Korean Journal of Family Medicine最新文献

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Acquaintance and Acceptance of Menstrual Cups among Women of Reproductive Age: A Hospital-Based Cross-Sectional Study from North India.
IF 1.4
Korean Journal of Family Medicine Pub Date : 2025-01-03 DOI: 10.4082/kjfm.24.0083
Priya Bindal, Lajya Devi Goyal, Priyanka Garg
{"title":"Acquaintance and Acceptance of Menstrual Cups among Women of Reproductive Age: A Hospital-Based Cross-Sectional Study from North India.","authors":"Priya Bindal, Lajya Devi Goyal, Priyanka Garg","doi":"10.4082/kjfm.24.0083","DOIUrl":"https://doi.org/10.4082/kjfm.24.0083","url":null,"abstract":"<p><strong>Background: </strong>Menstrual hygiene is crucial to a woman's physical, social, and mental well-being. The menstrual cup offers a safe and effective solution but still requires wider adoption. This study aims to assess awareness, practices, and barriers regarding the use of menstrual cups among women of reproductive age.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 246 participants, randomly selected from outpatient settings of a tertiary care hospital in 2022. Non-pregnant menstruating women were included, while those with pelvic infections or cognitive impairments were excluded. After explaining the study's purpose and ensuring anonymity, data were collected using a structured questionnaire adapted from previous studies conducted in India and abroad. Knowledge and practices were depicted using descriptive statistics, while factors affecting awareness were analyzed using a multivariable binary logistic regression analysis approach.</p><p><strong>Results: </strong>Approximately 64.2% of participants were aware of menstrual cups, but only three were users. Participants living in urban areas, practicing Hinduism, and marrying after the age of 20 years showed higher awareness. Users rated the cup as comfortable, with no skin irritation, foul odor, or dryness. The primary barrier to use was insufficient knowledge.</p><p><strong>Conclusion: </strong>There is a gap in awareness and usage of menstrual cups, especially in low- and middle-income countries like India. Preliminary feedback from users is encouraging, suggesting that menstrual cups could offer a cost-effective, eco-friendly, and sustainable way to improve menstrual hygiene.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship between Heated Tobacco Product Use and Low-Density Lipoprotein Cholesterol in Korean Adults: A Cross-Sectional Study Using Korea National Health and Nutrition Examination Survey 2018-2021 (VII-1 and VIII).
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-12-27 DOI: 10.4082/kjfm.24.0201
Myungeun Kim, Kyung-Jin Lee, In Choi, Seung Hee Kim, Kunyoung Ryu
{"title":"Relationship between Heated Tobacco Product Use and Low-Density Lipoprotein Cholesterol in Korean Adults: A Cross-Sectional Study Using Korea National Health and Nutrition Examination Survey 2018-2021 (VII-1 and VIII).","authors":"Myungeun Kim, Kyung-Jin Lee, In Choi, Seung Hee Kim, Kunyoung Ryu","doi":"10.4082/kjfm.24.0201","DOIUrl":"https://doi.org/10.4082/kjfm.24.0201","url":null,"abstract":"<p><strong>Background: </strong>The use of heated tobacco products (HTPs) among Korean adults has been steadily increasing since they were first introduced in 2017. It is known that smoking combustible cigarettes (CCs) adversely affects the serum lipid profile and increases the risk of cardiovascular disease. However, the health impacts of HTPs remain under- researched. This study, therefore, aims to explore the effects of HTP use on serum lipid levels.</p><p><strong>Methods: </strong>This study involved 10,309 participants, selected from the Korea National Health and Nutrition Examination Survey VII-1 and VIII conducted between 2018 and 2021. Participants were categorized based on their smoking status: \"HTPs ever user\" included dual, triple, and past HTP users; \"current HTPs only user\" for those exclusively using HTPs; \"current CCs only user\" for those exclusively smoking CCs; and \"never smoker.\" Logistic regression analysis was used to assess the impact of smoking type on serum lipid concentrations.</p><p><strong>Results: </strong>The analysis revealed that the \"HTPs ever user\" group had a higher odds ratio (OR) for elevated total cholesterol compared to the \"never smoker\" group (OR, 1.40; 95% confidence interval [CI], 1.03-1.92). The likelihood of having high low-density lipoprotein (LDL)-cholesterol was greatest in the \"current HTPs only user\" group when compared to \"never smokers\" (OR, 1.71; 95% CI, 1.01-2.89).</p><p><strong>Conclusion: </strong>The findings indicate that exclusive use of HTPs is linked to an increased level of serum LDL-cholesterol. Further longitudinal studies are necessary to fully determine the health risks associated with HTPs.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Variables in the Projection of Physician Demand and Supply in Primary Care.
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-12-24 DOI: 10.4082/kjfm.24.0153
Dae Hyun Kim, Yoonseo Lee
{"title":"Variables in the Projection of Physician Demand and Supply in Primary Care.","authors":"Dae Hyun Kim, Yoonseo Lee","doi":"10.4082/kjfm.24.0153","DOIUrl":"https://doi.org/10.4082/kjfm.24.0153","url":null,"abstract":"<p><p>Primary care services improve healthcare outcomes and limit unnecessary specialty care. Thus, it is essential to monitor primary care physician demand and supply projections to suggest evidence-based healthcare reforms and promote better healthcare delivery. This study evaluates 28 demand variables, 50 supply variables, and 26 additional variables associated with the demand and supply projections of physicians by reviewing scenarios from other countries, including Taiwan, Singapore, Japan, and the United States of America. The results indicate that Korea uses less diverse demand and supply indicators and suggest the need to implement variables used in the other four countries to improve projection modeling.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Low Bone Mineral Density Is Associated with High-Frequency Hearing Impairment in Women Over 50: An Observational Study in Korea. 低骨矿密度与 50 岁以上女性的高频听力损伤有关:韩国的一项观察性研究》(Low Bone Mineral Density Is Associated with High-Frequency Hearing Impairment in Women Over 50: An Observational Study in Korea)。
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-11-14 DOI: 10.4082/kjfm.23.0130
Sang-Hoon Lee, Seung-Soo Lee, Hun-Yi Park, Bom-Taeck Kim
{"title":"Low Bone Mineral Density Is Associated with High-Frequency Hearing Impairment in Women Over 50: An Observational Study in Korea.","authors":"Sang-Hoon Lee, Seung-Soo Lee, Hun-Yi Park, Bom-Taeck Kim","doi":"10.4082/kjfm.23.0130","DOIUrl":"https://doi.org/10.4082/kjfm.23.0130","url":null,"abstract":"<p><strong>Background: </strong>Osteoporosis and hearing impairment are known to be associated, but specific data regarding gender, bone mineral density (BMD) measurement sites, and hearing frequency ranges remain unclear. This study aimed to clarify the relationship between hearing loss and BMD in adults over the age of 50. Additionally, the study sought to determine the frequency ranges of pure tone audiometry (PTA) related to osteoporosis, identify BMD measurement sites, and investigate gender differences.</p><p><strong>Methods: </strong>A total of 1,523 adults (651 men and 872 women) over the age of 50, who participated in a medical health check-up at a university hospital, were included. PTA was conducted to assess hearing, and BMD was measured using dual-energy X-ray absorptiometry at the lumbar vertebrae (LV) and femur.</p><p><strong>Results: </strong>In women over the age of 50, a significant association was observed between hearing impairment and osteoporosis (P<0.01), but no such association was found in men. Lumbar BMD (L1-4) in women was significantly associated with hearing loss at 4,000 and 8,000 Hz (both P<0.05), whereas femoral neck and total femur BMD showed no significant relationship. In multiple logistic regression analysis, the odds ratio (OR) between osteoporosis and hearing threshold at 4,000 Hz (OR, 2.078; 95% confidence interval [CI], 1.092-3.954) and 8,000 Hz (OR, 2.648; 95% CI, 1.543-4.544) remained statistically significant in women after adjusting for age and other risk factors.</p><p><strong>Conclusion: </strong>In women over the age of 50, low BMD at the LV is significantly associated with hearing impairment, particularly at the high frequencies of 4,000 and 8,000 Hz.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of the Prevalence and Treatment of Atopic Dermatitis in South Korea Using a Large National Dataset. 利用大型全国数据集调查韩国特应性皮炎的患病率和治疗情况。
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-11-14 DOI: 10.4082/kjfm.24.0124
Kyunguk Jeong, Sue Kyung Kim, Dukyong Yoon, Young Choi, Sooyoung Lee, Eun-So Lee
{"title":"Investigation of the Prevalence and Treatment of Atopic Dermatitis in South Korea Using a Large National Dataset.","authors":"Kyunguk Jeong, Sue Kyung Kim, Dukyong Yoon, Young Choi, Sooyoung Lee, Eun-So Lee","doi":"10.4082/kjfm.24.0124","DOIUrl":"https://doi.org/10.4082/kjfm.24.0124","url":null,"abstract":"<p><strong>Background: </strong>Updated reports on the population-based analysis of atopic dermatitis (AD) in Korea are rare. This study aimed to investigate the nationwide prevalence and systemic medication prescription trends of AD in Korea.</p><p><strong>Methods: </strong>Based on the Korean National Health Insurance database, the prevalence of AD and systemic medication prescription trends in patients with AD were analyzed according to age groups and regional districts from 2010 to 2015.</p><p><strong>Results: </strong>The prevalence of AD was the highest among patients aged 0-1 year (18.6%-24.5%), decreasing rapidly with increasing age (<2% in patients aged ≥20 years). From 2010 to 2015, the prevalence of AD decreased in children but increased slightly in adolescents and adults. In 2015, the proportion of systemic steroid prescriptions increased from 11.2% in the 0-9 years age group to 41.1% in the 50-59 years age group, while that of systemic antibiotic prescriptions gradually decreased from 6.2% in the 0-9 years age group to 1.8% in the 80-89 years age group. The proportion of systemic steroid prescriptions by region remained consistently high in Gyeongbuk (34.2%- 34.9%) and low in Daejeon (20.2%-22.5%). The annual proportion of systemic cyclosporine prescriptions increased significantly from 0.6% in 2010 to 1.2% in 2015, with the highest rates observed in patients in their 30s (1.5%-2.4%), followed by those in their 20s (1.3%-2.3%) and 40s (1.1%-2.0%).</p><p><strong>Conclusion: </strong>From 2010 to 2015, the prevalence of AD decreased in children but increased slightly in adolescents and adults. Approximately one-fourth of the patients with AD were prescribed systemic steroids, and the percentage of cyclosporine prescriptions doubled during the study period.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Electronic Cigarettes on the Change of Fagerstrom Test for Nicotine Dependence Scores during 1-Year Follow-up. 电子香烟对一年随访期间法格斯托姆尼古丁依赖测试评分变化的影响。
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-11-13 DOI: 10.4082/kjfm.24.0038
Saksorn Meelarp, Pantitra Singkheaw, Thanin Chattrapiban
{"title":"Effect of Electronic Cigarettes on the Change of Fagerstrom Test for Nicotine Dependence Scores during 1-Year Follow-up.","authors":"Saksorn Meelarp, Pantitra Singkheaw, Thanin Chattrapiban","doi":"10.4082/kjfm.24.0038","DOIUrl":"https://doi.org/10.4082/kjfm.24.0038","url":null,"abstract":"<p><strong>Background: </strong>The use of e-cigarettes is increasing globally, particularly among young adults. Although several use them to quit smoking, their effects are controversial. The Fagerstrom Test for Nicotine Dependence (FTND) was used to assess nicotine dependence in the smoking cessation process. This study examined changes in FTND scores among young adults using different types of cigarettes over a 1-year period.</p><p><strong>Methods: </strong>Prospective cohort data were collected from cigarette users at higher education institutions in the lower northern region of Thailand to analyze changes in FTND scores over a 1-year period. E-cigarette users and combined users were compared with conventional cigarette users. A marginal structural model (MSM) with an inverse probability of weighting (IPW) was used to adjust for time-dependent and time-independent confounders.</p><p><strong>Results: </strong>Of the 133 participants, 58 were e-cigarette users (43.6%), 33 were combined cigarette users (24.8%), and 42 were conventional cigarette users (31.6%). The results revealed that when both time-dependent and time-independent confounders were adjusted using MSM with IPW, e-cigarette users had a 0.20 decrease in the mean FTND score, and combined users had a 0.47 decrease in the mean FTND score compared to conventional cigarette users. However, the difference was not statistically significant.</p><p><strong>Conclusion: </strong>The use of e-cigarettes or combined cigarettes did not significantly affect nicotine dependence levels in young adults over a 1-year period. Consequently, e-cigarettes should not be recommended to reduce nicotine dependence among young adult cigarette users. Further studies are required to determine whether e-cigarettes affect smoking cessation rates.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unhealthy Alcohol Use: Screening and Behavioral Counseling Interventions. 不健康饮酒:筛查和行为咨询干预。
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-11-12 DOI: 10.4082/kjfm.24.0115
Wonyoung Jung, Seung-Won Oh, Se-Hong Kim, Soo Young Kim
{"title":"Unhealthy Alcohol Use: Screening and Behavioral Counseling Interventions.","authors":"Wonyoung Jung, Seung-Won Oh, Se-Hong Kim, Soo Young Kim","doi":"10.4082/kjfm.24.0115","DOIUrl":"https://doi.org/10.4082/kjfm.24.0115","url":null,"abstract":"<p><strong>Background: </strong>Despite the increase in daily alcohol intake in recent decades and the implementation of national health screenings, effective management strategies for alcohol consumption remain outdated. This review evaluates intervention studies on screening and behavioral counseling for unhealthy alcohol use, with the aim of enhancing the effectiveness of interventions and improving health outcomes.</p><p><strong>Methods: </strong>On the basis of the GRADE (Grading of Recommendations Assessment, Development, and Evaluation)- ADOLOPMENT framework, systematic reviews and randomized controlled trials were examined to investigate the effectiveness of screening and counseling interventions in reducing unhealthy alcohol use. Five key questions were generated, and an evaluation and quality assessment of existing systematic reviews and new evidence related to each key question were conducted.</p><p><strong>Results: </strong>Updating the U.S. Preventive Services Task Force and Cochrane 2018 reviews, we identified five new randomized trials that evaluated screening and counseling interventions for unhealthy alcohol use. For Key Question 2, the sensitivity and specificity of the new screening studies were consistent with those of prior research. Brief interventions were confirmed to reduce alcohol use (Key Question 4a), although additional research is required for a wider array of health outcomes. One study highlighted the benefits of counseling interventions for newborn health indicators in pregnant women (Key Question 4b). No new evidence was found regarding the harms of screening (Key Question 3) or alcohol use reduction interventions (Key Question 5).</p><p><strong>Conclusion: </strong>This review supports the continued use of brief interventions to reduce alcohol consumption in highrisk groups and highlights the need for culturally tailored research in Korea.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Usefulness of Glycated Albumin Levels in Predicting the Maternal or Neonatal Complications of Gestational Diabetes Mellitus during Late Pregnancy in South Korea: A Retrospective Study. 糖化白蛋白水平在预测韩国妊娠晚期妊娠糖尿病产妇或新生儿并发症中的作用:一项回顾性研究。
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-11-12 DOI: 10.4082/kjfm.24.0048
Jihan Kim, Sami Lee, Jong Sung Kim
{"title":"Usefulness of Glycated Albumin Levels in Predicting the Maternal or Neonatal Complications of Gestational Diabetes Mellitus during Late Pregnancy in South Korea: A Retrospective Study.","authors":"Jihan Kim, Sami Lee, Jong Sung Kim","doi":"10.4082/kjfm.24.0048","DOIUrl":"https://doi.org/10.4082/kjfm.24.0048","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes can lead to complications in pregnant women and neonates. Maternal glycated albumin levels during late pregnancy may help predict complications in both mothers and neonates.</p><p><strong>Methods: </strong>This study was conducted in 120 singleton pregnant women diagnosed with gestational diabetes who visited Trinium Woman's Hostipal between July 1, 2020, and June 30, 2022. In this study, the patients' medical records were retrospectively analyzed. Gestational diabetes was diagnosed using a two-step testing method, and glycated albumin tests were performed during the third trimester of pregnancy. The optimal cutoff value of glycated albumin for predicting maternal complications during pregnancy and neonatal complications was determined using the receiver operating characteristic curve.</p><p><strong>Results: </strong>A total of 45 patients developed maternal complications, with cesarean section (39 patients) due to fetal cephalopelvic disproportion being the most common. As for the neonatal complications, eight neonates were macrosomic or overweight, while 15 neonates required neonatal intensive care unit admission. Additionally, 13 patients had concurrent complications affecting both the mother and neonate. The glycated albumin level in patients with complications was 12.87%, which was significantly higher than that in patients without complications (glycated albumin, 11.67%) (P<0.001). The optimal cutoff value of glycated albumin for predicting maternal and neonatal complications was 12.45%. The sensitivity, specificity, and Youden index were 66.7 %, 86.7%, and 0.534, respectively.</p><p><strong>Conclusion: </strong>The third trimester glycated albumin test in mothers with gestational diabetes provides limited predictive value for maternal and neonatal complications.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-Insulin-Based Indices of Insulin Resistance for Predicting Incident Albuminuria: A Nationwide Population-Based Study. 以非胰岛素为基础的胰岛素抵抗指标预测白蛋白尿的发生:一项基于全国人口的研究。
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI: 10.4082/kjfm.23.0138
Hea Lim Choi, Juyeon Yang, Hye Sun Lee, Ji-Won Lee
{"title":"Non-Insulin-Based Indices of Insulin Resistance for Predicting Incident Albuminuria: A Nationwide Population-Based Study.","authors":"Hea Lim Choi, Juyeon Yang, Hye Sun Lee, Ji-Won Lee","doi":"10.4082/kjfm.23.0138","DOIUrl":"10.4082/kjfm.23.0138","url":null,"abstract":"<p><strong>Background: </strong>Studies have shown that incident albuminuria is associated with insulin resistance (IR); however, an IR marker that best predicts the prevalence of albuminuria has not yet been established. This study explored the association between IR and incident albuminuria using various IR indices, including the homeostasis model assessment of IR (HOMA-IR), metabolic score for IR (METS-IR), and triglyceride-glucose (TyG) index, and compared their predictive abilities for the prevalence of albuminuria.</p><p><strong>Methods: </strong>A total of 4,982 Korean adults from the 2019 Korea National Health and Nutritional Examination Survey were analyzed. The odds of albuminuria were determined using the quartiles of the IR indices. Receiver operating characteristic (ROC) curves were used to calculate the area under the ROC curve and predictability. The cutoff values for albuminuria detection were also computed.</p><p><strong>Results: </strong>An increase in the quartiles of all three IR indices was associated with incident albuminuria, even after full adjustment for covariates (HOMA-IR: odds ratio [OR], 1.906; 95% confidence interval [CI], 1.311-2.772; P=0.006; METS-IR: OR, 2.236; 95% CI, 1.353-3.694; P=0.002; TyG index: OR, 1.757; 95% CI, 1.213-2.544; P=0.003). The area under the ROC curve for incident albuminuria based on the HOMA-IR, METS-IR, and TyG indices was 0.594 (95% CI, 0.568-0.619), 0.633 (95% CI, 0.607-0.659), and 0.631 (95% CI, 0.606-0.656), respectively. The optimal cutoff values for predicting albuminuria were 2.38, 35.38, and 8.72 for the HOMA-IR, METS-IR, and TyG indices, respectively.</p><p><strong>Conclusion: </strong>The METS-IR and TyG indices outperformed HOMA-IR in predicting incident albuminuria.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"324-330"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Generalized Anxiety Disorder Based on Data from the 8th Korea National Health and Nutrition Examination Survey 2021. 基于 2021 年第八次韩国国民健康与营养调查数据的可燃卷烟和不可燃尼古丁或烟草制品与广泛性焦虑症之间的关系》,《韩国健康与营养调查》,2011 年第 2 期。
IF 1.4
Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI: 10.4082/kjfm.23.0172
Sungkwon Cho, Joo-Hyun Park, Do-Hoon Kim, Hangseok Choi, Youngdoo Park, Hyun-Jin Kim, An-Na Lee, Junghwa Shin, Jaesun Ha
{"title":"Association between Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Generalized Anxiety Disorder Based on Data from the 8th Korea National Health and Nutrition Examination Survey 2021.","authors":"Sungkwon Cho, Joo-Hyun Park, Do-Hoon Kim, Hangseok Choi, Youngdoo Park, Hyun-Jin Kim, An-Na Lee, Junghwa Shin, Jaesun Ha","doi":"10.4082/kjfm.23.0172","DOIUrl":"10.4082/kjfm.23.0172","url":null,"abstract":"<p><strong>Background: </strong>Despite the increasing prevalence of anxiety disorders in Korea, there have been no nationwide studies on the association between tobacco status and generalized anxiety disorder (GAD). Furthermore, despite the increasing number of people using noncombustible nicotine or tobacco products (NNTPs), the association between NNTP use and GAD remains unclear. Therefore, this study investigated the association between tobacco use and GAD.</p><p><strong>Methods: </strong>This nationwide study used data from the 8th Korea National Health and Nutrition Examination Survey (2021) and included 5,454 adults aged ≥19 years who self-reported on the tobacco use and mental health sections. Multivariable logistic regression analysis was performed to investigate the odds ratios (ORs) of GAD (Generalized Anxiety Disorder-7 score ≥10) according to tobacco status among Korean adults. The severity of anxiety was assessed using the Generalized Anxiety Disorder-7 scale.</p><p><strong>Results: </strong>Compared to never tobacco users, the ORs of GAD for combustible cigarette smokers and NNTP users were 2.74 (95% confidence interval [CI], 1.66-4.50) and 2.11 (95% CI, 1.16-3.83), respectively. The OR of GAD for former tobacco users was 1.63 (95% CI, 0.98-2.72).</p><p><strong>Conclusion: </strong>Tobacco use (combustible cigarettes and NNTP) was positively associated with GAD. However, in former tobacco users, there was no significant association with GAD when compared with never tobacco users. Given the OR of GAD among tobacco users, it is crucial to pay attention to screening for GAD and implement appropriate early interventions.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"317-323"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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