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Original Article

August 15, 2017


Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study
Satar Rezaei, Mohammad Hajizadeh, Ali Kazemi, Masoud Khosravipour, Farid Khosravi, Shahab Rezaeian
Epidemiol Health. 2017;39:e2017038.

Correspondence

August 21, 2017


Analysis of Kudoa septempunctata as a cause of foodborne illness and its associated differential diagnosis
Sung Uk Lee
Epidemiol Health. 2017;39:e2017037r.

Correspondence

August 21, 2017


Analysis of Kudoa septempunctata as a cause of foodborne illness and its associated differential diagnosis
Ji-Hyuk Park
Epidemiol Health. 2017;39:e2017037.

Original article

August 6, 2017


Effects of living alone versus with others and of housemate type on smoking, drinking, dietary habits, and physical activity among elderly people
Seungmin Jeong, Sung il Cho
Epidemiol Health. 2017;39:e2017034.

Original Article

July 25, 2017


Infectious disease-related laws: prevention and control measures
Mijeong Park
Epidemiol Health. 2017;39:e2017033.

Original Article Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study
Satar Rezaei, Mohammad Hajizadeh, Ali Kazemi, Masoud Khosravipour, et al. Epidemiol Health. 2017;39:e2017038.
  • Abstract
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Correspondence Analysis of Kudoa septempunctata as a cause of foodborne illness and its associated differential diagnosis
Sung Uk Lee Epidemiol Health. 2017;39:e2017037r.
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Abstract
OBJECTIVES:
This study aimed to measure the level and determinants of health-related quality of life (HRQoL) in adults in Kermanshah, a city in the western region of Iran.
METHODS:
Convenience sampling was employed to obtain a sample of 998 adults aged 18 years and older (646 males and 352 females) in the city of Kermanshah. A 2-part self-administered questionnaire was used to collect data over the period between March 1 and May 30, 2017. The first part was designed to collect information on socio-demographic characteristics, socioeconomic status, and lifestyle factors (10 items). The second part consisted of the EuroQoL 5-dimensions (EQ-5D) EuroQoL-3-level and the EuroQoL visual analog scale (EQ-VAS) questions. A multiple linear regression model was used to determine the factors associated with the EQ-5D index and EQ-VAS score among study participants.
RESULTS:
The mean values for the EQ-5D index and the EQ-VAS score were 0.74 (standard deviation [SD], 0.19) and 80.9 (SD, 16.5), respectively. The highest percentage of self-reported problems (‘some’ and ‘severe’ problems) across the 5 dimensions of the EQ-5D index were associated with the dimensions of anxiety/depression (35.3%) and pain/discomfort (32.9%). The percentage of self-reported problems for the dimensions of usual activities, mobility, and self-care were 19.0, 12.8, and 8.9%, respectively. Our regression analyses indicated that there were statistically significant positive associations between being physically active, monthly household income per capita, and post-secondary education and the EQ-5D index and EQ-VAS score. In contrast, negative associations were found between older age, being married, having a chronic disease, and smoking and the EQ-5D index and EQ-VAS score. A negative association was also found between being uninsured and the EQ-5D index.
CONCLUSIONS:
Our findings suggest that interventions aiming to improve physical activity, to prevent chronic diseases, and to reduce the smoking rate among adults living in the city of Kermanshah may improve their HRQoL.
Abstract
Correspondence Analysis of Kudoa septempunctata as a cause of foodborne illness and its associated differential diagnosis
Ji-Hyuk Park Epidemiol Health. 2017;39:e2017037.
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Original article Effects of living alone versus with others and of housemate type on smoking, drinking, dietary habits, and physical activity among elderly people
Seungmin Jeong, Sung il Cho Epidemiol Health. 2017;39:e2017034.
  • Abstract
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Abstract
Abstract
OBJECTIVES:
This study examined differences in health behaviors between elderly people living alone and with others; it also investigated whether the effect of living with others differs according to housemate type, namely a spouse and/or younger generations.
METHODS:
Gender-stratified data from the 2013 Korea Community Health Survey for individuals aged 60 to 74 living in Seoul were analyzed. Logistic regression modeling was conducted to obtain odds ratios (ORs) and 95% confidence intervals (CIs) of the outcome variables (smoking, drinking, eating salty foods, inactive lifestyle) for the variables of interest (living alone/with others, housemate type). Models were adjusted for confounding variables including history of medical conditions, employment type, and adjusted household income.
RESULTS:
Analysis involved 1,814 men and 2,199 women. Risk of smoking was 1.80 times (95% CI, 1.21 to 2.67) higher for men living alone than living with others. Risk of eating salty foods was 0.78 times lower (95% CI, 0.62 to 0.98) for men living with a spouse than a spouse and younger generations. Risk of inactive lifestyle was 1.47 times higher (95% CI, 1.13 to 1.92) for women living alone. Risk of smoking was higher for women living alone (OR, 1.41; 95% CI, 1.03 to 1.92) or with younger generations (OR, 9.12; 95% CI, 2.04 to 40.80) than with a spouse and younger generations.
CONCLUSIONS:
Living alone was associated with smoking in men and physical activity in women; housemate type was associated with dietary habits in men and smoking in women. These gender-specific findings can help identify groups of individuals vulnerable to risky health behaviors and to develop policies.
Original Article Infectious disease-related laws: prevention and control measures
Mijeong Park Epidemiol Health. 2017;39:e2017033.
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  • Supplementary data
Perspective The direction of restructuring of a Korea field epidemiology training program through questionnaire survey among communicable disease response staff in Korea
Moo Sik Lee, Kwan Lee, Jee-Hyuk Park, Jee-Young Hong, et al. Epidemiol Health. 2017;39:e2017032.
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Abstract
OBJECTIVES:
This study examines recently revised Korean government legislation addressing global infectious disease control for public health emergency situations, with the aim of proposing more rational, effective and realistic interpretations and applications for improvement of law.
METHODS:
The Korea reported its first laboratory-confirmed case of Middle East Respiratory Syndrome (MERS) coronavirus on May 20, 2015. Since the first indexed case, Korean public health authorities enforced many public health measures that were not authorized in the law; the scope of the current law was too limited to cover MERS. Korea has three levels of government: the central government, special self-governing provinces, and si/gun/gu. Unfortunately, the Infectious Disease Control and Prevention Act does not designate the specific roles of each level of government, and does not state how these governmental branches should be vertically integrated in a state of emergency.
RESULTS:
When thinking about these policy questions, we should be especially concerned about introducing a new act that deals with all matters relevant to emerging infectious diseases. The aim would be to develop a structure that specifies the roles of each level of government, and facilitates the close collaboration among them, then enacting this in law for the prevention and response of infectious disease.
CONCLUSIONS:
To address this problem, after analyzing the national healthcare infrastructure along with the characteristics of emerging infectious diseases, we propose the revision of the relevant law(s) in terms of governance aspects, emergency medical countermeasure aspects, and the human rights aspect.
Abstract
We used a survey about the need for an educational training of infectious disease response staff in Korea Centers for Disease Control and Prevention (KCDC) and officer in metropolitan cities and provincial government to conduct field epidemiological investigation. The survey was conducted from January 25 to March 15, 2016. A total of 173 participants were selected from four different groups as follows: 27 clinical specialists, 22 Epidemic Intelligence Service (EIS) officers, 82 KCDC staff, and 42 local health department officials. Results revealed that 83% of KCDC staff and 95% of local health department officials agreed on the need for educational training to strengthen capability of personnel to conduct epidemic research and investigation. The level of their need for training was relatively high, while self-confidence levels of individuals to conduct epidemic research and investigation was low. It was concluded that there was a need to develop training programs to enhance the ability of public health officials, EIS officers, KCDC staff, and local health department personnel to conduct epidemic research and investigation.

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