• Asian Pacific Journal of Cancer Prevention
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• v.17 no.10
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• pp.4567-4575
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• 2016

A number of studies have evidenced the effect of modifiable lifestyle factors such as diet, breastfeeding and nutritional status on breast cancer risk. However, none have addressed the missing data problem in nutritional epidemiologic research in South America. Missing data is a frequent problem in breast cancer studies and epidemiological settings in general. Estimates of effect obtained from these studies may be biased, if no appropriate method for handling missing data is applied. We performed Multiple Imputation for missing values on covariates in a breast cancer case-control study of $C{\acute{o}}rdoba$ (Argentina) to optimize risk estimates. Data was obtained from a breast cancer case control study from 2008 to 2015 (318 cases, 526 controls). Complete case analysis and multiple imputation using chained equations were the methods applied to estimate the effects of a Traditional dietary pattern and other recognized factors associated with breast cancer. Physical activity and socioeconomic status were imputed. Logistic regression models were performed. When complete case analysis was performed only 31% of women were considered. Although a positive association of Traditional dietary pattern and breast cancer was observed from both approaches (complete case analysis OR=1.3, 95%CI=1.0-1.7; multiple imputation OR=1.4, 95%CI=1.2-1.7), effects of other covariates, like BMI and breastfeeding, were only identified when multiple imputation was considered. A Traditional dietary pattern, BMI and breastfeeding are associated with the occurrence of breast cancer in this Argentinean population when multiple imputation is appropriately performed. Multiple Imputation is suggested in Latin America's epidemiologic studies to optimize effect estimates in the future.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.3
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• pp.67-82
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• 2019

Objectives: The purpose of this study is to analyze how the different lifestyles between Koreans and Korean Americans have significant effects on their health. Despite being the same race, Koreans and Korean Americans have different health conditions and health attitudes due to the acquired environmental factors such as social-economic factors, lifestyle risk factors, healthcare systems, and medical utilization. It is crucial to examine how the different lifestyle habits between Koreans and Korean Americans lead to various health conditions for establishing an effective health promotion policy. Methods: In this study, a comparative analysis was conducted using the National Health and Nutrition Survey of Korea and CHIS data of the United States in 2005 and 2015 to provide valuable insights when establishing such a policy. Results: The specific research purpose is as follows: First, socioeconomic factors, such as (1)living habits risk factors, (2)health satisfaction levels, (3)disease outbreaks, and (4)medical uses, are analyzed to find the distinct characteristics among Koreans, Korean Americans, and Americans. Second, the three groups --Koreans, Korean Americans, and Americans-- were compared based on their exposure to disease-related lifestyle risk factors related to their body mass index and their general health condition. The research results are as follows: First, all three groups improved health conditions in 2015 better than in 2005. Koreans maintained relatively higher general health conditions compared to other groups: their prevalence rate of chronic diseases such as diabetes, high blood pressure, heart disease, and asthma was lower than that of U.S. residents. Second, in regards to health behavior factors, the lifetime smoking experience for Koreans and Americans both decreased in 2015 compared to 2005, while the lifetime smoking experience for Korean Americans increased slightly. The number of smokers for Koreans has greatly decreased over a decade while that of Americans has moderately increased. Third, according to the results of the multiple regression, the general health conditions, which is a dependent variable, suggests that the number of men who answered they are healthy is greater than that of women in Korea, compared to the United States. Conclusions: In conclusion, the acquired environmental factors had more significant impacts on health than the racial factors did. Compared to 2005, the health behaviors and health levels of Korean Americans in 2015 gradually became more similar to those of Americans.

• Journal of the Korean Society of Food Culture
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• v.8 no.3
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• pp.275-287
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• 1993

An ecological survey of food and nutrition was conducted in April and May, among 278 children, 6 to 12 years old, of the Youido elementary school, which offers no school lunch program, and is situated in Youido delta of Han River side of Seoul, known as the location of one of the socioeconomically high groups; Eighteen percent and 18.3% of subjects were proven to be overweight and obese, respectively. With regard to frequency of skipping breakfast, 28.4% of the subjects skipped breakfast often and 2.5% of subjects skipped breakfast every morning. Obese children showed good appetite and the time consumed for eating was shorter than those of normal or overweight children. Most serious anxiety among the mothers for those children was food habit of `eating rapidly' and `overeating'. Another striking observation was that 14.4% of the subjects ate only one side-dish with boiled rice, and such a pattern was more often found in the normal or slim group. Most of the subjects had their snacks after being back in home from school. Thirty-one percent of the children had snacks when they felt hungry, 69% had snacks for various reasons such as `habitually', `for unwinding', and `mother gives me snacks'. Thirty-eight percent of the boys and 19% of the girls had physical exercise everyday and overweight and obese children got exercise more frequently. But the time consumed for exercise was much more shorter than that of normal subjects. Most of the children liked fruits, meats, and biscuit, in contrast, lowest preferency was for vegetables, fermented fish products, and boiled rice mixed with other grains. Obese children experienced more kinds of food than normal or slim group. The study found that habits of overeating due to good appetite and eating rapidly were recognized as one of dominant reasons causing obesity among children. On the other hand, serious dietary problem of children of normal or slim group was eating less variety of food. Active nutrition education for both children and mothers will be recommended with joint participation of teachers.

• The Journal of the Korea Contents Association
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• v.18 no.7
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• pp.313-321
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• 2018

This study was conducted to investigate the oral health perception according to the actual condition of oral hygiene products management in 222 college students in Daegu and Kyungbuk province (p<0.05). The subjects in the study were 43 men (19.4%) and 50 women (22.5%) with two toothbrushes (p<0.05), and the major subjects were 2 tooth brushes The subjects were 18 (8.1%) and 75 subjects (33.8%) were subjects of science major (p<0.001). Among the subjects who did not carry a toothbrush, 72(32.4%) were male and 46 (20.7%) were female. The number of subjects who did not carry the male was higher (p<0.05) The subjects were as follows: 83 (37.4%), and 21. Oral health awareness was 3.031 times higher than that of male (p<0.001), and the major group was 2.57 times higher than that of the general population (p<0.001). Subjects who did not sterilize the toothbrush had 0.459 times lower oral health perception (p<0.05). In order to establish and evaluate the oral health policy of university students in Korea, only the objective oral health status is used as an index. However, it is necessary to study and reflect the variables affecting oral health awareness as much as the oral health awareness reflects not only oral health condition but also socioeconomic variables and the effect of variables on oral health.

• Journal of the Korean Association of Geographic Information Studies
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• v.19 no.1
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• pp.43-52
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• 2016

Land price contains the comprehensive characteristics of urban space, representing the social and economic features of the city. Accordingly, land price can be utilized as an indicator, which can identify the changes of spatial structure and socioeconomic variations caused by urban development. This study attempted to explore the change in land price by the road construction. Methodologically, it adopted Space Syntax, which can interpret urban spatial structure comprehensively, to identify the relationship between the forms of road networks and land price. The analytical results show that the correlation between 'integration index of Space Syntax' with 'officially assessed land price' was the highest, and as integration was higher, 'officially assessed land price' increased. Subsequently, using regression equation, it tried to predict the land price changes of surrounding areas, according to the new road construction in case area. As shown above, the research methods or study results have the advantage of predicting the changes in land price that can attract high concern of residents in an easy way. In addition, it will contribute to establishing relevant polices and smoothing business promotion through the enhancing residents' understanding by suggesting the change in land price in advance before the execution of urban regeneration and development projects.

• Journal of Preventive Medicine and Public Health
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• v.51 no.1
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• pp.33-40
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• 2018

Objectives: The aim of this study was to determine the factors associated with the spatial distribution of the incidence of colorectal cancer (CRC) in the neighborhoods of Tehran, Iran using Bayesian spatial models. Methods: This ecological study was implemented in Tehran on the neighborhood level. Socioeconomic variables, risk factors, and health costs were extracted from the Equity Assessment Study conducted in Tehran. The data on CRC incidence were extracted from the Iranian population-based cancer registry. The $Besag-York-Molli{\acute{e}}$ (BYM) model was used to identify factors associated with the spatial distribution of CRC incidence. The software programs OpenBUGS version 3.2.3, ArcGIS 10.3, and GeoDa were used for the analysis. Results: The Moran index was statistically significant for all the variables studied (p<0.05). The BYM model showed that having a women head of household (median standardized incidence ratio [SIR], 1.63; 95% confidence interval [CI], 1.06 to 2.53), living in a rental house (median SIR, 0.82; 95% CI, 0.71 to 0.96), not consuming milk daily (median SIR, 0.71; 95% CI, 0.55 to 0.94) and having greater household health expenditures (median SIR, 1.34; 95% CI, 1.06 to 1.68) were associated with a statistically significant elevation in the SIR of CRC. The median (interquartile range) and mean (standard deviation) values of the SIR of CRC, with the inclusion of all the variables studied in the model, were 0.57 (1.01) and 1.05 (1.31), respectively. Conclusions: Inequality was found in the spatial distribution of CRC incidence in Tehran on the neighborhood level. Paying attention to this inequality and the factors associated with it may be useful for resource allocation and developing preventive strategies in at-risk areas.

• Korea journal of population studies
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• v.30 no.3
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• pp.33-56
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• 2007

This study explores the pattern of socio-demographic characteristics of divorced couples of international marriage in Korea. This paper focuses on analyzing the effect of dissimilarity between husband and wife on the duration of marriage of divorced couples. It examines whether the differences of socioeconomic characteristics of the married couples are linked to different process within their relationships and duration of marriage. Attention is focused on couple's age and education. Micro-data from divorce registration for the period of 1995-2005 are utilized. Results of analyses reveal the following. First, married couples may have different responses to dissimilarity between the partners according to the combination of nationality of the couples. This indicates that cross-border marriage does not represent the same type of union in different societies or cultures. Second, both dissimilarities of age and education show negative impacts on the marital duration of the couples with foreign wives, but there is a difference in its pattern. Age dissimilarity displays higher impacts on the duration. Third, the result also indicates that the contribution of dissimilarity of age and education on marital duration is relatively small among the couples with foreign husbands.

• Journal of agricultural medicine and community health
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• v.33 no.1
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• pp.46-58
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• 2008

Objectives: This study was performed to investigate the levels of psychosocial stres and to identify its Methods: The study subjects were 1,806 adults aged 40-70 years living in Naju City, Jeollanamdo. Sociodemographic characteristics, health-related behavior, social suport and personality were collected for statistical analysis. The measurement instrument of psychosocial stress was psychosocial well-being index. The regression analysis. Results: The results showed that 16.6% of subjects were categorized as high stress, 63.4% as moderate, and 20.0% as normal. Overall, the mean value of PWI was 17.29.8 and significantly diferent by socioeconomic characteristics, health-related behavior, social suport and personality. In the case of men, the income, decreased positive social suport, increased negative social suport, type A behavior pattern, decrease of internal locus of control or poorer self-esteem. In the case of women, the PWI was significantly deteriorated in the subjects with no job, no spouse, decreased positive social suport, increased negative social support, type A behavior pattern, decrease of internal locus of control or poorer self-esteem.Conclusions: The psychosocial stres for rural residents was related with social suport and personality. Thus, these results should be considered to reduce stres levels in rural adults.

• Journal of Obesity & Metabolic Syndrome
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• v.26 no.1
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• pp.23-27
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• 2017

Background: In Korea, the prevalence of obesity has steadily increased, and the socioeconomic burden of obesity has increased along with it. In 2015, the National Health Insurance Service (NHIS) signed a memorandum of understanding with the Korean Society for the Study of Obesity (KSSO), providing limited open access to its databases so that the status of obesity and obesity management could be investigated. Methods: Using NHIS databases, we analyzed nationwide population-based studies for obesity using the definition of obesity (body mass index ${\geq}25kg/m^2$) in subjects over the age of 20. Age and sex standardization were used for all data. Results: The KSSO released the 'Obesity Fact Sheet 2016' using the 2006-2015 NHIS Health Checkup database. The prevalence of obesity steadily increased from 28.7% in 2006 to 32.4% in 2015, and the prevalence of abdominal obesity also steadily increased from 18.4% in 2009 to 20.8% in 2015. The prevalence of class II obesity steadily increased from 2006 to 2015, such that the total prevalence was 4.8% in 2015 (5.6% in men and 4.0% in women). The highest prevalence of obesity was found in Jeju Island, while the lowest prevalence was found in Daegu City. The highest prevalence of abdominal obesity was also found in Jeju Island, while the lowest prevalence was found in Gwangju City. Conclusion: Based on the Obesity Fact Sheet 2016, a strategy for reducing the prevalence of obesity is needed, especially in Korean men.

• 한국노년학
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• v.38 no.4
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• pp.837-851
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• 2018

This study aimed to investigate the relationship between frailty and health care utilization in a cross-sectional design of a population-based sample of community-dwelling older adults. We used the data of 516 participants who dwell in Daejon, aged between 65 and 84 years old. Using K-frailty index, frailty status were measured and categorized as three groups: robust, prefrail, and frail. Logistic regression analysis was used to examine if frailty affects emergency department(ED) visit or hospitalization. In addition, negative binomial regression was used to examine the association between outpatient visits and frailty. Our results showed that the frail elderly increased the ED visit and the number of outpatient visit significantly after controlling for demographic characteristics, socioeconomic status, the number of chronic diseases, and self-rated health status. Considering that frailty is an important independent factor affecting health care utilization, more attention is required to prevent the frailty in our health care system.