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Original Articles
Gender Differences in Hypertension Control Among Older Korean Adults: Korean Social Life, Health, and Aging Project
Sang Hui Chu, Ji Won Baek, Eun Sook Kim, Katherine M. Stefani, Won Joon Lee, Yeong-Ran Park, Yoosik Youm, Hyeon Chang Kim
J Prev Med Public Health. 2015;48(1):38-47.   Published online January 14, 2015
DOI: https://doi.org/10.3961/jpmph.14.043
  • 10,873 View
  • 135 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives
Controlling blood pressure is a key step in reducing cardiovascular mortality in older adults. Gender differences in patients’ attitudes after disease diagnosis and their management of the disease have been identified. However, it is unclear whether gender differences exist in hypertension management among older adults. We hypothesized that gender differences would exist among factors associated with hypertension diagnosis and control among community-dwelling, older adults.
Methods
This cross-sectional study analyzed data from 653 Koreans aged ≥60 years who participated in the Korean Social Life, Health, and Aging Project. Multiple logistic regression was used to compare several variables between undiagnosed and diagnosed hypertension, and between uncontrolled and controlled hypertension.
Results
Diabetes was more prevalent in men and women who had uncontrolled hypertension than those with controlled hypertension or undiagnosed hypertension. High body mass index was significantly associated with uncontrolled hypertension only in men. Multiple logistic regression analysis indicated that in women, awareness of one’s blood pressure level (odds ratio [OR], 2.86; p=0.003) and the number of blood pressure checkups over the previous year (OR, 1.06; p=0.011) might influence the likelihood of being diagnosed with hypertension. More highly educated women were more likely to have controlled hypertension than non-educated women (OR, 5.23; p=0.013).
Conclusions
This study suggests that gender differences exist among factors associated with hypertension diagnosis and control in the study population of community-dwelling, older adults. Education-based health promotion strategies for hypertension control might be more effective in elderly women than in elderly men. Gender-specific approaches may be required to effectively control hypertension among older adults.
Summary

Citations

Citations to this article as recorded by  
  • Predictive Performance of Pender’s Health Promotion Model for Hypertension Control in Iranian Patients


    Fatemeh Gorbani, Hassan Mahmoodi, Parvin Sarbakhsh, Abdolreza Shaghaghi
    Vascular Health and Risk Management.2020; Volume 16: 299.     CrossRef
  • CHANGES OF LIFE QUALITY SCORE DEPENDING ON THE ARTERIAL HYPERTENSION DEGREE IN THE GENDER ASPECT
    O.A. Alifer
    Medical Science of Ukraine (MSU).2020; 16(2): 16.     CrossRef
  • Pathogenetic features of the combined course of arterial hypertension and diabetes mellitus 2 type
    O.M. Bilovol, L.R. Bobronnikova, O.V. Al-Trawneh
    Shidnoevropejskij zurnal vnutrisnoi ta simejnoi medicini.2017; 2017(1): 4.     CrossRef
Social Network Characteristics and Body Mass Index in an Elderly Korean Population
Won Joon Lee, Yoosik Youm, Yumie Rhee, Yeong-Ran Park, Sang Hui Chu, Hyeon Chang Kim
J Prev Med Public Health. 2013;46(6):336-345.   Published online November 28, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.6.336
  • 10,253 View
  • 103 Download
  • 17 Crossref
AbstractAbstract PDF
Objectives

Research has shown that obesity appears to spread through social ties. However, the association between other characteristics of social networks and obesity is unclear. This study aimed to identify the association between social network characteristics and body mass index (BMI, kg/m2) in an elderly Korean population.

Methods

This cross-sectional study analyzed data from 657 Koreans (273 men, 384 women) aged 60 years or older who participated in the Korean Social Life, Health, and Aging Project. Network size is a count of the number of friends. Density of communication network is the number of connections in the social network reported as a fraction of the total links possible in the personal (ego-centric) network. Average frequency of communication (or meeting) measures how often network members communicate (or meet) each other. The association of each social network measure with BMI was investigated by multiple linear regression analysis.

Results

After adjusting for potential confounders, the men with lower density (<0.71) and higher network size (4-6) had the higher BMI (β=1.089, p=0.037) compared to the men with higher density (>0.83) and lower size (1-2), but not in the women (p=0.393). The lowest tertile of communication frequency was associated with higher BMI in the women (β=0.885, p=0.049), but not in the men (p=0.140).

Conclusions

Our study suggests that social network structure (network size and density) and activation (communication frequency and meeting frequency) are associated with obesity among the elderly. There may also be gender differences in this association.

Summary

Citations

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  • A Prospective Sociocentric Study of 2 Entire Traditional Korean Villages: The Korean Social Life, Health, and Aging Project (KSHAP)
    Jiwon Baek, Ekaterina Baldina, Kiho Sung, Sung-Ha Lee, Nicholas A Christakis, Peter Bearman, Hyeon Chang Kim, Sang Hui Chu, Eun Lee, Yeong-Ran Park, Jeanyung Chey, Youn-Hee Choi, Dohoon Lee, Yoosik Youm
    American Journal of Epidemiology.2024; 193(2): 241.     CrossRef
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    Alyssa W Goldman
    Social Problems.2022; 69(2): 562.     CrossRef
  • 20-55 Yaş Arası Kadınların Beden Algılarının Değerlendirilmesi
    Can ERGÜN, Bilge MERAL KOC, Selin KALEOĞLU
    İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi.2022; (18): 892.     CrossRef
  • Social connections and hypertension in women and men: a population-based cross-sectional study of the Canadian Longitudinal Study on Aging
    Zeinab Hosseini, Gerry Veenstra, Nadia A. Khan, Annalijn I. Conklin
    Journal of Hypertension.2021; 39(4): 651.     CrossRef
  • Adiposity and the role of diverse social supports: an observational, gender-sensitive study using the baseline Canadian Longitudinal Study on Aging
    Zeinab Hosseini, Abdollah Safari, Nadia A Khan, Gerry Veenstra, Annalijn I Conklin
    Public Health Nutrition.2021; 24(18): 6103.     CrossRef
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    Zeinab Hosseini, Gerry Veenstra, Nadia A. Khan, Annalijn I. Conklin, Liang Wang
    PLOS ONE.2020; 15(7): e0235977.     CrossRef
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    Stephanie T Child, Katrina M Walsemann, Andrew T Kaczynski, Nancy L Fleischer, Alexander C McLain, Spencer Moore
    Journal of Public Health.2019; 41(1): 130.     CrossRef
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    Yuan Ma, Xiangxian Feng, Jun Ma, Feng J He, Haijun Wang, Jing Zhang, Wuxiang Xie, Tao Wu, Yunjian Yin, Jianhui Yuan, Graham A MacGregor, Yangfeng Wu
    BMJ Open.2019; 9(6): e028126.     CrossRef
  • Is the Relationship between Depression and C Reactive Protein Level Moderated by Social Support in Elderly?-Korean Social Life, Health, and Aging Project (KSHAP)
    Nam Wook Hur, Hyeon Chang Kim, Linda Waite, Yoosik Youm
    Psychiatry Investigation.2018; 15(1): 24.     CrossRef
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    S. Zhang, K. de la Haye, M. Ji, R. An
    Obesity Reviews.2018; 19(7): 976.     CrossRef
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    Cristina Liébana-Presa, Elena Andina-Díaz, María-Mercedes Reguera-García, Iván Fulgueiras-Carril, David Bermejo-Martínez, Elena Fernández-Martínez
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    André Hajek, Hans-Helmut König
    BMC Geriatrics.2018;[Epub]     CrossRef
  • Factors Associated with Insomnia among the Elderly in a Korean Rural Community
    Woo Jung Kim, Won-tak Joo, Jiwon Baek, Sung Yun Sohn, Kee Namkoong, Yoosik Youm, Hyeon Chang Kim, Yeong-Ran Park, Sang Hui Chu, Eun Lee
    Psychiatry Investigation.2017; 14(4): 400.     CrossRef
  • The Connection Prescription: Using the Power of Social Interactions and the Deep Desire for Connectedness to Empower Health and Wellness
    Jessica Martino, Jennifer Pegg, Elizabeth Pegg Frates
    American Journal of Lifestyle Medicine.2017; 11(6): 466.     CrossRef
  • Obesity in older persons
    J. Woo
    Current Opinion in Clinical Nutrition and Metabolic Care.2015; 18(1): 5.     CrossRef
  • O Programa Nacional de Controle do Tabagismo (PNCT) na perspectiva social: a análise de redes, capital e apoio social
    Paulo Cesar Moreira Campos, Marcia Gomide
    Cadernos Saúde Coletiva.2015; 23(4): 436.     CrossRef
  • The Korean social life, health and aging project-health examination cohort
    Ju-Mi Lee, Won Joon Lee, Hyeon Chang Kim, Wungrak Choi, Jina Lee, Kiho Sung, Sang Hui Chu, Yeong-Ran Park, Yoosik Youm
    Epidemiology and Health.2014; 36: e2014003.     CrossRef
Medical Care Utilization During 1 Year Prior to Death in Suicides Motivated by Physical Illnesses
Jaelim Cho, Won Joon Lee, Ki Tae Moon, Mina Suh, Jungwoo Sohn, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin, Sang Hyuk Jung
J Prev Med Public Health. 2013;46(3):147-154.   Published online May 31, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.3.147
  • 9,124 View
  • 95 Download
  • 19 Crossref
AbstractAbstract PDF
Objectives

Many epidemiological studies have suggested that a variety of medical illnesses are associated with suicide. Investigating the time-varying pattern of medical care utilization prior to death in suicides motivated by physical illnesses would be helpful for developing suicide prevention programs for patients with physical illnesses.

Methods

Suicides motivated by physical illnesses were identified by the investigator's note from the National Police Agency, which was linked to the data from the Health Insurance Review and Assessment. We investigated the time-varying patterns of medical care utilization during 1 year prior to suicide using repeated-measures data analysis after adjustment for age, gender, area of residence, and socioeconomic status.

Results

Among 1994 suicides for physical illness, 1893 (94.9%) suicides contacted any medical care services and 445 (22.3%) suicides contacted mental health care during 1 year prior to suicide. The number of medical care visits and individual medical expenditures increased as the date of suicide approached (p<0.001). The number of medical care visits for psychiatric disorders prior to suicide significantly increased only in 40- to 64-year-old men (p=0.002), women <40 years old (p=0.011) and women 40 to 64 years old (p=0.021) after adjustment for residence, socioeconomic status, and morbidity.

Conclusions

Most of the suicides motivated by physical illnesses contacted medical care during 1 year prior to suicide, but many of them did not undergo psychiatric evaluation. This underscores the need for programs to provide psychosocial support to patients with physical illnesses.

Summary

Citations

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  • Suicide risk of chronic diseases and comorbidities: A Korean case-control study
    Areum Song, Emily Jiali Koh, Weon-Young Lee, Shusen Chang, Jiseun Lim, Minjae Choi, Myung Ki
    Journal of Affective Disorders.2024; 349: 431.     CrossRef
  • Variations in healthcare utilization for mental health problems prior to suicide by socioeconomic status: a Norwegian register-based population study
    Carine Øien-Ødegaard, Solveig Tobie Glestad Christiansen, Lars Johan Hauge, Kim Stene-Larsen, Sissel Marguerite Bélanger, Espen Bjertness, Anne Reneflot
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    Quinn D. Kellerman, Narineh Hartoonian, Megan L. Beier, Steven L. Leipertz, Charles Maynard, Trisha A. Hostetter, Jodie K. Haselkorn, Aaron P. Turner
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JPMPH : Journal of Preventive Medicine and Public Health