Epidemiology and Health最新文献_第6页

Hematological inflammatory indices and their relationship to the risk of hypertension. 血液学炎症指标及其与高血压风险的关系。

IF 2.4 4区医学

Epidemiology and Health Pub Date : 2026-01-01 Epub Date: 2026-02-04 DOI: 10.4178/epih.e2026008

Ju Young Jung, Chang-Mo Oh, Jae-Hong Ryoo, Sung Keun Park

{"title":"Hematological inflammatory indices and their relationship to the risk of hypertension.","authors":"Ju Young Jung, Chang-Mo Oh, Jae-Hong Ryoo, Sung Keun Park","doi":"10.4178/epih.e2026008","DOIUrl":"10.4178/epih.e2026008","url":null,"abstract":"Objectives: Chronic inflammation has been implicated in the development of hypertension in numerous previous studies. However, evidence regarding the association between hematological inflammatory indices derived from complete blood count tests and the long-term risk of hypertension remains limited. Therefore, this study aimed to investigate the association between various hematological inflammatory indices and the risk of incident hypertension in a large cohort study.Methods: We analyzed data from a large Korean cohort (n=128,241). The incident risk of hypertension was evaluated according to quartiles of the neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index (SII), and systemic inflammatory response index (SIRI) using Cox proportional hazards models. Additional analyses were conducted for high-sensitivity C-reactive protein (hsCRP) levels and stratified by gender.Results: During a median follow-up of 6.8 years, 18,503 participants (14.4%) developed hypertension. Higher quartiles of SII, SIRI, and NLR were significantly associated with an increased risk of incident hypertension in both genders. PLR showed a clearer positive association in women, whereas MLR demonstrated only marginal associations. These patterns were consistent with the associations observed for hsCRP.Conclusions: These findings suggest that elevated hematological inflammatory indices above certain thresholds are associated with an increased risk of hypertension, even among young and generally healthy individuals.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2026008"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term effectiveness of a primary care chronic disease management program in Korea. 韩国初级保健慢性病管理项目的长期有效性。

IF 2.4 4区医学

Epidemiology and Health Pub Date : 2026-01-01 Epub Date: 2026-05-27 DOI: 10.4178/epih.e2026023

Seo-Hyun Lee, Kyoung-Hoon Kim

{"title":"Long-term effectiveness of a primary care chronic disease management program in Korea.","authors":"Seo-Hyun Lee, Kyoung-Hoon Kim","doi":"10.4178/epih.e2026023","DOIUrl":"10.4178/epih.e2026023","url":null,"abstract":"Objectives: This study evaluated the long-term effectiveness of Korea's Primary Care Chronic Disease Management Program (CDMP) on major clinical outcomes among patients with type 2 diabetes mellitus (T2DM).Methods: Patients aged ≥18 years who received outpatient care for T2DM in 2019 were identified using Korea's National Health Insurance Claims Database. Patients with a prior history of inpatient or outpatient care for ischemic heart disease (IHD) or stroke, or a history of hospitalization for diabetes before the index date were excluded. The final cohort included 1,817,682 patients, who were followed from the index date to December 31, 2023, for preventable diabetes-related hospitalization and incident IHD and stroke. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs).Results: The study included 49,449 CDMP participants and 1,768,233 non-participants. The mean ages of the CDMP and non-CDMP groups were 62.2 years and 61.5 years, respectively. Compared with non-participants, CDMP participants had significantly lower risks of any adverse health outcome (HR, 0.87; 95% CI, 0.85 to 0.89), IHD (HR, 0.94; 95% CI, 0.91 to 0.97), stroke (HR, 0.85; 95% CI, 0.82 to 0.89), and diabetes-related hospitalization (HR, 0.73; 95% CI, 0.70 to 0.76).Conclusions: Participation in the CDMP was associated with improved long-term health outcomes among patients with T2DM. These findings support the importance of continuous, structured, primary care-based chronic disease management and provide empirical evidence for expanding and institutionalizing the CDMP within Korea's National Health Insurance system.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2026023"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cohort profile: Korean Varicella Immunization Monitoring (K-VIM) Scheme: a national cohort of children born 2011-2022. 队列简介：韩国水痘免疫监测（K-VIM）计划：2011-2022年出生的儿童的国家队列。

IF 2.4 4区医学

Epidemiology and Health Pub Date : 2026-01-01 Epub Date: 2026-01-22 DOI: 10.4178/epih.e2026005

Young Kyu Shim, Young Hwa Lee, Young June Choe, Yoonsun Yoon, Yun-Kyung Kim

{"title":"Cohort profile: Korean Varicella Immunization Monitoring (K-VIM) Scheme: a national cohort of children born 2011-2022.","authors":"Young Kyu Shim, Young Hwa Lee, Young June Choe, Yoonsun Yoon, Yun-Kyung Kim","doi":"10.4178/epih.e2026005","DOIUrl":"10.4178/epih.e2026005","url":null,"abstract":"Varicella, caused by the varicella-zoster virus, was once nearly universal in childhood before the advent of vaccination and may lead to severe complications and even fatalities. Monitoring varicella vaccine effectiveness is crucial yet often overlooked in settings with limited surveillance infrastructure. The Korean Varicella Immunization Monitoring (K-VIM) Scheme was established to address this gap by assembling a national, insurance-based birth cohort of children born between 2011 and 2022 (n=4,505,165). This cohort leverages comprehensive healthcare databases in Korea to capture vaccination records, medical visits, and varicella infection outcomes for virtually all children within the target birth years. We describe the enrollment and key characteristics of the K-VIM cohort, including vaccination coverage, demographic features, and varicella incidence to date. The structure and completeness of Korea's national health insurance and immunization registries enable robust longitudinal tracking of varicella infections among vaccinated versus unvaccinated children. Early findings demonstrate distinct patterns in infection rates and disease severity according to vaccination status. The K-VIM Scheme provides a foundation for ongoing epidemiological studies of varicella vaccine effectiveness and public health impact in Korea. Future plans include evaluating the long-term effects of varicella vaccination, including potential impacts on herpes zoster incidence, using diverse study designs to strengthen causal inference and inform immunization policy.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2026005"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cohort profile: the Korean Youth Health Behavior Panel Survey (KYHPS). 队列简介：韩国青少年健康行为小组调查（KYHPS）。

IF 2.4 4区医学

Epidemiology and Health Pub Date : 2026-01-01 Epub Date: 2026-04-22 DOI: 10.4178/epih.e2026017

Jun Hyun Hwang, Inho Park, Soon-Woo Park

{"title":"Cohort profile: the Korean Youth Health Behavior Panel Survey (KYHPS).","authors":"Jun Hyun Hwang, Inho Park, Soon-Woo Park","doi":"10.4178/epih.e2026017","DOIUrl":"10.4178/epih.e2026017","url":null,"abstract":"The identification of factors that predispose adolescents to adopt healthy lifestyles is essential because this developmental stage shapes long-term health trajectories. To address the lack of longitudinal data on adolescent health in Korea, the Korean Youth Health Behavior Panel Survey (KYHPS) was established in 2019. The KYHPS recruited 5,051 sixth-grade students from 260 elementary schools nationwide, excluding Jeju, and follows them annually for 10 years using a stratified multistage probability sampling design. Data were collected using tablet-assisted self-interviews, and the questionnaires were developed on the basis of the ecological model of health behaviors. The survey focused on 4 major domains-tobacco use, alcohol consumption, diet, and physical activity-along with psychosocial and contextual factors at the individual, family, peer, school, and community levels. Panel retention was 93.1% in Wave 2 and 82.0% in Wave 6. The KYHPS is the first national longitudinal survey specifically focused on adolescent health behaviors in Korea and provides a unique opportunity to examine health trajectories and their determinants across adolescence and into early adulthood, with important implications for prevention and policy.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2026017"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vaccination coverage according to immunosuppression level among adults with non-rheumatoid arthritis rheumatic diseases: a retrospective observational study in Korea. 成人非类风湿关节炎风湿病患者免疫抑制水平的疫苗接种覆盖率：韩国的一项回顾性观察性研究

IF 2.4 4区医学

Epidemiology and Health Pub Date : 2026-01-01 Epub Date: 2026-04-23 DOI: 10.4178/epih.e2026018

Choseok Yoon, Kiho Jeong, Wooyoung Jang, Jinnam Kim, Se Yoon Park, Bongyoung Kim

{"title":"Vaccination coverage according to immunosuppression level among adults with non-rheumatoid arthritis rheumatic diseases: a retrospective observational study in Korea.","authors":"Choseok Yoon, Kiho Jeong, Wooyoung Jang, Jinnam Kim, Se Yoon Park, Bongyoung Kim","doi":"10.4178/epih.e2026018","DOIUrl":"10.4178/epih.e2026018","url":null,"abstract":"Patients with autoimmune inflammatory rheumatic diseases are particularly vulnerable to infectious diseases. Accordingly, a broader range of vaccines and, in some cases, additional doses are recommended for these patients compared with the general population. This study investigated the vaccination status of adult patients with non-rheumatoid arthritis rheumatic diseases (NRRDs). This retrospective study was conducted in the rheumatology outpatient department of a tertiary care hospital and included adult patients (aged ≥19 years) with NRRDs who received glucocorticoids and/or disease-modifying antirheumatic drugs from January 2023 to March 2023. Among these patients, we compared vaccination rates between high-level immunosuppression (HLI) and non-HLI groups. HLI was defined as current biologic use or prednisolone equivalent at a dose of ≥20 mg/day for ≥14 days. Of the 4,070 patients with NRRDs, 1,522 (37.4%) were in the HLI group. Overall vaccination rates (complete plus partial vaccination) were significantly lower in the HLI group than in the non-HLI group for influenza (20.2 vs. 31.0%, p<0.001), hepatitis B (59.5 vs. 68.8%, p<0.001), pneumococcal disease (12.9 vs. 26.9%, p<0.001), and herpes zoster (4.3 vs. 10.8%, p<0.001). Overall, vaccination rates were low among patients with NRRDs, with especially low rates in the HLI group. These findings highlight the need for systematic vaccination strategies.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2026018"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Excess mortality from gastric cancer in Korea during the COVID-19 pandemic, 2020-2023. 2020-2023年2019冠状病毒病大流行期间韩国胃癌死亡率过高。

IF 2.4 4区医学

Epidemiology and Health Pub Date : 2026-01-01 Epub Date: 2026-05-26 DOI: 10.4178/epih.e2026021

Gyeongil Kim, Ji-Yeon Shin, Yu-Mi Lee, Duk-Hee Lee

{"title":"Excess mortality from gastric cancer in Korea during the COVID-19 pandemic, 2020-2023.","authors":"Gyeongil Kim, Ji-Yeon Shin, Yu-Mi Lee, Duk-Hee Lee","doi":"10.4178/epih.e2026021","DOIUrl":"10.4178/epih.e2026021","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic substantially disrupted cancer care, leading to declines in screening, diagnosis, and treatment. Gastric cancer is particularly vulnerable to such disruptions because reductions in mortality depend largely on early detection and timely treatment. This study estimated excess mortality from gastric cancer in Korea during the COVID-19 pandemic. Expected gastric cancer deaths during the pandemic were estimated by applying linear regression to age-specific mortality trends from 2015 to 2019. Excess mortality was quantified using annual P-scores. Gastric cancer mortality declined steadily before the pandemic, but this decline attenuated during the pandemic period. Annual P-scores increased progressively, from +3.8% in 2020 and +5.5% in 2021 to +10.6% in 2022 and +20.7% in 2023. By age group, individuals aged 60-79 years showed the largest increases, reaching +46.6% in 2023, whereas minimal excess mortality was observed among those aged 20-59 years. Among adults aged ≥80 years, excess mortality became apparent only in 2023 (+12.8%). Overall, a progressive increase in excess mortality due to gastric cancer was observed in Korea during the COVID-19 pandemic, particularly among individuals aged 60-79 years. These findings suggest that the pandemic adversely affected gastric cancer control and underscore the need for continued monitoring.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2026021"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cohort profile: a nationwide retrospective cohort of mortality in people living with HIV in Korea, 1985-2020. 队列概况：1985-2020年大韩民国艾滋病毒感染者死亡率的全国回顾性队列。

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-01-02 DOI: 10.4178/epih.e2025002

Taeyoung Kim, Yoonhee Jung, Koun Kim, Jung Wan Park, Jeonghee Yu, Sung-Il Cho

{"title":"Cohort profile: a nationwide retrospective cohort of mortality in people living with HIV in Korea, 1985-2020.","authors":"Taeyoung Kim, Yoonhee Jung, Koun Kim, Jung Wan Park, Jeonghee Yu, Sung-Il Cho","doi":"10.4178/epih.e2025002","DOIUrl":"10.4178/epih.e2025002","url":null,"abstract":"The increasing number of people living with human immunodeficiency virus (HIV) in Korea has prompted interest in using the national surveillance system as a database for studying their health. To investigate the relationships between socio-demographic and epidemiological characteristics and mortality rates, a nationwide retrospective cohort was formed by integrating surveillance data with the Cause of Death Statistics from Statistics Korea. This integration included incidence reports, epidemiological investigations, and death reports from the surveillance data, enriched with detailed mortality information from the Cause of Death data. The cohort comprised 17,199 adult Korean individuals diagnosed with HIV infection from 1985 to 2020. By the end of 2020, 2,721 of these individuals were confirmed deceased. The sex ratio of the study participants was 14.3:1.0 (male to female), with 78.2% being under 50 years old at the time of diagnosis. Sexual contact was identified as the primary transmission route, accounting for 75.7% of cases. HIV disease emerged as the predominant cause of death, representing two-thirds (1,817 of 2,721) of the fatalities, followed by injuries and trauma, malignancies, and cardiovascular diseases. Recommendations for further cohort studies may be submitted to the Korea Disease Control and Prevention Agency.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025002"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occurrence rate and estimated economic burden of pulp and periapical disease treatment among Korean older adults: a national population-based retrospective study. 韩国老年人牙髓和根尖周疾病治疗的发生率和估计经济负担：一项基于全国人群的回顾性研究

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-07-03 DOI: 10.4178/epih.e2025035

Hyeonjeong Go, Masae Kuboniwa, Youn-Hee Choi

{"title":"Occurrence rate and estimated economic burden of pulp and periapical disease treatment among Korean older adults: a national population-based retrospective study.","authors":"Hyeonjeong Go, Masae Kuboniwa, Youn-Hee Choi","doi":"10.4178/epih.e2025035","DOIUrl":"10.4178/epih.e2025035","url":null,"abstract":"Objectives: Maintaining healthy dentition is essential for the overall health of older adults. Treatment of pulp and periapical disease (PPD) is crucial for preserving teeth. This study assessed the occurrence rate and economic burden of PPD treatment in an older Korean population.Methods: Data were obtained for adults aged ≥65 years from the Korean National Health Insurance Services from 2014 to 2018. The occurrence rate was defined as the proportion of individuals who received ≥1 PPD treatment. The economic burden was estimated using both direct and indirect expenditures, calculated from a societal perspective. Regression analysis was performed to evaluate yearly trends in occurrence rate and economic burden.Results: Direct costs, which included insured and non-insured medical expenses, ranged from US$13.79 million to US$10.47 million. Indirect costs, comprising transportation and time costs, ranged from US$0.89 million to US$0.80 million. Total costs declined from US$14.68 million to US$11.36 million. The occurrence rate of PPD treatment decreased significantly from 1.24% to 0.91% (p<0.05). The economic burden also demonstrated a statistically significant downward trend, with total PPD costs decreasing from 0.00099% to 0.00066% of Korea's GDP, and from 0.63% to 0.30% of the annual total dental care benefit costs between 2014 and 2018 (p<0.05).Conclusions: The occurrence rate and estimated economic burden of PPD treatment significantly decreased among older Korean adults from 2014 to 2018. Conservative approaches to tooth preservation contribute to more effective oral health policies and help reduce the economic burden of oral disease treatments in an aging society.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025035"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12531460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spatial analysis of human Coxiella burnetii infection and populations of goat and cattle in Korea, 2015-2024. 2015-2024年韩国人伯纳氏杆菌感染及山羊和牛种群的空间分析

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-12-09 DOI: 10.4178/epih.e2025068

Seung-Bum Kang, Dae Sung Yoo

{"title":"Spatial analysis of human Coxiella burnetii infection and populations of goat and cattle in Korea, 2015-2024.","authors":"Seung-Bum Kang, Dae Sung Yoo","doi":"10.4178/epih.e2025068","DOIUrl":"10.4178/epih.e2025068","url":null,"abstract":"Objectives: Q fever is a bacterial zoonosis that occurs worldwide. Although several studies have reported associations between goat populations and human Q fever outbreaks in Korea, spatial correlation analyses remain limited. Therefore, this study examined the geographic correlation between human Q fever outbreaks and the distributions of goats and cattle in Korea.Methods: This study covered a 10-year period (2015-2024), using each of the 250 districts in Korea as the unit of analysis. Data were divided into 2 time periods: 2015-2019 and 2020-2024. Hotspots for the standardized incidence ratio (SIR) were identified using Getis-Ord Gi*. Spatial correlations between SIR and goat and cattle populations were evaluated using a multivariable spatial error model, and the associations between hotspot variables and livestock abundance were assessed using a multivariable Leroux conditional autoregressive model.Results: SIRs for human Q fever showed significant positive spatial associations with goat populations in 2016 (coefficient=46.52, p<0.01) and 2021 (coefficient=70.97, p<0.01). The associations between goat populations (2016 and 2021) and hotspot classifications were consistent across both periods, with the odds ratio increasing from 1.87 (95% credible interval [CrI], 1.23 to 2.85) in 2015-2019 to 2.33 (95% CrI, 1.55 to 3.64) in 2020-2024. No significant associations were observed between human Q fever and cattle populations.Conclusions: Goat populations are becoming more strongly spatially correlated with human Q fever incidence. These findings underscore the need for enhanced preventive management of goat farms to mitigate future outbreaks.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025068"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying factors associated with mental health status following climate-related disasters: a nationwide longitudinal panel study in Korea. 确定与气候相关灾害后心理健康状况相关的因素：韩国一项全国性纵向面板研究。

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-03-27 DOI: 10.4178/epih.e2025014

Eunjin Oh, Jaelim Cho, Changsoo Kim, Hyungryul Lim, Kyoung-Nam Kim

{"title":"Identifying factors associated with mental health status following climate-related disasters: a nationwide longitudinal panel study in Korea.","authors":"Eunjin Oh, Jaelim Cho, Changsoo Kim, Hyungryul Lim, Kyoung-Nam Kim","doi":"10.4178/epih.e2025014","DOIUrl":"10.4178/epih.e2025014","url":null,"abstract":"Objectives: Despite the increasing frequency and intensity of climate-related disasters, identifying factors associated with mental health status remains challenging. This study aimed to determine the factors linked to symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) following heavy rainfall and typhoons.Methods: National data on climate-related disaster victims (n=825 for heavy rainfall and n=1,220 for typhoon) from a longitudinal panel in Korea (\"Long-term Survey on the Change of Life of Disaster Victims\") and data from individuals unaffected by disasters (n=893) were used. Generalized linear mixed models were employed to evaluate the factors associated with mental health status following climate-related disasters.Results: Greater disaster severity (e.g., experiencing casualties or asset loss) was associated with higher scores for depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), and PTSD (Impact Event Scale-Revised). The association between casualty experience and anxiety score was more pronounced among individuals over 65 years (β [log-transformed score], 1.39; standard error [SE], 0.26; p<0.001), female respondents (β, 1.20; SE, 0.20; p<0.001), those with a low education level (β, 1.18; SE, 0.25; p<0.001), and those with a low income (β, 1.45; SE, 0.26; p<0.001) compared to their counterparts.Conclusions: These findings may help guide targeted interventions and shape public health policies and disaster management strategies that prioritize mental health support for the most at-risk populations, ultimately increasing community resilience to climate-related challenges.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025014"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0