• Title/Summary/Keyword: Underreporting

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Assessment of Epidemiological Data and Surveillance in Korea Substance Use Research: Insights and Future Directions

  • Meekang Sung;Vaughan W. Rees;Hannah Lee;Mohammad S. Jalali
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.307-318
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    • 2024
  • Objectives: Effective data collection and surveillance of epidemiological trends are essential in confronting the growing challenges associated with substance use (SU), especially in light of emerging trends and underreporting of cases. However, research and data are scarce regarding SU and substance use disorder (SUD) in Korea. Methods: We conducted a scoping review to identify data sources and surveillance methods used in SU research in Korea up to December 2023. This review was complemented by semi-structured consultations with experts in this area in Korea, whose feedback led to revisions of previously identified data sources and assessments. Results: Our review identified 32 publications conducting secondary analyses on existing data to examine the epidemiology of SU and SUD in Korea. Of these, 14 studies utilized clinical databases to explore the prescription patterns of addictive substances, particularly opioids. Eleven data sources showed promise for advancing SU research; however, they face substantial limitations, including a lack of available data, missing data, the absence of key variables, the exclusion of marginalized populations not captured within the clinical system, and complexities in matching individual-level data across time points and datasets. Conclusions: Current surveillance methods for SU in Korea face considerable challenges in accessibility, usability, and standardization. Moreover, existing data repositories may fail to capture information on populations not served by clinical or judicial systems. To systematically improve surveillance approaches, it is necessary to develop a robust and nationally representative survey, refine the use of existing clinical data, and ensure the availability of data on treatment facilities.

Analysis of Prostitution Survey Using Randomized Response Model(RRM) (확률화응답모형(RRM)을 활용한 성매매조사 분석)

  • Son, Chang-Kyoon;Joo, Jae-Jin
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.65-71
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    • 2017
  • It is true that there is a possibility of distortion in the statistical surveys or actual surveys depending on which investigator, what purpose, and how research method. Even statistical results are more likely to be 'lying', and statistics on crime or delinquent are sometimes referred to as 'whopper'. There are many reasons for not trusting statistics on crime or delinquent, but one of the main causes is the existence of a hidden crime or an unreported crime. In order to overcome these hidden crime problems, victim surveys or self-report surveys are being used. However, this method also has the problem of underreporting or overreporting depending on the type of crime. Because investigations into crime, delinquency, and deviant behavior are very sensitive, the subjects have a psychological burden. A randomized response model has been developed and used in the field of statistics as a way to induce a true answer to the sensitive content which is burdensome to reveal the experiences of the survey subjects. This technique is a very useful way to solve the problems of victim surveys or self-report surveys. Nevertheless, there are very few cases in the field of criminology in Korea. Therefore, in order to examine the applicability of the randomized response model in the field of criminology, this study used the randomized response model to actually measure the content of prostitution for college students and the effectiveness of the randomized response model was confirmed.

Accuracy of the 24-hour diet recall method to determine energy intake in elderly women compared with the doubly labeled water method (에너지 섭취 조사를 위한 24시간 회상법의 정확도 평가: 여자노인을 대상으로 이중표식수법을 이용하여)

  • Park, Kye-Wol;Go, Na-Young;Jeon, Ji-Hye;Ndahimana, Didace;Ishikawa-Takata, Kazuko;Park, Jonghoon;Kim, Eun-Kyung
    • Journal of Nutrition and Health
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    • v.53 no.5
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    • pp.476-487
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    • 2020
  • Purpose: This study evaluated the accuracy of the 24-hour diet recall method for estimating energy intakes in elderly women using the doubly labeled water (DLW) method. Methods: The subjects were 23 elderly women with a mean age of 70.3 ± 3.3 years and body mass index (BMI) of 23.9 ± 2.8 kg/㎡. The total energy expenditure (TEEDLW) was determined by using the DLW and used to validate the 24-hour diet recall method. The total energy intake (TEI) was calculated from the 24-hour diet recall method for three days. Results: TEI (1,489.6 ± 211.1 kcal/day) was significantly lower than TEEDLW (2,023.5 ± 234.9 kcal/day) and was largely under-reported by -533.9 ± 228.0 kcal/day (-25.9%). The accurate prediction rate of elderly women in this study was 8.7%. The Bland-Altman plot, which was used to evaluate the TEI and the TEEDLW, showed that the agreement between them was negatively skewed, ranging from -980.8 kcal/day to -86.9 kcal/day. Conclusion: This study showed that the energy intake of elderly women was underreported. Strategies to increase the accuracy of the 24-hour diet recall methods in the elderly women should be studied through analysis of factors that affect underreporting rate. Further studies will be needed to assess the validity of the 24-hour diet recall method in other population groups.