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The effects of mental health on recurrent falls among elderly adults, based on Korean Community Health Survey data
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Kyung Hee Jo, Jong Park, So Yeon Ryu
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Epidemiol Health. 2020;42:e2020005. Published online February 2, 2020
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DOI: https://doi.org/10.4178/epih.e2020005
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Abstract
OBJECTIVES This study aimed to identify the effect of mental health on frequency of falls (single and recurrent falls) among elderly adults.
METHODS Data were drawn from the 2015 Korean Community Health Survey. A chi-square test was conducted to compare differences in fall frequency according to health-related behaviors, chronic diseases, and mental health. Subsequently, multinomial logistic regression analysis was used to identify the effects of mental health on single and recurrent falls based on variables found to be significant in the chi-square test.
RESULTS Recurrent falls were found to be more risky than single falls. Depression was significantly related to single falls (odds ratio [OR], 1.27; 95% confidence interval [CI], 1.12 to 1.44). Depression (OR, 1.56; 95% CI, 1.38 to 1.76), sleep disorder (5 hours or less: OR, 1.12; 95% CI, 1.02 to 1.23; more than 9 hours: OR, 1.24; 95% CI, 1.07 to 1.44, respectively), and subjective stress (OR, 2.30; 95% CI, 1.90 to 2.78) were significantly related to recurrent falls.
CONCLUSIONS The study’s findings suggest that specialized fall prevention programs are needed to address different types of falls in elderly adults. To prevent recurrent falls, systematic treatment strategies and rehabilitation training must improve physical function and mental health.
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Summary
Korean summary
우리나라 노인에서 정신건강이 낙상에 미치는 영향을 확인하였고, 그 결과 단순낙상은 우울감 경험을 한 경우 낙상발생 위험이 증가했으며, 반복낙상은 우울감을 경험하고, 수면장애가 있으며(수면시간 6시간 미만, 9시간 이상), 주관적 스트레스가 커질수록 낙상 위험이 증가하였다. 최종적으로 노인의 정신건강이 반복낙상에 미치는 영향이 더 큰 것을 확인하였다. 본 연구결과를 통해 낙상 예방 및 관리를 위한 보건사업을 제시하고, 반복낙상자의 정신적/신체적 기능 증진을 위한 치료전략과 재활훈련 계획의 근거자료로 활용할 수 있을 것으로 생각된다.
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Citations
Citations to this article as recorded by
- The Impact of Physical Performance and Fear of Falling on Fall Risk in Hemodialysis Patients: A Cross-Sectional Study
Jiwon Choi, Sun-Kyung Hwang Korean Journal of Adult Nursing.2024; 36(1): 63. CrossRef - Mental health, fall prevention behaviors, and home environments related to fall experiences among older adults from ethnic groups in rural Northern Thailand
Prakasit Tonchoy, Katekaew Seangpraw, Parichat Ong-Artborirak, Supakan Kantow, Nisarat Auttama, Monchanok Choowanthanapakorn, Sorawit Boonyathee Heliyon.2024; 10(17): e37306. CrossRef - Study on the Characteristics of Community Elderly Care Service Facilities Usage and Optimization Design Based on Life Cycle Theory
Yujun Yang, Chenxi Li, Dian Zhou Buildings.2024; 14(9): 3003. CrossRef - The understanding and experience of falls among community-dwelling adults aged 50 and over living with mental illness: A qualitative study
Ling Koh, Lynette Mackenzie, Mandy Meehan, Diane Grayshon, Meryl Lovarini Aging & Mental Health.2023; 27(4): 789. CrossRef - Factors Associated with Fear of Falling by Fall Experience in the Community-dwelling Elderly
Yeong Mi Seo, Eun Sook Lee Research in Community and Public Health Nursing.2023; 34: 12. CrossRef - Physical strength and mental health mediate the association between pain and falls (recurrent and/or injurious) among community-dwelling older adults in Singapore
Vanessa Koh, David B. Matchar, Angelique Chan Archives of Gerontology and Geriatrics.2023; 112: 105015. CrossRef - The genetics of falling susceptibility and identification of causal risk factors
Matt C. Smith, Jessica O’Loughlin, Vasileios Karageorgiou, Francesco Casanova, Genevieve K. R. Williams, Malcolm Hilton, Jessica Tyrrell Scientific Reports.2023;[Epub] CrossRef - Classification of community-dwelling older people based on their physical, mental, cognitive, and oral functions and comorbidities and its relationship with the fall history
Sadaya Misaki, Hiroshi Murayama, Mika Sugiyama, Hiroki Inagaki, Tsuyoshi Okamura, Chiaki Ura, Fumiko Miyamae, Ayako Edahiro, Keiko Motokawa, Shuichi Awata Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics.2023; 60(4): 364. CrossRef - Joinpoint Regression About Injury Mortality and Hospitalization in Korea
Hyun Jin Park, Ui Jeong Kim, Won kyung Lee, Bohyun Park, Yoonhee Shin, Seonhwa Lee, Eun Jeong Choi, Nam-eun Kim, Ju Ok Park, Hyesook Park Journal of Korean Medical Science.2022;[Epub] CrossRef - Association between falls in elderly and the number of chronic diseases and health-related behaviors based on CHARLS 2018: health status as a mediating variable
Shaoliang Tang, Meixian Liu, Tongling Yang, Chaoyu Ye, Ying Gong, Ling Yao, Yun Xu, Yamei Bai BMC Geriatrics.2022;[Epub] CrossRef - Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
Mi Young Kim, Yujeong Kim BMC Geriatrics.2022;[Epub] CrossRef - A Machine Learning Approach for the Classification of Falls and Activities of Daily Living in Agricultural Workers
Hyunmok Son, Jae Woon Lim, Sangbae Park, Byeongjoo Park, Jinsub Han, Hong Bae Kim, Myung Chul Lee, Kyoung-Je Jang, Ghiseok Kim, Jong Hoon Chung IEEE Access.2022; 10: 77418. CrossRef
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Differences in agricultural activities related to incidence of scrub typhus between Korea and Japan
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Chang-Jin Ma, Gyung-Jae Oh, Gong-Unn Kang, Jeong Mi Lee, Da-Un Lee, Hae-Sung Nam, So Yeon Ryu, Young-Hoon Lee
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Epidemiol Health. 2017;39:e2017051. Published online November 9, 2017
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DOI: https://doi.org/10.4178/epih.e2017051
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14,872
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193
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12
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11
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Abstract
Summary
PDFSupplementary Material
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Abstract
OBJECTIVES The purpose of this study was to establish a basis for improving or strengthening the preventive strategy against scrub typhus in Korea by comparing and analyzing the difference of prevention behaviors contributing to the occurrence of scrub typhus in Japan and Korea.
METHODS The survey was carried out in Jeollabuk-do, which is a high risk and high incidence area, and Fukuoka Prefecture, which is a high risk and low incidence area. The study included 406 Korean farmers and 216 Japanese farmers. Data were collected through face-to-face surveys by interviewers who had completed standardized education.
RESULTS Korean farmers have a higher percentage of agricultural working posture that involved contact with weeds than Japanese farmers (p<0.05). The frequency and proportion of weeding were lower in Korean farmers than in Japanese farmers (p<0.05). The level of knowledge about scrub typhus was significantly higher among Korean farmers than among Japanese farmers (p<0.05). Mostly, the behavior of agriculture work was more appropriate for Japanese farmers than for Korean farmers (p<0.05). The total average level of agricultural work was lower in Korea than in Japan, lower in men than women, and lower in part-time farmers than full-time farmers (p<0.05).
CONCLUSIONS This study suggests that it is reasonable to develop and provide a program that can improve the level of preventive behavior taking into consideration the characteristics of the subject in order to reduce the incidence of diseases in high-risk areas for scrub typhus.
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Summary
Korean summary
이 연구는 쯔쯔가무시증 발생 위험은 공통으로 존재하나 발생률 및 발생 건수에서는 현저한 차이를 나타내는 한·일 농업인들의 털진드기 매개체에 대한 접촉과 관련된 행태나 환경 관리의 차이를 파악하였다. 연구결과 한국은 일본에 비해 환경관리 수준이 낮고, 풀숲과 접촉할 수 있는 농작업 자세를 더 취하고 있었으며, 쯔쯔가무시증에 대한 지식 수준은 높으나 예방행태 수행 수준은 낮았다. 이 연구는 한국의 농업인들의 쯔쯔가무시증 발생을 억제하기 위해서는 예방행태를 향상시킬 수 있는 프로그램 개발과 제공이 필요함을 제시하고 있다.
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Citations
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- Exploring the influencing factors of scrub typhus in Gannan region, China, based on spatial regression modelling and geographical detector
Kailun Pan, Fen Lin, Hua Xue, Qingfeng Cai, Renfa Huang Infectious Disease Modelling.2025; 10(1): 28. CrossRef - Climate influences scrub typhus occurrence in Vellore, Tamil Nadu, India: analysis of a 15-year dataset
Solomon D’Cruz, Kotamreddy Sreedevi, Cheryl Lynette, Karthik Gunasekaran, John Antony Jude Prakash Scientific Reports.2024;[Epub] CrossRef - Exploring the effects and interactions of meteorological factors on the incidence of scrub typhus in Ganzhou City, 2008–2021
Kailun Pan, Renfa Huang, Lingui Xu, Fen Lin BMC Public Health.2024;[Epub] CrossRef - Community engagement around scrub typhus in northern Thailand: a pilot project
Carlo Perrone, Nipaphan Kanthawang, Phaik Yeong Cheah, Daranee Intralawan, Sue J Lee, Supalert Nedsuwan, Benjarat Fuwongsitt, Tri Wangrangsimakul, Rachel C Greer Transactions of The Royal Society of Tropical Medicine and Hygiene.2024; 118(10): 666. CrossRef - Epidemiology, clinical characteristics, diagnosis, and complications of scrub typhus infection in Nepal: a systematic review
Pratik Lamichhane, Kailash M. Pokhrel, Baraa Alghalyini, Abdul Rehman Zia Zaidi, Maied Z. Alshehery, Kapil Khanal, Madhur Bhattarai, Alisha Yadav Annals of Medicine & Surgery.2023; 85(10): 5022. CrossRef - Epidemiological Aspects of Tsutsugamushi Disease (Scrub Typhus) Outbreaks in Republic of Korea and Japan
Myeong-Jin Lee, Bok Soon Han, Won-Chang Lee, Young Hwan Kwon The Korean Journal of Aerospace and Environmental Medicine.2022; 32(2): 65. CrossRef - Ecological and behavioural risk factors of scrub typhus in central Vietnam: a case-control study
Hanh Thi Duc Tran, Jan Hattendorf, Hung Manh Do, Thanh Tien Hoang, Hang Thi Hai Hoang, Hoa Ngoc Lam, Mai Kim Huynh, Lan Thi Hoang Vu, Jakob Zinsstag, Daniel Henry Paris, Esther Schelling Infectious Diseases of Poverty.2021;[Epub] CrossRef - Orientia tsutsugamushi dynamics in vectors and hosts: ecology and risk factors for foci of scrub typhus transmission in northern Thailand
Ivo Elliott, Neeranuch Thangnimitchok, Kittipong Chaisiri, Tri Wangrangsimakul, Piangnet Jaiboon, Nicholas P. J. Day, Daniel H. Paris, Paul N. Newton, Serge Morand Parasites & Vectors.2021;[Epub] CrossRef - The estimated burden of scrub typhus in Thailand from national surveillance data (2003-2018)
Tri Wangrangsimakul, Ivo Elliott, Supalert Nedsuwan, Rawadee Kumlert, Soawapak Hinjoy, Kittipong Chaisiri, Nicholas P. J. Day, Serge Morand, Husain Poonawala PLOS Neglected Tropical Diseases.2020; 14(4): e0008233. CrossRef - Deforestation Increases the Risk of Scrub Typhus in Korea
Kyung-Duk Min, Ju-Yeun Lee, Yeonghwa So, Sung-il Cho International Journal of Environmental Research and Public Health.2019; 16(9): 1518. CrossRef - Scrub typhus ecology: a systematic review of Orientia in vectors and hosts
Ivo Elliott, Isabelle Pearson, Prabin Dahal, Nigel V. Thomas, Tamalee Roberts, Paul N. Newton Parasites & Vectors.2019;[Epub] CrossRef
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Metabolic Syndrome and Serum Alanine Aminotransferase Levels in Korean Adults : The Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005.
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Mi Ah Han, So Yeon Ryu, Jong Park, Myung Geun Kang, Ki Soon Kim
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Korean J Epidemiol. 2008;30(1):25-33. Published online June 30, 2008
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DOI: https://doi.org/10.4178/kje.2008.30.1.25
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PURPOSE The aim of this study was to investigate the association between the metabolic syndrome and alanine aminotransferase(SGPT) levels in Korean adults.
METHODS The study subjects were 4,325 adults aged > or = 19 years without an apparent cause of liver disease from the Third Korea National Health and Nutrition Examination Survey(2005). The metabolic syndrome was defined using criteria established by the NCEP/ATP III, while abdominal obesity was assessed based on the Asia-Pacific guidelines.
Subjects with SGPT > or = 40 IU/L were considered to have elevated SGPT levels. Demographic characteristics, waist circumference, blood pressure, triglyceride, HDL cholesterol, fasting blood sugar were recorded for statistical analysis.
RESULTS The prevalence of elevated SGPT levels was significantly increase with the presence of the metabolic syndrome and its components. In multiple logistic regression analyses, odds ratio for the elevated SGPT levels was significantly high in the subjects with the metabolic syndrome compared to the subjects without metabolic syndrome after adjusted for socio-demographic characteristics and health-related behavior.
CONCLUSIONS The metabolic syndrome was independently associated with SGPT levels in Korean adults.
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The Epidemiologic Characteristics of Measles for Two Years in a Metropolitan City: Based on the reported measles cases since 2000.
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Hyun Kyun Ki, Young Hwa Jung, Jae Keun Chung, So Yeon Ryu, Ki Soon Kim
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Korean J Epidemiol. 2002;24(1):63-75.
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PURPOSE There has been an epidemic of measles in Korea since 2000. Therefore, we analyze the epidemiologic haracteristics of measles in Gwangju Metropolitan City.METHODS We reviewed the epidemiologic investigation records and laboratory data of the measles patients reported in Gwangju Metropolitan City from January 1st 2000.RESULTS 1) Demographic characteristics: Totally, 3,392 cases were surveyed and 3,300 cases were enrolled (3,300/3,392, 97.3%). Fifty-four percents of the patients were male (1,771/3,300) and forty-six percents of the patients were female (1,529/3,300). Average age of the patients was 8.20 years (8.20 5.56 years). Forty-seven percents of the patients were reported in the interval from November 2000 to December 2000 (1,582/3,298, 47.9%). 2) Clinical manifestations of the patients: Common symptoms of measles patients were fever (3,300/3,300, 100.0%), skin rash (3,068/3,300, 93.0%), cough (2,889/3,300, 87.5%), rhinorrhea (1,883/3,300, 57.1%), headache (1,445/3,300, 43.8%), conjunctival injection (1,182/3,300, 35.8%), and oral thrush (832/3,300, 25.2%).
Among the patients, 250 patients had complications (250/3,300, 7.6%) and most of them were respiratory complications (220/250, 88.0%). 3) Vaccination: Eighty-six percent of the enrolled patients answered the question about vaccination (2,854/3,300, 86.4%); 808 patients were not taken a shot (808/2854, 28.3%), 1,762 patients received one dose (1,762/2,854, 61.7%), and 284 patients received additional dose (284/2,854, 9.9%). 4) Laboratory data: Laboratory confirmed cases were 780 patients (780/3,300, 23.6%); 603 cases were confirmed serologically, 185 cases were positive in PCR, and virus was isolated in 6 cases.
Genetic sequencing of the isolated viruses was clade H1 and closely related to that of China.CONCLUSION Therefore, adequate surveillance and maintenance of high coverage rate of the vaccination would be the crucial factors to eradicate measles
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Measles Outbreak among Institutional Infants after Hospital Infection.
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Hyung Cheol Park, Eun Young Park, Sun Hee Cho, Young Jun Choi, Hyun Kyun Ki, Young Hwa Jung, Kyung Rye Moon, So Yeon Ryu, Ki Soon Kim
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Korean J Epidemiol. 2001;23(1):50-58.
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PURPOSE S: This study was to investigate the source of infection, mode of transmission and incidence of a measles outbreak among infants living in a Gwangju welfare institution in July 2000.METHODS The information about 63 children was collected through the nurses interview and blood sampling and laryngopharyngeal swab were conducted to the children. In addition, an epidemiologic survey was performed to confirm the infection dissemination route.RESULTS Before the outbreak, two children living at the institution were admitted to a university hospital for other health problems. These children shared a room with a 5 year old diagnosed with meningitis who was later diagnosed as having measles after rashes appeared. The two children developed measles after returning to their institution and the infection spread to other children in the institution.
Among 63 children observed, 14 children(22.2%) developed measles, secondary attack rate of measles due to index cases was 19.7%. And 78.6% of the patients were between 4 and 8 months old. The room where the index case lived showed an attack rate of 81.8%, which is a much higher rate compared to other rooms. The attack rate among boys(26.0%) was higher than that of girls(12.5%), but it was not statistically significant.CONCLUSIONS This outbreak was considered to be a nosocomial infection, where the index cases were admitted to a hospital, infected and the infection spread to children.
Further studies are necessary to find out the maternal antibody levels of infants of post-vaccinated mothers and the optimal age for measles vaccination.
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The Study on the Association between Smoking and Coronary Artery Stenosis in Some Autopsy Cases.
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Ik Jo Chung, Ki Soon Kim, Jong Park, So Yeon Ryu, Youn Shin Kim, Won Tae Lee, Sung Chul Lim
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Korean J Epidemiol. 2000;22(1):42-51.
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Coronary artery disease(CAD), such as atherosclerosis, myocardial infarction and sudden death has been considered the major cause of death for decades and their incidence and prevalence are still increasing. Numerous studies have been done on the risk factor analysis of CAD. But, they were usually based on the clinical and epidemiologic studies of the living patients. The purpose of this study was to evaluate the risk factors for the cardiovascular diseases in autopsy cases from Korean men.
The author analysed 81 cases of heart who underwent legal autopsy from Aug. to Dec. 1998. The author measured percent stenosis of coronary artery, site of stenosis, perimeter of aorta, heart weight, body weight, and height and checked the past history including smoking, drinking and age.
The results were as follows: 1) Coronary artery stenosis had a positive correlation with age, perimeter of aorta and smoking, but had no correlation with body weight, height, body mass index, heart weight, and drinking.
2) According to the logistic regression analysis, smoking amount and age were significantly associated with coronary artery stenosis.
In conclusion, smoking was the most significant independent variable for coronary artery stenosis of some Korean men.
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