Korean Journal of Family Medicine最新文献_第8页

Barriers to treatment-seeking behaviors among pregnant women with depression: a national cross-sectional study in Indonesia. 抑郁症孕妇寻求治疗行为的障碍：印度尼西亚的一项全国性横断面研究。

IF 3.4

Korean Journal of Family Medicine Pub Date : 2026-03-01 Epub Date: 2025-05-21 DOI: 10.4082/kjfm.24.0078

Tri Wurisastuti, Rofingatul Mubasyiroh, Indri Yunita Suryaputri, Hayani Anastasia, Siti Isfandari, Rozana Ika Agustiya, Irmansyah, Aan Kurniawan, Yurika Fauzia Wardhani

{"title":"Barriers to treatment-seeking behaviors among pregnant women with depression: a national cross-sectional study in Indonesia.","authors":"Tri Wurisastuti, Rofingatul Mubasyiroh, Indri Yunita Suryaputri, Hayani Anastasia, Siti Isfandari, Rozana Ika Agustiya, Irmansyah, Aan Kurniawan, Yurika Fauzia Wardhani","doi":"10.4082/kjfm.24.0078","DOIUrl":"10.4082/kjfm.24.0078","url":null,"abstract":"Background: Hormonal and physical changes during pregnancy affect mothers' mental health. Because depression during pregnancy is closely associated with poor pregnancy outcomes, treatment is important for pregnant women with depression. This study aimed to identify barriers to treatment-seeking behaviors among pregnant women with depression in Indonesia.Methods: Data from the 2018 Indonesian Basic Health Research were used, which focused on pregnant women aged 15-54 years who exhibited depressive symptoms. The Mini-International Neuropsychiatric Interview was used to assess depression. Logistic regression analysis was conducted to explore the factors affecting treatment-seeking behaviors.Results: Among the pregnant women in Indonesia, 7.9% experienced depression; however, only 11.4% sought treatment. Higher transportation costs to the clinic were associated with 41% lower odds of seeking treatment (adjusted odds ratio [AOR], 0.59; 95% confidence interval [CI], 0.37-0.95; P=0.029). Women in their second and third trimesters had 48% (AOR, 0.52; 95% CI, 0.28-0.98; P=0.042) and 54% (AOR, 0.46; 95% CI, 0.24-0.89; P=0.022) lower odds of seeking treatment, respectively, than those in their first trimester.Conclusion: Financial barriers and the challenges of late pregnancy hinder treatment-seeking behaviors for depression in pregnant women. Therefore, there is an urgent need for affordable and accessible mental health care for vulnerable populations.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"109-118"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111173","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

A year of significant progress for the Korean Journal of Family Medicine. 这是《韩国家庭医学杂志》取得重大进展的一年。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2026-01-20 DOI: 10.4082/kjfm.47.1E

Seung-Won Oh

引用次数: 0

Current guidelines and future directions in comprehensive obesity assessment. 肥胖症综合评估的现行指南和未来发展方向。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2025-12-04 DOI: 10.4082/kjfm.25.0275

Sinyoung Cho, Hyuktae Kwon

{"title":"Current guidelines and future directions in comprehensive obesity assessment.","authors":"Sinyoung Cho, Hyuktae Kwon","doi":"10.4082/kjfm.25.0275","DOIUrl":"10.4082/kjfm.25.0275","url":null,"abstract":"Obesity is a chronic systemic disease with multifactorial causes that poses a substantial health and economic burden worldwide. In Korea, obesity is a significant public health concern owing to the increasing prevalence of obesity-related comorbidities and mortality. Obesity is defined as excess adiposity that poses health risks. Adiposity can be assessed using direct and indirect methods, among which body mass index (BMI) is the most widely used anthropometric measurement in epidemiological studies and clinical practice. However, limitations of BMI-centric obesity assessments have been noted in previous studies. Simple adiposity measures cannot capture obesity-related medical conditions, daily functional status, or mental health. Therefore, medical associations worldwide have increasingly emphasized the need for comprehensive obesity assessments, including the 2020 Canadian Adult Obesity Clinical Practice Guidelines, American Association of Clinical Endocrinologists/American College of Endocrinology 2023 Guidelines, 2024 European Association for the Study of Obesity diagnostic framework, and 2025 Lancet Commission's Clinical Obesity Diagnostic Criteria. Recent perspectives have emphasized multidimensional approaches to obesity assessment to capture individuals' overall health status. This review aims to evaluate the limitations of BMI-centric obesity diagnosis, summarize emerging recommendations from recent international guidelines, and highlight potential alternative approaches for improving the assessment of obesity and related health outcomes.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"4-11"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145668804","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

Semaglutide can only be responsible for exercise intolerance and muscle wasting after all other causes have been carefully excluded. 在仔细排除所有其他原因后，Semaglutide只能对运动不耐受和肌肉萎缩负责。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2025-12-02 DOI: 10.4082/kjfm.25.0296

Josef Finsterer

引用次数: 0

Hidden in plain sight: the diagnostic dilemma of tuberculous synovitis: a case report. 隐藏在显而易见的：结核性滑膜炎的诊断困境：1例报告。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2025-11-18 DOI: 10.4082/kjfm.25.0091

Nadiah Ismail, Mohd Romzi Abd Rahman, Siti Aishah Ahmad Maulana

引用次数: 0

The relationship between diet quality, measured by the recommended food score, and depression, assessed using the Patient Health Questionnaire-9: an observational study in Korea. 饮食质量（由推荐食物评分衡量）与抑郁之间的关系，使用患者健康问卷-9进行评估：韩国的一项观察性研究。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2025-01-08 DOI: 10.4082/kjfm.24.0204

Sharon Choi, Jung-Sun Lim, Sujeong Han, Jong Seung Kim, Bumjo Oh

{"title":"The relationship between diet quality, measured by the recommended food score, and depression, assessed using the Patient Health Questionnaire-9: an observational study in Korea.","authors":"Sharon Choi, Jung-Sun Lim, Sujeong Han, Jong Seung Kim, Bumjo Oh","doi":"10.4082/kjfm.24.0204","DOIUrl":"https://doi.org/10.4082/kjfm.24.0204","url":null,"abstract":"Background: Depression is a prevalent mental health disorder that presents substantial public health challenges. Emerging evidence underscores the role of dietary patterns in mitigating depressive symptoms. This study investigated the association between diet quality, assessed using the Recommended Food Score (RFS), and depressive symptoms, evaluated with the Patient Health Questionnaire-9 (PHQ-9), in a sample of Korean adults.Methods: This cross-sectional study analyzed data from 19,786 participants recruited from a general hospital in Korea, all of whom completed the RFS and PHQ-9 assessments. General characteristics and anthropometric indices were recorded. Statistical analyses included chi-square tests and binary logistic regression to calculate odds ratios (ORs) and 95% confidence intervals for depressive symptoms according to RFS scores, adjusting for potential confounders.Results: Higher RFS scores were associated with reduced odds of depression in univariate (OR, 0.59; P<0.001) and multivariate (OR, 0.72; P<0.001) analyses. Sociodemographic factors, including older age, higher education, marital status, higher income, professional occupation, and regular exercise, were linked to decreased odds of depression. Conversely, female sex, current smoking, and alcohol consumption were associated with increased odds.Conclusion: The findings reveal an inverse relationship between diet quality and depressive symptoms among Korean adults, emphasizing the potential of dietary improvements in mental health promotion. Sociodemographic factors significantly influence depression risk. Future studies should adopt longitudinal designs incorporating a wider range of variables to elucidate these complex interactions.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"47 1","pages":"12-19"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052745","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

Adaptation and validation of the Physical Activity Readiness Questionnaire (PAR-Q)+ 2020 for the Indonesian population: a cross-sectional study. 印度尼西亚人口体力活动准备问卷(PAR-Q)+ 2020的适应和验证：一项横断面研究

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2025-07-18 DOI: 10.4082/kjfm.24.0288

Iswandy Janetputra Turu' Allo, Arief Wibowo, Badai Bhatara Tiksnadi, Fahmi Nur Hidayatullah, Poundra Adhisatya Pratama, Rizki Bunawan, Nathania Purnomo

{"title":"Adaptation and validation of the Physical Activity Readiness Questionnaire (PAR-Q)+ 2020 for the Indonesian population: a cross-sectional study.","authors":"Iswandy Janetputra Turu' Allo, Arief Wibowo, Badai Bhatara Tiksnadi, Fahmi Nur Hidayatullah, Poundra Adhisatya Pratama, Rizki Bunawan, Nathania Purnomo","doi":"10.4082/kjfm.24.0288","DOIUrl":"10.4082/kjfm.24.0288","url":null,"abstract":"Background: The Physical Activity Readiness Questionnaire (PAR-Q)+ 2020 has been utilized to measure readiness for physical activity (PA). However, it is unavailable in the Indonesian language. We aimed to adapt and evaluate the validity and reliability of the PAR-Q+ 2020 culturally for the Indonesian population and its application in general and family medicine.Methods: We conducted a cross-sectional study to adapt the PAR-Q+ 2020 to the Indonesian language. A face validity interview with 20 participants followed the translation and back-translation processes. Subsequently, an online questionnaire was distributed between June and October 2022, with 378 participants responding and a 72.2% response rate for the second test. Cohen's kappa was calculated to determine the intra-rater reliability of each item. Intra-class correlation (ICC) and Cronbach's alpha analyses were conducted to examine the first and second parts of the questionnaire and the overall intra-rater reliability and internal consistency of the questionnaire.Results: The median age of the participants was 27 years (range, 18-61 years), and 63% (n=172) were female. The Cohen's kappa value of each item ranged from to 0.801-1.000 (almost perfect to perfect agreement). The ICC values for the first and second parts and the overall questionnaire were 0.957, 0.993, and 0.987, respectively. Cronbach's alpha was adequate for the first part (α=0.958), second part (α=0.993), and overall questionnaire (α=0.987).Conclusion: The Indonesian version of the PAR-Q+ 2020 demonstrated reliability and preliminary evidence of its validity in measuring individual readiness for PA. Further studies involving a broader population and employing more comprehensive validation methods are necessary to establish its validity and applicability fully.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"59-68"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675192","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

A cross-sectional study of breakfast skipping and body composition among young adults. 青年人不吃早餐与身体成分的横断面研究。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2025-02-26 DOI: 10.4082/kjfm.24.0217

Esther Kim, Kyujin Choi, Su-Min Jeong, Hee-Kyung Joh

{"title":"A cross-sectional study of breakfast skipping and body composition among young adults.","authors":"Esther Kim, Kyujin Choi, Su-Min Jeong, Hee-Kyung Joh","doi":"10.4082/kjfm.24.0217","DOIUrl":"10.4082/kjfm.24.0217","url":null,"abstract":"Background: Although breakfast provides essential nutrients and energy, skipping this meal has become increasingly common among young adults in Korea. In this study, we examine the relationship between breakfast consumption and body composition.Methods: We analyzed data from 17,763 students aged 18-39 at Seoul National University (2018-2022). Participants were categorized based on their breakfast frequency: non-skippers, 1 to 3-day skippers, and 4 to 7-day skippers. Measurements included body mass index, waist circumference, body fat percentage, fat mass index (FMI), fat-free mass index (FFMI), and skeletal muscle mass index (SMI). Multivariable logistic and linear regression models adjusted for age, sex, alcohol use, smoking, physical activity, sleep, and food consumption frequencies were used.Results: Obesity (17.4% vs. 14.8%) and abdominal obesity (10.0% vs. 7.8%) were higher in those skipping breakfast 4 to 7 d/wk compared with non-skippers. Skipping breakfast was not significantly associated with abdominal obesity in either sex. In women, the odds of obesity were higher (odds ratio, 1.57; 95% confidence interval, 1.14-2.15; P=0.006), whereas no significant difference was observed in men. Men who skipped breakfast had increased body fat percentage (coefficient, 0.87; P<0.001) and FMI (coefficient, 0.18; P=0.009) and decreased FFMI and SMI. Women showed increased body fat percentage (coefficient, 0.92; P<0.001) and FMI but no significant differences in FFMI or SMI.Conclusion: Skipping breakfast adversely affects body composition by increasing body fat percentage and FMI. Further research is needed to confirm these findings and explore the underlying mechanisms.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"37-45"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515899","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

The relationship between sleep duration and obesity among risky drinking workers: using the Korea National Health and Nutrition Survey. 危险饮酒工人的睡眠时间与肥胖之间的关系：使用韩国国家健康和营养调查。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2025-04-08 DOI: 10.4082/kjfm.24.0205

Jion Kim, Sinyoung Cho, Young Ho Yun

{"title":"The relationship between sleep duration and obesity among risky drinking workers: using the Korea National Health and Nutrition Survey.","authors":"Jion Kim, Sinyoung Cho, Young Ho Yun","doi":"10.4082/kjfm.24.0205","DOIUrl":"10.4082/kjfm.24.0205","url":null,"abstract":"Background: The association between sleep duration and obesity risk among risky drinkers remains controversial. This study aims to investigate the relationship between adequate sleep duration and both central and overall obesity among risky drinkers in Korea, with a focus on identifying potential interventions to reduce obesity rates.Methods: We analyzed data from 978 individuals, selected from 1,356 risky drinkers-as defined by the World Health Organization criteria-who participated in the 2019-2020 Korea National Health and Nutrition Examination Survey. Participants had no missing values and were engaged in economic activities. Demographic characteristics and key variables by obesity status were examined using frequency analysis and chi-square tests. Multivariable logistic regression analysis was performed to explore the association between sleep duration and obesity. To account for the stratified sampling design, we utilized complex sample analysis with weighted values.Results: Risky drinkers with adequate sleep duration (7-9 hours) were less likely to be obese based on waist circumference (≥90 cm in males; ≥85 cm in females) (odds ratio [OR], 0.64; 95% confidence interval [CI], 0.48-0.86) and body mass index (≥25 kg/m2) (OR, 0.56; 95% CI, 0.41-0.76). Trend analysis revealed a significant inverse relationship between sleep duration and obesity likelihood (P for trend <0.05). Gender-stratified analysis demonstrated that the association was significant among males and more pronounced in risky drinkers compared to the general population.Conclusion: This study suggests that adequate sleep duration may play a key role in reducing obesity rates among Korean male risky drinkers. Further longitudinal studies are recommended to strengthen this finding.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"28-36"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803430","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

One-year mortality disparities between infants of unmarried and married families in South Korea: a large scale retrospective cohort study. 韩国未婚和已婚家庭婴儿一岁死亡率差异：一项大规模回顾性队列研究。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-01-01 Epub Date: 2025-04-16 DOI: 10.4082/kjfm.24.0226

Seonyoung Jeong, Yeani Choi, Hajin Kim, Sang Min Park

{"title":"One-year mortality disparities between infants of unmarried and married families in South Korea: a large scale retrospective cohort study.","authors":"Seonyoung Jeong, Yeani Choi, Hajin Kim, Sang Min Park","doi":"10.4082/kjfm.24.0226","DOIUrl":"10.4082/kjfm.24.0226","url":null,"abstract":"Background: This study examined disparities in 1-year mortality rates between infants born to married and unmarried single-parent families, emphasizing the need for targeted health policies.Methods: Data from 3,298,263 cases, obtained from the South Korea National Statistical Office (2010-2017), were analyzed. T-tests and chi-square tests were used to assess the demographic characteristics of the study group. The number of deaths per 1,000 live births was calculated, and logistic and multivariable logistic regressions were employed to compare infant mortality rates between family types. Additional stratified analyses, based on gestational age and birth weight, further elucidated the relationship between parental marital status and infant mortality.Results: Infants from unmarried families exhibited a 3.34-fold higher crude odds ratio (OR) for 1-year mortality (95% confidence interval [CI], 2.56-4.36; P<0.001) than that from married families. After adjusting for confounders, the adjusted OR was 1.40 (95% CI, 1.03-1.92). Stratification by gestational age and birth weight revealed crude ORs of 4.62 (95% CI, 3.34- 6.39) in non-preterm infants (≥37 weeks) and 4.76 (95% CI, 3.46-6.56) in non-low-birth-weight infants (≥2.5 kg), highlighting a more pronounced disparity in infants born at or above normal weight and full term. No significant difference (P>0.05) was found in the crude OR for 1-year mortality rates among low-birth-weight (<2.5 kg) or preterm (<37 weeks) infants between the two-family types.Conclusion: This study highlights the significant disparity in infant mortality rates based on parental marital status, underscoring the need for enhanced social support and tailored policies for unmarried single-parent families.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"46-58"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017524","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