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Original Article
Smokeless tobacco consumption and its association with tobacco control factors in the Western Pacific Region: results from the Global Youth Tobacco Survey 2015-2019
Chandrashekhar T. Sreeramareddy, Anusha Manoharan
Epidemiol Health. 2022;44:e2022103.   Published online November 8, 2022
DOI: https://doi.org/10.4178/epih.e2022103
  • 3,949 View
  • 100 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
We estimated the prevalence of smokeless tobacco (ST) consumption and its associations with tobacco control factors among school-going youth in 18 Western Pacific Region (WPR) countries.
METHODS
We analyzed school-based Global Youth Tobacco Survey (2014-2019) microdata from 18 WPR countries and estimated weighted prevalence rates of ST consumption, cigarette smoking, and dual use. We used multilevel binary logistic regression to examine the associations of ST consumption and dual use with demographic variables, exposure to pro-tobacco and anti-tobacco factors, national income, and MPOWER indicators.
RESULTS
Data from 58,263 school-going youth were analyzed. The prevalence of past 30-day ST consumption was highest in Kiribati (42.1%), the Marshall Islands (26.1%), Micronesia (21.3%), Palau (16.0%), and Papua New Guinea (15.2%). In adjusted multilevel models, ST consumption and dual use were significantly associated with sex, age, parental smoking, pro-tobacco factors, national income, and MPOWER score. For each unit increase in score for cessation programs, we observed approximately 1.4-fold increases in the odds of youth ST consumption (adjusted odds ratio [aOR], 1.38; 95% confidence interval [CI], 1.15 to 1.66) and dual use (aOR, 1.47; 95% CI, 1.16 to 1.86). Similarly, for each unit increase in score for health-related warnings, the odds of both ST consumption (aOR, 0.47; 95% CI, 0.42 to 0.53) and dual use (aOR, 0.35; 95% CI, 0.30 to 0.42) decreased by approximately 60%.
CONCLUSIONS
The prevalence of youth ST consumption was substantial in the Pacific Islands, exceeding that of cigarette smoking in some countries. Implementing MPOWER measures for ST products could help reduce ST consumption.
Summary
Key Message
The prevalence of smokeless tobacco consumption, and cigarette smoking is considerably high among the school going youth in five pacific island nations of Western Pacific Region. Exposure to pro-tobacco factors and parental smoking were positively associated with youth smokeless tobacco consumption as well as dual use (both smokeless tobacco and cigarettes smoking) Closer monitoring and strict tobacco control policies are needed to prevent further escalation of smokeless tobacco consumption.

Citations

Citations to this article as recorded by  
  • Single, Dual, and Poly Use of Tobacco Products, and Associated Factors Among Adults in 18 Global Adult Tobacco Survey Countries During 2015–2021
    Chandrashekhar T. Sreeramareddy, Kiran Acharya, N. RamakrishnaReddy
    International Journal of Mental Health and Addiction.2024;[Epub]     CrossRef
Methods
Development and validation of the Pediatric-Youth Hyperphagia Assessment for Prader-Willi syndrome
Sung Yoon Cho, Danbee Kang, Minji Im, Aram Yang, Min-Sun Kim, Jiyeon Kim, Eu-Seon Noh, Eun Kyung Kwon, Eujin Choi, Sunju Han, Young Ah Park, Min Jung Kwak, Youngha Kim, Juhee Cho, Dong-Kyu Jin
Epidemiol Health. 2022;44:e2022014.   Published online January 10, 2022
DOI: https://doi.org/10.4178/epih.e2022014
  • 10,132 View
  • 401 Download
  • 2 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
Hyperphagia is a highly stressful, life-threatening feature of Prader-Willi syndrome (PWS). It is important to assess this complex behavior accurately over time. This study aimed to develop and validate the Pediatric-Youth Hyperphagia Assessment for Prader-Willi syndrome (PYHAP) as a tool targeting children and adolescents.
METHODS
After an extensive literature review and qualitative interviews, the final version of the PYHAP with 14 questions in 3 domains (verbal [5], behavior [4], and social [5]) was developed and tested at Samsung Medical Center in Seoul, Korea from July 2018 to September 2019. Exploratory factor analysis and confirmatory factor analysis (CFA) were performed to confirm construct validity. The correlations between the PYHAP and the Korean Children’s Eating Behavior Questionnaire (K-CEBQ) were calculated to evaluate convergent and discriminant validity. Criterion validity and the validity of the response categories were also tested.
RESULTS
Cronbach’s alpha coefficient of the PYHAP was 0.91. The fit indices for CFA were good (comparative fit index, 0.87; standardized root mean squared residual, 0.08). The domains of the PYHAP were closely correlated with the relevant domains of the K-CEBQ. The accuracy of the PYHAP score for predicting uncontrolled hyperphagia was good (area under the curve, 0.75; 95% confidence interval, 0.65 to 0.85).
CONCLUSIONS
The PYHAP was confirmed to be a reliable and valid tool to evaluate hyperphagia in children and adolescents with PWS via caregivers’ assessments. It is recommended to use the PYHAP to communicate with parents or caregivers about patients’ hyperphagia or to monitor and manage extreme behaviors in children with PWS.
Summary
Korean summary
프래더 윌리 증후군에서 '조절되지 않는 식욕'은 환자의 수명과 삶의 질에 매우 중요한 문제로, 최근 식욕 억제제 개발을 위한 연구가 활발히 이뤄지고 있으나 약제의 유효성을 객관적으로 평가하는 도구는 부족한 상황입니다. 본 연구는 주부양자를 통하여 평가가 가능한 프래더윌리 증후군 소아청소년 환자들의 식욕심각도 평가도구를 개발하였고, 그것의 신뢰성과 타당성을 입증하였습니다.
Key Message
Pediatric-Youth Hyperphagia Assessment for Prader-Willi syndrome (PYHAP) is a reliable and valid tool to evaluate hyperphagia in children and adolescents with PWS via caregivers’ assessments.

Citations

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  • Parent and caregiver report questionnaires for children and adolescents with intellectual disabilities: a systematic review
    Catriona Windsor, Sangwon Yoon, Tingwei Zhang, Chung Eun Lee, Åste Marie Mjelve Hagen, David Hoff, Bas. J. Heijnen, Renée Speyer
    International Journal of Developmental Disabilities.2024; : 1.     CrossRef
Original Article
The BRAIN-Q, a tool for assessing self-reported sport-related concussions for epidemiological studies
Laura James, Madeline Davies, Saba Mian, Giulia Seghezzo, Elizabeth Williamson, Simon Kemp, Nigel Arden, Damien McElvenny, Neil Pearce, Valentina Gallo
Epidemiol Health. 2021;43:e2021086.   Published online October 19, 2021
DOI: https://doi.org/10.4178/epih.e2021086
  • 8,545 View
  • 135 Download
  • 4 Web of Science
  • 5 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
The BRAIN-Q is a tool aimed at maximising the accuracy and minimising measurement error for retrospectively assessing concussions. This paper reports the agreement of the BRAIN-Q tool when compared to extant questionnaire questions, and its reproducibility when compared with its telephonic version (tBRAIN-Q).
METHODS
The BRAIN-Q entails a 3-stage process: defining a concussion, creating a visual timeline with life events, and establishing detailed characteristics for each reported concussion. It was designed to be administered in-person by trained personnel, and was used in the BRAIN study. Its performance was compared with the MSK study, which previously collected a few questions in a broader self-administered questionnaire, and with the tBRAIN-Q Recall, its telephonic version.
RESULTS
In total, 101 participants were included, of whom 9 were re-assessed with the tBRAIN-Q. The agreement of the BRAIN-Q with the muscle skeletal-questionnaire for rugby-related concussion was 86.7% (κ=0.6). Rugby-related concussion with loss of consciousness showed lower agreement (82.0%; κ=0.6). The comparison between the BRAIN-Q and the tBRAIN-Q showed good reproducibility.
CONCLUSIONS
The BRAIN-Q is a relatively easy tool to administer in face-to-face assessments, and it showed optimal reproducibility. It includes a well-established definition of concussion, and is used to collect detailed information on each concussion, allowing for a number of subgroup analyses (e.g., by severity, age, or context). The BRAIN-Q is easily adaptable to other sporting settings.
Summary
Key Message
The BRAIN-Q is a new tool for assessing self-reported sport-related concussion in epidemiological studies. It is relatively easy to administer, it showed optimal reproducibility, and can be used by phone.

Citations

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  • Prospective cohort study of long-term neurological outcomes in retired elite athletes: the Advanced BiomaRker, Advanced Imaging and Neurocognitive (BRAIN) Health Study protocol
    Karl A Zimmerman, Jessica A Hain, Neil S N Graham, Erin Jane Rooney, Ying Lee, Martina Del-Giovane, Thomas D Parker, Daniel Friedland, Matthew J Cross, Simon Kemp, Mathew G Wilson, Richard J Sylvester, David J Sharp
    BMJ Open.2024; 14(4): e082902.     CrossRef
  • Exposure assessment for repeated sub-concussive head impacts in soccer: The HEalth and Ageing Data IN the Game of football (HEADING) study
    Ioannis Basinas, Damien M. McElvenny, Finley Brooker, Steven Robertson, Yvonne van Hoecke, Simon Kemp, Neil Pearce, Valentina Gallo, John W. Cherrie
    International Journal of Hygiene and Environmental Health.2023; 253: 114235.     CrossRef
  • Prior exposure to concussions in patients with isolated REM sleep behavior disorder
    Mónica Roig-Uribe, Mònica Serradell, Amaia Muñoz-Lopetegi, Carles Gaig, Alex Iranzo
    Sleep Medicine.2023; 110: 254.     CrossRef
  • eHealth tools to assess the neurological function for research, in absence of the neurologist – a systematic review, part I (software)
    Vasco Ribeiro Ferreira, Esther Metting, Joshua Schauble, Hamed Seddighi, Lise Beumeler, Valentina Gallo
    Journal of Neurology.2023;[Epub]     CrossRef
  • Concussion and long‐term cognitive function among rugby players—The BRAIN Study
    Valentina Gallo, Damien M. McElvenny, Giulia Seghezzo, Simon Kemp, Elizabeth Williamson, Kirsty Lu, Saba Mian, Laura James, Catherine Hobbs, Donna Davoren, Nigel Arden, Madeline Davies, Andrea Malaspina, Michael Loosemore, Keith Stokes, Matthew Cross, Seb
    Alzheimer's & Dementia.2022; 18(6): 1164.     CrossRef
Systematic Review
Food frequency questionnaires developed and validated in Iran: a systematic review
Arezoo Rezazadeh, Nasrrin Omidvar, Katherine L. Tucker
Epidemiol Health. 2020;42:e2020015.   Published online March 30, 2020
DOI: https://doi.org/10.4178/epih.e2020015
  • 15,138 View
  • 294 Download
  • 15 Web of Science
  • 13 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
To systematically review and identify food frequency questionnaires (FFQs) developed for the Iranian population and their validation and reproducibility in order to determine possible research gaps and needs.
METHODS
Studies were selected by searching for relevant keywords in the PubMed, Scopus, Science Direct, Google Scholar, SID, and Iranmedex databases, unpublished data, and theses in November 2016 (updated in September 2019). All English-language and Persian-language papers were included. Duplicates, articles with unrelated content, and articles only containing a protocol were excluded. The FFQs were categorized based on: (1) number of food items in to short (≤80 items) and long (>80 items) and; (2) the aim of the FFQ to explore total consumption pattern/nutrients (general) or to detect specific nutrient(s)/food group(s) (specialized).
RESULTS
Sixteen reasonably validated questionnaires were identified. However, only 13 presented a reproducibility assessment. Ten FFQs were categorized as general (7 long, 3 short) and 6 as specialized (3 long, 3 short). The correlation coefficients for nutrient intake between dietary records or recalls and FFQs were 0.07-0.82 for long (general: 0.07-0.82 and specialized: 0.26-0.67) and 0.20-0.67 for short (general: 0.24-0.54 and specialized: 0.20-0.42) FFQs. Long FFQs showed higher validity and reproducibility than short FFQs. Reproducibility of FFQs was acceptable (0.32-0.89). The strongest correlations were reported by studies with shorter intervals between FFQs.
CONCLUSIONS
FFQs designed for the Iranian population appear to be appropriate tools for dietary assessment. Despite their acceptable reproducibility, their validity for assessing specific nutrients and their applicability for populations other than those they were developed for may be questionable.
Summary

Citations

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  • Correlation of Dietary Macro- and Micro-Mineral Intake with Seminal Plasma Quality/Quantity and Oxidant/Antioxidant Status in Infertile Compared to the Normal Men: a Case-Control Study
    Hossein Chiti, Elham Hosseini, Vahid Ebrahimi, Seyedeh Neda Mousavi
    Biological Trace Element Research.2024; 202(5): 1991.     CrossRef
  • Association between dietary selenium and zinc intake and risk of dilated cardiomyopathy in children: a case-control study
    Maryam Aryafar, Mohammad Mahdavi, Hossein Shahzadi, Yeganeh Rajabpour Ranjbar, Mohammad Hassan Sohouli, Sina Afzal, Asal Neshatbini Tehrani, Danial Fotros, Ghazal Daftari
    BMC Pediatrics.2024;[Epub]     CrossRef
  • Implications of Vitamin D Status for Children’s Bone Health: A Data Mining Analyses of Observational Studies
    Mariana Leonel Martins, Beatriz Fernandes Arrepia, Lucas Jural, José Vicente-Gomila, Daniele Masterson, Lucianne Cople Maia, Maria Augusta Visconti, Andréa Fonseca-Gonçalves
    Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2024;[Epub]     CrossRef
  • The interaction between polyphenol intake and genes (MC4R, Cav-1, and Cry1) related to body homeostasis and cardiometabolic risk factors in overweight and obese women: a cross-sectional study
    Zahra Roumi, Atieh Mirzababaei, Faezeh Abaj, Soheila Davaneghi, Yasaman Aali, Khadijeh Mirzaei
    Frontiers in Nutrition.2024;[Epub]     CrossRef
  • The association between healthy beverage index and sarcopenic obesity among women with overweight and obesity: a cross-sectional study
    Niloufar Rasaei, Rasool Ghaffarian-Ensaf, Fatemeh Gholami, Farideh Shiraseb, Alireza Khadem, Seyedeh Fatemeh Fatemi, Khadijeh Mirzaei
    BMC Endocrine Disorders.2023;[Epub]     CrossRef
  • The association of dietary phytochemical index and nonalcoholic fatty liver disease
    Bijan Ahmadi, Amirhossein Ramezani Ahmadi, Mohamadreza Jafari, Nava Morshedzadeh
    Food Science & Nutrition.2023; 11(7): 4010.     CrossRef
  • Evaluation of maternal performance about food security in dietary diversity for children aged 12-24 months and its relationship with anthropometric measurements
    Sedigheh Yeganeh, Niloofar Motamed, Saeid Najafpour Boushehri, Razieh Bagherzadeh, Maryam Ravanipour
    BMC Pediatrics.2023;[Epub]     CrossRef
  • The relationship between nutritional facts and temperament of selected Iranians’ frequent food items: a summative content analysis study
    Mohsen Zakerian, Fatemeh Roudi, Fatemeh Mahjoub, Tannaz Jamialahmadi, Amirhossein Sahebkar, Malihe Motavasselian
    Archives of Medical Science – Atherosclerotic Diseases.2023; 8(1): 100.     CrossRef
  • The association between Healthy Beverage Index and psychological disorders among overweight and obese women: a cross-sectional study
    Niloufar Rasaei, Rasool Ghaffarian-Ensaf, Farideh Shiraseb, Faezeh Abaj, Fatemeh Gholami, Cain C. T. Clark, Khadijeh Mirzaei
    BMC Women's Health.2022;[Epub]     CrossRef
  • Evaluating macro‐ and micronutrients and food groups intake with the risk of developing inflammatory bowel disease: Is there any association?
    Farnaz Farsi, Negin Tahvilian, Azadeh Heydarian, Sara Karimi, Sara Ebrahimi, Nasser Ebrahimi‐Daryani, Sanam Tabataba‐Vakili, Javad Heshmati, Marjan Mokhtare
    Food Science & Nutrition.2022; 10(11): 3920.     CrossRef
  • The interaction between rs 3,807,992 genotypes with the dietary inflammatory index on Leptin, Leptin resistance, and Galectin 3 in obese and overweight women
    Farideh Shiraseb, Mena Farazi, Niloufar Rasaei, Cain C. T. Clark, Shahin Jamili, Khadijeh Mirzaei
    BMC Endocrine Disorders.2022;[Epub]     CrossRef
  • Interaction between CETP polymorphism and dietary insulin index and load in relation to cardiovascular risk factors in diabetic adults
    Faezeh Abaj, Masoumeh Rafiee, Fariba Koohdani
    Scientific Reports.2021;[Epub]     CrossRef
  • Dietary Antioxidants and Risk of Parkinson's Disease in the Singapore Chinese Health Study
    Ariel Fangting Ying, Shazma Khan, Ying Wu, Aizhen Jin, Aidan S.Y. Wong, Eng‐King Tan, Jian‐Min Yuan, Woon‐Puay Koh, Louis C.S. Tan
    Movement Disorders.2020; 35(10): 1765.     CrossRef
Original Articles
The relationship between maternal mental health and communication skills in children in Shiraz, Iran
Najmeh Maharlouei, Hossein Alibeigi, Abbas Rezaianzadeh, Pedram Keshavarz, Hadi Raeisi Shahraki, Hamid Nemati, Kamran B. lankarani
Epidemiol Health. 2019;41:e2019035.   Published online July 19, 2019
DOI: https://doi.org/10.4178/epih.e2019035
  • 13,847 View
  • 239 Download
  • 4 Web of Science
  • 3 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Child development is a significant issue in global public health, and maternal mental health (MMH) can have a remarkable effect on children’s development of communication skills. We aimed to investigate the association between MMH and communication skills in a sample of Iranian children.
METHODS
This study was conducted in Shiraz, Iran during 2016. In total, 640 mothers who lived in Shiraz and were registered in the Fars Birth Cohort (FBC) study were invited to attend the FBC clinic with their children. A trained physician evaluated MMH using the General Health Questionnaire (GHQ). Additionally, a trained nurse assessed the children’s communication development status using the Ages and Stages Questionnaire for 60-month old children.
RESULTS
The majority of the mothers were homemakers (82.8%) and had high school diplomas (38.9%). The mothers’ mean age was 33.7±4.6 years. Seventy-nine (12.3%) children had delayed communication skills, but no significant association was found between children’s communication skills and the mothers’ total GHQ score (p=0.43). In total, 493 mothers (77.0%) had abnormal somatic symptoms, 497 (77.7%) had abnormal anxiety/insomnia, 337 (52.7%) had social dysfunction, and 232 (36.3%) suffered from depression. Logistic regression indicated that after adjusting for confounders, the odds of delayed communication skills were 3-fold higher among the children of mothers with abnormal somatic symptoms than among other children (p=0.01).
CONCLUSIONS
The study results confirmed that MMH had a significant impact on children’s communication skills. Moreover, maternal abnormal somatic symptoms exerted the strongest impact on the development of communication skills in 5-yearold children.
Summary

Citations

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  • Prevalence and Risk Factors Associated With Self-reported Psychological Distress Among Children and Adolescents During the COVID-19 Pandemic in China
    Zuguo Qin, Lei Shi, Yaqing Xue, Huang Lin, Jinchan Zhang, Pengyan Liang, Zhiwei Lu, Mengxiong Wu, Yaguang Chen, Xiao Zheng, Yi Qian, Ping Ouyang, Ruibin Zhang, Xuefeng Yi, Chichen Zhang
    JAMA Network Open.2021; 4(1): e2035487.     CrossRef
  • Antenatal Depression Symptoms Among Pregnant Women Seeking Health Services in Erbil, Iraq
    Kathryn Mishkin, Shaymaa Samir Maqsood, Hamdia Mirkhan Ahmed
    Maternal and Child Health Journal.2021; 25(7): 1043.     CrossRef
  • Comparing Growth and Development of Low and Normal Birth Weight Children at Age of 60 Months
    Najmeh Maharlouei, Sogand Farhangian, Hadi Raeisi Shahraki, Abbas Rezaianzadeh, Kamran Bagheri Lankarani
    Shiraz E-Medical Journal.2020;[Epub]     CrossRef
Comparison of self-reported and accelerometer-assessed measurements of physical activity according to socio-demographic characteristics in Korean adults
Seung Won Lee, Jee-Seon Shim, Bo Mi Song, Ho Jae Lee, Hye Yoon Bae, Ji Hye Park, Hye Rin Choi, Jae Won Yang, Ji Eun Heo, So Mi Jemma Cho, Ga Bin Lee, Diana Huanan Hidalgo, Tae-Hoon Kim, Kyung Soo Chung, Hyeon Chang Kim
Epidemiol Health. 2018;40:e2018060.   Published online November 29, 2018
DOI: https://doi.org/10.4178/epih.e2018060
  • 14,429 View
  • 168 Download
  • 7 Web of Science
  • 6 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
Previous studies have shown relatively low correlations between self-reported and accelerometer-assessed physical activity (PA). However, this association differs by socio-demographic factors, and this relationship has not been fully investigated in the general population. Thus, we investigated the correlation between self-reported and accelerometer-assessed PA and whether it differed by demographic and socioeconomic factors among the Korean general population.
METHODS
This cross-sectional study included 623 participants (203 men and 420 women) aged 30 to 64 years, who completed a PA questionnaire and wore a wrist-worn accelerometer on the non-dominant wrist for 7 days. We examined the agreement for metabolic equivalent task minutes per week (MET-min/wk) between the 2 measures and calculated Spearman correlation coefficients according to demographic and socioeconomic factors.
RESULTS
The kappa coefficient between tertiles of self-reported and accelerometer-assessed total MET-min/wk was 0.16 in the total population, suggesting overall poor agreement. The correlation coefficient between the 2 measurements was 0.26 (p<0.001) in the total population, and the correlation tended to decrease with increasing age (p for trend <0.001) and depression scores (p for trend <0.001).
CONCLUSIONS
We found a low correlation between self-reported and accelerometer-assessed PA among healthy Korean adults, and the correlation decreased with age and depression score. When studying PA using accelerometers and/or questionnaires, age and depression need to be considered, as should differences between self-reported and accelerometer-assessed PA.
Summary
Korean summary
역학연구에서 신체활동량 측정에 가장 많이 사용되는 설문조사와 가속도계 착용법인데, 두 가지 방법으로 측정한 신체활동량은 상관성이 그리 높지 않으며, 대상자 특성에 따라서도 일치도가 다른 것으로 보고되고 있다. 따라서, 비교적 건강한 중년의 한국 성인을 대상으로 자가설문과 가속도계 조사를 사용해 측정한 신체활동량의 관련성을 조사해보았다. 이 연구는 전향적 코호트 연구의 기반조사 결과를 이용한 단면연구로, 지역사회 거주하는 30-64세 성인 623명(남성203명, 여성 420명)을 대상으로 하였으며, 신체활동을 자가보고 설문조사와 3축 가속도계를 7일간 손목에 연속착용하여 측정하고 두 방법으로 측정한 신체활동량을 비교하였다. 전체 대상자에서 두 방법으로 측정한 신체활동량 삼분위(tertile) 값의 일치도를 조사했을 때 Kappa 통계량은 0.16 이었으며 Spearman 상관계수는 0.26 (p<0.001)이었다. 나이가 많을수록 우울증상이 많을수록 두 방법 간 일치도와 상관성이 낮아지는 경향을 보였다.

Citations

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  • Historical development of accelerometry measures and methods for physical activity and sedentary behavior research worldwide: A scoping review of observational studies of adults
    Kelly R. Evenson, Elissa Scherer, Kennedy M. Peter, Carmen C. Cuthbertson, Stephanie Eckman, Zulkarnain Jaafar
    PLOS ONE.2022; 17(11): e0276890.     CrossRef
  • Physical Exercise and Undergraduate Students’ Subjective Well-Being: Mediating Roles of Basic Psychological Need Satisfaction and Sleep Quality
    Sen Lin, Liming Li, Dong Zheng, Libiao Jiang
    Behavioral Sciences.2022; 12(9): 316.     CrossRef
  • The effect of a video‐supported assessment to increase the accuracy of self‐reported physical activity
    Antje Ullrich, Lisa Voigt, Ulrike Siewert‐Markus, Christian Meyer, Marcus Dörr, Sabina Ulbricht
    Scandinavian Journal of Medicine & Science in Sports.2021; 31(5): 1059.     CrossRef
  • Association between social network structure and physical activity in middle-aged Korean adults
    So Mi Jemma Cho, Hokyou Lee, Jee-Seon Shim, Yoosik Youm, Sun Jae Jung, Dae Jung Kim, Hyeon Chang Kim
    Social Science & Medicine.2021; 282: 114112.     CrossRef
  • Objective versus Self-reported Physical Activity and Cardiovascular Disease Risk Factors
    Hoyong Sung, Jungjun Lim, Junbae Mun, Yeonsoo Kim
    The Korean Journal of Sports Medicine.2020; 38(1): 28.     CrossRef
  • Let’s Live Healthier: The Relationship between Suicidal Behavior and Physical Activity in an Age-, Gender-, and Body Mass Index-Matched Adults
    Jeong-Hui Park, Myong-Won Seo, Hyun Chul Jung, Jung-Min Lee
    International Journal of Environmental Research and Public Health.2020; 17(22): 8350.     CrossRef
Development and validation of a sunlight exposure questionnaire for urban adult Filipinos
Marc Gregory Yu, Nina Castillo-Carandang, Maria Elinor Grace Sison, Angelique Bea Uy, Katrina Lenora Villarante, Patricia Maningat, Elizabeth Paz-Pacheco, Eileen Abesamis-Cubillan
Epidemiol Health. 2018;40:e2018050.   Published online October 11, 2018
DOI: https://doi.org/10.4178/epih.e2018050
  • 15,841 View
  • 195 Download
  • 5 Web of Science
  • 5 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
To develop and validate a self-reported sunlight exposure questionnaire (SEQ) for urban adult Filipinos.
METHODS
The study included adults (19-76 years old) in Metro Manila, Philippines, well-versed in the Filipino (Tagalog) language and had resided in Metro Manila for at least 1 year. Exclusion criteria included pregnancy, active skin disorders, and immunocompromised states. An expert panel created a questionnaire in Likert-scale format based on a conceptual framework and 4 existing instruments. The study proceeded in 4 phases: questionnaire item development, translation and back-translation, pretesting, and construct validity and reliability testing using factor analysis, the Cronbach alpha coefficient, and the paired t-test.
RESULTS
A 25-item, self-administered, Filipino (Tagalog) SEQ answerable using a 4-point Likert scale was created. The questionnaire was administered to 260 adult participants twice at a 2-week interval, with all participants completing both the first and second rounds of testing. All questionnaire items possessed adequate content validity indices of at least 0.86. After factor analysis, 3 questionnaire domains were identified: intensity of sunlight exposure, factors affecting sunlight exposure, and sun protection practices. Internal consistency was satisfactory for both the overall questionnaire (Cronbach alpha, 0.80) and for each of the domains (Cronbach alpha, 0.74, 0.71, and 0.72, respectively). No statistically significant differences were observed in the responses between the first and second rounds of testing, indicating good test-retest reliability.
CONCLUSIONS
We developed a culturally-appropriate SEQ with sufficient content validity, construct validity, and reliability to assess sunlight exposure among urban adult Filipinos in Metro Manila, Philippines.
Summary

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    Xiaoxia Wang, Qin Wang, Zhe Li, Mengjie Chen, Maoting Guo, Laixi Kong, Liyuan Chen, Xiaolong Li, Junjun Li, Qieyan Cao, Zhenhua Luo, Zhenzhen Xiong, Dan Zhao
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Development and Validation of Vitamin D- Food Frequency Questionnaire for Moroccan Women of Reproductive Age: Use of the Sun Exposure Score and the Method of Triad’s Model
    Noura Zouine, Ilham Lhilali, Aziza Menouni, Lode Godderis, Adil El Midaoui, Samir El Jaafari, Younes Zegzouti Filali
    Nutrients.2023; 15(4): 796.     CrossRef
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    Ilham Lhilali, Noura Zouine, Aziza Menouni, Lode Godderis, Marie-Paule Kestemont, Adil El Midaoui, Samir El Jaafari, Younes Filali-Zegzouti
    Nutrients.2023; 15(3): 688.     CrossRef
  • Vitamin D Deficiency and Diseases
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    Journal of Diabetology.2021; 12(4): 391.     CrossRef
  • Association of sunlight exposure with 25-hydroxyvitamin D levels among working urban adult Filipinos
    Noemie Marie M. Mansibang, Marc Gregory Y. Yu, Cecilia A. Jimeno, Frances Lina Lantion-Ang
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Perspective
The direction of restructuring of a Korea field epidemiology training program through questionnaire survey among communicable disease response staff in Korea
Moo Sik Lee, Kwan Lee, Jee-Hyuk Park, Jee-Young Hong, Min-Young Jang, Byoung-Hak Jeon, Sang-Yun Cho, Sun-Ja Choi, JeongIk Hong
Epidemiol Health. 2017;39:e2017032.   Published online July 24, 2017
DOI: https://doi.org/10.4178/epih.e2017032
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AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
We used a survey about the need for an educational training of infectious disease response staff in Korea Centers for Disease Control and Prevention (KCDC) and officer in metropolitan cities and provincial government to conduct field epidemiological investigation. The survey was conducted from January 25 to March 15, 2016. A total of 173 participants were selected from four different groups as follows: 27 clinical specialists, 22 Epidemic Intelligence Service (EIS) officers, 82 KCDC staff, and 42 local health department officials. Results revealed that 83% of KCDC staff and 95% of local health department officials agreed on the need for educational training to strengthen capability of personnel to conduct epidemic research and investigation. The level of their need for training was relatively high, while self-confidence levels of individuals to conduct epidemic research and investigation was low. It was concluded that there was a need to develop training programs to enhance the ability of public health officials, EIS officers, KCDC staff, and local health department personnel to conduct epidemic research and investigation.
Summary
Korean summary
2015년 한국의 메르스 유행후 한국의 감염병 대응인력을 대상으로 한 조사분석을 통하여 역학조사관 교육 개편의 필요성을 확인하고, 세부 교육과정, 방법 및 내용 등 포괄적인 교육강화 및 개선방안을 모색하여 향후 역학조사관 신규 교육프로그램의 개발과 역량강화 방안을 제시하였다.

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  • Perceived sources of occupational burn-out and embitterment among front-line health workers for COVID-19 control in Gyeonggi province, South Korea: a qualitative study
    Bee-Ah Kang, Sijoung Kwon, Myoungsoon You, Heeyoung Lee
    Occupational and Environmental Medicine.2022; 79(4): 245.     CrossRef
Method
Assessing measurement error in surveys using latent class analysis: application to self-reported illicit drug use in data from the Iranian Mental Health Survey
Kazem Khalagi, Mohammad Ali Mansournia, Afarin Rahimi-Movaghar, Keramat Nourijelyani, Masoumeh Amin-Esmaeili, Ahmad Hajebi, Vandad Sharif, Reza Radgoodarzi, Mitra Hefazi, Abbas Motevalian
Epidemiol Health. 2016;38:e2016013.   Published online April 10, 2016
DOI: https://doi.org/10.4178/epih.e2016013
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AbstractAbstract PDF
Abstract
Latent class analysis (LCA) is a method of assessing and correcting measurement error in surveys. The local independence assumption in LCA assumes that indicators are independent from each other condition on the latent variable. Violation of this assumption leads to unreliable results. We explored this issue by using LCA to estimate the prevalence of illicit drug use in the Iranian Mental Health Survey. The following three indicators were included in the LCA models: five or more instances of using any illicit drug in the past 12 months (indicator A), any use of any illicit drug in the past 12 months (indicator B), and the self-perceived need of treatment services or having received treatment for a substance use disorder in the past 12 months (indicator C). Gender was also used in all LCA models as a grouping variable. One LCA model using indicators A and B, as well as 10 different LCA models using indicators A, B, and C, were fitted to the data. The three models that had the best fit to the data included the following correlations between indicators: (AC and AB), (AC), and (AC, BC, and AB). The estimated prevalence of illicit drug use based on these three models was 28.9%, 6.2% and 42.2%, respectively. None of these models completely controlled for violation of the local independence assumption. In order to perform unbiased estimations using the LCA approach, the factors violating the local independence assumption (behaviorally correlated error, bivocality, and latent heterogeneity) should be completely taken into account in all models using well-known methods.
Summary
Original Article
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
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  • 15 Web of Science
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AbstractAbstract 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

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    Krittaphas Kangwanrattanakul, Christian U. Krägeloh
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Review
Dietary assessment methods in epidemiologic studies
Jee-Seon Shim, Kyungwon Oh, Hyeon Chang Kim
Epidemiol Health. 2014;36:e2014009.   Published online July 22, 2014
DOI: https://doi.org/10.4178/epih/e2014009
  • 65,535 View
  • 1,667 Download
  • 989 Web of Science
  • 932 Crossref
AbstractAbstract PDF
Abstract
Diet is a major lifestyle-related risk factor of various chronic diseases. Dietary intake can be assessed by subjective report and objective observation. Subjective assessment is possible using open-ended surveys such as dietary recalls or records, or using closed-ended surveys including food frequency questionnaires. Each method has inherent strengths and limitations. Continued efforts to improve the accuracy of dietary intake assessment and enhance its feasibility in epidemiological studies have been made. This article reviews common dietary assessment methods and their feasibility in epidemiological studies.
Summary

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Original Articles
Using Formative Research to Design an Epidemiologic Survey: The North Carolina Study of Home Care and Hospice Nurses
Jack K. Leiss, Jennifer T. Lyden, Cynthia Klein
Epidemiol Health. 2011;33:e2011008.   Published online September 7, 2011
DOI: https://doi.org/10.4178/epih/e2011008
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AbstractAbstract PDF
Abstract
<sec><title>OBJECTIVES</title><p>Formative research can serve as a means of obtaining important information for designing an epidemiologic study, but descriptions of this approach in the epidemiologic literature are lacking. The objective of this paper is to describe the use of three formative research techniques in designing a survey of home care and hospice nurses.</p></sec><sec><title>METHODS</title><p>We conducted two focus groups, seven key informant interviews, and approximately fifteen hours of direct observation among home care and hospice nurses recruited by word of mouth in North Carolina in 2006.</p></sec><sec><title>RESULTS</title><p>We used information obtained from the formative research to decide which survey design would likely be most successful with this population (mail survey, as opposed to Internet survey or in-person interviews), which measure to use for the denominator of the blood exposure incidence rates (number of visits, as opposed to patient-time), and which items and response options to include in the questionnaire, as well as to identify specific survey techniques that would likely increase the response rate (emphasizing the regional focus of the study; sending the questionnaire to the home address).</p></sec><sec><title>CONCLUSION</title><p>When particular information for planning a study is unavailable from the literature or the investigator's experience, formative research can be an effective means of obtaining that information.</p></sec>
Summary

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    Journal of Food Science Education.2020; 19(3): 212.     CrossRef
Accidents Status of Freshmen for 2 Months before Entrance University.
Young Sun Min, Hyun Sul Lim
Korean J Epidemiol. 2005;27(1):173-181.
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AbstractAbstract PDF
Abstract
OBJECTIVES
In recent years, Korea has experienced a loss of manpower and economy due to accidents. The consequences have been comprehensive. Nevertheless, there have been few recent Korean studies on adult accidents. Therefore, this study was carried out to examine the incidence pattern of accidents for 2 months before entering university among university freshmen.
METHODS
The subjects were 1,920 university freshmen who visited the university health center for health examination from March 8 to 12, 2004, and self-reported questionnaire was given to the subjects. The authors developed a questionnaire including age, gender, place and type of high school, experience of accidents, occurrence time and type of accidents and so on.
RESULTS
The monthly incidence of accident was 9.9 per 1,000 population. The accident cases were 28 in male and 10 in female, and the incidence of males was significantly higher than females. The frequent accident states were 15 cases in 'Ordinary life' (39.8%), 10 in 'Sports activities' (26.3%), 9 in 'Walking' (23.7%) and so on. The accident types were 13 cases of 'Tumbling over' (34.2%), 12 of 'Crash' (31.6%), 8 of 'Traffic accident' (21.0%) and so on. The frequent injury types were 19 cases of 'Sprain' (50.0%), 15 of 'Contusion' (38.4%) and 2 of 'Laceration' (5.3%). One's own carelessness was the most frequent cause of accident (65.8%). After the accident, 28 cases(73.7%) visited the hospital, 7 (18.4%) were hospitalized, and 3 (7.9%) underwent surgery.
CONCLUSIONS
Because the most frequent cause of accidents was one's own carelessness, self-consciousness and attention are needed. The authors expect that this study will go far toward increasing concern of researchers and administrators for the accidents among adults.
Summary
Status on Influenza Vaccination in Some Community Health Centers.
Hyun Sul Lim, Geun Ryang Bae, Young Sun Min, Young Taek Kim, Yeon Kyeng Lee
Korean J Epidemiol. 2004;26(2):62-70.
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Abstract
PURPOSE
This study was conducted to improve the Korean influenza management system and to determine the status of influenza vaccination in some community health centers through a survey of the officers in charge of influenza vaccination.
METHODS
The authors conducted a questionnaire survey by e-mail for the officers in charge of influenza vaccination of 8 community health centers in Daegu-si, 5 community health centers in Ulsan-si and 25 community health centers in Gyeongsangbuk-do. The authors developed a questionnaire including selection methods of the influenza vaccination objects, results of influenza vaccination in 2002, problems of influenza vaccination, the population within the respondents`jurisdiction and so on.
RESULTS
The proportion of influenza vaccination at community health centers among all residents in the 2002-2003 influenza season was 3.8% in Daegu-si, 14.8% in Ulsan-si, 15.1% in urban Gyeongsangbuk-do and 24.9% in rural Gyeongsangbuk-do. The proportion of influenza vaccination at community health centers among priority cases for vaccination was 12.9% in Daegu-si, 43.1% in Ulsan-si, 39.3% in urban Gyeongsangbuk and 41.6% in rural Gyeongsangbuk-do. The officers in charge of influenza vaccination stated that the problems of influenza vaccination were deficiencies in preparatory examination such as manpower shortage. Twenty-five persons stated as a problem that influenza vaccinations conducted in the hospitals were hardly reported, and fifteen of these clarified that this was due to hospital indifference.
CONCLUSIONS
The authors examined all community health centers of Daegu-si, Ulsan-si, and Gyeongsangbuk-do, and investigated the vaccination states and problems that health officers were dealing with. Therefore, this study is meaningful with its basic data for the management of domestic influenza vaccination.
Summary
Usefulness of Somatotype Drawing as an Instrument of Recalling Obesity in High School Girls.
Jong Myon Bae
Korean J Epidemiol. 1997;19(2):147-151.
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Abstract
INTRODUCTION: The obesity is related to the chronic diseases of adults. The measurement of obesity level in adolescence is recommended by using Body Mass Index (BMI), but there is a possiblity of recall bias. S@rensen et al(1983) suggested the usefulness of somatotype drawing in measuring the past weight. The aim is to evaluate the usefulness of somatotype drawing as a instrument of recalling obesity in girls.
METHODS
Study population were second-grade girl students in a high school. The questionnaire survey was done. The somatotype drawing used to assess body build in now, 2-year-ago, 4-year-ago, and 5-year-ago. The BMIs in each period were obtained from 'Annual Health Profile Records'(AHPR).
RESULTS
The means of height now and of weight now were 160.48cm and 54.66kg respectively in the 651 subjects so that the median of BMI now was 20.82. The scores of somatotype drawing increased according to higher BMI in all 4 periods. Spearman's correlation coefficients between score of somatotype drawing and BMI in now, 2-year-ago, 4-year-ago, and 5-year-ago were 0.71, 0.67, 0.65 and 0.63 respectively.
CONCLUSION
The instrument of somatotype drawing might be useful to measure the level of past obesity in girls.
Summary
Epidemiol Health : Epidemiology and Health
© Korean Society of Epidemiology.
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