• Title/Summary/Keyword: Multinomial Logistic Regression

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Prevalence and trends of pain associated with chronic diseases and personal out-of-pocket medical expenditures in Korea

  • Shin, Sun Mi
    • The Korean Journal of Pain
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    • v.30 no.2
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    • pp.142-150
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    • 2017
  • Background: There have been few studies about pain using a big data. The purpose of this study was to identify the prevalence of pain, and trends of pain associated with chronic diseases and personal out-of-pocket medical expenditures over time. Methods: Subjects were 58,151 individuals, using the Korea Health Panel from 2009 to 2013. Chi-square and multinomial logistic regression were conducted to identify the prevalence and odds ratios (ORs) of pain. Repeated measures ANOVA was used to find the trend over these 5 years. Results: Prevalence of mild and severe pain was 28.1% and 1.7% respectively. The ORs of mild and severe pain were 1.6 and 1.4 in females compared with males. From 2009 to 2013, numbers of chronic diseases producing mild pain were 2.1, 2.4, 2.8, 2.9, and 3.1 and those producing severe pain were 3.0, 3.4, 3.9, 4.2, and 4.4, respectively. After applying the average South Korean inflation rate by year over 5 years, the annual, personal out-of-pocket medical expenditures (unit: ₩1,000) for mild pain were 322, 349, 379, 420, and 461, and those for severe pain were 331, 399, 504, 546, and 569, respectively (P < 0.0001). Conclusions: The pain prevalence was 29.8%. The numbers of chronic diseases and the personal out-of-pocket medical expenditures revealed increasing trends annually, especially in those with pain. Therefore, to eliminate and alleviate the pain, there needs to be further study for developing a systemic approach.

Healing outcomes of root canal treatment for C-shaped mandibular second molars: a retrospective analysis

  • Ahn, Hye-Ra;Moon, Young-Mi;Hong, Sung-Ok;Seo, Min-Seock
    • Restorative Dentistry and Endodontics
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    • v.41 no.4
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    • pp.262-270
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    • 2016
  • Objectives: This study aimed to evaluate the healing rate of non-surgical endodontic treatment between C-shaped and non-C-shaped mandibular second molars. Materials and Methods: Clinical records and radiological images of patients who had undergone endodontic treatment on mandibular second molars between 2007 and 2014 were screened. The periapical index scoring system was applied to compare healing outcomes. Information about preoperative and postoperative factors as well as the demographic data of the patients was acquired and evaluated using chi-square and multinomial logistic regression tests. Results: The total healing rate was 68.4%. Healing rates for the mandibular second molar were 70.9% in C-shaped canals (n = 79) and 66.6% in non-C-shaped ones (n = 117). The difference was not statistically significant. Conclusions: The presence of a C-shaped canal in the mandibular second molar did not have a significantly negative effect on healing after treatment. Instead, proper pulpal diagnosis and final restoration were indicated as having significantly greater influence on the healing outcomes of C-shaped and non-C-shaped canals, respectively.

Predictors of Acculturation Types among Marriage Migrant Women (결혼이주여성의 문화적응유형과 영향요인)

  • Lee, Jiyeon;Chung, Grace H.;Yoo, Joan P.
    • Journal of Families and Better Life
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    • v.32 no.3
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    • pp.1-15
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    • 2014
  • This study aimed to identify predictors of acculturation types among marriage migrant women at the individual and dominant society levels. To accomplish this goal, we recruited marriage migrant women from China and Vietnam, classified their acculturation types according to their scores on acculturation attitudes, and performed multinomial logistic regression on acculturation types by entering marriage migrant women's individual and dominant society level factors as covariates based on previous research. The results showed that most of the participants were classified under integration(N=376), followed by assimilation(N=66), separation(N=60) and marginalization(N=48). Lower household income, lower sense of mastery, weaker ethnic identity and lower social support predicted assimilation as compared to integration. Less education, higher household income, weaker ethnic identity, lower family satisfaction and lower social support predicted separation as compared to integration. Finally, as compared to integration, marginalization was predicted by lower sense of mastery, lower ethnic identity and lower social support. This study expands the current scholarship on acculturation by examining acculturation as an indicator of the psychosocial adaptation of immigrants and by identifying factors that predict specific acculturation types among marriage migrant women.

Types of Smoking Statuses and Associated Factors among Korean Wageworkers (국내 임금근로자의 흡연 유형과 관련요인 연구)

  • Moon, Seongmi
    • Journal of Korean Public Health Nursing
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    • v.30 no.3
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    • pp.495-511
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    • 2016
  • Purpose: The present study was performed to describe the prevalence of various types of smoking statuses and to identify factors associated with different types among Korean wageworkers. Methods: The prevalence of hardcore smoking, daily smoking, and intermittent smoking was assessed in 2,126 wage workers from the Sixth Korea National Health and Nutrition Examination Survey. The associations of these three types of smoking statuses with sociodemographic characteristics, health conditions, and occupation-related characteristics were also examined in a multinomial logistic regression. Results: In men, the prevalence of hardcore smoking and daily smoking were 11.4% and 30.2%, respectively; and in women, the daily smoking prevalence was 5.6%. The education level was strongly associated with men's hardcore smoking and women's daily smoking. The household income and marital status were associated with women's daily smoking. Among occupation-related characteristics, the regularity of work and night work were associated with men's intermittent smoking. Night work was also associated with women's daily smoking. Employment condition was associated with women's intermittent smoking. Conclusion: The socioeconomic status and health conditions, compared with occupation-related factors, were found to have more influence on smoking. Therefore, antismoking programs that focus on individual characteristics should be developed for Korean wageworkers.

Preliminary Study on Development of Educational Program for Healthy Family: Development of Scale to Measure Family Healthy by Team Performance Coaching Model (건강가정교육프로그램 개발을 위한 기초연구: 팀 성과행동 코칭모델을 이용한 가정의 건강성 측정 척도 개발)

  • Kim, Hye Yeon
    • Human Ecology Research
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    • v.51 no.3
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    • pp.321-331
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    • 2013
  • The purpose of this study is to develop the scale to measure family health and to analyze the data collected by the survey in order to develop the educational program for healthy family. The sample of this study is taken by 522 housewives who are living in Seoul and are over the age of 40. The data are analyzed according to frequency, percentages, t-test, Pearson's correlation analysis, and Multinomial logistic Regression analysis. The results of this study are as follows. First, the scale measuring family health is developed through interviews with the respondents, preliminary survey, and comments reviewed from specialists. The responses to the scale are significantly different depending on whether they answered their family is healthy or not. Second, minimum family performances for family health are related to the category of social involvement of the family. Third, the types of healthy family are grouped by the responses related to the current state and the status of family health. The number of the type of the worst state-the worst status of family health is the largest, followed by the number of the type of the best state-the best status of family health. Fourth, the important and significant variables that affected the types of family health are psychological variables rather than personal and household-related variables of the respondents.

Drinking Patterns Among Korean Adults: Results of the 2009 Korean Community Health Survey

  • Ryu, So Yeon;Crespi, Catherine M.;Maxwell, Annette E.
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.4
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    • pp.183-191
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    • 2013
  • Objectives: In Korea, the proportion of deaths due to alcohol is estimated at 8.9%, far exceeding the global estimate of 3.8%. Therefore, this study was performed to examine the factors associated with low-risk, moderate-risk, and high-risk drinking patterns in Korean adults and to identify target populations for prevention and control of alcohol-related diseases and deaths. Methods: We analyzed data from 230 715 Korean adults aged 19 years and older who participated in the 2009 Korean Community Health Survey. Multinomial logistic regression analysis was used to examine associations between socio-demographic and health-related factors and patterns of alcohol use. Results: A substantially larger proportion of men than women engaged in high risk (21.2% vs. 3.4%) and moderate-risk alcohol use (15.5% vs. 8.2%). In both sexes, moderate- and high-risk uses were associated with younger age, higher income, being currently employed, smoking, being overweight/obese, and good self-rated health. Conclusions: Given the large proportion of the population that is engaging in moderate- and high-risk drinking and given the social norms that support this behavior, public health policies and campaigns to reduce alcohol consumption targeting the entire population are indicated.

Associations between the Frequency of Electronic Cigarette Use and Smoking-related Characteristics among Adolescent Smokers (청소년 흡연자의 전자담배 사용 빈도와 흡연 관련 특성 간의 연관성)

  • Lee, Haein
    • Child Health Nursing Research
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    • v.25 no.4
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    • pp.487-495
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    • 2019
  • Purpose: We aimed to identify associations between the frequency of electronic cigarette (e-cigarette) use and smoking-related characteristics among adolescent smokers. Methods: We used data from the 14th Korea Youth Risk Behavior Survey. The participants were 3,722 smokers who had smoked cigarettes on at least one day during the past 30 days. The frequency of e-cigarette use was defined as the number of days that participants used e-cigarettes during the past 30 days, and was divided into four categories: 0, 1~2, 3~9, and ${\geq}10$ days. We used the $x^2$ test and multinomial logistic regression to examine the associations between the frequency of e-cigarette use and smoking-related characteristics. Results: Those who attempted to quit smoking, had used a heated tobacco product (HTP) at least once, or initiated e-cigarette use before middle school were more likely to use e-cigarettes for 3~9 days in the past 30 days. More frequent e-cigarette use (${\geq}10$ days) was associated with a higher frequency and greater amount of cigarette use, lifetime HTP use, and earlier initiation of e-cigarette use. Conclusion: Smoking-related characteristics differed by the frequency of e-cigarette use. Therefore, intervention programs targeting adolescent smokers should consider differences in smoking-related characteristics based on the frequency of e-cigarette use.

Multilevel Analysis of Factors associated with Subjective Weight Perception among Normal Body Weight Adolescents based on the 2017 Korean Youth's Risk Behavior Survey (KYRBS) (정상체중 청소년의 주관적 체형인식 관련요인 다수준 분석: 2017년 청소년건강행태온라인조사 자료를 중심으로)

  • Joeng, Eun Ha;Lee, In Sook
    • Research in Community and Public Health Nursing
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    • v.29 no.4
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    • pp.476-487
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    • 2018
  • Purpose: The present study is focused on understanding weight perception related with individual- and school-level multifactorial origins, underestimated and overestimated respectively, in normal body weight adolescents. Methods: Using the 2017 Korea Youth Risk Behavior Web-based Survey data of 45,902 students from 799 secondary schools, a multilevel multinomial logistic regression analysis was performed where adolescents (level1) were nested within schools (level 2). Results: At the school level, the average school body mass index (BMI, $kg/m^2$) and physical education were associated with weight perception among both boys and girls. In boys, geographic areas were associated with weight underestimation. At the individual level, perceived economic status, weekly allowance, BMI ($kg/m^2$), smartphone usage time (hrs/day) and perceived stress were associated with weight perception among both boys and girls. Age, paternal education, academic achievement and alcohol use were associated with weight perception among girls, while part-time job and physical activity were associated with weight perception among boys. Conclusion: Our findings underscore the importance of individual- and school-level environments in developing correct weight perception and have implications for school health education to establish healthy lifestyle behaviors for all adolescents.

Accuracy of periodontal probe visibility in the assessment of gingival thickness

  • Kim, Young-Sung;Park, Ji-Sun;Jang, Young-Hun;Son, Jung-Hun;Kim, Won-Kyung;Lee, Young-Kyoo;Kim, Su-Hwan
    • Journal of Periodontal and Implant Science
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    • v.51 no.1
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    • pp.30-39
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    • 2021
  • Purpose: The present study was undertaken to examine whether periodontal probe visibility (PV) accurately reflects gingival thickness (GT) and to identify factors affecting PV using cluster and multivariate analyses. Methods: The clinical characteristics of the maxillary central incisors (n=90 subjects) were examined. Clinical photographs, sex, PV, probing depth, gingival width, papilla height, GT as measured with an ultrasonic device, and the ratio of crown width to crown length were recorded. Multivariate analysis, using multinomial baseline-category logistic regression, was used to identify factors predictive of PV. Cluster analysis was used to identify gingival biotypes. Results: In the multivariate analysis, sex was the only significant predictor of PV (odds ratio, 6.48). Two clusters of subjects were created based on morphometric parameters. The mean GT among cluster A subjects was significantly lower than that among cluster B subjects (P=0.015). No significant difference was found between cluster A and B subjects in terms of PV score (P=0.583). Conclusions: Periodontal PV was not associated with GT as measured directly using an ultrasonic device. Sex was a highly significant predictor of periodontal PV. GT was found to be correlated with morphological characteristics of the periodontium.

Identifying Trajectories of Behavioral Problems in Children with Allergic Diseases: Secondary Data Analysis of the 5th to 7th Panel Study of Korean Children (알레르기질환 아동의 문제행동 변화유형 분석: 5~7차 한국아동패널 자료를 이용한 2차자료분석)

  • Son, Miseon;Ji, Eunsun
    • Journal of Korean Academy of Nursing
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    • v.50 no.6
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    • pp.822-836
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    • 2020
  • Purpose: This study aimed to identify latent classes of behavioral problem trajectories in children with allergic diseases and investigate their predictors. Methods: This study used data from the 5th to 7th Panel Study of Korean Children. The participants included 840 children aged 4~6 years with allergic diseases. Statistical analyses were conducted using latent class growth analysis and multinomial logistic regression. Results: The trajectories of both internalizing and externalizing behavioral problems in children with allergic diseases were classified into five groups, that is deteriorative, recovering, changing 1 (decreasing-increasing), changing 2 (increasing-decreasing), and low state persistent group. For the internalizing behavioral problems, predictors were temperament, father's education, family interaction, and disconnection in peer interaction. For the externalizing behavioral problems, predictors child's gender, temperament, marital conflict, parenting stress, family interaction, and parenting environment. Conclusion: Deteriorative group has high-risk behavioral problems in children with allergic diseases. We suggest to provide interventions considering latent problem trajectories based on ecological environments for allergic children.