Journal of Preventive Medicine and Public Health

Original Articles

Increased Prevalence of Chronic Disease in Back Pain Patients Living in Car-dependent Neighbourhoods in Canada: A Cross-sectional Analysis: Amy Zeglinski-Spinney, Denise C. Wai, Philippe Phan, Eve C. Tsai, Alexandra Stratton, Stephen P. Kingwell, Darren M. Roffey, Eugene K. Wai; J Prev Med Public Health. 2018;51(5):227-233. Published online August 10, 2018; DOI: https://doi.org/10.3961/jpmph.18.038

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Objectives
Chronic diseases, including back pain, result in significant patient morbidity and societal burden. Overall improvement in physical fitness is recommended for prevention and treatment. Walking is a convenient modality for achieving initial gains. Our objective was to determine whether neighbourhood walkability, acting as a surrogate measure of physical fitness, was associated with the presence of chronic disease.
Methods
We conducted a cross-sectional study of prospectively collected data from a prior randomized cohort study of 227 patients referred for tertiary assessment of chronic back pain in Ottawa, ON, Canada. The Charlson Comorbidity Index (CCI) was calculated from patient-completed questionnaires and medical record review. Using patients’ postal codes, neighbourhood walkability was determined using the Walk Score, which awards points based on the distance to the closest amenities, yielding a score from 0 to 100 (0- 50: car-dependent; 50-100: walkable).
Results
Based on the Walk Score, 134 patients lived in car-dependent neighborhoods and 93 lived in walkable neighborhoods. A multivariate logistic regression model, adjusted for age, gender, rural postal code, body mass index, smoking, median household income, percent employment, pain, and disability, demonstrated an adjusted odds ratio of 2.75 (95% confidence interval, 1.16 to 6.53) times higher prevalence for having a chronic disease for patients living in a car-dependent neighborhood. There was also a significant dose-related association (p=0.01; Mantel-Haenszel chi-square=6.4) between living in car-dependent neighbourhoods and more severe CCI scores.
Conclusions
Our findings suggest that advocating for improved neighbourhood planning to permit greater walkability may help offset the burden of chronic disease.

Summary

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Contributions and Limitations Walk Score® in the Context of Walkability: A Scoping Review
Jennifer Ann Brown, Kimberley D. Curtin, Mathew Thomson, Janice Y. Kung, Candace I. J. Nykiforuk
Environment and Behavior.2023; 55(6-7): 468. CrossRef
Do Walking-Friendly Built Environments Influence Frailty and Long-Term Care Insurance Service Needs?
Seigo Mitsutake, Tatsuro Ishizaki, Yuri Yokoyama, Mariko Nishi, Mohammad Javad Koohsari, Koichiro Oka, Shohei Yano, Takumi Abe, Akihiko Kitamura
Sustainability.2021; 13(10): 5632. CrossRef

Older Adults’ Perception of Chronic Illness Management in South Korea: Minah Kang, Jaiyong Kim, Sang-Soo Bae, Yong-Jun Choi, Dong-Soo Shin; J Prev Med Public Health. 2014;47(4):236-243. Published online July 31, 2014; DOI: https://doi.org/10.3961/jpmph.2014.47.4.236

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Abstract PDF

Objectives
Despite the recent emphasis on a patient-centered chronic care model, few studies have investigated its use in older adults in South Korea. We explored how older Korean adults perceive and cope with their chronic illness. Methods: We conducted focus group interviews in Seoul, Korea in January 2010. Focus groups were formed by disease type (hypertension and type 2 diabetes) and gender using purposive sampling. Inclusion criteria were patients aged 60 and over who had been diagnosed with diabetes or hypertension and received care at a community health center for at least six months prior to participation. Interview data were analyzed through descriptive content analysis. Results: Among personal factors, most participants felt overwhelmed when they received their diagnosis. However, with time and control of their acute symptoms using medication, their worry diminished and participants tended to denying being identified as a patient or sick person. Among socio-familial factors, participants reported experiencing stigma with their chronic illness and feeling it was a symbol of weakness. Instead of modifying their lifestyles, which might interfere with their social relationships, they resorted to only following their medicine regime prescribed by their doctor. Participants also reported feeling that their doctor only prescribed medications and acted in an authoritative and threatening manner to induce and reinforce participants’ compliance with treatment. Conclusions: For successful patient-centered management of chronic illnesses, supportive environments that include family, friends, and healthcare providers should be established.

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Moderating Effect of Self-Esteem on the Relationship between Depression and Family Conflict Coping Strategies in the Elderly with Chronic Diseases in Korea
Jae Hee Kim, Hwa-Mi Yang
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Patient Perspectives of Chronic Disease Management and Unmet Care Needs in South Korea: A Qualitative Study
Kyunghee Yi, Sujin Kim
Journal of Patient Experience.2023;[Epub] CrossRef
Experiences of implementing a coping mechanism for the elderly who face chronic diseases while living with the family: a phenomenology study
Bahtiar Bahtiar, Junaiti Sahar, sWiwin Wiarsih
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Eunkyo Kang, Soojeong Kim, Ye E Rhee, Young H Yun
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Causal beliefs about hypertension and self-care behaviour in Korean patients
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Kawoun Seo, Youngshin Song
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The Quality of Family Relationships, Diabetes Self-Care, and Health Outcomes in Older Adults
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Siyan Yi, Chanrith Ngin, Sovannary Tuot, Pheak Chhoun, Tyler Fleming, Carinne Brody
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Developing a culturally tailored stroke prevention walking programme for Korean immigrant seniors: a focus group study
Sarah E. Choi, Ivy Kwon, Emiley Chang, Daniel Araiza, Carol Lee Thorpe, Catherine A. Sarkisian
International Journal of Older People Nursing.2016; 11(4): 255. CrossRef
Type 2 Diabetes Patients and Stigma:
Asuka Kato
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Health Conditions Sensitive to Retirement and Job Loss Among Korean Middle-aged and Older Adults: Susan Park, Sung-Il Cho, Soong-Nang Jang; J Prev Med Public Health. 2012;45(3):188-195. Published online May 31, 2012; DOI: https://doi.org/10.3961/jpmph.2012.45.3.188

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Abstract PDF

Objectives

This study was conducted to examine the association between health condition and leaving the labor market among middle-aged and older adults in South Korea.

Methods

Data was obtained from individuals aged 45 years and older participating in the 2006 and 2008 Korean Longitudinal Study of Ageing. We used various health measures including chronic diseases, comorbidities, traffic accident injuries, disabilit of instrumental activities of daily living, depressive symptoms, and self-rated health. The odds ratios of job loss, and retirement, versus employment were calculated using multinomial logistic regression by each health measure.

Results

In our cross-sectional and longitudinal analysis, health problems related to physical disabilities had the greatest effect on leaving the worksite. A shift in health condition from good to poor in a short period was a predictor of increased risk of unemployment but a persistent pattern of health problems was not associated with unemployment. Women with health problems showed a high probability of retirement, whereas among men, health problems instantly the possibility of both job loss and retirement.

Conclusions

Health problems of middle aged and older workers were crucial risk factors for retirement and involuntarily job loss. Especially functional defect and recent health problems strongly and instanty affected employment status.

Summary

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Ki-Bong Yoo, Eun-Cheol Park, Suk-Yong Jang, Jeoung A Kwon, Sun Jung Kim, Kyoung-hee Cho, Jae-Woo Choi, Jae-Hyun Kim, Sohee Park
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How are self-rated health and diagnosed disease related to early or deferred retirement? A cross-sectional study of employees aged 55-64
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Association between Voluntary/Involuntary Job Loss and the Development of Stroke or Cardiovascular Disease: A Prospective Study of Middle-Aged to Older Workers in a Rapidly Developing Asian Country
Mo-Yeol Kang, Hyoung-Ryoul Kim, Agricola Odoi
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Research Support, Non-U.S. Gov't

Age and Gender Differences in the Relation of Chronic Diseases to Activity of Daily Living (ADL) Disability for Elderly South Koreans: Based on Representative Data.: Il Ho Kim; J Prev Med Public Health. 2011;44(1):32-40.; DOI: https://doi.org/10.3961/jpmph.2011.44.1.32

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Abstract PDF

OBJECTIVES
This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. METHODS: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. RESULTS: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79 age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. CONCLUSIONS: Age and gender differences were observed in the effect of chronic diseases on ADL disability.

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Review

Global Networking of Cancer and NCD Professionals Using Internet Technologies: The Supercourse and mHealth Applications.: Faina Linkov, Nicolas Padilla, Eugene Shubnikov, Ronald LaPorte; J Prev Med Public Health. 2010;43(6):472-478.; DOI: https://doi.org/10.3961/jpmph.2010.43.6.472

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Abstract PDF

Cancer is a leading cause of death around the world. Education is at the core of cancer prevention activities, especially programs targeting empowering existing public health workforce. In the past 10 years, researchers at the University of Pittsburgh have been building the Global Health Network Supercourse project, a library of over 4500 online lectures and a network of nearly 50000 public health professionals in 174 countries. As of November, 2010, the overall number of Supercourse participants from Asia exceeds 7000 participants. The Supercourse network has been investigating methods for Internet based recruitment of cancer prevention professionals in order to network cancer experts locally and globally, including the use of mHealth technologies for cancer research education and for NCD registries. Supercourse is a tool that can offer a solution to the challenges of information sharing, especially in the field of NCDs and cancer. In this paper, we highlight the need for the development of Cancer Supercourse with Satellite in Asia and encourage faculty members from Asia to join the network.

Summary

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Original Articles

Factors Related to Perceived Life Satisfaction Among the Elderly in South Korea.: Minsoo Jung, Carles Muntaner, Mankyu Choi; J Prev Med Public Health. 2010;43(4):292-300.; DOI: https://doi.org/10.3961/jpmph.2010.43.4.292

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OBJECTIVES
This study attempted to explore the aging phenomena that now characterize much of Korean society, and assessed issues associated with the life satisfaction experienced during the process of aging. METHODS: By employing the National Survey on the State of Life and the Desire for Welfare of the Elderly, 2004 in South Korea this study attempted to identify the factors that determine subjective life satisfaction among the elderly. The data utilized herein consisted of 3278 elderly people aged 65 years or older, from 9308 households. RESULTS: The results of analysis from the final model after the introduction of 19 variables in 8 factors showed statistically similar explanatory power in men (adj. R2=0.320) and in women (adj. R2=0.346). We found that economic condition was the most influential factor in both men (B=0.278) and women (B=0.336) except perceived health condition variables. The second most influential variable in life satisfaction was health checkups in men (B=0.128) and degree of nutritional diet in women (B=0.145). Those who had experience with chronic diseases also reported significantly lower perceived life satisfaction and this was particularly true of women. CONCLUSIONS: The aging society requires an understanding of the lives of elderly individuals. This study explored factors associated with life satisfaction in old age by using a life satisfaction model. The success of an aging society begins with an accurate understanding of the elderly, and thus political attention will need to be focused on this matter.

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Analysis for the Impact of Adulthood and Childhood Socioeconomic Positions and Intergenerational Social Mobility on Adulthood Health.: Jae Hee Seo, Ho Kim, Young Jeon Shin; J Prev Med Public Health. 2010;43(2):138-150.; DOI: https://doi.org/10.3961/jpmph.2010.43.2.138

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Abstract PDF

OBJECTIVES
There are at least three conceptual models for the effects of the childhood social environment on adult health: the critical period model, the social mobility model, and the cumulative risk model. However, few studies have investigated all three different models within the same setting. This study aims to examine the impact of childhood and adulthood socioeconomic positions and intergenerational social mobility over the life course on the health in adulthood based both on the critical period model and the social mobility model. METHODS: This study was conducted on 9583 adults aged between 25 and 64 years old and they were the respondents to the Korea Welfare Panel Study (2006). A multivariate logistic regression analysis was carried out, using the critical period model and the social mobility model out of the life course approaches, to look into the impact of childhood and adulthood socioeconomic positions and intergenerational social mobility on the health status in adulthood. RESULTS: Household income and occupation out of the adulthood socioeconomic position indicators had an independent influence on the adulthood health status. The childhood socioeconomic position indicators, except for the place of childhood residence, affected the adulthood health status even after adjustment for the adulthood socioeconomic position. The effect of intergenerational social mobility was also statistically significant even after adjusting for the adulthood socioeconomic position, but it became insignificant when the childhood socioeconomic position was additionally adjusted for. CONCLUSIONS: Adulthood health is indeed affected by both the childhood and adulthood socioeconomic positions as well as intergenerational social mobility. This result shows that a life course approach needs to be adopted when dealing with health issues.

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Attitudes toward Complementary and Alternative Medicine in Suwon City.: Mi Sook Song, Ki Hong Chun, Hyun Jong Song, In Whee Park, Seung Chul Yoo; Korean J Prev Med. 1999;32(2):162-169.

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Abstract PDF: OBJECTIVES
The aim of this study was to investigate the attitudes toward complementary and alternative medicine among 1,490 residents(339 households) in Suwon city. METHODS: All respondents were asked about types, frequency, effects, side-effects, views, and cost of complementary or alternative medicine through a questionnaire from July 24th to 27th. Six therapies were investigated: diet; acupuncture/ massage/ chiropractic etc.; mind control such as Ki/ Yoga/ spiritual therapy/ relaxation therapy etc.; nutritional supplements, cultural remedies; and Herb medications. RESULTS: The results of this survey were as follows: 35.6% of respondents had experiences with at least one or more types of complementary and alternative medicine. The average number of different types of therapies used was 3.4. More experience with various types of therapies were found among those respondents of higher education, older age group, higher income, married group, religious group than among the opposite groups of respondents. Herb medications were used most frequently(39.8%), followed by minor grains(37.9%), Ginseng(23.8%), Boshintang(21.5%), acupuncture(20.3%), Gaesojou (15.3%), Gingko nut(12.0%), mushroom(11.5%), Cupping therapy(10.2%), and black goat(0.0%). Acupuncture and Herb medications were used for treatment of hypertension the most frequently; minor grains or silkworm for treatment of diabetic mellitus; vegetables for treatment of obesity; acupuncture, Cupping Therapy, Herb medications for treatment of rheumatism; and acupuncture, Herb medications, or exercises for treatment of Cerebro Vascular Accident(CVA). The average costs of treatment were 108,000 Won for hypertension, 87,200 Won for diabetic mellitus, 16,800 Won for obesity, 68,800 Won for rheumatism, and 87,500 Won for CVA. Among 10.9% of respondents, there were 13 cases of side-effects with acupuncture, Herb medications, and Gaesojou. Among the cases of side-effects, majority was due to Herb medications. Respondents reported that Cupping Therapy was the most effective, followed by acupuncture, Ginseng, Gingko nut, Boshintang, black goat, minor grains, Gaesojou, Herb medications, vegetables, and mushroom. In response to the views of complementary and alternative medicine which they had used, they recommended minor grains first, followed by Ginseng, acupuncture, Gingko nut, Cupping Therapy, vegetables, Boshintang, black goat, mushroom and Herb medications. In contrast, they did not recommend Herb medications, acupuncture, nor Gaesojou. CONCLUSIONS: These findings indicate that many people use various complementary and alternative medicine without any guidelines for treatment of serious chronic diseases not even to invigorate themselves. It is, therefore, suggested that medical doctors or scientists verify the true effects or side-effects from the most common complementary or alternative therapies through experiments. Also medical doctors should provide a comfortable atmosphere for discussion among doctors and patients who would like to try these therapies.; Summary

Prevalence Estimation of Several Chronic Diseases through Community Based Health Examination Survey.: Soon Young Lee, Geun Shik Han, Young Ok Kim, Hae Kyung Kim, Byoung Hyun Min; Korean J Prev Med. 1999;32(1):40-47.

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Abstract PDF: OBJECTIVES
The health examination survey was conducted in order to estimate the prevalence of major chronic diseases in a community. METHODS: A multi-stage stratified probability sample of 1,656 persons, aged from 20 to 69 years, was drawn out from Kuri City. All sampled persons were personally informed of the purpose, content and procedures of the survey and mobile examination center was run between 6 AM and 9 PM for the convenience of the participants. RESULTS: 854 persons (339 males and 515 females) completed this survey with a response rate of 53.4%. Prevalent diseases in male were hypertension(19.0%), HBs Ag carrier(9.8%), impaired glucose tolerance(8.7%), diabetes mellitus(6.3%), hypercholesterolemia(3.4%), anemia(2.7%) and degenerative arthritis(2.6%) in order of prevalence rate. Prevalent diseases in female were osteoporosis(22.5%), impaired glucose tolerance(17.3%), anemia(12.8%), hypertension(12.4%), degenerative arthritis (6.6%), HBs Ag carrier(5.8%), diabetes mellitus(5.4%) and hypercholesterolemia(3.5%) in order of prevalence rate. CONCLUSIONS: This results suggest that hypertension was most prevalent in adult male whereas diabetes mellitus including IGT, osteoporosis were most prevalent in adult female, in Kuri City.; Summary

English Abstract

Directions for Future Development of Preventive Medicine in Korea.: Joon Youn Kim; J Prev Med Public Health. 2006;39(3):185-189.

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Abstract PDF: It is the actual state of the medical society in our country that many graduates of medical schools want to be clinicians, and accordingly Korea's medical situation is relatively too focused on curative medicine. However, this situation is changing due to several factors including a growing number of doctors, inappropriate regulations for medical fees, changes in social status of doctors themselves, and excessive competition between doctors. Furthermore, we expect more advances in medical field of Korea since Korean government started to attach great importance to sciences and produced policies to support sciences, and as a result, more and more interest and effort in the fields of basic research including preventive medicine is being attached especially by young doctors as compared against the past. However, decline of clinical medicine fields doesn't always mean bright future for the field of preventive medicine. True future is possible and meaningful only when we prepare for it by ourselves. In other words, as the promising future is closed to one who spares no effort, we shouldn't fear to oppose unknown challenges and simultaneously need to support colleagues who bear such a positive mind. It is the most important thing for our preventive medicine doctors to evaluate the past and the present of preventive medicine and to foster a prospective mind to prepare for the future of preventive medicine. I set forth my several views according to directions for the development of preventive medicine which we already discussed and publicized in the academic circle of preventive medicine. Those directions are recommen dation of clinical preventive medicine, promotion of preventive medicine specialty, fostering the next generations, improving the quality of genetic epidemiologic study, participation in control of environmental pollution and food safety, contribution to chronic disease control, and preparation to role in medical services for unified Korea.; Summary

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