Skip Navigation
Skip to contents

Epidemiol Health : Epidemiology and Health

OPEN ACCESS
SEARCH
Search
Advanced Search
mobile menu button

Search

Page Path
HOME > Search
6 "Determinants"
Filter
Filter
Article category
Keywords
More +
Publication year
More +
Authors
More +
Funded articles
Original Articles
Evaluation of the accessibility and its equity of the national public-private mix program for tuberculosis in Korea: a multilevel analysis
Hyunjin Son, Changhoon Kim
Epidemiol Health. 2023;45:e2023002.   Published online December 7, 2022
DOI: https://doi.org/10.4178/epih.e2023002
  • 3,053 View
  • 133 Download
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
To examine the effect of individual and area-level characteristics on the probability of public-private mix (PPM) support (PPM coverage) for tuberculosis (TB).
METHODS
This study is a retrospective cohort design using TB reporting and treatment management data in Korea. We analyzed PPM coverage through multilevel logistic regression and empirical Bayesian estimation according to individual and area-level characteristics and their interaction.
RESULTS
Patients aged 0-29 years, women, of Korean nationality, treated at a general hospital, a one-time reporting, urban areas, and the lowest deprivation index (DI) showed higher PPM coverage. Due to the cross-level interaction, PPM coverage in the urban areas (slope=-0.048, p<0.001) had a higher level but a steeper negative deprivation gradient than in rural areas (slope= -0.015, p<0.001). For a general hospital, the PPM coverage in urban is high but more significantly decreased than in rural areas with the higher DI (urban: slope=-0.047, p<0.001; rural: slope=-0.031, p<0.001). For clinics and hospitals, the effect of DI did not appear in urban areas, but in rural areas, the higher the DI, the higher the PPM coverage with a slope of 0.046 (p<0.001) and 0.063 (p<0.001), respectively.
CONCLUSIONS
The PPM program created a significant disparity in PPM coverage between urban-rural areas and type of healthcare provider according to DI. Considering the high risk of TB incidence in areas with higher DI, institutional improvement and program redesign are needed to improve accessibility and equity.
Summary
Korean summary
다수준 분석을 통해 시행하여 PPM(Public-Private Mix) 사업의 주요한 평가 지표인 PPM coverage를 접근성과 형평성 관점에서 검토하였다. PPM 사업은 전반적으로 치료지원 수준을 높이는 효과가 있었지만, 도시화수준, 박탈 수준과 치료지원기관 선택의 3원 교차수준 교호작용의 결과로 지역간 PPM coverage에 지역박탈지수에 따른 큰 기울기를 가진 격차를 만들었다. 지역박탈수준이 큰 지역의 높은 결핵 발생 위험을 고려하면 효율성과 함께 형평성 수준을 향상시킬 수 있는 제도적 개선과 프로그램의 보완이 필요하다.
Key Message
This study analyzed the effect of individual and area-level characteristics on the probability of public-private mix (PPM) coverage for tuberculosis (TB) in Korea. The PPM program created a significant disparity in PPM coverage between urban-rural areas and type of healthcare provider according to deprivation index (DI). Given the high TB risk in areas with high DI, there is a need for institutional improvement and program redesign to improve accessibility and equity.
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
  • 3,694 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
Distribution and social determinants of overweight and obesity: a cross-sectional study of non-pregnant adult women from the Malawi Demographic and Health Survey (2015-2016)
Leonard Mndala, Abhay Kudale
Epidemiol Health. 2019;41:e2019039.   Published online September 27, 2019
DOI: https://doi.org/10.4178/epih.e2019039
  • 13,107 View
  • 270 Download
  • 13 Web of Science
  • 13 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Hitherto regarded as a public health issue of well-heeled nations, overweight and obesity have emerged as a problem of concern in developing nations. Although social and demographic factors are equally important as proximal lifestyle factors affecting health, their role is neither well researched nor well understood. We conducted a novel study to determine the distribution, prevalence, and social and demographic determinants of overweight/obesity in Malawi.
METHODS
A population-based, quantitative cross-sectional study using data from the Malawi Demographic and Health Survey (2015-2016) was conducted among non-pregnant women aged 18-49 years. A total of 6,443 women were included in the analysis. Overweight/obesity, defined as a body mass index (BMI) ≥25.0 kg/m2 , was the main outcome variable. The analysis was done in SPSS version 20.0; after calculating descriptive statistics, bivariate and multivariate logistic regression was conducted to evaluate associations and determine odds.
RESULTS
In total, 16.8% and 6.3% of women were overweight and obese, respectively (p<0.001). Overweight and obesity were more prevalent in urban than in rural areas. The BMI distribution among women varied across different background characteristics. Women from the Ngoni ethnicity were more likely to be overweight/obese than others (adjusted odds ratio [aOR], 1.54; 95% confidence interval [CI], 1.14 to 2.08). Socioeconomic status (SES) and the age of the respondent were highly significant determinants that were strongly associated with being overweight/obese. The richest women were 3 times more likely to be overweight/obese than the poorest (aOR, 3.30; 95% CI, 2.46 to 4.43).
CONCLUSIONS
Overweight and obesity were highly prevalent and significantly associated with increasing SES, age, and being from the Ngoni ethnicity. Holistic interventions should also focus on improving social determinants in order to entirely curb the epidemic.
Summary

Citations

Citations to this article as recorded by  
  • Exploring the Causes of Obesity Among Adults in the Kurdish Regions of Iran: A Qualitative Study
    Seyed Fahim Irandoost, Bahman Bayangani, Tahereh Dehdari, Javad Yousefi Lebni, Nafe Babasfari, Nafiul Mehedi, Mohammad Hosein Taghdisi
    Community Health Equity Research & Policy.2023; 43(2): 183.     CrossRef
  • Updating the association between socioeconomic status and obesity in low‐income and lower‐middle‐income sub‐Saharan African countries: A literature review
    Bertille Daran, Pierre Levasseur, Matthieu Clément
    Obesity Reviews.2023;[Epub]     CrossRef
  • Analysis of Correlation between the Socioeconomic Environment and Level of Nutrition in the Population of Serbia: A Part of the National Survey
    Mladen Grujicic, Marija Sekulic, Milos Stepovic, Natasa Zdravkovic, Vladan Markovic, Jagoda Gavrilovic, Mirjana Veselinovic, Jelena Vuckovic-Filipovic, Katarina Nikolic, Olivera Milovanovic, Branimir Radmanovic, Bojan Milosevic, Rada Vucic, Stefan Jakovlj
    Sustainability.2023; 15(14): 11189.     CrossRef
  • Individual and contextual predictors of overweight or obesity among women in Uganda: a spatio-temporal perspective
    Prince M. Amegbor, Ortis Yankey, Megan Davies, Clive E. Sabel
    GeoJournal.2022; 87(5): 3793.     CrossRef
  • Then and Now: Investigating Anthropometrics and Child Mortality among Females in Malawi
    Sally Sonia Simmons, John Elvis Hagan, Thomas Schack
    International Journal of Environmental Research and Public Health.2022; 19(10): 6171.     CrossRef
  • Maternal overweight and obesity and its associated factors and outcomes in human immunodeficiency virus (HIV)‐infected and HIV‐uninfected black South African pregnant women
    Christen R. Erasmus, Anil A. Chuturgoon, Niren R. Maharaj
    Journal of Obstetrics and Gynaecology Research.2022; 48(11): 2697.     CrossRef
  • Country-Level Variations in Overweight and Obesity among Reproductive-Aged Women in Sub-Saharan Countries
    Olah Owobi, Osaretin Okonji, Chimezie Nzoputam, Michael Ekholuenetale
    Women.2022; 2(4): 313.     CrossRef
  • Food purchasing decisions of Malawian mothers with young children in households experiencing the nutrition transition
    Valerie L. Flax, Chrissie Thakwalakwa, Courtney H. Schnefke, John C. Phuka, Lindsay M. Jaacks
    Appetite.2021; 156: 104855.     CrossRef
  • Time trends in socio-economic, urban-rural and regional disparities in prevalence of obesity among non-pregnant women in Lesotho: evidence from Lesotho demographic and health surveys (2004–2014)
    Betregiorgis Zegeye, Gebretsadik Shibre, Gashaw Garedew Woldeamanuel
    BMC Public Health.2021;[Epub]     CrossRef
  • Risk factors for overweight and obesity among women of reproductive age in Dar es Salaam, Tanzania
    Dominic Mosha, Heavenlight A. Paulo, Mary Mwanyika-Sando, Innocent B. Mboya, Isabel Madzorera, Germana H. Leyna, Sia E. Msuya, Till W. Bärnighausen, Japhet Killewo, Wafaie W. Fawzi
    BMC Nutrition.2021;[Epub]     CrossRef
  • Observed magnitude and trends in socioeconomic and geographic area inequalities in obesity prevalence among non-pregnant women in Chad: evidence from three waves of Chad demographic and health surveys
    Gebretsadik Shibre, Betregiorgis Zegeye, Gashaw Garedew Woldeamanuiel, Wassie Negash, Gorems Lemma, Mitku Mamo Taderegew
    Archives of Public Health.2021;[Epub]     CrossRef
  • Education and prevalence of overweight and obesity among reproductive age group women in Ethiopia: analysis of the 2016 Ethiopian demographic and health survey data
    Ayelign Mengesha Kassie, Biruk Beletew Abate, Mesfin Wudu Kassaw
    BMC Public Health.2020;[Epub]     CrossRef
  • Drivers of food consumption among overweight mother-child dyads in Malawi
    Chrissie Thakwalakwa, Valerie L. Flax, John C. Phuka, Harrison Garcia, Lindsay M. Jaacks, Mauro Lombardo
    PLOS ONE.2020; 15(12): e0243721.     CrossRef
Visceral leishmaniasis treatment outcome and its determinants in northwest Ethiopia
Getachew Mebrahtu Welay, Kefyalew Addis Alene, Berihun Assefa Dachew
Epidemiol Health. 2017;39:e2017001.   Published online December 28, 2016
DOI: https://doi.org/10.4178/epih.e2017001
  • 16,617 View
  • 380 Download
  • 16 Web of Science
  • 18 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Poor treatment outcomes of visceral leishmaniasis (VL) are responsible for the high mortality rate of this condition in resource-limited settings such as Ethiopia. This study aimed to identify the proportion of poor VL treatment outcomes in northwest Ethiopia and to evaluate the determinants associated with poor outcomes.
METHODS
A hospital-based retrospective study was conducted among 595 VL patients who were admitted to Kahsay Abera Hospital in northwest Ethiopia from October 2010 to April 2013. Data were entered into Epi Info version 7.0 and exported to SPSS version 20 for analysis. Bivariate and multivariate logistic regression models were fitted to identify the determinants of VL treatment outcomes. Adjusted odds ratio (aORs) with 95% confidence intervals (CIs) were used, and p-values <0.05 were considered to indicate statistical significance.
RESULTS
The proportion of poor treatment outcomes was 23.7%. Late diagnosis (≥29 days) (aOR, 4.34; 95% CI, 2.22 to 8.46), severe illness at admission (inability to walk) (aOR, 1.63; 95% CI, 1.06 to 2.40) and coinfection with VL and human immunodeficiency virus (HIV) (aOR, 2.72; 95% CI, 1.40 to 5.20) were found to be determinants of poor VL treatment outcomes.
CONCLUSIONS
Poor treatment outcomes, such as death, treatment failure, and non-adherence, were found to be common. Special attention must be paid to severely ill and VL/HIV-coinfected patients. To improve VL treatment outcomes, the early diagnosis and treatment of VL patients is recommended.
Summary

Citations

Citations to this article as recorded by  
  • Hematological and Clinical Features Associated with Initial Poor Treatment Outcomes in Visceral Leishmaniasis Patients with and without HIV Coinfection in Gondar, Northwest Ethiopia
    Muluneh Ademe, Yaneth Osorio, Rawliegh Howe, Saba Atnafu, Tadele Mulaw, Helina Fikre, Bruno L. Travi, Asrat Hailu, Peter C. Melby, Tamrat Abebe
    Tropical Medicine and Infectious Disease.2023; 8(1): 36.     CrossRef
  • Fever of unknown origin and splenomegaly: a case report of visceral leishmaniasis diagnosed by metagenomic next-generation sequencing
    Lan-Qing Li, Yiju He, Ting Liu, Jing Zhou, En-Qiang Chen
    Future Microbiology.2023; 18(11): 699.     CrossRef
  • Trend of Visceral Leishmaniasis at Medicine Sans Frontier’s Abdurafi Treatment Center, West Armachiho District, Ethiopia, 2009-2015, a retrospective descriptive analysis
    Sisay Awoke, Sefonias Getachew, Yimer Seid, Tatek Bogale
    Journal of Interventional Epidemiology and Public Health.2022;[Epub]     CrossRef
  • Zoonotic Diseases in the eastern region of the Iraqi capital, between 2010-2016
    A S Barrak, O A Saeed, MTA Mohammed
    IOP Conference Series: Earth and Environmental Science.2021; 779(1): 012008.     CrossRef
  • Inequalities of visceral leishmaniasis case-fatality in Brazil: A multilevel modeling considering space, time, individual and contextual factors
    Gláucia Cota, Astrid Christine Erber, Eva Schernhammer, Taynãna Cesar Simões, Alberto Novaes Ramos
    PLOS Neglected Tropical Diseases.2021; 15(7): e0009567.     CrossRef
  • Efficacy and safety of a combined treatment of sodium stibogluconate at 20mg/kg/day with upper maximum daily dose limit of 850mg and Paromomycin 15mg/kg/day in HIV negative visceral leishmaniasis patients. A retrospective study, northwest Ethiopia
    Aschalew Tamiru, Rezika Mohammed, Saba Atnafu, Girmay Medhin, Asrat Hailu, Peter C. Melby
    PLOS Neglected Tropical Diseases.2021; 15(8): e0009713.     CrossRef
  • Bioprospecting marine actinomycetes for antileishmanial drugs: current perspectives and future prospects
    O.F. Davies-Bolorunduro, O. Osuolale, S. Saibu, I.A. Adeleye, N.S. Aminah
    Heliyon.2021; 7(8): e07710.     CrossRef
  • Prevalence estimates of human immunodeficiency virus (HIV) infection among visceral leishmaniasis infected people in Northwest Ethiopia: a systematic review and meta-analysis
    Mehdi Mohebali, Yonas Yimam
    BMC Infectious Diseases.2020;[Epub]     CrossRef

  • Incidence of Mortality and Its Predictors Among Adult Visceral Leishmaniasis Patients at the University of Gondar Hospital: A Retrospective Cohort Study


    Yigizie Yeshaw, Adino Tesfahun Tsegaye, Solomon Gedlu Nigatu
    Infection and Drug Resistance.2020; Volume 13: 881.     CrossRef
  • Infectivity and Drug Susceptibility Profiling of Different Leishmania-Host Cell Combinations
    Kyung-Hwa Baek, Laura Piel, Thibault Rosazza, Eric Prina, Gerald F. Späth, Joo Hwan No
    Pathogens.2020; 9(5): 393.     CrossRef
  • Discovery of novel hit compounds with broad activity against visceral and cutaneous Leishmania species by comparative phenotypic screening
    S. Lamotte, N. Aulner, G. F. Späth, E. Prina
    Scientific Reports.2019;[Epub]     CrossRef
  • Visceral Leishmaniasis Treatment Outcome and Associated Factors in Northern Ethiopia
    Kidu Gidey, Desalegn Belay, Berhane Yohannes Hailu, Tesfaye Dessale Kassa, Yirga Legesse Niriayo
    BioMed Research International.2019; 2019: 1.     CrossRef
  • Relationship of Serum Antileishmanial Antibody With Development of Visceral Leishmaniasis, Post-kala-azar Dermal Leishmaniasis and Visceral Leishmaniasis Relapse
    Dinesh Mondal, Prakash Ghosh, Rajashree Chowdhury, Christine Halleux, Jose A. Ruiz-Postigo, Abdul Alim, Faria Hossain, Md Anik Ashfaq Khan, Rupen Nath, Malcolm S. Duthie, Axel Kroeger, Greg Matlashewski, Daniel Argaw, Piero Olliaro
    Frontiers in Microbiology.2019;[Epub]     CrossRef
  • Cutaneous leishmaniasis a neglected tropical disease: community knowledge, attitude and practices in an endemic area, Northwest Ethiopia
    Helina Fikre Tamiru, Yohana James Mashalla, Rezika Mohammed, Gloria Thupayagale Tshweneagae
    BMC Infectious Diseases.2019;[Epub]     CrossRef
  • The criminal association of Leishmania parasites and viruses
    Matteo Rossi, Nicolas Fasel
    Current Opinion in Microbiology.2018; 46: 65.     CrossRef
  • Leishmaniasis in Ethiopia: A systematic review and meta-analysis of prevalence in animals and humans
    Ayalew Assefa
    Heliyon.2018; 4(8): e00723.     CrossRef
  • Treatment outcomes of visceral leishmaniasis in Ethiopia from 2001 to 2017: a systematic review and meta-analysis
    Eyob Alemayehu Gebreyohannes, Akshaya Srikanth Bhagvathula, Tadesse Melaku Abegaz, Mohammed Assen Seid
    Infectious Diseases of Poverty.2018;[Epub]     CrossRef
  • A preliminary survey of major diseases of ruminants and management practices in Western Tigray province, northern Ethiopia
    Getachew Mebrahtu Welay, Dawit Gebremichael Tedla, Gebreyohans Gebru Teklu, Shishay Kahsay Weldearegay, Mearg Belay Shibeshi, Haftom Hadush Kidane, Berhe Beyene Gebrezgiabher, Teklehaymanot Huluf Abraha
    BMC Veterinary Research.2018;[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
  • 22,699 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
  • Similarity in functional brain connectivity at rest predicts interpersonal closeness in the social network of an entire village
    Ryan Hyon, Yoosik Youm, Junsol Kim, Jeanyung Chey, Seyul Kwak, Carolyn Parkinson
    Proceedings of the National Academy of Sciences.2020; 117(52): 33149.     CrossRef
  • Associations of systemic inflammation with frontotemporal functional network connectivity and out-degree social-network size in community-dwelling older adults
    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
  • Is the Relationship between Depression and C Reactive Protein Level Moderated by Social Support in Elderly?-Korean Social Life, Health, and Aging Project (KSHAP)
    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
    Hye Rin Choi, Seung Won Lee, Hyungseon Yeom, Da-Hye Jeon, Hyeon Chang Kim, Yoosik Youm
    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
  • Association between C reactive protein level and depressive symptoms in an elderly Korean population: Korean Social Life, Health and Aging Project
    B. M. Song, J.-M. Lee, W. Choi, Y. Youm, S. H. Chu, Y.-R. Park, H. C. Kim
    BMJ Open.2015; 5(2): e006429.     CrossRef
  • Social network properties and self-rated health in later life: comparisons from the Korean social life, health, and aging project and the national social life, health and aging project
    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
Original Article
Using Bayesian Networks to Model Hierarchical Relationships in Epidemiological Studies
Georges Nguefack-Tsague
Epidemiol Health. 2011;33:e2011006.   Published online June 17, 2011
DOI: https://doi.org/10.4178/epih/e2011006
  • 48,728 View
  • 117 Download
  • 12 Crossref
AbstractAbstract PDF
Abstract
<sec><title>OBJECTIVES</title><p>To propose an alternative procedure, based on a Bayesian network (BN), for estimation and prediction, and to discuss its usefulness for taking into account the hierarchical relationships among covariates.</p></sec><sec><title>METHODS</title><p>The procedure is illustrated by modeling the risk of diarrhea infection for 2,740 children aged 0 to 59 months in Cameroon. We compare the procedure with a standard logistic regression and with a model based on multi-level logistic regression.</p></sec><sec><title>RESULTS</title><p>The standard logistic regression approach is inadequate, or at least incomplete, in that it does not attempt to account for potentially causal relationships between risk factors. The multi-level logistic regression does model the hierarchical structure, but does so in a piecewise manner; the resulting estimates and interpretations differ from those of the BN approach proposed here. An advantage of the BN approach is that it enables one to determine the probability that a risk factor (and/or the outcome) is in any specific state, given the states of the others. The currently available approaches can only predict the outcome (disease), given the states of the covariates.</p></sec><sec><title>CONCLUSION</title><p>A major advantage of BNs is that they can deal with more complex interrelationships between variables whereas competing approaches deal at best only with hierarchical ones. We propose that BN be considered as well as a worthwhile method for summarizing the data in epidemiological studies whose aim is understanding the determinants of diseases and quantifying their effects.</p></sec>
Summary

Citations

Citations to this article as recorded by  
  • Predicting COVID-19 community infection relative risk with a Dynamic Bayesian Network
    Daniel P. Johnson, Vijay Lulla
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Study design synopsis: Battle in the stable: Bayesianism versus Frequentism
    Johann Detilleux
    Equine Veterinary Journal.2021; 53(2): 199.     CrossRef
  • Learning Bayesian networks from demographic and health survey data
    Neville Kenneth Kitson, Anthony C. Constantinou
    Journal of Biomedical Informatics.2021; 113: 103588.     CrossRef
  • Novel statistical approaches to identify risk factors for soil-transmitted helminth infection in Timor-Leste
    Jessica Yi Han Aw, Naomi E. Clarke, Helen J. Mayfield, Colleen L. Lau, Alice Richardson, Susana Vaz Nery
    International Journal for Parasitology.2021; 51(9): 729.     CrossRef
  • Using Bayesian Networks to Predict Long-Term Health-Related Quality of Life and Comorbidity after Bariatric Surgery: A Study Based on the Scandinavian Obesity Surgery Registry
    Yang Cao, Mustafa Raoof, Eva Szabo, Johan Ottosson, Ingmar Näslund
    Journal of Clinical Medicine.2020; 9(6): 1895.     CrossRef
  • Can dementia be predicted using olfactory identification test in the elderly? A Bayesian network analysis
    Ding Ding, Xiaoniu Liang, Zhenxu Xiao, Wanqing Wu, Qianhua Zhao, Yang Cao
    Brain and Behavior.2020;[Epub]     CrossRef
  • Development of a multivariable predictive model for postoperative nausea and vomiting after cancer surgery in adults
    Léia Alessandra Pinto Yamada, Gabriel Magalhães Nunes Guimarães, Magda Aparecida Santos Silva, Angela Maria Sousa, Hazem Adel Ashmawi
    Brazilian Journal of Anesthesiology (English Edition).2019; 69(4): 342.     CrossRef
  • Desenvolvimento de um modelo preditivo multivariado para náusea e vômito no pós‐operatório de cirurgia oncológica em adultos
    Léia Alessandra Pinto Yamada, Gabriel Magalhães Nunes Guimarães, Magda Aparecida Santos Silva, Angela Maria Sousa, Hazem Adel Ashmawi
    Brazilian Journal of Anesthesiology.2019; 69(4): 342.     CrossRef
  • Unravelling infectious disease eco-epidemiology using Bayesian networks and scenario analysis: A case study of leptospirosis in Fiji
    Colleen L. Lau, Helen J. Mayfield, John H. Lowry, Conall H. Watson, Mike Kama, Eric J. Nilles, Carl S. Smith
    Environmental Modelling & Software.2017; 97: 271.     CrossRef
  • A Mixture-Based Bayesian Model Averaging Method
    Georges Nguefack-Tsague, Walter Zucchini
    Open Journal of Statistics.2016; 06(02): 220.     CrossRef
  • Effects of Bayesian Model Selection on Frequentist Performances: An Alternative Approach
    Georges Nguefack-Tsague, Walter Zucchini
    Applied Mathematics.2016; 07(10): 1103.     CrossRef
  • Frequentist Model Averaging and Applications to Bernoulli Trials
    Georges Nguefack-Tsague, Walter Zucchini, Siméon Fotso
    Open Journal of Statistics.2016; 06(03): 545.     CrossRef
Epidemiol Health : Epidemiology and Health
© Korean Society of Epidemiology.