Journal of preventive medicine and public health = Yebang Uihakhoe chi最新文献

{"title":"Asthma Exacerbation in Indonesia: Analysis of Mental, Socio-demographic, Behavioral, and Biological Risk Factors Using the 2018 Indonesian Basic Health Research.","authors":"Siti Isfandari, Sulistyowati Tuminah, Laurentia Konadi Miharja","doi":"10.3961/jpmph.24.719","DOIUrl":"10.3961/jpmph.24.719","url":null,"abstract":"<p><strong>Objectives: </strong>Asthma represents a significant global health burden, with exacerbations impacting quality of life. Although risk factors for asthma exacerbation (AE) have been identified, data specific to Indonesia remain scarce. We investigated risk factors for AE among Indonesian adolescents and adults.</p><p><strong>Methods: </strong>A cross-sectional analysis of the 2018 National Health Survey was conducted, including Indonesian participants aged 15 and older with diagnosed asthma. Logistic regression was employed to identify risk factors for AE.</p><p><strong>Results: </strong>A total respondents aged 15 years or older were 706 689 participants. The prevalence of asthma was 2.6% (18 574 participants). Among individuals with asthma, 59.7% experienced exacerbation, and 21.4% reported symptoms indicating emotional distress (ED). Both ED and diagnosed heart disease (DHD) were linked to increased odds of AE, with adjusted odds ratios (aORs) of 1.27 (95% confidence interval [CI], 1.18 to 1.37) and 1.21 (95% CI, 1.06 to 1.38), respectively. Being diagnosed with asthma at age 15 or older was associated with an aOR of 1.56 (95% CI, 1.45 to 1.66). Those with lower socioeconomic status (SES) also faced comparatively high risk (aOR, 1.37; 95% CI, 1.23 to 1.52). In contrast, physical activity was inversely related to AE (aOR, 0.72; 95% CI, 0.64 to 0.81).</p><p><strong>Conclusions: </strong>ED, DHD, lower SES, and later-onset asthma were identified as significant risk factors for AE. This underscores the need for comprehensive asthma management strategies that prioritize mental health, cardiovascular health, and early intervention. Addressing these factors could substantially reduce the burden of AE in Indonesia. Further longitudinal studies are necessary to elucidate the causal relationships involved and evaluate the effectiveness of targeted interventions.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"250-259"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121978","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":"Associations of Socioeconomic Status With Depression and Quality of Life in Patients With Hypertension: An Analysis of Data From the 2019 Community Health Survey in Korea.","authors":"Hye Ri Kim,&nbsp;Mia Son","doi":"10.3961/jpmph.22.214","DOIUrl":"https://doi.org/10.3961/jpmph.22.214","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to identify the factors related to depression and quality of life in patients with hypertension by using multilevel regression analysis.</p><p><strong>Methods: </strong>In 2019, 229 043 participants in the Korean Community Health Survey were selected as the study group. Individual factors were identified using data from the 2019 Community Health Survey. Regional factors were identified using data from the National Statistical Office of Korea. Multilevel regression analysis was conducted to find individual and local factors affecting depression and quality of life in patients with hypertension and to determine any associated interactions.</p><p><strong>Results: </strong>As individual factors in patients with hypertension, women, those with lower education-levels, recipients of basic livelihood benefits, and those with poor dietary conditions showed stronger associations with depression and quality of life. As regional factors and individual-level variables in patients with hypertension, lower gross regional personal income, fewer doctors at medical institutions, and lower rates of participation in volunteer activities presented stronger associations with depression and quality of life. In addition, the associations of depression with gross regional personal income, the number of doctors at medical institutions, and dietary conditions were significantly stronger in patients with hypertension than in patients without hypertension. The associations of gender and employment status with quality of life were also significantly greater.</p><p><strong>Conclusions: </strong>Policy interventions are needed to adjust health behaviors, prevent depression, and improve quality of life for patients with hypertension, especially for those with the risk factors identified in this study.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"444-454"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/45/jpmph-22-214.PMC9561138.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504234","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 Korea Cohort Consortium: The Future of Pooling Cohort Studies.","authors":"Sangjun Lee,&nbsp;Kwang-Pil Ko,&nbsp;Jung Eun Lee,&nbsp;Inah Kim,&nbsp;Sun Ha Jee,&nbsp;Aesun Shin,&nbsp;Sun-Seog Kweon,&nbsp;Min-Ho Shin,&nbsp;Sangmin Park,&nbsp;Seungho Ryu,&nbsp;Sun Young Yang,&nbsp;Seung Ho Choi,&nbsp;Jeongseon Kim,&nbsp;Sang-Wook Yi,&nbsp;Daehee Kang,&nbsp;Keun-Young Yoo,&nbsp;Sue K Park","doi":"10.3961/jpmph.22.299","DOIUrl":"https://doi.org/10.3961/jpmph.22.299","url":null,"abstract":"<p><strong>Objectives: </strong>We introduced the cohort studies included in the Korea Cohort Consortium (KCC), focusing on large-scale cohort studies established in Korea with a prolonged follow-up period. Moreover, we also provided projections of the follow-up and estimates of the sample size that would be necessary for big-data analyses based on pooling established cohort studies, including population-based genomic studies.</p><p><strong>Methods: </strong>We mainly focused on the characteristics of individual cohort studies from the KCC. We developed \"PROFAN\", a Shiny application for projecting the follow-up period to achieve a certain number of cases when pooling established cohort studies. As examples, we projected the follow-up periods for 5000 cases of gastric cancer, 2500 cases of prostate and breast cancer, and 500 cases of non-Hodgkin lymphoma. The sample sizes for sequencing-based analyses based on a 1:1 case-control study were also calculated.</p><p><strong>Results: </strong>The KCC consisted of 8 individual cohort studies, of which 3 were community-based and 5 were health screening-based cohorts. The population-based cohort studies were mainly organized by Korean government agencies and research institutes. The projected follow-up period was at least 10 years to achieve 5000 cases based on a cohort of 0.5 million participants. The mean of the minimum to maximum sample sizes for performing sequencing analyses was 5917-72 102.</p><p><strong>Conclusions: </strong>We propose an approach to establish a large-scale consortium based on the standardization and harmonization of existing cohort studies to obtain adequate statistical power with a sufficient sample size to analyze high-risk groups or rare cancer subtypes.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"464-474"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/99/jpmph-22-299.PMC9561144.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504235","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 Forest Therapy on Psychological Improvement in Middle-aged Women in Korea.","authors":"Bum-Jin Park,&nbsp;Won-Sop Shin,&nbsp;Chang-Seob Shin,&nbsp;Poung-Sik Yeon,&nbsp;Chung-Yeub Chung,&nbsp;Si-Hyung Lee,&nbsp;Dong-Jun Kim,&nbsp;Youn-Hee Kim,&nbsp;Chang-Eun Park","doi":"10.3961/jpmph.22.086","DOIUrl":"https://doi.org/10.3961/jpmph.22.086","url":null,"abstract":"<p><strong>Objectives: </strong>Women experience more stress in middle age than in other periods of their lives. Therefore, health management programs that enable middle-aged women to cope with and manage stress are needed. This study investigated the psychological effects of a meditation-focused forest therapy program among 53 middle-aged women living in urban areas in Korea.</p><p><strong>Methods: </strong>Participants were divided into 2 groups: one group underwent the program for 3 days in a forest, followed by 3 days in an urban environment, and the other group underwent the program for 3 days in the urban environment, followed by 3 days in the forest. The psychological effects of the forest therapy program were evaluated using the Profile of Mood States-Brief (POMS-B). Differences in mood state before and after the program conducted in the forest (experimental group) and in the urban environment (control group) were evaluated using the paired-samples t-test.</p><p><strong>Results: </strong>The program in the forest significantly reduced tension, depression, anger, fatigue, and confusion among the domains of the POMS-B. The program in the urban area significantly reduced tension, but not depression, anger, fatigue, or confusion.</p><p><strong>Conclusions: </strong>Meditation-focused forest therapy programs are expected to contribute to promoting psychological health and enhancing the quality of life of middle-aged women.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"492-497"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/0b/jpmph-22-086.PMC9561142.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504238","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 Moderating Effect of Gender on the Relationship Between Self-neglect and Suicidal Ideation in Older Adults of Korea.","authors":"Kyuhyoung Jeong,&nbsp;Daeyeon Jang,&nbsp;Boyoung Nam,&nbsp;Soyoung Kwon,&nbsp;Eunsol Seo","doi":"10.3961/jpmph.22.083","DOIUrl":"https://doi.org/10.3961/jpmph.22.083","url":null,"abstract":"<p><strong>Objectives: </strong>Previous studies have reported that self-neglect, which may be a sign of elder abuse, can result in suicide among older adults. The signs of self-neglect and its impact on the risk of suicide may differ by gender. Thus, this study explored the association between self-neglect and suicide risk in older Korean adults and examined the potential moderating effect of gender on this relationship.</p><p><strong>Methods: </strong>Data were collected from 356 Korean adults aged 65 or older through an online survey. Multiple regression analysis was used to test the research hypothesis. First, the associations between 4 sub-dimensions of self-neglect (i.e., daily life management issues, personal hygiene issues, financial management issues, and relational issues) and suicidal ideation were examined. Then, the moderating effect of gender on these relationships was investigated by including interaction terms.</p><p><strong>Results: </strong>Self-neglect was significantly associated with suicidal ideation in older adults. Aspects of self-neglect related to daily life management and relational factors were key predictors of suicidal ideation. Gender significantly moderated the effect of the relational dimension of self-neglect on suicidal ideation. The relational dimension of self-neglect was more strongly associated with suicidal ideation in older women than in older men.</p><p><strong>Conclusions: </strong>The findings suggest the importance of screening older adults with signs of self-neglect for suicide risk. Special attention should be paid to older women who experience relational issues as a high-risk group for suicidal ideation. Public programs and support systems should be established to improve daily life management and promote social relationships among older adults.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"436-443"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/29/jpmph-22-083.PMC9561139.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504233","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":"Social Contact Patterns Associated With Tuberculosis: A Case-control Study in Southwest Iran.","authors":"Neda Amoori,&nbsp;Bahman Cheraghian,&nbsp;Payam Amini,&nbsp;Seyed Mohammad Alavi","doi":"10.3961/jpmph.22.335","DOIUrl":"https://doi.org/10.3961/jpmph.22.335","url":null,"abstract":"<p><strong>Objectives: </strong>Tuberculosis (TB) is a major public health concern worldwide. Social contact patterns can affect the epidemiology and risk of airborne diseases such as TB. This study was designed to investigate the social contact patterns associated with TB.</p><p><strong>Methods: </strong>In this case-control study, groups of participants with and without TB were matched by age and sex. Participants reported the nature, location, frequency, and average duration of social contacts over 1 month. The duration and number of social and spatial contacts were compared between groups using the chi-square test and the t-test. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to quantify the relationship between social contact time and TB status. Data were analyzed using Stata version 11 statistical software. A p-value of &lt;0.05 was considered to indicate statistical significance.</p><p><strong>Results: </strong>In this study, 80 patients with TB and 172 control participants were included, and a total of 3545 social contacts were registered. Social contact with family members (OR, 1.72; 95% CI, 1.10 to 2.40), contact with a person with TB (OR, 1.53; 95% CI, 1.16 to 2.01), and contact at the participant's home (OR, 1.42; 95% CI, 1.19 to 1.82) were significantly associated with TB status.</p><p><strong>Conclusions: </strong>The duration of long-term social contact, rather than the number of contacts, may be the main contact-related factor associated with TB transmission in this population. The focus of contact-tracing efforts should be on finding and treating both family members and long-term contacts in non-household settings.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"485-491"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/9b/jpmph-22-335.PMC9561143.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504237","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":"Statin Intake and Gastric Cancer Risk: An Updated Subgroup Meta-analysis Considering Immortal Time Bias.","authors":"Jong-Myon Bae","doi":"10.3961/jpmph.22.209","DOIUrl":"https://doi.org/10.3961/jpmph.22.209","url":null,"abstract":"<p><p>A retrospective record-linkage study (RLS) based on medical records containing drug prescription histories involves immortal time bias (ITB). Thus, it is necessary to control for this bias in the research planning and analysis stages. Furthermore, a summary of a metaanalysis including RLSs that did not control for ITB showed that specific drugs had a preventive effect on the occurrence of the disease. Previous meta-analytic results of three systematic reviews evaluating the association between statin intake and gastric cancer risk showed that the summary hazard ratio (sHR) of the RLSs was lower than 1 and was statistically significant. We should consider the possibility of ITB in the sHR of RLSs and interpret the results carefully.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"424-427"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/55/jpmph-22-209.PMC9561136.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33505903","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 Association Between Metabolic Syndrome and Colorectal Cancer Risk by Obesity Status in Korean Women: A Nationwide Cohort Study.","authors":"Seong-Geun Moon,&nbsp;Boyoung Park","doi":"10.3961/jpmph.22.286","DOIUrl":"https://doi.org/10.3961/jpmph.22.286","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the association between metabolic syndrome (MetS) and the incidence of colorectal cancer (CRC) in Korean women with obesity.</p><p><strong>Methods: </strong>Cancer-free women (n=6 142 486) aged 40-79 years, who underwent National Health Insurance Service health examinations in 2009 and 2010 were included. The incidence of CRC was followed until 2018. The hazard ratio (HR) of MetS for the incidence of colon and rectal cancer was analyzed according to body mass index (BMI) categories, adjusting for confounders such as women's reproductive factors. In addition, the heterogeneity of associations across BMI categories was assessed.</p><p><strong>Results: </strong>Women with MetS were at increased risk of colon and rectal cancer compared to women without MetS (HR, 1.20; 95% confidence interval [CI], 1.16 to 1.23 and HR,1.15; 95% CI, 1.11 to 1.20), respectively. The HR of MetS for colon cancer across BMI categories was 1.12 (95% CI, 1.06 to 1.19), 1.14 (95% CI, 1.08 to 1.20), and 1.16 (95% CI, 1.12 to 1.21) in women with BMIs &lt;23.0 kg/m2, 23.0-24.9 kg/m2, and ≥25.0 kg/m2, respectively. The HR of MetS for rectal cancer across corresponding BMI categories was 1.16 (95% CI, 1.06 to 1.26), 1.14 (95% CI, 1.05 to 1.23), and 1.13 (95% CI, 1.06 to 1.20). The heterogeneity of associations across BMI categories was not significant in either colon or rectal cancer (p=0.587 for colon cancer and p=0.927 for rectal cancer).</p><p><strong>Conclusions: </strong>Women with MetS were at increased risk of colon and rectal cancer. Clinical and public health strategies should be considered for primary CRC prevention with an emphasis on improving women's metabolic health across all BMI groups.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"475-484"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/df/jpmph-22-286.PMC9561145.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504236","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 Primary Process and Key Concepts of Economic Evaluation in Healthcare.","authors":"Younhee Kim,&nbsp;Yunjung Kim,&nbsp;Hyeon-Jeong Lee,&nbsp;Seulki Lee,&nbsp;Sun-Young Park,&nbsp;Sung-Hee Oh,&nbsp;Suhyun Jang,&nbsp;Taejin Lee,&nbsp;Jeonghoon Ahn,&nbsp;Sangjin Shin","doi":"10.3961/jpmph.22.195","DOIUrl":"https://doi.org/10.3961/jpmph.22.195","url":null,"abstract":"<p><p>Economic evaluations in the healthcare are used to assess economic efficiency of pharmaceuticals and medical interventions such as diagnoses and medical procedures. This study introduces the main concepts of economic evaluation across its key steps: planning, outcome and cost calculation, modeling, cost-effectiveness results, uncertainty analysis, and decision-making. When planning an economic evaluation, we determine the study population, intervention, comparators, perspectives, time horizon, discount rates, and type of economic evaluation. In healthcare economic evaluations, outcomes include changes in mortality, the survival rate, life years, and quality-adjusted life years, while costs include medical, non-medical, and productivity costs. Model-based economic evaluations, including decision tree and Markov models, are mainly used to calculate the total costs and total effects. In cost-effectiveness or costutility analyses, cost-effectiveness is evaluated using the incremental cost-effectiveness ratio, which is the additional cost per one additional unit of effectiveness gained by an intervention compared with a comparator. All outcomes have uncertainties owing to limited evidence, diverse methodologies, and unexplained variation. Thus, researchers should review these uncertainties and confirm their robustness. We hope to contribute to the establishment and dissemination of economic evaluation methodologies that reflect Korean clinical and research environment and ultimately improve the rationality of healthcare policies.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"415-423"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/c4/jpmph-22-195.PMC9561137.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33505902","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":"Investigating the Relationship Between Accessibility of Green Space and Adult Obesity Rates: A Secondary Data Analysis in the United States.","authors":"Junhyoung Kim,&nbsp;Sujung Lee,&nbsp;William Ramos","doi":"10.3961/jpmph.20.625","DOIUrl":"https://doi.org/10.3961/jpmph.20.625","url":null,"abstract":"<p><strong>Objectives: </strong>In spite of the importance of green space for reducing obesity-related problems, there has been little exploration of whether access to green space (e.g., parks and recreational facilities) influences the obesity rate of adults in the United States. The purpose of the study was to investigate the relationships among accessibility of green space, obesity rates, and socioeconomic and demographic variables among adults living in the State of Indiana, United States.</p><p><strong>Methods: </strong>We conducted a secondary data analysis to investigate the relationships among accessibility to green space, obesity rates, and socio-demographic variables with employing Geographic Information System in order to measure the accessibility of green space.</p><p><strong>Results: </strong>This study found that accessibility of green space served as a strong predictor of reduced obesity rates among adults (β=-2.478; p<0.10). In addition, adults with higher education levels, as well as better access to green space, were found to have even lower obesity rates (β=-0.188; p<0.05). Other control variables such as unemployment rates, food security, and physical inactivity are additional factors that influence obesity rates among adults.</p><p><strong>Conclusions: </strong>Accessibility of green space may play an important role in facilitating physical activity participation and reducing obesity rates.</p>","PeriodicalId":520687,"journal":{"name":"Journal of preventive medicine and public health = Yebang Uihakhoe chi","volume":" ","pages":"208-217"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/61/7a/jpmph-20-625.PMC8190549.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39065345","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}