Korean Journal of Family Medicine最新文献

{"title":"Association between menopausal status and the probability of steatotic liver disease in middle-aged Korean women: a cross-sectional study using the Korea National Health and Nutrition Examination Survey 2007-2023.","authors":"Hee Soo Kim, Su Hwan Cho","doi":"10.4082/kjfm.25.0321","DOIUrl":"https://doi.org/10.4082/kjfm.25.0321","url":null,"abstract":"<p><strong>Background: </strong>Metabolic dysfunction-associated steatotic liver disease (SLD) emphasizes that metabolic dysfunction is a key driver of hepatic steatosis. Although menopause is characterized by substantial hormonal and metabolic shifts, population-based evidence on its association with the probability of SLD under the updated diagnostic framework remains limited. Therefore, this study investigated the association between menopausal status and probability of SLD in middle-aged Korean women.</p><p><strong>Methods: </strong>We analyzed data of 15,106 women aged 40 to 59 years who participated in the Korea National Health and Nutrition Examination Survey (2007-2023). The probability of SLD was assessed using the hepatic steatosis index (≥36) in the presence of at least one metabolic abnormality. Menopausal status was self-reported. Weighted multivariate logistic regression was performed after adjusting for age, body mass index, waist circumference, and major metabolic risk factors. Effect modification was evaluated through subgroup analysis.</p><p><strong>Results: </strong>Among the 15,106 women, 31.5% were postmenopausal and 22.1% met the criteria for SLD probability. Post-menopausal women exhibited higher metabolic risk profiles and a higher probability of SLD than premenopausal women. Menopausal status remained independently associated with SLD probability after multivariable adjustment (adjusted odds ratios, 1.22; P=0.035). The association varied by age; it was strongest among women aged 40 to 49 years and progressively attenuated in older age groups (P for interaction=0.001).</p><p><strong>Conclusion: </strong>Menopausal status is independently associated with a higher probability of SLD among middle-aged Korean women, an association most pronounced in the early midlife. These findings highlight the importance of proactive metabolic screening and timely intervention during this critical period.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874701","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}

{"title":"Exploring insulin rejection through photo-elicitation among informal caregivers and patients with type 2 diabetes mellitus.","authors":"Tengku Mohd Mizwar T Malek, Puziah Yusof, Aini Ahmad","doi":"10.4082/kjfm.25.0035","DOIUrl":"10.4082/kjfm.25.0035","url":null,"abstract":"<p><strong>Background: </strong>Good glucose control is an indicator of treatment adherence and insulin therapy. However, insulin rejection has become an increasingly concerning phenomenon and is underdiscussed in health modules. The effects of incomplete exploration and suboptimal analysis requirements have led to the problem of insulin rejection, which needs to be identified by considering the broader perceptions of informal caregivers and patients with type 2 diabetes mellitus. Photo-elicitation, a technique that combines images and interviews, has gained traction for in-depth exploration. This study aimed to explore insulin rejection using photo-elicitation in this population.</p><p><strong>Methods: </strong>This study employed a qualitative phenomenological design. The photo-elicitation interview involved ten photographs, which were taken and discussed narratively. This involved 10 families of informal caregivers and patients with type 2 diabetes mellitus between 20 and 60 years of age as purposive sampling at the Hospital Sultanah Nur Zahirah, Kuala Terengganu. Glycated hemoglobin levels (%) were between 6.3% and 14.8% in patients with type 2 diabetes mellitus. Atlas.ti version 25 and an Excel spreadsheet were used to analyze qualitative data through thematic analysis based on Maslow's hierarchy of needs.</p><p><strong>Results: </strong>Four main themes were revealed: (1) financial challenges, (2) public stigma related to insulin therapy, (3) improving self-efficacy for self-action, and (4) improving glycemic levels for quality of life.</p><p><strong>Conclusion: </strong>Photo-elicitation successfully explored trends in the management of type 2 diabetes mellitus in this population. This study provides insights into the use of needs analyses to create more engaging experiences when designing comprehensive evidence- and need-based interventions.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"246-257"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431635","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}

{"title":"Association between changes in systolic blood pressure and the incidence of diabetes mellitus: a retrospective study based on the Korean National Health Screening Cohort.","authors":"Hyo-Sun You, Jeong Sook Kim, Joungyoun Kim, Hee-Taik Kang","doi":"10.4082/kjfm.25.0101","DOIUrl":"10.4082/kjfm.25.0101","url":null,"abstract":"<p><strong>Background: </strong>As the global prevalence of diabetes mellitus continues to increase, it is important to identify its risk factors and implement preventive approaches. This study aimed to investigate the association between changes in systolic blood pressure (SBP) and the incidence of diabetes.</p><p><strong>Methods: </strong>Data from 152,547 participants, who underwent two consecutive health checkups between 2002 and 2003, and 2004 and 2005, and included in the Korean National Health Insurance Service Health Screening Database, were reviewed. Participants were divided into three groups according to change in SBP: decrease (≥10 mm Hg); no change (<10 mm Hg); and increase (≥10 mm Hg). Cox proportional hazard regression models for diabetes incidence were constructed to evaluate adjusted hazard ratio (HR) with corresponding 95% confidence interval (CI).</p><p><strong>Results: </strong>The median follow-up was 14.3 years, and 26,352 patients with diabetes were identified. Compared to those with no change in SBP, the adjusted HRs for decrease and increase among males were 1.06 (95% CI, 1.02-1.10) and 1.10 (95% CI, 1.06-1.14), and 1.06 (95% CI, 1.00-1.12) and 1.08 (95% CI, 1.02-1.13) for females, respectively. After stratifying data according to SBP at baseline, the HRs for decrease in males and females were as follows: normotensive group, 1.16 (95% CI, 1.08-1.24) and 1.11 (95% CI, 1.02-1.21); and prehypertensive group, 1.14 (95% CI, 1.09-1.20) and 1.19 (95% CI, 1.10-1.29), respectively.</p><p><strong>Conclusion: </strong>Changes in SBP were associated with a risk for diabetes.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"258-266"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145541100","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}

{"title":"Corrigendum: Fruits and the risk of type 2 diabetes: the Korean Genome and Epidemiology Study cohort.","authors":"Hojun Yu, Cheol Min Lee, Seung-Won Oh","doi":"10.4082/kjfm.23.0201.R","DOIUrl":"10.4082/kjfm.23.0201.R","url":null,"abstract":"","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"47 3","pages":"283-285"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042755","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}

{"title":"The effectiveness of online smoking prevention program for adolescents in South Korea: a comparative analysis with traditional education.","authors":"HyoRim Ju, EunKyo Kang, Cheol Min Lee, Yooseock Cheong","doi":"10.4082/kjfm.25.0030","DOIUrl":"10.4082/kjfm.25.0030","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effectiveness and engagement of an interactive simulation-based online smoking prevention program compared to a traditional offline program for Korean adolescents.</p><p><strong>Methods: </strong>A total of 1,008 adolescents from elementary, middle, high, and alternative schools in Chungcheongnam-do Province, South Korea participated in this study from October 1 to 31, 2021. The offline program consisted of 2-hour lectures by teachers, whereas the online program included six interactive peer-oriented video modules. The evaluation compared and analyzed the survey results measuring changes in smoking-related knowledge and attitudes before and after each program, as well as the level of interest in and satisfaction with education.</p><p><strong>Results: </strong>When comparing the pre- and post-intervention scores between the two groups, no statistically significant differences were found except for a decreased belief that smoking helps relieve stress (F=12.125, P=0.001). However, withingroup comparisons revealed that the online smoking prevention program led to positive changes in most smokingrelated knowledge and attitude items, including reduced beliefs about smoking as a stress reliever (P<0.001) and lower misconceptions about the harm of e-cigarettes (P<0.001). In terms of engagement and satisfaction, the online program received significantly higher scores for interest (P<0.001), knowledge improvement (P<0.001), and program recommendations (P=0.021).</p><p><strong>Conclusion: </strong>The online smoking prevention program was as effective as the traditional offline approach in enhancing smoking-related knowledge and attitudes. Moreover, its superior engagement and time efficiency highlight its strong potential as an effective alternative or complementary strategy to conventional school-based programs.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"229-236"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431645","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}

{"title":"The effects of sedentary behavior types and physical activity on well-being in university youth during the pandemic: a pilot study.","authors":"Sumbule Koksoy Vayisoglu, Emine Oncu, Gulsah Bilgin","doi":"10.4082/kjfm.25.0074","DOIUrl":"10.4082/kjfm.25.0074","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effects of sedentary behavior types and physical activity on well-being.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 428 university students. The study data were collected through online forms between March and April 2021: the Sociodemographic Characteristics and Activities Form, Sedentary Behaviour Questionnaire, Health Assessment Form, and World Health Organization-5 Well-Being Index. Data were evaluated using descriptive statistics and decision tree analysis.</p><p><strong>Results: </strong>The average time spent sedentary in a day was 11.231±4.358 hours. The mean sedentary time spent mentally passive was 4.660±2.240 hours, and the time spent mentally active was 6.571±3.335 hours. A low positive correlation was observed between well-being score and weekly moderate and total moderate-to-high physical activity time, and a low negative correlation was observed with mentally passive sedentary time. According to decision tree analysis, students who rated their health status as worse than in the previous year and those who did not engage in any physical activity were more likely to be classified as individuals at risk in terms of well-being. In contrast, among those who reported no change in their health status, students who engaged in physical activity and had mentally passive sedentary time below 5.25 hours were less likely to be assigned to the risk group.</p><p><strong>Conclusion: </strong>To protect physical and mental health, measures should be taken to reduce sedentary time, especially mentally passive sedentary time, and to increase physical activity time.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"219-228"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145401312","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}

{"title":"Effects of dry needling compared to magnesium infiltration in trigger points for patients with myofascial pain syndrome: a randomized controlled study in Tunisia.","authors":"Jaouher Dhouibi, Rihab Moncer, Nesrine Kalbousi, Mariem Gaddour, Saoussen Laayouni, Walid Ouanes, Balsem Kacem, Sonia Jemni","doi":"10.4082/kjfm.24.0278","DOIUrl":"10.4082/kjfm.24.0278","url":null,"abstract":"<p><strong>Background: </strong>Myofascial pain syndrome is a common condition characterized by localized muscular discomfort and trigger points. Dry needling mechanically disrupts trigger points, while magnesium infiltration relaxes muscles and reduces inflammation. Evidence directly comparing these treatments is scarce. This study aimed to compare their effectiveness in reducing pain, improving quality of life, and alleviating anxiety and depression.</p><p><strong>Methods: </strong>A randomized controlled trial included 45 patients assigned to dry needling (Group A) or magnesium infiltration (Group B). Interventions were evaluated at baseline, 1, 3, and 6 months. The primary outcome was pain intensity measured with the Visual Analog Scale. Secondary outcomes were physical and mental health (12-Item Short-Form Health Survey) and anxiety and depression (Hospital Anxiety and Depression Scale).</p><p><strong>Results: </strong>Both treatments significantly improved pain, mental and physical health, and reduced anxiety and depression at 1 and 3 months. By 6 months, improvements were maintained but not statistically significant. No significant differences were observed between groups at any time point.</p><p><strong>Conclusion: </strong>Dry needling and magnesium infiltration were both effective in the short to medium term for reducing pain and enhancing quality of life in patients with myofascial pain syndrome. Although each treatment improved outcomes, neither demonstrated superior effectiveness. Both approaches remain viable therapeutic options. Further long-term studies are needed to clarify sustained benefits and guide clinical use (trial registration: PACTR202309751113430).</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"210-218"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145635245","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}

{"title":"Assessment of neck to height ratio as a predictive tool for metabolic dysfunction-associated steatotic liver disease in Korean adults: a cross-sectional analysis from the Korea National Health and Nutrition Examination Survey 2019-2021.","authors":"Minhong Kim, Yaeji Lee, Ji Yae Lee, Ji-Won Lee","doi":"10.4082/kjfm.24.0216","DOIUrl":"10.4082/kjfm.24.0216","url":null,"abstract":"<p><strong>Background: </strong>Early screening and management of metabolic dysfunction-associated steatotic liver disease (MASLD) are essential to prevent progression to fibrosis, cirrhosis, and related chronic diseases. The neck circumference to height ratio (NHtR) is a reliable measure of upper body fat. This study explored the relationship between the NHtR and MASLD in the Korean population, with the aim of validating it as a reliable screening tool.</p><p><strong>Methods: </strong>We analyzed data from the 2019 to 2021 Korea National Health and Nutrition Examination Survey, including 11,414 participants aged 40 years or older. The association between the NHtR and MASLD was evaluated using logistic regression analysis, while predictive accuracy was evaluated using receiver operating characteristic curve analysis.</p><p><strong>Results: </strong>A total of 11,414 participants aged 40 years or older were included in the study. Participants in the highest NHtR quartile had higher levels of metabolic risk markers, including body mass index, waist circumference, glucose, hemoglobin A1c, and homeostatic model assessment of insulin resistance (P<0.001). In logistic regression analysis, the odds ratio for MASLD in quartile 4 compared to quartile 1 was 1.77 (95% confidence interval [CI], 1.31-2.40; P<0.001) in the fully adjusted model. The area under the curve and 95% CI of NHtR for MASLD were 0.749 (95% CI, 0.740-0.758), demonstrating superior accuracy compared with other indicators. The optimal NHtR cut-off for MASLD was 21.564, with a sensitivity and specificity of 0.726 and 0.644, respectively.</p><p><strong>Conclusion: </strong>NHtR is a more effective predictor of MASLD than other measures, highlighting its potential as a valuable screening tool in clinical and self-care settings.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"201-209"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475824","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}

{"title":"Regulatory policies for online alcohol access control: a comparative scoping review of international approaches.","authors":"Wiwat Sungkhabut, Kaitsuda Saiprom, Chalermporn Devahastin Na Ayudhya, Saowanee Viboonsanti, Pasitpon Vatcharavongvan","doi":"10.4082/kjfm.25.0122","DOIUrl":"10.4082/kjfm.25.0122","url":null,"abstract":"<p><p>The rapid growth of online alcohol sales, delivery services, and digital marketing has increased alcohol availability and heightened public health concerns, particularly among adolescents. However, regulatory responses remain inconsistent and vary significantly across regions. This scoping review synthesizes global regulatory approaches to online alcohol access, encompassing both established Western models and emerging Asian frameworks, and identifies key cross-national patterns and policy gaps. This scoping review followed PRISMA-ScR (preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews) and Joanna Briggs Institute guidance. Searches of four electronic databases were complemented by a supplementary gray literature search targeting specific Asian jurisdictions to minimize geographic bias. The identified sources included policies and peer-reviewed studies on online alcohol sales, delivery practices, age-verification procedures, and digital marketing regulations. Data were systematically organized by regulatory domain and analyzed using a comparative socio-political framework (liberalism vs. paternalism) to interpret cross-national differences. The analysis of 34 documents across five regulatory domains revealed a distinct global divide. Western nations predominantly rely on co-regulatory models that frequently suffer from significant enforcement gaps, whereas Asian jurisdictions employ strict structural barriers. These include mandatory digital real-name authentication, \"Smart Order\" systems, and joint platform liability, designed to effectively restrict underage access where Western self-regulation has historically failed. To address global enforcement gaps, future policies must evolve from \"soft\" co-regulation to \"hard\" technical mandates. Integrating Asian-style digital identity systems with strict platform liability offers a viable pathway to effectively restrict underage access and reduce alcohol-related harm.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"189-200"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639357","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}

{"title":"Vaccine uptake pre- and post-COVID-19 in American adults: a retrospective observational study using the Behavioral Risk Factor Surveillance System.","authors":"Thomas A Beltran, Cristóbal S Berry-Cabán, Sean M Rogers, Bryson K Merrill","doi":"10.4082/kjfm.25.0098","DOIUrl":"10.4082/kjfm.25.0098","url":null,"abstract":"<p><strong>Background: </strong>This study examined the impact of the COVID-19 pandemic on adult vaccination uptake, specifically recombinant zoster vaccine (RZV), influenza (FLU), and pneumococcal vaccines (PnV), and explored factors influencing COVID-19 vaccine receipt in US adults.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of nationally representative cross-sectional data from the 2019 and 2022 Behavioral Risk Factor Surveillance Systems (n=777,807). Multivariable regression models assessed vaccination status for COVID-19, RZV, FLU, and PnV, adjusting for sociodemographic factors, geography, and healthcare coverage.</p><p><strong>Results: </strong>Among insured adults, RZV vaccination increased from 31.9% in 2019 to 41.5% in 2022, and FLU vaccination increased from 42.7% to 45.0%. Among uninsured individuals, FLU vaccination rates declined 3.2%, while RZV remained unchanged. PnV rates remained stable among the insured but decreased by 15.4% among the uninsured. Individuals with healthcare coverage were 2.9 times more likely (95% confidence interval, 2.6-3.2) to have received ≥1 dose of the COVID- 19 vaccine. Minorities reported higher uptake for 1 to 2 doses of the COVID-19 vaccine but lower uptake for FLU, RZV, and PnV than non-Hispanic Whites, who had higher rates of >4 doses of COVID-19 vaccine.</p><p><strong>Conclusion: </strong>Despite free access to the COVID-19 vaccine, healthcare coverage significantly influenced its uptake. Increases in RZV and FLU vaccination among the insured, in contrast to minimal changes or decreases among the uninsured, highlight the critical role of healthcare access. While RZV and FLU uptake improved post-pandemic, PnV uptake remained stable. We found no evidence that COVID-19 vaccine safety affected RZV, FLU, and PnV vaccination rates.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"237-245"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085921","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}