| Tae Hee Jeon | 6 Articles |
Alcohol use disorder (AUD) affects not only an individual's health but also their family. This study was conducted to examine effects of a spouse's AUD on family functioning and family communication. We conducted a cross-sectional study using data from 890 participants (445 couples) in a Korean family cohort in primary care. Participants with Alcohol Use Disorders Identification Test in Korea scores of 8 or greater were classified into an AUD group. Family functioning was classified into three groups (balanced, midrange, and extreme) using the Family Adaptability and Cohesion Scale (FACES)-III questionnaire, and then reclassified into two groups (appropriate and extreme groups) for binominal analyses. Family communication was classified into three groups (high, moderate, and low) using the Family Communication Scale, FACES-IV, and also reclassified into two groups (good and poor). There was no significant difference in adaptability and cohesion between both male and female participants with a spouse with AUD and participants with a spouse without AUD. Using multivariate logistic regression to adjust for potential confounders, there was no significant difference in family type and communication between the two groups in males. However, there was a significant decrease in family communication (odds ratio, 2.14; 95% confidence interval, 1.29 to 3.58) in females with a spouse with AUD compared to females with a spouse without AUD, even after adjusting for the participant's own AUD. In females, family communication is significantly worse when spouses have AUD. This suggests that a husband's alcohol consumption has negative effects on his wife's family communication. Citations Citations to this article as recorded by
Background
In the primary care setting, compliance with lipid lowering therapy was relatively low. In order to compare the efficacy of a short messaging service (SMS) text messaging and postal reminder as means of improving attendance rates during the first 24 weeks of lipid-lowering therapy, a randomized controlled trial of 918 patients from 19 family practice clinics was conducted between February 2003 and June 2006. Methods: Patients were randomly assigned into 3 groups: SMS (327), postal (294),and control (297) group. To ascertain attendance rates, patients were followed up at 24 weeks after their treatment. Reminders were sent at 16 weeks from the coordinating center. Results: Overall attendance rate was 74.1%. This differed between groups, with 76.1% attendance for the SMS group, 73.5% for the postal group, and 72.4% for the control group. According to a multivariate analysis, the SMS group had a significantly higher attendance rate (Odds ratios [OR] 1.48; 95% confidence interval [CI], 1.01 to 2.16) than the control group, but the postal group (OR, 1.15; 95% CI, 0.79 to 1.69) did not. Moreover, the cost per attendance for the SMS reminder (155 Korean Won [KRW]) was much lower than that for the postal reminder (722 KRW). Conclusion: SMS reminder may be more cost saving method to improve the attendance rate compared with the postal reminder. Citations Citations to this article as recorded by
Background
: Stomach cancer is the most common cancer in Korea. Stomach cancer has been the focus of screening for early detection. Few data are available regarding factors associated with participation in cancer screening examinations in general population. This study investigated associations of age, sex, residence, economic state, occupation, education years, marital status, health state, faith for stomach cancer screening with participation in screening tests for stomach cancer. Methods : To identify the factors associated with participation in the stomach cancer screening examinations, 2133 persons above 40 years old were surveyed in 1998. Results : Statistically significant (P<0.05) strong predictors of regular stomach cancer screening were as follows: (1) unban residence, (2) high economic state, (3) possession on faith for regular screening of stomach cancer. Conclusion : Especially, rural residents should be educated about importance of stomach cancer screening.
Background
: Osteoporosis is chronic disease, therefore education about osteoporosis is very important in patients and high risk groups. The objective of this study is to assess the effect of audiovisual instruction about osteoporosis in perimenopausal women. Methods : We educated perimepopausal women who lived in Ulsan about lifestyle behavior related to osteoporosis from July.1999 to Dec.1999 and assessed improvements of lifestyle behaviors related to osteoporosis and evaluated factors that influence hormone replacement therapy uptake. Results : After the audiovisual instruction, hormone replacement therapy uptake, milk intake and exercise were significantly increased in only experimental group. But, smoking and coffee intake were not significantly decreased in both control group and experimental group. After the audiovisual instruction, the factor that significantly influenced hormone replacement therapy uptake was type of education and osteoporosis of participants and also it were significant after adjustment of multiple comparison. Menopause of participants influenced hormone replacement therapy but it was not significant after adjustment. Conclusion : Our study suggests that community intervention trial against osteoporosis improves lifestyle behaviors in perimenopausal women. Longer term studies are needed to determine the relationship between improvements in lifestyle behaviors and osteoporosis.
Background
: Liver disease is an important public health problem in Korean. The aim of this study was to estimate the prevalence of hepatitis C virus antibody(anti-HCV) in the adult population of Ulsan and to identify risk factors for HCV infection by case-control study. Methods : The anti-HCV test was performed in 10,140 adults older than 20 years of age who underwent a general medical checkup in Ulsan University Hospital, Health Promotion Center from January 1997 to November 1997. 33 cases and 99 controls matched for age and sex with a 1:3 ratio of cases to controls were enrolled. The cases were defined as positive anti-HCV and positive HCV-RNA whereas the controls were negative anti-HCV, negative HBsAg and ALT ≤40. Exposure data were obtained by self-administered questionnaire. Conclusion : The overall prevalence of anti-HCV was 1.3% and true prevalence of HCV infection was 0.45% in the adult population of Ulsan. Transfusion was the major route of transmission of HCV but the risk will likely reduce.
Background
: There is probably overwhelming consensus that addictive disorder such as cigarette smoking is markedly resistant to long-term modification. But studies of nontherapeutic populations indicate that long-term self-cure of smoking is relatively common events. So it is of considerable importance to understand variables which are as associated with quitting among smokers. Methods : Among 1627 about males who registered in life long health maintenance program of Seoul National University Hospital, 121 quitters (for more than 1 year) and 277 persistent smokers were selected. We analyzed the contents of health risk appraisals of them Results : The variables positively associated with smoking cessation included age, education, marriage, and exercise. But multivariate analysis showed that age, education and exercise were associated with smoking cessation and marriage was not related with smoking cessation. Conclusion : This analysis focused upon the relationship between baseline variables and cessation for smokers who were not offered any particular program. These findings could be used in the future design of more refined study on baseline factor associated with smoking behavior and more effective smoking cessation program.
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