For practicing comprehensive approach to health problems, family physicians should see both biomedical aspects and psychosocial aspects of each patient at the same time. Family physicians can hypothesize and intervene effectively the psychosocial aspects of patients through family-centered health care. Genogram, family life cycle, family's resources for stressful life events, and adaptability and cohesiveness of patients' family are the four eyes of family physicians, those enable family physicians to see the family of patients in their health care practice. Family-centered health care in family practice can be achieved by applications of family-related questions to routine health care practice, approaches to the family dynamics in patients with red fl ags, and family conferences for inpatients and patients with more diffi cult problems. Family-centered health care is the core practice of comprehensive approach to health problems and an important identity of family medicine.
Citations
Citations to this article as recorded by
Relationship between Family Adaptability, Cohesion and Adolescent Problem Behaviors: Curvilinearity of Circumplex Model Ju Youn Joh, Sun Kim, Jun Li Park, Yeon Pyo Kim Korean Journal of Family Medicine.2013; 34(3): 169. CrossRef
Background The prevalence of current cigarette smoking is the net result of different processes over the entire life course, namely initiation, continuation and cessation of smoking. This study examined the association of socioeconomic indicators with initiating and quitting smoking among South Korean men. Methods: We analyzed a total of 2,798 men aged 25-64 who participated in the Korean National Health and Nutrition Examination Survey in 2005. Odds ratios (ORs) with 95% confi dence intervals (CIs) for smoking initiation and cessation according to socioeconomic position indicators were calculated with logistic regression. Socioeconomic position was measured by education, occupation, income and marital status. Results: Greater rates of ever initiation of smoking were observed among lower educated men (OR = 1.51; 95% CI = 1.09-2.09) after controlling for other socioeconomic factors. Independent associations were found among men who performed manual labor (OR = 1.55; 95% CI = 1.12-2.14). After simultaneous adjustment for socioeconomic factors, lower likelihood of quitting smoking was detected among men who were in the middle third and the lower third income group (OR = 0.72; 95% CI = 0.55-0.92, OR = 0.60; 95% CI = 0.46-0.79, respectively), who performed manual labor (OR = 0.66; 95% CI = 0.50-0.86) or who were not married (OR for never-married = 0.65; 95% CI = 0.42-0.99 and OR for divorced or widowed = 0.56; 95% CI = 0.36-0.87, respectively). Conclusion: For Korean men, educational attainment was a strong predictor of ever initiating smoking, however, smoking cessation was independently related to income and marital status. To be effective, tobacco control interventions should consider these different social determinants in initiating and quitting smoking.
Citations
Citations to this article as recorded by
Current Use of Heated Tobacco Products and Its Association with Socioeconomic Factors in Korean Adults: A Study Using Community Health Survey 2019 Sung Yeol Son, Seo Young Kang, Hong-Jun Cho Journal of the Korean Society for Research on Nicotine and Tobacco.2022; 13(4): 140. CrossRef
Association of Eating Alone with Depressive Symptoms and Suicidal Ideation among Korean Adults Joonyoung Park, Gyeongsil Lee Korean Journal of Family Medicine.2021; 42(3): 219. CrossRef
Decrease in Smoking and Related Factor after the Price Raise of Tobacco in Hypertension Patients: Using 2015 Korea National Health and Nutrition Examination Survey Mi Hyun Joo, Mi Ah Han, Jong Park, Seong Woo Choi, So Yeon Ryu, Jun Ho Shin Journal of Health Informatics and Statistics.2019; 44(1): 83. CrossRef
Socioeconomic factors associated with tobacco smoking among adult males in Sri Lanka Hiranya Nilakshi Fernando, Imaesha Thilini Pradeepika Wimaladasa, Anjali Nimaya Sathkoralage, Ashani Nisansala Ariyadasa, Chathurika Udeni, Lahiru Sandaruwan Galgamuwa, Prasanna Herath, Nishantha Kumarasinghe BMC Public Health.2019;[Epub] CrossRef
Associations of the eating alone behavior with nutrient intake, obesity and metabolic syndrome in middle-aged adults based on the 2013 ~ 2017 Korean National Health and Nutrition Examination Survey Hyun Kyung Kim, Jayong Chung Journal of Nutrition and Health.2019; 52(5): 435. CrossRef
The Effects of Socio-Economic Status on Smoking Cessation Plans in Smokers Mi-Jin Gong, Yong-Woo Shim The Korean Journal of Health Service Management.2018; 12(2): 135. CrossRef
Changes of Cigarette Smoking Initiation Age among South Korean Adults: 2007-2012 Hee Won Kim, Si Nae Kang, Ji Sun Lim, Jung Ah Lee, Hong-Jun Cho Journal of the Korean Society for Research on Nicotine and Tobacco.2017; 8(1): 20. CrossRef
The Abstinence Rate of the Inpatient Smoking Cessation Program Jae-Hang Cho, Seock-Hwan Lee, Jung-Woo Sohn, Hye-Young Yang Journal of the Korean Society for Research on Nicotine and Tobacco.2017; 8(2): 88. CrossRef
Characteristics of Intermittent Smokers in Korean Adults: Comparison with Daily Smokers Si Nae Kang, Hee Won Kim, Jisun Lim, Jung Ah Lee, Hong-Jun Cho Journal of the Korean Society for Research on Nicotine and Tobacco.2017; 8(2): 58. CrossRef
The Convergence relation of tobacco smoking to tooth loss in older adults Mee-Jin Jun Journal of the Korea Convergence Society.2016; 7(5): 127. CrossRef
Comparison of the Health Behaviors according to Income and Education Level among Cardio-Cerebrovascular Patients; based on KNHANES data of 2010-2011 Ji-Yeon Choi, Seong-Woo Choi Journal of the Korea Academia-Industrial cooperation Society.2014; 15(10): 6223. CrossRef
Effects of Brief Smoking Cessation Education with Expiratory Carbon Monoxide Measurement on Level of Motivation to Quit Smoking Won-Young Choi, Cheol-Hwan Kim, Ok-Gyu Lee Korean Journal of Family Medicine.2013; 34(3): 190. CrossRef
Relationship between Work Hours and Smoking Behaviors in Korean Male Wage Workers Sung-Mi Jang, Eun-hee Ha, Hyesook Park, Eunjeong Kim, Kyunghee Jung-Choi Annals of Occupational and Environmental Medicine.2013; 25(1): 35. CrossRef
The Relationship between Smoking, Alcohol Drinking, and Parenting Behavior Perceived by Adolescents Yun Ho Roh, Eun Joo Kim Korean Journal of Health Education and Promotion.2013; 30(2): 71. CrossRef
Socioeconomic Indicators Associated with Initiation and Cessation of Smoking among Women in Seoul Yu-Na Kim, Young-Gyu Cho, Cheol-Hwan Kim, Jae-Heon Kang, Hyun-Ah Park, Kyoung-Woo Kim, Yang-Im Hur, Su-Hyun Lee, Yun-Min Na, No-Yai Park Korean Journal of Family Medicine.2012; 33(1): 1. CrossRef
Is income or employment a stronger predictor of smoking than education in economically less developed countries? A cross-sectional study in Hungary Mall Leinsalu, Csilla Kaposvári, Anton E Kunst BMC Public Health.2011;[Epub] CrossRef
Background Recently, the mass media serves a major role in the public health education, but have not been proven whether they are being appropriately utilized in the elderly. The aim of this study was to identify the elderly person's concern in the mass media health information and utilization behavior. Methods: Between March to June 2008, one to one survey with the elderly people over 60 years was performed in two elderly welfare centers, one public health center, and two secondary hospitals outpatients and inpatients in Seoul and Chungju.Results: A total of 999 subjects were included. By multivariate analysis, factors signifi cantly associated with low concern in the mass media health information were low educational level, non-exercise group, and low concern in own health (P = 0.001, 0.009, < 0.001, respectively). The most frequently utilized health information source was the mass media. By comparing the frequency of health information utilization, women, low educational level, low income, non-exercise group, underweight, low level of self-evaluated health status, and low concern in health information were signifi cantly associated with the lowest quintile of utilization (P value: < 0.001, 0.005, 0.05, < 0.001, 0.002, 0.03, 0.005, respectively). However, the presence of chronic diseases, such as hypertension, diabetes, had no association.Conclusion: In community-dwelling elderly, important factors associated with concern in and utilization of the mass media health information were concern in health, self-evaluated health status, exercise status and socioeconomic factors such as education or income level, rather than comorbid chronic disease.
Citations
Citations to this article as recorded by
Patient Perception on Osteoporosis in Korean Female Patients with Osteoporosis Kyung-Hag Lee, Guhyun Lee, Taehyun Lee, Dong-Won Byun, Yong-Chan Ha Journal of Bone Metabolism.2024; 31(1): 63. CrossRef
Predictors of Smartphone Uses for Health Information Seeking in the Korean Elderly Young Sam Oh, Eun Young Choi, Young Sun Kim Social Work in Public Health.2018; 33(1): 43. CrossRef
Awareness of COPD in a High Risk Korean Population Jae Yong Seo, Yong Il Hwang, So Yeong Mun, Jin Hee Kim, Joo Hee Kim, Sung Hoon Park, Seung Hun Jang, Yong Bum Park, Jae Jung Shim, Ki-Suck Jung Yonsei Medical Journal.2015; 56(2): 362. CrossRef
Background Common cold is the most frequently seen ambulatory disease in primary care clinic of Korea. This study investigated the perspectives and expected pattern of health care utilization of patients who visit a primary care clinic in order to understand patients' health care behavior for treating common cold and to consider how to educate them effectively. Methods: We surveyed 570 patients and their accompanying people who visited family medicine clinic and the health promotion center of a university hospital by questionnaire, in which we asked the patients what they think of the cause, symptom, and treatment of common cold and their pattern of health care utilization. Results: The respondents replied that the cause of common cold was a virus (446, 85.3%), a bacteria (58, 11.3%) or others (18, 3.4%). Among the total, 475 respondents (88.6%) replied that they had taken cold medicine before and 264 respondents (55.7%) reported that the symptoms took 1-2 weeks to recover. A total of 285 respondents (58.3%) replied that they prefer red to go to the doctor and 198 (40.5%) replied that they prefer to go to a pharmacy. The respondents who thought that symptoms of common cold takes longer than one week tended to choose to visit a doctor. Patients thought that antibiotics (54.4%) and those that relieved common cold symptoms earlier (30.1%) were 'strong' cold medicine.Conclusion: The results of this survey showed that the difference in patients' perspectives made an effect on the patients' treatment seeking behavior. Even though medicine did not take effect to relieve symptoms, most patients wanted to continue to visit physicians. The family physician should not give only the prescription, but also make an effort to provide pertinent information to patients and educate them to acquire appropriate perspectives.
Citations
Citations to this article as recorded by
Influenza viral infection is a risk factor for severe illness in COVID-19 patients: a nationwide population-based cohort study Jeong-Hwan Hwang, Yeon Seok You, Sang Woo Yeom, Min Gyu Lee, Jong-hwan Lee, Min Gul Kim, Jong Seung Kim Emerging Microbes & Infections.2023;[Epub] CrossRef
Analysis of Knowledge, Attitudes, and Practices for Safe Medication Use in Caregivers for Pediatric Patients Soon Ji Moon, Kyungim Kim, Kyung Hee Choi, Kiyon Rhew Korean Journal of Clinical Pharmacy.2023; 33(2): 106. CrossRef
Effects of commercial dry syrups on tooth surfaces In-Gyeong Yun, Ki-Ho Chung Journal of Korean Academy of Oral Health.2019; 43(2): 78. CrossRef
A Survey in the General Population on the Perception of the Common Cold Treatment at the Korean Medical Clinic Do-hyung Kim, Min-kyoung Cho, Min-na Hong, Jun-yong Choi The Journal of Internal Korean Medicine.2017; 38(3): 336. CrossRef
Overview of Antibiotic Use in Korea Baek-Nam Kim Infection & Chemotherapy.2012; 44(4): 250. CrossRef
Upper Respiratory Infections in Adults Shin-Woo Kim Journal of the Korean Medical Association.2010; 53(1): 10. CrossRef
Background The metabolic syndrome has been known as the cluster of insulin resistance, dyslipidemia, hypertension, and abdominal obesity. There have been many studies about the infl ammatory role in atherosclerosis and cardiovascular diseases, also. We aimed to elucidate the role of high sensitivity C-reactive protein (hs-CRP) as a infl ammation-related factor in metabolic syndrome in Korean adults by correlation and factor analysis. Methods: A cross sectional study was carried out in 1,512 men and 1,836 women (over 20 years old) who had an examination at a center for health promotion of an university hospital from May 2004 through March 2005. The NCEP-ATP III definition and Asian-Pacific adjusted criteria were used to obtain the metabolic syndrome group. And we evaluated the role and gender difference of hs-CRP in metabolic syndrome by correlation and factor analysis.Results: In women, hs-CRP was statistically correlated with most metabolic variables, especially insulin resistance. In factor analysis, 3 factors (obesity, blood pressure, and insulin resistance) were obtained in men and 4 factors (obesity, blood pressure, insulin resistance, and dyslipidemia) in women, respectively. In women, hs-CRP was a part of dyslipidemia factor.Conclusion: In factor anaylsis of metabolic syndrome factors with hs-CRP, hs-CRP was not a signifi cant factor in men, but was included as a part of dyslipidemia factor in women.
Citations
Citations to this article as recorded by
The Relationship between Metabolic Syndrome Risk Factors and High Sensitive C-reactive Protein in Abdominal Obesity Elderly Women Kyung-A Shin The Korean Journal of Clinical Laboratory Science.2017; 49(2): 121. CrossRef
Clinical Outcomes after Modified Fasting Therapy Supplied with Gamrosu: A Retrospective Observational Study Seung-Uoo Shin, Dong-Hwan Kim, Hyun-Taeg Shin, Dal-Seok Oh Journal of Korean Medicine for Obesity Research.2016; 16(1): 36. CrossRef
Background Several studies showed the relationship between serum homocysteine and pulse wave velocity, but their subjects were confi ned to high risk group for cardiovascular diseases and recent study revealed no relationship in young healthy adults. We hypothesized that time interval would be needed for serum homocysteine to infl uence pulse wave velocity after exposure to vascular endothelium. The purpose of this study was to determine the relationship between serum homocysteine and pulse wave velocity in middle aged women on the basis of that hypothesis and necessity for further study in general population.Methods: The study subjects were 110 middle aged women who visited a health promotion center of a general hospital. We collected medical history by means of self-reported questionnaire and measured height, weight, blood pressure and brachial-ankle pulse wave velocity (baPWV). Blood sampling was performed after overnight fasting. We analyzed the relationship between several cardiovascular risk factors and baPWV and performed multiple regression analysis.Results: BaPWV velocity was correlated signifi cantly with age, mean blood pressure, serum homocysteine, total cholesterol and diabetes mellitus, but not with body mass index, high-density lipoprotein cholesterol, triglyceride, creatinine clearance, alcohol intake, hypertension and smoking. In multiple regression, there was a signifi cant association between age (P = 0.04), moderate hyperhomocysteinemia (P = 0.02), mean blood pressure (P < 0.001) and baPWV.Conclusion: In middle aged women, there was an independently positive association between serum homocysteine and baPWV.
Citations
Citations to this article as recorded by
Borderline-High Mean Corpuscular Volume Levels Are Associated with Arterial Stiffness among the Apparently Healthy Korean Individuals Haneul Kwon, Byoungjin Park Korean Journal of Family Medicine.2020; 41(6): 387. CrossRef
First
Prev
