• Title/Summary/Keyword: Epidemiology survey

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Low Coverage and Disparities of Breast and Cervical Cancer Screening in Thai Women: Analysis of National Representative Household Surveys

  • Mukem, Suwanna;Meng, Qingyue;Sriplung, Hutcha;Tangcharoensathien, Viroj
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8541-8551
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    • 2016
  • Background: The coverage of breast and cervical cancer screening has only slightly increased in the past decade in Thailand, and these cancers remain leading causes of death among women. This study identified socioeconomic and contextual factors contributing to the variation in screening uptake and coverage. Materials and Methods: Secondary data from two nationally representative household surveys, the Health and Welfare Survey (HWS) 2007 and the Reproductive Health Survey (RHS) 2009 conducted by the National Statistical Office were used. The study samples comprised 26,951 women aged 30-59 in the 2009 RHS, and 14,619 women aged 35 years and older in the 2007 HWS were analyzed. Households of women were grouped into wealth quintiles, by asset index derived from Principal components analysis. Descriptive and logistic regression analyses were performed. Results: Screening rates for cervical and breast cancers increased between 2007 and 2009. Education and health insurance coverage including wealth were factors contributing to screening uptake. Lower or non-educated and poor women had lower uptake of screenings, as were young, unmarried, and non-Buddhist women. Coverage of the Civil Servant Medical Benefit Scheme increased the propensity of having both screenings, while the universal coverage scheme increased the probability of cervical screening among the poor. Lack of awareness and knowledge contributed to non-use of both screenings. Women were put off from screening, especially Muslim women on cervical screening, because of embarrassment, fear of pain and other reasons. Conclusions: Although cervical screening is covered by the benefit package of three main public health insurance schemes, free of charge to all eligible women, the low coverage of cervical screening should be addressed by increasing awareness and strengthening the supply side. As mammography was not cost effective and not covered by any scheme, awareness and practice of breast self examination and effective clinical breast examination are recommended. Removal of cultural barriers is essential.

Current Trends in the Treatment of Acute Achilles Tendon Rupture: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (급성 아킬레스건 파열의 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Cho, Jaeho;Cho, Byung-Ki;Chung, Hyung-Jin;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.2
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    • pp.88-94
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    • 2022
  • Purpose: This study was based on the Korean Foot and Ankle Society (KFAS) member survey and aimed to report the current trends in the epidemiology, diagnosis, and management of acute Achilles tendon rupture (AATR) over the past few decades. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in October 2021. The questions were mainly related to the clinical experience and preferred management of patients with AATR. Answers with a prevalence ≥50% of the respondents were considered a tendency. Results: Seventy-one (12.9%) of the 550 members responded to the survey. The male sex ratio in AATR was answered mean 78%, and the most common age groups were 30~40 years (n=49; 69.0%), and 40~50 years (n=37; 52.1%), in that order. The most common seasons for the occurrence of AATR were spring (37 cases; 52.1%) and autumn (27 cases; 38.0%). Also, sports-related rupture had an average occurrence of 76.2%. The most important clinical factor to determine the type of treatment was the history of previous injuries, and 75.9% of respondents started conservative treatment in the 2010s. The most preferred protocol of conservative treatment was an orthosis capable of ankle range of motion after casting (68.5%), and 53.7% 'satisfied' and 1.9% 'very satisfied' with conservative treatment. The most preferred surgical method was open repair (80.3%), and the Krackow method (60.6%), and 49.3% of treated patients responded 'satisfied' and 45.1% 'very satisfied' with this treatment. Conclusion: This study gives updated information concerning the current trend of epidemiology, diagnosis, and treatment of AATR in Korea. Both consensus and variation in the approach to AATR were identified using this survey study. This study may raise the awareness of various possible approaches toward AATR and should be used to further establish a standard protocol for the management of this injury.

Survey on Knowledge and Attitudes Related to the Relation between Tobacco, Alcohol Abuse and Cancer in the Northern State of Sudan

  • Ahmed, Hussain Gadelkarim
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2483-2486
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    • 2013
  • Background: The aim of this study was to determine the epidemiology of tobacco smoking, toombak dipping and alcohol consumption as risk factors for cancer in the adult population of the northern state of Sudan. Materials and Methods: A cross-sectional survey from March to April 2010, covering 963 adults, was performed. Result: Only 207 had responded, and the male female prevalence was 20.8% and 0.73%. Out of 207 respondents, 29.5% had smoked tobacco in their lifetime, 38% were toombak dippers, while 14% were consumers of alcoholic beverages. Conclusions: The prevalence of toombak dipping was higher than tobacco smoking among the adult population in the northern state of Sudan. Female participation in tobacco and alcohol related studies was found to suffer from major obstacles since these habits are considered as social stigma. Appreciation of the full impact of smoking on population health will definitely make a major contribution to improvement of the poor public health situation in Sudan.

Sero-epidemiology of transmissible gastroenteritis of pigs in Gyeongbuk province (경북지방 돼지의 전염성 위장염에 대한 혈청학적 역학조사)

  • 조광현;박최규;김영환;박인화;김성국;박노찬;정종식
    • Korean Journal of Veterinary Service
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    • v.24 no.3
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    • pp.271-278
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    • 2001
  • Swine sera collected from January to December 2000 were tested for the survey on transmissible gastroenteritis(TGE) infection in Gyeongbuk province. Serum neutralization(SN) test was peformed in finishing pigs of 50 pigs industry without clinical signs of TGE and sows, gilts and growing pigs of four pigs industry with TGE. As the results of SN test in fifty industry, antibody titers of 90.6%(474/523 samples) showed below 4. Antibody titers of them showed highly in two pigs industry of western region and three pigs industry of southern region of Gyeongbuk province. The results indicated that TGE had been occurred before in five pigs industry. Most of antibody titers showed of highly in four pigs industry having had TGE. There were no significant differences of the antibody titers of TGE according to age when the survey was made. The above results indicated that the pigs of Gyeongbuk province were not almost exposed in porcine respiratory coronavirus(PRCV) by present.

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Multiple imputation inference for stratified random sample with nonignorable nonresponse

  • Shin Minwoong;Lee Sangeun;Lee Sungchul;Lee Juyoung
    • Proceedings of the Korean Statistical Society Conference
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    • 2001.11a
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    • pp.191-194
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    • 2001
  • In general, the imputation problems which are caused from survey nonresponse have been studied for being based on ignorable cases. However the model based approach can be applied to survey with nonresponse suspected of being nonignorable. Here in this study, we will make the nonresponse for nonignorable into ignorable cell using adjustment cell approach, then we can applied the ignorable nonresponse method. For data sets of each nonresponse cells are simulated from normal distribution.

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PRESENT STATUS OF MYCOTOXIN STUDIES IN KOREA

  • Lee, Su-Rae
    • Toxicological Research
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    • v.1 no.1
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    • pp.17-30
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    • 1985
  • Mycotoxins are a group of toxicants giving a risk potential to human health in connection with the daily food intake. Food commodities once contaminated with mycotoxins can not be detoxified by any economic means and prevention was suggested as the only measure. In order to minimize the economic loss and health hazard posed by mycotoxins and toxicoses, systematic and toxicological studies on the subject should be undertaken. Most reports in Korea were concentrated on the mycological studies of relatively easy techniques and the confirmation or quantitation of mycotoxins was rarely done. Research topics to be undertaken in future may be exemplifid below: (1) Establishing assay methods for individual or multi-residue of mycotoxins (2) Monitoring of mycotoxins for suspicious food or feed samples in Korea (3) Epidemiological survey of mycotoxicoses (4) Etiological survey of disease outbreaks associated with mycotoxins (5) Accumulation of testing method and data on the toxicity of mycotoxins (6) Legal regulation to control mycotoxins and development of their detoxification / elimination methods

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Feasibility of Household Surveys for Population Risk Assessment of Cancer and Cancer Registration Support

  • Habib, Omran S;Hussain, Riyadh Abdul-Ameer
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.213-218
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    • 2016
  • Cancer is a major health problem in the Arab region including Iraq. An adequate database is essential for effective cancer control strategies. Such a database may be provided through cancer registration but supportive household surveys may be useful. This article reports selected results on the feasibility of household surveys to support and validate cancer registration in Basrah governorate - southern Iraq. A large scale multi-stage cluster sample household survey was carried out in Basrah during 2013. It covered 6,999 households and involved gathering data on demographic characteristics and both incident cancer cases and cancer-related deaths among members of these households during a three-year recall period (2010-2012). The data obtained yielded an average annual incidence rate of 91 per 100,000 population (age-standardized incidence rate of 148.8 /100,000) and cancer specific mortality rate of 68 per 100,000 population (age-standardized mortality rate of 126.3/100,000). The results showed an overall pattern of cancer similar to that reported according to cancer registration but the household survey results were consistently higher than those of the cancer registration by a margin of approximately 20- 30% with respect to incident cancer and about 70 % with respect to cancer-specific mortality. Household surveys on cancer, while costly and time consuming, are a very useful additional source of information on cancer at the population level. They can be performed for specific purposes with effective resource mobilization.

A Study on Nonresponse Adjistment by Using Propensity Scores (성향점수를 이용한 무응답 보정 연구)

  • Lee, Kay-O
    • Survey Research
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    • v.10 no.1
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    • pp.169-186
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    • 2009
  • The propensity score method is used to minimize the bias level in social survey, which comes from nonresponse. The theoretical concept and the background of the propensity score method is discussed first. The propensity score method was first applied in the epidemiology observational study. I have summarized the process of the three propensity score methods that were used to reduce estimation bias in this study. Matching by propensity score is applied to the relatively large control group. Subclassification has the advantage of using whole control group data and regression adjustment is applied to multiple covariates as well as propensity score of each unit is computable and usable. Lastly, the application procedures of propensity score method to reduce the nonresponse bias is suggested and its applicability to real situation is reviewed with the existing data.

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Is Colorectal Cancer A Western Disease? Role of Knowledge and Influence of Misconception on Colorectal Cancer Screening among Chinese and Korean Americans: A Mixed Methods Study

  • Lu, Xiaoxiao;Holt, Cheryl L;Chen, Julia C;Le, Daisy;Chen, Jingjing;Kim, Gil-yong;Li, Jun;Lee, Sunmin
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4885-4892
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    • 2016
  • Background: Chinese and Korean Americans have lower colorectal cancer (CRC) screening rates than other racial/ ethnic groups, which may be explained by a low level of CRC knowledge and a high level of misconceptions. This study explores the role of knowledge in CRC screening among these groups. Methods: Chinese (N=59) and Korean (N=61) Americans older than 50 were recruited from the Washington D.C. Metropolitan area. They completed a detailed survey and participated in focus groups to discuss their knowledge on CRC and CRC screening. Seventeen physicians, community leaders, and patient navigators participated in key informant interviews. Using a mixed methods approach, data were analyzed quantitatively and qualitatively. Results: Participants lacked knowledge about CRC and CRC screening. More than half did not know that screening begins at age 50 and there are several types of tests available. More than 30% thought CRC screening was not necessary if there were no symptoms or there was nothing they could do to prevent CRC. Focus group findings suggested understanding about CRC was limited by an inadequate source of linguistically and culturally relevant health information. For example, many participants considered CRC a western condition mainly caused by unhealthy diet. This led to under-estimations about their susceptibility to CRC. Knowledge was positively associated with self-reported screening. Participants who had higher knowledge scores were more likely to report ever having had a colonoscopy and confidence in ability to have CRC screening. Conclusions: Mixed-methods analysis provides multi-faceted perspectives on CRC knowledge and its influence on screening. Study findings can help inform interventions to increase CRC screening among Chinese and Korean Americans.

Survey of Asbestos-Related Disease on Chest Radiograph of Workers Exposed to Asbestos in Ship Repair (조선수리업종 석면노출 근로자들의 흉부방사선상 석면관련 폐질환 소견의 발생양상)

  • Lee Hyun Jae;Hong Young Seoub;Son Ji Eun;Lee Young Ill;Kim Sang Hoon;Im Hyoung June;Kim Jung Man;Kim Joon Youn
    • Journal of Life Science
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    • v.16 no.1
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    • pp.58-63
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    • 2006
  • There was cross-sectional study on investigating the factors related asbestos-related disease on chest radiograph of workers exposed to asbestos in ship repair. According to Occupational Safety & Health Administration asbestos standard, medical surveillance, chest radiologic study, pulmonary function test and medical questionnaire are performed in 118 subjects exposed to asbestos for 10 years or more in ship repair. The sixteen out of 118 subjects $(13.6\%)$ were observed asbestos-related disease finding on chest radiography. Significant factors related to those finding on chest radiography were abnormal pulmonary function test, cough, sputum, past history of respiratory disease, work duration. Workers with Significant factors related asbestos-related disease finding on chest radiography should be managed on a strict program. Further, factors unrelated with asbestos-related disease finding on this study should be evaluated prospectively for medical surveillance program of workers exposed to asbestos.