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Ho Kim 5 Articles
Comparison of estimates and time series stability of Korea Community Health Survey and Korea National Health and Nutrition Examination Survey
Ji Son Ki, Ho Kim
Epidemiol Health. 2019;41:e2019012.   Published online April 7, 2019
DOI: https://doi.org/10.4178/epih.e2019012
  • 9,319 View
  • 256 Download
  • 2 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
In South Korea, there are two nationwide health surveys conducted by the Korea Centers for Disease Control and Prevention: the Korea Community Health Survey (KCHS) and Korea National Health and Nutrition Examination Survey (KNHANES). The two surveys are directly comparable, as they have the same target population with some common items, and because both surveys are used in various analyses, identifying the similarities and disparities between the two surveys would promote their appropriate use. Therefore, this study aimed to compare the estimates of six variables in KCHS and eight variables in KNHANES over a six-year period and compare time series stability of region-specific and sex- and age-specific subgroup estimates.
METHODS
Data from adults aged 19 years or older in the 2010-2015 KCHS and KNHANES were examined to analyze the differences of estimates and 95% confidence interval for self-rated health, current smoking rate, monthly drinking rate, hypertension diagnosis rate, diabetes diagnosis rate, obesity prevalence, hypertension prevalence, and diabetes prevalence. The variables were then clustered into subgroups by city as well as sex and age to assess the time series stability of the estimates based on mean square error.
RESULTS
With the exception of self-rated health, the estimates taken based on questionnaires, namely current smoking rate, monthly drinking rate, hypertension diagnosis rate, and diabetes diagnosis rate, only differed by less than 1.0%p for both KCHS and KNHANES. However, for KNHANES, estimates taken from physical examination data, namely obesity prevalence, hypertension prevalence, and diabetes prevalence, differed by 1.9-8.4%p, which was greater than the gap in the estimates taken from questionnaires. KCHS had a greater time series stability for subgroup estimates than KNHANES.
CONCLUSIONS
When using the data from KCHS and KNHANES, the data should be selected and used based on the purpose of analysis and policy and in consideration of the various differences between the two data.
Summary
Korean summary
본 연구는 지역사회건강조사와 국민건강영양조사의 2010년부터 2015년까지 6년간의 자료로 각각 6개, 8개 변수의 추정치를 비교하였다. 설문변수 간의 추정치 차이보다 설문변수와 검진변수간의 추정치의 더 차이가 컸고 하위그룹별 시계열 변동은 지역사회건강조사가 더 안정적이었다.
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  • Measurement of physical activity and sedentary behavior in national health surveys, South America
    Danilo R. Silva, Luciana L. Barboza, Se-Sergio Baldew, Cecilia Anza-Ramirez, Robinson Ramírez-Vélez, Felipe B. Schuch, Thayse N. Gomes, Kabir P. Sadarangani, Antonio García-Hermoso, Ramfis Nieto-Martinez, Gerson Ferrari, J. Jaime Miranda, André O. Werneck
    Revista Panamericana de Salud Pública.2022; 46: 1.     CrossRef
  • Differences in accuracy of height, weight, and body mass index between self-reported and measured using the 2018 Korea Community Health Survey data
    Yoonsil Ko, Sunhye Choi, Jisoo Won, Yeon-Kyeng Lee, Dong-Hyun Kim, Seon Kui Lee
    Epidemiology and Health.2022; 44: e2022024.     CrossRef
Estimating causal associations of atopic dermatitis with depression using the propensity score method: an analysis of Korea Community Health Survey data, 2010-2013
Hayon Michelle Choi, Dahye Kim, Whanhee Lee, Ho Kim
Epidemiol Health. 2018;40:e2018059.   Published online November 29, 2018
DOI: https://doi.org/10.4178/epih.e2018059
  • 8,196 View
  • 171 Download
  • 5 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Numerous studies have reported associations between atopic dermatitis (AD) and depression, but the causal relationship between the 2 diseases has not been established. Therefore, this study used the propensity score method to investigate whether there was a positive causal effect of AD on depression in 16 regions (cities and provinces) in Korea.
METHODS
The study analyzed 16 regions (cities and provinces) in Korea, using data obtained from the Korea Community Health Survey for the years 2010-2013. Propensity score matching was used to estimate the causal influence of AD on depression in Korea.
RESULTS
After propensity score matching, the standardized difference for each covariate among the 16 regions (cities and provinces) was less than 1, indicating a balance between the case and control groups. At the national level, those diagnosed with AD had a 2.31 times higher risk for being diagnosed with depression than those who had not been diagnosed with AD. In particular, the risk was highest in North Jeolla Province (odds ratio [OR], 4.87; 95% confidence interval [CI], 2.28 to 10.43) and lowest in Gwangju (OR, 1.82; 95% CI, 0.87 to 3.79), and the OR for Seoul was 2.23 (95% CI, 1.66 to 2.99).
CONCLUSIONS
This study provides insights into how causal inferences can be derived from observational studies, through an analysis of Korea Community Health Survey data. Furthermore, the study results have implications for region-specific guidelines for preventive health policies targeting depression.
Summary
Korean summary
성향 점수 매칭을 이용하여 전국 및 16개 시/도 별 아토피 피부염과 우울증 사이의 인과성을 추정한 결과, 전국에서 아토피 피부염을 진단 받은 사람이 진단 받지 않은 사람들에 비해 우울증 위험도가 2.38배 높았다(CI: 1.29-4.38).
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  • Analysis of Quality of Life and Mental Health in Patients With Atopic Dermatitis, Asthma and Allergic Rhinitis Using a Nation-wide Database, KNHANES VII
    Gyu Na Lee, Ha Yeh Rin Koo, Kyungdo Han, Young Bok Lee
    Allergy, Asthma & Immunology Research.2022; 14(2): 273.     CrossRef
  • Eczema is a shared risk factor for anxiety and depression: A meta-analysis and systematic review
    Qing Long, Hongxia Jin, Xu You, Yilin Liu, Zhaowei Teng, Yatang Chen, Yun Zhu, Yong Zeng, Dong Keon Yon
    PLOS ONE.2022; 17(2): e0263334.     CrossRef
  • Impairment of Quality of Life and Mental Health Status in Adult-Onset Atopic Dermatitis
    Juhwan Yoo, Ha Yeh Rin Koo, Kyungdo Han, Young Bok Lee
    Annals of Dermatology.2022; 34(4): 278.     CrossRef
  • Combined Oral and Topical Application of Pumpkin (Cucurbita pepo L.) Alleviates Contact Dermatitis Associated With Depression Through Downregulation Pro-Inflammatory Cytokines
    Maha Jameal Balgoon, Maryam H. Al-Zahrani, Soad Al Jaouni, Nasra Ayuob
    Frontiers in Pharmacology.2021;[Epub]     CrossRef
  • Association of atopic dermatitis with suicide risk among 788,411 adolescents
    Yechan Kyung, Min Hwan Choi, Yoo Jung Jeon, Ju Suk Lee, Jun Hwa Lee, Seon Hui Jo, Sung Hoon Kim
    Annals of Allergy, Asthma & Immunology.2020; 125(1): 55.     CrossRef
The association between smoking or passive smoking and cardiovascular diseases using a Bayesian hierarchical model: based on the 2008-2013 Korea Community Health Survey
Whanhee Lee, Sung-Hee Hwang, Hayoung Choi, Ho Kim
Epidemiol Health. 2017;39:e2017026.   Published online June 22, 2017
DOI: https://doi.org/10.4178/epih.e2017026
  • 13,207 View
  • 364 Download
  • 34 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Smoking and passive smoking have been extensively reported as risk factors of cardiovascular morbidity and mortality. Despite the biological mechanisms underlying the impact of hazardous chemical substances contained in tobacco in cardiovascular diseases (CVD), studies investigating the association between smoking and passive smoking with morbidity are at an inchoate stage in Korea. Therefore, this study aimed to estimate the risks of smoking and passive smoking on cardiovascular morbidity at the national and regional levels.
METHODS
This study calculated sex-standardized and age-standardized prevalence of CVD and smoking indices in 253 community health centers (si/gun/gu) in Korea using the 2008-2013 Korea Community Health Survey data. Furthermore, a Bayesian hierarchical model was used to estimate the association of smoking and passive smoking with the prevalence of CVD from the national and regional community health centers.
RESULTS
At the national level, smoking was significantly associated with stroke (relative risk [RR], 1.060) and hypertension (RR, 1.016) prevalence, whilst passive smoking at home and work were also significantly associated with prevalence of stroke (RR, 1.037/1.013), angina (RR, 1.016/1.006), and hypertension (RR, 1.010/1.004). Furthermore, the effects of smoking and passive smoking were greater in urban-industrial areas than in rural areas.
CONCLUSIONS
The findings of this study would provide grounds for national policies that limit smoking and passive smoking, as well as regionally serve as the basis for region-specific healthcare policies in populations with high CVD vulnerability.
Summary
Korean summary
베이지안 계층화 방법을 이용하여 흡연 및 간접 흡연과 심혈관계 질환 유병의 전국 및 시/군/구별 연관성을 추정한 결과, 흡연은 뇌졸중 (RR=1.060) 과 고혈압 (RR=1.016) 유병에 유의하게 연관되었다.
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    European Journal of Integrative Medicine.2023; : 102224.     CrossRef
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    Acta Odontologica Scandinavica.2022; 80(6): 457.     CrossRef
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    Clinical Hypertension.2021;[Epub]     CrossRef
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    Frontiers in Cardiovascular Medicine.2021;[Epub]     CrossRef
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  • The relation of passive smoking with cervical cancer
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Analysis of the relationship between community characteristics and depression using geographically weighted regression
Hyungyun Choi, Ho Kim
Epidemiol Health. 2017;39:e2017025.   Published online June 21, 2017
DOI: https://doi.org/10.4178/epih.e2017025
  • 11,528 View
  • 219 Download
  • 4 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Achieving national health equity is currently a pressing issue. Large regional variations in the health determinants are observed. Depression, one of the most common mental disorders, has large variations in incidence among different populations, and thus must be regionally analyzed. The present study aimed at analyzing regional disparities in depressive symptoms and identifying the health determinants that require regional interventions.
METHODS
Using health indicators of depression in the Korea Community Health Survey 2011 and 2013, the Moran’s I was calculated for each variable to assess spatial autocorrelation, and a validated geographically weighted regression analysis using ArcGIS version 10.1 of different domains: health behavior, morbidity, and the social and physical environments were created, and the final model included a combination of significant variables in these models.
RESULTS
In the health behavior domain, the weekly breakfast intake frequency of 1-2 times was the most significantly correlated with depression in all regions, followed by exposure to secondhand smoke and the level of perceived stress in some regions. In the morbidity domain, the rate of lifetime diagnosis of myocardial infarction was the most significantly correlated with depression. In the social and physical environment domain, the trust environment within the local community was highly correlated with depression, showing that lower the level of trust, higher was the level of depression. A final model was constructed and analyzed using highly influential variables from each domain. The models were divided into two groups according to the significance of correlation of each variable with the experience of depression symptoms.
CONCLUSIONS
The indicators of the regional health status are significantly associated with the incidence of depressive symptoms within a region. The significance of this correlation varied across regions.
Summary
Korean summary
정신질환 중 가장 흔한 우울증의 경우 집단의 특성 간 발생 현황에 차이를 보이고 있어 지역별 접근을 통한 연구가 요구됨에 따라 본 연구에서는 우울증의 지역적 변이요인을 분석하여 지역별 중재가 필요한 건강결정요인을 파악하고자 지역사회건강조사 자료를 이용하여 공간적 지리가중회귀분석을 시행하였다. 본 연구를 통해 지역단위보건관련지표는 지역의 우울증 발생과 유의미한 연관성이 있으며 연관성 우선순위는 지역별 차이가 있음이 밝혀졌다. 지역적 특성에 따른 우선순위를 제시하였음에 본 연구의 의의가 있으며 공중 보건 영역의 다른 사례에 본 연구방법론 및 연구결과 제시 방안을 적용함에 따라 지역의 건강수준향상 프로그램 개발에 유용한 기초자료의 제공을 기대할 수 있다.
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The effect of community-level smoke-free ordinances on smoking rates in men based on Community Health Surveys
Hye Ah Lee, Hyesook Park, Ho Kim, Kyunghee Jung-Choi
Epidemiol Health. 2014;36:e2014037.   Published online December 26, 2014
DOI: https://doi.org/10.4178/epih/e2014037
  • 13,632 View
  • 140 Download
  • 6 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
As one of smoke-free policies, communities have established the smoke-free ordinances since August 2010. Thus, this study aimed to evaluate the effects of community-level smoke-free ordinances (SFO) on smoking rates in men using multiyear Community Health Survey (CHS) data.
METHODS
Data on community-level SFO were collected from a website on Enhanced Local Laws and Regulation Information System. Regional smoking-related data were obtained from CHS data from 2008 to 2012 and the age-standardized rates of current smoking in men, attempts to quit smoking, and smoke-free campaign experiences including the mean number of cigarettes smoked (smoking amount) were calculated. Repeated measures analysis of variance was performed to evaluate the effects of regional implementation of SFO and the duration on change of smoking rates.
RESULTS
Overall current smoking rates and daily mean cigarettes smoked were lower in community where SFO had been implemented compared to those without implementation, and there was a significant difference in smoking rates between 2010 and 2008. Cross-sectional analysis of the effects of regional SFO revealed clear difference in rate of current smoking, but longitudinal analysis showed no significant differences. Stratifying by age groups, however, showed that groups less than 30 years of age had low smoking rates in community with ordinance compared to those without SFO since 2010. Yearly surveys measuring the number of cigarettes smoked, attempts to quit smoking, and experiences of smoke-free campaigns showed regional differences in the duration of implementation, but these differences were not significant in longitudinal analysis. Furthermore, there was a difference in regional socioeconomic characteristics between community with and without SFO implementation.
CONCLUSIONS
For effective smoking control, it is necessary to evaluate current policies and develop indices to evaluate the practical implementation of ordinances. As more communities to pass the SFO, long-term observation and assessments required.
Summary
Korean summary
2008년부터 2012년까지 조사된 지역사회건강조사 자료를 이용하여, 지역별 금연 조례 시행에 대한 효과를 평가한 연구 결과로, 종단적 분석을 통해 접근하였을 때 시간에 따른 흡연율 감소 폭은 조례 시행/미시행 지역간에 차이를 보이지 않았으며, 지역의 사회경제적 특성 요인에 차이가 존재하는 것으로 나타났다. 효과적인 흡연 규제를 위해, 현 시행중인 정책에 대한 효과 평가 및 장기적인 평가가 필요하다.
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