Publications by authors named "Khang Y"

Objectives: Breast cancer incidence and mortality rates in Korea are increasing. This study analyzed income-based inequalities in the incidence and mortality of women breast cancer from 2006 to 2015, using national data that covered all Korean women.

Methods: We used the National Health Information Database from 2006 to 2015.

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Introduction: Randomised controlled trials (RCTs) of early childhood home-visiting interventions led by nurses have been conducted mainly in Western countries, whereas such trials have been limited in non-Western cultures, including Asia. In South Korea, a national nurse home visit programme (Korea Early Childhood Home-visiting Intervention (KECHI)) was developed in 2020 and launched throughout the country. We designed a pragmatic RCT to evaluate the effectiveness of KECHI on child health and development and maternal health.

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Background: This study aimed to examine the prevalence of antenatal depression and experience of abuse during childhood, to analyze the association between having experienced childhood abuse and depression during pregnancy, and to explore the role of emotional support as a moderator of that association.

Methods: In total, 44,770 pregnant women were analyzed from the self-administered registry for risk assessment at community public health centers in Seoul, Republic of Korea, for home visiting service provision between 2015 and 2019. The Edinburgh Postnatal Depression Scale (EPDS) was applied for the assessment of depression.

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The purpose of this study was to assess the precision, uncertainty, and normality of small-area life expectancy estimates calculated using Bayesian spatiotemporal models. We hypothesized 6 scenarios in which all 247 districts of South Korea had the same year-specific female population of 500, 1,000, 2,000, 5,000, 10,000, and 25,000 individuals during the study period (2013-2017). We generated 1,000 hypothetical data sets for each scenario and calculated district-year life expectancies.

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Objective: To determine the prevalence of intimate partner violence (IPV) victimization and the factors associated with IPV during pregnancy and the early postnatal period in Korean community samples.

Methods: We enrolled 5953 pregnant mothers and mothers with young children registered in the Early Life Health Management Program provided by 30 public health centers in Korea between 2020 and 2021. We used the Korean Hurt, Insult, Threaten, and Scream (K-HITS) questionnaire to measure IPV.

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People with disabilities have a higher mortality risk than non-disabled people. However, mortality patterns and life expectancy according to disability types are under-researched. This study investigated the sociodemographic characteristics and compared mortality and life expectancy among people with disabilities according to disability type in Korea using 10-year combined data between 2008 and 2017.

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  • * The survey showed that a lot of moms (87.7%) felt a lot of distress, especially about missing their old lives before becoming parents, with over 80% agreeing with that feeling.
  • * The results are important for a new home visit program by the South Korean government to help moms, especially since South Korean mothers felt more stressed than mothers in Australia.
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In 2019, the South Korean government established a plan to develop home visitation services for pregnant women and women with children below the age of 24 months and expand the services nationwide. Therefore, a national survey was needed to provide relevant information for the policy decision of whether to implement universal home visitation services by nurses for families with young children. To determine home visitation service needs in South Korea, 804 women who were pregnant or had children below the age of 24 months were selected as survey participants through stratified random sampling by region reflecting geographical distribution in numbers of births.

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Many Korean and international studies have found higher mortality rates and poorer health conditions among manual workers than among non-manual workers. However, a recent study using unlinked data argued that since the economic crisis in Korea in the late 2000s, the mortality estimates of male Korean non-manual workers have been higher than those of manual workers. Our work using individually linked data from the late 2000s and after aimed to examine mortality inequality by occupational class.

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Industrialised countries had varied responses to the COVID-19 pandemic, which may lead to different death tolls from COVID-19 and other diseases. We applied an ensemble of 16 Bayesian probabilistic models to vital statistics data to estimate the number of weekly deaths if the pandemic had not occurred for 40 industrialised countries and US states from mid-February 2020 through mid-February 2021. We subtracted these estimates from the actual number of deaths to calculate the impacts of the pandemic on all-cause mortality.

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  • The study investigated the prevalence and risk factors of maternal depression during pregnancy and after childbirth among participants in a home visitation program in Seoul, South Korea, focusing on psychosocial health.
  • Results showed that 17.7% of women were at risk for peripartum depression, with higher risks linked to younger age, low income, single parenthood, and smoking, among other factors.
  • The findings suggest that policies need to be strengthened to address peripartum depression, particularly for high-risk groups like low-income and single mothers.
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  • The GBD 2019 study systematically estimated the global cancer burden, providing data on incidence, mortality, and disability to help address cancer worldwide.
  • In 2019, an estimated 23.6 million new cancer cases and 10 million cancer deaths occurred globally, marking significant increases in rates since 2010, with cancer becoming a leading cause of both death and disability-adjusted life years (DALYs).
  • The impact of cancer varied across sociodemographic index (SDI) quintiles, with higher SDI areas seeing more new cases, while middle SDI areas experienced more deaths and DALYs, highlighting disparities in cancer burden.
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Background: To determine the priorities and resource allocation of community cancer-related health policies, it is necessary to measure cancer-related health indicators and the burden of cancer by region. This study calculated the cancer-free life expectancy at the level (small administrative units in South Korea) for the first time, and analyzed its association with regional health insurance premiums.

Methods: We used aggregate data from the 2008-2017 National Health Information Database provided by the National Health Insurance Service.

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  • Higher job classes in Korea, like upper non-manual workers, usually have better health and live longer than lower job classes.
  • A study looked at how factors like education, income, and health habits affect this inequality among different workers.
  • The results showed upper non-manual workers had better education and health behaviors, while lower groups faced more health issues and challenges.
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Background: The objective of this study was to elucidate the relationships musculoskeletal pains with combined vulnerability in terms of age, gender, and employment status.

Methods: The fifth European Working Conditions Survey (EWCS) in 2010 (43,816 participants aged 15 years and over) analyzed for European employees and the third Korean Working Conditions Survey (KWCS) in 2011 (50,032 participants aged 15 years and older) analyzed for Korean employees. In this study, three well known vulnerable factors to musculoskeletal pains (older age, female gender, and precarious employment status) were combined and defined as combined vulnerability.

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Background: Health indicators, such as mortality rates or life expectancy, need to be presented at the local level to improve the health of local residents and to reduce health inequality across geographic areas. The aim of this study was to estimate life expectancy at the district level in Korea through a spatio-temporal analysis.

Methods: Spatio-temporal models were applied to the National Health Information Database of the National Health Insurance Service to estimate the mortality rates for 19 age groups in 250 districts from 2004 to 2017 by gender in Korea.

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According to the most recent annual report released by Korea Statistics, the life expectancy at birth (for both sexes) in 2018 was 82.7 years, an increase of 0.0 years over 2017, reflecting the first stagnation in life expectancy since 1960.

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Background: This study aimed to calculate life expectancy in the areas around 614 subway stations on 23 subway lines in the Seoul metropolitan area of Korea from 2008 to 2017.

Methods: We used the National Health Information Database provided by the National Health Insurance Service, which covers the whole population of Korea. The analysis was conducted on the level of the smallest administrative units within a 200-m radius of each subway station.

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  • The incidence of thyroid cancer (TC) in Korea has significantly increased over the years, with a peak in 2012 before dropping in 2015, but the mortality rate remained stable throughout this period.
  • The study analyzed TC screening rates and associated outcomes using national health data while examining income disparities and their effects on TC trends.
  • Findings suggest that high-income individuals experienced higher TC screening and incidence rates, leading to concerns about overdiagnosis, particularly as recent decreases in TC incidence were more notable among wealthy populations.
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Recipients of Medical Aid, a government-funded social assistance program for the poor, have a shorter life expectancy than National Health Insurance beneficiaries in Korea. This study aims to explore the contributions of age and major causes of death to the life expectancy difference between the two groups. We used the National Health Information Database provided by the National Health Insurance Service individually linked to mortality registration data of Statistics Korea between 2008 and 2017.

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Background: This study aimed to compare three small-area level mortality metrics according to urbanity in Korea: the standardized mortality ratio (SMR), comparative mortality figure (CMF), and life expectancy (LE) by urbanity.

Methods: We utilized the National Health Information Database to obtain annual small-area level age-specific numbers of population and deaths in Korea between 2013 and 2017. First, differences in the SMR by urbanity were examined, assuming the same age-specific mortality rates in all small areas.

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The purpose of this study was to examine the degree to which the magnitude of income inequality in life expectancy according to different categorization across beneficiary types under the National Health Insurance Service (NHIS) in Korea. We used population and death data in 2017 from the National Health Information Database of the NHIS. Income quintile groups were classified in four ways according to beneficiary type (employee insured, self-employed insured, and Medical Aid beneficiaries).

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While numerous comparative works on the magnitude of health inequalities in Europe have been conducted, there is a paucity of research that encompasses non-European nations such as Asian countries. This study was conducted to compare Europe and Korea in terms of educational health inequalities, with poor self-rated health (SRH) as the outcome variable. The European Union Statistics on Income and Living Conditions and the Korea National Health and Nutrition Examination Survey in 2017 were used (31 countries).

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  • Statins are commonly prescribed to lower the risk of cardiovascular disease (CVD), but research indicates they may increase the likelihood of herpes zoster (HZ), which is linked to a higher risk of CVD.
  • A study examined over 275,000 individuals in South Korea, finding that statin users generally faced lower risks of CVD events like stroke and myocardial infarction compared to non-users.
  • However, about 11.6% of the protective effect of statins against CVD was reduced due to the occurrence of HZ among statin users, particularly affecting those under 60 years of age.
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  • The study looked at how smoking quit rates in Korea changed after two new rules: raising taxes on tobacco and requiring graphic warnings on cigarette packs.
  • It found that smokers who had lower cigarette consumption (1-14 per day) or wanted to quit were more likely to stop smoking after these rules were introduced.
  • A bigger tax increase made it even more likely for heavier smokers (15 or more per day) to quit, but the graphic warnings didn't have a strong effect on encouraging more people to stop smoking.
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