Epidemiology and Health

Soonduck Kim

9 Articles

Prevalence Rates and Risk Factors of Overweight and Obesity in Children and Adolescents: Using Korean National Health and Nutrition Examination Survey 2005 Data.: Shinkwan Kang, Soonduck Kim, Jesuk Lee; Korean J Epidemiol. 2008;30(2):188-197. Published online December 31, 2008; DOI: https://doi.org/10.4178/kje.2008.30.2.188

65,535 View
44 Download
10 Crossref

Abstract

PURPOSE
To investigate the prevalence rates of overweight and obesty, and their associations in children and adolescents(12-18years) who were defined as normal weight, overweight , and obese.

METHODS

Korean National Health and Nutrition Examination Survey 2005 raw data was utilized. The data on the 669 subjects aged 12-18 consisted of variables from the health interview survey, health examination and nutrition survey, and health consciousness behavior survey. Overweight and obesity was evaluated by established body mass index criteria. Chi-squire and Fisher exact test were performed to analyze differences among normal, overweight and obese groups according to basic characteristics and health consciousness behavior. Logistic regression was used to analyze risk factors for the overweight and obese groups.

RESULTS

Overweight and obesity prevalence rates were 11.7% and 8.1%, respectively. Of the subjects from urban regions, 20% were overweight and 12.2% were obese. Of those from semi-urban regions, 10.2% were overweight and 3.8% were obese. Of those from rural regions, 9.0% were overweight and 10.1% were obese. The obesity rate in semi-urban regions were 0.38% times lower than the rural rate.

CONCLUSIONS

Geographical location constitutes a risk factor for overweight and obesity, which may influence preventative and education programs aimed at schools and the general community.

Summary

Citations

Citations to this article as recorded by

Factors affecting the use of herbal medicines for weight loss in overweight and obese adolescents
Mi Hong Yim, Boram Lee
Frontiers in Pediatrics.2023;[Epub] CrossRef
Multilevel factors associated with adolescents’ obesity: Analysis of 2017-2019 Korea Youth Risk Behavior Survey data
Soo Kyoung Kim, Saegyeol Choi, Hyekyeong Kim
Korean Journal of Health Education and Promotion.2021; 38(1): 13. CrossRef
Regional Adolescent Obesity and Overweight Status in Korea from 2018–2019: Comparison between Two Data Sources
Dong-Hee Ryu, Su-Jin Lee
Healthcare.2021; 9(12): 1751. CrossRef
A Structural Model for Health Risk Behavior of Late Adolescents: Based on 2010 Korea Adolescent Health Survey
Young-Ju Jee, Young-Hae Kim
Journal of Korean Academy of Nursing.2014; 44(2): 179. CrossRef
Association between Obesity and Physical Activity about Middle and High School Students in Korea
Tae-Hee Park, Mi-Hwa Jung, Sun-Mi Jeong, Hyung-Su Park, Chae-Yeon Han, Sun-An Hong, Si-Young You, Kyung-Rye Moon
The Journal of the Korea institute of electronic communication sciences.2013; 8(3): 505. CrossRef
Comparison of the prevalence of islet autoantibodies according to age and disease duration in patients with type 1 diabetes mellitus
Young Hwa Kong, Min Sun Kim, Dae-Yeol Lee
Annals of Pediatric Endocrinology & Metabolism.2013; 18(2): 65. CrossRef
Eating Habit, Body Image, and Weight Control Behavior by BMI in Korean Female High School Students - Using Korea Youth Risk Behavior Web-based Survey 2010 Data -
Mi-Hyun Kim
The Korean Journal of Food And Nutrition.2012; 25(3): 579. CrossRef
A Case of Severe Diabetic Ketoacidosis in a Child with Type 2 Diabetes
Jaesung Yu, Hyunju Jin, Joontae Ko, Hoseok Kang
Journal of Korean Society of Pediatric Endocrinology.2011; 16(1): 46. CrossRef
The Body Mass Index as a Prognostic Factor of Critical Care
So Yeon Lim, So I Kim, Yon Ju Ryu, Jin Hwa Lee, Eun Mi Chun, Jung Hyun Chang
The Korean Journal of Internal Medicine.2010; 25(2): 162. CrossRef
Obesity and Metabolic Syndrome among Children and Adolescents in Korea
Mi Ae Chu, Byung-Ho Choe
Journal of the Korean Medical Association.2010; 53(2): 142. CrossRef

Characteristics of Injury in a University Hospital.: Younsu Shin, Soonduck Kim, Jesuk Lee; Korean J Epidemiol. 2007;29(2):155-164.

41,235 View
21 Download

Abstract PDF: Abstract
PURPOSE
This study was performed to provide the basic data in the establishment of preventive countermeasures for injury by analyzing the characteristics of injury, and risk factors of injury.
METHODS
From 2,059 injury patients among 19,947 patients admitted between January and December, 2004 at a university hospital located in Gyeonggi-do, 500 injury patients were sampled randomly by systematic sampling. A total of 500 questionnaires was collected and used for this study. The statistical SPSS was used to analyze data that included chi-square, fisher's exact test.
RESULTS
Injury patients among total admission patients was 10.3%. In both general characteristics of injury and non-injury patients, gender, age, length of stay was significant. As the cause of injury were compared with those of injury external causes, type, place, site, and time of injury were significant. As the cause of injury were compared with the characteristics of related-injury, surgery, multiple injuries, mental history, consciousness at the time emergency room visit, length stays were significant.
CONCLUSION
With regard to general characteristics, injury external causes, injury-related causes, and factors such as sex, age, occupation, and educational background were related to each other. Injury does not occur by accident or unexpectedly. Therefore, if preventive attention is focused on individuals with high risk factors of injury, the incidence rate will be diminished.; Summary

Analysis of Studies on Colorectal Cancers Published in Korean Medical Journals Between 1967 and 2004.: Eunkyoung Paik, Soonduck Kim, Jesuk Lee; Korean J Epidemiol. 2007;29(2):146-154.

26,348 View
19 Download

Abstract PDF: Abstract
PURPOSE
The study analyzed and categorized the colorectal cancers related medical journals published in Korea by the name of the journal, research materials, study method, statistical method and by content of study for the quality improvement of colorectal cancers related studies.
METHODS
The authors reviewed a total of 567 colorectal cancer-related studies published in the Korean medical journals during the period 1967 and 2004 and kept in the National Assembly Library. The distribution of research materials, study method, statistical method and content of these studies were analyzed by the 5 year publication interval.
RESULTS
By study period, the number of published studies steeply increase during the period between 2000 and 2004. As the research materials, hospital patients(64.6%) and In-vitro(16.6%) were the most prevalently used research materials, but health adults were the lowest research materials by only taking up 0.4%. In study methods, patient follow up studies(28.7%) and human in vitro experimental(27.9%) were prevalent, and human in vitro experimental were relatively the most popular performed studies during the years of 1990-1994. As the statistical method, life table and survival analysis(27.0%) were the mostly performed methods, and the use of statistical method was applied in nearly all studies. The contents of the studies mainly focused on the patient prognostic estimations(27.6%) of therapeutic safety & efficacy(25.6%), but only the 4.1% of risk factors studies. Among the 109 studies which analyzed the survival term 78.9% of the studies mainly used the 5 year term in the analysis of survival rates.
CONCLUSION
The results of the study could be utilized as the basic data for the quality improvement of further colorectal cancers related studies.; Summary

Nosocomial Bloodstream Infection in Intensive Care Unit in a General Hospital.: Ki Sook Kim, Soonduck Kim, Sunmi Ji, Jesuk Lee; Korean J Epidemiol. 2007;29(1):70-79.

65,535 View
45 Download

Abstract PDF: Abstract
PURPOSE
Despite of the development of recent medical technology, bloodstream infection (BSI) still has significant influences on mortality and morbidity of patients admitted to the ICU. The BSI has the second most frequent site. Especially BSI in ICU have higher infection rate than general ward. This study was investigated the incidence rate of the nosocomial BSI, risk factors and bacterial pathogens of BSI in ICU for a general hospital.
METHODS
This study was carried out for those 443 patients in ICU of general hospital during the period from March 2002 to February 2003. The definition for BSI was based on that of CDC. Data was collected by questionnaire, medical record review. The statistical SPSS(ver. 10.0) was used to analyze data that included chi-square, t-test and logistic regression.
RESULTS
In the incidence rates of the BSI were 76.7 in 1,000 per patients, 7.0 in per 1,000 patients days and 32.1 in per 1,000 patients with central lines, 3.2 in per 1,000 cental line days. In the incidence rates of the BSI by type of ICU showed MICU 10.1, SICU 2.9 in per 1,000 patients days. The significant risk factors were identified as type of ICU(OR=5.119, p=0.001), length of stay(OR=1.039, p=0.001). The causal microbes of the BSI were CNS 35.5%, MRSA 23.6%. The bacterial pathogens of central catheter-related BSI were CNS 50%, MRSA 50%.
CONCLUSION
The occurrence of ICU-acquired infection was significantly related to the increase in morbidity and mortality. Ongoing targeted surveillance and infection control strategies is necessary to control this problem.; Summary

A Study of Skiing and Snowboarding Injuries.: Woosung Chang, Soonduck Kim, Jesuk Lee; Korean J Epidemiol. 2007;29(1):34-45.

65,535 View
30 Download

Abstract PDF: Abstract
PURPOSE
To calculate the injury rate of skiers and snowboarders, to document the risk factors affecting injury, and to investigate the characteristics of the cause, kind and region of injury.
METHODS
A questionnaire survey was conducted at 4 major Kangwon - province ski resorts during the 2004 - 2005 winter season with 373 skiers and snowboarders. The statistical SPSS was used to analyze data that included chi-square, fisher's exact test, and multiple logistic regression. The mean mark of the safety rule by separating the skiers and snowboarders was compared between the two groups.
RESULTS
The injury and wound experience rates of the snowboarders (46.5%, 34.2% respectively) were higher than those of the skiers (33.2%, 25.5% respectively). The proportion of injury and wound for the skiers was 76.7% and for the snowboarders was 73.6%. The occurrence of injuries was higher among those with ski career of 5 to 9 years (p=0.012), those with a higher level of ski skills (p=0.002), those who used the higher slope (p=0.002) and those who skied 15 to 19 times(p=0.004). Based on the results of logistic regression analysis, the significant risk factors for skiers were career, level, slope and visit number. Leg injuries accounted for 40.9% of total injuries among skiers, which was followed by arm injuries (35.9%) and head injuries (15.4%)(p=0.033).
CONCLUSIONS
The study therefore emphasizes safety training for individual skiers and overall conditions of ski resorts.; Summary

Infection of Methicillin-Resistant S. Aureus Nasal Carriage in the Community Pediatric Population.: Jiyoung Park, Soonduck Kim, Jesuk Lee; Korean J Epidemiol. 2006;28(2):171-181.

65,535 View
34 Download

Abstract PDF: Abstract
PURPOSE
Methcillin-resistant Staphylococcus aureus(MRSA) is known as a major cause of hospital acquired infection. The infection with MRSA bacteria is becoming frequent in the community because there are many people who have risk factors with low immunity. This study is intended to investigate the prevalence of MRSA in children and determine risk factors using genetic analysis.
METHODS
Children aged between 3 and 7 years were recruited from six preschool institutions from Nov. 2004 to Feb. 2005 based in Seoul, Gyeonggi Province and Gyeongsang Province. A questionnaires was distributed to 1,000 parent of these children along with the letter of consent. A total of 242 questionnaires were collected and used for this study. Nasal secretion samples were collected using sterilized specimen containers and incubated in culture medium using mannitol salt agar to separate S. aureus. MRSA samples were identified through coagulase test and MICRO SCAN. PCR was performed on MRSA isolates to detect genetic sequence specific of MRSA.
RESULTS
Of total 242 respondents, 16(6.6%) were found to be positive for MRSA. By residence area, 2(1.9%) out of 103 were positive in Seoul, 4(10.3%) out of 39 were positive in Gyeonggi Province and 10(10.0%) out of 100 were positive in Gyeongsang Province, showing a significant difference(p=0.037). A logistics regression was performed to evaluate the influences of variables that were significant. Gyeongsang Province had prevalence of MRSA(OR=5.520), and Gyeonggi Province(OR=5.710). Based on PCR, the distribution of genotypes of MRSA showed various patterns. But there was no difference between regions.
CONCLUSIONS
MRSA infection was high in children when one of their parents were working in hospital or when one of their family members have underlying disease. This study provided evidence that the prevalence of MRSA is largely influenced by individual element such as family and health condition.; Summary

Risk Factors of Impaired Fasting Glucose and Type 2 Diabetes Mellitus: Using Datamining.: Jongseon Ryu, Soonduck Kim, Jongsoon Park, Jesuk Lee; Korean J Epidemiol. 2006;28(2):138-151.

65,535 View
34 Download

Abstract PDF: Abstract
PURPOSE
This study aimed to contribute to overall public health by examining the prevalence rates of impaired fasting blood glucose and type 2 diabetes mellitus and developing a model to predict high risk factors for impaired fasting blood glucose and type 2 diabetes mellitus.
METHODS
The 1998 Public Health Nutrition Survey data was used for this study. Subjects were 7,702 adult at the age of 20 or over. The frequency analysis, chisquared test was performed. A decision tree was utilized to define a model designed to predict high risk factors for impaired fasting glucose and type 2 diabetes mellitus.
RESULTS
The prevalence rates of impaired fasting blood glucose was 10.8% and prevalence rates of type 2 diabetes mellitus was 9.4%. The decision tree analysis exhibited that age was strong factors for impaired fasting blood glucose. HDL cholesterol and kind of economic activities were high risk factors for impaired fasting blood glucose and type 2 diabetes mellitus on those in 20s. BMI, total cholesterol level, marriage status, sex for impaired fasting blood glucose and type 2 diabetes mellitus on those in 30s. The total cholesterol level, drinking and waist size were identified as risk factors on those in 40s. BMI, education level and hypertension seemed to have an impact on those in 50s. The waist size, sex and income had an impact on those in 60s.
CONCLUSIONS
This study underscores the need for the public health infrastructure to improve various health promotion programs for those who have risk factors for impaired fasting blood glucose and type 2 diabetes mellius. The implementation of effective nutrition, workout and anti-drinking programs will boost public health.; Summary

The Characteristics of Relapsed Patients with Pulmonary Tuberculosis Registered at Two Public Health Centers in Seoul.: Songyi Han, Soonduck Kim, Jongsoon Park, Seonmi Ji, Jesuk Lee; Korean J Epidemiol. 2003;25(2):92-99.

5,341 View
24 Download

Abstract PDF: Abstract
PURPOSE
The purpose of this study is to survey general and clinical characteristics of a group of relapsed patients with pulmonary tuberculosis, who are registered at a public health center in order to provide basic data for treatment of a patient's relapse, follow-up examination after the first treatment and health education. SUBJECT: Among 68 relapsed patients with pulmonary tuberculosis registered at two public health centers in Seoul from Jan, 1, 2002 to Dec. 31, 2002, 50 patients were selected as research subjects because they were contactable by telephone and they agreed to be a research subject.
METHOD
The research carried out the structured questionnaire survey by telephone and surveyed research subjects' general and clinical characteristics, diseases except tuberculosis, drinking and smoking habit and knowledge about pulmonary tuberculosis treatment. Furthermore, the results of x-ray, whether a cavity existed or not, bacteriologic test, culture examination and drug resistance examination were examined and interval to relapse and history of dose attitude were surveyed.
RESULTS
Among relapsed tuberculosis patients, male patients were 60% and they were more than women(40%). Patients over 60 were 42% most. In their occupation, 30% of them were unemployed and 50% of patients surveyed had monthly income below one million won. According to the findings in radiographic extent, most 50% of them were minimal, 44% were moderately advanced and 2% were far advanced. Patients who had cavity were 30%. According to the result in bacteriologic test, 54% showed positive smear pulmonary tuberculosis and 50.0% positive culture. According to the result in drug resistance, 24% showed drug resistance against one drug and 76% showed sensitive response. 46% had experienced medication side effects. According to interval to a relapse, 32% were relapsed less than 2 years, 14% less than 3-5 years and 54% more than 5 years. Average interval before a relapse were 11.6 years(11.6+/-11.15). There was a difference between their past regimen and their present regimen(P=0.001). The attitude towards taking a medication was assessed and they showed higher compliance with medication at present than in the past(P=0.001). In a case of smoking rate during treatment, the rate of non-smokers, who had been smokers, were higher(P=0.047).
CONCLUSION
As a result, in order to prevent the disease from being relapsed and to increase the rate of treatment effectiveness, we need to make patients recognize the importance of regular follow-up examination and we should control thoroughly the patients. Furthermore, we need to provide them with more health education not to stop taking a medication earlier.; Summary

Secular Trends of Suicide Mortality in Korea.: Jongsoon Park, Soonduck Kim, Seonmi Ji, Jesuk Lee; Korean J Epidemiol. 2003;25(2):84-91.

5,692 View
27 Download

Abstract PDF: Abstract
PURPOSE
This study was conducted to analysis the trends and states of suicide mortality in Korea from 1983 to 2001.
METHODS
This study was based on data published in 1983-2001 from the annual report of the cause of death statistics of National Statistical Office.
RESULTS
First, both of annual suicide rate and adjusted suicide rate rapidly went up in 1996 and hit the highest in 1998. Second, since 1983 only when the suicide rate was the highest in the ages 20-24 rather than other age groups, the suicides have been continuously shown to be the highest in the old age group. Third, the seasonal percentages of suicides were generally high in spring and summer, the seasons when the percentage of sunshine is relatively high, in both results for men and women. Fourth, men have most frequently committed suicide through hanging while their suicide through falling from a high site have least frequently occurred but currently tends to gradually increase. Meanwhile, women have most frequently done suicide generally by using insecticide.
CONCLUSION
In Korea, the suicide rate and suicide percentage of the old people have been yearly increasing, and their suicide rate is also shown to the highest rather than those of other age groups. Therefore, it is necessary to prevent the suicide of the old people through a systematic analysis. Moreover, it is necessary to verify the risk factors and defensive factors for the suicide impulse and suicide attempt. On the basis of this, the construction of a nationwide social safety network for the national mental health is very important to find and treat the problems of the mental health to lead the people to suicide.; Summary

Author index