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"Demographic Factors"

Original Articles
Sociodemographic determinants and comorbidities associated with polypharmacy among the adult population in Korea: a nationwide claim analysis
Woo-young Shin, Tae-Hwa Go, Jung-ha Kim
Received December 20, 2024  Accepted March 31, 2025  Published online October 28, 2025  
DOI: https://doi.org/10.4082/kjfm.24.0328    [Epub ahead of print]
Background
Polypharmacy poses a growing challenge to healthcare systems because of its association with adverse effects and the misuse of medication. This study aimed to identify the sociodemographic factors and comorbidities associated with polypharmacy.
Methods
We selected patients aged ≥30 years registered in the National Health Information Database in 2018 who were prescribed at least one medication for ≥180 days. Multivariate logistic regression analyses were performed to evaluate the associations between polypharmacy, sociodemographic characteristics, and comorbidities.
Results
Polypharmacy was significantly associated with increasing age, with the strongest association observed in adults aged ≥65 years. Compared with medical aid recipients, higher-income groups had a weaker association with polypharmacy. After adjusting for covariates, significant associations with polypharmacy were found for specific comorbidities, such as Parkinson disease (odds ratio [OR], 3.804; 95% confidence interval [CI], 3.733–3.876; P<0.001) and chronic ischemic heart disease (OR, 3.199; 95% CI, 3.178–3.221; P<0.001).
Conclusion
These findings may help reduce the burden of polypharmacy by facilitating the development of targeted strategies tailored to patients.
  • 126 View
  • 12 Download
Presence of anxiety or depression feelings and its associated risk factors among immigrants in Korea: a nationwide cross-sectional study
Thi Thanh Lan Nguyen, Van Cuong Nguyen
Korean J Fam Med 2025;46(5):349-358.   Published online September 12, 2024
DOI: https://doi.org/10.4082/kjfm.23.0257
Background
The influx of immigrants into Korea has increased in recent years, affecting Korean society and the healthcare system. This study analyzed the frequency of anxiety and depression in immigrants, which negatively affects their quality of life.
Methods
We analyzed data from a 2020 survey on the Health Rights of Migrants and the Improvement of the Medical Security System. Bivariate analyses and a multiple logistic regression model were used to identify the risk factors associated with the presence of anxiety or depression among immigrants.
Results
We included 746 immigrants, 55.9% of whom were female. The overall rate of anxiety or depression was 31.77%, with 38.3% in females, which was significantly higher than the 26.62% in males. The frequency of anxiety and depression was also strongly associated with certain immigrant groups, including immigrants of African or Western Asian origin (over 64%); those with student visas (60.53%); those who self-reported poor health (52%), physical or mental disabilities (69.23%), or chronic diseases (58.43%); and those facing difficulties accessing medical services (59.47%).
Conclusion
This study showed the frequency of feelings of anxiety or depression and associated risk factors among immigrants. These findings may have implications for policymakers in reducing the likelihood of developing anxiety or depression in the future and improving the quality of life of immigrants in Korea.
  • 4,014 View
  • 75 Download
  • 1 Web of Science
Sociodemographic Characteristics of Underweight Korean Adults: Korea National Health and Nutrition Examination Survey, 2007-2010
Sung Il Park, Young Gyu Cho, Jae Heon Kang, Hyun Ah Park, Kyoung Woo Kim, Yang Im Hur, Hye Jin Kang
Korean J Fam Med 2013;34(6):385-392.   Published online November 25, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.6.385
Background

Underweight is associated with increased risk of mortality and morbidity. It is reported that the prevalence of underweight is increasing among Korean young women. However, there have been few studies on sociodemographic factors related to being underweight. This study was conducted to elucidate the sociodemographic characteristics of Korean underweight adults.

Methods

This study is a cross-sectional study of 7,776 adults aged 25 to 69 years using data from the Korea National Health and Nutrition Examination Survey, 2007-2010. Study subjects were composed of underweight and normal-weight adults excluding overweight adults. Body mass index was calculated from measured height and weight. Health behaviors such as smoking, drinking, and physical activity were surveyed through self-administered questionnaires, and socioeconomic status, marital status, and history of morbidity were surveyed through face-to-face interviews.

Results

Women had a higher frequency of underweight (10.4% vs. 7.0%, P < 0.001) than men. Among men, current smoking (odds ratio [OR], 1.62) and past history of cancer (OR, 2.55) were independently related to underweight. Among women, young age (OR, 2.06), former smoking (OR, 1.69), and being unmarried (OR, 1.56) were identified as independently related factors of underweight. In addition, among both men and women, alcohol drinking (men OR, 0.57; women OR, 0.77) and past history of chronic diseases (men OR, 0.55; women OR, 0.43) were independently related to a lower frequency of underweight.

Conclusion

We showed that various sociodemographic factors were associated with underweight. It was ascertained that there were differences in the sociodemographic factors related to underweight between Korean men and women.

Citations

Citations to this article as recorded by  
  • Associations between social jetlag trajectories and body mass index among young adults
    Chia-Shuan Chang, Ling-Yin Chang, Chi-Chen Wu, Hsing-Yi Chang
    SLEEP.2024;[Epub]     CrossRef
  • Maternal pre-pregnancy body mass index and related factors: A cross-sectional analysis from the Japan Environment and Children’s Study
    Yasuaki Saijo, Eiji Yoshioka, Yukihiro Sato, Yuki Kunori, Tomoko Kanaya, Kentaro Nakanishi, Yasuhito Kato, Ken Nagaya, Satoru Takahashi, Yoshiya Ito, Hiroyoshi Iwata, Takeshi Yamaguchi, Chihiro Miyashita, Sachiko Itoh, Reiko Kishi, Malshani Lakshika Pathi
    PLOS ONE.2024; 19(6): e0304844.     CrossRef
  • Association of duration of undernutrition with occurrence of tuberculosis
    Jiho Park, Ji Hyun Yoon, Hyun Kyun Ki, Yeonghee Eun, Kyungdo Han, Hyungjin Kim
    BMC Public Health.2022;[Epub]     CrossRef
  • Relationship between socioeconomic and nutritional status in the Serbian adult population: a cross-sectional study
    Jelena Gudelj Rakić, Miloš Maksimović, Janko Janković, Hristina Vlajinac, Jelena Marinković
    Sao Paulo Medical Journal.2018; 136(4): 310.     CrossRef
  • Pattern of Underweight and Overweight in Lagos Southwest Nigeria
    Ademolu Adegbenga Bolanle
    Journal of Applied Biotechnology & Bioengineering.2017;[Epub]     CrossRef
  • Relationship between health behaviour and body mass index in the Serbian adult population: data from National Health Survey 2013
    Miloš Ž. Maksimović, Jelena M. Gudelj Rakić, Hristina D. Vlajinac, Nadja D. Vasiljević, Jelena M. Marinković
    International Journal of Public Health.2016; 61(1): 57.     CrossRef
  • Association between built environment and moderate to vigorous physical activity in Korean adults: a multilevel analysis
    Jimee Kim, Hye-Young Lee, Eun Young Lee
    Journal of Public Health.2016; : fdw025.     CrossRef
  • 5,721 View
  • 24 Download
  • 7 Crossref
Relationship between Occupational Stress and Gastric Disease in Male Workers
Ho-Seob Lihm, Sang-Hyun Park, Eun-Hee Gong, Jong-Soon Choi, Jung-Won Kim
Korean J Fam Med 2012;33(5):311-319.   Published online September 27, 2012
DOI: https://doi.org/10.4082/kjfm.2012.33.5.311
Background

Physical and mental health of workers is threatened due to various events and chronic occupational stress. This study was conducted to investigate the relationship between occupational stress and gastric disease in male workers of the shipbuilding industry.

Methods

Occupational stress measured among a total of 498 workers of a shipbuilding firm who visited the hospital for health examination using the Korean Occupational Stress Scale (KOSS)-short form, and the relationship between sociodemographic factors, health-related behaviors, occupational stress, and gastric disease, and the distribution of occupational stress by sociodemographic factors in the gastric disease group was examined.

Results

There was no significant association between gastric disease and total occupational stress score and its seven sub-factors. The analysis showed that risk of gastric disease was significantly higher in the Q1 group in which the stress caused by occupational discomfort among seven sub-factors was lowest than that in the Q4 group (odds ratio, 2.819; 95% confidence interval, 1.151 to 6.908). Analysis only on the gastric disease group showed that the stress score of laborers was higher in the four sub-factors than that of office workers (P < 0.05). Analysis on educational background showed that the scores of the three sub-factors were lower in subjects who's highest level of education was high school (P < 0.01).

Conclusion

This study suggests that it is necessary to improve the culture of Korean collectivism in the workplace and to manage the occupational stress in the low-educated and laborers. It is recommended for future studies to confirm the causal relationship between occupational stress and gastric disease by large scale studies using a KOSS which appropriately reflects workplace culture.

Citations

Citations to this article as recorded by  
  • Impact of the Working Conditions on Health and Selected Job-related Diseases. An International Comparison
    Daniela Hrehova, Pavel Ziaran, T. Kliestik
    SHS Web of Conferences.2021; 92: 07025.     CrossRef
  • Effect of work-related factors on the prevalence of peptic ulcer disease among Korean workers: a nationwide population-based study
    Youn I Choi, Jun-Won Chung, Kyoung Oh Kim, Kwang An Kwon, Yoon Jae Kim, Dong Kyun Park
    International Archives of Occupational and Environmental Health.2020; 93(8): 965.     CrossRef
  • Seafarers' perceptions of job demand: A cross-sectional study
    Luisa Maria Roberta Tedesco, Pietro Ferrara, Lucia Stromillo, Antonio Arnese, Luciana Albano
    Archives of Environmental & Occupational Health.2018; 73(5): 278.     CrossRef
  • Relationship between job stress and functional dyspepsia in display manufacturing sector workers: a cross-sectional study
    Younghyeon Nam, Soon-Chan Kwon, Yong-Jin Lee, Eun-Chul Jang, Seung-hwan Ahn
    Annals of Occupational and Environmental Medicine.2018;[Epub]     CrossRef
  • The Effect of Probiotic Supplementation on Gastrointestinal Quality of Life
    JeJe Noval
    Journal of Nutritional Health & Food Engineering.2017;[Epub]     CrossRef
  • Factors associated with the occurrence of functional dyspepsia and insomnia in shift-working nurses
    Hye-Sun Jung, Bokim Lee
    Work.2016; 54(1): 93.     CrossRef
  • Population Health Concerns During the United States’ Great Recession
    Benjamin M. Althouse, Jon-Patrick Allem, Matthew A. Childers, Mark Dredze, John W. Ayers
    American Journal of Preventive Medicine.2014; 46(2): 166.     CrossRef
  • Mental Health Levels and Incidence of Musculoskeletal Complaints among Speed Boat Crew Members
    Farzaneh Zigheimat, Abbas Ebadi, Fatemeh Rahmati Najarkolaei, Mohammad Malakoti, Farhad Kheiri Tootkaleh
    Trauma Monthly.2013; 17(4): 373.     CrossRef
  • 4,915 View
  • 29 Download
  • 8 Crossref
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