Factors affecting awareness of myocardial infarction symptoms among the general public in Korea

Kyong Sil Park 한국역학회 2020 Epidemiology and Health Vol.42 No.-

OBJECTIVES: We aimed to determine the level of awareness of myocardial infarction (MI) symptoms among the general public in Korea and identify factors affecting awareness of MI symptoms using data from the 2017 Korea Community Health Survey (KCHS). METHODS: This is a cross-sectional study using KCHS data. Based on five questions about MI symptoms, participants were divided into an awareness group (replied ‘yes’ to all five questions) and an unawareness group (replied ‘no’ or ‘not sure’ to at least one of five questions) for analysis. RESULTS: Of a total of 228,281 participants, 42.4% were aware of MI symptoms. There was a high level of awareness of chest pain and shortness of breath, but a low level of awareness of gastrointestinal symptoms and pain in the arm, shoulder, jaw, neck, and back. While women had a higher level of overall awareness relative to men, they showed a lower level of awareness regarding chest pain and discomfort. The factors affecting awareness of MI symptoms were gender, age, education level, occupation, smoking, drinking, physical inactivity, and cardiovascular disease risk factors. CONCLUSIONS: In order to enhance awareness of MI symptoms among the general population, appropriate education and promotion efforts must be implemented based on gender, age, education level, and occupation. Moreover, active efforts by the government, educational institutions, and medical institutions are necessary to improve awareness of both typical and atypical MI symptoms. Furthermore, health policies to promote reduced smoking and drinking and increased physical activity, as well as continuous monitoring and management of individuals with cardiovascular disease risk factors, are required.

Impact of Depression and Anxiety on Cardiovascular Risk using Framingham Score among HIV Positive Patients

Kyong Sil Park,Seon Young Hwang,Bo Youl Choi 한국간호과학회 2015 한국간호과학회 학술대회 Vol.2015 No.10

Lifestyle-related predictors affecting prediabetes and diabetes in 20-30-year-old young Korean adults

Kyong Sil Park,Seon Young Hwang 한국역학회 2020 Epidemiology and Health Vol.42 No.-

OBJECTIVES:To investigate lifestyle-related predictors of prediabetes and diabetes in young adults aged 20–39 years using data from the 2014-2016 Korea National Health and Nutrition Examination Survey (KNHANES). METHODS: This study is a cross-sectional, secondary analysis using the KNHANES data. Participants were classified into normal group (fasting plasma glucose [FPG] <100 mg/dL and/or hemoglobin A1c [HbA1c] <5.7%), prediabetes group (FPG 100-125 mg/dL and/or HbA1c 5.7-6.4%), and diabetes group (FPG ≥126 mg/dL and/or HbA1c ≥ 6.5%). The data were statistically analyzed using SPSS software. RESULTS: Out of 4,190 participants, 27.7% of men and 16.3% of women were in the prediabetes group and 1.4% of men and 1.3% of women were in the diabetes group. Logistic regression confirmed that age and obesity are predictors of prediabetes and diabetes in both men and women. Additionally low physical activity and low education level are predictors of prediabetes in men and women, respectively (p<0.05). CONCLUSIONS: This study has found that age and increased obesity are predictors of elevated blood glucose in young men and women in their 20s and 30s. A strategy to lower obesity by promoting physical activity in men in their 30s is essential to prevent metabolic syndrome and progression to prediabetes.

Predictors of anticipated coping behavior at myocardial infarction symptom onset among a nationwide sample of Korean adults

Kyong Sil Park 한국역학회 2021 Epidemiology and Health Vol.43 No.-

OBJECTIVES: This cross-sectional study based on the health belief model investigated predictors of anticipated coping behavior at myocardial infarction (MI) symptom onset using secondary data from the 2017 Korea Community Health Survey. METHODS: Modifying variables (socioeconomic, health knowledge, perceived threat) were selected as independent variables and anticipated coping behavior at MI symptom onset as the dependent variable. Calling 911 was classified as the correct anticipated coping behavior, while visiting a hospital or an oriental hospital, calling family, and others were classified as incorrect. RESULTS: Of 227,740 participants, 83.2% reported correct anticipated coping behaviors. The likelihood of calling 911 was low if participants experienced atypical symptoms (jaw, neck, back, arm, and shoulder pain), even if they were aware of those symptoms. However, 69.9% of participants who were aware of typical symptoms (chest pain) stated that they would call-911. Sex, age, hypertension, dyslipidemia, obesity, and awareness of MI symptoms affected the correct anticipated coping behavior. CONCLUSIONS: Correct coping abilities among the general public are vitally important for early treatment of MI patients and reduction of hospitalization time. Members of the general public in their 20s and 30s, 60 years of age or older, with cardiovascular risk factors (male sex, hypertension, dyslipidemia, and obesity), and who are not aware of MI symptoms should be educated about the typical and atypical symptoms of MI. Emergency medical services should be called without delay if needed, and public relations activities should be carried out to raise awareness that anyone can use emergency medical services.

Associations of depression and anxiety with cardiovascular risk among people living with HIV/AIDS in Korea

Kyong Sil Park,Seon Young Hwang,Bo Youl Choi,June Kim,Sang Il Kim,Woo-Joo Kim,Chun Kang 한국역학회 2021 Epidemiology and Health Vol.43 No.-

OBJECTIVES: As HIV/AIDS is becoming a chronic disease, the risk of developing cardiovascular disease (CVD) among people living with HIV/AIDS is rising. Anxiety and depression, which are common among people living with HIV/AIDS, have been linked with CVD. This study investigated the risk of CVD in people living with HIV/AIDS and explored the effects of depression and anxiety on CVD risk. METHODS: Data were collected for 457 people enrolled in the Korea Cohort HIV/AIDS study after 2010. Framingham risk scores were calculated to quantify the 10-year risk of developing CVD. Depression and anxiety variables were re-coded as a single combined variable. Multivariable logistic regression analysis was performed, adjusting for age, body mass index, low-density lipoprotein (LDL) cholesterol, triglycerides (TG), duration of human immunodeficiency virus (HIV) positivity after entry into the cohort, and depression/anxiety. RESULTS: Participants with both depression and anxiety were 2.28 times more likely than those with neither depression nor anxiety to have moderate/high-risk CVD risk. The 10-year risk of developing CVD was affected by LDL cholesterol, TG, age, and duration of HIV infection. LDL cholesterol and TG levels change according to the duration of HIV infection, and metabolic disorders affect the risk of CVD. Thus, a longer duration of HIV infection is associated with a higher risk of developing CVD. CONCLUSIONS: Screenings for depression and anxiety need to be provided regularly to assess the severity of those symptoms. To help decrease their risk of developing CVD, people living with HIV/AIDS should be offered behavioral modification interventions aimed at developing healthy lifestyle habits.

Comparison of patient-reported quality of life and functional outcomes following laparoscopic and transanal total mesorectal excision of rectal cancer

Ryun Kyong Ha,Sung Chan Park,Boram Park,Sung Sil Park,Dae Kyung Sohn,Hee Jin Chang,Jae Hwan Oh 대한외과학회 2021 Annals of Surgical Treatment and Research(ASRT) Vol.101 No.1

Purpose: The effect of transanal total mesorectal excision (TaTME) on patients’ quality of life and functional outcomes is not fully understood. This study aimed to compare the quality of life and bowel, anorectal, and urogenital functions after laparoscopic and TaTME. Methods: Laparoscopic or TaTME was performed for 202 propensity score-matched patient pairs with rectal cancer between January 2014 and December 2017 at the National Cancer Center, Korea. The outcomes for all patients were assessed using anorectal manometry, the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30) and Colorectal Cancer-Specific Quality of Life Questionnaire (QLQ-CR38), low anterior resection syndrome (LARS) score, Fecal Incontinence Severity Index, and International Prostate Symptom Score (IPSS). This retrospective comparative study included patients who completed anorectal manometry and the questionnaires before treatment and at 1 year after surgery. Results: The EORTC QLQ-C30 and QLQ-CR38 showed comparable outcomes regarding the quality of life in both groups. More patients experienced major LARS in the transanal group at 1 year postoperatively (31.0% vs. 6.8% in the laparoscopic group, P = 0.004). Multivariable analysis revealed no significant difference in the LARS score between the groups at 1 year postoperatively (odds ratio, 2.30; 95% confidence interval, 0.79–6.72; P = 0.127). Significant differences in the IPSS were not noted between the groups. Conclusion: The quality of life and functional outcomes were comparable between the laparoscopic and transanal approaches; however, our findings suggest a higher rate of LARS after TaTME.

젊은 성인의 COVID-19 대유행 전후 건강행동 변화: 2019-2020년 지역사회건강조사를 활용한 성별 분석

박경실(Kyong Sil Park) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.2

이 연구는 만 19-39세 젊은 성인의 COVID-19 대유행 전후의 건강행동 변화를 확인하기 위해 2019-2020년도 지역사회건강조사 자료를 이용한 단면적 조사연구이다. 원시자료 458,368명의 대상자 중 19-39세 101,585명의 대상자를 연구대상자로 선정하였다. 인구사회학적 변수로 성별, 연령, 교육수준, 가구 구성원, 거주지역, 직업, 월 가구 소득을 포함하였다. 건강행동 변수로 흡연, 음주, 체질량지수, 신체활동, 아침결식, 수면을 포함하였다. 인구사회학적 및 건강 행동 변수는 빈도, 백분율, 평균, 표준편차 등의 기술통계로 분석하였다. COVID-19 대유행 전후의 건강행동 변화를 확인하기 위해 로지스틱 회귀분석을 실시하였다. 젊은 성인의 70% 이상은 도시에 거주하고 있으며, 2020년 기준으로 1인 가구는 65.1%였다. 2019년에 비해 2020년은 신체활동 및 걷기가 감소하였으나 아침 식사 결식 및 수면은 증가하였다. 2019년과 비교하여 2020년 남성의 흡연율은 2.6% 감소하였으나 여성의 흡연율은 거의 변화하지 않았다. 비만은 남성에서 유의하지 않았으나 여성에서는 0.82배 감소하였다. 젊은 성인의 긍정적인 건강행동을 위해 흡연, 음주, 신체활동, 아침결식 등에 대한 긍정적인 인식 개선을 위해 정부, 교육기관 등이 적극적으로 홍보 및 교육활동을 시행해야 하겠다. The purpose of this cross-sectional study was to investigate health-behavioral changes associated with the COVID-19 pandemic among young adults by secondary analysis of 2019-2020 Korea Community Health Survey data. The data of 101,585 adults, 50,095 before the COVID-19 pandemic and 51,490 during the pandemic, were included in the analysis. Sociodemographic variables included gender, age, education, household members, residential area, occupation, and household income. Health behavioral variables included smoking, drinking, body mass index, physical activity, skipping breakfast, and sleep. Descriptive statistics were used to analyze sociodemographic and health behavioral characteristics, and health behavior changes were also analyzed using logistic regression analysis. More than 70% of young adults included lived in urban environments. Single-person households accounted for 65.1% in 2020. Physical activity and walking decreased but skipping breakfast and satisfaction with sleep increased in 2020 versus 2019. The cigarette smoking rate among men was 2.6% lower in 2020 than in 2019, but there was little change among women. The obesity rate was not significantly different in these two years among men but decreased by 18% among women. To promote healthy behavior among young adults, government and educational institutions must promote healthy attitudes regarding smoking, drinking, physical activity, and skipping breakfast.

20-40대의 HIV/AIDS 관련 지식과 태도에 미치는 영향

박경실(Kyong Sil Park) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.12

본 연구는 20-40대 HIV/AIDS의 지식 및 태도를 확인하고, 지식과 태도에 미치는 영향요인을 파악하기 위해 2011년, 2013년 지역사회건강조사 자료를 활용한 2차 자료 분석 연구이다. 연구대상자는 만 20세부터 만 49세로, 최종 분석 대상자는 182,315명이다. 수집된 자료는 t-test, ANOVA, 상관관계분석, 다중회귀분석으로 분석하였다. 연구 결과, HIV/AIDS의 지식은 정답률 69.4%로 높은 지식수준을 보이나, 개별 문항에서 감염경로에 대한 지식이 부족하며, 20대가 가장 낮은 정답율을 보였다. HIV/AIDS의 태도율은 44.3%로 부정적 태도수준을 나타났다. HIV/AIDS 지식 및 태도는 남성일수록, 미혼일수록, 소득이 높을수록 교육 수준이 높을수록, 직업이 농림어업, 주부/무직보다 관리자 및 전문가, 직업군인일수록 지식 및 태도의 점수가 높았다. 지식과 태도 사이에 양의 상관관계(r=0.27, p<.001)를 보였다. 에이즈 관련 지식 및 태도에 영향을 미치는 요인으로, 연령, 결혼상태, 소득수준, 직업, 교육수준이 있었으며 연령별로 차이가 있음을 확인하였다. 따라서, HIV/AIDS 지식수준 향상과 긍정적인 태도 구축을 위해서 일률적이고 획일적인 교육보다는 연령 및 특성별 맞춤형 교육프로그램이 필요하다. This descriptive research investigates the knowledge of and attitude toward HIV/AIDS among individuals in their 20s to 40s. This study also analyzes the results of the 2011 and 2013 community health surveys to identify the factors influencing their knowledge and attitude. The study subjects were 20 to 49 years old, and the final analysis included 182,315 subjects. The collected data were analyzed through t-tests, ANOVA, correlational analysis, and multiple regression analysis. The survey results showed a high level of knowledge of HIV/AIDS, with 69.4% correct answers. Most individuals lacked knowledge regarding routes of infection, and those in their 20s had the lowest percentage of correct answers. As for attitude toward HIV/AIDS, 44.3% showed a negative attitude. The scores for knowledge and attitude toward HIV/AIDS were higher among males, unmarried individuals, individuals with a higher income, individuals with a higher level of education, individuals working in agriculture, forestry, or fishery, managers, professions that were not homemakers/unemployed, and professional soldiers. A positive correlation (r=0.27, p<0.001) was observed between knowledge and attitude. The factors influencing AIDS knowledge and attitude were gender, marital status, income level, occupation, and education level. This study confirmed that there is a difference by age group. As such, educational programs customized by age and other characteristics are expected to be more effective in enhancing knowledge and in developing a more positive attitude towards HIV/AIDS.

20-30대의 COVID-19 예방행위에 미치는 영향요인: 2020년 지역사회건강조사 자료 활용한 분석

박경실(Kyong Sil Park) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.9

본 연구의 목적은 20-30대를 대상으로 COVID-19 예방행위에 미치는 영향요인을 규명하기 위함이다. 2020년 지역사회건강조사 자료를 이용한 이차자료분석의 서술적 조사연구이다. 원시자료 229,269명 중 20-39세 성인 40,113명이 연구대상자로 선정되었다. 사회인구학적 변수에 성별, 연령, 교육수준, 가구구성원, 직업, 가구소득이 포함되었고, 독립변수에 지식, 스트레스, 우울, 염려, 사회적 지지, 사회적 신뢰가 포함되었다. 20-30대의 COVID-19 예방행위에 미치는 영향요인을 분석하기 위해 다중회귀분석을 사용하였다. 염려, 사회적 신뢰, 스트레스, 지식, 우울, 사회적 지지가 COVID-19 예방행위에 영향을 미치는 중요한 요인으로 확인되었다. 새로운 감염병이 도래하였을 때 젊은 성인의 염려, 스트레스, 우울 등의 정신건강 관리가 필요하다. 또한 매중매체의 종류에 따른 사회적 신뢰와 COVID-19 예방행위의 연관성을 탐색하는 연구가 필요하다. This study investigated COVID-19 preventive behaviors in 20 to 30-year-old adults. This was a cross-sectional study, and secondary analysis was achieved using the 2020 Korea Community Health Survey data. Among 229,269 adults in the raw data, 40,113 adults aged 20-39 years were selected as study participants. Socio-demographic variables included gender, age, education, household members, occupation, and household income. Independent variables included knowledge, stress, depression, psychological concerns, social support, and social trust. Multiple regression analysis was applied to analyze the COVID-19 preventive behaviors. We found that psychological concerns, social trust, stress, knowledge, depression, and social support were important factors influencing COVID-19 preventive behaviors. Our results indicate that the appearance of a new infectious disease necessitates the efficient management of the mental health of young adults, such as their concerns, stress, and depression. In addition, we propose further research in exploring the association between social trust and COVID-19 preventive behavior according to the type of mass media.

청소년의 좌식행동과 스마트폰 사용이 범불안장애 고위험에 미치는 영향

박경실 ( Park Kyong Sil ) 한국정신간호학회 2023 정신간호학회지 Vol.32 No.4

Purpose: This study investigated the influence of sedentary behavior and smartphone use on the risk of generalized anxiety disorder among adolescents. Methods: This study was a cross-sectional, secondary analysis using the 2021 Korea Youth Risk Behavior Survey data. Data from 54,848 adolescents were analyzed using descriptive statistics, the Rao-Scott x2 test, and hierarchical logistic regression. Results: After controlling for socio-demographic, health-related behavior, and mental health factors as compounding variables, adolescents who sat for more than seven hours, when studying, on weekends had a significantly higher risk of generalized anxiety disorder odds ratios than those who sat for less than three hours. Adolescents who used smartphones for more than eight hours on weekdays and weekends had a significantly higher risk of generalized anxiety disorder odds ratios than those who used smartphones for less than four hours. Conclusion: It is necessary to provide an expanded health education program that reduces sedentary behavior and smartphone use to prevent the risk of generalized anxiety disorder at home and school.