Epidemiology and Health最新文献_第7页

Being trans in Korea: key milestones and stigmatization across life stages in a nationwide survey of 585 transgender and non-binary young adults. 韩国的变性人：对585名跨性别和非双性恋年轻人进行的一项全国性调查显示，跨性别者在人生各个阶段的关键里程碑和耻辱。

IF 2.4 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-06-27 DOI: 10.4178/epih.e2025032

Sungsub Choo, Ranyeong Kim, Hyemin Lee, Horim Yi, Rockli Kim, Seung-Sup Kim

{"title":"Being trans in Korea: key milestones and stigmatization across life stages in a nationwide survey of 585 transgender and non-binary young adults.","authors":"Sungsub Choo, Ranyeong Kim, Hyemin Lee, Horim Yi, Rockli Kim, Seung-Sup Kim","doi":"10.4178/epih.e2025032","DOIUrl":"10.4178/epih.e2025032","url":null,"abstract":"Objectives: Understanding the experiences of transgender and non-binary (TGNB) individuals from a life-course perspective is essential. This article aims to identify ages at key milestones related to transgender identity and assess experiences of stigmatization among TGNB individuals across different life stages.Methods: We analyzed data from a nationwide longitudinal survey of 585 TGNB adults in Korea collected in 2020 and 2021. Analysis of variance and chi-square test were used to compare mean ages at transgender identity developmental milestones and experiences of anti-transgender stigma across transgender identities.Results: On average, TGNB Koreans realized their transgender identity at age 13, accepted it at age 20, and came out to others at age 21. Regarding experiences of stigmatization across different life stages, 67.4% reported hearing homophobic and transphobic remarks from teachers in secondary school. Among TGNB individuals assigned male at birth (AMAB) who served mandatory military service, 29.0% were classified as maladjusted soldiers, and 12.1% experienced sexual harassment or violence. When asked about the job application process, 57.0% reported discontinuing their job search due to their transgender identity. Financial burden represented the primary barrier to psychiatric evaluations, hormone treatment, and gender-affirming surgery.Conclusions: Our study identifies key milestone ages related to transgender identity and experiences of stigmatization across life stages among TGNB adults in Korea. With 97.6% of participants under 40 years old, these findings primarily reflect the experiences of TGNB young adults. Further research is necessary to better understand the experiences of middle-aged and elderly TGNB individuals in Korea.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025032"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561614","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

Preventable cancer cases and deaths attributable to alcohol consumption in Korea from 2015 to 2030. 从2015年到2030年，韩国可预防的癌症病例和死亡归因于酒精消费。

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-02-27 DOI: 10.4178/epih.e2025009

Soseul Sung, Jihye An, Jeehi Jung, Hyeon Sook Lee, Sungji Moon, Inah Kim, Jung Eun Lee, Aesun Shin, Sun Ha Jee, Sun-Seog Kweon, Min-Ho Shin, Sangmin Park, Seungho Ryu, Sun Young Yang, Seung Ho Choi, Jeongseon Kim, Sang-Wook Yi, Yoon-Jung Choi, Youjin Hong, Sangjun Lee, Woojin Lim, Kyungsik Kim, Sohee Park, Jeong-Soo Im, Hong Gwan Seo, Kwang-Pil Ko, Sue K Park

{"title":"Preventable cancer cases and deaths attributable to alcohol consumption in Korea from 2015 to 2030.","authors":"Soseul Sung, Jihye An, Jeehi Jung, Hyeon Sook Lee, Sungji Moon, Inah Kim, Jung Eun Lee, Aesun Shin, Sun Ha Jee, Sun-Seog Kweon, Min-Ho Shin, Sangmin Park, Seungho Ryu, Sun Young Yang, Seung Ho Choi, Jeongseon Kim, Sang-Wook Yi, Yoon-Jung Choi, Youjin Hong, Sangjun Lee, Woojin Lim, Kyungsik Kim, Sohee Park, Jeong-Soo Im, Hong Gwan Seo, Kwang-Pil Ko, Sue K Park","doi":"10.4178/epih.e2025009","DOIUrl":"10.4178/epih.e2025009","url":null,"abstract":"Objectives: Alcohol consumption is causally linked to several cancers, and major health organizations classify it as a carcinogen. This study assessed the impact of alcohol consumption on cancer incidence and mortality in Korea in 2015 and 2020, projected trends up to 2030, and compared results based on different criteria.Methods: The relative risk of cancer associated with alcohol consumption in Korea was determined through a meta-analysis of alcohol-related relative risks for specific cancers, using primary data from the Korean Cohort Study within the Korean Cohort Consortium. The population-attributable fraction (PAF) was calculated using Levin's formula, incorporating drinking prevalence and the number of cancer cases and deaths, with a 15-year latency period assumed.Results: In Korea, the PAF for alcohol consumption, based on ever/never drinking criteria, was higher than that calculated using other criteria, except for the PAF based on past and current/never drinking criteria. Alcohol consumption contributed to 3.58% of all cancer cases and 3.28% of cancer deaths in 2015. It accounted for 4.58% of new cancer cases in male and 2.08% in female, with a higher contribution to incidence than mortality (4.00 and 2.25% of cancer deaths in male and female, respectively). Projections indicate that alcohol-related cancer PAF will decrease by 17.2% in male but increase by 70.2% in female by 2030.Conclusions: This study highlights the impact of alcohol consumption on cancer in Korea, emphasizing the need for sex-specific regulations to address sex differences.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025009"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parents' employment and non-chromosomal congenital anomalies in Korea: a national population cohort study. 韩国父母就业与非染色体先天性异常：一项全国人口队列研究。

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-04-10 DOI: 10.4178/epih.e2025018

Kyuwon Kim, Hoyol Jhang, Erdenetuya Bolormaa, Chae Bong Kim, Seung-Ah Choe

{"title":"Parents' employment and non-chromosomal congenital anomalies in Korea: a national population cohort study.","authors":"Kyuwon Kim, Hoyol Jhang, Erdenetuya Bolormaa, Chae Bong Kim, Seung-Ah Choe","doi":"10.4178/epih.e2025018","DOIUrl":"10.4178/epih.e2025018","url":null,"abstract":"Objectives: We assessed the association between parents' employment status, including industrial classification, and non-chromosomal congenital anomalies in offspring.Methods: We analyzed data from mothers who delivered live births between 2020 and 2022, linking their records with those of their neonates from the National Health Information Service (NHIS) database. Our analysis focused on common industrial classifications representing at least 6% of the total workforce. Congenital anomalies were identified based on neonates' diagnostic codes. We conducted logistic regression to estimate odds ratios (ORs) of congenital anomalies by the industrial classification of mothers and their partners, adjusting for individual risk factors, with the financial industry serving as the reference category.Results: Among 338,637 women with a live birth, 148,818 (43.9%) were employed at the time of pregnancy. Employment was associated with a higher risk of congenital anomalies (OR, 1.08; 95% confidence interval [CI], 1.04 to 1.12). Within the common industrial classifications, health and social work exhibited the highest risk (OR, 1.11; 95% CI, 1.06 to 1.22) compared to the financial industry. Women employed in general hospitals showed particularly elevated risks (OR, 1.19; 95% CI, 1.04 to 1.37). Among male partners, the risk estimates were generally imprecise.Conclusions: The study indicates that certain industries are linked with a higher risk of congenital anomalies among women workers. These findings underscore the need for enhanced safety measures in high-risk industrial settings to reduce the occurrence of congenital anomalies.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025018"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025378","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

Association between regular dental scaling and stroke risk in patients with periodontal diseases: evidence from a Korean nationwide database. 牙周病患者定期刮牙与中风风险之间的关系：来自韩国全国数据库的证据

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-04-19 DOI: 10.4178/epih.e2025020

Yu-Rin Kim, Minkook Son, Seon-Rye Kim

{"title":"Association between regular dental scaling and stroke risk in patients with periodontal diseases: evidence from a Korean nationwide database.","authors":"Yu-Rin Kim, Minkook Son, Seon-Rye Kim","doi":"10.4178/epih.e2025020","DOIUrl":"10.4178/epih.e2025020","url":null,"abstract":"Objectives: This study aimed to evaluate the association between the frequency of dental scaling and the risk of stroke among individuals with moderate-to-severe periodontal diseases and verify the effect of regular dental scaling on stroke risk in this population.Methods: In this retrospective study, 25,758 subjects with moderate-to-severe periodontal diseases were selected from the Korean National Health Insurance Service-National Health Screening Cohort database. Based on the frequency of dental scaling, the subjects were divided into three groups: regular, occasional, and infrequent. Restricted cubic splines were used to evaluate hazard ratios (HRs) with 95% confidence intervals (CIs) for stroke. Additionally, landmark analysis was conducted to strengthen the reliability of the results.Results: There were 293, 111, and 38 stroke cases in the infrequent, occasional, and regular group, respectively. The adjusted HR for stroke in the regular group, compared to that in the infrequent group, was 0.40 (95% CI, 0.29 to 0.57). In the landmark analysis with follow-up after 1 year and after 2 years, the adjusted HR in the regular group compared to that in the infrequent group was 0.41 (95% CI, 0.28 to 0.60) and 0.50 (95% CI, 0.33 to 0.76), respectively.Conclusions: Regular dental scaling was significantly associated with a reduced risk of stroke in patients with moderate-to-severe periodontal diseases. These findings may suggest a potential preventive role of dental scaling beyond oral health. Further studies are needed to explore the underlying biological mechanisms linking periodontal care to stroke prevention and to explore causal relationships between dental scaling and stroke risk.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025020"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039408","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

Association between secondhand smoke exposure and incidence of metabolic syndrome: analyses of Korean Genome and Epidemiology Study (KoGES) data. 二手烟暴露与代谢综合征发病率之间的关系：韩国基因组和流行病学研究（KoGES）数据分析。

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-07-29 DOI: 10.4178/epih.e2025041

Seungmi Choi, Sanghyuk Bae

{"title":"Association between secondhand smoke exposure and incidence of metabolic syndrome: analyses of Korean Genome and Epidemiology Study (KoGES) data.","authors":"Seungmi Choi, Sanghyuk Bae","doi":"10.4178/epih.e2025041","DOIUrl":"10.4178/epih.e2025041","url":null,"abstract":"Objectives: Secondhand smoke exposure remains a major public health concern and is linked to various chronic diseases, including metabolic syndrome (MetS). Although smoking rates have declined, exposure to secondhand smoke remains common and poses significant health risks to non-smokers. This study investigated the association between secondhand smoke exposure and the incidence of MetS using longitudinal data from a community-based cohort in Korea.Methods: We utilized data from the Korean Genome and Epidemiology Study, collected biennially between 2001 and 2020. Of 10,030 adults aged 40-69 years, a total of 3,042 never-smokers without pre-existing MetS were included. Secondhand smoke exposure was assessed through self-reported questionnaires. Cox proportional hazards models were employed to estimate hazard ratios (HRs) and 95% confidence intervals (CIs), adjusting for potential confounders.Results: During follow-up, 638 participants in the secondhand smoke exposure group developed MetS. Those exposed to secondhand smoke had a significantly higher risk of developing MetS compared to the non-exposed group (HR, 1.15; 95% CI, 1.02 to 1.27). Among MetS components, secondhand smoke exposure was significantly associated with increased risks of hypertension (HR, 1.13; 95% CI, 1.00 to 1.28) and hyperglycemia (HR, 1.19; 95% CI, 1.03 to 1.37). Although home exposure was not significantly associated with MetS risk, workplace exposure to secondhand smoke demonstrated a dose-response relationship according to exposure frequency and duration.Conclusions: Our findings suggest that secondhand smoke exposure may increase the risk of developing MetS. These results underscore the importance of strengthening regulations on secondhand smoke in public places and raising social awareness of its detrimental effects on non-smokers.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025041"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12869143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761848","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

Association between psychosocial safety climate and depression risk among Korean workers. 韩国工人心理社会安全气候与抑郁风险的关系

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-08-13 DOI: 10.4178/epih.e2025044

Soo Kyung Cho, Seong-Sik Cho, Maureen F Dollard, May Young Loh, Mo-Yeol Kang

{"title":"Association between psychosocial safety climate and depression risk among Korean workers.","authors":"Soo Kyung Cho, Seong-Sik Cho, Maureen F Dollard, May Young Loh, Mo-Yeol Kang","doi":"10.4178/epih.e2025044","DOIUrl":"10.4178/epih.e2025044","url":null,"abstract":"Objectives: Psychosocial safety climate (PSC) reflects an organization's commitment to safeguarding workers' psychological health and safety. While international evidence links low PSC to poor mental health outcomes, its association with depression has not been well established in Korea. This study aimed to examine the relationship between PSC and depression among Korean workers, utilizing a large-scale, population-based survey.Methods: We analyzed data from 5,337 wage employees who participated in the fifth wave of the Korean Work, Sleep, and Health Study. Depression was measured using the 9-item Patient Health Questionnaire, and PSC was assessed with a validated 4-item scale. Participants were classified into low-risk, intermediate-risk, and high-risk groups based on their PSC scores. Multivariable logistic regression was conducted to estimate the association between PSC and depression, with stratified analyses performed according to gender, age, and occupational characteristics.Results: The prevalence of depression increased as PSC scores decreased. Compared to the low-risk group, the intermediate-risk and high-risk PSC groups exhibited 1.19 times and 2.69 times higher risks of depression, respectively, suggesting a clear exposure-response relationship. Stratified analyses indicated that associations were stronger among individuals without union representation or access to occupational health and safety resources.Conclusions: These findings underscore the critical role of PSC in workplace mental health. Promoting a high PSC may help reduce depression risk and support mental well-being among workers. Interventions considering vulnerable subgroups are warranted to create psychologically safer work environments in Korea.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025044"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12673289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974520","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

Evaluation of a telemedicine pilot project for hypertension in Korea: a nationwide real-world data study. 评价韩国高血压远程医疗试点项目：一项全国性的真实世界数据研究。

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-08-25 DOI: 10.4178/epih.e2025048

Jeong-Yeon Kim, Yeryeon Jung, Seongwoo Seo, Youseok Kim, Min Jung Ko, Hun-Sung Kim

{"title":"Evaluation of a telemedicine pilot project for hypertension in Korea: a nationwide real-world data study.","authors":"Jeong-Yeon Kim, Yeryeon Jung, Seongwoo Seo, Youseok Kim, Min Jung Ko, Hun-Sung Kim","doi":"10.4178/epih.e2025048","DOIUrl":"10.4178/epih.e2025048","url":null,"abstract":"Objectives: A telemedicine pilot project has received temporary authorization in Korea. The clinical effectiveness of telemedicine is well established; however, ongoing research must assess medical utilization, sustainability, prescription continuity, and safety.Methods: This study evaluated medical utilization, sustainability, prescription continuity, and safety before and after the implementation of a telemedicine pilot project between June 2022 and December 2023. Data were obtained from the Korean National Health Insurance Service (NHIS), and participants were divided into those who received non-face-to-face hypertension treatment at least once and those who did not.Results: This study included 124,210 patients diagnosed with hypertension who received telemedicine (the Tele_G group) and 124,210 propensity score-matched control individuals. The difference-in-difference (DID) for medical utilization between the Tele_G and control groups was 0.10 (-0.03 vs. -0.12, p<0.001). The DID for the Modified Modified Continuity Index was -0.005 (-0.003 vs. 0.002, p<0.001), while that for Most Frequent Provider Continuity was -0.006 (-0.004 vs. 0.002, p<0.001). The DID for the prescription day rate was 0.41 (-0.61 vs. -1.02, p<0.001), and that for the appropriate prescription continuation rate was 0.52 (-1.23 vs. -1.75, p<0.01).Conclusions: Telemedicine did not fully achieve the same standard as face-to-face treatment for hypertension management; however, it showed comparable safety, suggesting potential as secondary care. As the first NHIS-based study on this topic in Korea, this research highlights the benefits of telemedicine when appropriately utilized for patients with hypertension. Nevertheless, due to limitations regarding long-term continuity and policy design, cautious interpretation is required, and further prospective studies are warranted.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025048"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12869119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974499","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

Secular trends in grip strength among Korean adults according to socioeconomic factors: the 2014-2022 Korea National Health and Nutrition Examination Survey. 根据社会经济因素，韩国成年人握力的长期趋势：2014-2022年韩国国民健康和营养检查调查。

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-12-16 DOI: 10.4178/epih.e2025074

Harim Choe, Hoyong Sung, Yeon Soo Kim

{"title":"Secular trends in grip strength among Korean adults according to socioeconomic factors: the 2014-2022 Korea National Health and Nutrition Examination Survey.","authors":"Harim Choe, Hoyong Sung, Yeon Soo Kim","doi":"10.4178/epih.e2025074","DOIUrl":"10.4178/epih.e2025074","url":null,"abstract":"Objectives: Muscle strength is a key indicator of overall health, and its decline has been linked to increased morbidity and mortality. Socioeconomic factors may contribute to disparities in this decline. Therefore, this study aimed to examine trends in muscle strength and to identify groups with lower muscle strength according to socioeconomic variables.Methods: We analyzed data from the cross-sectional Korea National Health and Nutrition Examination Survey (KNHANES), including 34,080 adults. Multivariable linear regression analyses were conducted, adjusting for socioeconomic and health-related covariates, and KNHANES survey weights were applied to obtain nationally representative estimates that accounted for the complex sampling design.Results: Overall, mean grip strength significantly decreased from 2014 to 2022 in both males (from 43.45±0.24 to 41.59± 0.29 kg) and females (from 26.48±0.15 to 24.94±0.13 kg). This trend was consistently observed across all covariate strata, except for individuals aged over 70 years and those in the green-collar occupational group. In 2022, grip strength was lower among individuals with the lowest education level (26.45±0.34 vs. 34.75±0.32 kg in the undergraduate group) and the lowest household income level (29.59±0.45 vs. 34.53±0.35 kg in the highest income group), as well as among unemployed individuals (29.36± 0.30 vs. 37.00±0.47 kg in the blue-collar group), compared with their higher socioeconomic counterparts.Conclusions: These findings provide descriptive evidence of grip strength trends and socioeconomic disparities in Korea. They may serve as baseline information to guide future longitudinal studies and inform public health strategies.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025074"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783350","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

Cardiovascular disease risk disparities between immigrants and native Koreans: a population-based study in Gwangju, Korea. 移民与韩国本地人心血管疾病风险差异：一项基于韩国光州的人口研究

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-12-08 DOI: 10.4178/epih.e2025067

Jung-Ho Yang, Yerin Choi, Ran Lee, Seong Eun Kim, Kyung-Hwa Park, Seong-Woo Choi, BongKyu Sun, Kyunghak Kim, Sun-Seog Kweon

{"title":"Cardiovascular disease risk disparities between immigrants and native Koreans: a population-based study in Gwangju, Korea.","authors":"Jung-Ho Yang, Yerin Choi, Ran Lee, Seong Eun Kim, Kyung-Hwa Park, Seong-Woo Choi, BongKyu Sun, Kyunghak Kim, Sun-Seog Kweon","doi":"10.4178/epih.e2025067","DOIUrl":"10.4178/epih.e2025067","url":null,"abstract":"Objectives: Korea is becoming a multiethnic society, with immigrants comprising nearly 5% of the population. Evidence on cardiovascular disease (CVD) risk among immigrants remains limited.Methods: We conducted a population-based study of 582 immigrants in Gwangju and 2,328 age-matched and gender-matched native Koreans (2022-2023). Immigrant data were obtained from direct health assessments, while native Korean data were drawn from the Korea National Health and Nutrition Examination Survey. CVD risk was estimated using the Framingham risk score (FRS) and pooled cohort equations (PCE). Logistic regression was employed to compare the odds of elevated risk (10-year CVD risk ≥7.5%), adjusting for socio-demographic and behavioral factors.Results: Immigrants had a higher prevalence of hypertension (37.3 vs. 16.1%), diabetes (11.5 vs. 5.6%), poor self-rated health (69.6 vs. 61.3%), and unmet medical needs (30.9 vs. 8.9%), as well as lower rates of health checkups and cancer screening (all p<0.001), compared to native Koreans. Elevated CVD risk was more frequent in immigrants (FRS, 31.4 vs. 20.8%; PCE, 33.6 vs. 22.8%). The adjusted odds ratios (95% confidence intervals) were 1.47 (1.14 to 1.88) for FRS and 1.49 (1.07 to 2.08) for PCE. Disparities were greatest among women, adults ≥40 years, uninsured people, low-income groups, and migrants from Central Asia, Russia, and Africa.Conclusions: Immigrants in Korea face substantially higher CVD risk than native Koreans, particularly within socioeconomically vulnerable subgroups. Targeted prevention and policies addressing structural barriers are urgently needed.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025067"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745147","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

Associations between usual source of care characteristics and health outcomes in diabetes mellitus: a focus on medication adherence and healthy behaviors in Korea. 糖尿病患者通常护理来源特征与健康结局之间的关系：对药物依从性和健康行为的关注

IF 2.2 4区医学

Epidemiology and Health Pub Date : 2025-01-01 Epub Date: 2025-12-02 DOI: 10.4178/epih.e2025063

Seung Eun Lee, Chul-Woung Kim, Ji Eun Bae, Jee Hyun Choi

{"title":"Associations between usual source of care characteristics and health outcomes in diabetes mellitus: a focus on medication adherence and healthy behaviors in Korea.","authors":"Seung Eun Lee, Chul-Woung Kim, Ji Eun Bae, Jee Hyun Choi","doi":"10.4178/epih.e2025063","DOIUrl":"10.4178/epih.e2025063","url":null,"abstract":"Objectives: This study investigated the associations between usual source of care (USC) characteristics, which incorporate primary care functions, and medication adherence and healthy behaviors in Korean adults with diabetes.Methods: We used data from 1,543 adults with diabetes in the 2020 Korea Health Panel Survey. USC was categorized into 5 types based on whether a regular doctor was identified and whether that provider fulfilled comprehensiveness and coordination functions. Multivariable logistic regression was used to assess associations with medication adherence and healthy behaviors.Results: A significant difference in medication adherence was observed by USC type, although no significant associations emerged for healthy behaviors (smoking, drinking, exercise). Compared to the group without a USC, patients whose regular doctor fulfilled either function were 2.38 times more likely to adhere (odds ratio [OR], 2.38; 95% confidence interval [CI], 1.70 to 3.32), and those whose doctor fulfilled both functions were 1.84 times more likely to adhere (OR, 1.84; 95% CI, 1.31 to 2.59). This association was particularly strong for adherence to medication dosage, frequency, and timing.Conclusions: The findings underscore that the functional quality of the USC, particularly the fulfillment of comprehensiveness and coordination, is crucial in improving medication adherence. Simply having a USC is insufficient. The lack of association with healthy behaviors suggests that physicians may focus more on pharmacological control, highlighting the need for multifaceted interventions.","PeriodicalId":48543,"journal":{"name":"Epidemiology and Health","volume":" ","pages":"e2025063"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662462","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}

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