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Kyunghee Jung-Choi 5 Articles
Changes in Adolescent Health Behavior and the Exacerbation of Economic Hardship During the COVID-19 Pandemic: A Cross-sectional Study From the Korea Youth Risk Behavior Survey
Chaeeun Kim, Haeun Lee, Kyunghee Jung-Choi, Hyesook Park
J Prev Med Public Health. 2024;57(1):18-27.   Published online November 11, 2023
DOI: https://doi.org/10.3961/jpmph.23.306
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AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents.
Methods
We analyzed data from the 2021 Korea Youth Risk Behavior Survey and included 44 908 students (22 823 boys and 22 085 girls) as study subjects. The dependent variables included changes in health behaviors (breakfast habits, physical activity, and alcohol use) that occurred during the COVID-19 pandemic. The aggravation of economic hardship by COVID-19 and the subjective economic status of the family were used as exposure variables. Multiple logistic regression analysis was utilized to calculate the prevalence odds ratios (PORs).
Results
Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents, including increased breakfast skipping (POR, 1.85; 95% confidence interval [CI], 1.55 to 2.21 for boys and POR, 1.56; 95% CI, 1.27 to 1.92 for girls) and decreased physical activity (POR, 1.37; 95% CI, 1.19 to 1.57 for boys and POR, 1.38; 95% CI, 1.19 to 1.60 for girls). These negative changes in health behaviors were further amplified when combined with a low subjective family economic status.
Conclusions
The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.
Summary
Korean summary
이 연구는 코로나바이러스감염증-19 (COVID-19) 대유행 기간 악화된 가구의 경제적 상황과 청소년의 건강 행태 변화의 관련성을 청소년건강행태조사를 이용하여 분석하였다. 가구의 경제적 상황이 COVID-19로 인해 심각하게 악화된 경우, 청소년 건강 행태의 부정적인 변화와 연관성이 관찰되었다. 가구의 경제적 상황이 악화되는 경험은 청소년들의 건강 행태에 부정적인 변화를 초래할 수 있다. COVID-19와 같은 사회적 사건으로 인해 발생하는 경제적 어려움에 대응하는 조치를 마련하고, 이러한 상황에서 청소년들의 건강 행태를 개선하기 위한 개입이 필요하다.
Key Message
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents using the 2021 Korea Youth Risk Behavior Survey. Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents. The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.
Changes in Contribution of Causes of Death to Socioeconomic Mortality Inequalities in Korean Adults
Kyunghee Jung-Choi, Young-Ho Khang, Hong-Jun Cho
J Prev Med Public Health. 2011;44(6):249-259.   Published online November 14, 2011
DOI: https://doi.org/10.3961/jpmph.2011.44.6.249
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AbstractAbstract PDF
Objectives

This study aimed to analyze long-term trends in the contribution of each cause of death to socioeconomic inequalities in all-cause mortality among Korean adults.

Methods

Data were collected from death certificates between 1990 and 2004 and from censuses in 1990, 1995, and 2000. Age-standardized death rates by gender were produced according to education as the socioeconomic position indicator, and the slope index of inequality was calculated to evaluate the contribution of each cause of death to socioeconomic inequalities in all-cause mortality.

Results

Among adults aged 25-44, accidental injuries with transport accidents, suicide, liver disease and cerebrovascular disease made relatively large contributions to socioeconomic inequalities in all-cause mortality, while, among adults aged 45-64, liver disease, cerebrovascular disease, transport accidents, liver cancer, and lung cancer did so. Ischemic heart disease, a very important contributor to socioeconomic mortality inequality in North America and Western Europe, showed a very low contribution (less than 3%) in both genders of Koreans.

Conclusions

Considering the contributions of different causes of death to absolute mortality inequalities, establishing effective strategies to reduce socioeconomic inequalities in mortality is warranted.

Summary

Citations

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    Jinwook Bahk, Sung-Mi Jang, Kyunghee Jung-Choi
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    Min-Young Kim, Hosung Shin
    Journal of Dental Hygiene Science.2017; 17(4): 375.     CrossRef
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    Eun-Cheol Park, Norie Kawahara, Shinjiro Nozaki, Hasbullah Thabrany, Shunya Yoshimi, Sohee Park, Duk Hyoung Lee, Hideyuki Akaza, Jae Kyung Roh
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    Occupational and Environmental Medicine.2016; 73(5): 329.     CrossRef
  • Educational Inequality in Female Cancer Mortality in Korea
    Mi-Hyun Kim, Kyunghee Jung-Choi, Hyoeun Kim, Yun-Mi Song
    Journal of Korean Medical Science.2015; 30(1): 1.     CrossRef
  • The population attributable fraction of low education for mortality in South Korea with improvement in educational attainment and no improvement in mortality inequalities
    Dohee Lim, Kyoung Ae Kong, Hye Ah Lee, Won Kyung Lee, Su Hyun Park, Sun Jung Baik, Hyesook Park, Kyunghee Jung-Choi
    BMC Public Health.2015;[Epub]     CrossRef
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    Journal of Preventive Medicine and Public Health.2015; 48(2): 74.     CrossRef
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    Kyunghee Jung-Choi, Young-Ho Khang, Hong-Jun Cho, Sung-Cheol Yun
    BMC Public Health.2014;[Epub]     CrossRef
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    Minsoo Jung
    Asian Pacific Journal of Cancer Prevention.2013; 14(6): 3411.     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
  • Difference of Area-based deprivation and Education on Cerebrovascular Mortality in Korea
    Jeoung-Ha Sim, Dong-Choon Ahn, Mi-A Son
    Korean Journal of Health Policy and Administration.2012; 22(2): 163.     CrossRef
Body Weight at Birth and at Age Three and Respiratory Illness in Preschool Children.
Yoolwon Jeong, Kyunghee Jung-Choi, Jin Hwa Lee, Hwa Young Lee, Eun Ae Park, Young Ju Kim, Eunhee Ha, Se Young Oh, Hyesook Park
J Prev Med Public Health. 2010;43(5):369-376.
DOI: https://doi.org/10.3961/jpmph.2010.43.5.369
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  • 16 Crossref
AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to examine the associations of current body weight and body mass index (BMI) at age three and birth weight in developing chronic respiratory illness in childhood and identify possible interaction underlying its mechanism. METHODS: The study was carried out with 422 children who were enrolled in a hospital-based birth cohort. Birth related anthropometric data were collected at birth. At age 3 years, the presence of respiratory symptoms was evaluated by using the Korean version of core questionnaire for wheezing and asthma from the International Study of Asthma and Allergies in Childhood (ISAAC). Physical examination was carried out to measure the child's weight and height. RESULTS: Children in the lowest birth weight tertile (aOR = 3.97, 95% CI = 0.94-16.68) or highest BMI tertile (aOR = 3.68, 95% CI = 1.24-10.95) at three years of age were at an increased risk of chronic respiratory illness. Children who were initially in the lowest birth weight tertile but now belong in the highest weight tertile had higher risk of chronic respiratory illness compared to those who had remained in the middle tertile (OR=16.35, 95% CI=1.66-160.57). CONCLUSIONS: Children with lower birth weight or higher BMI were at an increased risk of chronic respiratory illness. In addition, children who were initially in the lowest birth weight tertile but are now in the highest weight tertile had higher risk of chronic respiratory illness compared to those who remained in the middle tertile.
Summary

Citations

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Trend of Socioeconomic Inequality in Participation in Cervical Cancer Screening among Korean Women.
Soong Nang Jang, Sung il Cho, Seung Sik Hwang, Kyunghee Jung-Choi, So Young Im, Ji Ae Lee, Minah Kang Kim
J Prev Med Public Health. 2007;40(6):505-511.
DOI: https://doi.org/10.3961/jpmph.2007.40.6.505
  • 5,156 View
  • 74 Download
  • 15 Crossref
AbstractAbstract PDF
OBJECTIVES
While cervical cancer is one of the leading cancers among women worldwide, there are a number of effective early detection tests available. However, the participation rates in cervical cancer screening among Korean women remain low. After the nationwide efforts in 1988 and thereafter to encourage participation in cervical cancer screening, few studies have investigated the effects of socioeconomic inequality on participation in cervical cancer screening. The purpose of this study was to investigate 1) the level of socioeconomic disparities in receiving cervical cancer screening by age group and 2) if there was an improvement in reducing these disparities between 1995 and 2001. METHODS: Using data from the Korean National Health Status, Health Behavior and Belief Survey in 1995, and the Korean National Health and Nutrition Examination Surveys from 1998 and 2001 (sample sizes of 2,297, 3,738, and 3,283), age-standardized participation rates were calculated according to education level, equivalized household income, and job status. Odds ratios and the relative inequality index (RII) were also calculated after controlling for age. RESULTS: Women with lower education levels were less likely to attend the screening test, and the disparities by education level were most pronounced among women aged 60 years and older. The RIIs among women 60 years and older were 3.64, 4.46, and 8.64 in 1995, 1998, and 2001, respectively. Higher rates of participation were reported among those in the highest income category, which was more notable among the middle aged women (40s and 50s). An inconsistent trend in the rate of participation in cervical cancer screening by occupational level was found. CONCLUSIONS: Indicators of socioeconomic position seem to have varying impacts on the inequalities in the rates of participation in cervical cancer screening according to age group. These results demonstrate the need for more aggressive and age-based interventions and policy programs to eliminate the remaining inequalities.
Summary

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    A. Fernandez, G. Noël
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    Jaeyoung Kim, Soong-Nang Jang
    Journal of Preventive Medicine and Public Health.2008; 41(3): 186.     CrossRef
A Review on Socioeconomic Position Indicators in Health Inequality Research.
Yong Jun Choi, Baek Geun Jeong, Sung Il Cho, Kyunghee Jung-Choi, Soong Nang Jang, Minah Kang, Young Ho Khang
J Prev Med Public Health. 2007;40(6):475-486.
DOI: https://doi.org/10.3961/jpmph.2007.40.6.475
  • 5,387 View
  • 127 Download
  • 16 Crossref
AbstractAbstract PDF
OBJECTIVES
Socioeconomic position (SEP) refers to the socioeconomic factors that influence which position an individual or group of people will hold within the structure of a society. In this study, we provide a comprehensive review of various indicators of SEP, including education level, occupation-based SEP, income and wealth, area SEP, lifecourse SEP, and SEP indicators for women, elderly and youth. METHODS AND RESULTS: This report provides a brief theoretical background and discusses the measurement, interpretation issues, advantages and limitations associated with the use of each SEP indicator. We also describe some problems that arise when selecting SEP indicators and highlight the indicators that appear to be appropriate for health inequality research. Some practical information for use in health inequality research in South Korea is also presented. CONCLUSIONS: Investigation into the associations between various SEP indicators and health outcomes can provide a more complete understanding of mechanisms between SEP and health. The relationship between specific SEP indicators and specific health outcomes can vary by country due to the differences in the historical, socioeconomic, and cultural contexts of the SEP indicators.
Summary

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JPMPH : Journal of Preventive Medicine and Public Health