Korean Journal of Family Medicine最新文献_第3页

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 : 2025-01-01 Epub 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":"10.4082/kjfm.24.0115","url":null,"abstract":"Background: 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and the implementation of national health screenings, effective management strategies for alcohol consumption remain outdated.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.Methods: 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.Results: 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).Conclusion: 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.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"20-26"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622654","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

Tobacco cessation: screening and interventions. 戒烟：筛查和干预。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-29 DOI: 10.4082/kjfm.24.0034

Yoo-Bin Seo, Sang-Wook Song, Sung-Goo Kang, Soo Young Kim

{"title":"Tobacco cessation: screening and interventions.","authors":"Yoo-Bin Seo, Sang-Wook Song, Sung-Goo Kang, Soo Young Kim","doi":"10.4082/kjfm.24.0034","DOIUrl":"10.4082/kjfm.24.0034","url":null,"abstract":"Background: Tobacco use has been the leading cause of disease and death in South Korea. Early detection of tobacco use and evidence-based interventions play pivotal roles in facilitating tobacco cessation.Methods: In accordance with the earlier iterations of the Lifetime Health Maintenance Program (2009) and recent recommendations from the United States Preventive Services Task Force (USPSTF; 2021), two themes were chosen for investigation: the identification of and intervention for tobacco use. The USPSTF recommendations were formulated by conducting an overview of reviews. In this study, literature searches and quality assessments of reviews were conducted.Results: The findings highlighted the efficacy of physician-led identification and advising in promoting tobacco cessation, with robust evidence supporting the implementation of behavioral and pharmacological interventions. These interventions significantly increased the likelihood of successful cessation compared with usual care. Digital interventions, such as internet- or mobile-based interventions, showed additive effects for quitting.Conclusion: Identification and targeted interventions are essential for tobacco cessation. By leveraging evidencebased strategies and enhancing access to resources, healthcare providers can empower individuals to achieve successful tobacco cessation and improve overall health outcomes.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"12-19"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522262","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 obstructive sleep apnea and glaucoma. 阻塞性睡眠呼吸暂停与青光眼之间的关系

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-03-25 DOI: 10.4082/kjfm.23.0162

Yoonchae Zoh, Jae Moon Yun

{"title":"Association between obstructive sleep apnea and glaucoma.","authors":"Yoonchae Zoh, Jae Moon Yun","doi":"10.4082/kjfm.23.0162","DOIUrl":"10.4082/kjfm.23.0162","url":null,"abstract":"Background: Obstructive sleep apnea (OSA) and glaucoma are major global health challenges. However, the probable association between them is yet to be fully elucidated. This study aimed to investigate the association between OSA and glaucoma.Methods: Data for this cross-sectional study were obtained from the eighth Korea National Health and Nutrition Examination Survey (2019-2021). From among 9,495 individuals who completed the STOP-Bang questionnaire on OSA (for those aged ≥40 years) and provided their glaucoma prevalence/intraocular pressure (IOP) data, 8,741 were selected for glaucoma prevalence analysis. A total of 754 individuals aged 80 years or older or those with missing confounding variable data were excluded. A separate subgroup of 8,627 individuals was selected for IOP analysis after excluding 114 individuals who use glaucoma eye drops. The study employed linear and logistic regression analyses with Stata/MP ver. 17.0 (Stata Corp., USA) to understand the relationship between the risk of OSA assessed using the STOP-Bang score and key glaucoma indicators, adjusted for confounders. Statistical significance was set at a P-value <0.05.Results: The average±standard deviation [SD] age of the glaucoma prevalence study group was 56.59±10.48, and 42.98% were male. Notably, every unit increase in the STOP-Bang score was associated with a greater risk of glaucoma (odds ratio, 1.097; P=0.044). In the IOP subgroup, the average±SD age was 56.49±10.45 years, with 42.88% being males. The linear regression showed a statistically significant relationship between the STOP-Bang score and IOP after adjusting for confounding variables (β=0.171, P<0.001).Conclusion: Our findings revealed a significant positive association between OSA risk, as measured using the STOP-Bang score, and both the likelihood of glaucoma and high IOP.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"35-41"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207230","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

Artificial intelligence implementation in the management of patients with tuberculosis.

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.4082/kjfm.24.0268

Erlina Wijayanti, Ummi Azizah Rachmawati, Citra Fitri Agustina

引用次数: 0

Hemicrania continua with rhinosinusitis: a case report.

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.4082/kjfm.24.0178

Dae Hyun Kim, Yoonseo Lee

引用次数: 0

What is the optimal number of physicians for a sustainable healthcare system?

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.4082/kjfm.46.1E

Seung-Won Oh

引用次数: 0

Variables in the projection of physician demand and supply in primary care. 初级保健中医生需求和供给预测的变量。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-24 DOI: 10.4082/kjfm.24.0153

Dae Hyun Kim, Yoonseo Lee

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). 韩国成人加热烟草制品使用与低密度脂蛋白胆固醇的关系：2018-2021年韩国国家健康与营养调查（VII-1和VIII）的横断面研究

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":"Background: 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.Methods: 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.Results: 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).Conclusion: 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.","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

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":"Background: 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.Methods: 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.Results: 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.Conclusion: 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.","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":"Background: 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.Methods: 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.Results: 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%).Conclusion: 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.","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