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The Importance of the South Korean Primary Care Group and the Korean Primary Care Assessment Tool: Is It Possible to Sample the Whole Country?
Erno Harzheim, Luiz Felipe Pinto, Otávio Pereira D’Avila, Lisiane Hauser
Korean J Fam Med 2021;42(2):183-184.   Published online May 18, 2020
DOI: https://doi.org/10.4082/kjfm.20.0013
  • 3,701 View
  • 71 Download
  • 1 Web of Science
A New Role of Case Reports in Family Medicine and Primary Care
Ki Dong Ko
Korean J Fam Med 2021;42(2):181-182.   Published online May 27, 2020
DOI: https://doi.org/10.4082/kjfm.20.0023

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  • Advocating Submission of Case Reports in Family Medicine: An Analysis of Case Report Submissions in Journals Related to Family Medicine
    Apichai Wattanapisit, Kosin Sirirak, Sanhapan Wattanapisit, Chirk Jenn Ng, Chin Hai Teo, Nutchar Wiwatkunupakarn, Piyachon Aramrat, Chaisiri Angkurawaranon
    Journal of Primary Care & Community Health.2025;[Epub]     CrossRef
  • 3,547 View
  • 51 Download
  • 1 Web of Science
  • 1 Crossref

Original Articles

Association between Family Functionality and Depression: A Systematic Review and Meta-Analysis
Daniel Guerrero-Muñoz, Diana Salazar, Victoria Constain, Alvaro Perez, Carlos Andrés Pineda-Cañar, Herney Andrés García-Perdomo
Korean J Fam Med 2021;42(2):172-180.   Published online June 10, 2020
DOI: https://doi.org/10.4082/kjfm.19.0166
Background
Different scales have attempted to assess various aspects of family dynamics and structures. Good family function seems to allow for better prognoses for basic diseases and appears to be a predictor of depression. The aim of this study was to determine the association between family functionality and depression.
Methods
This is a systematic review and meta-analysis including cross-sectional, cohort, and case-control studies using validated instruments such as the Family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve) and Family Adaptability and Cohesion Evaluation Scale III. A search strategy was designed for the MEDLINE, Embase, Central, and LILACS databases along with data saturation through a search of unpublished literature from the onset of the databases to the present. The categorical variables are expressed in terms of odds ratios (OR), and the statistical analysis was carried out using Review Manager ver. 5.31 (The Cochrane Collaboration, Oxford, UK) using forest plots with corresponding 95% confidence intervals (CI). A fixed-effect model was used according to the expected heterogeneity, expressed in terms of I2 . The risk of bias was evaluated using the MINORS (methodological index for non-randomized studies) tool.
Results
A total of 1,519 studies were found, of which 10 were selected for the qualitative synthesis and four were chosen for the meta-analysis. The result for the association between family dysfunction and depression yielded an OR (95% CI) of 3.72 (2.70 to 5.12) and I2 of 24%.
Conclusion
Family dysfunction and depression are strongly associated.

Citations

Citations to this article as recorded by  
  • The Quality of Maternal Care and Family Functioning in Single-Mother Versus Biparental Families With Preschool Children: A Comparative Study
    Somaye Dadkhah, Shahla Khosravan, Fatemeh Mohammadzadeh, Reza Noori
    Journal of Family Issues.2025; 46(4): 563.     CrossRef
  • The relationship of prior flood experience to posttraumatic stress and depression in minority communities after Hurricane Harvey
    Pranav Jayaraman, Eric C. Jones, Hannah L. Stewart, Sheryl McCurdy
    International Journal of Disaster Risk Reduction.2025; 117: 105178.     CrossRef
  • Family Functioning, Life Satisfaction, and Depressive Symptoms in Chinese Adults With Diabetes and Hypertension: A Cross‐Lagged Model
    Gangjiao Zhu, Rahul Malhotra, Shangzhi Xiong, Xinyue Chen, Enying Gong, Zhan Wang, Truls Østbye, Lijing L. Yan
    Stress and Health.2025;[Epub]     CrossRef
  • Strengths Knowledge Defend Against Depression: The Contribution of University Students’ Family Functioning During COVID-19
    Lan Wen, Weiwei Huang, Xiaowen Liang, Shuyue Zhang
    Psychological Reports.2025;[Epub]     CrossRef
  • Long-term impacts of childhood neighborhood quality on depression in later midlife mediated by childhood domestic violence: A nationwide longitudinal analysis
    Chen Zhang, Jingsong Chen, Yongzhang Lai
    Child Abuse & Neglect.2025; 161: 107292.     CrossRef
  • The mediating role of childhood emotional neglect in the association between childhood neighborhood quality and adult depression outcomes: A nationwide longitudinal analysis
    Chen Zhang, Jingsong Chen, Yongzhang Lai
    Child Abuse & Neglect.2025; 161: 107294.     CrossRef
  • The relationship between gender identity and depressive symptoms in adolescents: a moderated mediation model of self-efficacy and family functioning
    Chenyu Hou, Hanchun Yan, Zhibiao Xiang, Chenyang Leng, Haojuan Tao, Zhening Liu, Hui Lei
    BMC Public Health.2025;[Epub]     CrossRef
  • Longitudinal associations between family conflict, intergenerational transmission, and adolescents’ depressive symptoms: evidence from China Family Panel studies (2016–2020)
    Yu Jin, Jiayi Liu, Pan Li, Yunquan Hu, Xintian Hong, Xiaoliang Li, Yongyong Teng, Mingxing Huang, Yuanyuan Wang
    Child and Adolescent Psychiatry and Mental Health.2025;[Epub]     CrossRef
  • Homogeneity, dimensionality, convergent and nomological validity of the family APGAR among primary care users in Bucaramanga, Colombia
    Julián Andrés Jaimes-Grimaldos, Carlos Arturo Cassiani-Miranda, Andrés Felipe Tirado-Otálvaro, German Díaz Buitrago, Adalberto Campo-Arias, Sandra Milena Velásquez-Vergara, Andrea Carolina Duran-Bedoya
    Journal of Family Social Work.2025; : 1.     CrossRef
  • The Interaction Between Family Functioning and the PCDH9 rs9540720 Polymorphism on Major Depressive Disorder in Chinese Freshmen
    Yan Qin, Shuzhang Hu, Sifang Niu, Weixin Zhang, Hao Sun, Ruixue Xu, Hanyun Li, Fuqin Mu, Ning Liu, Jianli Wang, Haiya Sun, Ying Zhang, Yan Liu
    Psychology Research and Behavior Management.2025; Volume 18: 515.     CrossRef
  • COVID-19 hardship and mental health in Chilean parents: the role of disaster exposure and family resilience
    Camila Espinoza, Lenneke Alink, David P. Laplante, Bernet Elzinga, Shelley van der Veek
    European Journal of Psychotraumatology.2025;[Epub]     CrossRef
  • A cross-sectional study to explore the prevalence of depression and the determinants among school-going adolescents in Indonesia
    Muflih Muflih, Akbar Satria Fitriawan
    Archives of Mental Health.2025;[Epub]     CrossRef
  • Effects of psychosocial factors on postpartum depression: a half-longitudinal mediation analysis of cognitive reactivity
    Huilan Hong, Qiuhong Chen, Yiyang Lin, Yonglin Li, Jianqing Zheng, Ping Gao, Yang Lei, Feifei Huang
    BMC Pregnancy and Childbirth.2025;[Epub]     CrossRef
  • Stressor pileup, family and couple relational well‐being, and parent stress during the COVID‐19 pandemic
    Anis Ben Brik, Natalie A. Williams, Sarah Barker Ladd
    Family Relations.2024; 73(1): 95.     CrossRef
  • Family Functioning, Maternal Depression, and Adolescent Cognitive Flexibility and Its Associations with Adolescent Depression: A Cross-Sectional Study
    Justyna Urbańska-Grosz, Emilia J. Sitek, Anna Pakalska, Bożena Pietraszczyk-Kędziora, Kalina Skwarska, Maciej Walkiewicz
    Children.2024; 11(1): 131.     CrossRef
  • Family Funcionality in Women Victims of Family Violence in time of COVID-19 in Areas of Lima
    Lucia Asencios-Trujillo, Lida Asencios-Trujillo, Carlos La Rosa-Longobardi, Djamila Gallegos-Espinoza, Livia Piñas-Rivera, Rosa Perez-Siguas
    Salud, Ciencia y Tecnología.2024; 4: 775.     CrossRef
  • The association between family adaptability and adolescent depression: the chain mediating role of social support and self-efficacy
    Yanyan Lin, Guangyunxian Jia, Zirong Zhao, Meng Li, Guanghai Cao
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • Associations of recent stressful life events with anxiety symptoms among Chinese adolescents with a consideration of family functioning
    Yilin Hua, Weiqing Jiang, Yitong He, Xinyu Zheng, Cuihong Huang, Liling Guo, Yangfeng Guo, Lan Guo
    European Journal of Psychotraumatology.2024;[Epub]     CrossRef
  • The Role of Water-Soluble Vitamins and Vitamin D in Prevention and Treatment of Depression and Seasonal Affective Disorder in Adults
    Alireza Jahan-Mihan, Priscilla Stevens, Saily Medero-Alfonso, Georgina Brace, Laurel Kate Overby, Kristin Berg, Corinne Labyak
    Nutrients.2024; 16(12): 1902.     CrossRef
  • Familial Dynamics and their Impact on Clinical Outcomes in Greek Patients with Major Depressive Disorder
    Katerina Koutra, Georgios Mavroeides, Anna Paschalidou, Theano Roumeliotaki, Maria Basta, Alexandros N. Vgontzas
    International Journal of Mental Health and Addiction.2024;[Epub]     CrossRef
  • Comparing the psychological outcomes of donor and non‐donor conceived people: A systematic review
    Charlotte Talbot, Nathan Hodson, Joanne Rose, Susan Bewley
    BJOG: An International Journal of Obstetrics & Gynaecology.2024; 131(13): 1747.     CrossRef
  • Manajemen Depresi Berbasis Kelompok Dukungan Sebaya pada Mahasiswa Kesehatan
    A. Nur Anna. AS, A. Tenri Padad, Muhamad Jauhar
    Jurnal Inovasi Penelitian dan Pengabdian Masyarakat.2024; 4(1): 91.     CrossRef
  • Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on aging
    ZhiDi Deng, Grace Li, Maria E. Rowsell, Dorina Cadar, Esme Fuller-Thomson
    Archives of Gerontology and Geriatrics Plus.2024; 1(4): 100065.     CrossRef
  • Effects of cultural stressors and family etiologic factors on behavioral and mental health among Mexican and other Latino/a immigrant parents in the United States
    Pablo Montero-Zamora, Sumeyra Sahbaz, Cory L. Cobb, Carolina Scaramutti, Aigerim Alpysbekova, Eder Talavera-Camacho, Maria Duque, Tara Bautista, Beyhan Ertanir, Maria Fernanda Garcia, Eric C. Brown, Seth J. Schwartz
    Children and Youth Services Review.2024; 164: 107833.     CrossRef
  • Common and differential variables of anxiety and depression in adolescence: a nation-wide smartphone-based survey
    Martin Weiß, Julian Gutzeit, Rüdiger Pryss, Marcel Romanos, Lorenz Deserno, Grit Hein
    Child and Adolescent Psychiatry and Mental Health.2024;[Epub]     CrossRef
  • Adverse childhood experiences, marital status and depressive symptoms in later life among the Chinese middle-aged and older adults : the mediating role of marital status
    Pengfei Yu, Xiaoman Wang, Jianmo Liu, Haowen Luo, Yingping Yi
    BMC Public Health.2024;[Epub]     CrossRef
  • The mediating role of family functioning between childhood trauma and depression severity in major depressive disorder and bipolar disorder
    Yishan Du, Jiayu Liu, Ran Lin, Mohammad Ridwan Chattun, Wenyue Gong, Lingling Hua, Hao Tang, Yinglin Han, Qing Lu, Zhijian Yao
    Journal of Affective Disorders.2024; 365: 443.     CrossRef
  • Associations Among Family Strengths, Depression and Life Satisfaction Between Disabled Children and Their Parent Caregivers: An Actor–Partner Interdependence Mediation Model
    Yoonjung Kim, Heemin Chae
    Journal of Advanced Nursing.2024;[Epub]     CrossRef
  • Association Between Source of Social Support and Depression Among Nursing Students During the COVID-19 Pandemic
    Dedi Kurniawan, Akbar Satria Fitriawan, Wiwit Ananda Wahyu Setyaningsih, Apri Nur Wulandari, Eriyono Budi Wijoyo, Erni Samutri, Gatot Suparmanto, Bayu Fandhi Achmad, Listyana Natalia Retnaningsih, Putri Eka Sudiarti
    Nurse Media Journal of Nursing.2024;[Epub]     CrossRef
  • Evaluating attachment-based family therapy in residential treatment in the United States: does adolescents’ increased attachment security to caregivers lead to decreases in depressive symptoms?
    Guy Diamond, Alannah Shelby Rivers, Payne Winston-Lindeboom, Jody Russon, Michael Roeske
    Child and Adolescent Psychiatry and Mental Health.2024;[Epub]     CrossRef
  • Deciphering the genetic interplay between depression and dysmenorrhea: a Mendelian randomization study
    Shuhe Liu, Zhen Wei, Daniel F Carr, John Moraros
    Briefings in Bioinformatics.2024;[Epub]     CrossRef
  • Psychological characteristics of the microsocial environment as predictors of remission among patients with depressive and anxiety neurotic disorders
    V. V. Bocharov, A. M. Shishkova, E. A. Dubinina, T. A. Karavaeva, D. A. Starunskaya, Yu. S. Chernaya, D. M. Saraykin, A. Yu. Vinnikova
    V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY.2024; 58(4-2): 65.     CrossRef
  • Associação entre características sociodemográficas, nível de estresse e resiliência com funcionamento familiar de imigrantes
    Sonia Silva Marcon, Erika dos Santos Ratuchnei Dal Pizzol, Iven Giovanna Trindade Lino, Mariana Enumo Balestre, Aroldo Gavioli, Luciano Marques dos Santos, Rebeca Rosa de Souza, Mayckel da Silva Barreto
    Revista Gaúcha de Enfermagem.2024;[Epub]     CrossRef
  • Association between sociodemographic characteristics, stress level and resilience with family functioning of immigrants
    Sonia Silva Marcon, Erika dos Santos Ratuchnei Dal Pizzol, Iven Giovanna Trindade Lino, Mariana Enumo Balestre, Aroldo Gavioli, Luciano Marques dos Santos, Rebeca Rosa de Souza, Mayckel da Silva Barreto
    Revista Gaúcha de Enfermagem.2024;[Epub]     CrossRef
  • Family Function and Post-Traumatic Stress Disorder in Children and Adolescents: A Meta-Analysis
    Yingying Ye, Yifan Li, Shuxian Jin, Jiali Huang, Rong Ma, Xuan Wang, Xiao Zhou
    Trauma, Violence, & Abuse.2023; 24(5): 3151.     CrossRef
  • Ecological model of health behaviour of hypertensive stroke patients at the end of recovery period
    Li‐Yuan Zhang, Meng‐Yao Wang, Cheng‐Song Deng, Man‐Qiu Lin, Jie‐Han Chen, Li‐Hong Wan
    Journal of Clinical Nursing.2023; 32(13-14): 3909.     CrossRef
  • What users’ musical preference on Twitter reveals about psychological disorders
    Soroush Zamani Alavijeh, Fattane Zarrinkalam, Zeinab Noorian, Anahita Mehrpour, Kobra Etminani
    Information Processing & Management.2023; 60(3): 103269.     CrossRef
  • Factors associated with family function in school children: Case-control study
    Alejandro Botero-Carvajal, Ángela María Jiménez Urrego, Ana G. Gutierrez-Posso, Mario Calero-Flórez, Mauricio Hernandez-Carrillo
    Heliyon.2023; 9(3): e14595.     CrossRef
  • Association of adverse childhood experiences and depression among medical students: the role of family functioning and insomnia
    Hongxia Tao, Xin Zeng, Mutian Hou, Shanping Chen, Jing Shen, Xiaoyang Liao, Chuan Zou
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • Adverse childhood experiences of emotional and physical abuse and emotional and behavioral problems: the mediating effects of family function and resilience
    Hao Wang, Xianwei Guo, Qiuxia Song, Qiwei Liang, Wanying Su, Ning Li, Xiuxiu Ding, Qirong Qin, Mingchun Chen, Liang Sun, Mingming Liang, Yehuan Sun
    Psychology, Health & Medicine.2023; 28(8): 2121.     CrossRef
  • Parenting sense of competence among chinese parents of premature infants: a cross-sectional study
    Long Huang, Xiao-juan Wang, Gui-hua Liu, Xiao-ting Li, Yu-hong Zhang, Bing-yue Zhao, Rong-fang Hu
    BMC Pregnancy and Childbirth.2023;[Epub]     CrossRef
  • Family functioning and suicidal ideation in college students: a moderated mediation model of depression and acceptance
    Biao Peng, Ningning Hu, Li Guan, Chao Chen, Zhu Chen, Huiying Yu
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Factores asociados a riesgo de depresión en estudiantes de media vocacional
    Adalberto Campo-Arias, Carmen Cecilia Caballero-Domínguez, Edwin Herazo
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  • Family Functionality and the Intervention of Nursing in Adolescents of an Educational Institution of an Area of Lima
    Lucia Asencios-Trujillo, Lida Asencios-Trujillo, Carlos La Rosa-Longobardi, Djamila Gallegos-Espinoza, Livia Piñas-Rivera, Rosa Perez-Siguas
    Salud, Ciencia y Tecnología.2023; 3: 543.     CrossRef
  • The Effectiveness of Child Parent Relationship Therapy (CPRT) on Dimesions of Family Functioning in Mothers of Preschool Children: A Quasi-Experimental Study
    Mina Sharifi, Tooraj Sepahvand
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  • Trends and Gender Differences in Mental Disorders in Hospitalized Patients in Thailand
    Passakorn Suanrueang, Karl Peltzer, Mein-Woei Suen, Hsiao-Fang Lin, Tze-Kiong Er
    INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2022;[Epub]     CrossRef
  • Mental Health and Physical Activity of Female Higher Education Students during the COVID-19 Pandemic: A Comparative Cross-Sectional Study from Lithuania
    Marius Baranauskas, Ingrida Kupčiūnaitė, Rimantas Stukas
    International Journal of Environmental Research and Public Health.2022; 19(15): 9725.     CrossRef
  • Family functioning and adolescent depression: A moderated mediation model of self-esteem and peer relationships
    Xinquan Huang, Ningning Hu, Zhengdong Yao, Biao Peng
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • Rehabilitation Services for Patients with Psychiatric and Mental Conditions in One Center in the Kingdom of Saudi Arabia
    Shaden Bader Almutairi, Ghadah Mohammed Almutairi
    ASEAN Journal of Psychiatry.2022;[Epub]     CrossRef
  • Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents
    Lucía Lema-Gómez, Carlos Mario Arango-Paternina, Cleiber Eusse-López, Jorge Petro, Jose Petro-Petro, Milton López-Sánchez, Willinton Watts-Fernández, Fabio Perea-Velásquez
    BMC Public Health.2021;[Epub]     CrossRef
  • 8,491 View
  • 274 Download
  • 39 Web of Science
  • 50 Crossref
Effect of Education on Promoting Healthy Lifestyle Behaviors That Prevent Breast Cancer in Middle-Aged Women: Application of Protection Motivation Theory
Zakieh Sadat Hoseini, Hamid Tavakoli Ghouchani, Hamidreza Mohaddes Hakak, Hossein Lashkardoost, Ali Mehri, Mehdi Khankolabi, Elahe Salari
Korean J Fam Med 2021;42(2):166-171.   Published online June 29, 2020
DOI: https://doi.org/10.4082/kjfm.19.0164
Background
In recent years, an increased incidence of breast cancer has made this disease the most common malignancy among Iranian women. Since education plays an important role in the implementation of preventive behaviors in breast cancer treatment, this study investigates the effect of educational interventions on the promotion of lifestyle-related behaviors that prevent breast cancer in middle-aged women.
Methods
In this randomized control study, 120 women referred to Neyshabur Health Services Centers were randomly selected and divided into two groups: an intervention group (60 subjects) and a control group (60 subjects). An educational intervention was carried out over five sessions, based on protective motivation theory constructs. Participants completed a researcher-designed questionnaire immediately and again 2 months after the intervention. The data were analyzed using IBM SPSS ver. 19.0 software (IBM Corp., Armonk, NY, USA).
Results
The results revealed a significant difference between the mean scores of participants exposed to protective motivation theory, awareness, and physical activities immediately and also 2 months after the intervention (P<0.05). Although the healthy diet scores of the two groups differed significantly immediately after the educational intervention (P<0.05), there was no significant difference between the groups 2 months after the intervention (P<0.05).
Conclusion
Given the effective role of education in protective motivation theory and the physical activity levels of the women who participated in this research, it seems clear that the women’s financial status shaped their ability to consume more fruits and vegetables. As this social element impacts the health of individuals, training programs alone cannot succeed.

Citations

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  • Increasing Knowledge about Breast Cancer in Young Women with Word Square Model Education
    Putri Nofia Marta Wulandari, Sri Wahyuni Adriani, Siti Kholifah
    Advances in Cancer Science.2024; 1(1): 8.     CrossRef
  • Explaining information seeking intentions: Insights from a Slovenian social engineering awareness campaign
    Simon Vrhovec, Igor Bernik, Blaž Markelj
    Computers & Security.2023; 125: 103038.     CrossRef
  • The effect of self-care training programs on lifestyle and breast self-examination of immigrant Afghan women
    Elaha Jafari, Mahnaz Zarshenas, Monireh Toosi, Azar Nematollahi, Mehrab Sayadi
    Journal of Education and Health Promotion.2023;[Epub]     CrossRef
  • Protection Motivation Theory and Prevention of Breast Cancer: A Systematic Review
    Fatemeh Estebsari, Zahra Rahimi Khalifehkandi, Marzieh Latifi, Abdollah Farhadinasab, Parvaneh Vasli, Davoud Mostafaie
    Clinical Breast Cancer.2023; 23(4): e239.     CrossRef
  • Predictors of breast self‐examination behavior among adult females in Najran city, Saudi Arabia
    Awad M. Al‐Qahtani, Heba A. Ibrahim, Wafaa T. Elgzar
    Japan Journal of Nursing Science.2022;[Epub]     CrossRef
  • 6,018 View
  • 144 Download
  • 4 Web of Science
  • 5 Crossref
Effects of Oral Procaterol for Postinfectious Cough in Adults: Single-Centre, Randomized Double-Blind, Placebo-Controlled Trial
Prapaporn Pornsuriyasak, Sasivimol Rattanasiri, Nattawut Unwanatham, Theerasuk Kawamatawong, Pennapa Jankum, Ammarin Thakkinstian
Korean J Fam Med 2021;42(2):159-165.   Published online May 14, 2020
DOI: https://doi.org/10.4082/kjfm.19.0118
Background
Persistent cough following an upper respiratory tract infection (URTI) is common in clinical practice. We investigated the effects of procaterol on cough-specific quality of life (QoL) and peripheral-airway function among adults suffering from postinfectious cough (PIC).
Methods
This was a prospective, randomized, double-blinded placebo-controlled trial (NCT 02349919) conducted at a university hospital. Seventy-four non-asthmatic adults who had persistent post-URTI cough for ≥3 weeks were assessed by a physical examination, chest/paranasal sinus radiographs, spirometry, and impulse oscillometry (IOS) and were allocated to receive procaterol or placebo for 4 weeks. The Thai version of the Leicester Cough Questionnaire (LCQ-T), spirometry and IOS were assessed at baseline, 2 weeks, and 4 weeks.
Results
Mean LCQ-T total scores for the procaterol group (10.8) and placebo group (10.9) at baseline were not significantly different (P=0.821). After adjustment for baseline Borg Cough Scale score and post-nasal drip, the mean between-group difference was not significant for LCQ-T total score (-1.26; 95% confidence interval [CI], -2.69 to 0.17), physical domain score (-0.35; 95% CI, -0.76 to 0.06), psychological domain score (-0.53; 95% CI, -1.06 to 0.01), or social domain score (-0.38; 95% CI, -0.92 to 0.16). Large improvements in LCQ-T total score were reported in both groups after 2 weeks (procaterol, 4.21±2.73; placebo, 5.34±3.2), and 4 weeks (procaterol, 5.94±3.68; placebo, 7.07±3.44). No differences between groups were found in the mean changes of spirometry or IOS parameters after 4 weeks.
Conclusion
Our study shows that procaterol is not effective in the treatment of PIC, in terms of improvement of cough-specific QoL or peripheral-airway function.

Citations

Citations to this article as recorded by  
  • Window of opportunity for respiratory oscillometry: A review of recent research
    Sabina Kostorz-Nosal, Dariusz Jastrzębski, Anna Błach, Szymon Skoczyński
    Respiratory Physiology & Neurobiology.2023; 316: 104135.     CrossRef
  • 5,691 View
  • 154 Download
  • 2 Web of Science
  • 1 Crossref
Determining the Prevalence of and the Factors Associated with Antihypertensive Medication Non-Adherence in the Gaza Strip
Khalid Khadoura, Elham Shakibazadeh, Mohammad Ali Mansournia, Yousef Aljeesh, Akbar Fotouhi
Korean J Fam Med 2021;42(2):150-158.   Published online March 2, 2020
DOI: https://doi.org/10.4082/kjfm.19.0081
Background
This study aimed to estimate the prevalence of and determine the factors associated with antihypertensive medication (A-HTNM) non-adherence among hypertension care seekers attending primary health clinics in the Gaza Strip.
Methods
A cross-sectional survey was conducted as the recruitment phase of a clustered randomized controlled trial including 538 participants. The participants were randomly selected from 10 primary health care centers by two-stage cluster random sampling. A structured questionnaire was used to collect data through face-to-face interview. The questionnaire was developed based on the World Health Organization determinants for medication non-adherence and the Health Belief Model. The main outcomes of this study were the prevalences of A-HTNM non-adherence and its associated factors. Adherence status was assessed using the eight-item Morisky Self-Report Medication Adherence Scale. Data were analyzed by STATA ver. 14.0 (Stata Corp., College Station, TX, USA) using a standard complex survey, accounting for unresponsiveness and the clustering sampling approach.
Results
The overall prevalence of A-HTNM non-adherence was 65.8% (95% confidence interval [CI], 59.2–71.8). Among all studied predictors, only self-efficacy of participants (odds ratio [OR], 3.8; 95% CI, 1.79–2.84) and social support (OR, 2.26; 95% CI, 2.82–5.11) remained significantly associated with A-HTNM non-adherence after adjusting for age, education level, number and frequency of A-HTNM doses per day, and comorbidities.
Conclusion
The high prevalence of non-adherence highlights the need for serious intervention to enhance the adherence rate among hypertension patients. The associated factors can be considered when developing appropriate interventions.

Citations

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  • ADHERENCE TO ANTIHYPERTENSIVE MEDICATION AND ITS DETERMINANTS IN A PRIMARY CARE SETTING OF KALABURAGI DISTRICT
    GEETHANJALI P, POONAM P SHINGADE, AMRUTA SWATI I, PRASHANT KUMAR
    Asian Journal of Pharmaceutical and Clinical Research.2024; : 15.     CrossRef
  • Prevalence of hypertension and its associated factors among healthcare workers in the Gaza Strip, Palestine: a cross-sectional study
    Joma Younis, Lina Wang, Kejing Zhang, Majed Jebril, Hong Jiang, Yahui Fan, Zhaofang Li, Mei Ma, Le Ma, Zhaozhao Hui, Mao Ma, Wei Zhang
    BMJ Open.2024; 14(12): e076577.     CrossRef
  • Blood Pressure Control and Its Determinants among Patients with Non-Dialysis Chronic Kidney Disease in Myanmar
    Ei Su Mon, Aurawamon Sriyuktasuth, Warunee Phligbua
    Nurse Media Journal of Nursing.2022; 12(1): 1.     CrossRef
  • Medication Adherence and Effective Management of Hypertension
    Seung-Won Oh
    Korean Journal of Family Medicine.2021; 42(2): 89.     CrossRef
  • 6,105 View
  • 132 Download
  • 3 Web of Science
  • 4 Crossref
Factors Associated with Early Breastfeeding Initiation among Women Who Underwent Cesarean Delivery at Tertiary Hospitals in Kelantan, Malaysia
Nazirah Johar, Noraini Mohamad, Norkhafizah Saddki, Tengku Alina Tengku Ismail, Zaharah Sulaiman
Korean J Fam Med 2021;42(2):140-149.   Published online May 19, 2020
DOI: https://doi.org/10.4082/kjfm.19.0178
Background
Cesarean delivery is linked with lower rates of early breastfeeding initiation. This study aimed to determine the prevalence and associated factors of early initiation of breastfeeding among women admitted for elective cesarean delivery in Kelantan, Malaysia.
Methods
A total of 171 women admitted for elective cesarean delivery at two tertiary hospitals in Kelantan, Malaysia, participated in this study. On day two after cesarean delivery, face-to-face interviews were conducted with the mothers to get information on feeding practice. Descriptive statistics, including simple and multiple logistic regressions, were used for data analysis.
Results
Seventy-three percent of mothers initiated breastfeeding within 1 hour of birth. Approximately 15.8% and 10.5% of mothers initiated breastfeeding within 24 hours and ≥24 hours, respectively. Skin-to-skin contact between mothers and their infants occurred in 77.8% of cases after cesarean delivery. Breastfeeding initiation was significantly associated with skin-to-skin contact (odds ratio [OR], 14.42; 95% confidence interval [CI], 3.58–58.06), mothers who exclusively breastfed during hospitalization (OR, 36.37; 95% CI, 5.60–236.24), and infants who were not sleepy during attempts at breastfeeding (OR, 5.17; 95% CI, 1.32–20.21).
Conclusion
Based on our results, it is possible to increase the proportion of mothers initiating breastfeeding within 1 hour among women who undergo elective cesarean delivery. Therefore, it is important that health practitioners educate women beginning in the antenatal period who plan to undergo cesarean delivery by emphasizing the importance of early initiation of breastfeeding.

Citations

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  • A Comparison of Ultrasound Imaging Texture Analyses During the Early Postpartum With the Mode of Delivery
    Hyun Kyoung Lee, Eunwook Joo, Seongbeen Kim, Iseop Cho, Kyong-No Lee, Hyeon Ji Kim, Bohyoung Kim, Jee Yoon Park
    Journal of Human Lactation.2023; 39(1): 59.     CrossRef
  • Timely initiation of breastfeeding among women who gave birth by cesarean section in central Ethiopia, 2022: A cross-sectional study
    Arega Abebe Lonsako, Haymanot Mezmur, Arsema Gebreyesus, Gadissa Tolosa, Sagni Girma, Abera Mersha
    PLOS ONE.2023; 18(9): e0291983.     CrossRef
  • Factors Affecting Breastfeeding in Births Given During the Day and at Night; A Cross-Sectional Comparative Study
    Aysun Eksioglu, İlkay Unal, Ayşe Akyar
    Breastfeeding Medicine.2023; 18(12): 913.     CrossRef
  • PREDICTORS OF EARLY INITIATION OF BREASTFEEDING (EIBF) IN SULAWESI ISLAND: A POPULATION-BASED STUDY
    Rimawati Aulia Insani Sadarang, Bs. Titi Haerana
    Jurnal Berkala Epidemiologi.2023; 11(2): 142.     CrossRef
  • Postcesarean Difficulties and their Association with Breastfeeding Success in Postpartum Women
    C Cirpanli, B Demirtas Hicyilmaz
    Nigerian Journal of Clinical Practice.2022; 25(1): 69.     CrossRef
  • Prevalence and predictors of mother and newborn skin-to-skin contact at birth in Papua New Guinea
    Richard Gyan Aboagye, Joshua Okyere, Robert Kokou Dowou, Leticia Akua Adzigbli, Vivian Tackie, Bright Opoku Ahinkorah, Abdul-Aziz Seidu
    BMJ Open.2022; 12(9): e062422.     CrossRef
  • Breastfeeding Practices (Initiation, Exclusivity, Duration) During the First Six Months of an Infant’s Life among Caesarean Mothers in Selangor
    Nor Hazirah Amalina Che Hussain, HuiJun Chih, Syahrul Bariah Abdul Hamid
    Malaysian Journal of Medicine and Health Sciences.2022; 18(s15): 72.     CrossRef
  • Predictors for timely initiation of breastfeeding after birth in the hospitals of Nepal- a prospective observational study
    Rejina Gurung, Avinash K. Sunny, Prajwal Paudel, Pratiksha Bhattarai, Omkar Basnet, Srijana Sharma, Durgalaxmi Shrestha, Seema Sharma, Honey Malla, Dela Singh, Sangeeta Mishra, Ashish KC
    International Breastfeeding Journal.2021;[Epub]     CrossRef
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Healthy Beliefs regarding Breast Cancer Screening in Iranian Women Health Volunteers: A Path Analysis
Fatemeh Salmani, Mitra Moodi, Azam Yousefi, Ensiyeh Norozi
Korean J Fam Med 2021;42(2):132-139.   Published online May 28, 2020
DOI: https://doi.org/10.4082/kjfm.20.0001
Background
In Iran, 82% of breast cancer cases are diagnosed in late stages, resulting in low survival rates. In the present study, the Stages of Change Theory and Health Belief Model were used as theoretical frameworks for assessing Women Health Volunteer readiness to act on different breast cancer screening behaviors.
Methods
A total of 1,410 Women Health Volunteers were enrolled in this cross-sectional study. The breast self-examination (BSE) and mammography stages of change were measured independently. A standardized questionnaire based on the Health Belief Model was used to assess their beliefs about breast cancer screening methods. A path analysis using PASW SPSS ver. 18.0 (SPSS Inc., Chicago, IL, USA) was used to test the effects of individual beliefs on breast cancer screening stages of change.
Results
Most participants were classified in the pre-contemplation stage of breast cancer screening behaviors. Perceived barriers, benefits, and susceptibility emerged as BSE stages of change predictors. No beliefs were significant mammography stages of change predictors.
Conclusion
Iranian Women Health Volunteers had a very low adherence to common BSE and mammography practices. Healthy beliefs have a strong association with the stages of change for performing BSE, but not for mammography. The impact of health beliefs on an individual’s readiness to act on different breast cancer screening methods may vary with respect to the type of screening method.
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Understanding the Turning Point of Patients with Diabetes
Syahnaz Mohd Hashim, Idayu Badilla Idris, Shalisah Sharip, Rafidah Bahari, Nasrin Jahan
Korean J Fam Med 2021;42(2):123-131.   Published online May 18, 2020
DOI: https://doi.org/10.4082/kjfm.19.0177
Background
The patient’s intention to engage in diabetes care is the hallmark of role acceptance as a health manager and implies one’s readiness to change. The study aimed to understand the process of having the intention to engage in diabetes care.
Methods
A qualitative study using narrative inquiry was conducted at a public primary care clinic. Ten participants with type 2 diabetes of more than a 1-year duration were selected through purposive sampling. In-depth interviews were conducted using a semi-structured protocol guide and were audio-taped. The interviews were transcribed and the texts were analyzed using a thematic approach with the Atlas.ti ver. 8.0 software (Scientific Software Development GmbH, Berlin, Germany).
Results
Three themes emerged from the analysis. The first theme, “Initial reactions toward diabetes,” described the early impression of diabetes encompassing negative emotions, feeling of acceptance, a lack of concern, and low level of perceived efficacy. “Process of discovery” was the second overarching theme marking the journey of participants in finding the exact truth about diabetes and learning the consequences of ignoring their responsibility in diabetes care. The third theme, “Making the right decision,” highlighted that fear initiated a decision-making process and together with goal-setting paved the way for participants to reach a turning point, moving toward engagement in their care.
Conclusion
Our findings indicated that fear could be a motivator for change, but a correct cognitive appraisal of diabetes and perceived efficacy of the treatment as well as one’s ability are essentially the pre-requisites for patients to reach the stage of having the intention to engage.

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  • Prevalence and factors associated with prediabetes and diabetes mellitus among adults: Baseline findings of PURE Malaysia cohort study
    Rosnah Ismail, Noor Hassim Ismail, Azmi Mohd Tamil, Mohd Hasni Ja'afar, Zaleha Md Isa, Nafiza Mat Nasir, Farnaza Ariffin, Anis Safura Ramli, Najihah Zainol Abidin, Nurul Hafiza Ab Razak, Khairul Hazdi Yusof
    Clinical Epidemiology and Global Health.2023; 21: 101279.     CrossRef
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  • 125 Download
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  • 1 Crossref
Association between Patient Experience and Medication Compliance of Dyslipidemia: Using Korea National Health and Nutrition Examination Survey (2015)
Ho-Hyoun Yim, Hwan-Sik Hwang, Hoon-Ki Park, Kye-Yeung Park, Miso Park
Korean J Fam Med 2021;42(2):116-122.   Published online March 20, 2021
DOI: https://doi.org/10.4082/kjfm.19.0128
Background
This study aimed to examine the relationship between patient experience and medication compliance of patients with dyslipidemia.

Methods
Based on data from the Korea National Health and Nutrition Examination Survey in 2015, the study examined 764 patients treated with dyslipidemia medication. Subjects who responded to the question “Do you currently take medication to lower your blood cholesterol?” with “daily taking” were categorized as the compliant group, and the remaining subjects were classified under the non-compliant group. The patient experience survey included four indicators, in which subjects were divided into groups with a positive and negative patient experience. Data on sociodemographic factors, health-related behaviors, and self-reported comorbid conditions were also collected.

Results
After adjusting the variables, the group with a positive response for the patient experience indicator “doctor spends enough time with the patient during consultation” was 1.89 times more compliant than the group with a negative response (95% confidence interval [CI], 1.03–3.48; P=0.04). For the indicator “doctor provides easy-to-understand explanations,” the group that showed a positive response was 2.74 times more compliant than the group with a negative response (95% CI, 1.39–5.39; P=0.004). For the indicator “doctor involves patients in decisions about care or treatment,” the group that showed a positive response was 2.07 times more compliant than the group with a negative response (95% CI, 1.02–4.22; P=0.04). However, for the indicator “doctor provides the patient a chance to ask questions about treatment,” positive patient experience had no significant association with medication compliance (95% CI, 0.77–2.36; P=0.30).

Conclusion
Building a good doctor-patient relationship with positive patient experiences can result in better outcomes for patient care through high medication compliance.

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  • Insights into medication adherence among Jordanian patients with dyslipidemia: evaluating health literacy, well-being, and doctor-patient communication
    Muna Barakat, Samar Thiab, Shaymaa B. Abdulrazzaq, Marah Al-Jamal, Fotoh AlHariri, Rakan Bassam Ammari, Sara Mansour, Sami El Khatib, Souheil Hallit, Basile Hosseini, Diana Malaeb, Hassan Hosseini
    Journal of Pharmaceutical Policy and Practice.2024;[Epub]     CrossRef
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The Effect of Continuous Care Model Implementation on the Quality of Life of Patients with Heart Failure: A Randomized Controlled Trial
Fatemeh Rezamand, Hossein Shahnazi, Akbar Hassanzadeh
Korean J Fam Med 2021;42(2):107-115.   Published online May 21, 2020
DOI: https://doi.org/10.4082/kjfm.20.0040
Background
Heart failure is an important chronic and progressive disease worldwide. Patients are faced with several stressors that decrease their quality of life (QoL). The present study aimed to determine the effectiveness of implementing a continuous care model on improving the QoL of patients with heart failure.
Methods
In the present randomized controlled trial, 72 patients with heart failure admitted to Shahid Chamran Hospital of Isfahan (in Central Iran) were randomly divided into 36-individual two groups: the experimental (continuous care model) and control (normal care) groups. In the experimental group, the continuous care model was implemented for 3 months. Data were collected using the standard Minnesota Living with Heart Failure Questionnaire for patients with heart failure. Subsequently, the collected data were entered into the IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) and analyzed using the Mann-Whitney U-test, chi-square test, and independent and paired t-test at a significance level of α≤0.05.
Results
The results indicated that the mean scores of QoL before the implementation of continuous care model were 43.3±6.1 in the experimental group and 42.7±5.1 in the control group, indicating no statistically significant difference between the two groups. After the implementation of continuous care model, the mean score of QoL of the experimental group was significantly higher than that of the control group.
Conclusion
Considering the results obtained in the present study, model implementation could improve the overall scores of QoL in patients with chronic heart failure.

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  • INVESTIGATING THE EFFECT OF IMPLEMENTING THE CONTINUOUS CARE MODEL ON THE ATTITUDE RELATED TO ADHERENCE TO DIET AND FLUIDS IN PATIENTS TREATED WITH HEMODIALYSIS
    Ali Asghar Rahmanian Kushkaki, Mohsen Faseleh jahromi, Rasul Eslami Akbar
    Nursing and Midwifery Journal.2023; 21(6): 463.     CrossRef
  • 4,354 View
  • 117 Download
  • 1 Crossref
Comparison of Physiotherapy Approaches in Low Back Pain: A Randomized Controlled Trial
Gamze Senbursa, Nihan Ozunlu Pekyavas, Gul Baltaci
Korean J Fam Med 2021;42(2):96-106.   Published online May 22, 2020
DOI: https://doi.org/10.4082/kjfm.20.0025
Background
The purpose of this study was to compare the effectiveness of rehabilitation approaches in individuals with low back pain (LBP) on pain, spinal mobility, disability, and muscular strength.
Methods
Ninety volunteers were included and divided into four groups depending on the rehabilitation approach: group 1, soft tissue mobilization techniques and stabilization exercises (n=24; 11 females [F], 13 males [M]); group 2, Kinesio Taping and stabilization exercises (n=24; 12F, 12M); group 3, stabilization exercises (n=22; 11F, 11M); and group 4, reflex therapy and stabilization exercises (n=20; 10F, 10M). Visual Analog Scale for pain intensity, an isokinetic evaluation for strength at 60°/s and a side-plank position test for trunk stabilization were measured before and assessed at the beginning, after a 4-week treatment and during 4 weeks of follow-up. The functional status was evaluated with the Oswestry Disability Index.
Results
Individuals in all groups showed similar decrease in pain after the treatment and at 1-month follow-up, but there were no significant differences in pain levels between the groups (P<0.05).
Conclusion
All therapeutic approaches were found to be effective in diminishing pain and thus helpful in increasing strength and stabilization in patients with LBP.

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    Aliaa M. Elabd, Omar M. Elabd
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  • A benchmark for the quality of reflexology intervention reporting using the template for intervention description and replication (TIDieR) checklist: A systematic review
    Jacqueline James, Joseph T Costello, Amy K Drahota
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  • Physiotherapy research on low back pain in the Indian context: A bibliometric analysis using the Scopus database
    Arun Vijay Subbarayalu, Mohamed Idhris, Sivasankar Prabaharan, Muhil Sakthivel, Shahul Hameed Pakkir Mohamed, Manuelraj Peter, Spurgeon Anandraj, Anand Pandiyarajan, Mohammed Barkath Ali Mohammed Farook, Abdurahiman Pattukuthu
    Journal of Back and Musculoskeletal Rehabilitation.2023; 36(4): 861.     CrossRef
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    M.A. Spirina, T.I. Vlasova, A.V. Sitdikova, E.A. Shamrova
    Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kul'tury.2023; 100(3): 51.     CrossRef
  • Bilateral Asymmetrical Limb Proprioceptive Neuromuscular Facilitation Effects on Pain, Multifidus Activity, Range of Motion, and Disability in Low Back Pain: A Randomized Controlled Trial
    Aftab Ahmed Mirza Baig, Basit Ansari
    Journal of Manipulative and Physiological Therapeutics.2022; 45(8): 604.     CrossRef
  • Effect of kinesio taping on low back pain during pregnancy: a systematic review and meta-analysis
    Xiali Xue, Yan Chen, Xiaorong Mao, Huan Tu, Xinwei Yang, Zhongyi Deng, Ning Li
    BMC Pregnancy and Childbirth.2021;[Epub]     CrossRef
  • The effect of elastic therapeutic taping and rigid taping on pain, functionality, and tissue temperature in lumbar radiculopathy: a randomized controlled study
    Tugce Bozkurt, Rabia Tugba Kilic, Hayri Baran Yosmaoglu
    Somatosensory & Motor Research.2021; 38(4): 373.     CrossRef
  • Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021
    Steven Z. George, Julie M. Fritz, Sheri P. Silfies, Michael J. Schneider, Jason M. Beneciuk, Trevor A. Lentz, John R. Gilliam, Stephanie Hendren, Katherine S. Norman
    Journal of Orthopaedic & Sports Physical Therapy.2021; 51(11): CPG1.     CrossRef
  • The efficacy of kinesio taping as an adjunct to physical therapy for chronic low back pain for at least two weeks
    Guangchen Sun, Qiliang Lou
    Medicine.2021; 100(49): e28170.     CrossRef
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  • 310 Download
  • 9 Web of Science
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Review Article

Exercise Strategies to Prevent Hypoglycemia in Patients with Diabetes
Ah Reum Jung, Hyunah Kim, Hun-Sung Kim, Churlmin Kim, Whan-Seok Choi
Korean J Fam Med 2021;42(2):91-95.   Published online May 13, 2020
DOI: https://doi.org/10.4082/kjfm.19.0043
The importance of adopting healthy exercise routines has been repeatedly emphasized to individuals with diabetes mellitus (DM). However, knowledge about the risk of exercise-induced hypoglycemia is limited. Regular exercise reduces and delays the onset of DM-related complications particularly in individuals who already have DM. However, an excessive exercise can lead to hypoglycemia. Excessive exercise in the evening can cause hypoglycemia while sleeping. Furthermore, if individuals with DM want to have a greater amount of exercise, the exercise duration rather than intensity must be increased. In weight resistance exercises, it is beneficial to first increase the number of repetitions, followed by the number of sets and gradually the weight of resistance. When performing intermittent high-intensity training within a short time period, hypoglycemia may develop for an extended period after exercise. In addition to adjusting exercise regimens, the medication doses must be modified accordingly. Delaying exercise, adjusting the number of snacks consumed prior to exercise, reducing insulin dose before exercise, and injecting insulin into the abdomen rather than the limbs prevent exercise-induced hypoglycemia prior to a spontaneous exercise. Ultimately, with personal knowledge on how to prevent hypoglycemia, the effects of exercise can be maximized in individuals with DM, and a healthy lifestyle can prevent future complications.

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  • Wearable Electrochemical Sensor for Sweat‐Based Potassium Ion and Glucose Detection in Exercise Health Monitoring
    Lei Ma, Wenhao Hou, Zhi Ji, Ziheng Sun, Muxi Li, Bolin Lian
    ChemistryOpen.2024;[Epub]     CrossRef
  • Management of Glycemia during Acute Aerobic and Resistance Training in Patients with Diabetes Type 1: A Croatian Pilot Study
    Marul Ivandic, Maja Cigrovski Berkovic, Klara Ormanac, Dea Sabo, Tea Omanovic Kolaric, Lucija Kuna, Vjera Mihaljevic, Silvija Canecki Varzic, Martina Smolic, Ines Bilic-Curcic
    International Journal of Environmental Research and Public Health.2023; 20(6): 4966.     CrossRef
  • Minimizing Hypoglycemia with Insulin Therapy
    Gagan Priya, Emmy Grewal
    Chronicle of Diabetes Research and Practice.2022; 1(2): 76.     CrossRef
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  • 2 Web of Science
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Editorial

Medication Adherence and Effective Management of Hypertension
Seung-Won Oh
Korean J Fam Med 2021;42(2):89-90.   Published online March 20, 2021
DOI: https://doi.org/10.4082/kjfm.42.2E
  • 3,686 View
  • 99 Download

Case Report

Avascular Necrosis of the Hip in Primary Care
Nurul Nadia Baharum, Farnaza Ariffin, Mohammad Hanafiah, Shahrul Hisham Sulaiman
Korean J Fam Med 2021;42(1):84-87.   Published online May 25, 2020
DOI: https://doi.org/10.4082/kjfm.19.0021
Avascular necrosis, or osteonecrosis of the femoral head, is a debilitating condition which leads to the destruction of the hip joint due to an interruption in the blood supply to the bony region and is most commonly due to trauma. The case discussed here has been highlighted as it presented as non-traumatic osteonecrosis of the femoral head with an absence of risk factors in a healthy adult male. A 37-year-old male presented with a 4-month history of recurrent left hip pain, which worsened with initiation of movement and weightbearing on the affected side. The patient was overweight but normotensive with a full range of movement of the hips bilaterally. There were no abnormalities detected on initial X-ray images of the left hip. However, due to the persistent pain and sclerotic changes in a subsequent X-ray, a magnetic resonance image of the bilateral hips was obtained, leading to the diagnosis of osteonecrosis of the bilateral femoral heads. Due to the lack of improvement with physiotherapy and analgesia, the patient was subjected to conservative surgery of the symptomatic left hip with concurring evidence of avascular necrosis based on intraoperative anatomical biopsy. This case emphasizes the importance of identifying underlying issues during history taking and physical examination in adults without risk factors. The early diagnosis of osteonecrosis assists in preventing joint collapse and can delay the requirement of joint replacements. High levels of suspicion are necessary to instigate investigation in persistent cases without the presence of risk factors.
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Original Articles

Background
Among the issues caused by the increase of one-person households the health problems and primary medical needs of one-person elderly households among the issues with the increase in one-person households is very important. The purpose of this study was to identified health care needs and problems of one-person elderly households by comparing health behavior, health status, disease prevalence rate, and medical needs to one-person elderly households and multi-person households.
Methods
Data were obtained from the 2017 Community Health Survey. In this study, 66,211 people who were over 60 years of age without missing variables were included in the final analysis.
Results
One-person households showed poorer overall health behaviors, such as nutritional behaviors, exercise behaviors, drinking and smoking behaviors, and poorer subjective and objective health status than multi-person households. Furthermore, albeit the high requirement of medical services for mental health outcomes such as suicide attempts, the rate of not receiving services was also high indicating high barriers to receive and access health care.
Conclusion
Comprehensive and direct comparison of health and medical factors revealed the medical vulnerability and unmet needs in terms of health promotion in the single-person elderly households. These results can be applied as the basic information to understand the needs and medical problems of these risk groups by primary medical doctors who predominantly treat single-person elderly households and can also be used as basic data for policy development in order to solve these unmet medical care needs.

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    M. Aleem Siddiqui, Laxmikant Rathi, Amrit Pattojoshi, Shobit Garg, Sai Krishna Tikka
    Indian Journal of Psychiatry.2024; 66(Suppl 2): S245.     CrossRef
  • Can Residents Access Leisure Spaces in Our City: Investigating the Leisure Space Distribution in Seoul, South Korea
    Hyun-Young Jin, Junhee Cho, Yujin Kim, Lisa Lim
    Leisure Sciences.2024; : 1.     CrossRef
  • The association between living arrangements and health-related quality of life in Korean older people: a nationwide repeated cross-sectional study
    Eunok Park, Philip Larkin, Zee-A Han
    Osong Public Health and Research Perspectives.2024; 15(3): 221.     CrossRef
  • Subjective and objective health according to the characteristics of older adults: Using data from a national survey of older Koreans
    Nam-Hae Jung, Chun-Yeop Lee
    Medicine.2024; 103(47): e40633.     CrossRef
  • Household-specific physical activity levels and energy intakes according to the presence of metabolic syndrome in Korean young adults: Korean National Health and nutrition examination survey 2016–2018
    Young-Jun Lee, Yeon-Hee Park, Jung-Woo Lee, Eun-Sook Sung, Hyun-Seob Lee, Jonghoon Park
    BMC Public Health.2022;[Epub]     CrossRef
  • Factors Associated with Poor Self-Rated Health among Older Women Living Alone
    Eunha Kim, Hye Young Choi
    International Journal of Environmental Research and Public Health.2022; 19(18): 11182.     CrossRef
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Malnutrition, Its Attributes, and Impact on Quality of Life: An Epidemiological Study among β-Thalassemia Major Children
Bijit Biswas, Narendra Nath Naskar, Keya Basu, Aparajita Dasgupta, Rivu Basu, Bobby Paul
Korean J Fam Med 2021;42(1):66-72.   Published online January 20, 2020
DOI: https://doi.org/10.4082/kjfm.19.0066
Background
India is home to a large number of thalassemic children. Despite malnutrition being an essential determinant of their therapeutic goals and quality of life (QoL), it was hardly ever explored. With this background, this study aimed to estimate the proportion of β-thalassemia major (β-TM) children experiencing malnutrition, its attributes, and impact on their QoL.
Methods
This cross-sectional, hospital-based, analytical observational study was conducted among 328 β-TM children attending the thalassemia day care unit of a medical college from May 2016 to April 2017, with a structured schedule. Data were analyzed following appropriate statistical methods using SPSS statistical package ver. 16.0 (SPSS Inc., Chicago, IL, USA).
Results
Among the study participants, 48.2% were malnourished with a mean body mass index of 13.9 kg/m2 . In the multivariable logistic regression model, participants’ age (adjusted odds ratio [AOR], 1.15; 95% confidence interval [CI], 1.02–1.29), caste (AOR, 2.11; 95% CI, 1.23–3.60), mothers’ educational level (AOR, 2.05; 95% CI, 1.22– 3.44), blood transfusion frequency (AOR, 1.25; 95% CI, 1.16–1.31), and palpable spleen size (AOR, 1.22; 95% CI, 1.08–1.37) were significant predictors of malnutrition after adjusting for pre-transfusion hemoglobin level and hemolytic facies status. In multiple linear regression analysis, malnutrition negatively impacted total QoL (unstandardized beta [standard error], -4.4 [1.7]; P=0.009) and various domains of the study participants except the social and school domains adjusted for age, sex, caste, place of residence, parents’ educational level, and socioeconomic status.
Conclusion
Almost half of the study participants had malnutrition. Malnutrition had a negative impact on their QoL.

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  • Health‐related quality of life with standard and curative therapies in thalassemia: A narrative literature review
    Richa Shah, Sherif M. Badawy
    Annals of the New York Academy of Sciences.2024; 1532(1): 50.     CrossRef
  • Comparison of Yearly Cost Related to Complications Between Deferasirox and Deferiprone Monotherapy in Thalassemia
    Teny Tjitra Sari, Pustika Amalia Wahidiyat, Ludi Dhyani Rahmartani, Stephen Diah Iskandar, Isyanaditta Agung Putri
    Journal of Pediatric Hematology/Oncology.2024; 46(6): e402.     CrossRef
  • Quality of life and thalassemia in India: A scoping review
    Saravanan Chinnaiyan, Jenifer Sylvia, Sowmiya Kothandaraman, Bharathi Palanisamy
    Journal of Family Medicine and Primary Care.2024; 13(4): 1183.     CrossRef
  • Association of age to nutritional status and muscle mass in children with transfusion-dependent β-thalassemia: a cross-sectional study
    Li Wang, Luyang Zhang, Yanlan Yang, Yuan Luo, Lei Wang, Sandip Patil
    Frontiers in Nutrition.2024;[Epub]     CrossRef
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    Rajesh Kulkarni, B. Rameshbabu
    Indian Pediatrics.2023; 60(3): 239.     CrossRef
  • Detection of endocrine disorders in young children with multi-transfused thalassemia major
    Ramadan A. Mahmoud, Ashraf Khodeary, Marwa S. Farhan
    Italian Journal of Pediatrics.2021;[Epub]     CrossRef
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The Relationship between Dog Ownership and Physical Activity in Korean Adults
Miso Park, Hoon-Ki Park, Hwan-Sik Hwang, Kye-Yeung Park, Ho-Hyoun Yim
Korean J Fam Med 2021;42(1):59-65.   Published online August 5, 2020
DOI: https://doi.org/10.4082/kjfm.19.0143
Correction in: Korean J Fam Med 2021;42(2):187
Background
Many studies have reported that dog ownership is effective in encouraging physical activity. However, the association between living with a dog and enhanced physical activity has not been clearly verified. Thus, this study aimed to investigate the effects of dog ownership on the amount of physical activity in a representative sample of Korean adults.
Methods
This cross-sectional study administered the International Physical Activity Questionnaire (IPAQ) to 1,299 individuals who visited the international healthcare center of one hospital in Seoul, Korea, between August and December in 2018. Based on responses to the IPAQ survey, the amount and duration of physical activity was calculated to analyze relationships with dog ownership.
Results
The total amount (P=0.02) and duration of physical activity (P=0.02) and the duration of vigorous-intensity physical activity (P=0.04) were significantly higher among dog owners than non-dog owners. The duration of daily physical activity increased with dog ownership by 18.6 minutes (P=0.01). A comparison of dog owners according to whether they walked with their dogs revealed that dog walking had no significant effect on the amount and duration of physical activity, inactivity, or health-enhancing physical activity status. There was a sex-specific association between dog ownership and total duration of physical activity in females.
Conclusion
The duration of physical activity increased by dog ownership. However, the higher levels of physical activity among dog owners may not necessarily be explained by dog ownership or walking with dogs. This outcome suggests that raising a dog can help promote physical activity.

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Relationship between Metabolic Syndrome and Hearing Loss: Korea National Health and Nutritional Survey
Jiyoung Kim, In Young Cho, Yohwan Yeo, Yun-Mi Song
Korean J Fam Med 2021;42(1):53-58.   Published online June 11, 2020
DOI: https://doi.org/10.4082/kjfm.19.0131
Background
We aimed to evaluate the association between metabolic syndrome (MetS) and hearing loss (HL) in light of noise exposure in Korean middle-aged adults.
Methods
Subjects were 10,356 adults (4,509 males, 5,847 females) aged 40–80 years, who completed audiometric tests and laboratory examinations as part of the Korea National Health and Nutrition Examination Survey between 2010 and 2012. MetS was defined according to the National Cholesterol Education Program-Third Adult Treatment Panel (NCEP III) and International Diabetes Federation (IDF). Low-frequency HL was defined as pure tone averages >25 decibels (dB) at low frequencies (0.5, 1, and 2 kilohertz [kHz]). High-frequency HL was defined as pure tone averages >25 dB at high frequencies (3, 4, and 6 kHz). Odd ratios (OR) and 95% confidence intervals (CI) of MetS associated with each HL type were estimated using multiple logistic regression analysis after adjusting for covariates and taking into consideration sampling weight.
Results
Thirty eight point one percent and 28.6% met the MetS by NCEP III and IDF criteria, respectively. Prevalence of HL was 29.3% and 63.9% for low- and high-frequency HL, respectively. MetS defined by NCEP III was associated with higher risk of high-frequency HL (OR, 1.35; 95% CI, 1.05–1.73), while MetS by IDF criteria was not. The interaction by the noise exposure on the MetS and high-frequency HL was not significant (P-interaction=0.100). There was no association between MetS and low-frequency HL, regardless of applied diagnostic criteria for MetS.
Conclusion
Our findings suggest MetS is associated with high-frequency HL in people with exposure to noise.

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  • The association between occupational noise exposure, hearing loss, and metabolic syndrome among workers in a textile factory: A cross-sectional study
    Kiana Taheria, Saber Mohammadi, Mahin Hosseininejad
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    J.-L. Puel, J. Wang
    EMC - Otorrinolaringología.2024; 53(1): 1.     CrossRef
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    Hye Jun Kim, Seogsong Jeong, Beom Sik Park, Yun Hwan Oh, Michelle J. Suh
    Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2024; 67(8): 431.     CrossRef
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    Korean Journal of Family Medicine.2023; 44(2): 117.     CrossRef
  • Traumatisme acoustique aigu
    J.-L. Puel, J. Wang
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  • Association of dietary factors with noise-induced hearing loss in Korean population: A 3-year national cohort study
    Hyun Jin Lee, Juhyung Lee, Chulyoung Yoon, Yesai Park, Young-Hoon Joo, Jun-Ook Park, Young Joon Seo, Kyoung Ho Park, Ahmad Salimi
    PLOS ONE.2022; 17(12): e0279884.     CrossRef
  • Association of Metabolic Syndrome with Sensorineural Hearing Loss
    Hwa-Sung Rim, Myung-Gu Kim, Dong-Choon Park, Sung-Soo Kim, Dae-Woong Kang, Sang-Hoon Kim, Seung-Geun Yeo
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Analysis of the Comprehensiveness of Primary Care Clinics in Korea
Ha Jin Kim, Ji Yeh Shin, Yun Jun Yang, Belong Cho, Jae Moon Yun
Korean J Fam Med 2021;42(1):47-52.   Published online May 18, 2020
DOI: https://doi.org/10.4082/kjfm.19.0120
Background
In the Republic of Korea, which medical specialties should take the responsibility for primary care and what the role of primary care should be are still unclear. In this study, we focused on the comprehensiveness of primary care to identify related factors.
Methods
The National Health Insurance Service (NHIS)-National Sample Cohort is a population-based cohort, sampled in the 2002 NHIS database and followed up until 2015. We used data collected from January 2014 to December 2015, including 20,423,832 outpatient visits in 19,557 office-based clinics. The Korean government has designated 52 simple or minor disease groups (SMDGs) to enhance the experience of patients who attend primary care for managing those diseases. We assessed comprehensiveness for each clinic as the number of SMDGs treated in each clinic for 2 years. We also identified the factors related to higher comprehensiveness, using logistic regression for analysis.
Results
The clinics included in the study had provided treatment for an average of 14 SMDGs during a 2-year period. Compared to general practitioners, internal medicine physicians presented higher comprehensiveness with an odds ratio (OR) of 2.29 (95% confidence interval [CI], 2.03–2.59), and family medicine physicians illustrated higher comprehensiveness (OR, 4.96; 95% CI, 3.59–6.83). Other specialties showed lower comprehensiveness than general practitioners. Clinics located in the capital city and metropolitan area tended to have lower comprehensiveness. Clinics hiring more doctors and having hospitalization facility showed higher comprehensiveness.
Conclusion
General physician, internal medicine, and family medicine are the fields providing comprehensive medical care in Korea. Clinics located in metropolitan area and capital city show lower comprehensiveness. The number of physicians is related to higher comprehensiveness of clinics.

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  • Reinforcing Primary Care in Korea: Policy Implications, Data Sources, and Research Methods
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    Ryun Hur, Kyoung-Hoon Kim, Dal-Lae Jin, Seok-Jun Yoon
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Trajectories of Handgrip Strength and Their Associations with Mortality among Older Adults in Korea: Analysis of the Korean Longitudinal Study of Aging
Kyung Hyun Bae, Yong Ho Jo, Dong Ryul Lee, Jungun Lee
Korean J Fam Med 2021;42(1):38-46.   Published online May 27, 2020
DOI: https://doi.org/10.4082/kjfm.19.0140
Background
Handgrip strength (HGS) is a good predictor of adverse health outcomes in later life. This prospective study aimed to investigate whether HGS trajectory patterns were associated with all-cause mortality among older adults in Korea.
Methods
This study used the database of the 2006–2016 Korean Longitudinal Study of Aging. Study participants included 3,069 adults aged ≥65 years without a previous history of cancer. The trajectory model was developed to identify different homogeneous trajectory patterns of HGS according to study period. Cox proportional hazards models were then applied to investigate the association between HGS and all-cause mortality.
Results
The survival probability according to HGS during the follow-up period decreased as base HGS weakened. We identified four distinct trajectory groups of HGS among men and three among women. The risk of mortality increased as the HGS of both males and females decreased. Compared with the highest HGS group, the adjusted hazard ratios for all-cause mortality of the lowest, lower-mid, and upper-mid HGS groups among males were 3.46 (95% confidence interval [CI], 2.17–6.69), 2.26 (95% CI, 1.47–3.48), and 1.58 (95% CI, 1.07–2.32). Those of the low and mid HGS groups among females were 2.69 (95% CI, 1.39–5.21) and 1.97 (95% CI, 1.05–3.69).
Conclusion
The faster HGS declined over time, the greater the all-cause mortality risk increased compared with the slowly decreasing or maintained HGS groups among men and women. HGS measurement among older adults will be helpful in assessing their health statuses and pre-assessing disease-associated morbidity.

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  • Longitudinal trajectories of handgrip strength and their association with motoric cognitive risk syndrome in older adults
    Hui Chang, Yu Zhao
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  • Association of absolute and relative hand grip strength with all-cause mortality among middle-aged and old-aged people
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A Novel Scale for Assessing the Burden of Caregiving for Functionally Compromised Patients: Proposal and Validation
Arun-Kumar Kaliya-Perumal, Anupama Korlakunta, Jacquilyne Kharlukhi, Sarada Devireddy
Korean J Fam Med 2021;42(1):31-37.   Published online January 3, 2020
DOI: https://doi.org/10.4082/kjfm.19.0063
Background
Disability not only burdens the patient, but also the caregiver. To quantify this caregiving burden, we propose a simple four-part questionnaire tool. Our objective is to validate this questionnaire by administering it to caregivers who oversee patients with low back pain and are functionally compromised.
Methods
Twenty-five spouse caregivers who were taking care of in-patients awaiting surgery for various lumbar spine pathologies were shortlisted. The content-validated questionnaire was administered on different occasions during the care recipient’s treatment. Cronbach’s α was calculated to assess internal consistency. Interrelationships between the care recipient’s pain score, extent of functional compromise, and caregiver burden were calculated. The questionnaire’s ability to track changes in the caregivers’ attitudes over time was assessed.
Results
The percentage of caregiver burden before the surgery of the care recipient was 52.5. This increased significantly to 61.1% (P=0.001) 3 days after surgery, but was found to decrease to 32.5% (P<0.001) a month after the surgery; demonstrating the questionnaire’s efficacy to track changes. Cronbach’s alpha of 0.948 signifies the questionnaire’s excellent internal consistency. Pearson’s correlation coefficient (r) between the care recipient’s pain score and caregiver’s burden score was 0.41 (P=0.04), and between the care recipient’s disability score and caregiver’s burden score was 0.9 (P<0.001).
Conclusion
The proposed questionnaire is consistent and can track changes in a caregiver’s attitude over time. It can be adopted for clinical use to assess the burden of caregiving for functionally compromised patients.
  • 3,912 View
  • 88 Download
Association between Alcohol Consumption and Metabolic Syndrome Determined by Facial Flushing in Korean Women
Yu Ri Seo, Jong Sung Kim, Sung Soo Kim, Jin Gyu Jung, Seok Jun Yoon
Korean J Fam Med 2021;42(1):24-30.   Published online February 14, 2020
DOI: https://doi.org/10.4082/kjfm.19.0141
Background
This study aimed to examine the relationship between alcohol consumption and metabolic syndrome in Korean women as determined by facial flushing.
Methods
Of the female patients aged <65 years who visited the health promotion center at Chungnam National University Hospital from January 2016 to March 2017, 1,344 women were included. After adjusting for confounding factors such as age, body mass index, smoking, exercise, and menopausal status, multiple logistic regression analysis was performed to assess the association between alcohol consumption and the risk of metabolic syndrome in the facial flushing and non-facial flushing groups compared with the non-drinkers.
Results
Even after adjusting for confounding factors, the risk of metabolic syndrome was significantly high in all drinking subgroups (≤2 standard drinks: odds ratio [OR], 1.68; 95% confidence interval [CI], 1.10–2.68; 2<, ≤4 standard drinks: OR, 2.48; 95% CI, 1.29–4.74; and >4 standard drinks: OR, 4.16; 95% CI, 2.03–8.30) of the facial flushing group. The risk of metabolic syndrome was significantly high only in the subgroup of weekly alcohol consumption >4 standard drinks (OR, 2.20; 95% CI, 1.07–4.52) in the non-facial flushing group.
Conclusion
This study suggests that Korean women experiencing facial flushing when drinking have a higher risk of developing metabolic syndrome even with a low weekly drinking amount than those who do not experience face flushing.

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  • Current Status of Korean Alcohol Drinking in Accordance with the Korean Alcohol Guidelines for Moderate Drinking Based on Facial Flushing
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  • Association between Alcohol Consumption and Metabolic Dysfunction-Associated Steatotic Liver Disease Based on Alcohol Flushing Response in Men: The Korea National Health and Nutrition Examination Survey 2019–2021
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Effect of Increasing Tobacco Prices on Stages of Smoking Cessation: A Korean Nationwide Data Analysis
Jihye Kwon, Hyunji Kim, Hyoeun Kim, Sunmi Yoo, Seung Guk Park
Korean J Fam Med 2021;42(1):17-23.   Published online May 19, 2020
DOI: https://doi.org/10.4082/kjfm.19.0135
Background
In 2015, tobacco prices significantly increased in Korea as part of the government’s smoking cessation policy. This study examined the changes in the stages of smoking cessation among Korean male smokers before and after the implementation of the tobacco price policy, and identified the predictors of such changes.
Methods
The study population comprised 3,533 male current smokers (age ≥19 years) who participated in the Korea National Health and Nutrition Survey in 2012, 2013, 2015, and 2016. Current smokers were defined as persons who had smoked ≥100 cigarettes during their lifetime and are continuing to smoke. In accordance with the transtheoretical model, smokers were classified into the precontemplation stage (no plan to quit), contemplation stage, and preparation stage (planning to quit within 6 months). We examined the changes in the smoking cessation stages before and after the implementation of the policy. Multivariate logistic regression analysis was conducted to identify factors related to the likelihood of continuing smoking, after adjustments for potential confounders.
Results
Immediately after the policy implementation, the percentage of smokers in the precontemplation stage decreased from 65.6% to 60.8% (P=0.014). However, this effect was temporary. Significant risk factors for remaining in the precontemplation stage were older age (odds ratio [OR], 1.010; 95% confidence interval [CI], 1.002–1.018; P=0.004), being in the lowest income quartile (OR, 1.226; 95% CI, 1.001–1.502; P=0.049), and manual worker or unemployed status (OR, 1.256; 95% CI, 1.036–1523; P=0.020).
Conclusion
Increasing tobacco prices only temporarily change the stage of smoking cessation among Korean male smokers.

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Review Articles

Fruit Intake to Prevent and Control Hypertension and Diabetes
Hyun Ah Park
Korean J Fam Med 2021;42(1):9-16.   Published online January 20, 2021
DOI: https://doi.org/10.4082/kjfm.20.0225
Fruits are considered healthy because of their high antioxidant, vitamin, mineral, fiber, and phytochemical contents. However, their high sugar content is a concern for glucose, lipid, and uric acid metabolism. We reviewed related articles published in the last 10 years and summarized evidence that relates fruit intake to the prevention and control of hypertension and diabetes mellitus. Clinicians should familiarize themselves with appropriate fruit intake to counsel at-risk patients on hypertension and diabetes.

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Benign Hepatic Tumors: From Incidental Imaging Finding to Clinical Management
Fadi Abu Baker, Abdel-Rauf Zeina, Saif Abu Mouch, Amir Mari
Korean J Fam Med 2021;42(1):2-8.   Published online May 27, 2020
DOI: https://doi.org/10.4082/kjfm.18.0188
Benign hepatic tumors (BHTs) are commonly detected as incidental finding mainly due to the frequent utilization of imaging modalities, including ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). Rigorous clinical evaluation, with a particular focus on chronic liver disease (CLD) or risk factors for CLD, medication history, physical examination for signs of CLD, blood tests, and a review of past liver radiology constitute the initial steps in the evaluation of a new liver lesion. Further, contrast-enhanced imaging using US, CT and MRI, can be used depending on the clinical scenario and their availability. The contrast-enhanced MRI provides detailed tissue assessment while avoiding exposure to radiations, although it is scarcely available and expensive. While the liver tissue-specific protocols ensure precise diagnosis, a biopsy is recommended in selected or doubtful cases. Further, most BHTs, such as hemangiomas, are harmless and do not require special management or followup, the hepatic adenomas and large or atypical cases of focal nodular hyperplasia are clinically relevant and require management/follow-up. In such cases, it is favorable to have a multidisciplinary team approach, which includes hepatologist, radiologist, hepatobiliary surgeon, and pathologist. This review aims to elaborate the current understanding of BHTs, and provide a practical guidance for primary care and practitioners of family and internal medicine for the disease evaluation and management.

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Editorial

Importance of Handgrip Strength as a Health Indicator in the Elderly
Soo Young Kim
Korean J Fam Med 2021;42(1):1-1.   Published online January 20, 2021
DOI: https://doi.org/10.4082/kjfm.42.1E

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    Minping Hong, Junyan Wang, Liqin Jin, Keng Ling
    BMC Musculoskeletal Disorders.2024;[Epub]     CrossRef
  • Health-related factors and dysregulation of epigenetic related genes in metabolic syndrome trigger finger patients and smoker trigger finger patients: preliminary analysis of patient-derived sample
    Abdulaziz M. F. Shayea, Amna A. Alshatti, Danah H. Alfadhli, Almutairi Fatimah Ibrahim, Mariam Kh. Almutairi, Mohammed Sh. Nadar
    Journal of Orthopaedic Surgery and Research.2023;[Epub]     CrossRef
  • 3,484 View
  • 100 Download
  • 2 Web of Science
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Case Report

Clival Chordoma in an Adolescent: A Perspective from Primary Care
Hayatul Najaa Miptah, Siti Fatimah Badlishah-Sham, Hilwati Hashim, Anis Safura Ramli
Korean J Fam Med 2020;41(6):427-430.   Published online May 22, 2020
DOI: https://doi.org/10.4082/kjfm.19.0004
Clival chordoma is a rare malignant tumor of the brain that typically occurs in older adults. It has a high local recurrence rate and is hence associated with poor prognosis. Here, we report a case of an adolescent who presented with a 1-month history of worsening headache and blurring of vision, as well as a 6-month history of left-sided facial and body numbness. Clinical findings were consistent with left upper motor neuron lesion of the seventh cranial nerve with involvement of the fifth cranial nerve. He was also found to have a sixth cranial nerve palsy demonstrated by diplopia upon lateral gaze with no evidence of papilledema. Magnetic resonance imaging of the brain suggested clival chordoma. He was subsequently referred to the neurosurgical team, and he successfully underwent an endoscopic trans-sphenoidal surgery to excise the lesion. He recovered well, continued his follow-ups with the neurosurgical team, and showed good progress. He also attended regular follow-ups with his primary care physician to ensure ongoing psychosocial support and monitoring of his overall health status. This case demonstrates the importance of prompt identification and treatment of clival chordoma in an adolescent. Long-term follow-ups and shared care between primary and secondary care physicians are essential to monitor recurrence of tumor and to provide psychosocial support.

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    Kodeeswaran M, S. Muthuchitra, Noorul Hidhaya S, Vishaal P, P.B. Janakiraman, Tamilarasan P, K.P. Priyadharshan, Jamila Alagarsamy, Gaurav R. Dhoka, Bipin Chaurasia
    Annals of Medicine & Surgery.2025; 87(2): 929.     CrossRef
  • Diagnosis and management of a rare case of clival chordoma in a young male patient
    Federica Masino, Manuela Montatore, Marina Balbino, Giuseppe Maria Andrea D'Arma, Gianmichele Muscatella, Rossella Gifuni, Giuseppe Guglielmi
    Radiology Case Reports.2024; 19(9): 3683.     CrossRef
  • A Case Report of Chordoma Presenting as a Sphenoid Sinus Mass: A Diagnostic Challenge
    Sushma Bharti, Jyotsna Naresh Bharti
    Current Medical Imaging Reviews.2023;[Epub]     CrossRef
  • 4,325 View
  • 89 Download
  • 2 Web of Science
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Original Articles
Background
This study aimed to examine the association between sitting time and handgrip strength in healthy Korean women.
Methods
A total of 5,437 participants were included from the Korea National Health and Nutrition Examination Survey 2014–2016. The overall daily sitting time was estimated using health interview surveys, and handgrip strength was assessed using a digital hand dynamometer. The relationship between sitting time and handgrip strength was calculated with a weighted analysis of covariance after adjusting for confounding variables.
Results
Participants in each age group (19–39, 40–64, ≥65 years) were divided into three categories according to sitting time: ≤5, 6–9, and ≥10 h/d. The handgrip strength tended to decrease as sitting time increased after adjusting for age, body mass index, alcohol intake, cigarette smoking, resistance exercise, aerobic physical activity, household income, education level, hypertension, diabetes mellitus, dyslipidemia, and depression in all age groups (all P<0.001).
Conclusion
We observed the inverse relationship between sitting time and handgrip strength in healthy Korean women.

Citations

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  • Examining factors contributing to the socioeconomic inequalities in handgrip strength among older adults in India: a decomposition analysis
    Manacy Pai, T. Muhammad
    Scientific Reports.2024;[Epub]     CrossRef
  • Association between sedentary behavior and dynapenic abdominal obesity among older adults from low- and middle-income countries
    Lee Smith, Guillermo F. López Sánchez, Masoud Rahmati, Mark A. Tully, Damiano Pizzol, Nicola Veronese, Pinar Soysal, Karel Kostev, Dong Keon Yon, Laurie Butler, Jae Il Shin, Ai Koyanagi
    Aging Clinical and Experimental Research.2024;[Epub]     CrossRef
  • Joint associations of sedentary behavior and domain-specific physical activity on C-reactive protein in Korea
    Sungjin Park, Heeseung Son
    Preventive Medicine.2024; 182: 107944.     CrossRef
  • Joint association of sedentary behavior and physical activity domains with depression in Korean adults: Cross-sectional study combining four biennial surveys (2016–2022)
    Sungjin Park, June-Hee Lee, Rashid Menhas
    PLOS ONE.2024; 19(10): e0312029.     CrossRef
  • Factors Influencing Grip Strength of Depressed Patients: Using Data from the National Health and Nutrition Examination Survey (2018~2019)
    Moonhee Gang, Sukhee Han
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(1): 92.     CrossRef
  • Associations of occupational and leisure-time physical activity with self-rated health in Korea
    Sungjin Park, June-Hee Lee
    Preventive Medicine.2022; 158: 107022.     CrossRef
  • Association of Physical Activity and Sedentary Behavior With the Risk of Colorectal Cancer
    Sanghyun An, Sungjin Park
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Current status of health promotion in Korea
    Soo Young Kim
    Journal of the Korean Medical Association.2022; 65(12): 776.     CrossRef
  • Importance of Handgrip Strength as a Health Indicator in the Elderly
    Soo Young Kim
    Korean Journal of Family Medicine.2021; 42(1): 1.     CrossRef
  • Effects of 12 Weeks of Strength Training and Gluten-Free Diet on Quality of Life, Body Composition and Strength in Women with Celiac Disease: A Randomized Controlled Trial
    Alejandro Martínez-Rodríguez, Daniela Alejandra Loaiza-Martínez, Javier Sánchez-Sánchez, Jacobo A. Rubio-Arias, Fernando Alacid, Soledad Prats-Moya, María Martínez-Olcina, Rodrigo Yáñez-Sepúlveda, Nuria Asencio-Mas, Pablo J. Marcos-Pardo
    Applied Sciences.2021; 11(22): 10960.     CrossRef
  • Grip Strength as a Cardiometabolic Marker
    Jungun Lee
    Korean Journal of Family Medicine.2020; 41(5): 271.     CrossRef
  • 4,928 View
  • 130 Download
  • 10 Web of Science
  • 11 Crossref
Unsuccessful Exclusive Breastfeeding and Associated Factors among the Healthcare Providers in East Coast, Malaysia
Saodah Hashim, Azlina Ishak, Juliawati Muhammad
Korean J Fam Med 2020;41(6):416-421.   Published online January 14, 2020
DOI: https://doi.org/10.4082/kjfm.19.0060
Background
Breastfeeding is widely recognized as the optimal and natural method of feeding infants. However, there are obstacles that can limit exclusive breastfeeding practices during the first 6 months of an infant’s life. This study aimed to determine the prevalence of unsuccessful exclusive breastfeeding and its associated factors among mothers who work as healthcare providers at Universiti Sains Malaysia Hospital.
Methods
A cross-sectional study was conducted among 295 medical doctors and staff nurses from June to December 2015. Simple random sampling was applied. The data were collected using a self-administered questionnaire and analyzed using IBM SPSS ver. 22.0 (IBM Corp., Armonk, NY, USA). Descriptive statistics and logistic regression analysis were performed.
Results
The prevalence of unsuccessful exclusive breastfeeding among the study participants was 58.3%. Mothers who preferred formula milk (odds ratio [OR], 4.40; 95% confidence interval [CI], 1.45–13.31) delivered via lower segment cesarean section (OR, 2.31; 95% CI, 1.07–4.98) and produced inadequate breast milk (OR, 4.06; 95% CI, 2.40– 6.89) were significantly associated with unsuccessful exclusive breastfeeding.
Conclusion
The prevalence of unsuccessful exclusive breastfeeding among the study participants was high. Maternal characteristics such as preference towards formula milk, mode of delivery and adequacy of breast milk must be assessed to prevent unsuccessful exclusive breastfeeding among healthcare providers.

Citations

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  • The Relationship Between Mother's Level of Knowledge and Attitude Towards Exclusive Breastfeeding
    Febri Adriati, Rizka Dita Hidayati
    Jurnal Midpro.2025; 16(2): 203.     CrossRef
  • Enhancing maternal role achievement and breastfeeding success through health belief model intervention
    Nurus Safaah, Esti Yunitasari, Budi Prasetyo, Mira Triharini, Pipit Feriani
    Healthcare in Low-resource Settings.2024;[Epub]     CrossRef
  • The practice of exclusive breastfeeding by region in Indonesia
    Haerawati Idris, Dea Widya Astari
    Public Health.2023; 217: 181.     CrossRef
  • Exploring the determinants of exclusive breastfeeding among infants under six months in the Gambia using gambian demographic and health survey data of 2019-20
    Bewuketu Terefe, Kegnie Shitu
    BMC Pregnancy and Childbirth.2023;[Epub]     CrossRef
  • Exclusive Breastfeeding in Health Personnel: Incidence and Barriers
    Tongta Nanthakomon, Sonthaya Nukaw, Sudatip Kositamongkol
    Children.2023; 10(8): 1424.     CrossRef
  • Exclusive Breastfeeding Practice in Indonesia: A Population-Based Study
    Maria Gayatri
    Korean Journal of Family Medicine.2021; 42(5): 395.     CrossRef
  • On the Relationship between Social Support and Early Breastfeeding Termination
    Marzieh Faghani Aghoozi, Mohaddeseh Karimi Khoshal, Sanaz Faiazi, Shahnaz Tork Zahrani, Malihe Amerian
    Preventive Care In Nursing and Midwifery Journal.2019; 9(1): 1.     CrossRef
  • 6,300 View
  • 210 Download
  • 6 Web of Science
  • 7 Crossref
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