Epidemiology and Health

Cohort Profile

The 2019 Rio Grande birth cohort: profile of a Brazilian 5-year study on mental health conditions: Rafaela Costa Martins, Francine dos Santos Costa, Cauane Blumenberg, Thais Martins-Silva, Romina Buffarini, Juraci Almeida Cesar, Christian Loret de Mola; Epidemiol Health. 2025;47:e2025039. Published online July 21, 2025; DOI: https://doi.org/10.4178/epih.e2025039

5,222 View
78 Download
2 Web of Science
1 Crossref

Abstract Summary PDF Supplementary Material

Abstract

We established the 2019 Rio Grande birth cohort to investigate the life course epidemiology of mental health and its intergenerational transmission. In 2019, we systematically identified all hospital births in the city of Rio Grande, located in Southern Brazil. Mothers who delivered a singleton liveborn child were administered a standardized, face-to-face questionnaire. In 2020, we conducted 2 follow-up assessments (WebCOVID-19 1 and 2), a third in 2021-22 (WebCOVID-19-3), and a fourth in 2023-24 (WebPOST-COVID). Across these follow-ups, we collected data on socio-demographic, environmental, and behavioral factors pertaining to both mother and child, as well as maternal mental health. Child mental health and development were specifically evaluated during the fourth follow-up. At baseline, 2,051 mothers were interviewed. Response rates for the online follow-ups were 54.1%, 51.1%, 48.7%, and 34.6%, respectively. In WebCOVID-19-3, the highest prevalence rates for depression (34.7%) and anxiety (33.1%) were observed. This cohort provides novel insights into maternal mental health, child development, and post-coronavirus disease 2019 behaviors, emphasizing culturally specific risk factors. Our findings are based on both published and ongoing studies. Data may be requested upon reasonable request.

Summary

Key Message
The 2019 Rio Grande Birth Cohort is a prospective study that has been following over 2,000 mothers and their children since 2019. It is designed specifically to understand the intergenerational transmission of mental health problems. The cohort's unique design combines detailed face-to-face questionnaires at baseline with remote, web-based follow-ups, and serves as a comprehensive overview of the cohort's methodology, data collection instruments, and study design, demonstrating its potential to generate valuable insights into maternal and child health.

Citations

Citations to this article as recorded by

Changes in habits among mothers during the period of social isolation due to COVID-19 in the municipality of Rio Grande, Rio Grande do Sul, Brazil
Jefferson Sales da Silva, Pâmela Moraes Volz, Rafaela Costa Martins, Francine dos Santos Costa, Cauane Blumenberg, Thais Martins Silva, Romina Buffarini, Lorena Goulart Vieira, Patricia Cota Lima, Zulema Mamani Condori, Caroline Lisset Dominguez Herido, C
Revista Brasileira de Epidemiologia.2025;[Epub] CrossRef

Brief Communication

The association between employee lifestyles and the rates of mental health-related absenteeism and turnover in Japanese companies: Atsuya Fujimoto, Hiroshi Kanegae, Kaori Kitaoka, Mizuki Ohashi, Kunio Okada, Koichi Node, Kenkichi Takase, Hiroshi Fukuda, Tomoyuki Miyazaki, Yuichiro Yano; Epidemiol Health. 2024;46:e2024068. Published online August 2, 2024; DOI: https://doi.org/10.4178/epih.e2024068

16,237 View
290 Download
1 Web of Science
1 Crossref

Abstract PDF

Abstract

We assessed the association of employee lifestyles (e.g., smoking, exercise, drinking, and sleep habits) with mental health-related absenteeism and turnover rates utilizing data from the annual Health and Productivity Management survey by Japan’s Ministry of Economy, Trade and Industry. This analysis included data from 1,748 companies, encompassing 4,199,021 employees. The average proportions of mental health-related absenteeism and employee turnover rates were 1.1±1.0% and 5.0±5.0%, respectively. In multivariable regression models that incorporated all lifestyle factors and confounders, a 1 percentage point increase in the proportion of employees who slept well was associated with reductions in their turnover rate (mean, -0.020%; 95% confidence interval [CI], -0.038 to -0.002) and in mental health-related absenteeism (mean, -0.005%; 95% CI, -0.009 to 0.001). A similar increase in the proportion of employees engaging in regular physical activity corresponded with a 0.005% decrease in the prevalence of mental health-related absenteeism (95% CI, -0.010 to -0.001). A 1 percentage point increase in the proportion of employees who smoked was associated with a 0.013% reduction in mental health-related absenteeism (95% CI, -0.017 to -0.008). Nonetheless, the current study’s observational and cross-sectional design restricted the ability to establish causality between employee lifestyle factors and mental health issues.

Summary

Citations

Citations to this article as recorded by

Telemonitored sleep quality and daily activity are associated with mental health outcomes among Japanese workers
Seiko Miyata, Kunihiro Iwamoto, Keita Kawai, Hiroshige Fujishiro, Kazuyuki Nakagome, Norio Ozaki, Masashi Ikeda
Scientific Reports.2026;[Epub] CrossRef

Original Articles

Association of healthy lifestyle factors with the risk of hypertension, dyslipidemia, and their comorbidity in Korea: results from the Korea National Health and Nutrition Examination Survey 2019-2021: Ji-Sook Kong, Mi Kyung Kim; Epidemiol Health. 2024;46:e2024049. Published online May 1, 2024; DOI: https://doi.org/10.4178/epih.e2024049

16,335 View
304 Download
3 Web of Science
4 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
We investigated the association of individual healthy lifestyle factors (HLFs) and their combined healthy lifestyle score (HLS) with hypertension and/or dyslipidemia.

METHODS

We analyzed data from 10,693 adults aged ≥19 from the 2019 to 2021 Korea National Health and Nutrition Examination Survey. HLS was evaluated based on smoking status, alcohol consumption, body mass index (BMI), diet, and physical activity. Using logistic regression models, we estimated odds ratios (ORs) with 95% confidence intervals (CIs) to evaluate the associations of HLFs and HLS with hypertension, dyslipidemia, and their comorbidity.

RESULTS

The prevalence of hypertension alone, dyslipidemia alone, and their comorbidity was 8.7%, 24.6%, and 15.0%, respectively. Multivariable models showed an inverse association of hypertension (OR, 0.37; 95% CI, 0.30 to 0.46) and dyslipidemia (OR, 0.36; 95% CI, 0.32 to 0.41) with healthy BMI. Hypertension was inversely associated with healthy alcohol consumption (OR, 0.46; 95% CI, 0.35 to 0.61) and diet (OR, 0.79; 95% CI, 0.63 to 0.99), whereas dyslipidemia was inversely associated with non-smoking (OR, 0.51; 95% CI, 0.43 to 0.60). Physical activity was inversely associated with their comorbidity (OR, 0.69; 95% CI, 0.56 to 0.85). Adherence to HLS was associated with significantly lower odds of hypertension (81%), dyslipidemia (66%), and their conditions (89%) (all ptrend<0.001). Stratified analyses consistently showed inverse associations between HLS and hypertension and/or dyslipidemia independently of demographic factors (pinteractions>0.05).

CONCLUSIONS

HLFs were associated with lower risk for hypertension and/or dyslipidemia. Obesity may contribute significantly to the risk of these conditions, while relevant HLFs for individual chronic diseases may vary significantly.

Summary

Korean summary
건강한 생활 습관 요인(HLFs)의 개별 구성 요인들은 고혈압 및 이상지질혈증의 동반 위험과 각각의 상태와 음의 연관성을 보였다. 다양한 HLFs 중에서 BMI 상태가 중요한 요인으로 확인되었지만, 개별 만성 질환에 대한 관련 HLFs는 상당히 다를 수 있다. 또한, 명확한 용량-반응 관계가 관찰되어, 더 HLFs를 준수할수록 고혈압, 이상지질혈증 및 그들의 동반 가능성이 유의미하게 감소하는 것으로 나타났다.

Key Message
Individual components of healthy lifestyle factors (HLFs) were inversely associated with the risk of comorbid hypertension and dyslipidemia, as well as with each condition. Among the various HLFs, BMI status was identified as a significant factor, while relevant HLFs for individual chronic diseases may vary significantly. Additionally, clear dose-response associations were observed, indicating that adherence to more HLFs was significantly associated with decreasing odds of hypertension, dyslipidemia, and their comorbidity.

Citations

Citations to this article as recorded by

The associations between healthy lifestyle scores, their long-term changes, and incident hypertension risk in adults: a prospective cohort study
Ji Zhang, Tao Liu, Yanli Wu, Jie Zhou, Ling Li, Xuejiao Li, Wei Ji
Frontiers in Cardiovascular Medicine.2026;[Epub] CrossRef
Association between lifestyle changes and metabolic syndrome: a prospective cohort study in middle-aged Koreans
Kyoungsik Jeong, Hoseok Kim, Siwoo Lee, Younghwa Baek
BMJ Open.2026; 16(2): e102058. CrossRef
Prevalence of dyslipidemia and its associated risk factors in hypertensive population: A single-center cross-sectional study in southern China
Junming Sun, Bin Huang, Weikun Zhao, Qiurui Li, Siwei Yin, Ying Zhang, Rongjie Huang
Journal of the Renin-Angiotensin-Aldosterone System.2025;[Epub] CrossRef
Nutriomics and artificial intelligence nutrition obesity cohort (NAINOC): a design paper for a prospective cohort for nutrition and obesity research
Minyoung Lee, Sungha Park, Soo-Hyun Park, Ho-Young Park, Yu Ra Lee, Min-Sun Kim, Miso Nam, Jangho Lee, Hyein Seo, Yong-ho Lee, Chan Joo Lee, Jae-Ho Park, Hye Hyun Yoo, Hyun-Jin Kim, Kyong-Oh Shin, Yoshikazu Uchida, Kyungho Park
Clinical Hypertension.2025;[Epub] CrossRef

Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors: Minji Kang, Sihan Song, Hyun Jeong Cho, Zisun Kim, Hyun Jo Youn, Jihyoung Cho, Jun Won Min, Yoo Seok Kim, Sang-Woon Choi, Jung Eun Lee; Epidemiol Health. 2024;46:e2024026. Published online January 25, 2024; DOI: https://doi.org/10.4178/epih.e2024026

15,940 View
213 Download
3 Web of Science
3 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
This study investigated whether adherence to the overall lifestyle recommendations in the American Cancer Society (ACS) guidelines on nutrition and physical activity for cancer survivors was associated with inflammation in breast cancer survivors.

METHODS

The study included 409 women who had undergone breast cancer surgery at least 1 year before enrollment. A generalized linear model was used to estimate the least square means and 95% confidence intervals of plasma levels of inflammatory markers according to lifestyle factors defined in terms of adherence to the ACS guidelines.

RESULTS

Higher overall adherence scores were associated with lower levels of high-sensitivity C-reactive protein (hs-CRP) (p for trend=0.015) and higher levels of adiponectin (p for trend=0.009). Similar significant associations of hs-CRP (p for trend= 0.004) and adiponectin (p for trend=0.010) levels were observed with the score for the body mass index (BMI) component of the adherence score. A higher diet component score was associated with a higher adiponectin level (p for trend=0.020), but there was no significant association for the physical activity component score.

CONCLUSIONS

The present study’s findings suggest that maintaining a healthy lifestyle according to the ACS guidelines was associated with beneficial effects on inflammatory marker levels, especially hs-CRP and adiponectin, among breast cancer survivors. Among the 3 components of lifestyle guidelines, the BMI component exhibited the most similar tendency to the overall adherence score in relation to inflammatory indicators. Further prospective and intervention studies are needed to investigate longitudinal associations between lifestyle factors and inflammatory markers among breast cancer survivors.

Summary

Korean summary
- 한국인 유방암 생존자를 대상으로 한 연구에서, 암 생존자를 위한 영양 및 신체 활동에 관한 미국암협회 (American Cancer Society, ACS) 지침을 따라 건강한 생활 습관을 유지하는 것이 혈중 염증 마커 수준, 특히 낮은 hs-CRP와 높은 adiponectin 수준과 관련이 있었습니다.
- 체질량지수 (Body Mass Index, BMI)를 적절한 수준 (18.5-23 kg/m²)으로 유지하는 것은 낮은 hs- CRP 수준과 높은 adiponectin 수준과 관련이 있는 것으로 나타났습니다.
- 또한, 과일, 야채 및 통곡물이 풍부하고 적색육 및 가공육을 적게 섭취하는 건강한 식단은 혈중 adiponectin 수치가 높은 것과 관련이 있었습니다.

Key Message
• Maintaining a healthy lifestyle according to the American Cancer Society (ACS) Guidelines on Nutrition and Physical Activity for Cancer Survivors was associated with favorable levels of inflammatory markers, especially in hs-CRP and adiponectin among breast cancer survivors.
• Maintaining an adequate BMI of 18.5 to 23 kg/m2 was associated with lower levels of hs-CRP and higher adiponectin levels.
• In addition, a healthy diet — indicating a diet high in fruits, vegetables, and whole grains, and low in red and processed meats — was associated with higher adiponectin levels.

Citations

Citations to this article as recorded by

Dietary isoflavone intake among breast cancer survivors and cancer-free women
Sihan Song, Hyeong-Gon Moon, Dong-Young Noh, So-Youn Jung, Eun Sook Lee, Zisun Kim, Hyun Jo Youn, Jihyoung Cho, Young Bum Yoo, Se Kyung Lee, Jeong Eon Lee, Seok Jin Nam, Yoo Seok Kim, Jun Won Min, Shinyoung Jun, Hyojee Joung, Jung Eun Lee
Nutrition Research and Practice.2025; 19(1): 80. CrossRef
Dietary intake and plasma isoflavones are inversely associated with inflammatory markers in breast cancer survivors: A cross-sectional study
Sihan Song, Zisun Kim, Hyun Jo Youn, Jihyoung Cho, Yoo Seok Kim, Jun Won Min, Sang-Woon Choi, Adrian A. Franke, Shinyoung Jun, Hyojee Joung, Jung Eun Lee
Nutrition Research.2025; 138: 22. CrossRef
Adherence to the Mediterranean diet and mortality in cancer survivors: a Nationwide study with mediation and subgroup analyses
Bowen Zha, Lizhou Dou, Chen Zhang, Shun He, Guiqi Wang
Frontiers in Nutrition.2025;[Epub] CrossRef

Socioeconomic inequality in health-related quality of life among Korean adults with chronic disease: an analysis of the Korean Community Health Survey: Thi Huyen Trang Nguyen, Thi Tra Bui, Jinhee Lee, Kui Son Choi, Hyunsoon Cho, Jin-Kyoung Oh; Epidemiol Health. 2024;46:e2024018. Published online January 8, 2024; DOI: https://doi.org/10.4178/epih.e2024018

14,120 View
128 Download
2 Web of Science
4 Crossref

Abstract Summary PDF

Abstract

OBJECTIVES
Health-related quality of life is crucial for people dealing with chronic illness. This study investigated the quality of life in individuals with 5 common chronic conditions in Korea. We also analyzed socioeconomic factors such as education, income, occupation, and urbanization to identify determinants of inequality.

METHODS

Using 2016 Korea Community Health Survey data, we examined individuals aged 30 or older with chronic diseases (diabetes, hypertension, cardiovascular disease, hyperlipidemia, arthritis) using the EuroQol 5-Dimension 3 Level tool. We analyzed the associations between socioeconomic factors (education, income, occupation, urbanization) and quality of life using descriptive statistics and regression analysis. Inequality indices (relative inequality index, absolute inequality index) were used to measure inequality in quality of life.

RESULTS

Individuals with higher income levels showed a 1.95-fold higher likelihood of a better quality of life than those with the lowest income. The lowest income group had higher odds of mobility (adjusted odds ratio [aOR], 2.2), self-care (aOR, 2.1), activity limitations (aOR, 2.4), pain/discomfort (aOR, 1.8), and anxiety/depression (aOR, 2.3). Educational disparities included a 3-fold increase in mobility and daily activity problems for those with elementary or lower education. Well-educated participants had a 1.94 times higher quality of life, with smaller differences in anxiety/depression and self-management. The income gap accounted for 14.1% of variance in quality-of-life disparities.

CONCLUSIONS

Addressing socioeconomic disparities in the quality of life for individuals with chronic diseases necessitates tailored interventions and targeted health policies. This research informs policymakers in developing focused initiatives to alleviate health inequities. It emphasizes the importance of mental health support and ensuring affordable, accessible healthcare services.

Summary

Korean summary
- 지역사회건강조사 자료를 통해 확인한 한국인에게 호발하는 만성질환자(당뇨, 고혈압, 심혈관질환, 고지혈증, 관절염)에서 삶의 질 점수(EQ-5D)는 평균 0.7점으로, 남성에서 높고, 연령이 높을수록 낮다. - 소득이 낮거나 교육수준이 낮은 군에서 삶의 질이 상대적으로 낮으며, 특히 운동능력, 자기관리, 통증/불편, 불안/우울 각각에서 두배 가량 어려움을 겪는 것으로 나타났다. - 만성질환자에서 삶의 질은 사회경제적 여건에 따라 격차가 존재하므로, 취약한 계층 발굴과 지원이 필요하다.

Key Message
- Quality of life score (EQ-5D) in patients with chronic diseases (i.e., diabetes, hypertension, cardiovascular disease, hyperlipidemia, and arthritis) that are prevalent in Koreans identified through data from community health surveys averaged 0.7, lower in women than in men, and decreased by age. - Low-income or low-educated patients have relatively low quality of life, and they have more than twice as much problem in mobility, self-care, pain/discomfort, and anxiety/depression. - Disparities in quality of life in patients with chronic diseases according to socioeconomic conditions have been found, and support for the vulnerable is needed.

Citations

Citations to this article as recorded by

Association between obstructive sleep Apnea–Related factors and HINT-8 utility scores in adults: a secondary analysis of the 2023 Korea National health and nutrition examination survey (KNHANES)
Mima Park, Seon-Ha Kim
Quality of Life Research.2026;[Epub] CrossRef
Analysis of asthma incidence and mortality rates among children aged 0–14 in 204 countries from 1990 to 2019
Fei Cheng, Li He, Dachuan Deng, Jinhui Zhang, Cheng Liu
Journal of Asthma.2025; 62(1): 45. CrossRef
Feasibility of Using the EuroQol-5 Dimensions to Identify Masticatory Discomfort in Community-Dwelling Older Adults
Han-Nah Kim, Nam-Hee Kim
Journal of Dental Hygiene Science.2025; 25(3): 237. CrossRef
Health-related Quality of Life in Multimorbid Adults: A Random Forest Cross-sectional Analysis of the Korean National Health and Nutrition Examination Survey
Moonchang You, Geun-Myun Kim
Journal of Korean Academy of psychiatric and Mental Health Nursing.2025; 34(3): 349. CrossRef

Determinants of unhealthy living by gender, age group, and chronic health conditions across districts in Korea using the 2010-2017 Community Health Surveys: Thi Tra Bui, Thi Huyen Trang Nguyen, Jinhee Lee, Sun Young Kim, Jin-Kyoung Oh; Epidemiol Health. 2024;46:e2024014. Published online January 4, 2024; DOI: https://doi.org/10.4178/epih.e2024014

14,114 View
136 Download
2 Web of Science
3 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
We investigated the prevalence and determinants of unhealthy living by gender, age, and comorbidities across Korean districts.

METHODS

For 806,246 men and 923,260 women from 245 districts who participated in the 2010-2017 Korean Community Health Surveys, risk scores were calculated based on obesity, physical inactivity, smoking, and high-risk alcohol consumption, each scored from 0 (lowest risk) to 2 (highest risk). A risk score ≥4 was defined as indicating unhealthy living, and weighted proportions were calculated for each district. Using multivariate regression, an ecological model including community socioeconomic, interpersonal, and neighborhood factors was examined by gender, age, and comorbidities.

RESULTS

The mean age-standardized rate of unhealthy living was 24.05% for men and 4.91% for women (coefficients of variation, 13.94% and 29.51%, respectively). Individuals with chronic diseases more frequently exhibited unhealthy lifestyles. Unhealthy lifestyles were associated with educational attainment (β-coefficients: men, -0.21; women, -0.15), high household income (β=0.08 and 0.03, respectively), pub density (β=0.52 and 0.22, respectively), and fast-food outlet density (β=2.81 and 1.63, respectively). Negative associations were observed with manual labor, social activity participation, and hospital bed density. Unhealthy living was positively associated with living alone among women and with being unemployed among middle-aged men. Access to parks was negatively associated with unhealthy living among young men and women. The ecological model explained 32% of regional variation in men and 41% in women.

CONCLUSIONS

Improving the neighborhood built and socioeconomic environment may reduce regional disparities in lifestyle behaviors; however, the impacts may vary according to socio-demographic traits and comorbidities.

Summary

Korean summary
- 시군구 지역단위의 불건강생활(흡연, 음주, 비만, 신체활동 부족 각 0-2점, 합 4점 이상 불건강) 유병률은 여자보다 남자에서 높고, 연령이 높아지면서 감소한다. - 지역사회 환경개선(술집 개수, 패스트푸드점 밀도, 공원 면적, 병상밀도)과 사회경제적 수준 강화(교육수준, 가구소득, 고용)를 통해 생활습관적 건강행태의 지역 격차를 줄일 수 있다. - 이러한 향상 노력의 효과는 지역의 건강상태 수준이나 사회인구학적 특성에 따라 다를 수 있다.

Key Message
• District prevalence rates of unhealthy living were higher among men than women and decreased with advancing age. • Efforts to reduce regional disparities in lifestyle behaviors could benefit from enhancements to the neighborhood environment and the socioeconomic status of the area. • The effectiveness of such improvements may vary based on socio-demographic characteristics and health conditions.

Citations

Citations to this article as recorded by

Interactive Digital Visualization Counseling for Lifestyle Change in Patients at Risk of Cardiovascular Diseases: Randomized Controlled Trial
Adrijana Svenšek, Mateja Lorber, Zalika Klemenc-Ketiš, Lucija Gosak, Dominika Muršec, Gregor Štiglic
JMIR Public Health and Surveillance.2026; 12: e83488. CrossRef
A Community-Based, Lifestyle Behavioral Intervention Based on the Extended Theory of Planned Behavior for Postmenopausal Women at Cardiometabolic Risk: A Randomized Controlled Trial
Sooyeon Park, Jina Choo
Western Journal of Nursing Research.2025; 47(7): 573. CrossRef
Feasibility of Using the EuroQol-5 Dimensions to Identify Masticatory Discomfort in Community-Dwelling Older Adults
Han-Nah Kim, Nam-Hee Kim
Journal of Dental Hygiene Science.2025; 25(3): 237. CrossRef

Age-specific findings on lifestyle and trajectories of cognitive function from the Korean Longitudinal Study of Aging: Seungju lim, Eunyoung Yoo, Ickpyo Hong, Ji-Hyuk Park; Epidemiol Health. 2023;45:e2023098. Published online November 2, 2023; DOI: https://doi.org/10.4178/epih.e2023098

15,089 View
200 Download
8 Web of Science
7 Crossref

Abstract Summary PDF

Abstract

OBJECTIVES
Few longitudinal studies have explored age-related differences in the relationship between lifestyle factors and cognitive decline. This study investigated lifestyle factors at baseline that slow the longitudinal rate of cognitive decline in young-old (55-64 years), middle-old (65-74 years), and old-old (75+ years) individuals.

METHODS

We conducted an 11-year follow-up that included 6,189 older adults from the Korean Longitudinal Study of Aging, which is a cohort study of community-dwelling older Koreans. Lifestyle factors, including physical activity, social activity (SA), smoking, and alcohol consumption were assessed at baseline. Cognitive function was measured at 2-year intervals over 11 years. Latent growth modeling and multi-group analysis were performed.

RESULTS

The influence of lifestyle factors on the rate of cognitive decline differed by age. Smoking at baseline (-0.05; 95% confidence interval [CI], -0.11 to -0.00, per study wave) accelerated cognitive decline in young-old individuals, whereas frequent participation in SA at baseline (0.02; 95% CI, 0.01 to 0.03, per study wave) decelerated cognitive decline in middle-old individuals. None of the lifestyle factors in this study decelerated cognitive decline in old-old individuals.

CONCLUSIONS

Cognitive strategies based on modifiable lifestyle factors such as smoking cessation in young-old individuals and frequent SA participation in middle-old age individuals may have great potential for preventing cognitive decline. Because the influence of lifestyle factors varied by age group, age-specific approaches are recommended to promote cognitive health.

Summary

Korean summary
본 연구는 국내 노인인구를 연령대별로 구분하여 연소노인(55-64세), 중고령노인(65-74세), 고령노인(75세+)의 인지저하 기울기를 가속 혹은 감속시키는 라이프스타일 요인을 파악하였다. '흡연'은 연소노인의 인지저하를 가속, '사회활동 참여 빈도'는 중고령노인의 인지저하를 감속시키는 것으로 나타났으며, 고령노인의 경우 유의미한 변수가 나타나지 않았다. 본 결과는 노인의 인지건강에 있어 연령대별 차별화된 라이프스타일 전략이 필요할 것을 시사한다.

Key Message
This study aimed to identify lifestyle factors that accelerate or decelerate the cognitive decline slope in the older population in South Korea, categorized by age groups: young-old adults (55-64), middle-old adults (65-74), and old-old adults (75+). The findings indicated that 'smoking' accelerates cognitive decline in young-old adults, while 'frequency of social activity participation' decelerates cognitive decline in middle-old adults. However, no significant lifestyle variables were identified for old-old adults. These results suggest the necessity of differentiated lifestyle strategies based on age groups for promoting cognitive health in the older population.

Citations

Citations to this article as recorded by

Predictive roles of oral and mental health among Korean older adults experiencing functional cognitive impairment: A secondary data analysis from the 2019 Community Health Survey
Kyungae Kim
Medicine.2026; 105(1): e46141. CrossRef
A rapid scoping review on operationalizing cognitive and social activities in research on dementia risk reduction
Jeroen Bruinsma, Ruud Roodbeen, Giselle G. A. Menting, Kay Deckers, Stevie Hendriks, Rik Crutzen
Aging & Mental Health.2025; 29(10): 1788. CrossRef
Genetic association of social participation with cognitive function: A bidirectional Mendelian randomization study
Aoqiang Zhai, Ruiqi Zou, Tianrun Lv, Siqi Yang, Yanjie Zhong, Yang Xiong, Fuyu Li, Haijie Hu
Journal of Alzheimer’s Disease.2025; 106(1): 259. CrossRef
The prevalence and the correlates of mental disorders among the elderly population: results from China Mental Health Survey
Jingjuan Pang, Minghui Li, Zhaorui Liu, Yueqin Huang, Xiaofei Hou, Guoli Yan, Xiangdong Xu, Limin Wang, Yongping Yan, Shuiyuan Xiao, Lingjiang Li, Jie Yan, Yaqin Yu, Xiufeng Xu, Zhizhong Wang, Yifeng Xu, Tao Li, Tingting Zhang, Huifang Yin, Guangming Xu
BMC Public Health.2025;[Epub] CrossRef
Social activities in multidomain dementia prevention interventions: insights from practice and a blueprint for the future
Jeroen Bruinsma, Leonie N. C. Visser, Alara Abaci, Anna Rosenberg, Ana Diaz, Sten Hanke, Rik Crutzen, Francesca Mangialasche, Miia Kivipelto, Charlotta Thunborg
Frontiers in Psychiatry.2024;[Epub] CrossRef
Association between dietary quality and accelerated aging: a cross-sectional study of two cohorts
Yue Chen, Xin Zheng, Yiming Wang, Chenan Liu, Jinyu Shi, Tong Liu, Shiqi Lin, Hailun Xie, Heyang Zhang, Xiaoyue Liu, Zhaoting Bu, Li Deng, Shouling Wu, Hanping Shi
Food & Function.2024; 15(15): 7837. CrossRef
Independent and Joint Associations of Socioeconomic Status and Lifestyle behaviors with Cognitive Impairment among Elderly Chinese Population
Y. Feng, S. Jia, W. Zhao, X. Wu, Y. Zuo, S. Wang, L. Zhao, M. Ma, X. Guo, C.S. Tarimo, Y. Miao, Jian Wu
The Journal of Prevention of Alzheimer's Disease.2024; 11(5): 1513. CrossRef

Special Article

Limiting the spillover of zoonotic pathogens from traditional food markets in developing countries and a new market design for risk-proofing: Sandeep Ghatak, Kandhan Srinivas, Arockiasamy Arun Prince Milton, Govindarajan Bhuvana Priya, Samir Das, Johanna F. Lindahl; Epidemiol Health. 2023;45:e2023097. Published online October 30, 2023; DOI: https://doi.org/10.4178/epih.e2023097

12,746 View
163 Download
2 Web of Science
4 Crossref

Abstract Summary PDF

Abstract

Traditional food markets are age-old systems that primarily serve the food supply needs of society’s less affluent sectors, often operating with minimal infrastructure. These markets are prevalent in low and middle-income countries. However, their hygienic conditions are frequently suboptimal, potentially fostering the emergence and spread of presumptive zoonotic diseases. The recent emergence of zoonotic or potentially zoonotic diseases and their possible links to traditional food markets underscore the need for focused attention on this overlooked issue. The socioeconomic characteristics of traditional food markets reveal that despite the risk of zoonotic pathogen spread, these markets play a crucial role for large segments of the population. These individuals rely on such markets for their livelihood, food, and nutrition. Therefore, a comprehensive set of measures addressing various aspects of traditional food markets is necessary to manage and mitigate the risks of potential zoonotic disease emergence. In this article, we explore various facets of traditional food markets, paying special attention to the risks of zoonotic diseases that urgently require stakeholder attention. We also propose a new market design to prevent the risk of zoonotic spillover and advocate for the development of a Market Hygiene Index for these markets.

Summary

Key Message
Embracing Tradition, Ensuring Safety! Traditional food markets are vital for many communities, supplying food and livelihoods. Yet, their suboptimal hygiene poses potential risks for zoonotic diseases. Our article sheds light on the importance of addressing this issue and offers a new market design for risk-proofing in developing countries. Join the conversation on safeguarding these markets and support the vulnerable for a safer, healthier future!

Citations

Citations to this article as recorded by

Prevalence of bacterial contamination on seafoods products collected from traditional fish market in Bali Province during 2023
Putu Eka Sudaryatma, Putu Angga Wiradana, Imanuddin Razaq, Ni Luh Sunarsih, Aris Jatmiko, Anak Agung Ayu Putri Permatasari, Ni Kadek Yunita Sari, I Gede Widhiantara, I Made Gde Sudyadnyana Sandhika, I Wayan Rosiana
Jurnal Pengolahan Hasil Perikanan Indonesia.2025; 28(3): 297. CrossRef
Genomic Profiling Reveals Clinically Relevant Antimicrobial Resistance and Virulence Genes in Klebsiella pneumoniae from Hong Kong Wet Markets
Wing Yui Ngan, Subramanya Rao, Aster Hei Yiu Fung, Olivier Habimana
Antibiotics.2025; 14(9): 922. CrossRef
Impact of open markets on zoonotic threats and antimicrobial resistance: A One Health concern
Md. Abdullah Evna Hasan, Md Saiful Islam, Naeem Ahammed Ibrahim Fahim, Md. Tabeer Hossain Antor, Samia Salam, Rownak Jahan, Rony Ibne Masud, Zuhayr Bakhtiyar, Dilruba Akter Jany, Md. Liton Rana, Sadia Afrin Punom, Al Muksit Mohammad Taufiquer Rahman, Md.
One Health.2025; 21: 101228. CrossRef
Food Safety Practices and Behavior Drivers in Traditional Food Markets in Ethiopia: Assessing the Potential for Consumer-Driven Interventions
Ariel V. Garsow, Smret Hagos, Eric Djimeu, Carrel Fokou, Haley Swartz, Genet Gebremedhin, Bisaku Chacha, Elisabetta Lambertini
International Journal of Environmental Research and Public Health.2025; 22(11): 1645. CrossRef

COVID-19: Original Article

Associations of racial and ethnic discrimination with adverse changes in exercise and screen time during the COVID-19 pandemic in the United States: Tong Xia, Gilbert C. Gee, Jian Li, Xinyue Liu, Jin Dai, Lu Shi, Donglan Zhang, Zhuo Chen, Xuesong Han, Yan Li, Hongmei Li, Ming Wen, Dejun Su, Liwei Chen; Epidemiol Health. 2023;45:e2023013. Published online January 28, 2023; DOI: https://doi.org/10.4178/epih.e2023013

19,065 View
120 Download
4 Web of Science
4 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
During the coronavirus disease 2019 (COVID-19) pandemic, a growing prevalence of racial and ethnic discrimination occurred when many Americans struggled to maintain healthy lifestyles. This study investigated the associations of racial and ethnic discrimination with changes in exercise and screen time during the pandemic in the United States.

METHODS

We included 2,613 adults who self-identified as non-Hispanic White, non-Hispanic Black, non-Hispanic Asian, or Hispanic from the Health, Ethnicity, and Pandemic study, a cross-sectional survey conducted among a nationally representative sample of United States adults between October and November 2020. We assessed self-reported racial and ethnic discrimination by measuring COVID-19-related racial and ethnic bias and examined its associations with changes in exercise and screen time using multivariable logistic regression models. We analyzed data between September 2021 and March 2022.

RESULTS

COVID-19-related racial and ethnic bias was associated with decreased exercise time among non-Hispanic Asian (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.13 to 1.89) and Hispanic people (OR, 1.91; 95% CI, 1.32 to 2.77), and with increased screen time among non-Hispanic Black people (OR, 1.94; 95% CI, 1.33 to 2.85), adjusting for age, sex, education, marital status, annual household income, insurance, and employment status.

CONCLUSIONS

Racial and ethnic discrimination may have adversely influenced exercise and screen time changes among racial and ethnic minorities during the COVID-19 pandemic in the United States. Further studies are needed to investigate the mechanisms through which racial and ethnic discrimination can impact lifestyles and to develop potential strategies to address racial and ethnic discrimination as a barrier to healthy lifestyles.

Summary

Key Message
In this study with a nationally representative sample of Americans, we found that racial discrimination during the COVID-19 pandemic was associated with undesired changes in exercise and screen time, particularly among minorities.

Citations

Citations to this article as recorded by

Addressing Racism and Discrimination in the Design of Physical Activity Interventions for Black Women: Insights and Recommendations From an Academic and Community Partnership
Rodney P. Joseph, LaTanya Mathis, Iyana Harris, Shawntele M. Howie-Carlson, Kanika Jones, Darlene Little, Dawn Augusta
Women's Health Issues.2025; 35(5): 301. CrossRef
Asian American Women’s Experiences of Discrimination and Health Behaviors during the COVID-19 Pandemic
Katarina Wang, Alice Guan, Janice Seto, Debora L. Oh, Kathie Lau, Christine Duffy, Esperanza Castillo, Valerie McGuire, Michelle Wadhwa, Clifford G. Tepper, Heather A. Wakelee, Mindy C. DeRouen, Salma Shariff-Marco, Iona Cheng, Scarlett Lin Gomez
Journal of Immigrant and Minority Health.2024; 26(2): 421. CrossRef
Facilitators, motivations, and barriers to physical activity among Chinese American women
Jingxi Sheng, Hao Lei, Demetrius A. Abshire, Horng-Shiuann Wu, Michael D. Wirth, Sue P. Heiney
Discover Social Science and Health.2024;[Epub] CrossRef
Social Determinants of Cardiovascular Health in Asian Americans: A Scientific Statement From the American Heart Association
Nilay S. Shah, Namratha R. Kandula, Yvonne Commodore-Mensah, Brittany N. Morey, Shivani A. Patel, Sally Wong, Eugene Yang, Stella Yi
Circulation.2024;[Epub] CrossRef

Original Articles

Multimorbidity patterns by health-related quality of life status in older adults: an association rules and network analysis utilizing the Korea National Health and Nutrition Examination Survey: Thi-Ngoc Tran, Sanghee Lee, Chang-Mo Oh, Hyunsoon Cho; Epidemiol Health. 2022;44:e2022113. Published online November 29, 2022; DOI: https://doi.org/10.4178/epih.e2022113

22,670 View
262 Download
8 Web of Science
8 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
Improved life expectancy has increased the prevalence of older adults living with multimorbidity which likely deteriorates their health-related quality of life (HRQoL). However, relatively little is known about patterns and the relationships of multimorbidity by HRQoL status in older adults.

METHODS

Individuals aged 65 or older from the Korea National Health and Nutrition Examination Survey V-VII (2010-2018) were analyzed. HRQoL was assessed by the EuroQoL-5 dimensions questionnaire and categorized as poor, normal, or good. The impact of multimorbidity on HRQoL was evaluated using logistic regression. The patterns and inter-relationships between multimorbidity, stratified by HRQoL groups, were analyzed using the association rules and network analysis approach.

RESULTS

Multimorbidity was significantly associated with poor HRQoL (3 or more diseases vs. none; adjusted odds ratio, 2.70; 95% confidence interval, 2.10 to 3.46). Hypertension, arthritis, hyperlipidemia, and diabetes were the most prevalent diseases across all HRQoL groups. Complex interrelationships of morbidities, higher prevalence, and node strengths in all diseases were observed in the poor HRQoL group, particularly for arthritis, depression, and stroke, compared to other groups (1.5-3.0 times higher, p<0.05 for all). Apart from hypertension, arthritis and hyperlipidemia had a higher prevalence and stronger connections with other diseases in females, whereas this was the case for diabetes and stroke in males with poor HRQoL.

CONCLUSIONS

Multimorbidity patterns formed complicatedly inter-correlated disease networks in the poor HRQoL group with differences according to sex. These findings enhance the understanding of multimorbidity connections and provide information on the healthcare needs of older adults, especially those with poor HRQoL.

Summary

Korean summary
기대 수명의 증가에 따라 고령인구에서 건강관련 삶의 질을 저하시킬 수 있는 복합질환의 유병률도 함께 증가하고 있다. 본 연구에서는 국민건강영양조사 자료를 이용하여 65세 이상 우리나라 고령인구에서 건강관련 삶의 질 (HRQoL)에 따른 복합만성질환 패턴을 분석하였다. 복합만성질환은 건강관련 삶의 질 저하와 통계적으로 유의하게 연관되어 있으며, 연관성 및 네크워크 분석 결과 건강관련 삶의 질이 낮을수록 복합질환의 패턴이 복잡한 것으로 나타났다. 전체적으로 고혈압, 관절염, 고지혈증, 당뇨병이 가장 높은 발생률을 보였다. 건강관련 삶의 질이 낮은 그룹에서는 관절염, 우울증, 뇌졸중 등의 질병이 높은 발생률과 상호관련성을 보였으며, 이는 성별에 따라 차이가 있었다. 연구 결과는 고령자, 특히 건강관련 삶의 질이 낮은 노인의 의료 서비스 요구에 대해 정보를 제공해 줄 수 있을 것이다,

Key Message
Network analysis of older adults (65 or older) in Korea showed that hypertension, arthritis, hyperlipidemia, and diabetes were the most common multimorbidity regardless of HRQoL status. However, as HRQoL deteriorated, multimorbidity patterns formed complicatedly inter-correlated disease networks; the prevalence and the node strength of arthritis, depression, and stroke increased considerably and be diversified by sex.

Citations

Citations to this article as recorded by

Trends in mortality rates of female breast cancer in China, 2004 to 2021
Huali Xiong, Fengxun Ma
Medicine.2026; 105(3): e46805. CrossRef
Prediction of Multimorbidity Network Evolution in Middle-Aged and Elderly Population Based on CE-GCN
Yushi Che, Yiqiao Wang
Interdisciplinary Sciences: Computational Life Sciences.2025; 17(2): 424. CrossRef
Exploring Multimorbidity Patterns in older hospitalized Norwegian patients using Network Analysis modularity
Mohsen Askar, Beate Hennie Garcia, Kristian Svendsen
International Journal of Medical Informatics.2025; 201: 105954. CrossRef
Investigation of multimorbidity patterns and association rules in patients with type 2 diabetes mellitus using association rules mining algorithm
Lianhua Liu, Xiaodan Wang, Mei Gui, Feng Ju, Li Cao, Bo Bi
Scientific Reports.2025;[Epub] CrossRef
Prevalence, patterns of multimorbidity, and its correlations with health-related quality of life in rural southwest China: a cross-sectional study
Na Xie, Huali Xiong, Xin Jiang
Frontiers in Medicine.2025;[Epub] CrossRef
Chronic Disease Patterns and Their Relationship With Health-Related Quality of Life in South Korean Older Adults With the 2021 Korean National Health and Nutrition Examination Survey: Latent Class Analysis
Mi-Sun Lee, Hooyeon Lee
JMIR Public Health and Surveillance.2024; 10: e49433. CrossRef
Impact of intensive hypertension criteria on multimorbidity prevalence and patterns in a multi-ethnic Chinese population
Yezhou Liu, Baibing Mi, Leilei Pei, Shaonong Dang, Hong Yan, Chao Li
Frontiers in Public Health.2024;[Epub] CrossRef
Health-promoting behavior to enhance perceived meaning and control of life in chronic disease patients with role limitations and depressive symptoms: a network approach
Je-Yeon Yun, Young Ho Yun
Scientific Reports.2023;[Epub] CrossRef

Health-adjusted life expectancy according to lifestyle classified by the Yonsei Lifestyle Profile-BREF: Sanghun Nam, Kang-Hyun Park, Ji-Hyuk Park, Ickpyo Hong; Epidemiol Health. 2022;44:e2022095. Published online October 28, 2022; DOI: https://doi.org/10.4178/epih.e2022095

12,995 View
137 Download

Abstract Summary PDF Supplementary Material: Abstract
OBJECTIVES
This study aimed to investigate health-adjusted life expectancy (HALE) by demographic characteristics (sex, educational achievement, and residential area) according to the lifestyle classifications of the Yonsei Lifestyle Profile-BREF (YLP-BREF).
METHODS
This study included 569 participants aged 55 years or older living in Korea. The YLP-BREF domains were physical activity, activity participation, and nutrition.
RESULTS
Females had a longer HALE (mean±standard deviation, 8.90±5.06 years) in the physical activity domain, while males had a longer HALE in the nutrition domain (9.44±5.91 years). People living in rural areas had longer HALE in physical activity (12.02±5.60 years), activity participation (8.58±4.21 years), and nutrition (11.33±6.43 years). There were no significant differences according to sex or residential area. High school graduates showed the longest HALE (physical activity: 10.38± 6.89; activity participation: 7.64±4.29; nutrition: 9.59±6.40 years). There was a significant difference in educational achievement.
CONCLUSIONS
As people age, the demand for a healthy lifestyle increases. This study attempted to calculate HALE by demographic characteristics according to lifestyle. The results of this study will help inform future research directions for providing a healthy lifestyle.; Summary

Korean summary
본 연구는 Yonsei Lifestyle Profile-BREF(YLP-BREF)의 라이프스타일 분류에 따른 인구통계학적 특성(성별, 주거지역, 학력)에 따른 건강조정수명(Health-Adjusted Life Expectancy; HALE)을 알아보고자 하였다. 본 연구에서 사용한 자료는 한국에 거주하는 55세 이상의 569명이 포함되었으며, YLP-BREF는 신체활동, 활동참여, 영양으로 총 세 영역으로 구성되어 있다. 본 연구 결과, 성별에 따른 건강조정수명은 영양에서 9.44세로 남성이 가장 높았으며, 거주지역은 따른 건강조정수명은 신체활동 영역에서 농촌이 12.02세로 가장높았고, 학력에 따른 건강조정수명은 신체활동 영역에서 고등학교 졸업자가 10.38세로 가장 높았다. 본 연구 결과는 건강한 라이프스타일을 인구통계학적 특성에 따라 제공하기 위한 향후 연구 방향을 제시하는 데 도움이 될 것으로 사료된다.

Key Message
This study investigated Health-Adjusted Life Expectancy (HALE) according to demographic characteristics (sex, residence, educational achievement) according to lifestyle classification of Yonsei Lifestyle Profile-BREF. As a result of this study, the HALE by gender was the highest in nutrition at 9.44 years, and the HALE by residential area was the highest in physical activity at 12.02 years in rural areas, and the HALE by education was in physical activity. , high school graduates had the highest age at 10.38. The results of this study are considered to be helpful in suggesting future research directions for providing a healthy lifestyle.

Application of a joint latent space item response model to clustering stressful life events and the Beck Depression Inventory-II: results from Korean epidemiological survey data: Hyun Joo Kim, Ye Jin Jeon, Hyeon Chang Kim, Ick Hoon Jin, Sun Jae Jung; Epidemiol Health. 2022;44:e2022093. Published online October 24, 2022; DOI: https://doi.org/10.4178/epih.e2022093

14,169 View
96 Download
3 Web of Science
3 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
According to previous findings, stressful life events (SLEs) and their subtypes are associated with depressive symptoms. However, few studies have explored potential models for these events and incidental symptoms of depression.

METHODS

Participants (3,966 men; 5,709 women) were recruited from the Cardiovascular and Metabolic Diseases Etiology Research Center cohort. SLEs were measured using a 47-item Life Experiences Survey (LES) with a standardized protocol. Depressive symptoms were assessed using the Beck Depression Inventory-II (BDI-II). Joint latent space item response models were applied by gender and age group (<50 vs. ≥50 years old).

RESULTS

Among the LES items, death or illness of close relatives, legal problems, sexual difficulties, family relationships, and social relationships shared latent positions with major depressive symptoms regardless of gender or age. We also observed a gender-specific domain: occupational and family-related items.

CONCLUSIONS

By projecting LES and BDI-II data onto the same interaction map for each subgroup, we could specify the associations between specific LES items and depressive symptoms.

Summary

Korean summary
- 본 연구는 성별, 연령에 따른 생활스트레스 항목과 Beck Depression Inventory-II (BDI-II) 로 측정한 우울증상 사이의 연관성을 Joint Latent space item response model (LSIRM) 방법을 사용하여 탐색하고자 하였다. - 한국 성인 인구집단 (3,966 남성; 5,709 여성)을 대상으로 연구를 수행한 결과, 생활스트레스 항목 중 가족 혹은 가까운 주변인의 죽음 혹은 질환, 법적인 문제, 성적 어려움, 가족 혹은 사회적 관계는 성별, 연령에 무관하게 우울 증상과 연관성이 있었으며, 직업, 일부 가족 관련 항목에서 성별 특이적인 연관성을 관찰하였다.

Key Message
- In this study, we used a joint latent space item response model (LSIRM) to project stressful life events and depressive symptoms as measured by the Beck Depression Inventory-II (BDI-II) onto an interaction map, which represents the interaction of BDI-II items and underlying traits with each SLE, while accounting for heterogeneity by sex and age group. - Among the LES items, death/illness of close relatives, legal problems, sexual difficulties, family relationships, and social relationships shared latent positions with major depressive symptoms regardless of sex or age group. But, in occupational and family-related items, sex-specific associations were observed.

Citations

Citations to this article as recorded by

Cumulative stressful life events and Australian women’s depressive symptom trajectories: a longitudinal study of potential non-additive effects
Edward Ashby Weston Hannemann, Anastasia Ejova
Anxiety, Stress, & Coping.2026; 39(2): 189. CrossRef
Cohort profile: Cardiovascular Metabolic Etiological Research Center COVID-19 Mental Health Survey (CC-MHS)
Sun Jae Jung, Dongkyu Lee, Ji Su Yang, Sunghyuk Kang, Hyejin Kim, Jeong Hyun Ahn, Yunseong Heo, Jieun Noh, Changhyun Kim, Hyeon Chang Kim
Epidemiology and Health.2025; 47: e2025033. CrossRef
Efficacy and safety of traditional Chinese medicine nursing intervention in postoperative patients after gastrectomy
Lizhi Fan, Ying He, Yufeng Li, Xinxin Li, Dan Liu, Rui Wang
Oncology Letters.2023;[Epub] CrossRef

Association of the inflammatory balance of diet and lifestyle with colorectal cancer among Korean adults: a case-control study: Shinyoung Jun, Jeonghee Lee, Jae Hwan Oh, Hee Jin Chang, Dae Kyung Sohn, Aesun Shin, Jeongseon Kim; Epidemiol Health. 2022;44:e2022084. Published online September 30, 2022; DOI: https://doi.org/10.4178/epih.e2022084

17,672 View
227 Download
9 Web of Science
8 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
Dietary and lifestyle exposures may affect the risk of colorectal cancer (CRC) by promoting chronic inflammation. Therefore, we assessed the separate and joint associations of dietary and lifestyle inflammation scores (DIS and LIS, respectively) with CRC.

METHODS

Data from 919 pathologically confirmed CRC cases and 1,846 age- and sex-matched controls recruited at the National Cancer Center Korea were analyzed. We calculated the DIS and LIS, which characterize the collective contributions of 19 dietary and 4 lifestyle factors, respectively, to systemic inflammation by applying weights based on high-sensitivity C-reactive protein. A higher score represented a higher balance of pro- to anti-inflammatory exposures. Unconditional logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for CRC risk compared across the DIS and LIS tertile categories, with the lowest tertile as the reference group.

RESULTS

The highest DIS tertile had significantly increased odds of having CRC (OR, 2.65; 95% CI, 2.10 to 3.36), and the odds increased with increasing DIS. The highest LIS tertile group had 1.28-fold higher odds of having CRC (95% CI, 1.03 to 1.58). In the cross-classification analysis, the odds of having CRC increased as the DIS and LIS jointly increased until the DIS reached the highest tertile, where the risk was very high (3-fold or more) regardless of the LIS.

CONCLUSIONS

In conclusion, a higher balance of pro-inflammatory relative to anti-inflammatory dietary and lifestyle factors, especially dietary factors, was associated with higher CRC risk among Korean adults.

Summary

Korean summary
본 연구는 국립암센터에서 수집한 대장암 환자-대조군 데이터를 활용하여, 새롭게 개발된 식이 염증 지수(Dietary Inflammation Score, DIS) 및 생활습관 염증 지수(Lifestyle Inflammation Score, LIS)와 대장암 발생 위험 간의 연관성을 탐색하였다. 분석 결과, 식이 염증 지수 혹은 생활습관 염증 지수가 높은 집단에서 대장암 위험이 더 높아, 식이와 생활습관이 체내 염증 수준을 높여 대장암 발생 위험을 높일 가능성이 제기되었다

Key Message
Dietary inflammation score (DIS) and lifestyle inflammation score (LIS) quantify the collective effect of dietary and lifestyle factors, respectively, on systemic inflammation. In this case-control study, we assessed the associations of DIS and LIS with colorectal cancer risk among Korean adults. Our results suggest that a higher balance of pro-to anti-inflammatory dietary and lifestyle factors may be associated with higher risk for colorectal cancer. The findings from our study support that reducing inflammation through dietary or lifestyle changes could potentially reduce the risk for colorectal cancer.

Citations

Citations to this article as recorded by

Performance of cohort-adapted dietary and lifestyle inflammation scores among Hispanic adults
Lisa C. Merrill, Sabrina E. Noel, Rafael López Martínez, Josiemer Mattei, Natalia Palacios, Yan Wang, Katherine L. Tucker, Kelsey M. Mangano
Frontiers in Nutrition.2026;[Epub] CrossRef
Colorectal Cancer Risk in Korean Patients with Inflammatory Bowel Disease: A Nationwide Big Data Study of Subtype and Socioeconomic Disparities
Kyeong Min Han, Ho Suk Kang, Joo-Hee Kim, Hyo Geun Choi, Dae Myoung Yoo, Nan Young Kim, Ha Young Park, Mi Jung Kwon
Journal of Clinical Medicine.2025; 14(15): 5503. CrossRef
Therapeutic Colorectal Cancer Vaccines: Emerging Modalities and Translational Opportunities
Palaniyandi Muthukutty, Hyun Young Woo, So Young Yoo
Vaccines.2025; 13(7): 689. CrossRef
Development and Validation of Comprehensive Inflammatory Lifestyle Score and Association with Colorectal Cancer Risk
Jiali Zheng, Longgang Zhao, Jingwen Dong, Edward Giovannucci
Cancer Epidemiology, Biomarkers & Prevention.2025; 34(10): 1810. CrossRef
The association of diet-dependent acid load with colorectal cancer risk: a case–control study in Korea
Tao Thi Tran, Madhawa Gunathilake, Jeonghee Lee, Jae Hwan Oh, Hee Jin Chang, Dae Kyung Sohn, Aesun Shin, Jeongseon Kim
British Journal of Nutrition.2024; 131(2): 333. CrossRef
Protein nutritional support: The prevention and regulation of colorectal cancer and its mechanism research
Duo Feng, Di Han, Mengjie Li, Hu Li, Na Li, Tianxin Liu, Jing Wang
Food Frontiers.2024; 5(6): 2515. CrossRef
Gout and Colorectal Cancer Likelihood: Insights from a Nested Case-Control Study of the Korean Population Utilizing the Korean National Health Insurance Service-National Sample Cohort
Mi Jung Kwon, Kyeong Min Han, Joo-Hee Kim, Ji Hee Kim, Min-Jeong Kim, Nan Young Kim, Hyo Geun Choi, Ho Suk Kang
Cancers.2023; 15(23): 5602. CrossRef
Dietary intake and cancer incidence in Korean adults: a systematic review and meta-analysis of observational studies
Ji Hyun Kim, Shinyoung Jun, Jeongseon Kim
Epidemiology and Health.2023; 45: e2023102. CrossRef

Inequitable distribution of excess mortality during the COVID-19 pandemic in Korea, 2020: Jin-Hwan Kim, Saerom Kim, Eunhye Park, Chang-yup Kim; Epidemiol Health. 2022;44:e2022081. Published online September 26, 2022; DOI: https://doi.org/10.4178/epih.e2022081

18,956 View
294 Download
10 Web of Science
10 Crossref

Abstract PDF Supplementary Material

Abstract

OBJECTIVES
This study analyzed inequities in excess mortality according to region and socioeconomic position to explain the distribution of excess mortality in Korea in 2020.

METHODS

We acquired weekly all-cause mortality data from January 2015 to December 2020 from (1) the National Health Insurance Database and (2) Vital Statistics. Excess mortality for 2020 was calculated by comparing the weekly observed and expected deaths from the same period (2015-2019) using quasi-Poisson regression.

RESULTS

An inequitable distribution of excess mortality was identified. The estimated excess mortality in Korea was -29,112 (95% confidence interval, -29,832 to -28,391), corresponding to -55 per 100,000, and the ratio of observed deaths to expected deaths was 0.91. Negative excess mortality was observed except for females in the 0-14 age group. Male Medical Aid beneficiaries showed positive excess mortality, while non-disabled and disabled groups showed similar negative values. When the standardized mortality ratio was calculated for the top 10 causes of death, deaths from Alzheimer’s disease and septicemia increased, whereas those from diabetes mellitus and cerebrovascular disease decreased. The decrease in mortality was primarily concentrated in older adults, while the mortality of young females increased due to increased intentional self-harm.

CONCLUSIONS

This study adds essential evidence regarding the overall performance of Korea. The observed inequalities according to various socioeconomic variables indicate that the results of strict measures to control coronavirus disease 2019 were not distributed equitably. Efforts should be made to properly evaluate the current and future problems related to the pandemic.

Summary

Citations

Citations to this article as recorded by

Excess mortality during and after the COVID-19 emergency in Japan: a two-stage interrupted time-series design
Ganan Devanathan, Paul LC Chua, Shuhei Nomura, Chris Fook Sheng Ng, Nasif Hossain, Akifumi Eguchi, Masahiro Hashizume
BMJ Public Health.2025; 3(1): e002357. CrossRef
The impact of a medical residents' walkout on mortality rates in South Korea, 2024
Jin-Hwan Kim, Saerom Kim
Health Policy.2025; 159: 105375. CrossRef
The Power of ‘Publicness’ Discourse: An Analysis of Counter‐Hegemonic Formation Against Health System Privatisation
Jiwoo Ha, Chang‐yup Kim
Sociology of Health & Illness.2025;[Epub] CrossRef
The political effect of medical dominance in South Korea’s COVID-19 response
Seohwa Park, Jungmin Seo
Cambridge Review of International Affairs.2025; 38(5): 654. CrossRef
The Predestined Failure of the Market Mechanism in Ensuring Health for all in Times of a Pandemic: The Case of the Republic of Korea
Jin-Hwan Kim
International Journal of Social Determinants of Health and Health Services.2025; 55(4): 465. CrossRef
Can resident registration expiration statistics due to death be used for near-real-time mortality tracking? A validation study using 2023 data from Korea
Jin-Hwan Kim
Epidemiology and Health.2025; 47: e2025042. CrossRef
Excess mortality and healthcare costs during the COVID-19 pandemic among patients with ten major chronic diseases in South korea: a nationwide analysis
Jihun Song, Hye Jun Kim, Seogsong Jeong, Sun Jae Park, Hyun-Young Shin, Eun-kyeong Jeong, Jaehun Jung, Geehyuk Kim, Sang Min Park
BMC Infectious Diseases.2025;[Epub] CrossRef
Universal health coverage saves more lives among severely ill COVID-19 patients: A difference-in-differences analysis of individual patient data in South Korea
Daseul Moon, Jeangeun Jeon, Jieun Park, Min-Hyeok Choi, Myoung-Hee Kim, Hongjo Choi
Health Research Policy and Systems.2024;[Epub] CrossRef
Excess Deaths in Korea During the COVID-19 Pandemic: 2020-2022
So-Jin Im, Ji-Yeon Shin, Duk-Hee Lee
Journal of Preventive Medicine and Public Health.2024; 57(5): 480. CrossRef
Did the socioeconomic inequalities in avoidable and unavoidable mortality worsen during the first year of the COVID-19 pandemic in Korea?
Rora Oh, Myoung-Hee Kim, Juyeon Lee, Rangkyoung Ha, Jungwook Kim
Epidemiology and Health.2023; 45: e2023072. CrossRef

The associations of the national health and productivity management program with corporate profits in Japan: Yuichiro Yano, Hiroshi Kanegae, Koichi Node, Atsushi Mizuno, Akira Nishiyama, Hiromi Rakugi, Hiroshi Itoh, Kaori Kitaoka, Naoki Kashihara, Fumiaki Ikeno, Ichiro Tsuji, Kunio Okada; Epidemiol Health. 2022;44:e2022080. Published online September 23, 2022; DOI: https://doi.org/10.4178/epih.e2022080

23,432 View
474 Download
6 Web of Science
7 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
Using a dataset from a survey on national health and productivity management, we identified health and productivity factors associated with organizational profitability.

METHODS

The Ministry of Economy, Trade and Industry conducted an annual survey on Health and Productivity Management between 2014 and 2021. We assessed the associations of organizational health and productivity management using survey questions collected in 2017 and 2018, with the rate of change in profits from 2017 and 2018 to 2020. We identified factors associated with organizational profitability using eXtreme Gradient Boosting, and calculated SHapley Additive exPlanation (SHAP) values for each factor.

RESULTS

Among 1,593 companies (n= 4,359,834 employees), the mean age of employees at baseline was 40.3 years and the proportion of women was 25.8%. A confusion matrix for evaluating model performance had an accuracy of 0.997, precision of 0.993, recall of 0.997, and area under the precision-recall curve of 0.999. The most important factors related to an increase in corporate profits were the percentage of current smokers (SHAP value, 0.121), per-employee cost of health services (0.084) and medical services (0.050); the percentage of full-time employees working in sales departments (0.074) and distribution or customer service departments (0.054); the percentage of employees who slept well (0.055); and the percentage of employees within a company who regularly exercised (0.043).

CONCLUSIONS

Employees’ lifestyle-related health risk factors and organizations’ management systems were associated with organizational profitability. Lifestyle medicine professionals may demonstrate a significant return on investment by creating a healthier and more productive workforce.

Summary

Key Message
Lifestyle medicine professionals may demonstrate a significant return on investment by creating a healthier and more productive workforce

Citations

Citations to this article as recorded by

Key Performance Indicators in Workplace Health Promotion
Kosuke Sakai, Shoko Nakazawa, Yuko Furuya, Kota Fukai, Kei Sano, Masayuki Tatemichi
Journal of Occupational & Environmental Medicine.2026; 68(1): e61. CrossRef
Incorporating Lifestyle Medicine Into Occupational Medicine Practice
Pamela A. Hymel, Gregg M. Stave, Wayne N. Burton, Alyssa B. Schultz, Nathan Jones, Jeffrey Liva, Richard D. Price, Ron Loeppke, Ronald Stout, Kenji Saito
Journal of Occupational & Environmental Medicine.2025; 67(1): e72. CrossRef
Effect of perceived workplace health support on absenteeism and presenteeism among Japanese workers: a prospective cohort study
Kazushirou Kurogi, Kazunori Ikegami, Hajime Ando, Akira Ogami
Journal of Occupational Health.2025;[Epub] CrossRef
Clinical prediction of intravenous immunoglobulin-resistant Kawasaki disease based on interpretable Transformer model
Gahao Chen, Ziwei Yang, Benjamin M. Liu
PLOS One.2025; 20(7): e0327564. CrossRef
Tuning out tension: influence of music on stress level among project management practitioners
Ye Fu, Xiaohua Jin, Srinath Perera, Bashir Tijani, Prakriti Pokhrel
Engineering, Construction and Architectural Management.2025; : 1. CrossRef
The association between employee lifestyles and the rates of mental health-related absenteeism and turnover in Japanese companies
Atsuya Fujimoto, Hiroshi Kanegae, Kaori Kitaoka, Mizuki Ohashi, Kunio Okada, Koichi Node, Kenkichi Takase, Hiroshi Fukuda, Tomoyuki Miyazaki, Yuichiro Yano
Epidemiology and Health.2024; 46: e2024068. CrossRef
Role and Value of the Corporate Medical Director
Gregg M. Stave, Wayne N. Burton, Richard J.L. Heron, T. Warner Hudson, J. Brent Pawlecki, David Roomes, Martin J. Sepulveda, Michael Rendel, Pamela A. Hymel
Journal of Occupational & Environmental Medicine.2023; 65(12): e797. CrossRef

Prediction of cancer survivors’ mortality risk in Korea: a 25-year nationwide prospective cohort study: Yeun Soo Yang, Heejin Kimm, Keum Ji Jung, Seulji Moon, Sunmi Lee, Sun Ha Jee; Epidemiol Health. 2022;44:e2022075. Published online September 13, 2022; DOI: https://doi.org/10.4178/epih.e2022075

20,867 View
207 Download
3 Web of Science
4 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
This study aimed to investigate the factors affecting cancer survival and develop a mortality prediction model for Korean cancer survivors. Our study identified lifestyle and mortality risk factors and attempted to determine whether health-promoting lifestyles affect mortality.

METHODS

Among the 1,637,287 participants in the Korean Cancer Prevention Study (KCPS) cohort, 200,834 cancer survivors who were alive after cancer diagnosis were analyzed. Discrimination and calibration for predicting the 10-year mortality risk were evaluated. A prediction model was derived using the Cox model coefficients, mean risk factor values, and mean mortality from the cancer survivors in the KCPS cohort.

RESULTS

During the 21.6-year follow-up, the all-cause mortality rates of cancer survivors were 57.2% and 39.4% in men and women, respectively. Men, older age, current smoking, and a history of diabetes were high-risk factors for mortality, while exercise habits and a family history of cancer were associated with reduced risk. The prediction model discrimination in the validation dataset for both KCPS all-cause mortality and KCPS cancer mortality was shown by C-statistics of 0.69 and 0.68, respectively. Based on the constructed prediction models, when we modified exercise status and smoking status, as modifiable factors, the cancer survivors’ risk of mortality decreased linearly.

CONCLUSIONS

A mortality prediction model for cancer survivors was developed that may be helpful in supporting a healthy life. Lifestyle modifications in cancer survivors may affect their risk of mortality in the future.

Summary

Korean summary
현재 암 생존자의 사망 위험을 평가하는 데 유용한 한국형 암 생존자 사망률 예측 모델은 없습니다. 본 연구에서는 고령, 남성, 현재 흡연, 당뇨병 병력을 포함한 생활양식 요인이 사망의 고위험 요인인 반면, 운동 습관 및 암의 가족력은 사망 위험을 감소시키는 것으로 나타났습니다. 현재 흡연과 운동 습관은 사망 위험에 영향을 미치는 수정 가능한 두 가지 요소로써, 이러한 생활습관 요인으로 구성된 예측모형은 생활습관 교정을 통해 우리나라 암 생존자의 사망률을 낮출 수 있음을 시사합니다.

Key Message
Currently, there is no Korean mortality prediction model for cancer survivors that would be useful in evaluating their risk of mortality. The present study showed that lifestyle factors, including older age, male sex, current smoking, and history of diabetes were high-risk factors for mortality, while exercise habits and a family history of cancer reduced the risk of mortality. Current smoking and exercise habits are the two modifiable factors that affected the risk of mortality. The prediction model comprising these lifestyle factors implies that the risk of mortality of cancer survivors in Korea can be reduced through lifestyle modification.

Citations

Citations to this article as recorded by

A comparative study of health behaviors in adult male cancer survivors and the general male population in Korea: from the Korea national health and nutrition examination survey VII-VIII (2016–2021)
Hyein Jung, Yoonjoo Choi, Byungmi Kim
Supportive Care in Cancer.2025;[Epub] CrossRef
Sex Disparity in Cancer and Non-cancer Mortality among Korean Cancer Survivors
Ansun Jeong, Soyeoun Kim, Somin Jeon, Boyoung Park
Journal of Cancer Prevention.2025; 30(4): 196. CrossRef
COVID-19 Mortality and Severity in Cancer Patients and Cancer Survivors
Jae-Min Park, Hye Yeon Koo, Jae-ryun Lee, Hyejin Lee, Jin Yong Lee
Journal of Korean Medical Science.2024;[Epub] CrossRef
Weight maintenance and gain were significantly associated with lower risk of all-cause and cancer-related mortality in Korean adults who were newly diagnosed with cancer based on the Korean NHIS-HEALS cohort
Yong-June Kim, Seung Park, Won Tae Kim, Yoon-Jong Bae, Yonghwan Kim, Hee-Taik Kang
Medicine.2023; 102(47): e36184. CrossRef

The medium-term consequences of a COVID-19 lockdown on lifestyle among Spanish older people with hypertension, pulmonary disease, cardiovascular disease, musculoskeletal disease, depression, and cancer: Irene Rodríguez-Gómez, Coral Sánchez-Martín, Francisco J. García-García, Esther García-Esquinas, Marta Miret, Germán Vicente-Rodriguez, Narcís Gusi, Asier Mañas, José A. Carnicero, Marcela Gonzalez-Gross, José L. Ayuso-Mateos, Fernando Rodríguez-Artalejo, Leocadio Rodríguez-Mañas, Ignacio Ara; Epidemiol Health. 2022;44:e2022026. Published online February 21, 2022; DOI: https://doi.org/10.4178/epih.e2022026

22,228 View
378 Download
3 Web of Science
3 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
This study investigated the associations of chronic diseases with changes in lifestyle and health behaviours in older people following the coronavirus disease 2019 (COVID-19) lockdown in Spain and compared the differences in changes over time.

METHODS

1,092 participants (80.3±5.6 years; 66.5% female) from 2 Spanish cohorts were included. Telephone-based questionnaires were conducted to evaluate lifestyle and health risk behaviours at the end of lockdown and 7 months post-lockdown. Participants were classified as having physician-diagnosed chronic diseases based on self-reported data. Cox proportional models adjusted for major confounders were used.

RESULTS

Compared to those without the corresponding chronic diseases, older people with hypertension were less likely to report increased alcohol consumption (hazard ratio [HR], 0.73; 95% confidence interval [CI], 0.55 to 0.99). Pulmonary diseases were associated with lower risks of increased sedentary time (HR, 0.58; 95% CI, 0.39 to 0.86) and worsened sleep quality (HR, 0.56; 95% CI, 0.36 to 0.87), while cardiovascular diseases were associated with a lower risk of decreased sedentary time (HR, 0.58; 95% CI, 0.38 to 0.88). Depression was linked to a higher likelihood of improved diet quality (HR, 1.53; 95% CI, 1.00 to 2.36). Cancer pacients were less likely to have worsened sleep quality (HR, 0.44; 95% CI, 0.22 to 0.89) but more likely to have reduced their frequency of social contact (HR, 2.05; 95% CI, 1.05 to 3.99).

CONCLUSIONS

Older people with chronic diseases showed beneficial changes in lifestyle and health risk behaviours after the COVID-19 lockdown. In particular, older people with hypertension, pulmonary disease, and cancer tended to make beneficial lifestyle and health behaviour changes. However, older people with cardiovascular disease and depression engaged in more health risk behaviours.

Summary

Key Message
Although the majority of older people with chronic diseases showed beneficial changes in lifestyle and health risk behaviors after the COVID-19 lockdown, public health interventions should be developed to prevent the dangerous long-term effects that COVID-19 pandemic-type situations may have on the health of older people, with a particular focus on older people with CVD and depression that seem to have experienced more health risk behaviors during the COVID-19 pandemic than older people with other chronic diseases.

Citations

Citations to this article as recorded by

Global burden of sleep disturbances among older adults and the disparities by geographical regions and pandemic periods
Min Du, Min Liu, Yaping Wang, Chenyuan Qin, Jue Liu
SSM - Population Health.2024; 25: 101588. CrossRef
More Adult Women than Men at High Cardiometabolic Risk Reported Worse Lifestyles and Self-Reported Health Status in the COVID-19 Lockdown
Alejandro Oncina-Cánovas, Laura Compañ-Gabucio, Jesús Vioque, Miguel Ruiz-Canela, Dolores Corella, Jordi Salas-Salvadó, Montserrat Fitó, Alfredo Martínez, Ángel M. Alonso-Gómez, Julia Wärnberg, Dora Romaguera, José López-Miranda, Ramón Estruch, Francisco
Nutrients.2024; 16(13): 2000. CrossRef
Nut Consumption and Depression: Cross-Sectional and Longitudinal Analyses in Two Cohorts of Older Adults
R. Fernández-Rodríguez, R. Ortolá, Vicente Martínez-Vizcaíno, B. Bizzozero-Peroni, F. Rodríguez-Artalejo, E. García-Esquinas, E. López-García, A.E. Mesas
The Journal of nutrition, health and aging.2023; 27(6): 448. CrossRef

Association of social network size and composition with physical activity in Korean middle-aged adults: Moon Su Kwak, So Mi Jemma Cho, Jee-Seon Shim, Dae Jung Kim, Yoosik Youm, Hyeon Chang Kim; Epidemiol Health. 2020;42:e2020070. Published online November 25, 2020; DOI: https://doi.org/10.4178/epih.e2020070

17,131 View
164 Download
2 Web of Science

Abstract Summary PDF Supplementary Material: Abstract
OBJECTIVES
Physical activity (PA) is an established protective factor for many chronic diseases. Numerous studies have established positive relationships between social networks and PA. Accordingly, this study examined the relationship between social network structures (specifically the network size and the number and proportion of same-sex alters) and self-reported PA in Korean middle-age adults, where the term “alter” refers to a respondent’s social network members.
METHODS
We analyzed 8,092 participants of the Cardiovascular and Metabolic Diseases Etiology Research Center cohort. We assessed the association between each network structure variable and PA level using a linear regression model. Then, we employed logistic regression to evaluate associations between social network structure and adherence to guideline-recommended exercise levels. Socio-demographic factors and health status measures were used as covariates.
RESULTS
In both sexes, the social network size and proportion of same-sex network members showed positive relationships with total and moderate-to-vigorous PA. Notably, female participants with a greater number of kin were more likely to satisfy the recommended amount of total PA.
CONCLUSIONS
These findings suggest that large scale, same-sex intervention programs can help to achieve recommended PA regimens.; Summary

Korean summary
이 연구는 30-64세 중년의 한국인 8,092(남자 2,805, 여자 5,207)명에서 사회연결망 특성과 신체활동량의 관련성을 평가했다. 남녀 모두에서 사회연결망의 크기가 클수록, 연결망내 동성인 사람의 비중이 높을수록 신체활동량이 많았다. 사회연결망 크기와 연결망내 동성인 사람의 비중은 권장 신체활동량을 충족률과도 양의 관련성을 보였다. 반면, 연결망내 친족의 비중이 높은 경우는 오히려 권장신체활동량을 충족할 가능성이 낮았다.

The patterns of lifestyle, metabolic status, and obesity among hypertensive Korean patients: a latent class analysis: Suyoung Kim, Seon Cho, Eun-Hee Nah; Epidemiol Health. 2020;42:e2020061. Published online August 31, 2020; DOI: https://doi.org/10.4178/epih.e2020061

21,855 View
212 Download
4 Web of Science
6 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
This study aimed to identify latent classes in hypertensive patients based on the clustering of factors including lifestyle risk factors, metabolic risk factors, and obesity in each sex.

METHODS

This cross-sectional study included 102,780 male and 103,710 female hypertensive patients who underwent health check-ups at 16 centers in Korea, in 2018. A latent class analysis approach was used to identify subgroups of hypertensive patients. Multinomial logistic regression was performed to examine the association between latent classes and comorbidities of hypertension.

RESULTS

A four-class model provided the best fit for each sex. The following latent classes were identified: Class I (male: 16.9%, female: 1.7%; high risk of lifestyle behaviors [HB] with metabolic disorders and obesity [MO]), Class II (male: 32.4%, female: 47.1%; low risk of lifestyle behaviors [LB] with MO), Class III (male: 15.3%, female: 1.8%; HB with metabolic disorders and normal weight [MNW]), Class IV (male: 35.5%, female: 49.4%; LB with MNW). Lifestyle patterns in the latent classes were classified as high-risk or low-risk according to smoking and high-risk drinking among male, and presented complex patterns including physical inactivity alone or in combination with other factors, among female. Stage 2 hypertensive or diabetic individuals were likely to belong to classes including obesity (HB-MO, LB-MO) in both sexes, and additionally belonged to the HB-MNW class in male.

CONCLUSIONS

Metabolic disorders were included in all latent classes, with or without lifestyle risk factors and obesity. Hypertensive females need to manage obesity, and hypertensive males need to manage lifestyle risk factors and obesity. Sex-specific lifestyle behaviors are important for controlling hypertension.

Summary

Korean summary
고혈압 환자에서 이질적인 집단을 확인하기 위해, 생활습관, 대사이상 및 비만에 기반한 잠재계층분석을 실시한 결과, 각 성별에서 4개 계층으로 분류되었다. 모든 계층에는 대사이상 상태가 포함되었으며, 고위험 생활습관과 비만(HB-MO), 저위험 생활습관과 비만(LB-MO), 고위험 생활습관과 정상체중(HB-MNW), 저위험 생활습관과 정상체중(LB-MNW)으로 유형화하였다. 생활습관 및 비만 여부와 상관없이 모든 잠재계층에 대사이상 상태가 포함된 점으로 고혈압과 대사상태의 긴밀한 관련성을 확인하였으며, 성별에 따라 이질적인 생활습관 패턴(여성에서는 비만 관리와 남성에서는 비만과 생활습관 개선을 강조)을 확인하였다.

Citations

Citations to this article as recorded by

The mediating effect of the Korean Healthy Eating Index on the relationship between lifestyle patterns and metabolic syndrome in middle-aged Koreans: data from the 2019–2021 Korea National Health and Nutrition Examination Survey
Sori On, Woori Na, Cheongmin Sohn
Nutrition Research and Practice.2025; 19(1): 96. CrossRef
Clinical phenotypes of obesity comorbidity in adolescent boys
I. L. Nikitina, N. I. Vtornikova, I. A. Kelmanson
Translational Medicine.2025; 12(4): 397. CrossRef
Linking health lifestyle classes to blue-collar workers’ participation in worksite health promotion programs in freight transport: a latent class analysis
Marc A. W. Damen, Sarah I. Detaille, Luuk P. van Iperen, Josephine A. Engels, Annet H. De Lange
International Archives of Occupational and Environmental Health.2025; 98(9-10): 883. CrossRef
Patterns of unhealthy behaviours during adolescence and subsequent anxiety and depression in adulthood: a prospective register linkage study of the HUNT survey and health registries
Annette Løvheim Kleppang, Mario Vianna Vettore, Ingeborg Hartz, Siri Håvås Haugland, Tonje Holte Stea
International Journal of Behavioral Nutrition and Physical Activity.2023;[Epub] CrossRef
Factors and at-risk group associated with hypertension self-management patterns among people with physical disabilities: a latent class analysis
Hye Jin Nam, Ju Young Yoon
BMC Public Health.2022;[Epub] CrossRef
Analysis of Fruit Consumption and the Korean Healthy Eating Index of Adults Using the 2018 Korea National Health and Nutrition Examination Survey
Sun A Choi, Sung Suk Chung, Jeong Ok Rho
Journal of the Korean Society of Food Science and Nutrition.2021; 50(10): 1124. CrossRef

Factors associated with health-related quality of life in a working population in Singapore: Dhiya Mahirah, Charlotte Sauter, Thuan-Quoc Thach, Gerard Dunleavy, Nuraini Nazeha, George I. Christopoulos, Chee Kiong Soh, Josip Car; Epidemiol Health. 2020;42:e2020048. Published online June 30, 2020; DOI: https://doi.org/10.4178/epih.e2020048

26,776 View
291 Download
10 Web of Science
9 Crossref

Abstract PDF Supplementary Material

Abstract

OBJECTIVES
This study aimed to evaluate the determinants of health-related quality of life (HRQoL) among workers in Singapore.

METHODS

We analysed data from a cross-sectional study of 464 participants from 4 companies in Singapore. Physical and mental components of HRQoL were assessed using the Short-Form 36 version 2.0 survey. A generalized linear model was used to determine factors associated with the physical component summary (PCS) and mental component summary (MCS) scores of HRQoL.

RESULTS

The overall mean PCS and MCS scores were mean±standard deviation 51.6±6.7 and 50.2±7.7, respectively. The scores for subscales ranged from 62.7±14.7 for vitality to 83.5±20.0 for role limitation due to emotional problems. Ethnicity, overweight/obesity, and years working at the company were significantly associated with physical HRQoL, and age and stress at work were significantly associated with mental HRQoL. Moreover, sleep quality was significantly associated with both physical and mental HRQoL.

CONCLUSIONS

These findings could help workplaces in planning strategies and initiatives for employees to maintain a worklife balance that encompasses their physical, emotional, and social well-being.

Summary

Citations

Citations to this article as recorded by

Mental health in digital microsystems across three Asian Reddit communities
Krishnashree Achuthan, Sugandh Khobragade, Robin Kowalski, Raghu Raman
Scientific Reports.2026;[Epub] CrossRef
Factors Related to Health-Related Quality of Life across the Life Cycle in One-Person Households among Korean Adults
Myung-Ock Chae
Research in Community and Public Health Nursing.2024; 35: 125. CrossRef
The Impact of Teleworking on Women’s Work–Life Balance and Life Satisfaction: a Longitudinal Study from Singapore
Jolene Tan, Jeremy Lim-Soh, Poh Lin Tan
Applied Research in Quality of Life.2024; 19(5): 2595. CrossRef
Lifestyle interventions improving health-related quality of life: A systematic review and meta-analysis of randomized control trials
Sohrab Amiri, Nailah Mahmood, Sameeha Junaidi, Moien AB Khan
Journal of Education and Health Promotion.2024;[Epub] CrossRef
Дослідження показників якості життя, пов’язаної зі здоров’ям, у розрізі трудової діяльності та безробіття (міжнародний досвід)
Svitlana Indyka, Nataliia Bielikova
Physical education, sport and health culture in modern society.2023; (3(63)): 12. CrossRef
Prevalence of burnout among healthcare professionals in Singapore
Kok Hian Tan, Boon Leng Lim, Zann Foo, Joo Ying Tang, Mabel Sim, Phong Teck Lee, Kok Yong Fong
Annals of the Academy of Medicine, Singapore.2022; 51(7): 409. CrossRef
Factors Associated with Health-Related Quality of Life among Government Employees in Putrajaya, Malaysia
Muhamad Hasrol Mohd Ashri, Hazizi Abu Saad, Siti Nur’Asyura Adznam
International Journal of Environmental Research and Public Health.2021; 18(5): 2626. CrossRef
Health-related quality of life in a general population sample in Kazakhstan and its sociodemographic and occupational determinants
Denis Vinnikov, Aizhan Raushanova, Zhanna Romanova, Zhangir Tulekov
Health and Quality of Life Outcomes.2021;[Epub] CrossRef
Association of Subjective Quality and Quantity of Sleep with Quality of Life among a General Population
Kentaro Matsui, Takuya Yoshiike, Kentaro Nagao, Tomohiro Utsumi, Ayumi Tsuru, Rei Otsuki, Naoko Ayabe, Megumi Hazumi, Masahiro Suzuki, Kaori Saitoh, Sayaka Aritake-Okada, Yuichi Inoue, Kenichi Kuriyama
International Journal of Environmental Research and Public Health.2021; 18(23): 12835. CrossRef

Lifestyle-related predictors affecting prediabetes and diabetes in 20-30-year-old young Korean adults: Kyong Sil Park, Seon Young Hwang; Epidemiol Health. 2020;42:e2020014. Published online March 19, 2020; DOI: https://doi.org/10.4178/epih.e2020014

25,858 View
319 Download
10 Web of Science
14 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
To investigate lifestyle-related predictors of prediabetes and diabetes in young adults aged 20–39 years using data from the 2014-2016 Korea National Health and Nutrition Examination Survey (KNHANES).

METHODS

This study is a cross-sectional, secondary analysis using the KNHANES data. Participants were classified into normal group (fasting plasma glucose [FPG] <100 mg/dL and/or hemoglobin A1c [HbA1c] <5.7%), prediabetes group (FPG 100-125 mg/dL and/or HbA1c 5.7-6.4%), and diabetes group (FPG ≥126 mg/dL and/or HbA1c ≥ 6.5%). The data were statistically analyzed using SPSS software.

RESULTS

Out of 4,190 participants, 27.7% of men and 16.3% of women were in the prediabetes group and 1.4% of men and 1.3% of women were in the diabetes group. Logistic regression confirmed that age and obesity are predictors of prediabetes and diabetes in both men and women. Additionally low physical activity and low education level are predictors of prediabetes in men and women, respectively (p<0.05).

CONCLUSIONS

This study has found that age and increased obesity are predictors of elevated blood glucose in young men and women in their 20s and 30s. A strategy to lower obesity by promoting physical activity in men in their 30s is essential to prevent metabolic syndrome and progression to prediabetes.

Summary

Korean summary
20-30대 젊은 성인 남성에서 당뇨전단계 27.7%, 당뇨 1.4%, 여성에서 당뇨전단계 16.4%, 당뇨 1.3%로 확인되었다. 당뇨전단계 및 당뇨의 이환을 예방하기 위해서 비만 관리가 필수적이며, 특히 교육수준이 낮은 젊은 여성과 신체활동이 낮은 30대의 남성에서 신체활동 증진을 통해 효율적으로 비만도를 낮추는 전략 마련이 필요함을 확인하였다.

Citations

Citations to this article as recorded by

Determinants of Prediabetes in Adolescents: Evidence From Indonesia
Yourisna Pasambo, Ferry Efendi, Ika Yuni Widyawati, Rifky Octavia Pradipta, Fadhaa Aditya Kautsar Murti, Mei‐Chan Chong
Diabetes/Metabolism Research and Reviews.2026;[Epub] CrossRef
Impact of cumulative exposure to a high TG to HDL-C ratio on type 2 diabetes risk in young adults
Jung Heo, Byungpyo Kim, Kyungdo Han, Jae-Hyuk Lee, Seo-Young Sohn, Jiyeon Ahn, Whi-An Kwon, Moon Jung Kim, Eun-Young Doo, Min-Kyung Lee
Journal of Clinical Lipidology.2025; 19(2): 267. CrossRef
Role of oxidative stress in prediabetes development
Aarthi Yesupatham, Radha Saraswathy
Biochemistry and Biophysics Reports.2025; 43: 102069. CrossRef
Factors Affecting Hemoglobin A1c Level in Men and Women in Their 20s: Based on the Korean National Health and Nutrition Examination Survey 2022 to 2023
Deulle Min
Western Journal of Nursing Research.2025; 47(9): 826. CrossRef
Incidence and predictors of type 2 diabetes mellitus in a population-based cohort study in Abu Dhabi
Latifa Mohammad Baynouna AlKetbi, Rudina AlKetbi, Mariam Saif AlShamsi, Nico Nagelkerke, Bachar Afandi, Muna AlDobaee, Mariam AlKuwaiti, Mariam AlNeyadi, Ahmed Humaid, Noura AlAlawi, Hamda Aleissaee, Hanan Abdulbaqi, Toqa Fahmawee, Basil AlHashaikeh, AlYa
Scientific Reports.2025;[Epub] CrossRef
Prevalence and Risk Factors of Prediabetes in Indonesian Adults: A Cross-Sectional Study (2023)
Asti Elysia Rahmatul Fitri, Chandrayani Simanjorang, Laily Hanifah
Journal of Occupational Health and Epidemiology.2025; 14(3): 162. CrossRef
Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
Kyong Sil Park, Seon Young Hwang
Asian Nursing Research.2024; 18(2): 81. CrossRef
Relationship between Marriage and Prediabetes among Healthcare Workers: Mediating Effect of Triglycerides
Yong-Hsin Chen, Jia-June Lin, Hsiu-Mei Tang, Ching-Wen Yang, Gwo-Ping Jong, Yi-Sun Yang
Medicina.2024; 60(9): 1418. CrossRef
Prevalence of Impaired Fasting Glucose and Diabetes in Adults Aged 20-59 Years: Based on the 2012 and 2022 Korea National Health and Nutrition Examination Surveys
Suhee Kim, Ju-Yeon Uhm
Journal of Korean Public Health Nursing.2024; 38(3): 344. CrossRef
Prediabetes and all-cause mortality in young patients undergoing coronary artery angiography: a multicenter cohort study in China
Yibo He, Hongyu Lu, Yihang Ling, Jin Liu, Sijia Yu, Ziyou Zhou, Tian Chang, Yong Liu, Shiqun Chen, Jiyan Chen
Cardiovascular Diabetology.2023;[Epub] CrossRef
A Study Analyzing the Relationship among Impaired Fasting Glucose (IFG), Obesity Index, Physical Activity, and Beverage and Alcohol Consumption Frequency in 20s and 30s:The Korea National Health and Nutrition Examination Survey (KNHANES) 2013-2015
Yujin Lee, Jung-Hyun Kim
The Korean Journal of Community Living Science.2022; 33(1): 19. CrossRef
Sex differences in factors associated with prediabetes in Korean adults
Jin Suk Ra
Osong Public Health and Research Perspectives.2022; 13(2): 142. CrossRef
Differences in health behavior and nutrient intake status between diabetes-aware and unaware Korean adults based on the Korea national health and nutrition examination survey 2016–18 data: A cross-sectional study
Anshul Sharma, Chen Lulu, Kee-Ho Song, Hae-Jeung Lee
Frontiers in Public Health.2022;[Epub] CrossRef
Mediterranean Diet and Healthy Eating in Subjects with Prediabetes from the Mollerussa Prospective Observational Cohort Study
Mireia Falguera, Esmeralda Castelblanco, Marina Idalia Rojo-López, Maria Belén Vilanova, Jordi Real, Nuria Alcubierre, Neus Miró, Àngels Molló, Manel Mata-Cases, Josep Franch-Nadal, Minerva Granado-Casas, Didac Mauricio
Nutrients.2021; 13(1): 252. CrossRef

Socio-demographic and lifestyle factors associated with multimorbidity in New Zealand: Nayyereh Aminisani, Christine Stephens, Joanne Allen, Fiona Alpass, Seyed Morteza Shamshirgaran; Epidemiol Health. 2020;42:e2020001. Published online December 27, 2019; DOI: https://doi.org/10.4178/epih.e2020001

26,549 View
416 Download
24 Web of Science
20 Crossref

Abstract PDF Supplementary Material

Abstract

OBJECTIVES
The incidence of multimorbidity (MM) and its correlates among older adults remain poorly understood. This study aimed to examine the socio-demographic and lifestyle factors associated with MM in New Zealand.

METHODS

People aged 55-70 years were invited to participate in a population-based cohort study, the Health Work and Retirement Study, in 2006. Those who accepted the invitation and completed the baseline questionnaire were followed up on a biennial basis. Data on socio-demographic factors, health and lifestyle behaviours, and diagnoses of chronic diseases were obtained from baseline and 6 waves of follow-up. Generalised estimating equations (GEE) adjusted for both time-constant and time-varying factors were used to model factors associated with the onset of MM.

RESULTS

A total of 1,673 participants (with 0 or 1 chronic condition) contributed to an overall 8,616 person-years of observation. There were 590 new cases of MM over 10 years of follow-up, corresponding to an overall incidence of 68.5 per 1,000 person-years. The results of the age- and sex-adjusted GEE analysis showed that age, ethnicity, living alone, obesity, hypertension, and having 1 chronic condition at baseline were significant predictors of MM onset. Higher education, income, physical activity, and regular alcohol consumption were protective factors. In a fully adjusted model, marital status (odds ratio [OR], 1.18; 95% confidence interval [CI], 1.01 to 1.37; p=0.039), hypertension (OR, 1.23; 95% CI, 1.02 to 1.48; p=0.032) and having 1 chronic condition at baseline (OR, 2.92; 95% CI, 2.33 to 3.67; p<0.001) remained significant.

CONCLUSIONS

The higher incidence of MM among Māori people, socioeconomically disadvantaged groups, those with low physical activity, and obese individuals highlights the importance of targeted prevention strategies.

Summary

Citations

Citations to this article as recorded by

Investigation of multimorbidity patterns and association rules in patients with type 2 diabetes mellitus using association rules mining algorithm
Lianhua Liu, Xiaodan Wang, Mei Gui, Feng Ju, Li Cao, Bo Bi
Scientific Reports.2025;[Epub] CrossRef
Incidence rate and determinants of multimorbidity in the community: A retrospective cohort study
Ali Köse, Eylül Tutal Altaş, Zeynep Sedef Varol, Buşra Tozduman, Gül Ergör, Alp Ergör
Türkiye Halk Sağlığı Dergisi.2025; 23(3): 246. CrossRef
Prevalence of and factors associated with multimorbidity among adults in Kuwait
Fajer Saoud, Maryam AlHenaidi, Hajer AlOtaibi, Asayel AlEnezi, Mariam Mohammed, Fatemah AlOtaibi, Danah AlShammari, Sebakah AlKharqawi, Hadil AlMayas, Hatoun AlMathkour, Saeed Akhtar
BMC Public Health.2024;[Epub] CrossRef
Lifestyle factors and incident multimorbidity related to chronic disease: a population-based cohort study
Yihui Du, Geertruida H. de Bock, Judith M. Vonk, An Thanh Pham, M. Yldau van der Ende, Harold Snieder, Nynke Smidt, Paul F. M. Krabbe, Behrooz Z. Alizadeh, Gerton Lunter, Eva Corpeleijn
European Journal of Ageing.2024;[Epub] CrossRef
Epidemiology and predictors of multimorbidity in Kharameh cohort study: A population‐based cross‐sectional study in southern Iran
Leila Moftakhar, Ramin Rezaeianzadeh, Masoumeh Ghoddusi Johari, Seyed Vahid Hosseini, Abbas Rezaianzadeh
Health Science Reports.2023;[Epub] CrossRef
Overweight, obesity and risk of multimorbidity: A systematic review and meta‐analysis of longitudinal studies
Felipe Mendes Delpino, Ana Paula dos Santos Rodrigues, Glenda Blaser Petarli, Karla Pereira Machado, Thaynã Ramos Flores, Sandro Rodrigues Batista, Bruno Pereira Nunes
Obesity Reviews.2023;[Epub] CrossRef
The Multimorbidity and Lifestyle Correlates in Chinese Population Residing in Macau: Findings from a Community-Based Needs Assessment Study
Qingling Yang, Quanzhi Zhang, Fei Wan Ngai, Shaoling Wang, Dexing Zhang, Yang Gao, Chun Hao, Harry Haoxiang Wang, Oi Ching Bernice Lam Nogueira, Ming Liu, Alex Molasiotis, Alice Loke, Yaojie Xie
Healthcare.2023; 11(13): 1906. CrossRef
Risk factors for multimorbidity in adulthood: A systematic review
Clare Tazzeo, Alberto Zucchelli, Davide Liborio Vetrano, Jacopo Demurtas, Lee Smith, Daniel Schoene, Dolores Sanchez-Rodriguez, Graziano Onder, Cafer Balci, Silvia Bonetti, Giulia Grande, Gabriel Torbahn, Nicola Veronese, Alessandra Marengoni
Ageing Research Reviews.2023; 91: 102039. CrossRef
Predictors of health‐related quality of life in older New Zealanders with cardiovascular health problems
Jed Montayre, Mu‐Hsing Ho, Hui‐Chen (Rita) Chang, Megan F. Liu, Chia‐Chi Chang, Ritin Fernandez
Australasian Journal on Ageing.2022; 41(2): 274. CrossRef
Physical Activity and Multimorbidity Among Community-Dwelling Older Adults: A Systematic Review With Meta-Analysis
Felipe Mendes Delpino, Ana Paula Maciel de Lima, Bruna Gonçalves Cordeiro da Silva, Bruno Pereira Nunes, Eduardo Lucia Caputo, Renata Moraes Bielemann
American Journal of Health Promotion.2022; 36(8): 1371. CrossRef
Incidence and predictors of multimorbidity among older adults in Korea: a 10-year cohort study
Tae Wha Lee, Jane Chung, Kijun Song, Eunkyung Kim
BMC Geriatrics.2022;[Epub] CrossRef
Examining the prevalence and correlates of multimorbidity among community-dwelling older adults: cross-sectional evidence from the Canadian Longitudinal Study on Aging (CLSA) first-follow-up data
James H B Im, Rebecca Rodrigues, Kelly K Anderson, Piotr Wilk, Saverio Stranges, Kathryn Nicholson
Age and Ageing.2022;[Epub] CrossRef
Association between healthy lifestyle and the occurrence of cardiometabolic multimorbidity in hypertensive patients: a prospective cohort study of UK Biobank
Hejian Xie, Jinchen Li, Xuanmeng Zhu, Jing Li, Jinghua Yin, Tianqi Ma, Yi Luo, Lingfang He, Yongping Bai, Guogang Zhang, Xunjie Cheng, Chuanchang Li
Cardiovascular Diabetology.2022;[Epub] CrossRef
Theoretical explanations for socioeconomic inequalities in multimorbidity: a scoping review
Ludmila Fleitas Alfonzo, Tania King, Emily You, Diana Contreras-Suarez, Syafiqah Zulkelfi, Ankur Singh
BMJ Open.2022; 12(2): e055264. CrossRef
A cross-sectional study investigating the relationship between handgrip strength with multimorbidity in Korean adults
Mee-Ri Lee, Sung Min Jung
Medicine.2021; 100(1): e23994. CrossRef
The incidence of multimorbidity and patterns in accumulation of chronic conditions: A systematic review
Prtha Kudesia, Banafsheh Salimarouny, Meagan Stanley, Martin Fortin, Moira Stewart, Amanda Terry, Bridget L Ryan
Journal of Multimorbidity and Comorbidity.2021;[Epub] CrossRef
Prevalence of chronic conditions and multimorbidity in Estonia: a population-based cross-sectional study
Mikk Jürisson, Heti Pisarev, Anneli Uusküla, Katrin Lang, M Oona, Ruth Kalda
BMJ Open.2021; 11(10): e049045. CrossRef
Prevalence of Multimorbidity among Asian Indian, Chinese, and Non-Hispanic White Adults in the United States
Yifan Zhang, Ranjita Misra, Usha Sambamoorthi
International Journal of Environmental Research and Public Health.2020; 17(9): 3336. CrossRef
Lifestyle Behaviors and Socio-Demographic Factors Associated with Overweight or Obesity Among Saudi Females Attending Fitness Centers

Abeer A AlTamimi, Nada M Albawardi, Mezna A AlMarzooqi, Mohanad Aljubairi, Hazzaa M Al-Hazzaa
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2020; Volume 13: 2613. CrossRef
Video Consultations for Older Adults With Multimorbidity During the COVID-19 Pandemic: Protocol for an Exploratory Qualitative Study
Eng Sing Lee, Poay Sian Sabrina Lee, Evelyn Ai Ling Chew, Gayathri Muthulingam, Hui Li Koh, Shu Yun Tan, Yew Yoong Ding
JMIR Research Protocols.2020; 9(10): e22679. CrossRef

Cohort Profile

Health Effects of Underground Workspaces cohort: study design and baseline characteristics: Gerard Dunleavy, Thirunavukkarasu Sathish, Nuraini Nazeha, Michael Soljak, Nanthini Visvalingam, Ram Bajpai, Hui Shan Yap, Adam C. Roberts, Thuan Quoc Thach, André Comiran Tonon, Chee Kiong Soh, Georgios Christopoulos, Kei Long Cheung, Hein de Vries, Josip Car; Epidemiol Health. 2019;41:e2019025. Published online August 16, 2019; DOI: https://doi.org/10.4178/epih.e2019025

30,332 View
223 Download
14 Web of Science
14 Crossref

Abstract PDF Supplementary Material

Abstract

The development of underground workspaces is a strategic effort towards healthy urban growth in cities with ever-increasing land scarcity. Despite the growth in underground workspaces, there is limited information regarding the impact of this environment on workers’ health. The Health Effects of Underground Workspaces (HEUW) study is a cohort study that was set up to examine the health effects of working in underground workspaces. In this paper, we describe the rationale for the study, study design, data collection, and baseline characteristics of participants. The HEUW study recruited 464 participants at baseline, of whom 424 (91.4%) were followed-up at 3 months and 334 (72.0%) at 12 months from baseline. We used standardized and validated questionnaires to collect information on socio-demographic and lifestyle characteristics, medical history, family history of chronic diseases, sleep quality, health-related quality of life, chronotype, psychological distress, occupational factors, and comfort levels with indoor environmental quality parameters. Clinical and anthropometric parameters including blood pressure, spirometry, height, weight, and waist and hip circumference were also measured. Biochemical tests of participants’ blood and urine samples were conducted to measure levels of glucose, lipids, and melatonin. We also conducted objective measurements of individuals’ workplace environment, assessing air quality, light intensity, temperature, thermal comfort, and bacterial and fungal counts. The findings this study will help to identify modifiable lifestyle and environmental parameters that are negatively affecting workers’ health. The findings may be used to guide the development of more health-promoting workspaces that attempt to negate any potential deleterious health effects from working in underground workspaces.

Summary

Citations

Citations to this article as recorded by

Integrated lighting ergonomics: A review on the association between non-visual effects of light and ergonomics in the enclosed cabins
Zhiming Gou, Bingchen Gou, Wenyi Liao, Yuxue Bao, Yongqi Deng
Building and Environment.2023; 243: 110616. CrossRef
Effects of fun-seeking and external locus of control on smoking behaviour: a cross-sectional analysis on a cohort of working men in Singapore
Kar Fye Alvin Lee, Eun Hee Lee, Adam Charles Roberts, Josip Car, Chee Kiong Soh, Georgios Christopoulos
BMJ Open.2022; 12(10): e061318. CrossRef
A Comparative Study of International and Asian Criteria for Overweight or Obesity at Workplaces in Singapore
Nuraini Nazeha, Thirunavukkarasu Sathish, Michael Soljak, Gerard Dunleavy, Nanthini Visvalingam, Ushashree Divakar, Ram Chandra Bajpai, Chee Kiong Soh, George Christopoulos, Josip Car
Asia Pacific Journal of Public Health.2021; 33(4): 404. CrossRef
Prevalence of and factors associated with poor sleep quality and short sleep in a working population in Singapore
Nanthini Visvalingam, Thirunavukkarasu Sathish, Michael Soljak, Ai-Ping Chua, Gerard Dunleavy, Ushashree Divakar, Nuraini Nazeha, Ram Bajpai, Chee Kiong Soh, Kwok Kian Woon, Georgios Christopoulos, Josip Car
Sleep Health.2020; 6(3): 277. CrossRef
Activity Tracker–Based Metrics as Digital Markers of Cardiometabolic Health: Cross-Sectional Study
Yuri Rykov, Thuan-Quoc Thach, Gerard Dunleavy, Adam Charles Roberts, George Christopoulos, Chee Kiong Soh, Josip Car
JMIR mHealth and uHealth.2020; 8(1): e16409. CrossRef
Prevalence of psychological distress and its association with perceived indoor environmental quality and workplace factors in under and aboveground workplaces
Gerard Dunleavy, Ram Bajpai, André Comiran Tonon, Kei Long Cheung, Thuan-Quoc Thach, Yuri Rykov, Chee-Kiong Soh, Hein de Vries, Josip Car, Georgios Christopoulos
Building and Environment.2020; 175: 106799. CrossRef
Employee experiences in underground workplaces: a qualitative investigation
Vinita Venugopal, Adam Charles Roberts, Kian-Woon Kwok, George I. Christopoulos, Chee-Kiong Soh
Ergonomics.2020; 63(11): 1337. CrossRef
Associations of perceived indoor environmental quality with stress in the workplace
Thuan‐Quoc Thach, Dhiya Mahirah, Charlotte Sauter, Adam Charles Roberts, Gerard Dunleavy, Nuraini Nazeha, Yuri Rykov, Yichi Zhang, George I. Christopoulos, Chee‐Kiong Soh, Josip Car
Indoor Air.2020; 30(6): 1166. CrossRef
White- and Blue- collar workers responses’ towards underground workspaces
Ying Su, Adam C. Roberts, Hui Shan Yap, Josip Car, Kian Woon Kwok, Chee-Kiong Soh, George I. Christopoulos
Tunnelling and Underground Space Technology.2020; 105: 103526. CrossRef
Prevalence of sick building syndrome and its association with perceived indoor environmental quality in an Asian multi-ethnic working population
Thuan-Quoc Thach, Dhiya Mahirah, Gerard Dunleavy, Nuraini Nazeha, Yichi Zhang, Christina En Hui Tan, Adam Charles Roberts, George Christopoulos, Chee Kiong Soh, Josip Car
Building and Environment.2019; 166: 106420. CrossRef
A Multifactorial Approach to Sleep and Its Association with Health-Related Quality of Life in a Multiethnic Asian Working Population: A Cross-Sectional Analysis
Gerard Dunleavy, André Comiran Tonon, Ai Ping Chua, Yichi Zhang, Kei Long Cheung, Thuan-Quoc Thach, Yuri Rykov, Chee-Kiong Soh, Georgios Christopoulos, Hein de Vries, Josip Car
International Journal of Environmental Research and Public Health.2019; 16(21): 4147. CrossRef
Risk Factors for Non-Communicable Diseases at Baseline and Their Short-Term Changes in a Workplace Cohort in Singapore
Thirunavukkarasu Sathish, Gerard Dunleavy, Michael Soljak, Nanthini Visvalingam, Nuraini Nazeha, Ushashree Divakar, Ram Bajpai, Thuan-Quoc Thach, Kei Cheung, Hein Vries, Chee-Kiong Soh, Georgios Christopoulos, Josip Car
International Journal of Environmental Research and Public Health.2019; 16(22): 4551. CrossRef
Examining the Factor Structure of the Pittsburgh Sleep Quality Index in a Multi-Ethnic Working Population in Singapore
Gerard Dunleavy, Ram Bajpai, André Comiran Tonon, Ai Ping Chua, Kei Long Cheung, Chee-Kiong Soh, Georgios Christopoulos, Hein de Vries, Josip Car
International Journal of Environmental Research and Public Health.2019; 16(23): 4590. CrossRef
Prevalence of Vitamin D Deficiency and Its Associated Work-Related Factors among Indoor Workers in a Multi-Ethnic Southeast Asian Country
Ushashree Divakar, Thirunavukkarasu Sathish, Michael Soljak, Ram Bajpai, Gerard Dunleavy, Nanthini Visvalingam, Nuraini Nazeha, Chee Kiong Soh, Georgios Christopoulos, Josip Car
International Journal of Environmental Research and Public Health.2019; 17(1): 164. CrossRef

Review

Meta-analysis of the prevalence of depression among breast cancer survivors in Iran: an urgent need for community supportive care programs: Hassan Ahmadi Gharaei, Mostafa Dianatinasab, Seyyed Mostafa Kouhestani, Mohammad Fararouei, Hossein Moameri, Reza Pakzad, Reza Ghaiasvand; Epidemiol Health. 2019;41:e2019030. Published online July 4, 2019; DOI: https://doi.org/10.4178/epih.e2019030

27,679 View
309 Download
18 Web of Science
22 Crossref

Abstract PDF Supplementary Material

Abstract

OBJECTIVES
Depression, which is the most common comorbidity in breast cancer (BC) patients, has adverse effects on patients’ quality of life, disease progress, and survival.

METHODS

The protocol of this study was registered in PROSPERO (registration No. CRD42019121494). We electronically searched published studies through January 2019 with the aim of finding articles that investigated the prevalence of depression among BC survivors. Web of Science, Scopus, PubMed/MEDLINE, Science Direct, and Google Scholar were searched to obtain relevant published studies. This review included 14 cross-sectional and 4 cohort studies published from 2000 to 2018. We used a random-effects model to conduct the meta-analysis and generated a summary estimate for the pooled prevalence with 95% confidence intervals (CIs). A subgroup analysis was also conducted based on the depression assessment tool used and the study design.

RESULTS

The total sample size of the studies contained 2,799 women with BC, including 1,228 women who were diagnosed with depression. The pooled prevalence of depression among Iranian women with BC was 46.83% (95% CI, 33.77 to 59.88) with significant heterogeneity (I2 =98.5%; p<0.001). The prevalence of depression ranged from 14.00% (95% CI, 4.91 to 23.09) to 95.90% (95% CI, 91.97 to 99.83). The results of the subgroup analyses suggested that the depression assessment tool, year of publication, and study design were sources of heterogeneity.

CONCLUSIONS

Our findings indicate a high prevalence of depression among BC patients, underscoring the urgent need for clinicians and health authorities to provide well-defined social and psychological supportive care programs for these patients.

Summary

Citations

Citations to this article as recorded by

Berberine Inhibits Breast Cancer Stem Cell Development and Decreases Inflammation: Involvement of miRNAs and IL-6
Nour Ibrahim, Nawal Alsadi, Hamed Yasavoli-Sharahi, Roghayeh Shahbazi, Mary Joe Hebbo, Darshan Kambli, Florencia Balcells, Chantal Matar
Current Developments in Nutrition.2025; 9(2): 104532. CrossRef
Global prevalence and determinant factors of pain, depression, and anxiety among cancer patients: an umbrella review of systematic reviews and meta-analyses
Addisu Getie, Manay Ayalneh, Melaku Bimerew
BMC Psychiatry.2025;[Epub] CrossRef
The prevalence of anxiety and depression in cancer around the world: An overview of systematic reviews evaluating 128 meta-analyses
Javier Martinez-Calderon, Cristina García-Muñoz, Alberto Marcos Heredia-Rizo, Francisco Javier Cano-García
Journal of Affective Disorders.2024; 351: 701. CrossRef
Global prevalence and factors associated with preoperative depression in women undergoing breast surgery: a meta-analysis and meta-regression
Celest Su Yi Leo, Ling Jie Cheng, Xin Rong Lam, Honggu He
Breast Cancer Research and Treatment.2024; 205(3): 425. CrossRef
Caring Connections: Unveiling Supportive Needs for Enhanced Quality of Life in Young Women with Breast Cancer
Parvaneh Aghajari, Mina Hosseinzadeh, Farnaz Rahmani, Faranak Jabbarzadeh, Sheila Hurst
Journal of Caring Sciences.2024; 13(3): 188. CrossRef
Depression, anxiety and associated factors among cancer patients in Africa; a systematic review and meta-analysis study
Girum Nakie, Mamaru Melkam, Girmaw Medfu Takelle, Setegn Fentahun, Gidey Rtbey, Fantahun Andualem, Getasew Kibralew, Yilkal Abebaw Wassie, Mulat Awoke Kassa, Techilo Tinsae, Gebresilassie Tadesse
BMC Psychiatry.2024;[Epub] CrossRef
Breast cancer survivors–supportive care needs: systematic review
Rahimeh Khajoei, Mahnaz Ilkhani, Payam Azadeh, Sima Zohari Anboohi, Fatemah Heshmati Nabavi
BMJ Supportive & Palliative Care.2023; 13(2): 143. CrossRef
How does social media use influence the mental health of pancreatic cancer patients: a chain mediating effect of online social support and psychological resilience
Yi Wang, Sheng Bao, Yubing Chen
Frontiers in Public Health.2023;[Epub] CrossRef
Prevalence and severity of anxiety and depression in Chinese patients with breast cancer: a systematic review and meta-analysis
Fuying Tao, Mengnan Xu, Qi Zou, Lin Tang, Jianping Feng, Zhenyu Li
Frontiers in Psychiatry.2023;[Epub] CrossRef
Effect of alcohol consumption on breast cancer: probabilistic bias analysis for adjustment of exposure misclassification bias and confounders
Reza Pakzad, Saharnaz Nedjat, Hamid Salehiniya, Nasrin Mansournia, Mahyar Etminan, Maryam Nazemipour, Iraj Pakzad, Mohammad Ali Mansournia
BMC Medical Research Methodology.2023;[Epub] CrossRef
Evaluation of anxiety and depressive symptoms in a sample of adult patients with cancer at Al-Furat Cancer Hospital/Najaf
Hussein Amer Hussein Al-Saffar, Nibras Alaa Hussain
Medical Journal of Babylon.2023; 20(4): 852. CrossRef
Global and regional geographical prevalence of depression in gastric cancer: a systematic review and meta-analysis
Mostafa Kouhestani, Hasan Ahmadi Gharaei, Mohammad Fararouei, Hasan Hosienpour Ghahremanloo, Reza Ghaiasvand, Mostafa Dianatinasab
BMJ Supportive & Palliative Care.2022; 12(e4): e526. CrossRef
The prevalence of anxiety and depression and its association with coping strategies, supportive care needs, and social support among women with breast cancer
Hassan Okati-Aliabad, Alireza Ansari-Moghadam, Mahdi Mohammadi, Shiva Kargar, Fariba Shahraki-Sanavi
Supportive Care in Cancer.2022; 30(1): 703. CrossRef
Association of Chinese herbal medicine use with the depression risk among the long-term breast cancer survivors: A longitudinal follow-up study
Shu-Yi Yang, Hanoch Livneh, Jing-Siang Jhang, Shu-Wen Yen, Hua-Lung Huang, Michael W. Y. Chan, Ming-Chi Lu, Chia-Chou Yeh, Chang-Kuo Wei, Tzung-Yi Tsai
Frontiers in Psychology.2022;[Epub] CrossRef
Effectiveness of Matrix Treatment on Depression and Temptation in Consumption in Amphetamine Dependent Individuals
Homayoun Farhad, Shahnam Abolghasemi, Tahereh Hamzehpoor
Iranian Evolutionary and Educational Psychology.2022; 4(4): 76. CrossRef
Feasibility of modified radical mastectomy with nipple-areola preservation combined with stage I prosthesis implantation using air cavity-free suspension hook in patients with breast cancer
Jiaqi Liu, Heshan Yu, Yuxiao He, Ting Yan, Yu Ding, Jun Chu, Ning Gao, Xiaona Lin, Yanbin Xu, Guijin He
World Journal of Surgical Oncology.2021;[Epub] CrossRef
Depression and Anxiety in Patients With Cancer: A Cross-Sectional Study
Abdallah Y. Naser, Anas Nawfal Hameed, Nour Mustafa, Hassan Alwafi, Eman Zmaily Dahmash, Hamad S. Alyami, Haya Khalil
Frontiers in Psychology.2021;[Epub] CrossRef
Body image, internalized stigma and enacted stigma predict psychological distress in women with breast cancer: A serial mediation model
Mohammadali Amini‐Tehrani, Hadi Zamanian, Mona Daryaafzoon, Seyedehroja Andikolaei, Mahshid Mohebbi, Arefeh Imani, Bita Tahmasbi, Sahar Foroozanfar, Zahra Jalali
Journal of Advanced Nursing.2021; 77(8): 3412. CrossRef
Posttreatment Anxiety, Depression, Sleep Disorders, and Associated Factors in Women Who Survive Breast Cancer
Penelope Aggeli, Georgia Fasoi, Afroditi Zartaloudi, Konstantinos Kontzoglou, Michael Kontos, Theocharis Konstantinidis, Ioannis Kalemikerakis, Ourania Govina
Asia-Pacific Journal of Oncology Nursing.2021; 8(2): 147. CrossRef
Prevalence of Severe Depression in Iranian Women with Breast Cancer: A Meta-Analysis
Parvaneh Isfahani, Marziye Arefy, Monire Shamsaii
Depression Research and Treatment.2020; 2020: 1. CrossRef
Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors
Karimollah Hajian-Tilaki, Erfaneh Hajian-Tilaki
Health and Quality of Life Outcomes.2020;[Epub] CrossRef
Patient‐centred communication for women with breast cancer: Relation to body image perception
Fariba Ghaffari, Akram Ghahramanian, Vahid Zamanzadeh, Tonia C. Onyeka, Arefeh Davoodi, Effat Mazaheri, Mohammad Asghari‐Jafarabadi
Journal of Clinical Nursing.2020; 29(23-24): 4674. CrossRef

Original Articles

Life expectancy of HIV-positive patients after diagnosis in Iran from 1986 to 2016: A retrospective cohort study at national and sub-national levels: Mohammad Mirzaei, Maryam Farhadian, Jalal Poorolajal, Parvin Afasr Kazerooni, Katayoun Tayeri, Younes Mohammadi; Epidemiol Health. 2018;40:e2018053. Published online November 7, 2018; DOI: https://doi.org/10.4178/epih.e2018053

24,589 View
179 Download
10 Web of Science
5 Crossref

Abstract PDF

Abstract

OBJECTIVES
Little is known about the life expectancy of individuals with human immunodeficiency virus (HIV) in Iran. This study therefore aimed to estimate the life expectancy of HIV-positive patients in Iran.

METHODS

In this retrospective cohort study, we extracted data from the Center for Disease Control and Prevention of the Ministry of Health and Medical Education and the Death Registration System. We included patients aged 20 years and older who had a specified date of diagnosis. We estimated life expectancy and its 95% confidence intervals (CIs) using Chiang’s methodology.

RESULTS

The overall life expectancy at the national level was 23.1 years (95% CI, 22.6 to 23.5). Life expectancy was 21.6 years (95% CI, 21.1 to 22.0) for men and 32.7 years (95% CI, 31.4 to 34.0) for women. The life expectancy of patients who did or did not receive antiretroviral therapy (ART) was 37.0 years (95% CI, 36.2 to 37.8) and 15.5 years (95% CI, 15.1 to 15.9), respectively. The life expectancy of patients with or without tuberculosis (TB) was 21.6 years (95% CI, 20.4 to 22.9) and 36.5 years (95% CI, 35.7 to 37.4), respectively.

CONCLUSIONS

The life expectancy of Iranian HIV-positive patients was found to be very low. To improve their longevity, improvements in ART coverage and the control and treatment of TB are advised.

Summary

Citations

Citations to this article as recorded by

Factors Contributing to Retention in Care and Treatment Adherence Among People Living With HIV Returning to Care in South-Eastern Tanzania: A Qualitative Study
Hassan Matimbwa, Sarah Lolo, Leila Matoy, Regina Ndaki, Suzan Ngahyoma, Henry Mollel, Ezekiel Luoga, Fiona Vanobberghen, John-Mary Vianney, Boniphance Idindili, Maja Weisser
HIV/AIDS - Research and Palliative Care.2025; Volume 17: 39. CrossRef
National and sub-national HIV/AIDS epidemiology, socioeconomic influences, and risk factors in Iran from 1990 to 2021, global burden of disease 2021 study
Seyed Aria Nejadghaderi, Mohammad-Mahdi Bastan, Mohammadamin Abdi, Abedin Iranpour, Hamid Sharifi
Scientific Reports.2025;[Epub] CrossRef
Impact of tuberculosis on median survival time and years of potential life lost in patients: A scoping review
Jingxian Ning, Rong Wang, Yuchen Pan, Xinru Fei, Wenxin Jiang, Leonardo Martinez, Limei Zhu, Zhihua Qin, Qiao Liu
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases.2025; 41: 100568. CrossRef
Factors related to baseline CD4 cell counts in HIV/AIDS patients: comparison of poisson, generalized poisson and negative binomial regression models
Maryam Farhadian, Younes Mohammadi, Mohammad Mirzaei, Nasrin Shirmohammadi-Khorram
BMC Research Notes.2021;[Epub] CrossRef
Experiences of patients with primary HIV diagnosis in Kermanshah-Iran regarding the nature of HIV/AIDS: A qualitative study
Fatemeh Gh.Barkish, Rostam Jalali, Amir Jalali
Heliyon.2019; 5(8): e02278. CrossRef

Ambient air quality and subjective stress level using Community Health Survey data in Korea: Myung-Jae Hwang, Hae-Kwan Cheong, Jong-Hun Kim, Youn Seo Koo, Hui-Young Yun; Epidemiol Health. 2018;40:e2018028. Published online June 28, 2018; DOI: https://doi.org/10.4178/epih.e2018028

23,745 View
224 Download
9 Web of Science
10 Crossref

Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
Air pollution causes various disease in exposed populations, and can lead to premorbid health effects manifested as both physical and psychological functional impairment. The present study investigated the subjective stress level in daily life in relation to the level of air pollution.

METHODS

Data from the Community Health Survey (2013), comprising 99,162 men, and 121,273 women residing in 253 healthcare administrative districts, were combined with air pollutant concentration modelling data from the Korean Air Quality Forecasting System, and were stratified by subjective stress levels into five strata for multiple logistic regression. Levels of exposure were divided into five quintiles according to the annual concentration of nitrogen dioxide (NO2), and were analyzed using a single-pollutant model using NO2 concentration only, and a multi-pollutant model adjusted for the concentration of particulate matter <10 μm in diameter.

RESULTS

Analysis of men and women in various age groups showed the highest odds ratio (OR) for subjective stress level at the highest NO2 concentration quintile in men and women aged 30–64 years (men: 2.91; 95% confidence interval [CI], 2.12 to 4.01; women: 1.82; 95% CI, 1.32 to 2.51). As the NO2 concentration quintile increased, the OR increased. Men showed higher ORs than women in all strata.

CONCLUSIONS

In the present study, annual NO2 concentrations were found to be associated with subjective stress levels. This association was especially clear among socioeconomically active men and women aged 30-64 years.

Summary

Korean summary
2013년 지역사회건강조사를 이용하여 253개 보건행정지역단위로 Korean Air Quality Forecasting System (KAQFS) 대기물질농도 모델링자료를 결합하여 주관적 스트레스 정도에 따라 5분위로 범주화하여 다항로지스틱회귀을 하였다. 본 연구에서는 연평균 NO2농도와 주관적 스트레스 정도가 관련이 있는 것으로 나타났다. 특히, 사회 경제적 활동이 활발한30세 이상 65세 미만의 남성과 여성에서 관련성이 뚜렷하게 나타났다.

Citations

Citations to this article as recorded by

High-Resolution Daily PM2.5 Exposure Concentrations in South Korea Using CMAQ Data Assimilation with Surface Measurements and MAIAC AOD (2015–2021)
Jin-Goo Kang, Ju-Yong Lee, Jeong-Beom Lee, Jun-Hyun Lim, Hui-Young Yun, Dae-Ryun Choi
Atmosphere.2024; 15(10): 1152. CrossRef
Climate change and mental health in Korea: A scoping review
Jiyoung Shin, Juha Baek, Sumi Chae
Journal of Climate Change Research.2023; 14(6-2): 989. CrossRef
Long-term air pollution exposure, greenspace and health-related quality of life in the ECRHS study
Anne Boudier, Iana Markevych, Bénédicte Jacquemin, Michael J. Abramson, Simone Accordini, Bertil Forsberg, Elaine Fuertes, Judith Garcia-Aymerich, Joachim Heinrich, Ane Johannessen, Bénédicte Leynaert, Isabelle Pin, Valérie Siroux
Science of The Total Environment.2022; 849: 157693. CrossRef
The impact of black carbon (BC) on mode-specific galvanic skin response (GSR) as a measure of stress in urban environments
Xiuleng Yang, Juan Pablo Orjuela, Emma McCoy, Guillem Vich, Esther Anaya-Boig, Ione Avila-Palencia, Christian Brand, Glòria Carrasco-Turigas, Evi Dons, Regine Gerike, Thomas Götschi, Mark Nieuwenhuijsen, Luc Int Panis, Arnout Standaert, Audrey de Nazelle
Environmental Research.2022; 214: 114083. CrossRef
Effects of ambient air pollution on psychological stress and anxiety disorder: a systematic review and meta-analysis of epidemiological evidence
Tanwi Trushna, Vikas Dhiman, Dharma Raj, Rajnarayan R. Tiwari
Reviews on Environmental Health.2021; 36(4): 501. CrossRef
Green space, air pollution, traffic noise and saliva cortisol in children
Lizan D. Bloemsma, Alet H. Wijga, Jochem O. Klompmaker, Gerard Hoek, Nicole A. H. Janssen, Marieke Oldenwening, Gerard H. Koppelman, Erik Lebret, Bert Brunekreef, Ulrike Gehring
Environmental Epidemiology.2021; 5(2): e141. CrossRef
Effects of exposure to ambient air pollution on pulmonary function impairment in Korea: the 2007-2017 Korea National Health and Nutritional Examination Survey
Soo Beom Choi, Sungha Yun, Sun-Ja Kim, Yong Bum Park, Kyungwon Oh
Epidemiology and Health.2021; 43: e2021082. CrossRef
Impacts of ambient air pollution on glucose metabolism in Korean adults: a Korea National Health and Nutrition Examination Survey study
Myung-Jae Hwang, Jong-Hun Kim, Youn-Seo Koo, Hui-Young Yun, Hae-Kwan Cheong
Environmental Health.2020;[Epub] CrossRef
A Development of PM Concentration Reanalysis Method using CMAQ with Surface Data Assimilation and MAIAC AOD in Korea
Youn-Seo Koo, Dae-Ryun Choi, Hui-Young Yun, Geon-Woo Yoon, Joung-Beom Lee
Journal of Korean Society for Atmospheric Environment.2020; 36(4): 558. CrossRef
Short-Term Impacts of Ambient Air Pollution on Health-Related Quality of Life: A Korea Health Panel Survey Study
Myung-Jae Hwang, Jong-Hun Kim, Hae-Kwan Cheong
International Journal of Environmental Research and Public Health.2020; 17(23): 9128. CrossRef

Knowledge, attitudes, and behavioural risk factors regarding zoonotic infections among bushmeat hunters and traders in Nsukka, southeast Nigeria: Kingsley Uchenna Ozioko, Chris Ikem Okoye, Rose Nduka Obiezue, Raymond Awudu Agbu; Epidemiol Health. 2018;40:e2018025. Published online June 16, 2018; DOI: https://doi.org/10.4178/epih.e2018025

31,209 View
283 Download
17 Web of Science
16 Crossref

Abstract PDF

Abstract

OBJECTIVES
In light of the dramatic spread of Ebola virus in some parts of Africa and the 2014 outbreak in Nigeria, a study was conducted to evaluate bushmeat dealers’ knowledge and attitudes about zoonotic infections and the risk of transmission to humans.

METHODS

A cross-sectional survey was conducted in a community in Nsukka, southeast Nigeria. Hunters (n=34) and bushmeat traders (n=42) were interviewed. A semi-structured questionnaire was used to generate the data. The Fisher exact test was used to evaluate the significance of differences between these groups.

RESULTS

Only 11.8% of the hunters, as compared to 35.7% of the traders, had no knowledge of possible causes of zoonotic infections (p<0.05). However, 64.7% of the hunters, compared to 38.1% of the traders, were ignorant regarding the responsibility of public health personnel and veterinarians (p<0.05), and 76.5% of the hunters compared to 42.9% of the traders were ignorant regarding the existence of zoonoses in Nigeria (p<0.05). A statistically significant difference was also found between these groups regarding the risk of contracting an infection from ectoparasites (p<0.05). The attitudes of respondents towards zoonotic diseases did not differ significantly between the groups.

CONCLUSIONS

The level of awareness about zoonotic diseases was low in this area, underscoring the need for interventions.

Summary

Citations

Citations to this article as recorded by

Knowledge, Attitude, and Practices to Foodborne Zoonotic Diseases and Their Associated Factors in and Around Debre Tabor City, Northwest Ethiopia
Balemual Abebaw, Sisay Assefie, Antonio Ortega-Pacheco
Veterinary Medicine International.2025;[Epub] CrossRef
Limited knowledge of health risks along the illegal wild meat value chain in the Nairobi Metropolitan Area (NMA)
Sherril Phyllis Masudi, James Hassell, Elizabeth AnneJessie Cook, Pim van Hooft, Frank van Langevelde, Ralph Buij, Moses Yongo Otiende, Joel Winyo Ochieng, Andrea Santangeli, Anise Happi, Samuel Nsikan Akpan, Lian Francesca Thomas, Terence Sunderland
PLOS ONE.2025; 20(3): e0316596. CrossRef
Perceived Threat of Zoonotic Infections in Abattoir Workers in the Tamale Metropolis of Ghana: An Assessment of Knowledge, Attitudes and Practices
Benjamin Nuhu Tingbani, Ezekiel Kofi Vicar, Stephen Apanga, Elijah Bisuman Sambian, Samuel Tamanyian Suuk, Edmond Nakinpaak Biibantib, Williams Walana
Public Health Challenges.2025;[Epub] CrossRef
The re-emergence and transmission of Monkeypox virus in Nigeria: the role of one health
Seto C. Ogunleye, Olalekan C. Akinsulie, Abdullahi T. Aborode, Mercy M. Olorunshola, Damilola Gbore, Moyinoluwa Oladoye, Ridwan O. Adesola, Joy O. Gbadegoye, Boluwatife J. Olatoye, Mariam A. Lawal, Akeem B. Bakare, Oluwabori Adekanye, Ezemba C. Chinyere
Frontiers in Public Health.2024;[Epub] CrossRef
Knowledge, perceptions, and practices around zoonotic diseases among actors in the livestock trade in the Lake Victoria crescent ecosystem in East Africa
Hamilton Majiwa, Salome A. Bukachi, Dalmas Omia, Eric M. Fèvre
Frontiers in Public Health.2024;[Epub] CrossRef
Human-animal entanglements in bushmeat trading in Sierra Leone: An ethnographic assessment of a potential zoonotic interface
Jack Jenkins, Wahab Lawundeh, Tommy Hanson, Hannah Brown, Daniel Oladimeji Oluwayelu
PLOS ONE.2024; 19(3): e0298929. CrossRef
Zoonoses in a changing world
Jaime García-Moreno
BioScience.2023; 73(10): 711. CrossRef
A systematic mapping review of links between handling wild meat and zoonotic diseases
Luke Tumelty, Julia E. Fa, Lauren Coad, Sagan Friant, Joseph Mbane, Cedric Thibaut Kamogne, Caleb Yengo Tata, Amy Ickowitz
One Health.2023; 17: 100637. CrossRef
Public and health professional epidemic risk perceptions in countries that are highly vulnerable to epidemics: a systematic review
Nada Abdelmagid, Francesco Checchi, Bayard Roberts
Infectious Diseases of Poverty.2022;[Epub] CrossRef
Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia
Tina Kusumaningrum, Alice Latinne, Stephanie Martinez, Jusuf Kalengkongan, Ageng Wiyatno, Aghnianditya Kresno Dewantari, Novie Kasenda, Janno B. B. Bernadus, Ungke Anton Jaya, Chairin Nisa Ma’roef, Leilani Francisco, Emily Hagan, Maureen Miller, Khin Saw
One Health Outlook.2022;[Epub] CrossRef
Prevalence assessment of ectoparasitic arthropods among commonly consumed wildlife in Nsukka, southeast Nigeria
Kingsley Uchenna Ozioko, Chris Ikem Okoye, Patience Obiageli Ubachukwu, Raymond Awudu Agbu, Bede Izuchukwu Ezewudo, Celestine Osita Ezea
Bulletin of the National Research Centre.2021;[Epub] CrossRef
Pre- and post-Ebola outbreak trends in wild meat trade in West Africa
Stephan M. Funk, Julia E. Fa, Stephanie N. Ajong, Edem A. Eniang, Daniele Dendi, Massimiliano Di Vittorio, Fabio Petrozzi, NioKing Amadi, Godfrey C. Akani, Luca Luiselli
Biological Conservation.2021; 255: 109024. CrossRef
Reemergence of Human Monkeypox and Declining Population Immunity in the Context of Urbanization, Nigeria, 2017–2020
Phi-Yen Nguyen, Whenayon Simeon Ajisegiri, Valentina Costantino, Abrar A. Chughtai, C. Raina MacIntyre
Emerging Infectious Diseases.2021;[Epub] CrossRef
Reemergence of Human Monkeypox and Declining Population Immunity in the Context of Urbanization, Nigeria, 2017–2020
Phi-Yen Nguyen, Whenayon Simeon Ajisegiri, Valentina Costantino, Abrar A. Chughtai, C. Raina MacIntyre
Emerging Infectious Diseases.2021;[Epub] CrossRef
Bushmeat, wet markets, and the risks of pandemics: Exploring the nexus through systematic review of scientific disclosures
Colin Scott Peros, Rajarshi Dasgupta, Pankaj Kumar, Brian Alan Johnson
Environmental Science & Policy.2021; 124: 1. CrossRef
Comparison of the Level of Awareness about the Transmission of Echinococcosis and Toxocariasis between Pet Owners and Non-Pet Owners in Greece
Christina Kantarakia, Maria E. Tsoumani, Antonis Galanos, Alexander G. Mathioudakis, Eleni Giannoulaki, Apostolos Beloukas, Chrysa Voyiatzaki
International Journal of Environmental Research and Public Health.2020; 17(15): 5292. CrossRef

Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study: Satar Rezaei, Mohammad Hajizadeh, Ali Kazemi, Masoud Khosravipour, Farid Khosravi, Shahab Rezaeian; Epidemiol Health. 2017;39:e2017038. Published online August 15, 2017; DOI: https://doi.org/10.4178/epih.e2017038

25,969 View
235 Download
20 Web of Science
18 Crossref

Abstract PDF

Abstract

OBJECTIVES
This study aimed to measure the level and determinants of health-related quality of life (HRQoL) in adults in Kermanshah, a city in the western region of Iran.

METHODS

Convenience sampling was employed to obtain a sample of 998 adults aged 18 years and older (646 males and 352 females) in the city of Kermanshah. A 2-part self-administered questionnaire was used to collect data over the period between March 1 and May 30, 2017. The first part was designed to collect information on socio-demographic characteristics, socioeconomic status, and lifestyle factors (10 items). The second part consisted of the EuroQoL 5-dimensions (EQ-5D) EuroQoL-3-level and the EuroQoL visual analog scale (EQ-VAS) questions. A multiple linear regression model was used to determine the factors associated with the EQ-5D index and EQ-VAS score among study participants.

RESULTS

The mean values for the EQ-5D index and the EQ-VAS score were 0.74 (standard deviation [SD], 0.19) and 80.9 (SD, 16.5), respectively. The highest percentage of self-reported problems (‘some’ and ‘severe’ problems) across the 5 dimensions of the EQ-5D index were associated with the dimensions of anxiety/depression (35.3%) and pain/discomfort (32.9%). The percentage of self-reported problems for the dimensions of usual activities, mobility, and self-care were 19.0, 12.8, and 8.9%, respectively. Our regression analyses indicated that there were statistically significant positive associations between being physically active, monthly household income per capita, and post-secondary education and the EQ-5D index and EQ-VAS score. In contrast, negative associations were found between older age, being married, having a chronic disease, and smoking and the EQ-5D index and EQ-VAS score. A negative association was also found between being uninsured and the EQ-5D index.

CONCLUSIONS

Our findings suggest that interventions aiming to improve physical activity, to prevent chronic diseases, and to reduce the smoking rate among adults living in the city of Kermanshah may improve their HRQoL.

Summary

Citations

Citations to this article as recorded by

Population norms of health-related quality of life in Iran: findings from a national EQ-5D-5L study
Satar Rezaei
Health and Quality of Life Outcomes.2025;[Epub] CrossRef
Linking health-related quality of life to labor supply: a study of nurses in Western Iran
Satar Rezaei, Behzad Karami Matin, Khalil Moradi, Shahram Akbari, Amirhossein Naghibzadeh, Rajabali Daroudi
BMC Nursing.2025;[Epub] CrossRef
QALY loss associated with unhealthy behaviors: evidence from a multi-center cross-sectional study in Iran
Satar Rezaei, Nasim Badiee, Hedayat Salari, Mohammad Bazyar, Mohammad Ranjbar, Eshagh Barfar, Seyed Fahim Irandoost, Javad Moghri, Edris Kakemam
Population Health Metrics.2025;[Epub] CrossRef
Predicting perceived quality of life through social trust, physical activity, and sense of happiness in Iran: Moderating role of gender
Rajabi Gilan, Jamal Mohamadi, Shirin Zardoshtian, Neda Sarabi, Naseri Palangard, Mehdi Khezeli
Health Science Reports.2024;[Epub] CrossRef
Self-care behaviors in Iranian patients with heart failure: A systematic review and meta-analysis
Masoumeh Shohani, Elham Mohammadyari, Firoz Balavandi, Hamed Tavan
Payesh (Health Monitor) Journal.2024; 23(3): 353. CrossRef
Factors Related to Health-Related Quality of Life across the Life Cycle in One-Person Households among Korean Adults
Myung-Ock Chae
Research in Community and Public Health Nursing.2024; 35: 125. CrossRef
Community beliefs and practices about diabetes and their implications for the prevention and management of diabetes in Southeast Ghana
Stanley Kofi Alor, Irene Akwo Kretchy, Franklin N. Glozah, Philip Baba Adongo
BMC Public Health.2024;[Epub] CrossRef
Health-Related Quality of Life Revealed Through Patient-Reported Outcomes
Arzu Demircioğlu, Özden Özkal, Osman Dağ
Bariatric Surgical Practice and Patient Care.2023; 18(1): 49. CrossRef
Health-related quality of life variation by socioeconomic status: Evidence from an Iranian population-based study
Sulmaz Ghahramani, Maryam Hadipour, Payam Peymani, Sahar Ghahramani, Kamran B. Lankarani
Journal of Education and Health Promotion.2023;[Epub] CrossRef
Socio-economic correlates of quality of life in single and married urban individuals: a Polish case study
Daniel Puciato, Michał Rozpara, Marek Bugdol, Barbara Mróz-Gorgoń
Health and Quality of Life Outcomes.2022;[Epub] CrossRef
Estimating population norms for the health-related quality of life of adults in southern Jiangsu Province, China
Wei Hu, Liang Zhou, Jiadong Chu, Na Sun, Xuanli Chen, Siyuan Liu, Yueping Shen
Scientific Reports.2022;[Epub] CrossRef
Association of smoking status and health-related quality of life: difference among young, middle-aged, and older adults in Shandong, China
Zhengyue Jing, Jie Li, Yi Wang, Yemin Yuan, Dan Zhao, Wenting Hao, Caiting Yu, Chengchao Zhou
Quality of Life Research.2021; 30(2): 521. CrossRef
Calidad de vida relacionada a salud y alfabetización en salud en pacientes adultos en centros de atención primaria con afiliación al régimen subsidiado o contributivo en Colombia
Shea M. Lemley, Sergio Castro-Díaz, Leonardo Cubillos, Fernando Suárez-Obando, William C. Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A. Marsch, Carlos Gómez-Restrepo
Revista Colombiana de Psiquiatría.2021; 50: 23. CrossRef
Health-related quality of life and health literacy among adult primary care patients with subsidized or contributive health insurance in Colombia
Shea M. Lemley, Sergio Castro-Diaz, Leonardo Cubillos, Fernando Suárez-Obando, William C. Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A. Marsch, Carlos Gómez-Restrepo
Revista Colombiana de Psiquiatría (English ed.).2021; 50: 22. CrossRef
Poor health-related quality of life in Iran: decomposition analysis of affecting factors
Ali Kazemi Karyani, Satar Rezaei, Behzad Karami Matin, Saeed Amini
International Journal of Human Rights in Healthcare.2019; 12(1): 28. CrossRef
Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
Yuxuan Gu, Hao Zhang, Shahmir H. Ali, Minzhuo Huang, Jingming Wei, Shuyan Gu, Xuemei Zhen, Xiaoqian Hu, Xueshan Sun, Hengjin Dong
International Journal of Environmental Research and Public Health.2019; 16(8): 1314. CrossRef
What Explains Socioeconomic Inequality in Health-related Quality of Life in Iran? A Blinder-Oaxaca Decomposition
Satar Rezaei, Mohammad Hajizadeh, Yahya Salimi, Ghobad Moradi, Bijan Nouri
Journal of Preventive Medicine and Public Health.2018; 51(5): 219. CrossRef
Depression and Its Association with Health-Related Quality of Life in Postmenopausal Women in Korea
Hyejin Park, Kisok Kim
International Journal of Environmental Research and Public Health.2018; 15(11): 2327. CrossRef

The impact of disease characteristics on multiple sclerosis patients’ quality of life: Aziz Rezapour, Abdollah Almasian Kia, Sahar Goodarzi, Mojtaba Hasoumi, Soraya Nouraei Motlagh, Sajad Vahedi; Epidemiol Health. 2017;39:e2017008. Published online February 19, 2017; DOI: https://doi.org/10.4178/epih.e2017008

28,513 View
417 Download
55 Web of Science
59 Crossref

Abstract PDF

Abstract

OBJECTIVES
The aim of this study was to assess the quality of life (QoL) of patients with multiple sclerosis (MS), and to investigate the effects of characteristics of MS such as disease course, severity, and relapses on patients’ QoL.

METHODS

This was a cross-sectional study, in which 171 patients were enrolled. Health-related QoL was assessed using the Persian version of the Multiple Sclerosis Quality of Life-54 questionnaire. To measure patients’ disability status, we used the Expanded Disability Status Scale. Other variables included in the study were disease course and relapses of the disease.

RESULTS

The average scores for patients’ physical and mental QoL were 60.9±22.3 and 59.5±21.4, respectively. In a bivariate analysis, disease course, severity of the disease, and relapses were significantly associated with the physical and mental health composite scores. In a hierarchal regression analysis, disease course, severity of the disease, and relapses were responsible for 38 and 16% of the variance in physical and mental QoL, respectively. It was also observed that relapses were a strong predictor of both physical and mental QoL.

CONCLUSIONS

Our results showed that disease characteristics significantly affected both dimensions of QoL. It is therefore suggested that health care providers should be aware of these characteristics of MS to more successfully improve MS patients’ QoL.

Summary

Citations

Citations to this article as recorded by

Reconsidering Rehabilitation and Lifestyle Approaches to Improve Quality of Life in People with Multiple Sclerosis: A Scoping Review
Elena Bianca Basalic, Nadinne Alexandra Roman, Diana Minzatanu, Adina Ionelia Manaila, Ionut Cristian Cozmin Baseanu, Roxana Steliana Miclaus
Medicina.2026; 62(1): 215. CrossRef
Assessment of the impact of daily living activities and disability on the physical and mental health of Moroccan patients with multiple sclerosis
Iliass EL Harchaoui, Taher Moussa Ahmadou, Abdelilah El Marnissi, Ahmed Omar Touhami Ahami
Journal of Neurosciences in Rural Practice.2026; 0: 1. CrossRef
The role of fear of relapse in quality of life among patients with relapsing–remitting multiple sclerosis
Pınar Öztürk, Mehmet Öztürk
Frontiers in Neurology.2026;[Epub] CrossRef
Validation of the Arabic Version of the Multiple Sclerosis Impact Scale (MSIS-29): a Rasch Analysis Study
Walid Al-Qerem, Dunia Basem, Sawsan Khdair, Anan Jarab, Judith Eberhardt
Archives of Clinical Neuropsychology.2025; 40(3): 520. CrossRef
Health-Related Quality of Life among Patients with Multiple Sclerosis
Saad Abdulrahman Bin Jowair, Mohammed Orayyidh Al Onazi, Waleed Ibrahim Al Hoti, Rakan Bander Al Otaibi, Mohammed Abdullah Al Nasser, Saud Zaid Al Jower, Munawir Orayyidh Al Onazi, Bashaier Al Anazi
European Journal of Medical and Health Research.2025; 3(1): 53. CrossRef
Sociodemographic and Clinical Determinants of the Quality of Life of Moroccan People With Multiple Sclerosis
Ilham Raji, Hind Bourkhime, Mohammed El Amine Ragala, Fedwa Nejjar, Mohammed Faouzi Belahsen
International Journal of MS Care.2025; 27(Q1): 25. CrossRef
Sleep disorders in patients with multiple sclerosis
Ebrahim Kouchaki, Sahar Bayat, Fatemeh Sadat Asgarian
BMC Neurology.2025;[Epub] CrossRef
Lifestyle, Personality Traits and Anger as predictors of Psychosocial problems and Marital Satisfaction of Patients with Type 2 Diabetes
Shirmeen Ijaz, Amina Muazzam, Subha Malik, Tazvin Ijaz
Pakistan Journal of Psychological Research.2025; 40(2): 413. CrossRef
Girth body dimensions in Ukrainian men and women with multiple sclerosis
М. М. Gunas, G. S. Moskovko, I. V. Zavrelovska, S. V. Koliadenko, Yu. V. Kordon, О. L. Ocheretna, V. V. Strii
Reports of Vinnytsia National Medical University.2025; 29(2): 193. CrossRef
Validation of the Arabic Version of Multiple Sclerosis Quality of Life-29 (MSCOL-29-Ar): Cross-cultural Adaptation and Psychometric Analysis
Afaf AM Shaheen (AS), Jude A Alsharafi, Mishal M Aldaihan, Asma S Alrushud, Asma A Aldera, Mai A Alder, Saad Alhammad, Ahmed Farrag, Walaa Elsayed, Muneera Almurdi, Maha Algabbani
NeuroRehabilitation.2025; 57(2): 224. CrossRef
Headache and multiple sclerosis: comorbid emotional and insomnia disorders
A. I. Raevskaya, I. A. Vyshlova, N. M. Tkachenko, I. V. Konareva, D. V. Lychagin, N. N. Kochkarov, S. M. Karpov
Russian neurological journal.2025; 30(5): 40. CrossRef
Perceived health- related quality of life in persons with multiple sclerosis with and without a vascular comorbidity
Lindsay O. Neto, Jennifer A. Ruiz, Elizabeth S. Gromisch
Quality of Life Research.2024; 33(2): 573. CrossRef
Predictive Model of Anxiety and Depression Perception in Multiple Sclerosis Patients: Possible Implications for Clinical Treatment
María Cuerda-Ballester, Antonio Bustos, David Sancho-Cantus, David Martínez-Rubio, Jesús Privado, Jorge Alarcón-Jiménez, Carlos Villarón-Casales, Nieves de Bernardo, Esther Navarro Illana, José Enrique de la Rubia Ortí
Bioengineering.2024; 11(1): 100. CrossRef
Validity and reliability of the Persian version of Recce stigma scale in people with multiple sclerosis and its impact on quality of life
Mohammad Amin Habibi, Mohammad Yazdan Panah, Saeed Vaheb, Meysam Olfatifar, Aysa Shaygannejad, Yousef Mokary, Majid Ghasemi, Sangharsha Thapa, Vahid Shaygannejad, Omid Mirmosayyeb
BMC Neurology.2024;[Epub] CrossRef
Review on the Pharmacological Activities of Black Pepper
D. R. Anandh, D. Priya
Journal of Natural Remedies.2024; : 441. CrossRef
Disease-modifying therapies as positive predictors of quality of life for Sudanese patients with multiple sclerosis: a cross-sectional study
Eman Saleh Omar, Hayat M. Suliman, Bashier Osman, Safa A. Abdalla, Iman Hassan Abdoon
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery.2024;[Epub] CrossRef
Predictors of six-month change in health-related quality of life in people with multiple sclerosis: A secondary data analysis of a randomized controlled trial
Nadine Patt, Marie Kupjetz, Marit Lea Schlagheck, Ruth Hersche, Niklas Joisten, Jan Kool, Roman Gonzenbach, Claudio R. Nigg, Philipp Zimmer, Jens Bansi
Multiple Sclerosis and Related Disorders.2024; 90: 105826. CrossRef
Assessment of the life quality of patients with multiple sclerosis using the SF-36 scale
N. V. Sturov, M. V. Tardov, E. V. Popova, A. V. Boldin, A. G. Strachuk, Sh. Talapbek k
Сибирский научный медицинский журнал.2024; 44(4): 21. CrossRef
Impact of Socio-Demographic Factors on Quality of Life and Coping Strategies of Children with Different Disabilities
Ayoob Lone, Abdul Sattar Khan, Fahad Abdullah Saeed AlWadani, Abdullah Almaqhawi
Medicina.2024; 60(10): 1638. CrossRef
Quality of life in patients with myelin oligodendrocyte glycoprotein antibody associated disease compared to patients with AQP4-IgG positive neuromyelitis optica spectrum disorders: A Korean multicenter study
Hyun Ji Lyou, Ha Young Shin, Hye Lim Lee, Young Nam Kwon, Seong-il Oh, Jeeyoung Oh, Eun Bin Cho, Sunyoung Kim, Seol-Hee Baek, Byung-Jo Kim, Eunhee Sohn, Jin Myoung Seok, Ju-Hong Min, Seung Woo Kim, Byoung Joon Kim
Multiple Sclerosis and Related Disorders.2024; 91: 105914. CrossRef
Disease Acceptation and Health -Related Quality of Life (HR-QoL) in Physical and Mental Sphere of Patients with Multiple Sclerosis (MS) (Relapsing Remitting Type) Compared to a Healthy Control Group – Case -Control Study
Marlena Krawczyk-Suszek, Miroslawa Sekh, Joanna Maciejewska, Jerzy Bednarski, Andriy Zimenkovsky
Journal of Health Study and Medicine.2024; 2024(1): 349. CrossRef
A theory of mind training for people with multiple sclerosis: Development of a scale to assess the treatment acceptability
Alessia d’Arma, Annalisa Valle, Sonia Di Tella, Davide Massaro, Marco Rovaris, Francesca Baglio, Antonella Marchetti
Current Psychology.2023; 42(14): 11586. CrossRef
Neuroprotective Effects of Black Pepper and Its Bioactive Compounds in Age-Related Neurological Disorders
Rengasamy Balakrishnan, Shofiul Azam, In-Su Kim, Dong-Kug Choi
Aging and disease.2023; 14(3): 750. CrossRef
Representing disabling experiences: Rethinking quality of life when evaluating public health interventions
Karl Atkin, Maria Berghs, Sangeeta Chattoo
Politics & Policy.2023; 51(1): 41. CrossRef
Impact of sexual and neurogenic lower urinary tract dysfunction on multiple sclerosis patients' quality of life and health perceptions
Neslihan EŞKUT, Aslı KÖŞKDERELİOĞLU
Cukurova Medical Journal.2023; 48(2): 448. CrossRef
Interventions to Improve Quality of Life in Multiple Sclerosis: New Opportunities and Key Talking Points
Erin Faraclas
Degenerative Neurological and Neuromuscular Disease.2023; Volume 13: 55. CrossRef
Factors that influence quality of life in patients with multiple sclerosis in Saudi Arabia
Fuad A. Abdulla, Faisal M. Albagmi, Fahd A. Al-Khamis
Disability and Rehabilitation.2022; 44(17): 4775. CrossRef
Analysis of frequency and severity of relapses in multiple sclerosis patients treated with cladribine tablets or placebo: The CLARITY and CLARITY Extension studies
Nicola De Stefano, Maria Pia Sormani, Gavin Giovannoni, Kottil Rammohan, Thomas Leist, Patricia K Coyle, Fernando Dangond, Birgit Keller, Nektaria Alexandri, Andrew Galazka
Multiple Sclerosis Journal.2022; 28(1): 111. CrossRef
Short quality of life scale: A cross-cultural validation in Iranian patients with multiple sclerosis
Samira Zarrabi-Ajami, Hadi Zamanian, Mohammadali Amini-Tehrani, Zahra Farhadidanaloo, Razieh Janati Razavi, Azam Abbasi, Saeideh Darbandi, Pegah Chenari
Multiple Sclerosis and Related Disorders.2022; 58: 103411. CrossRef
Therapeutic Potential of Combined Therapy of Vitamin A and Vitamin C in the Experimental Autoimmune Encephalomyelitis (EAE) in Lewis Rats
Mojdeh Navidhamidi, Atena Nazari, Samaneh Dehghan, Anahita Ebrahimpour, Reza Nasrnezhad, Fereshteh Pourabdolhossein
Molecular Neurobiology.2022; 59(4): 2328. CrossRef
Health-Related Quality of Life in people with Multiple Sclerosis: How does this Population Compare to Population-based Norms in Different Health Domains?
Erin Faraclas, Jeff Lynn, Jeffery D. Lau, Angela Merlo
Journal of Patient-Reported Outcomes.2022;[Epub] CrossRef
Pelvic floor muscle training in multiple sclerosis patients with lower urinary tract dysfunction: A systematic review and meta-analysis
Mehrnaz Kajbafvala, Zinat Ashnagar, Adelia Lucio, Fahimeh Firoozeh, Reza Salehi, Fariba Pashazadeh, Mehdi Dadgoo, Hassan Jafari
Multiple Sclerosis and Related Disorders.2022; 59: 103559. CrossRef
Improvement of gait and balance in patients with multiple sclerosis after multidisciplinary physical rehabilitation: Analysis of real-world data in Russia
A. Stepanova, G Makshakov, A. Kulyakhtin, I. Kalinin, P Feys, E. Evdoshenko
Multiple Sclerosis and Related Disorders.2022; 59: 103640. CrossRef
The Relationship Between Adaptation to Disease and Self-care Agency Levels in Patients With Multiple Sclerosis
Aysun Bayram, Afife Yurttaş
Journal of Neuroscience Nursing.2022; 54(2): 102. CrossRef
The validity, responsiveness, and score interpretation of the PROMISnq Physical Function – Multiple Sclerosis 15a short form in multiple sclerosis
Paul Kamudoni, Dagmar Amtmann, Jeffrey Johns, Karon F. Cook, Rana Salem, Sam Salek, Jana Raab, Rod Middleton, Pavle Repovic, Kevin N. Alschuler, Gloria von Geldern, Annette Wundes, Amy Barrett, Oyebimpe Olayinka-Amao, Christian Henke
Multiple Sclerosis and Related Disorders.2022; 62: 103753. CrossRef
Fatigue, Depression, and Anxiety Among Ambulating Multiple Sclerosis Patients
Safanah AlSaeed, Tamadher Aljouee, Nuha M. Alkhawajah, Rola Alarieh, Hanan AlGarni, Salman Aljarallah, Mohsen Ayyash, Amani Abu-Shaheen
Frontiers in Immunology.2022;[Epub] CrossRef
Age, motor dysfunction and neuropsychiatric symptoms impact quality of life in multiple sclerosis
Patrícia de Morais Ferreira Brandão, Tayla Borges Lino, Renata Terra de Oliveira, Andrelisa Vendrami Parra, Paulo Henrique Muleta Andrade, Gustavo Christofoletti
Revista Brasileira de Enfermagem.2022;[Epub] CrossRef
Avoidant Coping Is Associated with Quality of Life in Persons with Multiple Sclerosis with High Cognitive Reserve
Samantha M Vervoordt, Megan L Bradson, Peter A Arnett
Archives of Clinical Neuropsychology.2022; 37(7): 1527. CrossRef
Impact of autologous HSCT on the quality of life and fatigue in patients with relapsing multiple sclerosis
N. Giedraitiene, G. Gasciauskaite, G. Kaubrys
Scientific Reports.2022;[Epub] CrossRef
Perceived facilitators, needs, and barriers to health related quality of life in people with multiple sclerosis: a qualitative investigation
Erin Faraclas, Angela Merlo, Jeff Lynn, Jeffery D. Lau
Journal of Patient-Reported Outcomes.2022;[Epub] CrossRef
Activation of Macrophages by Lysophosphatidic Acid through the Lysophosphatidic Acid Receptor 1 as a Novel Mechanism in Multiple Sclerosis Pathogenesis
Jennifer Fransson, Ana Isabel Gómez-Conde, Jesús Romero-Imbroda, Oscar Fernández, Laura Leyva, Fernando Rodríguez de Fonseca, Jerold Chun, Celine Louapre, Anne Baron Van-Evercooren, Violetta Zujovic, Guillermo Estivill-Torrús, Beatriz García-Díaz
Molecular Neurobiology.2021; 58(2): 470. CrossRef
Multipl Skleroz Tanılı ve Sağlıklı Kadınların Alt Üriner Sistem Semptomlarının Karşılaştırılması
Gözde TEKİN, Nuriye ÖZENGİN, Sule AYDIN TÜRKOĞLU, Handan ANKARALI, Yeşim BAKAR
Anadolu Kliniği Tıp Bilimleri Dergisi.2021; 26(2): 143. CrossRef
Perceived social support, mental health, and marital satisfaction in multiple sclerosis patients
Şükrü Özen, Tuğba Karataş, Ülkü Polat
Perspectives in Psychiatric Care.2021; 57(4): 1862. CrossRef
Virtual reality is a feasible intervention platform in multiple sclerosis: A pilot protocol and acute improvements in affect
Michael T. Shaw, Maria J. Palmeri, Martin Malik, Bryan Dobbs, Leigh E. Charvet
Multiple Sclerosis Journal - Experimental, Translational and Clinical.2021;[Epub] CrossRef
Sensorimotor function does not predict quality of life in persons with multiple sclerosis
Philipp Gulde, Joachim Hermsdörfer, Peter Rieckmann
Multiple Sclerosis and Related Disorders.2021; 52: 102986. CrossRef
Fear of relapse in patients suffering from RRMS influence their quality of life
Ali Khatibi, Tracey J Weiland, Mohsen Dehghani
Multiple Sclerosis and Related Disorders.2021; 54: 103137. CrossRef
Piperine Improves Experimental Autoimmune Encephalomyelitis (EAE) in Lewis Rats Through its Neuroprotective, Anti-inflammatory, and Antioxidant Effects
Reza Nasrnezhad, Sohrab Halalkhor, Farzin Sadeghi, Fereshteh Pourabdolhossein
Molecular Neurobiology.2021; 58(11): 5473. CrossRef
Quality of Life of Children and Adolescents with Multiple Sclerosis—A Literature Review of the Quantitative Evidence
Slávka Mrosková, Eleonóra Klímová, Ľudmila Majerníková, Ľubomíra Tkáčová
International Journal of Environmental Research and Public Health.2021; 18(16): 8645. CrossRef
Associations between Lifestyle Behaviors and Quality of Life Differ Based on Multiple Sclerosis Phenotype
Nupur Nag, Maggie Yu, George Jelinek, Steve Simpson-Yap, Sandra Neate, Hollie Schmidt
Journal of Personalized Medicine.2021; 11(11): 1218. CrossRef
Coping Strategies and Their Impact on Quality of Life and Physical Disability of People with Multiple Sclerosis
Silvia Cerea, Marta Ghisi, Marco Pitteri, Maddalena Guandalini, Lauren B. Strober, Simona Scozzari, Francesco Crescenzo, Massimiliano Calabrese
Journal of Clinical Medicine.2021; 10(23): 5607. CrossRef
The Relationship Between Aspects of Resiliency and Intimacy-Related Illness Intrusiveness in Males with Multiple Sclerosis
Lindsay Neto, Elizabeth S. Gromisch, Jessica Sloan, Tuula Tyry, Frederick W. Foley
Sexuality and Disability.2020; 38(1): 135. CrossRef
Health-Related Quality of Life and the Relationship to Treatment Satisfaction in Patients with Multiple Sclerosis: Insights from a Large Observational Study

Dirk Schriefer, Rocco Haase, Jennifer S Kullmann, Tjalf Ziemssen
Patient Preference and Adherence.2020; Volume 14: 869. CrossRef
Quality of life among patients with multiple sclerosis and voiding dysfunction: a cross-sectional study
Fatemeh Nazari, Vahid Shaygannejad, Mehrdad Mohammadi Sichani, Marjan Mansourian, Valiollah Hajhashemi
BMC Urology.2020;[Epub] CrossRef
Mindfulness-Based Interventions for the Improvement of Well-Being in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis
Sara Carletto, Cesare Cavalera, Isabel Sadowski, Marco Rovaris, Martina Borghi, Bassam Khoury, Luca Ostacoli, Francesco Pagnini
Psychosomatic Medicine.2020; 82(6): 600. CrossRef
Der Einfluss von MS-spezifischen Symptomen auf die gesundheitsbezogene Lebensqualität
Lydia Sander, Joachim Kugler, Bernhard Elsner
Fortschritte der Neurologie · Psychiatrie.2020; 88(11): 704. CrossRef
Quality of life in adults with multiple sclerosis: a systematic review
Irene Gil-González, Agustín Martín-Rodríguez, Rupert Conrad, María Ángeles Pérez-San-Gregorio
BMJ Open.2020; 10(11): e041249. CrossRef
Sex differences in predictors of illness intrusiveness in persons with multiple sclerosis
Lindsay O. Neto, Elizabeth S. Gromisch, Jessica Sloan, Tuula Tyry, Frederick W. Foley
Quality of Life Research.2019; 28(2): 389. CrossRef
Validation of the Indonesian version of multiple sclerosis quality of life-54 (MSQOL-54 INA) questionnaire
Riwanti Estiasari, Syarly Melani, A. A. A. Agung Kusumawardhani, David Pangeran, Yuhyi Fajrina, Kartika Maharani, Darma Imran
Health and Quality of Life Outcomes.2019;[Epub] CrossRef
A Controlled Clinical Trial on the Effects of Exercise on Lower Urinary Tract Symptoms in Women With Multiple Sclerosis
Ana Paula Silva Ferreira, Ana Beatriz Gomes de Souza Pegorare, Ari Miotto Junior, Pedro Rippel Salgado, Fausto Orsi Medola, Gustavo Christofoletti
American Journal of Physical Medicine & Rehabilitation.2019; 98(9): 777. CrossRef

Associations between a health-promoting lifestyle and quality of life among adults with beta-thalassemia major: Aghbabak Maheri, Roya Sadeghi, Davoud Shojaeizadeh, Azar Tol, Mehdi Yaseri, Mojtaba Ebrahimi; Epidemiol Health. 2016;38:e2016050. Published online November 15, 2016; DOI: https://doi.org/10.4178/epih.e2016050

28,343 View
332 Download
25 Web of Science
22 Crossref

Abstract PDF

Abstract

OBJECTIVES
A health-promoting lifestyle (HPL) is a factor that affects the quality of life (QoL) in patients with beta-thalassemia (β-thalassemia). Due to the lack of studies of this issue, this study aimed to determine the association between HPL and QoL among adults with β-thalassemia.

METHODS

This cross-sectional (descriptive-analytic) study was conducted among 389 adult patients with β-thalassemia in Tehran, Iran. The research instrument included a questionnaire consisting of three parts: demographic items, the Short-Form Health Survey and the Health-Promoting Lifestyle Profile. The data were analyzed using SPSS version 23.0. The results were considered significant at the conventional p<0.05 level.

RESULTS

The mean age of the participants was 30.2±8.3 years. The mean score of the HPL dimensions was 127.28±21.53, and the mean score of the QoL domains was 61.44±23.38. The highest and the lowest mean scores of the HPL dimensions were found for spiritual growth (23.96±5.74) and physical activity (11.32±3.95), respectively. The QoL scores in all three domains (total, physical component summary score, and mental component summary score) were moderate. Health responsibility, physical activity, spiritual growth, and interpersonal relations were significant predictive factors of QoL in adults with β-thalassemia; these four dimensions explained 37.9% of the variance in QoL.

CONCLUSIONS

QoL and HPL were not at acceptable levels among patients with thalassemia. Therefore, educational interventions emphasizing spiritual growth, physical activity, and interpersonal relations are necessary for patients with thalassemia.

Summary

Citations

Citations to this article as recorded by

Impaired physical ability in patients with transfusion‐dependent β‐thalassaemia: Can regular physical activity be a countermeasure?
Mathilde Noguer, Phanélie Berthon, Caroline Makowski, Laurent A. Messonnier
British Journal of Haematology.2025; 206(1): 86. CrossRef
Innovative Rapid Detection System for Nondeletion-Type α-Thalassemia via Whole-Blood Amplification and Microfluidic Technology
Yan Wei, Yilian Zhao, Chao Ye, Mengru Xie, Xiaoxing Zhou, Li Youqiong, Gao Huiyuan, Jilin Qing, Tan Tan, Zhizhong Chen
ACS Omega.2025;[Epub] CrossRef
Exploring the perceptions and experiences of female’s with ß-thalassemia major in a Tertiary Care Private Hospital in Pakistan
Rawshan Jabeen, Iqra Ansari, Butool Durrani, Mubarak Jabeen Salman, Laraib Mazhar, Muhammad Usman Hussain Ansari, Ali Hussain Ansari, Saba Kabani, Saqib Husain Ansari
Transfusion Clinique et Biologique.2024; 31(4): 244. CrossRef
Systematic literature review of the indirect costs and humanistic burden of β-thalassemia
Yesim Aydinok, Sneha Purushotham, Aylin Yucel, Mrudula Glassberg, Sohan Deshpande, Barbara Potrata, Myrto Trapali, Farrukh Shah
Therapeutic Advances in Hematology.2024;[Epub] CrossRef
The Effect of Benson Relaxation Technique on Anxiety and Quality of Life in Patients with Thalassemia Major: A Clinical Trial
Mahnaz Ghaljeh, Fatemeh Kord Salarzehi, Sajad Salehipour
Indian Journal of Hematology and Blood Transfusion.2023; 39(4): 557. CrossRef
Aftermath of the COVID-19 Pandemic on Mental Health and Well-Being of Patients With Thalassemia Major in Pakistan: A Qualitative Study
Muhammad Hammad , Rasikh Arif, Sehar Bano, Usman Ghani, Hima Bindu Reddy Basani, Vivek Sanker
Cureus.2023;[Epub] CrossRef
Thalassaemia - part 1: a clinical update for the dental team
Brasanyaa Raveendran, Mohammed Dungarwalla
BDJ Team.2023; 10(8): 28. CrossRef
Cardiopulmonary testing in adult patients with β-thalassemia major in comparison to healthy subjects
G. Piatti, M. Giuditta, D. Consonni, E. Cassinerio, M. D. Cappellini
Annals of Hematology.2022; 101(11): 2445. CrossRef
Thalassaemia - part 1: a clinical update for the dental team
Brasanyaa Raveendran, Mohammed Dungarwalla
British Dental Journal.2022; 233(11): 931. CrossRef
Assessment of Health-promoting Lifestyle among Medical Students of Mashhad University of Medical Sciences in 2018-2019
Nafiseh Mousavi Bazaz, Masoumeh Haghighi, Roya Boujaran, Vida Vakili, Mojtaba Mousavi Bazzaz, Gholamreza Haghighi
Jorjani Biomedicine Journal.2022; 10(1): 4. CrossRef
A multicenter cross-sectional study of the quality of life and iron chelation treatment satisfaction of patients with transfusion-dependent β-thalassemia, in routine care settings in Western Greece
Vassilis Goulas, Alexandra Kouraklis-Symeonidis, Kyriaki Manousou, Vassileios Lazaris, George Pairas, Paraskevi Katsaouni, Eugenia Verigou, Vassiliki Labropoulou, Vassiliki Pesli, Panagiotis Kaiafas, Urania Papageorgiou, Argiris Symeonidis
Quality of Life Research.2021; 30(2): 467. CrossRef
Health literacy and health-promoting behaviors among adults at risk for diabetes in a remote Filipino community
Christian Sandor B. Ydirin
Belitung Nursing Journal.2021; 7(2): 88. CrossRef
Effects of Aquatic Exercise on Dimensions of Quality of Life and Blood Indicators in Patients with Beta-Thalassemia Major
Ali Hasanpour Dehkordi, Toba Hasani, Kiavash Fekri, Fatemeh Deris, Shahram Etemadifar
International Journal of Preventive Medicine.2020;[Epub] CrossRef
Examining the Relationship Between Spiritual Coping and Spiritual Wellbeing in Patients with Beta-Thalassemia Major
Narjes Khatoon Sadeghi, Sakine Miri, Farnaz Jahantigh, Reza Nikbakht
Medical - Surgical Nursing Journal.2019;[Epub] CrossRef
Effect of different iron chelation regimens on bone mass in transfusion-dependent thalassemia patients
Mohammadreza Bordbar, Sezaneh Haghpanah, Omid Reza Zekavat, Forough Saki, Asghar Bazrafshan, Haleh Bozorgi
Expert Review of Hematology.2019; 12(11): 997. CrossRef
Effect of A Mobile-Phone Mediated Based Education on Self-Care Behaviors of Patients With Thalassemia Major
Fatemeh Gharaati, Teamur Aghamolaei, Zahra Hosseini, Sayed Hossein Davoodi, laleh Hassani, Razieh Mohamadi, Shokroallah Mohsseni, Moussa Soleimani-Ahmadi
Journal of Caring Sciences.2019; 8(3): 149. CrossRef
Comparative effectiveness of alendronate and zoledronic acid on bone mass improvement in transfusion-dependent thalassemia patients
Omid Reza Zekavat, Mohamadreza Bordbar, Sezaneh Haghpanah, Forough Saki, Asghar Bazrafshan, Haleh Bozorgi
Journal of Bone and Mineral Metabolism.2019; 37(6): 996. CrossRef
Depression, Anxiety, and Perceived Social Support among Adults with Beta-Thalassemia Major: Cross-Sectional Study
Aghbabak Maheri, Roya Sadeghi, Davoud Shojaeizadeh, Azar Tol, Mehdi Yaseri, Alireza Rohban
Korean Journal of Family Medicine.2018; 39(2): 101. CrossRef
The Relationship between Health-Promoting Lifestyle (HPL) and Academic Self-Efficacy among students
S Saadat, M Kalantari, MB Kajbaf
Research in Medical Education.2018; 9(4): 38. CrossRef
Quality of Life: Transfusion Dependent Thalassemia vs Non-Transfusion Dependent Thalassemia
Mehran Karimi, Nader Cohan
Thalassemia Reports.2018; 8(1): 7489. CrossRef
Poor quality of life as a predictor of survival among thalassemia patients in Iran
Shahab Rezaeian
Epidemiology and Health.2017; 39: e2017013. CrossRef
Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study
Satar Rezaei, Mohammad Hajizadeh, Ali Kazemi, Masoud Khosravipour, Farid Khosravi, Shahab Rezaeian
Epidemiology and Health.2017; 39: e2017038. CrossRef

Life and health satisfaction in the adult population of Iran: Rajabali Daroudi, Arash Rashidian, Hojjat Zeraati, Alireza Oliyaeemanesh, Ali Akbari Sari; Epidemiol Health. 2016;38:e2016047. Published online November 3, 2016; DOI: https://doi.org/10.4178/epih.e2016047

25,871 View
190 Download
11 Web of Science
11 Crossref

Abstract PDF

Abstract

OBJECTIVES
Increasing interest has emerged in the use of subjective well-being as a development indicator and for the evaluation of public policies. The aim of this study was to assess life and health satisfaction and their determinants in the adult population of Iran.

METHODS

We conducted a survey of a sample of 3,150 adults at least 18 years of age in Tehran, the capital of Iran. The subjects were selected using a stratified random sampling method, and they were interviewed face-to-face at their usual residence by trained interviewers. Life satisfaction was used as a measure of subjective well-being. We used ordinary least square regression models to assess the associations of life and health satisfaction with socio-demographic variables.

RESULTS

On a 0-10 scale, the mean (standard deviation) scores for life and health satisfaction were 6.93 (2.54) and 7.18 (1.97), respectively. The average score for life satisfaction in females was 0.52 points higher than in males. A U-shaped relationship was found between age and life satisfaction, with respondents 35 to 44 years of age having the lowest average level of life satisfaction. Satisfaction with life and health among divorced respondents was significantly lower than among never-married and married participants. The scores for life satisfaction in respondents who rated their health status as poor were 3.83 points lower than in those who rated their health status as excellent.

CONCLUSIONS

The majority of the population of Tehran was satisfied with their life and health. Self-rated health status had the greatest impact on life satisfaction.

Summary

Citations

Citations to this article as recorded by

Childhood Abuse, Maternal Attachment, and Adult Life Satisfaction: A Cross-Sectional Study Among Iranian Female Population
Zahra Khajeh, Sedighe Khajooei Nezhad, Nouzar Nakhaee
The Family Journal.2026;[Epub] CrossRef
Geographical distribution disparities and prediction of health satisfaction among middle-aged and elderly adults in China: An analysis based on national data
Na Dong, Xiaohan Yi, Lijun Mao, Biying Wang, Manoj Sharma, Lei Si, Guoqun Xie, Xianglong Xu
Annals of Epidemiology.2025; 108: 16. CrossRef
Predictors of Life Satisfaction: A Nationwide Investigation in Iran
Nasim Salehi, Mohsen Joshanloo, Scott Lamont, Dean Whitehead, Tushar Singh
Health & Social Care in the Community.2024;[Epub] CrossRef
Effects of Group Logotherapy Training on Self-Esteem, Communication Skills, and Impact of Event Scale-Revised (IES-R) in Older Adults
Ali Soroush, Arash Ziapour, Jaffar Abbas, Iran Jahanbin, Bahare Andayeshgar, Farideh Moradi, Sahar Najafi, Elham Cheraghpouran
Ageing International.2022; 47(4): 758. CrossRef
Personal satisfaction: A concept analysis
Rnda I. Ashgar
Nursing Forum.2022; 57(3): 446. CrossRef
Life satisfaction and its influencing factors of middle-aged and elderly stroke patients in China: a national cross-sectional survey
Ying Liu, Jieyu Liu, Shangcheng Zhou, Xingying Xu, Yu Cheng, Ying Yi, Guanyang Zou
BMJ Open.2022; 12(8): e059663. CrossRef
What Makes Indonesians Satisfied With Their Health? A Multilevel Analysis
Susanti Susanti, Adi Cilik Pierewan, Kismiantini Kismiantini, Sofjan Aripin
Sage Open.2022;[Epub] CrossRef
Relationships Between Personal Satisfaction, Cardiovascular Disease Risk, and Health Promoting Behavior Among Arab American Middle-Aged Women
Rnda I. Ashgar
Journal of Cardiovascular Nursing.2021; 36(3): 273. CrossRef
The U Shape of Happiness Across the Life Course: Expanding the Discussion
Nancy L. Galambos, Harvey J. Krahn, Matthew D. Johnson, Margie E. Lachman
Perspectives on Psychological Science.2020; 15(4): 898. CrossRef
Life and health satisfaction and their association toward health-related quality of life, body mass index and chronic diseases in Iran
Ali Kazemi Karyani, Behzad Karami Matin, Addis Adera Gebru, Jafar Yahyavi Dizaj, Satar Rezaei
Journal of Education and Health Promotion.2019;[Epub] CrossRef
Poor quality of life as a predictor of survival among thalassemia patients in Iran
Shahab Rezaeian
Epidemiology and Health.2017; 39: e2017013. CrossRef

Self-reported health-related quality of life (HRQoL) and factors affecting HRQoL among individuals with health insurance in Iran: Ali Kazemi Karyani, Arash Rashidian, Sarar Emamgholipour Sefiddashti, Ali Akbari Sari; Epidemiol Health. 2016;38:e2016046. Published online October 26, 2016; DOI: https://doi.org/10.4178/epih.e2016046

26,119 View
242 Download
31 Web of Science
32 Crossref

Abstract Summary PDF

Abstract

OBJECTIVES
The aim of this study was to measure the health-related quality of life (HRQoL) and to evaluate the factors affecting HRQoL in individuals with health insurance in Tehran, Iran.

METHODS

A cross-sectional analytical study was conducted using the 3-level EuroQol 5-dimensions (EQ-5D) questionnaire. In order to estimate the determinants of HRQoL, information about participants’ demographic, socioeconomic, and health status was gathered. The cluster sampling technique was used to collect data from May to June, 2016. The chi-square test and weighted least squares method were employed for data analysis. Data were analyzed using Stata version 11.0.

RESULTS

A total of 600 Iranians with insurance completed the study, of whom 327 (54.5%) were male and 273 (45.5%) were female. The mean age of the participants was 41.48 years (standard deviation [SD], 14.60 years). Meanwhile, the mean duration of education was 12.36 years (SD, 4.68 years). The mean EQ-5D score was 0.74 (SD, 0.16). The most common health problems in the participants were anxiety/depression (42.3%), followed by pain/discomfort (39.2%). Sex, age, years of schooling, income, chronic disease, and body mass index had a significant effect on HRQoL (p<0.05). Healthy insured individuals, on average, had a HRQoL score 0.119 higher than that of people with a chronic disease, all else being equal (p<0.001).

CONCLUSIONS

Among all determinants of HRQoL, chronic disease was found to be the highest priority for interventions to improve the health status of Iranians with insurance. This finding can help policymakers and health insurance organizations improve their planning to promote the HRQoL of individuals with insurance and society as a whole in Iran.

Summary

Korean summary
본 연구는 만 19세 이상의 한국 성인 동성애자와 양성애자를 대상으로 이들의 건강상태에 대한 설문조사를 시행하고, 수집한 자료를 분석하여 동성애자•양성애자의 건강불평등 실태를 파악하고자 하였다. 본 연구의 목적은 자가평가건강, 정신건강(우울, 자살생각 및 자살시도), 신체적 건강(근골격계 통증) 및 건강관련행동(흡연율, 위험음주율)을 포함하여 다양한 측면에서 한국 성인 동성애자•양성애자와 일반인구집단의 건강수준을 비교하는 것이다.

Citations

Citations to this article as recorded by

Quality-adjusted life expectancy norms for the Iranian population
Abdoreza Mousavi, Rajabali Daroudi, Samira Alipour, Ali Akbari Sari, Fakhraddin Daastari
Population Health Metrics.2025;[Epub] CrossRef
Linking health-related quality of life to labor supply: a study of nurses in Western Iran
Satar Rezaei, Behzad Karami Matin, Khalil Moradi, Shahram Akbari, Amirhossein Naghibzadeh, Rajabali Daroudi
BMC Nursing.2025;[Epub] CrossRef
Health-related quality of life of small-scale farmers in southeastern Nigeria
C. U. Nwankwo, D. O. Aluh, M. E. Ikehi, F. O. Ifeanyieze, B. A. Omeje
Cogent Social Sciences.2025;[Epub] CrossRef
Health-related quality of life measured using the EQ-5D-3L: iranian population norms
Abdoreza Mousavi, Ali Akbari Sari, Fakhraddin Daastari, Rajabali Daroudi
Expert Review of Pharmacoeconomics & Outcomes Research.2024; 24(5): 643. CrossRef
Predicting perceived quality of life through social trust, physical activity, and sense of happiness in Iran: Moderating role of gender
Rajabi Gilan, Jamal Mohamadi, Shirin Zardoshtian, Neda Sarabi, Naseri Palangard, Mehdi Khezeli
Health Science Reports.2024;[Epub] CrossRef
Factors Related to Health-Related Quality of Life across the Life Cycle in One-Person Households among Korean Adults
Myung-Ock Chae
Research in Community and Public Health Nursing.2024; 35: 125. CrossRef
Health-related quality of life in adults with metabolic syndrome: a multi-level analysis of family and individual level variation
Mahdieh Niknam, Keyvan Olazadeh, Mobin Azami, Saeedeh Boroumandieh, Reza Yari-Boroujeni, Neda Izadi, Fereidoun Azizi, Parisa Amiri
BMJ Open.2024; 14(11): e087870. CrossRef
The association between Patient Assessment of Chronic Illness Care Scores and quality of life in type 2 diabetes patients
Gülçin Akan, Asiye Kartal
Journal of Research in Nursing.2023; 28(3): 199. CrossRef
Comparative effectiveness of safety planning intervention with instrumental support calls (ISC) versus safety planning intervention with two-way text message caring contacts (CC) in adolescents and adults screening positive for suicide risk in emergency d
Anna K. Radin, Jenny Shaw, Siobhan P. Brown, Hilary Flint, Tara Fouts, Elizabeth McCue, Anton Skeie, Cecelia Peña, Jonathan Youell, Anna Ratzliff, Diane M. Powers, Matthew Biss, Hannah Lemon, Daniel Sandoval, Jennifer Hartmann, Elizabeth Hammar, Amelia Do
Contemporary Clinical Trials.2023; 131: 107268. CrossRef
Health-related quality of life variation by socioeconomic status: Evidence from an Iranian population-based study
Sulmaz Ghahramani, Maryam Hadipour, Payam Peymani, Sahar Ghahramani, Kamran B. Lankarani
Journal of Education and Health Promotion.2023;[Epub] CrossRef
Assessment of quality of life and its affecting factors in osteosarcopenic individuals in the Iranian older adult population: Bushehr Elderly Health (BEH) program
Amir Mohammad Vahdani, Mahnaz Sanjari, Noushin Fahimfar, Mahbube Ebrahimpur, Gita Shafiee, Kazem Khalagi, Mohammad Javad Mansourzadeh, Iraj Nabipour, Bagher Larijani, Afshin Ostovar
Osteoporosis and Sarcopenia.2023; 9(4): 142. CrossRef
Health-Related Quality of Life Among Pregnant Women With Pre-pregnancy Smoking and Smoking Cessation During Pregnancy in China: National Cross-sectional Study
Kadi Hu, Shiqian Zou, Casper JP Zhang, Huailiang Wu, Babatunde Akinwunmi, Zilian Wang, Wai-Kit Ming
JMIR Public Health and Surveillance.2022; 8(1): e29718. CrossRef
Socioeconomic status and self-rated health in Iran: findings from a general population study
Soraya Nouraei Motlagh, Zahra Asadi Piri, Heshmatollah Asadi, Razyeh Bajoulvand, Satar Rezaei
Cost Effectiveness and Resource Allocation.2022;[Epub] CrossRef
Health-related quality of life among adult patients with visual impairments in Yazd, Iran
Mehdi Raadabadi, Sara Emamgholipour, Rajabali Daroudi, Farzan Madadizadeh, Amirreza Veisi
Journal of Education and Health Promotion.2022; 11(1): 242. CrossRef
Economic evaluation of single-photon emission-computed tomography versus stress echocardiography in stable chest pain patients
Javad Javan-Noughabi, Aziz Rezapour, Marjan Hajahmadi, Vahid Alipour
Scientific Reports.2022;[Epub] CrossRef
Quality of Life Among Geriatric Community Members Following the Kaohsiung Gas Explosion: A 5-Year Cross-Sectional Study
Wei-Tse Hsu, Han-Yun Chang, Guijing Lin, Huei-Wen Angela Lo, Joh-Jong Huang, Che-hun Liao, Pei-Jen Wu, Frank Huang-Chin Chou
Journal of Psychiatric Practice.2022; 28(5): 362. CrossRef
Calidad de vida relacionada a salud y alfabetización en salud en pacientes adultos en centros de atención primaria con afiliación al régimen subsidiado o contributivo en Colombia
Shea M. Lemley, Sergio Castro-Díaz, Leonardo Cubillos, Fernando Suárez-Obando, William C. Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A. Marsch, Carlos Gómez-Restrepo
Revista Colombiana de Psiquiatría.2021; 50: 23. CrossRef
Health-related quality of life and health literacy among adult primary care patients with subsidized or contributive health insurance in Colombia
Shea M. Lemley, Sergio Castro-Diaz, Leonardo Cubillos, Fernando Suárez-Obando, William C. Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A. Marsch, Carlos Gómez-Restrepo
Revista Colombiana de Psiquiatría (English ed.).2021; 50: 22. CrossRef
Examination of Self-Efficacy and Quality of Life of Patients with Type 2 Diabetes Regarding Diabetes Management
Özlem ÇAĞAN, Gözde YEŞİLAYDIN, Bennur KOCA
Journal of Basic and Clinical Health Sciences.2021; 5(3): 43. CrossRef
Investigation of the quality of life of patients with dental conditions: medical and social aspects
Georgy T. Aivazov, Anna V. Fomina
Russian Journal of Dentistry.2021; 25(1): 73. CrossRef
The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China
Xu Chen, Jia Xu, Yunting Chen, Ruiheng Wu, Haoqiang Ji, Yuanping Pan, Yuxin Duan, Meng Sun, Liang Du, Mingcheng Gao, Jiawei Wang, Ling Zhou
Scientific Reports.2021;[Epub] CrossRef
Pre-injury health status of major trauma patients with orthopaedic injuries
Asmare Yitayeh Gelaw, Belinda J. Gabbe, Pamela M. Simpson, Christina L. Ekegren
Injury.2020; 51(2): 243. CrossRef
Factors Affecting Tuberculosis Patients’ Quality of Life in Surabaya, Indonesia

Ni Njoman Juliasih, Ni Made Mertaniasih, Cholichul Hadi, . Soedarsono, Reny Mareta Sari, Ilham Nur Alfian
Journal of Multidisciplinary Healthcare.2020; Volume 13: 1475. CrossRef
Poor health-related quality of life in Iran: decomposition analysis of affecting factors
Ali Kazemi Karyani, Satar Rezaei, Behzad Karami Matin, Saeed Amini
International Journal of Human Rights in Healthcare.2019; 12(1): 28. CrossRef
Rate of psychiatric disorders and associations with quality of life among community members following the Kaohsiung gas explosion: an 18-month cross-sectional follow-up study
Vincent Shieh, Joh-Jong Huang, Tsyr-En Grace Wu, Ju-Yu Chiu, Yi-Chen Chen, Guijing Lin, Chao-Yueh Su, Frank Huang-Chih Chou
Health and Quality of Life Outcomes.2019;[Epub] CrossRef
Social Determinants of Health-Related Quality of Life among Residents in Zhejiang and Qinghai, China
Yuxuan Gu, Hao Zhang, Shahmir H. Ali, Minzhuo Huang, Jingming Wei, Shuyan Gu, Xuemei Zhen, Xiaoqian Hu, Xueshan Sun, Hengjin Dong
International Journal of Environmental Research and Public Health.2019; 16(8): 1314. CrossRef
Health-related quality of life in adults undergoing transthoracic device closure of ventricular septal defect
Kai-Peng Sun, Qiang Chen, Zhi-Nuan Hong, Jiang-Shan Huang, Hua Cao
Journal of Cardiothoracic Surgery.2019;[Epub] CrossRef
Life and health satisfaction and their association toward health-related quality of life, body mass index and chronic diseases in Iran
Ali Kazemi Karyani, Behzad Karami Matin, Addis Adera Gebru, Jafar Yahyavi Dizaj, Satar Rezaei
Journal of Education and Health Promotion.2019;[Epub] CrossRef
A preliminary report on psychiatric impairments and quality of life among Kaohsiung gas explosion victims 6 months after the event
Joh-Jong Huang, Tsyr-En Grace Wu, Yi-Chen Chen, Ju-Yu Chiu, Pesus Chou, Frank Huang-Chih Chou
Quality of Life Research.2018; 27(3): 631. CrossRef
What Explains Socioeconomic Inequality in Health-related Quality of Life in Iran? A Blinder-Oaxaca Decomposition
Satar Rezaei, Mohammad Hajizadeh, Yahya Salimi, Ghobad Moradi, Bijan Nouri
Journal of Preventive Medicine and Public Health.2018; 51(5): 219. CrossRef
Poor quality of life as a predictor of survival among thalassemia patients in Iran
Shahab Rezaeian
Epidemiology and Health.2017; 39: e2017013. CrossRef
Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional study
Satar Rezaei, Mohammad Hajizadeh, Ali Kazemi, Masoud Khosravipour, Farid Khosravi, Shahab Rezaeian
Epidemiology and Health.2017; 39: e2017038. CrossRef

Application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with cataract: Ali Gholami, Mahmood Tavakoli Araghi, Fatemeh Shamsabadi, Mahdiye Bayat, Fatemeh Dabirkhani, Farhad Moradpour, Kamyar Mansori, Yousef Moradi, Abdolhalim Rajabi; Epidemiol Health. 2016;38:e2016005. Published online February 4, 2016; DOI: https://doi.org/10.4178/epih.e2016005

36,661 View
401 Download
17 Web of Science
17 Crossref

Abstract PDF

Abstract

OBJECTIVES
Cataract is a prevalent disease in the elderly, and negatively influences patients’ quality of life. This study was conducted to study the application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with cataract.

METHODS

In this cross-sectional study, 300 patients with cataract were studied in Neyshabur, Iran from July to October 2014. The Iranian version of the WHOQOL-BREF questionnaire was used to measure their quality of life. Cronbach’s alpha coefficient, Pearson’s correlation coefficient, the paired t-test, the independent t-test, and a linear regression model were used to analyze the data in SPSS version 16.0 (SPSS Inc., Chicago, IL, USA).

RESULTS

The mean age of the participants was 68.11±11.98 years, and most were female (53%). The overall observed Cronbach’s alpha coefficient for the WHOQOL-BREF was 0.889, ranging from 0.714 to 0.810 in its four domains. The total mean score of the respondents on the WHOQOL-BREF was 13.19. The highest and lowest mean scores were observed in the social relationship domain (14.11) and the physical health domain (12.29), respectively. A backward multiple linear regression model found that duration of disease and marital status were associated with total WHOQOL scores, while age, duration of disease, marital status, and income level were associated with domains one through four, respectively (p<0.05).

CONCLUSIONS

The reliability analysis conducted in this study indicated that the WHOQOL-BREF scale exhibited an acceptable degree of internal consistency in the measurement of the quality of life of patients with cataract. It was also found that the patients with cataract who were surveyed reported a relatively moderate quality of life.

Summary

Citations

Citations to this article as recorded by

An online grief intervention to improve well-being and reduce clinical symptoms: a randomized controlled trial
Alejandro Dominguez-Rodriguez, Paulina Erika Herdoiza-Arroyo, Sergio Sanz-Gómez, Margarita Gabriela Albán-Terán, Emilia Gabriela Nieto Ramos, Emilia Nicole Villavicencio Calderón, Alisson Nicole Casa Leiva, Anabel de la Rosa-Gómez, Paulina Arenas-Landgrav
Death Studies.2026; 50(2): 307. CrossRef
Katarakt Tanısı Konulan Bireylerde Düşme Sıklığı ve Yaşam Kalitesi
Çiğdem Özdemir, Emel Yılmaz
Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi.2025; 12(2): 207. CrossRef
Psychometric evaluation of the WHOQOL-BREF and its shorter versions for general Thai population: confirmatory factor analysis and Rasch analysis
Krittaphas Kangwanrattanakul, Christian U. Krägeloh
Quality of Life Research.2024; 33(2): 335. CrossRef
Quality of Life and its sociodemographic determinants: a population-based study from rural Punjab, India
Sapana Kasaudhan, Kallur Nava Saraswathy, Vineet Chaudhary
Discover Social Science and Health.2024;[Epub] CrossRef
Assessment of quality of life in glaucoma patients in a tertiary care center in Eastern India
Saswati Sen, Alpana Mishra, Matuli Das, Vanaja Iyer, Mehak Sethi
Indian Journal of Ophthalmology.2023; 71(7): 2767. CrossRef
Impact of the COVID-19 Pandemic on Contraception Awareness and Mental Well-Being in Teenagers and Young Adult Women: A Three-Year Cross-Sectional Analysis
Denisa Hinoveanu, Doru Mihai Anastasiu, Cosmin Citu, Zoran Laurentiu Popa, Izabella Erdelean, Catalin Dumitru, Marius Biris, Flavius Olaru, Oana Neda-Stepan, Roxana Manuela Fericean, Eugen Radu Boia, Eugenia Maria Domuta, Lavinia Stelea
Healthcare.2023; 11(22): 2990. CrossRef
Sociodemographic Determinants of Quality of Life among Community-Dwelling Adults in Rural Punjab, India: A Cross-Sectional Study Using WHOQOL-BREF
Yuki Sato, Kenji Nakamura, Aiko Fujimoto
International Journal of Social and Psychological Aspects of Healthcare.2023; 3(1): 214. CrossRef
Comparative Analysis of the Quality of Life in Families with Children or Adolescents Having Congenital versus Acquired Neuropathology
Maria V. Morcov, Liliana Pădure, Cristian G. Morcov, Andrada Mirea, Marian Ghiță, Gelu Onose
Children.2022; 9(5): 714. CrossRef
QUALITY OF LIFE ASSESSMENT IN BRONCHIECTASIS PATIENT
Ankit Kumar, Sulakshana Gautam, Santosh Kumar, Vijeta Niranjan
INDIAN JOURNAL OF APPLIED RESEARCH.2022; : 74. CrossRef
Quality of life of older adults in two contrasting neighbourhoods in Accra, Ghana
Dominic A. Alaazi, Devidas Menon, Tania Stafinski, Stephen Hodgins, Gian Jhangri
Social Science & Medicine.2021; 270: 113659. CrossRef
Cultural adaptation and validation of the Sidamic version of the World Health Organization Quality-of-Life-Bref Scale measuring the quality of life of women with severe preeclampsia in southern Ethiopia, 2020
Birhanu Jikamo, Mulat Adefris, Telake Azale, Kassahun Alemu
Health and Quality of Life Outcomes.2021;[Epub] CrossRef
Mental health literacy and quality of life in Iran: a cross-sectional study
Alireza Jafari, Mahbobeh Nejatian, Vahideh Momeniyan, Fatemeh Ramezani Barsalani, Hadi Tehrani
BMC Psychiatry.2021;[Epub] CrossRef
Quality of life among Syrian refugees in Germany: a cross-sectional pilot study
Feras Al Masri, Mattea Müller, Josefine Nebl, Theresa Greupner, Andreas Hahn, Dorothee Straka
Archives of Public Health.2021;[Epub] CrossRef
Assessment of the Determinants of Physical Health Quality of Life of the Aged with Disability in Selected Districts in Ghana
Bismark Nantomah, Augustine Tanle, Eugene Kofuor Maafo Darteh
Journal of Communications, Media And Society (JOCMAS).2021; 7(1): 83. CrossRef
Assessment of Health-Related Quality of Life among Tuberculosis Patients in a Public Primary Care Facility in Indonesia
Ika Sartika, Widya Norma Insani, Rizky Abdulah
Journal of Global Infectious Diseases.2019; 11(3): 102. CrossRef
Validation and reliability of the Abbreviated World Health Organization Quality of Life Instrument (WHOQOL-BREF) in the hospitalized trauma population
N. Kruithof, J.A. Haagsma, M. Karabatzakis, M.C. Cnossen, L. de Munter, C.L.P. van de Ree, M.A.C. de Jongh, S. Polinder
Injury.2018; 49(10): 1796. CrossRef
Application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with endometriosis
Abolfazl Mehdizadeh Kashi, Yousef Moradi, Shahla Chaichian, Zahra Najmi, Kamyar Mansori, Forugh Salehin, Azade Rastgar, Sorour Khateri
Obstetrics & Gynecology Science.2018; 61(5): 598. CrossRef

Epidemiological evaluation quality of life in patients suffering from early rheumatoid arthritis: a pragmatic, prospective, randomized, blind allocation controlled of a modular program group intervention: Hadi Yousefi, Arvind Chopra, Rez Farrokhseresht, Sanjeev Sarmukaddam, Fariba Asadi Noghabi, Nilima Bedekar, Abdolhosain Madani; Epidemiol Health. 2015;37:e2015048. Published online November 5, 2015; DOI: https://doi.org/10.4178/epih/e2015048

26,814 View
204 Download
4 Web of Science
3 Crossref

Abstract PDF

Abstract

OBJECTIVES
Epidemiology has taken on new roles in the management of health care services. In this study, we developed a non-pharmacological self-management modular program group intervention and evaluated its efficacy as an adjunct therapy in patients suffering from early rheumatoid arthritis (RA). METHODS: Patients were randomized to either participate in a non-equivalent intervention group along with the standard of care or only receive standard-of-care treatment at a community rheumatology center. The outcomes measured were a pain visual analog scale (VAS), patient general health (GH) on a VAS, and the Short Form-36 Version 2 (SF-36v2) scale measuring quality of life. These parameters were evaluated in the first week to obtain baseline values, and at 20, 32, 48, and 60 weeks to evaluate the efficacy of the intervention group. RESULTS: The patients were randomized, with 100 patients in the intervention group and 106 in the control group. The intervention and control groups were similar with regard to the percentage of women (86% vs. 89.6%), tobacco usage (25% vs. 19.8%), mean age (42.6±13.2 years vs. 46.6±10.9 years), and disease duration (15.3±6.7 months vs. 14.5±6.6 months). The mean outcomes were significantly different between the two groups, and post-hoc pairwise analysis demonstrated significant deterioration in the control group in contrast to improvement in the intervention group at the second, third, fourth, and fifth evaluations. Improvements were often seen as early as the 12-week and 24-week follow-up visits. CONCLUSIONS: Epidemiology contributes to the evaluation of how well specific therapies or other health interventions prevent or control health problems. The modular program group intervention implemented in this study appears to be a suitable and feasible method to facilitate much more comprehensive management of early RA in socioeconomically challenged communities.

Summary

Citations

Citations to this article as recorded by

The Effects of Patient Education on Psychological Status and Clinical Outcomes in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis
Zugui Wu, Yue Zhu, Yi Wang, Rui Zhou, Xiangling Ye, Zehua Chen, Congcong Li, Junyi Li, Zixuan Ye, Zhenbang Wang, Wengang Liu, Xuemeng Xu
Frontiers in Psychiatry.2022;[Epub] CrossRef
Aproximación de discapacidad en artritis reumatoide. Resultados de un programa de atención integral
Sandra Milena Barrera Castro, Ángela Maryoure Gigliola Suárez Moya, Luis Mauricio Mora, Carolina Cardona, Edwin Antonio Jáuregui Cuartas, Yezid Alberto Muñoz Urrego
Revista Colombiana de Reumatología.2017; 24(3): 138. CrossRef
Approach to disability in rheumatoid arthritis. Results of a comprehensive care program
Sandra Milena Barrera Castro, Ángela Maryoure Gigliola Suárez Moya, Luis Mauricio Mora, Carolina Cardona, Edwin Antonio Jáuregui Cuartas, Yezid Alberto Muñoz Urrego
Revista Colombiana de Reumatología (English Edition).2017; 24(3): 138. CrossRef

Methods

Value-based medicine: concepts and application: Jong-Myon Bae; Epidemiol Health. 2015;37:e2015014. Published online March 4, 2015; DOI: https://doi.org/10.4178/epih/e2015014

35,991 View
414 Download
34 Web of Science
62 Crossref

Abstract Summary PDF Supplementary Material

Abstract

Global healthcare in the 21st century is characterized by evidence-based medicine (EBM), patient-centered care, and cost effectiveness. EBM involves clinical decisions being made by integrating patient preference with medical treatment evidence and physician experiences. The Center for Value-Based Medicine suggested value-based medicine (VBM) as the practice of medicine based upon the patient-perceived value conferred by an intervention. VBM starts with the best evidence-based data and converts it to patient value-based data, so that it allows clinicians to deliver higher quality patient care than EBM alone. The final goals of VBM are improving quality of healthcare and using healthcare resources efficiently. This paper introduces the concepts and application of VBM and suggests some strategies for promoting related research.

Summary

Korean summary
21세기 의학은 근거기반, 환자중심, 비용효과적인 의료를 지향하고 있다. 근거기반의학은 의사결정에 있어 최선의 의학적 근거를 기반으로 하려는 패러다임이다. 이런 근거기반의학에 더하여 환자의 가치를 치료 결정에 적극 반영하기 위하여 가치기반의학이 제기되었다. 가치기반의학은 최선의 근거에 따라 진료를 하면서도 의료자원을 효율적으로 사용하도록 만들어서, 궁극적으로 한 나라의 보건의료의 질적 향상을 도모하게 한다. 본 논문의 목적은 가치기반의학의 개념을 소개하고 관련 연구의 활성화를 위한 전략적 제언을 하는 것이다.

Citations

Citations to this article as recorded by

Propuesta de 100 recomendaciones de «no hacer» en la atención clínica de las personas con obesidad
I. Bretón, E. González Arnáiz, A. Zugasti Murillo
Medicina de Familia. SEMERGEN.2026; 52(1): 102639. CrossRef
A patient and public involvement study to explore patient perspectives on the efficacy of treatments for pain and numbness derived from ossification of posterior longitudinal ligament of the spine
Masahiko Takahata, Yasuko Masuda, Tsutomu Endo, Yoshinao Koike, Masashi Yamazaki, Hiroshi Taneichi, Masayuki Miyagi, Hiroshi Takahashi, Norimasa Iwasaki
Journal of Orthopaedic Science.2025; 30(2): 278. CrossRef
Involvement of anesthesiologists in pediatric sedation and analgesia outside the operating room in Japan: is it too late, or is there still time?
Soichiro Obara
Journal of Anesthesia.2025; 39(2): 311. CrossRef
Withdrawal of life sustaining therapies for awake patients in critical care: The benefits of a collaborative intensivist & palliative care approach
Stuart Edwardson, Rhona Kellichan, Colette Reid, Rosaleen Baruah, Charlie Hall
Journal of the Intensive Care Society.2025; 26(3): 353. CrossRef
Developing a Prototype Machine Learning Model to Predict Quality of Life Measures in People Living With HIV
Gabriel Mercadal-Orfila, Joaquin Serrano López de las Hazas, Melchor Riera-Jaume, Salvador Herrera-Perez
Integrated Pharmacy Research and Practice.2025; Volume 14: 1. CrossRef
The Lancet Child & Adolescent Health Commission on the future of neonatology
Daniele De Luca, Neena Modi, Peter Davis, Satoshi Kusuda, Saskia N de Wildt, Martin Keszler, Allyah Abbas-Hanif, Sandra E Juul, Mark Turner, J Jane Pillow, Nicola J Robertson, Manuel Sanchez-Luna, David G Tingay, Alexandra Benachi, Flavia Bustreo, Gianluc
The Lancet Child & Adolescent Health.2025; 9(8): 578. CrossRef
The Lancet Child and Adolescent Health Commission on “the future of neonatology” calls for a change: neonatology needs to learn from adult medicine
Daniele De Luca
Pediatrics & Neonatology.2025; 66(5): 409. CrossRef
Which social accountability competencies make a good physician? A qualitative investigation of the patient perspective on social accountability
Janique Oudbier, Tobias Boerboom, Saskia Peerdeman, Jeanine Suurmond
Medical Teacher.2024; 46(9): 1203. CrossRef
Realising the promise of value-based purchasing: experimental evidence of medical device selection
Juri Matinheikki, Katie Kenny, Katri Kauppi, Erik van Raaij, Alistair Brandon-Jones
International Journal of Operations & Production Management.2024; 44(13): 100. CrossRef
Importance of focusing on subjective symptoms to maintain quality of life in patients with Parkinson's disease for over 5 years
Remi Morimoto, Kazuo Kitagawa, Mutsumi Iijima
Journal of the Neurological Sciences.2024; 466: 123253. CrossRef
Value-based health care in Western countries: a scoping review on the implementation of patient-reported-outcomes sets for hospital-based interventions
Job F.H. Eijsink, Annabel M. Fabian, Johanna P.M. Vervoort, Mohamed N.M.T. Al Khayat, Cornelis Boersma, Maarten J. Postma
Expert Review of Pharmacoeconomics & Outcomes Research.2023; 23(1): 1. CrossRef
Health-related quality of life in various health conditions: two consecutive surveys of older Japanese adults
Takaaki Ikeda, Yoshimune Hiratsuka, Natsuyo Yanagi, Yasunori Komaki, Masayasu Murakami, Jun Aida, Katsunori Kondo, Ken Osaka
Quality of Life Research.2023; 32(4): 1209. CrossRef
Benefit-aware early prediction of health outcomes on multivariate EEG time series
Shubhranshu Shekhar, Dhivya Eswaran, Bryan Hooi, Jonathan Elmer, Christos Faloutsos, Leman Akoglu
Journal of Biomedical Informatics.2023; 139: 104296. CrossRef
Is being able to walk to the letterbox life-changing? A qualitative assessment of measures of improvement in persistent breathlessness
Diana H. Ferreira, Magnus Ekström, Cornelia Verberkt, Daisy J.A. Janssen, David C. Currow
ERJ Open Research.2023; 9(2): 00530-2022. CrossRef
Design considerations for a hierarchical semantic compositional framework for medical natural language understanding
Ricky K. Taira, Anders O. Garlid, William Speier, Ilya Safro
PLOS ONE.2023; 18(3): e0282882. CrossRef
Editorial: From clinical trials to real-world data sciences for value in health: access, utilization, and quality
Xiangxiang Jiang, Gang Lv, Jing Yuan, Kevin Lu
Frontiers in Public Health.2023;[Epub] CrossRef
Centralisation of specialist cancer surgery: an assessment of patient preferences for location of care in the upper South Island of New Zealand
Ahrin Anna Morrow, Andrew McCombie, Fraser Jeffery, Chris Frampton, Todd Hore
ANZ Journal of Surgery.2023; 93(9): 2180. CrossRef
Patient-reported outcome measures and value-based medicine in paediatrics: a timely review
Yi Hua Tan, Jia Xuan Siew, Biju Thomas, Kee Chong Ng
Singapore Medical Journal.2023; 64(5): 285. CrossRef
Las influencias actuales en la práctica profesional ocasionadas por las variantes regulatorias en Cirugía Plástica
Guillermo PEÑA-CABÚS
Cirugía Plástica Ibero-Latinoamericana.2023; 49: 211. CrossRef
Correlation of preference- and profile-based quality of life of Japanese oral cancer patients during the perioperative period measured using EQ-5D-5L and FACT-H&N
T. Aoki, Y. Ota, K. Izawa, Y. Osawa, S. Seta, B. Tsuda
International Journal of Oral and Maxillofacial Surgery.2022; 51(8): 992. CrossRef
Medical physics 3.0: A renewed model for practicing medical physics in clinical imaging
Ehsan Samei
Physica Medica.2022; 94: 53. CrossRef
How can we optimise health technology assessment and reimbursement decisions to accelerate access to new cardiovascular medicines?
Martin R. Cowie, Biykem Bozkurt, Javed Butler, Andrew Briggs, Maria Kubin, Adrian Jonas, Amanda I. Adler, Bray Patrick-Lake, Faiez Zannad
International Journal of Cardiology.2022; 365: 61. CrossRef
Investigating the feasibility of recruitment to an observational, quality-of-life study of patients diagnosed with atrial fibrillation (AF) who have experienced a bleed while anticoagulated: EQUAL-AF feasibility study protocol
Hayley A. Hutchings, Kirsty Lanyon, Steven Lister, Raza Alikhan, Julian Halcox, Gail Holland, Arfon Hughes, Rhys Jenkins, Hamish Laing, Trudie Lobban, Diane Owen, Kevin G. Pollock, Ceri Todd, Kathie Wareham
Pilot and Feasibility Studies.2022;[Epub] CrossRef
Value-Based Care in Systemic Therapy: The Way Forward
Aju Mathew, Steve Joseph Benny, Jeffrey Mathew Boby, Bhawna Sirohi
Current Oncology.2022; 29(8): 5792. CrossRef
Exploring the measurement of pediatric cognitive-communication disorders in traumatic brain injury research: A scoping review
Lauren Crumlish, Sarah J. Wallace, Anna Copley, Tanya A. Rose
Brain Injury.2022; 36(10-11): 1207. CrossRef
Value-based approach to blood pressure telemonitoring and remote counseling in hypertensive patients
Mikhail V. Ionov, Olga V. Zhukova, Yulia S. Yudina, Natalya G. Avdonina, Igor V. Emelyanov, Dmitri I. Kurapeev, Nadezhda E. Zvartau, Alexandra O. Konradi
Blood Pressure.2021; 30(1): 20. CrossRef
Development of an international standard set of patient-centred outcome measures for overall paediatric health: a consensus process
Beatrix Algurén, Jessily P Ramirez, Matthew Salt, Nick Sillett, Stacie N Myers, Albie Alvarez-Cote, Nancy J Butcher, Luiz F Caneo, Jaime A Cespedes, John E Chaplin, Kee Chong Ng, Juan J García-García, Jan A Hazelzet, Anne F Klassen, Aida Luiza R Turquetto
Archives of Disease in Childhood.2021; 106(9): 868. CrossRef
What matters to patients: Parental and caregiver opinions on International Consortium for Health Outcomes Measurements overall health outcomes for children in Singapore
Moira Suyin Chia, John Yeow Yang Wong, Irene Pheck Mui Chan, Kee Chong Ng
Proceedings of Singapore Healthcare.2021; 30(4): 294. CrossRef
Value-based care in obstetrics: comparison between vaginal birth and caesarean section
Romulo Negrini, Raquel Domingues da Silva Ferreira, Daniela Zaros Guimarães
BMC Pregnancy and Childbirth.2021;[Epub] CrossRef
LIFE QUALITY ASSESSMENT OF PATIENTS WITH STABLE CORONARY ARTERY DISEASE AFTER MYOCARDIAL REVASCULARIZATION
I. A. Narkevich, O. D. Nemyatykh, K. A. Kovaleva, L. G. Ratova, I. O. Trushnikova, E. N. Parizhskaya, A. O. Konradi
Pharmacy & Pharmacology.2021; 8(6): 465. CrossRef
Hypertension specific patient-reported outcome measure. Part III: validation, responsiveness and reliability assessment
M. V. Ionov, N. E. Zvartau, E. A. Dubinina, N. N. Khromov-Borisov, I. A. Tregubenko, A. O. Konradi
Russian Journal of Cardiology.2020; 25(3): 3438. CrossRef
Human Computer Interaction During Clinical Decision Support With Electronic Health Records Improvement
Katerina V. Bolgova, Sergey V. Kovalchuk, Marina A. Balakhontceva, Nadezhda E. Zvartau, Oleg G. Metsker
International Journal of E-Health and Medical Communications.2020; 11(1): 93. CrossRef
Hypertension specific patient-reported outcome measure. Part III: validation, responsiveness and reliability assessment
M. V. Ionov, N. E. Zvartau, E. A. Dubinina, N. N. Khromov-Borisov, I. A. Tregubenko, A. O. Konradi
Russian Journal of Cardiology.2020; 25(3): 109. CrossRef
Sicily Network for Liver Cancer: A Multidisciplinary Network Model for the Management of Primary Liver Tumors
Ciro Celsa, Giuseppe Cabibbo, Duilio Pagano, Vito di Marco, Calogero Cammà, Salvatore Gruttadauria
Journal of Laparoendoscopic & Advanced Surgical Techniques.2020; 30(10): 1048. CrossRef
Coproduction: when users define quality
Glyn Elwyn, Eugene Nelson, Andreas Hager, Amy Price
BMJ Quality & Safety.2020; 29(9): 711. CrossRef
Adjust your own oxygen mask before helping those around you: an autoethnography of participatory research
Abby M. Steketee, Thomas G. Archibald, Samantha M. Harden
Implementation Science.2020;[Epub] CrossRef
Cost-Effectiveness Analysis of Motion-Preserving Operations for Wrist Arthritis
Helene Retrouvey, Beate Sander, Herbert P. von Schroeder, Paul Binhammer, Heather L. Baltzer
Plastic & Reconstructive Surgery.2020; 146(5): 588e. CrossRef
Blood pressure telemonitoring and remote counseling of hypertensive patients: pros and cons
M. V. Ionov, N. E. Zvartau, A. O. Konradi, E. V. Shlyakhto
Russian Journal of Cardiology.2020; 25(10): 4066. CrossRef
Patients and informal caregivers' experience of surgical and transcatheter aortic valve replacement: Real‐world data contributing to establish value‐based medicine in Denmark
Liesbeth Rosseel, Gintautas Bieliauskas, Bente B. Brodersen, Peter S. Olsen, Lars Søndergaard, Ole De Backer
Clinical Cardiology.2019; 42(4): 444. CrossRef
Patients’ early engagement in research proposal development (PEER-PD): patients guiding the proposal writing
Nabil Natafgi, A Tsahai Tafari, Cynthia Chauhan, Justin E Bekelman, C Daniel Mullins
Journal of Comparative Effectiveness Research.2019; 8(6): 441. CrossRef
Les médecines alternatives et complémentaires dans le système Evidence-based medicine. Une étude philosophique de l’ostéopathie
B. Hogedez, N. Gaudreault
Ethics, Medicine and Public Health.2019; 8: 156. CrossRef
Population Health: The Diabetes Educator’s Evolving Role
Teresa L. Pearson, Joan Bardsley, Susan Weiner, Leslie Kolb
The Diabetes Educator.2019; 45(4): 333. CrossRef
Value-based medicine and palliative care: how do they converge?
Simone Garruth Dos Santos Machado Sampaio, Luciana Branco Da Motta, Celia Pereira Caldas
Expert Review of Pharmacoeconomics & Outcomes Research.2019; 19(5): 509. CrossRef
Why physics in medicine?
Ehsan Samei, Thomas M. Grist
Physica Medica.2019; 64: 319. CrossRef
DNA Methylation Cancer Biomarkers: Translation to the Clinic
Warwick J. Locke, Dominic Guanzon, Chenkai Ma, Yi Jin Liew, Konsta R. Duesing, Kim Y.C. Fung, Jason P. Ross
Frontiers in Genetics.2019;[Epub] CrossRef
Personalizing Precision Oncology Clinical Trials in Latin America: An Expert Panel on Challenges and Opportunities
Roberto Jun Arai, Rodrigo Santa Cruz Guindalini, Andrea Sabina Llera, Juan Manoel O'Connor, Bettina Muller, Mauricio Lema, Helano C. Freitas, Tannia Soria, Lucía Delgado, Denis Landaverde, Paola Montenegro, Rachel P. Riechelmann
The Oncologist.2019; 24(8): e709. CrossRef
From Complementary to Integrative Medicine and Health: Do We Need a Change in Nomenclature?
Dieter Melchart
Complementary Medicine Research.2018; 25(2): 76. CrossRef
Why Physics in Medicine?
Ehsan Samei, Thomas M. Grist
Journal of the American College of Radiology.2018; 15(7): 1008. CrossRef
3．Practical Use of QOL/PRO for Health Technology Assessment in Japan
Hideki MURASAWA, Kojiro SHIMOZUMA
Japanese Journal of Pharmacoepidemiology/Yakuzai ekigaku.2018; 23(1): 19. CrossRef
Toward a Consensus on Centralization in Surgery
René Vonlanthen, Peter Lodge, Jeffrey S. Barkun, Olivier Farges, Xavier Rogiers, Kjetil Soreide, Henrik Kehlet, John V. Reynolds, Samuel A. Käser, Peter Naredi, Inne Borel-Rinkes, Sebastiano Biondo, Hugo Pinto-Marques, Michael Gnant, Philippe Nafteux, Mir
Annals of Surgery.2018; 268(5): 712. CrossRef
Electronic Health Records as an Educational Tool: Viewpoint
Yacob Habboush, Robert Hoyt, Sary Beidas
JMIR Medical Education.2018; 4(2): e10306. CrossRef
Formation of requirements for a reference architectural model for the digital transformation of a medical organization
I. V. Ilyin, V. M. Ilyashenko
Scientific bulletin of the Southern Institute of Management.2018; (4): 82. CrossRef
Principialismo, bioética personalista y principios de acción en medicina y en servicios de salud
Jorge Tomas Insua
Persona y Bioética.2018; 22(2): 223. CrossRef
Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention
Marc Jamoulle, Michel Roland, Jong-Myon Bae, Bruno Heleno, Giorgio Visentin, Gustavo Diniz Ferreira Gusso, Maciek Godycki-Ćwirko, Miguel Pizzanell, Patrick Ouvrard, Ricardo La Valle, Luis Filipe Gomes, Daniel Widmer, Jorge Bernstein, Mariana Mariño, Hamil
Revista Brasileira de Medicina de Família e Comunidade.2018; 13(40): 1. CrossRef
Strategies for Derisking Translational Processes for Biomedical Technologies
Mohamed Abou-El-Enein, Georg N. Duda, Elliott A. Gruskin, David W. Grainger
Trends in Biotechnology.2017; 35(2): 100. CrossRef
Strategies for Appropriate Patient-centered Care to Decrease the Nationwide Cost of Cancers in Korea
Jong-Myon Bae
Journal of Preventive Medicine and Public Health.2017; 50(4): 217. CrossRef
Towards evolutionary discovery of typical clinical pathways in electronic health records
Anastasia A. Funkner, Aleksey N. Yakovlev, Sergey V. Kovalchuk
Procedia Computer Science.2017; 119: 234. CrossRef
Improving Electronic Medical Records with Support of Human Computer Interaction in Medical Information Systems
Ekaterina V. Bolgva, Nadezhda E. Zvartau, Sergey V. Kovalchuk, Marina A. Balakhontceva, Oleg G. Metsker
Procedia Computer Science.2017; 121: 469. CrossRef
Data-driven modeling of clinical pathways using electronic health records
Anastasia A. Funkner, Aleksey N. Yakovlev, Sergey V. Kovalchuk
Procedia Computer Science.2017; 121: 835. CrossRef
Integrative Health: Implications from a Report That Medical Errors Are the USA's Third Leading Cause of Death
John Weeks
The Journal of Alternative and Complementary Medicine.2016; 22(7): 493. CrossRef
Development and application of patient decision aids
Jong-Myon Bae
Epidemiology and Health.2015; 37: e2015018. CrossRef
Telepsychiatry: Benefits and costs in a changing health-care environment
Maryann Waugh, Debbie Voyles, Marshall R. Thomas
International Review of Psychiatry.2015; 27(6): 558. CrossRef

Original Articles

Burden of Disease of Multiple Sclerosis in Korea: Soo-Eun Chung, Hae-Kwan Cheong, Jae-Hyun Park, Ho Jin Kim; Epidemiol Health. 2012;34:e2012008. Published online November 30, 2012; DOI: https://doi.org/10.4178/epih/e2012008

32,057 View
161 Download
22 Crossref

Abstract PDF

Abstract

<sec><title>OBJECTIVES</title>Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system. There are few reports on the burden of disease of MS, worldwide. The authors aim to estimate burden of disease and estimate the epidemiologic indexes of MS in Korea using available epidemiologic data.</sec><sec><title>METHODS</title>Epidemiologic indexes were computed using DISMOD II software based on prevalence from nationwide survey, incidence estimated from extrapolation, mortality from National Statistics Office, and duration of disease from literature as input indexes. We calculated disability-adjusted life year (DALY) as a measure of premature mortality and disability, equivalent to years of healthy life lost due to a given condition.</sec><sec><title>RESULTS</title>The incidence of MS in Korea was 0.1 per 100,000, higher in female than in male. The highest incidence was estimated in the age group between 35 and 44 years in male and age group between 25 and 29 years in female. Total burden of disease of MS was 1,394 DALY, comprised of 292 (21%) years of life lost and 1,101 (79%) years lived with disability. The mean age at onset of MS was 33 years old in men and 32 years old in female. Estimated duration of disease was 35 years in men and 40 years in female. Most of the DALY of MS occurred in the adult population between 25 and 54 years of age.</sec><sec><title>CONCLUSION</title>Although MS is a rare disease in Korea, most of the DALY arises from young people, which results in a major financial burden on the patient, family, health system and society.</sec>

Summary

Citations

Citations to this article as recorded by

Comparing disease burden of rare diseases with common medical conditions in china: evidence from a national online health survey in 2022
Xinyi Song, Yibo Wu, Tiantian Zhang, Pei Wang
Archives of Public Health.2026;[Epub] CrossRef
Real-World Epidemiology of Multiple Sclerosis in Korea: Insights from a 2025 Nationwide Hospital-Based Multicenter Study
Sooyoung Kim, Ho Jin Kim, Jae-Won Hyun, Eun-Jae Lee, Young-Min Lim, Hyunjin Kim, Ju-Hong Min, Byung Joon Kim, Seung Ho Choo, Sung-Min Kim, Dong Seok Ohn, Ha Young Shin, Young Nam Kwon, Seung Woo Kim, Ki Hoon Kim, Jun Soon Kim, Woojun Kim, Tai-Seung Nam, Y
Journal of Multiple Sclerosis and Neuroimmunology.2025; 16(2): 53. CrossRef
A systematic review of studies that estimated the burden of chronic non-communicable rare diseases using disability-adjusted life years
Claudia Cruz Oliveira, Periklis Charalampous, Julien Delaye, Diana Alecsandra Grad, Pavel Kolkhir, Enkeleint A. Mechili, Brigid Unim, Brecht Devleesschauwer, Juanita A. Haagsma
Orphanet Journal of Rare Diseases.2024;[Epub] CrossRef
Incidencia y prevalencia de la esclerosis múltiple en China y países asiáticos
G.X. Zhang, A. Carrillo-Vico, W.T. Zhang, S.S. Gao, G. Izquierdo Ayuso
Neurología.2023; 38(3): 159. CrossRef
Incidence and prevalence of multiple sclerosis in China and other Asian countries
G.X. Zhang, A. Carrillo-Vico, W.T. Zhang, S.S. Gao, G. Izquierdo Ayuso
Neurología (English Edition).2023; 38(3): 159. CrossRef
Hypophosphatemic Rickets in Colombia: A Prevalence-Estimation Model in Rare Diseases. 2018
Jancy Andrea Huertas-Quintero, Natalia Losada-Trujillo, Diego Alberto Cuellar-Ortiz, Harvy Mauricio Velasco-Parra
The Lancet Regional Health - Americas.2022; 7: 100131. CrossRef
A multicenter study to evaluate the disease burden and health economics of inpatients with multiple sclerosis in China
Tan Guojun, Xu Yan, Wang Weizhi, Wang Lihua, Li Chunyang, Zhang Xinghu, Zhou Hongyu, Dong Huiqing, Zhang Meini, Jin Tao, Yang Huan, Cui Liying, Guo Li
Multiple Sclerosis and Related Disorders.2022; 60: 103732. CrossRef
The analysis of dynamic gene expression patterns in peripheral blood of multiple sclerosis patients indicates possible diagnostic and prognostic biomarkers
Rabat Razia, Fazeel Majeed, Rehab Amin, Shahid Mukhtar, Khalid Mehmood, Deeba Noreen Baig
Molecular Immunology.2022; 147: 147. CrossRef
Identification of blood-derived candidate gene markers and a new 7-gene diagnostic model for multiple sclerosis
Xin Chen, Huiqing Hou, Huimin Qiao, Haolong Fan, Tianyi Zhao, Mei Dong
Biological Research.2021;[Epub] CrossRef
Epidemiology, treatment patterns and healthcare utilizations in multiple sclerosis in Taiwan
Chia-Yun Hsu, Long-Sun Ro, Li-Ju Chen, Chun-Wei Chang, Kuo-Hsuan Chang, I-Hsuan Wu, Amy Lin, Fei-Yuan Hsiao
Scientific Reports.2021;[Epub] CrossRef
Burden of multiple sclerosis in Iran from 1990 to 2017
Nima Fattahi, Sahar Saeedi Moghaddam, Farnam Mohebi, Negar Rezaei, Masoud Masinaei, Sahar Mohammadi Fateh, Elham Soleymani Hassanlouei, Farhad Manoochehri, Eghbal Fattahi, Mohammad Ali Sahraian, Maziar Moradi-lakeh, Ali H. Mokdad, Mohsen Naghavi, Farshad
BMC Neurology.2021;[Epub] CrossRef
Optic neuritis in German children: clinical findings and association with multiple sclerosis
Felix Tonagel, Helmut Wilhelm, Carina Kelbsch
Graefe's Archive for Clinical and Experimental Ophthalmology.2020; 258(7): 1523. CrossRef
Evidence of an increased prevalence of multiple sclerosis: a population-based study of Tehran registry during 1999–2018
Amir Almasi-Hashiani, Mohammad Ali Sahraian, Sharareh Eskandarieh
BMC Neurology.2020;[Epub] CrossRef
Epstein-Barr virus infection as a predisposing factor for multiple sclerosis. An update from molecular biology, immunology and epidemiology
David López-Valencia, Ángela Medina-Ortega, Diego Fernando Hoyos-Samboní, Jhan Sebastián Saavedra-Torres, Carolina Salguero
Revista de la Facultad de Medicina.2019; 67(3): 305. CrossRef
Osteopontin (OPN) as a CSF and blood biomarker for multiple sclerosis: A systematic review and meta-analysis
Elmira Agah, Arshia Zardoui, Amene Saghazadeh, Mona Ahmadi, Abbas Tafakhori, Nima Rezaei, Heinz Wiendl
PLOS ONE.2018; 13(1): e0190252. CrossRef
Using inpatient data to estimate the prevalence of Wegener's granulomatosis in China
Xiao Liu, Yazhou Cui, Yan Li, Chao Wang, Heng Zhao, Jinxiang Han
Intractable & Rare Diseases Research.2016; 5(1): 31. CrossRef
Estimating epidemiological data of Multiple sclerosis using hospitalized data in Shandong Province, China
Xiao Liu, Yazhou Cui, Jinxiang Han
Orphanet Journal of Rare Diseases.2016;[Epub] CrossRef
Epidemiology of Multiple Sclerosis
Jonathan Howard, Stephen Trevick, David S. Younger
Neurologic Clinics.2016; 34(4): 919. CrossRef
Quantifying Burden of Disease to Measure Population Health in Korea
Jihyun Yoon, Seok-Jun Yoon
Journal of Korean Medical Science.2016; 31(Suppl 2): S101. CrossRef
Modeling the Burden of Abdominal Aortic Aneurysm in the USA in 2013
Mark Stuntz
Cardiology.2016; 135(2): 127. CrossRef
Optic Neuritis in Korean Children: Low Risk of Subsequent Multiple Sclerosis
Young Mi Kim, Hye Young Kim, Min Jeong Cho, Min Jung Kwak, Kyung Hee Park, Gyu Min Yeon, Yunjin Lee, Sang Ook Nam
Pediatric Neurology.2015; 53(3): 221. CrossRef
No association between CCL2 gene polymorphisms and risk of inflammatory demyelinating diseases in a Korean population
S. Namgoong, J. S. Bae, H. S. Cheong, J.‐H. Kim, J. Y. Kim, L. H. Kim, H. J. Kim, H. D. Shin
Tissue Antigens.2014; 84(2): 223. CrossRef

The Burden of Premature Mortality in Hamadan Province in 2006 and 2010 Using Standard Expected Years of Potential Life Lost: A Population-based Study: Jalal Poorolajal, Nader Esmailnasab, Jamal Ahmadzadeh, Tahereh Azizi Motlagh; Epidemiol Health. 2012;34:e2012005. Published online August 31, 2012; DOI: https://doi.org/10.4178/epih/e2012005

27,639 View
126 Download
14 Crossref

Abstract PDF

Abstract

<sec><title>OBJECTIVES</title>Examining the premature death rate represents the first step in estimating the overall burden of disease, reflecting a full picture of how different causes affect population health and providing a way of monitoring and evaluating population health. The present study was conducted to assess the burden of premature mortality in Hamadan Province, Iran in 2006 and 2010.</sec><sec><title>METHODS</title>To calculate years of potential life lost (YPLL), the dataset was categorized into 5-year age groups based on each person's age at death. Then the age groups were subtracted from the relevant age-based life table produced by the World Health Organization in 2009. The YPLL for each individual were then added together to yield the total YPLL for all individuals in the population who died in a particular year. Finally, we calculated the YPLL for all sex-, age-, and cause-specific mortality rates and reported them as percentages.</sec><sec><title>RESULTS</title>We analyzed 18,786 deaths, 9,127 of which occurred in 2006 and 9,659 in 2010. Mortality rates were higher in men than women for all age groups both in 2006 and 2010. In addition, age-specific mortality rates in both genders for all age groups were higher in 2010 than in 2006. The percentage of YPLL from ischemic heart diseases, cerebrovascular diseases, transport accidents, and intentional self-harm were among the greatest sources of premature death.</sec><sec><title>CONCLUSION</title>The results of the present survey indicate that the eight major causes of premature death in both 2006 and 2010 were non-communicable diseases, especially ischemic heart diseases, cerebrovascular diseases, transport accidents, and intentional self-harm. Furthermore, our findings indicate a change in the role of non-communicable diseases in premature mortality in recent years.</sec>

Summary

Citations

Citations to this article as recorded by

Alcohol consumption associated with suicidal ideation, and suicide attempts in substance users: A cross-sectional study of an addiction registry in western Iran
Vahid Farnia, Mahsa Mohebian, Omran Davarinejad, Denise A. Hien, Safora Salemi, Sara Hookari, Hafez Bajoghli, Bahareh Rahami, Anthony A. Olashore
PLOS ONE.2025; 20(2): e0317456. CrossRef
Years of Potential Life Lost for Children and Adults With Congenital Heart Defects: United States, 2007 to 2017
Wendy N. Nembhard, Suman Maity, Emine Bircan, Maria D. Politis, Elijah H. Bolin, Jun Ying
Journal of the American Heart Association.2025;[Epub] CrossRef
Suicidal behaviors among intravenous drug users: a meta-analysis
Bahram Armoon, Marie-Josée Fleury, Azadeh Bayani, Rasool Mohammadi, Elaheh Ahounbar, Mark D. Griffiths
Journal of Substance Use.2024; 29(1): 10. CrossRef
The Role of Social Support in Preventing Suicidal Ideations and Behaviors: A Systematic Review and Meta-Analysis
Nahid Darvishi, Jalal Poorolajal, Bita Azmi-Naei, Mehran Farhadi
Journal of Research in Health Sciences.2024; 24(2): e00609. CrossRef
Anticipating influential factors on suicide outcomes through machine learning techniques: Insights from a suicide registration program in western Iran
Nasrin Matinnia, Behnaz Alafchi, Arya Haddadi, Ali Ghaleiha, Hasan Davari, Manochehr Karami, Zahra Taslimi, Mohammad Reza Afkhami, Saeid Yazdi-Ravandi
Asian Journal of Psychiatry.2024; 100: 104183. CrossRef
Diabetes in southern Iran: a 16-year follow-up of mortality and years of life lost
Habibollah Azarbakhsh, Mohammad Hossein Sharifi, Jafar Hassanzadeh, Rebecca Susan Dewey, Maryam Janfada, Alireza Mirahmadizadeh
International Journal of Diabetes in Developing Countries.2023; 43(4): 574. CrossRef
Premature Death, Underlying Reasons, and Preventive Experiences in Iran: A Narrative Review
Iman Razeghian-Jahromi, Yasin Ghasemi Mianrood, Mahintaj Dara, Pouria Azami
Archives of Iranian Medicine.2023; 26(7): 403. CrossRef
Prevalence, sociodemographic variables, mental health condition, and type of drug use associated with suicide behaviors among people with substance use disorders: a systematic review and meta-analysis
Bahram Armoon, Neda SoleimanvandiAzar, Marie-Josée Fleury, Alireza Noroozi, Amir-Hossein Bayat, Rasool Mohammadi, Elahe Ahounbar, Ladan Fattah Moghaddam
Journal of Addictive Diseases.2021; 39(4): 550. CrossRef
The Burden of Premature Mortality Related to Suicide in West Azerbaijan From 2014 to 2016
Javad Aghazadeh-Attari, Rasool EntezarMahdi, Jamal Ahmadzadeh, Kazhal Mobaraki, Behnam Mansorian, Hasan Karimi, Shamsi Mirghaffarzadeh, Mahnaz Hajimohammadian, Iraj Mohebbi
Crisis.2019; 40(6): 407. CrossRef
The global burden of premature mortality due to the Middle East respiratory syndrome (MERS) using standard expected years of life lost, 2012 to 2019
Maryam Salamatbakhsh, Kazhal Mobaraki, Sara Sadeghimohammadi, Jamal Ahmadzadeh
BMC Public Health.2019;[Epub] CrossRef
Substance use disorder and risk of suicidal ideation, suicide attempt and suicide death: a meta-analysis
Jalal Poorolajal, Tahereh Haghtalab, Mehran Farhadi, Nahid Darvishi
Journal of Public Health.2016; 38(3): e282. CrossRef
Smoking and Suicide: A Meta-Analysis
Jalal Poorolajal, Nahid Darvishi, Osama Ali Abulseoud
PLOS ONE.2016; 11(7): e0156348. CrossRef
Alcohol-Related Risk of Suicidal Ideation, Suicide Attempt, and Completed Suicide: A Meta-Analysis
Nahid Darvishi, Mehran Farhadi, Tahereh Haghtalab, Jalal Poorolajal, Martin Voracek
PLOS ONE.2015; 10(5): e0126870. CrossRef
ESTIMATION OF ECONOMIC LOSS DUE TO MORTALITY EXTERNAL CAUSES AS ELEMENT OF POPULATION VITAL ACTIVITY SAFETY IN ARKHANGELSK REGION
Zh L Varakina, A M Vyazmin, A L Sannikov
Ekologiya cheloveka (Human Ecology).2014; 21(11): 31. CrossRef

Association of Lifestyle and Hypertension in Rural Population.: Byung Mann Cho; Korean J Epidemiol. 1998;20(1):51-59.

9,192 View
18 Download

Abstract PDF: Abstract
To evaluate the association of individual health-related lifestyle and hypertension in rual population, data from a population sample of 633(257 men and 376 women) aged 40 years and older and residing in a rural area were analyxed cross-sectionally. The data had been collected by personal interview using structured questionnaire during August 1996. In multivariate analysis, adjusted prevalence rate ration of bypertension increased significantly with increasing amount of coffee drinkin(cups/day) in men(p=0.029) and body mass indes(kh/m2) in women(p=0.013). The level of perceiving his or her own health status was a positive correlate of hypertension in men(p=0.034) and women(p=0.107). Thus, in this population hypertension appears to be associated with coffee drinking in men, body mass index in women and the proportion of awareness of his or her own hypertension seems to be low.; Summary

First
Prev
Page of 1
Next
Last

Search