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Original Articles
Analysis of risk factors affecting suicidal ideation in South Korea by life cycle stage
Ji-Young Hwang, Il-Su Park
Osong Public Health Res Perspect. 2021;12(5):314-323.   Published online October 26, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0208
  • 4,840 View
  • 128 Download
  • 3 Web of Science
  • 4 Crossref
AbstractAbstract PDF
Objectives
This study analyzed risk factors for suicidal ideation in South Koreans from a life cycle perspective.
Methods
A secondary analysis was conducted of data collected in 2015 as part of the 6th Korea National Health and Nutrition Examination Survey (KNHANES). The participants comprised 5,935 individuals aged 12 years or older. The statistical analysis reflected the complex sampling design of the KNHANES, and the Rao-Scott chi-square test and multiple logistic regression analysis were performed.
Results
The prevalence of suicidal ideation was 5.7% in adolescents, 3.7% in young adults, 5.4% in middle-aged adults, and 7.0% in older adults. Depression and stress were risk factors in every stage of the life cycle. In those aged 12 to 19 years, activity restrictions were significantly associated with suicidal ideation. Education and subjective health status were risk factors in adults aged 20 to 39 years, and education, activity restrictions, and quality of life were the major risk factors in those aged 40 to 64 years. For adults 65 years of age or older, the risk of suicidal ideation was higher among those with inappropriate sleep time.
Conclusion
The risk factors for suicidal ideation were found to be different across stages of the life cycle. This suggests a need for individualized suicide prevention plans and specific government policies that reflect the characteristics of each life cycle stage.

Citations

Citations to this article as recorded by  
  • Association between long working hours and the development of suicidal ideation among female workers: An 8-year population-based study using the Korean Longitudinal Survey of Women & Family (2012–2020)
    Seong-Uk Baek, Yu-Min Lee, Jin-Ha Yoon
    Psychiatry Research.2024; 333: 115731.     CrossRef
  • Alcohol Consumption and Quality of Life in Middle-aged Men
    Jeong-Sook Lee
    International Journal of High Risk Behaviors and A.2023;[Epub]     CrossRef
  • Factors Related to Suicidal Ideation by Gender and Age Group in Korean Adults
    Eun Young Kim, Yong Whi Jeong, Jihye Lim, Dae Ryong Kang
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Association between Sleep Duration and Symptoms of Depression Aged between 18 and 49: The Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ) from 2016 to 2018
    Sung-Yong Choi, Ji-Eun Han, Jiae Choi, Minjung Park, Soo-Hyun Sung, Angela Dong-Min Sung
    Healthcare.2022; 10(11): 2324.     CrossRef
Health-Related Quality of Life Based on Comorbidities Among Patients with End-Stage Renal Disease
Jieun Cha, Dallong Han
Osong Public Health Res Perspect. 2020;11(4):194-200.   Published online August 31, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.4.08
  • 6,631 View
  • 139 Download
  • 12 Web of Science
  • 18 Crossref
AbstractAbstract PDF
Objectives

The aim of this study was to investigate comorbidities in patients with end-stage renal disease, and to compare health-related quality of life (HRQOL) according to the type, and number of comorbidities.

Methods

A total of 250 adults undergoing hemodialysis were recruited at local clinics. HRQOL was measured using the 12-item Medical Outcomes Study Short Form questionnaire. Data were analyzed using descriptive statistics, analysis of variance, and t test.

Results

Around 70.8% of patients with end stage renal disease had 1 or more comorbidities, and the most common comorbidities were hypertension, diabetes, and cardiovascular disease. HRQOL was significantly different based on the number of comorbidities (F = 9.83, p < 0.001). The effect of comorbidities on the scores for mental health domains of the HRQOL questionnaire was not conclusive compared with the scores for the physical domain which were conclusive. Among the comorbidities, diabetes was associated with a lower quality of life.

Conclusion

The customized management of diabetic and hypertensive patients is necessary for the early detection and prevention of chronic kidney disease, and slowing the progression of renal disease and managing cardiovascular risk factors is essential.

Citations

Citations to this article as recorded by  
  • Association between heart failure and arteriovenous access patency in patients with end-stage renal disease on hemodialysis
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    Journal of Vascular Surgery.2024; 79(5): 1187.     CrossRef
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    International Journal of Impotence Research.2024;[Epub]     CrossRef
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    Transplantation Proceedings.2024;[Epub]     CrossRef
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    Haya Ibrahim Ali Abu Maloh, Kim Lam Soh, Seng Choi Chong, Siti Irma Fadhilah Ismail, Kim Geok Soh, Dima Ibrahim Abu Maloh, Mohannad Eid AbuRuz
    SAGE Open Nursing.2024;[Epub]     CrossRef
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    Agustina Nila Yuliawati, Pande Made Desy Ratnasari, Ni Luh Putu Satria Maharani
    Borneo Journal of Pharmacy.2023; 6(3): 320.     CrossRef
  • The Effect of Chronic Kidney Disease or End-stage Kidney Disease on Perioperative Outcomes and Healthcare Utilization in Patients Undergoing Bariatric Surgery
    Yung Lee, Léa Tessier, Audrey Jong, Adelia Padoan, Yasith Samarasinghe, Tyler McKechnie, Amber O. Molnar, Michael Walsh, Aristithes Doumouras, Jerry Dang, Matthew Kroh, Dennis Hong
    Obesity Surgery.2023; 33(5): 1476.     CrossRef
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    Jessica Caruana, Nicoletta Riva, Kevin Vella, Andrew Davenport, Alexander Gatt
    British Journal of Haematology.2023; 202(2): 230.     CrossRef
  • IgA nephropathy in adults with epidermolysis bullosa
    Manrup K Hunjan, Ajoy Bardhan, Natasha Harper, Dario Leonardo Balacco, Gerald Langman, Vijay Suresh, Adrian Heagerty
    Clinical and Experimental Dermatology.2023; 48(8): 920.     CrossRef
  • Comorbid Conditions in Kidney Transplantation: Outcome Analysis at King Abdulaziz Medical City
    Abdulrahman R Al Tamimi, Bader A Aljaafri, Fahad Alhamad, Sultan Alhoshan, Awatif Rashidi, Basayel Dawsari, Ziad A Aljaafri
    Cureus.2023;[Epub]     CrossRef
  • Duration of Hemodialysis and its Impact on Quality of Life
    Bushra Akram, Hafiz Shafique Ahmad, Muhammad Tahsin Akhtar, Ahmad Bilal, Khizra Iqbal
    Pakistan Journal of Health Sciences.2023; : 31.     CrossRef
  • Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients
    Ivana Skoumalova, Andrea Madarasova Geckova, Jaroslav Rosenberger, Maria Majernikova, Peter Kolarcik, Daniel Klein, Andrea F. de Winter, Jitse P. van Dijk, Sijmen A. Reijneveld
    International Journal of Environmental Research an.2022; 19(2): 620.     CrossRef
  • Physical Activity and Health-Related Quality of Life of Patients on Hemodialysis with Comorbidities: A Cross-Sectional Study
    Yu-Hui Wu, Yu-Juei Hsu, Wen-Chii Tzeng
    International Journal of Environmental Research an.2022; 19(2): 811.     CrossRef
  • Disease Knowledge, Self-Efficacy, and Quality of Life in Patient With Hypertensive Nephropathy
    Yen-Yen Chen, Mei-Chen Lee, Shu-Fang Vivienne Wu, Yueh-Min Liu, Hui-Mei Chen
    Clinical Nursing Research.2022; 31(6): 1179.     CrossRef
  • The mediating effect of self‐efficacy in the relationship between mental health and quality of life in patients with hypertensive nephrology
    Mei‐Chen Lee, Yen‐Yen Chen, Chun‐Yi Tai, Shu‐Fang Vivienne Wu
    Journal of Advanced Nursing.2022; 78(9): 2827.     CrossRef
  • The relationship between grip strength with health-related quality of life and mortality in hemodialysis patients
    Clara S. A. Sugizaki, Hellen C. N. Rodrigues, Jéssica F. M. Ivo, Ana T. V. S. Freitas, Maria L. F. Stringhini, Sérgio A. R. Paiva, Marcos F. Minicucci, Maria R. G. Peixoto, Nara A. Costa
    Nutrire.2022;[Epub]     CrossRef
  • Factors Affecting Quality of Life in Hemodialysis Patients
    Ade Yonata, Nurul Islamy, Achmad Taruna, Lukman Pura
    International Journal of General Medicine.2022; Volume 15: 7173.     CrossRef
  • Health related quality of life of patients undergoing in-centre hemodialysis in Rwanda: a cross sectional study
    Gloria Shumbusho, Celestin Hategeka, Marianne Vidler, Jules Kabahizi, Marla McKnight
    BMC Nephrology.2022;[Epub]     CrossRef
  • The Short Form-6 Dimension (SF-6D) Validity and Reliability in Hemodialysis Patients
    Anisa Zulfa Fatihah, Tri Murti Andayani, Nanang Munif Yasin
    JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA.2021; 8(2): 150.     CrossRef
Influence of Socioeconomic Status, Comorbidity, and Disability on Late-stage Cancer Diagnosis
Bo Ram Park, So Young Kim, Dong Wook Shin, Hyung Kook Yang, Jong Hyock Park
Osong Public Health Res Perspect. 2017;8(4):264-270.   Published online August 31, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.4.06
  • 4,024 View
  • 40 Download
  • 8 Crossref
AbstractAbstract PDF
Objectives

Understanding factors affecting advanced stage at diagnosis is vital to improve cancer outcomes and overall survival. We investigated the factors affecting later-stage cancer diagnosis.

Methods

Patients completed self-reported questionnaires. We collected cancer stage data from medical records review. Logistic regression analyses were performed to identify factors associated with later stage cancer at diagnosis by gender.

Results

In total, 1,870 cancer patients were included in the study; 55.8% were men, 31.1% had more than one comorbid condition, and 63.5% had disabilities. About half of the patients were smokers, and drank alcohol, and 58.0% were diagnosed at an advanced stage. By cancer type, lung and liver cancers (both genders), prostate (men), colorectal, cervical, and thyroid cancer (women) were more likely to be diagnosed at a later stage. After controlling for socioeconomic factors, comorbidity (odds ratio [OR], 1.48 in men) and disability (OR, 1.64 in men and 1.52 in women) remained significantly associated with late-stage diagnosis.

Conclusion

In this nationwide study, using combined information from patients and medical records, we found that male patients with comorbidities or disabilities, and female patients with disabilities were more likely to have advanced stage cancer at diagnosis. Targeted approaches by cancer type and health conditions are recommended.

Citations

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  • Factors associated with late diagnosis of cervical cancer at two national referral hospitals, Kenya 2017: A case control study
    Valerian Mwenda, Martin Mwangi, Gladwell Gathecha, Joseph Kibachio, Robert Too, Zeinab Gura, Marleen Temmerman
    Gynecologic Oncology Reports.2024; 52: 101355.     CrossRef
  • Obstacles dans le dépistage du cancer du sein chez les personnes ayant un handicap
    Sylvia Mazellier, Rajeev Ramanah, Catherine Guldenfels, Carole Mathelin
    Bulletin du Cancer.2022; 109(2): 185.     CrossRef
  • Cancer Disparities Experienced by People with Disabilities
    Rosemary B. Hughes, Susan Robinson-Whelen, Carly Knudson
    International Journal of Environmental Research an.2022; 19(15): 9187.     CrossRef
  • Prognostic factors and survival analysis of Hurthle cell carcinoma: A population-based study
    Bailey M. Humphreys, Kelvin O. Memeh, Alex Funkhouser, Tanaz M. Vaghaiwalla
    Surgery.2022; 172(5): 1379.     CrossRef
  • Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
    Seon Mee Park, So Young Kim, Kyoung Eun Yeob, Dong Wook Shin, Joung-Ho Han, Jong Heon Park, Jong Hyock Park
    International Journal of Environmental Research an.2022; 19(24): 16625.     CrossRef
  • Impact of comorbidity assessment methods to predict non-cancer mortality risk in cancer patients: a retrospective observational study using the National Health Insurance Service claims-based data in Korea
    Sanghee Lee, Yoon Jung Chang, Hyunsoon Cho
    BMC Medical Research Methodology.2021;[Epub]     CrossRef
  • Disparities in the Diagnosis, Treatment, and Survival Rate of Cervical Cancer among Women with and without Disabilities
    Jin Young Choi, Kyoung Eun Yeob, Seung Hwa Hong, So Young Kim, Eun-Hwan Jeong, Dong Wook Shin, Jong Heon Park, Gil-won Kang, Hak Soon Kim, Jong Hyock Park, Ichiro Kawachi
    Cancer Control.2021; 28: 107327482110552.     CrossRef
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    Anna J. B. Smith, Jeremy Applebaum, Edward J. Tanner, George T. Capone
    Obstetrics & Gynecology.2020; 136(3): 518.     CrossRef
Causal Effect of Self-esteem on Cigarette Smoking Stages in Adolescents: Coarsened Exact Matching in a Longitudinal Study
Ahmad Khosravi, Asghar Mohammadpoorasl, Kourosh Holakouie-Naieni, Mahmood Mahmoodi, Ali Akbar Pouyan, Mohammad Ali Mansournia
Osong Public Health Res Perspect. 2016;7(6):341-345.   Published online December 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.10.003
  • 3,072 View
  • 32 Download
  • 13 Crossref
AbstractAbstract PDF
Objectives
Identification of the causal impact of self-esteem on smoking stages faces seemingly insurmountable problems in observational data, where self-esteem is not manipulable by the researcher and cannot be assigned randomly. The aim of this study was to find out if weaker self-esteem in adolescence is a risk factor of cigarette smoking in a longitudinal study in Iran.
Methods
In this longitudinal study, 4,853 students (14–18 years) completed a self-administered multiple-choice anonym questionnaire. The students were evaluated twice, 12 months apart. Students were matched based on coarsened exact matching on pretreatment variables, including age, gender, smoking stages at the first wave of study, socioeconomic status, general risk-taking behavior, having a smoker in the family, having a smoker friend, attitude toward smoking, and self-injury, to ensure statistically equivalent comparison groups. Self-esteem was measured using the Rosenberg 10-item questionnaire and were classified using a latent class analysis. After matching, the effect of self-esteem was evaluated using a multinomial logistic model.
Results
In the causal fitted model, for adolescents with weaker self-esteem relative to those with stronger self-esteem, the relative risk for experimenters and regular smokers relative to nonsmokers would be expected to increase by a factor of 2.2 (1.9–2.6) and 2.0 (1.5–2.6), respectively.
Conclusion
Using a causal approach, our study indicates that low self-esteem is consistently associated with progression in cigarette smoking stages.

Citations

Citations to this article as recorded by  
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Article
Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults
Seunghyun Yoo, Hyekyeong Kim, Han-Ik Cho
Osong Public Health Res Perspect. 2012;3(2):85-93.   Published online June 30, 2012
DOI: https://doi.org/10.1016/j.phrp.2012.04.007
  • 3,023 View
  • 15 Download
  • 18 Crossref
AbstractAbstract PDF
Objectives
This study aims to examine the effectiveness of a 6-month lifestyle modification program on the improvement in metabolic syndrome (MetS) status and in stages of change for lifestyle behaviors associated with MetS among Korean older adults.
Methods
A lifestyle modification program was developed based on the transtheoretical model. The program consisted of health counseling, education classes, a self-management handbook, newsletters and a health diary. Older adults aged ≥60 (n = 480) with MetS were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a comprehensive 6-month lifestyle modification intervention, while the CG received minimal information on MetS and lifestyle modification. Health examination and selfadministered survey were conducted before and after the intervention to determine the effectiveness of the program.
Results
After the intervention, the prevalence of MetS decreased to 38.1% in the IG and 52.4% in the CG (p = 0.046). The IG improved abdominal obesity (p = 0.016), blood pressure (p = 0.030), and triglyceride (p = 0.005) more than the CG did. The IG demonstrated significant improvements in the behavioral stages for portion control (p = 0.021), balanced diet (p < 0.001) and adequate intake of fruits and vegetables (p = 0.012). The IG reduced the prevalence of abdominal obesity (OR = 2.34) and improved MetS status (OR = 1.79) better than the CG. The IG were more likely to advance from preaction stages at baseline to action stage at post-intervention for portion control (OR = 3.29) and adequate intake of fruits and vegetables (OR = 2.06).
Conclusion
Lifestyle modification can improve the MetS status and behavioral stages in older adults.

Citations

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PHRP : Osong Public Health and Research Perspectives