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Original Articles
- Factors Affecting the Downward Mobility of Psychiatric Patients: A Korean Study of National Health Insurance Beneficiaries
- Un-Na Kim, Yeon-Yong Kim, Jin-Seok Lee
- J Prev Med Public Health. 2016;49(1):53-60. Published online December 22, 2015
- DOI: https://doi.org/10.3961/jpmph.15.052
- 8,378 View
- 104 Download
- 10 Crossref
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Abstract
PDF - Objectives
The purpose of this study is to examine the magnitude of and the factors associated with the downward mobility of first-episode psychiatric patients.
Methods
This study used the claims data from the Korean Health Insurance Review and Assessment Service. The study population included 19 293 first-episode psychiatric inpatients diagnosed with alcohol use disorder (International Classification of Diseases, 10th revision [ICD-10] code F10), schizophrenia and related disorders (ICD-10 codes F20-F29), and mood disorders (ICD-10 codes F30-F33) in the first half of 2005. This study included only National Health Insurance beneficiaries in 2005. The dependent variable was the occurrence of downward mobility, which was defined as a health insurance status change from National Health Insurance to Medical Aid. Logistic regression analysis was used to assess factors associated with downward drift of first-episode psychiatric patients.
Results
About 10% of the study population who were National Health Insurance beneficiaries in 2005 became Medical Aid recipients in 2007. The logistic regression analysis showed that age, gender, primary diagnosis, type of hospital at first admission, regular use of outpatient clinic, and long-term hospitalization are significant predictors in determining downward drift in newly diagnosed psychiatric patients.
Conclusions
This research showed that the downward mobility of psychiatric patients is affected by long-term hospitalization and medical care utilization. The findings suggest that early intensive intervention might reduce long-term hospitalization and the downward mobility of psychiatric patients. -
Summary
Citations
Citations to this article as recorded by
- Internet addiction of university students in the Covid-19 process
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Ming-ru Hou, Jun Wang, Jian-hua Xue, Jian-qin Pei, Yan Shi, Xian-wen Li
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Nicoletta Vonesch, Alessandra Binazzi, Michela Bonafede, Paola Melis, Anna Ruggieri, Sergio Iavicoli, Paola Tomao
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Sung Woo Joo, Seung-Hyun Shon, GumJee Choi, MinJung Koh, Seung Woo Cho, Jungsun Lee
European Neuropsychopharmacology.2019; 29(9): 1051. CrossRef - Hepatitis E Virus: Epidemiology, Diagnosis, and Management
Nae-Yun Heo
The Korean Journal of Gastroenterology.2019; 74(3): 130. CrossRef - Seroepidemiology and molecular characterization of hepatitis E virus infection in swine and occupationally exposed workers in Punjab, India
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Zoonoses and Public Health.2017; 64(8): 662. CrossRef - The Relationship between Internet Use and Health Behaviors among Adolescents
Eun Gyeong Kim
Journal of Korean Academy of Community Health Nursing.2015; 26(1): 52. CrossRef - Cross-lagged relationships between problematic Internet use and lifestyle changes
Chih-Hung Lin, Ssu-Kuang Chen, Shan-Mei Chang, Sunny S.J. Lin
Computers in Human Behavior.2013; 29(6): 2615. CrossRef - Análisis de las propiedades psicométricas de la versión en español del Internet Addiction Test
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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
- 5,167 View
- 70 Download
- 5 Crossref
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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. -
Summary
Citations
Citations to this article as recorded by- Impact of Childhood Socioeconomic Position on Self‐Rated Health Trajectories of South Korean Adults
Joan P. Yoo, Min Sang Yoo
Asian Social Work and Policy Review.2016; 10(1): 142. CrossRef - Interaction Effects of Social Determinants Affecting School-Aged Children’s Health
Mi Young Kim, Mee Sok Park
Family and Environment Research.2016; 54(5): 515. CrossRef - Grandparental education, parental education and child height: evidence from Hong Kong’s “Children of 1997” birth cohort
Man Ki Kwok, Gabriel M. Leung, Tai Hing Lam, Shirley S.L. Leung, C. Mary Schooling
Annals of Epidemiology.2013; 23(8): 475. 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 - Social Determinants of Smoking Behavior: The Healthy Twin Study, Korea
Youn Sik Kim, Hansoo Ko, Changgyo Yoon, Dong-Hun Lee, Joohon Sung
Journal of Preventive Medicine and Public Health.2012; 45(1): 29. CrossRef
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