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Original Article
Nationwide trends in the incidence of tuberculosis among people with disabilities in Korea: a nationwide serial cross-sectional study
Jinsoo Min, So Young Kim, Jong Eun Park, Yeon Yong Kim, Jong Hyock Park
Epidemiol Health. 2022;44:e2022098.   Published online October 28, 2022
DOI: https://doi.org/10.4178/epih.e2022098
  • 3,787 View
  • 117 Download
  • 3 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Studies on the association between disabilities and tuberculosis (TB) are scarce. We aimed to assess the risk of active TB disease among people with disabilities.
METHODS
We conducted a nationwide serial cross-sectional study using national registry linkage databases from 2008 to 2017. The crude and age-standardized and sex-standardized incidence rates of TB were analyzed for each year according to the presence, type, and severity of disabilities. The crude incidence rate and odds of developing TB disease were examined with a multivariable logistic regression model using data from 2017.
RESULTS
The overall incidence of active TB decreased between 2008 and 2017. The age- and sex-standardized incidence rates of TB disease among people with disabilities were significantly higher than among those without disabilities throughout all observed years (p<0.001). As of 2017, the population with disabilities had a higher crude incidence rate of active TB disease than that without disabilities (119.9/100,000 vs. 48.5/100,000 person-years, p<0.001), regardless of sex, income level, and place of residence. Compared to those without disabilities, those with disabilities had higher odds of active TB (adjusted odds ratio [aOR], 1.19; 95% confidence interval [CI], 1.15 to 1.24). Individuals with mental disabilities (aOR, 1.51; 95% CI, 1.24 to1.84) had the highest odds of active TB incidence, followed by those with developmental disabilities (aOR, 1.30; 95% CI, 1.09 to 1.55).
CONCLUSIONS
People with disabilities are at a greater risk of developing TB disease. Active screening and care for TB cases would be beneficial for people with disabilities.
Summary
Korean summary
장애가 있는 사람은 이차적 건강 문제가 발생할 가능성이 더 높고 그들의 건강결정요인은 결핵 발생 위험 요인과 겹친다. 장애인은 비장애인에 비해 연령과 성별에 관계없이 활동성 결핵 발병률이 현저히 높았으며, 장애 유형 중 정신장애와 발달장애가 결핵에 더 취약한 것으로 나타났다. 장애인과 같이 결핵 감염 위험이 있는 취약계층을 파악하고 이들에게 결핵진단 및 항결핵치료의 어려움을 극복할 수 있도록 다학제적 지원을 제공하는 것이 중요하겠다.
Key Message
People with disabilities are more likely to develop secondary health conditions and their social determinants of health overlap with the risk factors for developing TB disease. We found that compared to people without disabilities, a markedly higher incidence of active TB disease among people with disabilities regardless of age and sex, and mental and developmental disabilities among types of disability were more prone to TB disease. It is critical to identify the vulnerable populations, such as people with disabilities, at risk of developing TB infection and provide them with multidisciplinary support to overcome any barriers during TB diagnosis and anti-TB treatment.

Citations

Citations to this article as recorded by  
  • The Korea National Disability Registration System
    Miso Kim, Wonyoung Jung, So Young Kim, Jong Hyock Park, Dong Wook Shin
    Epidemiology and Health.2023; 45: e2023053.     CrossRef
  • Nationwide Trends in Osteoporosis in Koreans With Disabilities From 2008 to 2017
    Ji Hyoun Kim, So Young Kim, Jong Eun Park, Hyo Jong Kim, Hyun Jeong Jeon, Yeon Yong Kim, Jong‐Hyock Park
    JBMR Plus.2023;[Epub]     CrossRef
  • Growing disparity in the prevalence of chronic obstructive pulmonary disease between people with and without disabilities: a Korean nationwide serial cross-sectional study
    Jinsoo Min, Jong Eun Park, So Young Kim, Yeon Yong Kim, Jong Hyock Park
    Scientific Reports.2023;[Epub]     CrossRef
Cohort Profile
The Korean social life, health and aging project-health examination cohort
Ju-Mi Lee, Won Joon Lee, Hyeon Chang Kim, Wungrak Choi, Jina Lee, Kiho Sung, Sang Hui Chu, Yeong-Ran Park, Yoosik Youm
Epidemiol Health. 2014;36:e2014003.   Published online May 13, 2014
DOI: https://doi.org/10.4178/epih/e2014003
  • 22,793 View
  • 196 Download
  • 22 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
The Korean Social Life, Health, and Aging Project (KSHAP) is a population-based longitudinal study of health determinants among elderly Koreans. The target population of the KSHAP are people aged 60 years or older and their spouses living in a rural community of Korea. A complete enumeration survey was conducted in the first wave of the KSHAP on 94.7% (814 of 860) of the target population between December 2011 and July 2012. The KSHAP-Health Examination (KSHAP-HE) cohort consists of 698 people who completed additional health examinations at a public health center (n=533) or at their home (n=165). Face-to-face questionnaires were used to interview participants on their demographics, social network characteristics, medical history, health behaviors, cognitive function, and depression symptoms. Health center examinations included anthropometric measures, body impedance analysis, resting blood pressure measurement, radial artery tonometry, bone densitometry, the timed up-and-go test, and fasting blood analysis. However, only anthropometric measures, blood pressure measurement, and non-fasting blood analysis were available for home health examinations. Collaboration is encouraged and access to the KSHAP baseline data will be available via the website of the Korean Social Science Data Archive (http://www.kossda.or.kr).
Summary
Korean summary
한국인의 사회적 삶, 건강과 노화에 대한 조사(Korean Social Life, Health, and Aging Project, KSHAP) 연구는 노인 건강의 사회적 결정요인과 그 상호작용을 평가하는 것을 목적으로 한다. 이를 위하여 사회연결망분석(social network analysis) 기법을 도입하였다. 사회연결망분석은 개인간의 관계를 네트워크로 파악하는 개념으로, 본 연구에서는 지역사회 전체의 사회연결망 안에서 개인의 특성 및 개인간 상호작용의 특성이 신체적 정신적 건강에 미치는 영향을 연구하고자 한다. 대상인구집단은 인천광역시 강화군 일개 면 지역의 60세 이상 인구 및 그 배우자이며, 전체 860명의 모집단에서 814명(94.7%)의 건강면접조사 및 사회연결망 분석을 완료하였으며, 이 가운데 보건지소(533명) 또는 가정(165명)에서 추가 건강검진을 수행한 698명을 대상으로 KSHAP-Health Examination (KSHAP-HE) 코호트를 구축하였다.

Citations

Citations to this article as recorded by  
  • Distinct neuroanatomical correlates of interference-related verbal episodic memory test in healthy older adults
    Seyul Kwak, Hairin Kim, Jeanyung Chey
    Aging, Neuropsychology, and Cognition.2024; 31(1): 97.     CrossRef
  • A Prospective Sociocentric Study of 2 Entire Traditional Korean Villages: The Korean Social Life, Health, and Aging Project (KSHAP)
    Jiwon Baek, Ekaterina Baldina, Kiho Sung, Sung-Ha Lee, Nicholas A Christakis, Peter Bearman, Hyeon Chang Kim, Sang Hui Chu, Eun Lee, Yeong-Ran Park, Jeanyung Chey, Youn-Hee Choi, Dohoon Lee, Yoosik Youm
    American Journal of Epidemiology.2024; 193(2): 241.     CrossRef
  • The Effect of Cognitive Impairment on the Association Between Social Network Properties and Mortality Among Older Korean Adults
    Eunji Kim, Kiho Sung, Chang Oh Kim, Yoosik Youm, Hyeon Chang Kim
    Journal of Preventive Medicine and Public Health.2023; 56(1): 31.     CrossRef
  • Association of group-level segregation with cardiovascular health in older adults: an analysis of data from the Korean Social Life, Health, and Aging Project
    Sung-Ha Lee, Hyeok-Hee Lee, Kiho Sung, Yoosik Youm, Hyeon Chang Kim
    Epidemiology and Health.2023; 45: e2023041.     CrossRef
  • Neural and social correlates of attitudinal brokerage: using the complete social networks of two entire villages
    Yoosik Youm, Junsol Kim, Seyul Kwak, Jeanyung Chey
    Proceedings of the Royal Society B: Biological Sciences.2021; 288(1944): 20202866.     CrossRef
  • More Teeth and Posterior Balanced Occlusion Are a Key Determinant for Cognitive Function in the Elderly
    Taejun Park, Yun-Sook Jung, Keunbada Son, Yong-Chul Bae, Keun-Bae Song, Atsuo Amano, Youn-Hee Choi
    International Journal of Environmental Research and Public Health.2021; 18(4): 1996.     CrossRef
  • Social connectedness and hair cortisol in community-dwelling older adults
    Sung-Ha Lee, Ekaterina Baldina, Eun Lee, Yoosik Youm
    Comprehensive Psychoneuroendocrinology.2021; 6: 100053.     CrossRef
  • Distributed functional connectivity predicts neuropsychological test performance among older adults
    Seyul Kwak, Hairin Kim, Hoyoung Kim, Yoosik Youm, Jeanyung Chey
    Human Brain Mapping.2021; 42(10): 3305.     CrossRef
  • Association between masticatory function and cognitive impairment in the elderly
    Taejun Park, Hyojin Heo, Min-Jeong Cho, Hyeon Chang Kim, Yoosik Youm, Keun-Bae Song, Youn-Hee Choi
    Journal of Korean Academy of Oral Health.2021; 45(2): 57.     CrossRef
  • Gender role stereotypes, patriarchal attitudes, and cognitive function in the elderly rural Korean population: a cross-sectional study
    Hye Rin Choi, Byeonggwan Ha, Ye Jin Jeon, Yoosik Youm, Hyeon Chang Kim, Sun Jae Jung
    Epidemiology and Health.2021; 43: e2021023.     CrossRef
  • Prevalence of and factors related with abnormal fundoscopic findings among the elderly population in a rural community in South Korea
    Hye Rin Choi, Tyler Hyungtaek Rim, Jung Hyun Lee, Seung Won Lee, Jongmin Baek, Kwanghyun Kim, Yoosik Youm, Hyeon Chang Kim
    Seminars in Ophthalmology.2020; 35(1): 41.     CrossRef
  • Gender differences in social network of cognitive function among community‐dwelling older adults
    Sungwon Lee, Seungwon Lee, Eun Lee, Yoosik Youm, Hyun Sang Cho, Woo Jung Kim
    Geriatrics & Gerontology International.2020; 20(5): 467.     CrossRef
  • Social Activities and Health-Related Quality of Life in Rural Older Adults in South Korea: A 4-Year Longitudinal Analysis
    JiYeon Choi, Kyeongra Yang, Sang Hui Chu, Yoosik Youm, Hyeon Chang Kim, Yeong-Ran Park, Youn-Jung Son
    International Journal of Environmental Research and Public Health.2020; 17(15): 5553.     CrossRef
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    Ryan Hyon, Yoosik Youm, Junsol Kim, Jeanyung Chey, Seyul Kwak, Carolyn Parkinson
    Proceedings of the National Academy of Sciences.2020; 117(52): 33149.     CrossRef
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    Minji Bang, Junsol Kim, Suk Kyoon An, Yoosik Youm, Jeanyung Chey, Hyeon Chang Kim, Kyungmee Park, Kee Namkoong, Eun Lee
    Brain, Behavior, and Immunity.2019; 79: 309.     CrossRef
  • Association between estimated glomerular filtration rate (eGFR) and asymmetric dimethylarginine (ADMA) concentrations among the elderly in a rural community: a cross-sectional study
    Hye Rin Choi, Seung Won Lee, Da-Hye Jeon, Nam Wook Hur, Yoosik Youm, Hyeon Chang Kim
    BMC Geriatrics.2019;[Epub]     CrossRef
  • Cohort profile: Korean Urban Rural Elderly (KURE) study, a prospective cohort on ageing and health in Korea
    Namki Hong, Kwang-Joon Kim, Su Jin Lee, Chang Oh Kim, Hyeon Chang Kim, Yumie Rhee, Yoosik Youm, Jin-Young Choi, Hyun-Young Park
    BMJ Open.2019; 9(10): e031018.     CrossRef
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    Nam Wook Hur, Hyeon Chang Kim, Linda Waite, Yoosik Youm
    Psychiatry Investigation.2018; 15(1): 24.     CrossRef
  • Association between vitamin D status and asymmetric dimethylarginine (ADMA) concentration in the Korean elderly population
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    Maturitas.2017; 102: 13.     CrossRef
  • Factors Associated with Insomnia among the Elderly in a Korean Rural Community
    Woo Jung Kim, Won-tak Joo, Jiwon Baek, Sung Yun Sohn, Kee Namkoong, Yoosik Youm, Hyeon Chang Kim, Yeong-Ran Park, Sang Hui Chu, Eun Lee
    Psychiatry Investigation.2017; 14(4): 400.     CrossRef
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    BMJ Open.2015; 5(2): e006429.     CrossRef
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    Yoosik Youm, Edward O Laumann, Kenneth F Ferraro, Linda J Waite, Hyeon Chang Kim, Yeong-Ran Park, Sang Hui Chu, Won-tak Joo, Jin A Lee
    BMC Geriatrics.2014;[Epub]     CrossRef
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