Typology of Community Health Vulnerabilities and Their Effects on Health Status by Type-Using Community Health Survey

박, 보현; 이, 경희; 최, 숙자; 서, 수경; 최, 선임

doi:10.12799/jkachn.2021.32.3.281

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Second, the high prevalence of chronic diseases in older adults would increase their psychosocial stress. The risk of death in older adults increased due to the lack of routine medical care and drugs when the typhoon landed [ 27 , 33 , 47 , 48 ]. Additionally, we also explored finer strata of age which showed that the typhoon had an impact on the increased risk of death among 65–74 age group.…”

Section: Discussionmentioning

confidence: 99%

The threaten of typhoons to the health of residents in inland areas: a study on the vulnerability of residents to death risk during typhoon “Lekima”

Ma,

Zhang,

Zhang

et al. 2024

BMC Public Health

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Background Studies had suggested increased risk of death of residents was associated with typhoons, particularly coastal regions. However, these findings ignored the impact of inland typhoons on the health of residents, especially the indirect death risk caused by typhoons. This study aimed to investigate the acute death risk of residents during inland typhoon Lekima in Jinan, further identify vulnerable populations and areas. Methods We selected the daily death from 11 to 27th August 2019 in Jinan as case period, and conducted a time-stratified case-crossover design to match the contemporaneous data from 2016 to 2018 as control period. We used the generalized linear Poisson models to estimate the related effects of death risk during typhoon Lekima and lag days. Results During the Lekima typhoon month, there were 3,366 deaths occurred in Jinan. Compared to unexposed periods, the acute death risk of non-accidental diseases (especially circulatory diseases), female and the older adults increased significantly in the second week after the typhoon. The maximum significant effect of circulatory disease deaths, female and older adult deaths were appeared on lag9, lag9, and lag13 respectively. And the typhoon-associated RR were 1.19 (95%CI:1.05,1.34), 1.28 (95%CI:1.08,1.52), and 1.22 (95%CI:1.06,1.42) respectively. The acute death risk of residents living in TQ and CQ increased significantly on Lag2 and Lag6 after the typhoon, respectively, while those living in LX, LC, HY, JY, and SH occurred from Lag 8 to Lag 13 after the typhoon. LC lasted the longest days. Conclusions Typhoons would increase the vulnerability of residents living in Jinan which mainly occurred from the seventh day after the typhoon. Residents suffering from non-accidental diseases (circulatory diseases), female and the older adults were more vulnerable. The vulnerability of TQ and CQ occurred on Lag2 and Lag6 after typhoon Lekima, respectively, and the other areas except ZQ and PY occurred from Lag 8 to Lag 13. LC lasted the longest duration. Our findings emphasized the importance of the emergency response, which would help policymakers to identify vulnerable regions and populations accurately during typhoons and formulate the emergency response plan.

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Section: Discussionmentioning

confidence: 99%

The threaten of typhoons to the health of residents in inland areas: a study on the vulnerability of residents to death risk during typhoon “Lekima”

Ma,

Zhang,

Zhang

et al. 2024

BMC Public Health

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“…The Chungnam-Sejong region is classified as having low social capital related to participation and interaction in the local community and high health behavior-related vulnerabilities, including smoking, problem drinking, and a low degree of physical activity. 29 The Jeonnam region is classified as having a high vulnerability to the physical environment associated with housing and potential consumption, due to high proportions of older adults and low-income residents as well as the lowest rate of self-rated health. The proportion of the unemployed in these cities is lower than that in larger regions, such as Gyeonggi Province and Seoul.…”

Section: Discussionmentioning

confidence: 99%

Trends and regional distribution in health-related quality of life across sex and employment status: a repeated population-based cross-sectional study

Ahn,

Seo,

Choi

2024

Journal of Occupational Health

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Objectives: This study investigated the association between sex and health-related quality of life (HRQoL) based on employment status. Methods: This was a population-based cross-sectional study. Data were collected from 1,996,153 adults aged ≥ 19 years who participated in the Korea Community Health Survey from 2011 to 2019. Low HRQoL was classified based on separate cutoff points (males: 0.92, females: 0.90) on the European Quality of Life-5 Dimensions index. Multivariable logistic regression analyses were used to estimate odds ratios (ORs), 95% confidence intervals (CIs). Results: From 2011 to 2019, the trend of the prevalence of low HRQoL levels was consistently high in the order of unemployed males, unemployed females, employed males, and employed females. Regarding the regional distribution of unemployed males, the prevalence of low HRQoL was between 29.5% and 43.5%. Unemployed males had a higher prevalence of low HRQoL (OR: 1.15, 95% CI: 1.12–1.24) than employed males. Conclusions: This study suggested that the prevalence of low HRQoL levels among unemployed males was consistently high at the annual trend and regional levels. Further research considering comprehensive health determinants and multi-dimensional public health interventions is required to prevent the transition from unemployment to the deterioration of HRQoL.

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“…To improve the health level of residents and enhance health equity, institutions are implementing 13 types of projects: smoking prohibition, sobriety, physical activity, nutrition, preventive management of obesity, oral health, preventive management of cardiovascular and cerebrovascular diseases, oriental medicine health promotion, preventive management of atopy and asthma, maternal and child health, dementia management, community-based rehabilitation, and visiting health care ( 22 ). Other health-promotion projects include nine programs: mental health project management, health project management for older adults, health examination result counseling, denture (false teeth) provision, tuberculosis management, Hansen's disease management, sexually transmitted infection disease management, maternal and child health programs, and vaccination campaigns ( 23 ).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the health satisfaction of users of public health and medical institutions in South Korea

Yoon¹,

Lee

2023

Front. Public Health

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IntroductionIn this study, we investigated the health satisfaction levels of users of regional health and medical institutions in South Korea and the influencing factors.MethodsWe included randomly selected 300 people with experience in using health and medical institutions from panel data targeting the entire nation. We used questionnaire (EQ-5D-5L) and sociodemographic characteristics to analyze the health satisfaction. EQ-5D-5L was used to measure health-related quality of life in five areas: mobility, self-management, daily activities, pain/discomfort, and anxiety/depression. Hierarchical linear regression analysis was performed in three steps to examine the factors influencing health satisfaction.ResultsThe analysis showed that the health satisfaction was positively (+) correlated with monthly income, mobility, self-management, daily life, pain/discomfort, and anxiety/depression, and negatively (−) correlated with the number of chronic diseases and type of health insurance. The influencing factors in Step 1 and 2 were chronic diseases (β = −0.380, −0.385), respectively. The influencing factors in Step 3 were pain/discomfort (β = 0.202), anxiety/depression (β = 0.257), and the number of chronic diseases (β = −0.222).DiscussionsThe current data suggested that regional health and medical institutions should focus their services on residents with chronic diseases. Moreover, they should expand physical activities to relieve physical pain or discomfort and provide services related to mental health. To accomplish these, we suggested that the government will need to promote post-service health checkup results as a key project, provide user-customized services, provide online services utilizing ICT, expanding the government's financial support, and building infrastructure.

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Typology of Community Health Vulnerabilities and Their Effects on Health Status by Type-Using Community Health Survey

Cited by 3 publications

References 13 publications

The threaten of typhoons to the health of residents in inland areas: a study on the vulnerability of residents to death risk during typhoon “Lekima”

The threaten of typhoons to the health of residents in inland areas: a study on the vulnerability of residents to death risk during typhoon “Lekima”

Trends and regional distribution in health-related quality of life across sex and employment status: a repeated population-based cross-sectional study

Factors influencing the health satisfaction of users of public health and medical institutions in South Korea

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