Research in Community and Public Health Nursing

Original Articles

Prevalence and Risk Factors of Diabetic Retinopathy in Diabetes People using Korean National Health and Nutrition Examination Survey VII: Ihn Sook Jeong, Chan Mi Kang; J Korean Acad Community Health Nurs. 2022;33(4):408-417. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.408

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Abstract PDF: Purpose
This study aimed to investigate the prevalence and risk factors of diabetic retinopathy (DR) in people with diabetes mellitus (DM) using Korean National Health and Nutrition Examination Survey VII (2017~2018). Methods: DM was defined as in two ways; 1) doctor's diagnosis (Group 1, n=549), 2) one of doctor's diagnosis, medication, or hyperglycemia (Group 2, n=849). The DR prevalence was measured as the prevalence proportion (%). Risk factors for developing DR were analyzed using multiple logistic regression, and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Results: The prevalence of DR was 25.87% in Group 1 and 20.14% in Group 2. Risk factors for DR were identified as insulin therapy (Group 1: OR=5.31, Group 2: OR=5.27), DM duration ≥10 years (Group 1: OR=2.20, Group 2: OR=3.10), and systolic blood pressure ≥140 mmHg (Group 1: OR=2.26, Group 2: OR=2.23) for both groups. Conclusion: Considering the DR prevalence, eye examinations education is highly recommended as part of a diabetes management programs in the community. It is also proposed to shorten the eye examination cycle for people with risk factors and establish a referral system to link between screening to treatment.

Analysis of Spatial Distribution of Hypertension Prevalence and Its Related Factors based on the Model of Social Determinants of Health: Min Jung Kim, Nam Hee Park; J Korean Acad Community Health Nurs. 2018;29(4):414-428. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.414

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Abstract PDF: PURPOSE
The purpose of this study is to identify the spatial distribution of hypertension prevalence and to investigate individual and regional-level factors contributing to the prevalence of hypertension in the region.
METHODS
This study is a cross-sectional research using the 2015 Community Health Survey. Total 64,473 people from 7 metropolitan cities were used for the final analysis. Geoda program was adopted to identify the regional distribution of hypertension prevalence and analyzed by descriptive statistics, one-way ANOVA and correlation analysis using SPSS statistics 23.0 program. Multi-level analysis was performed using SPSS (GLMM).
RESULTS
The prevalence of hypertension was related to individual level factors such as age, monthly household income, normal salt intake, walking practice days, and regional level factors including number of doctors per 10,000 population, number of parks, and fast food score. Besides, regional level factors were associated with hypertension prevalencies independently without the effects of individual level factors even though the influences of individual level factors ware larger than those of regional factors.
CONCLUSION
Respectively, both individual and regional level factors should be considered in hypertension intervention programs. Also, a national level research is further required by exploring various environmental factors and those influences relating to the hypertension prevalence.

The Evaluation of Feasibility and Predictive Validity of Comprehensive Korean Frailty Instrument: Using the 2008 and 2011 Living Profiles of Older People Survey in Korea: Eun Mi Oh, Gwi Ryung Son Hong; J Korean Acad Community Health Nurs. 2017;28(2):206-215. Published online June 30, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.2.206

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Abstract PDF

PURPOSE
This study aimed to verify the predictive validity of Comprehensive Korean Frailty Instrument (CKFI) among older adults.
METHODS
A secondary analysis of data from a prospective cohort study was conducted. Frailty was determined in older adults (N=9,188) according to the data in 2008 and the effects of frailty on adverse outcomes (such as institutionalization and death) were evaluated according to the data in 2011. The Cardiovascular Health Study (CHS) index was used to compare with the predictive validity of CKFI.
RESULTS
The prevalence of frailty was 26.3%. With the CKFI, the frail group had a higher risk of negative health outcomes compared to the robust and pre-frail groups after three years. The two of the highest risks identified using the CKFI and CHS index were institutionalization (5.522 times higher) and mortality (3.210 times higher). For both instruments, the survival analysis revealed that the risk of death increased as the degree of frailty increased.
CONCLUSION
The CKFI consisting of self-report items and multidimensional aspects of frailty can be used as a simple instrument for assessing the frailty of older adults residing in a local community in Korea.

Citations

Citations to this article as recorded by

Frailty assessment using routine clinical data: An integrative review
Arum Lim, JiYeon Choi, Hyunju Ji, Hyangkyu Lee
Archives of Gerontology and Geriatrics.2022; 99: 104612. CrossRef
Impact of Frailty, Depression, and Loneliness on Ego-Integrity in Community-Dwelling Elderly
Seon Ju Song, Sung Hee Ko, Ji Young Kim, Hyun Kyung Kim
STRESS.2022; 30(3): 139. CrossRef
Factors associated with frailty among community-dwelling older adults by age group: A multi-dimensional approach
Lee Seyune, Kim Hongsoo, Jung Young-il, Hong Yun-chul
Korean Journal of Health Education and Promotion.2018; 35(2): 89. CrossRef

Prevalence and Related Factors of Clonorchiasis among Five Major Riverside Residents in South Korea: Chun Mi Kim, Kyung Ja June, Shin Hyeong Cho, Kyung Soon Park, Hung Sa Lee, Ji Yeon Park; J Korean Acad Community Health Nurs. 2016;27(4):346-357. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.346

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Abstract PDF

PURPOSE
This study attempted to investigate the prevalence and related factors of Clonorchiasis among five major riverside residents in South Korea.
METHODS
This study is descriptive research, nationwide survey, and the subjects are 23,492 residents selected by convenience sampling. Data collection was conducted between March 1 and June 30, 2011, and stool collection and questionnaire survey were conducted by affiliated public health centers in 38 cities and Gun's.
RESULTS
The prevalence rates of Clonorchiasis in the five major riversides were as follows: the Guem River 15.2%; the Nakdong River 11.9%; the Seomjin River 10.9%; the Han River 5.7%; and the Yeongsan River 3.9%. The prevalence rates were shown to be significantly high among people who had highly frequent experiences of eating and cooking freshwater raw fish, were diagnosed with liver and/or biliary tract diseases, and drank less than once a month.
CONCLUSION
These results suggest that it is necessary to improve awareness of Clonorchiasis and provide intensive public health education for the riverside residents. And the target groups should be set up by reflecting the characteristics of at-risk groups, and it is necessary to prepare customized strategies for prevention and management of Clonorchiasis.

Citations

Citations to this article as recorded by

The spatial-temporal risk profiling of Clonorchis sinensis infection over 50 years implies the effectiveness of control programs in South Korea: a geostatistical modeling study
Hai-Yan Xiao, Jong-Yil Chai, Yue-Yi Fang, Ying-Si Lai
The Lancet Regional Health - Western Pacific.2023; 33: 100697. CrossRef
Status of common parasitic diseases in Korea in 2019
Sun Huh
Journal of the Korean Medical Association.2019; 62(8): 437. CrossRef

A Cross-sectional Epidemiological Study on Trends in the Prevalence of Allergic Diseases among Children and Adolescents in the Jeju Area in 2008 and 2013: Hye Sook Lee, Sung Chul Hong, Jeong Hong Kim, Jae Wang Kim, Keun Hwa Lee, Jae Chun Lee; J Korean Acad Community Health Nurs. 2015;26(2):160-168. Published online June 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.2.160

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Abstract PDF

PURPOSE
This study was to find epidemiological trends in the prevalence of allergic diseases among children and adolescents in Jeju Province, Korea.
METHODS
Two questionnaire surveys of the same method were conducted, respectively, in 2008 and in 2013 with five years' interval with 1,296 participants in 2008 and 878 in 2013 who were elementary and secondary students sampled at random from the same five schools. 'International Study of Asthma and Allergies in Childhood (ISAAC)' was applied to the parents with their written consent to the survey.
RESULTS
The results of analysis showed an increasing trend in the prevalence of lifetime asthma (8.6% in 2008 and 10.4% in 2013) and in the prevalence of lifetime allergic rhinitis (25.3% in 2008 and 31.1% in 2013) (p=.003), and a decreasing trend in the prevalence of lifetime atopic dermatitis (32.0% in 2008 and 26.8% in 2013) (p=.011).
CONCLUSION
This research showed an increasing trend in the prevalence of asthma and allergic rhinitis among children and adolescents in Jeju Province compared to that 5 years ago, but represented a declining trend in the prevalence of atopic dermatitis.

Citations

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Association between electronic cigarette smoking and allergic rhinitis – The Korea National Health and Nutrition Examination Survey (2015)
Hye Ran Jeon, Youn Seon Choi, Seon Mee Kim, So Jung Yoon, Jin Wook Kim, Man Kim, Ji Young Lee, Jung Hwan Yoon
Allergy, Asthma & Respiratory Disease.2017; 5(6): 344. CrossRef

The Effects of Lifestyle Factors on Metabolic Syndrome among Korean Adults: Mee Young Im, Young Ran Lee, Suk Jung Han, Chung Min Cho; J Korean Acad Community Health Nurs. 2012;23(1):13-21. Published online March 31, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.1.13

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21 Citations

Abstract PDF

PURPOSE
The purpose of this study was to estimate the effects of lifestyle factors on metabolic syndrome (MS) among Korean adults (age> or =20).
METHODS
A total of 7,798 subjects (weighted subjects=37,215,961) were recruited from the 2009 Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Data were analyzed by t-test, chi2-test, and logistic regression in consideration of strata, cluster and weight as national data using the SAS 9.1 program.
RESULTS
The prevalence of MS by definition of AHA/NHLBI and waist circumference cutoff points for Koreans was 22.4%. The mean clinical MS score for MS patients was 3.4, but the mean score for the non-MS group was 1.2 out of 5.0. Among the lifestyle factors, smoking (OR=1.024), stress (0.546< or =OR< or =0.587) and drinking (OR=1.005) had significant influence on the MS risk and MS scores, but exercise did not.
CONCLUSION
The results of this study indicate that further research is necessary on the effect of lifestyle factors on MS risk and nurses should focus on effective programs about smoking, stress and drinking for the prevention and reduction of MS risk.

Citations

Citations to this article as recorded by

Lifestyle and Health Behaviors Associated with Metabolic Syndrome and Cardiovascular Disease
Goeun Chung, Hye-Jin Kim
Metabolic Syndrome and Related Disorders.2024; 22(2): 105. CrossRef
Effects of Oral Health Behavior and Mental Health on Metabolic Syndrome in Korean Adults
Jin-Ah Jung, Hye-Won Cheon, Sang-Eun Moon, Sun-Hwa Hong
Journal of Dental Hygiene Science.2022; 22(2): 90. CrossRef
Sociodemographic and Health Characteristics Associated with Metabolic Syndrome in Men and Women Aged ≥50 Years
Goeun Chung, Hye-Sun Jung, Hye-Jin Kim
Metabolic Syndrome and Related Disorders.2021; 19(3): 159. CrossRef
Factors Affecting the Development of Metabolic Syndrome in Single-Person Households: A Sex-Stratified Analysis
Jui Kim, Hyoungshim Choi
Sustainability.2021; 13(16): 9032. CrossRef
The Effect of Depression on Metabolic Syndrome and Its Components among Korean Adults
Mee Young Im
Korean Journal of Stress Research.2021; 29(4): 235. CrossRef
Factors Associated with Metabolic Syndrome Among Middle-Aged Women in Their 50s: Based on National Health Screening Data
HyungSeon Kim, YeonHee Cho
International Journal of Environmental Research and Public Health.2020; 17(9): 3008. CrossRef
The Effect of Stress on Prevalence Risk of Metabolic Syndrome among Korean Adults
Mee Young Im
STRESS.2019; 27(4): 441. CrossRef
Development of tailored contents of a mobile health application to prevent the metabolic syndrome
Jiye Kim, Jiwan Kang, Harim Kim, Juyeun Ko, Hyekyeong Kim, Yuri Kim, Kwangsuk Ko, Minsoo Lee
Korean Journal of Health Education and Promotion.2018; 35(3): 25. CrossRef
Factors affecting metabolic syndrome by lifestyle
Nam-Kyun Ki, Hae-Kag Lee, Jae-Hwan Cho, Seon-Chil Kim, Nak-Sang Kim
Journal of Physical Therapy Science.2016; 28(1): 38. CrossRef
Correlations between metabolic syndrome, serologic factors, and gallstones
Jae Hong Sang, Nam Kyun Ki, Jae Hwan Cho, Jae Ouk Ahn, Jae Gun Sunwoo
Journal of Physical Therapy Science.2016; 28(8): 2337. CrossRef
Evaluation of the Readability and Suitability of Printed Educational Materials on Metabolic Syndrome
Jung Eun Kim, Sook Ja Yang
Journal of Korean Public Health Nursing.2016; 30(1): 149. CrossRef
The Effects of Menopause on the Metabolic Syndrome in Korean Women
SoYoun Bang, IlGu Cho
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(4): 2704. CrossRef
Metabolic Syndrome Prevalence and Lifestyle by Age and Metabolic Syndrome Status in Women Religious
Yang-Hee Kim, Hee-Seung Kim
Journal of Korean Biological Nursing Science.2015; 17(1): 11. CrossRef
A Systematic Review of Literature on Community Health Center Exercise Programs
Suk-Jung Han, Young-Ran Lee, Chung-Min Cho, Mee-Young Im
Journal of Korean Academy of Community Health Nursing.2015; 26(1): 18. CrossRef
Assessment of Nurses' Nutritional Knowledge and Educational Needs Regarding Stroke Specific Diet Regimens
Suk-Hee Song, Smi Choi-Kwon, Ji Hyun Baek, Kuyng-Ja Song, Chi-Kang Koh
Journal of Korean Biological Nursing Science.2015; 17(3): 228. CrossRef
The Effects of Metabolic Syndrome on Quality of Life
So Youn Bang
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 7034. CrossRef
Nutrition Knowledge, Food Habit Problems and Dietary Attitudes of Nursing Students
Su-Ol Kim, So-Myeong Kim
The Journal of Korean Academic Society of Nursing Education.2015; 21(4): 466. CrossRef
Development and Effect of a Metabolic Syndrome Prevention Program for University Students using Mobile Application.
Han Kyu Kang, Tae Bin Kim, Kyu Hyung Kim, Min Jin Kim, Jin Hyun Kim, Hyun Yong Kim, Kyung Hoon Yeom, Ka Hyun Lee, Eun Young Choi, Kyung Ah Kang
Child Health Nursing Research.2014; 20(3): 205. CrossRef
The Effects of Lifestyle Factors on Metabolic Syndrome among Adolescents
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Journal of Korean Public Health Nursing.2014; 28(2): 270. CrossRef
Discriminating Factors of Stages of Change for Exercise among Patients with Metabolic Syndrome
Hyun Ju Hwang, Eun Nam Lee, Eun Jung Choi
Journal of muscle and joint health.2014; 21(1): 46. CrossRef
Prevalence of the Metabolic Syndrome and Its associated Factors among Elders in a Rural Community
Bongjeong Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(2): 225. CrossRef

Prevalence and Risk Factors of Dementia in the Community Elderly: Nam Hee Park, Youn Mee Lee, Lu Rie E; J Korean Acad Community Health Nurs. 2008;19(1):36-45. Published online March 31, 2008

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Abstract PDF: PURPOSE
This study was to estimate the prevalence of dementia in order to estimate the associations of dementia with its risk factors in the community elderly.
METHODS
The multistage random cluster sampling method was used to select the subjects. The response rate was 94.3%. For the 1st stage screening survey, the Korean-version Mini-Mental State Examination (K-MMSE) and the Bathel Index of activities of daily living (ADL) and instrumental activities of daily living (IADL) were used as primary screening tools. At the 2nd stage, diagnoses were confirmed according to the Clinical Dementia Rating Scale (CDR) and Computer Tomogram (CT).
RESULTS
Age-sex adjusted prevalence (%) [95% CI] of dementia was 6.25% [4.47-7.83] (male 4.21% [2.40-6.02]; female 8.28% [5.71-10.85]). Four statistically significant risk factors of the dementia were identified: age 70-74 (OR=1.367), age 75-79 (OR=1.712), age 80-84 (OR=2.465), age 85 over (OR=7.363); illiteracy (OR=3.827); unconsciousness after head injury (OR=3.383), and no exercise (OR=2.188). Hosmer and Lemeshow goodness-of-fit index of dementia risk model was E (logit of dementia)= -4.337+0.312*Age(70~74)+0.538*Age(75~79)+0.902*Age(80~84)+1.996*Age(85over)+1.342*Illiteracy+1.219*Unconsciousness after head trauma+0.783*No exercise. We confirmed that the overall prevalence of dementia in adults aged 65 and older was 94.3%. The risk factors of dementia were explained by age, illiteracy, unconsciousness after head trauma and no exercise.
CONCLUSION
These data have been used to estimate the incidence of dementia in elderly community population and to manage the possible role of risk factors as predictors of dementia.

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