh Sharma, Rahul Bansal, Bhawna Pant, Parul Saxena, Shivakshi Chansoria, Arvind Shukla
    Journal of Oral Biology and Craniofacial Research.2019; 9(2): 190.     CrossRef
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    Dylan O’Neill Rothenberg, Lingyun Zhang
    Nutrients.2019; 11(6): 1361.     CrossRef
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    Ana M Abrantes, Samantha G Farris, Haruka Minami, David R Strong, Deborah Riebe, Richard A Brown
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    Meg Fluharty, Amy E. Taylor, Meryem Grabski, Marcus R. Munafò
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    David C. N. Wong, Sophia S. C. Chan, Tai-hing Lam
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    Biotechnology and Health Sciences.2016;[Epub]     CrossRef
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    American Journal of Preventive Medicine.2016; 51(6): 933.     CrossRef
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    Tana M. Luger, Jerry Suls, Mark W. Vander Weg
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  • Mood, mood regulation expectancies and frontal systems functioning in current smokers versus never-smokers in China and Australia
    Michael Lyvers, Cassandra Carlopio, Vicole Bothma, Mark S. Edwards
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  • Trends in the Prevalence of Tobacco Use in the United States, 1991–1992 to 2004–2005
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Self-Rating Perceived Health: The Influence on Health Care Utilization and Death Risk.
Sun Seog Kweon, Sang Yong Kim, Jeong Soo Im, Seok Joon Sohn, Jin Su Choi
Korean J Prev Med. 1999;32(3):355-360.
  • 2,039 View
  • 32 Download
AbstractAbstract PDF
OBJECTIVES
This 3-year longitudinal study was conducted to evaluate the influence of self-rating health perception on health care utilization and all cause-death risk. METHODS: The hypothesis was tested using a community-based samples, among which subjects 3,414 were interviewed in 1995. Self-rating health perception was assessed by single-item question. Three components of health care utilization amount(number of visits, number of medications, yearly health care expenses) per year were measured using medical insurance data during 3-year follow-up period among subjects in district health care insurance. There were 123 deaths from all causes among 3,085 subjects interviewed. RESULTS: The results showed that those who had poor health perception revealed more increases in the amount of health care utilization than good health perception group (p<0.05). After adjusting for age and sex, the poor health perception group had higher death risk over 3 years than good health perception group(hazard ratio=1.88). but, after adjusting health care utility, supplementary, was not significant. CONCLUSION: These results suggest that self-rating health percep-tion was associated with difference in health care utilization and all cause-death risk.
Summary
Twelve-year Study on Body Mass Index Changes of Obese Adolescents.
Yun Ju Kang, Il Suh, Chang Ho Hong, Jong Ku Park
Korean J Prev Med. 1994;27(4):665-676.
  • 2,012 View
  • 21 Download
AbstractAbstract PDF
The purpose of this study is to observe the longitudinal changes in BMI (Body Mass Index) of obese and non-obese 3rd. grade high school students in Seoul for 12 years and to see the trends of overt weight gain in obese adolescents. The results are as follows; 1. The average annual increasing rates of body mass indices in male students were 1.14kg/m2 in obese group and 0.59 in non-obese group. In female students, the average annual increasing rates of body mass indices were 0.93kg/m2 in obese group and 0.53kg/m2 in non-obese group. 2. The change rate of BMI for 12 years was significantly higher in obese group than non-obese group. 3. Puberty had less influence on the change rate of BMI in obese group compared to non-obese group. 4. In obese group, 71.8% of the variance in BMI at 17 can be predicted by BMI at 16 years in male students. In female students 44.4% can be predicted by BMI at age 16. 5. Among the 17-year-old obese students, 58.8% of the males and 56.2% of females were found not to have been obese at 7 years of age. 6. Among the 17-year-old obese students, those who were obese at 7 years of age were found to have higher BMI at later ages than those who were in the non-obese group. Obese adolescents were more likely to be obese in their childhood than non-obese group. There was no optimal age for the significant weight gain and the increasing rate of BMI was constantly higher in obese group than in non-obese group. Due to the fact that child obesity in early age contributes to obesity in adolescence, close observation is advised on the other hand, a large proportion of obese adolescents can be preventable by early interventions, because about 50% of obese adolescents were not obese in early elementary school age.
Summary
A Longitudinal Study of the Relationship Between Health Behavior Risk Factors and Dependence in Activities of Daily Living.
Sang Hyuk Jung, Truls Oslash stbye, Kyoung Ok Park
J Prev Med Public Health. 2006;39(3):221-228.
  • 2,269 View
  • 102 Download
AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to shed further light on the effect of modifiable health behavior risk factors on dependence in activities of daily living, defined in a multidimensional fashion. METHODS: The study participants were 10,278 middle aged Americans in a longitudinal health study, the Health and Retirement Survey (HRS). A multi-stage probability sampling design incorporating the effect of population sizes (Metropolitan and non-metropolitan), ethnicity (the non-Hispanic White, the Hispanic, and the Black), and age (age 51-61) was utilized. Basic Activities of Daily Living (ADL) were measured using five activities necessary for survival (impairment in dressing, eating, bathing, sleeping, and moving across indoor spaces). Explanatory variables were four health behavior risk factors included smoking, exercise, Body Mass Index (BMI), and alcohol consumption. RESULTS: Most participants at baseline were ADL independent (1992). 97.8% of participants were independent in all ADL's at baseline and 78.2% were married. Approximately 27.5% were current smokers at baseline, and the subjects reported moderate or heavy exercise were 74.8%. All demographic characteristics and behavioral risk factors were significantly associated with the ADL status at Wave 4 except alcohol consumption. Risk behaviors such as current smoking, sedentary life style and high BMI at Wave 1 were associated with ADL status deterioration; however, moderate alcohol consumption tended to be more related to better ADL status than abstaining at Wave 4. ADL status at Wave 1 was the strongest factor and the next was exercise and smoking affecting ADL status at Wave 4. People who were in ADL dependent at Wave 1 were 15.17 times more likely to be ADL dependent at Wave 4 than people who were in ADL independent at Wave 1. Concerning smoking cigarettes, people who kept only light exercise or sedentary life style at Wave 1 were 1.70 times more likely to be died at Wave 4 than the people who did not smoke at Wave 1. CONCLUSIONS: All demographics and health behaviors at wave 1 had consistently similar OR trends for ADL status to each other except alcohol consumption. Smoking and exercise in health behaviors, and age and gender in demographics at Wave 1 were significant factors associated with ADL group separation at Wave 4.
Summary
English Abstract
Socioeconomic Mortality Inequality in Korea: Mortality Follow-up of the 1998 National Health and Nutrition Examination Survey(NHANES) Data.
Young Ho Khang, Hye Ryun Kim
J Prev Med Public Health. 2006;39(2):115-122.
  • 2,794 View
  • 73 Download
AbstractAbstract PDF
OBJECTIVES
This study was conducted to examine the relationships of the several socioeconomic position indicators with the mortality risk in a representative longitudinal study of South Korea. METHODS: The 1998 National Health and Nutrition Examination Survey was conducted on a cross-sectional probability sample of South Korean households, and it contained unique 13-digit personal identification numbers that were linked to the data on mortality from the National Statistical Office of Korea. Of 5,607 males and females, 264 died between 1999 and 2003. Cox's regression was used to estimate the relative risks (RR) and their 95% confidence intervals (CI) of mortality. RESULTS: Socioeconomic differences in mortality were observed after adjustments were made for gender and age. Compared with those people having college or higher education, those people without any formal education had a greater mortality risk (RR=2.21, 95% CI=1.12-4.40). The mortality risk among manual workers was significantly greater than that for the non-manual workers (RR=2.73, 95% CI=1.47-5.06). A non-standard employment status was also associated with an increase in mortality: temporary or daily workers had a greater mortality risk than did the full-time workers (RR=3.01, 95% CI=1.50-6.03). The mortality risk for the low occupational class was 3.06 times greater than that of the high and middle occupational classes (95% CI=1.75-5.36). In addition, graded mortality differences according to equivalized monthly household income were found. A reduction of monthly household income by 500 thousand Korean Won (about 400 US dollars) was related with a 20% excess risk of mortality. Self-reported poor living standards were also associated with an increased risk of mortality. Those without health insurance had a 3.63 times greater risk of mortality than the insured (95% CI=1.61-8.19). CONCLUSIONS: This study showed the socioeconomic differentials in mortality in a national longitudinal study of South Korea. The existence of socioeconomic mortality inequalities requires increased social discussion on social policies in Korean society. Furthermore, the mechanisms for the socioeconomic inequalities of mortality need to be explored in future studies.
Summary

JPMPH : Journal of Preventive Medicine and Public Health