PHWR Public Health Weekly Report

Vol.14 No.49, December 02, 2021 Article TypeNoncommunicable Disease StatisticsOriginal Articles

• Original Articles 2021-12-02

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  The in-depth study for the health status of the elderly and the development of intervention methods for the preventive management in Seongbuk-gu, Seoul

  Hye-Jin Jeong, Jong-Koo Lee, Be-Long Cho, Sang-Min Park, Seo-Eun Hwang, Young-Ho Khang, Jihyun Park, woomi Cho, Sunkyu Lee

  Public Health Weekly Report 2021; 14(49): 3470-3485

  

  

  Abstract

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  In aged society, noncommunicable disease management for the elderly, decrease of quality of life, and increase of medical expenses are problems facing our society. The objective of this study is to develop and implement the intervention programs that promotes social activity and participation of the elderly people based on community. These programs would lead to improve old people’s physical activity, prevent physical function decrease, and prolong healthy lifespan.
  In a health survey for the elderly aged 66 years or older living in Seongbuk-gu, about half of the subjects had high blood pressure (140/80 mmHg or over), and the proportion of people with poor physical function was about 75%. The index of quality of life related to health was low and about 20% of the participants had depressive mood, and resentment level was significantly higher compared to other societies. Through the National Health Insurance Service DB analysis of the seven largest cities in the Republic of Korea over the age of 50, we found that the risk of cardiovascular disease and all-cause mortality decreased in the higher social trust group compared to the lower social trust group.
  In this study, the health status of community dwelling elderly people have been evaluated, and the social capital improvement and the better physical/mental function of the elderly have been achieved through the implementation of a participatory intervention program. We hope that prevention from the old people’s physical function decrease and extending healthy lifespan and reducing the rate of increase in medical expenses will be achieved through community-based intervention programs.

• Original Articles 2021-12-02

  0 153 141

  A Study on media usage patterns for establishing media strategies for cardio-cerebrovascular disease campaigns

  Chul-joo Lee, Jinwoo Park, Hana Shin, Se-Hoon Jeong, Soo Mi Choi, Jeesoo Suh, Seon-Kui Lee, Jung Yeon Hong, Seung Hee Lee, Won-Ho Kim

  Public Health Weekly Report 2021; 14(49): 3486-3494

  

  

  Abstract

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  This study investigated that the media usage patterns and information reliability of acquiring information related to cardio-cerebrovascular disease (CCVD) among middle-aged people (40s, 50s), a group which has recorded a rapid increase in the prevalence of CCVD. To increase the sophistication of the analysis, the survey was conducted by dividing patients with 1) hypertension, 2) those with CCVD, and 3) those without hypertension and CCVD. The research results derived based on this are as follows. It was found that the respondents who responded to the survey used online news the most to obtain information on CCVD and used social media and SNS information the least. Meanwhile, the results of comparative analysis of patients with CCVD and, hypertension, and those without CCVD and hypertension showed that the degree of acquiring information about CCVD through traditional media and medical health experts was different. Specifically, it was found that the response of obtaining CCVD information through traditional media was statistically significant in those with CCVD compared to those with hypertension and those without CCVD and hypertension. Those with CCVD showed the highest level of response to obtaining information about CCVD through medical health professionals, followed by those with hypertension and those without CCVD and hypertension. All three groups showed a statistically significant level of difference. On the other hand, the reliability of media information to obtain information on CCVD was found to trust the information of medical and health experts the most, followed by trust in the information provided by the traditional media, acquaintances and family. Responses to trust the information related to CCVD provided by online news showed lower levels than the medical health professionals, traditional media, acquaintances, and family members, and it was found that the reliability of information provided by social media and SNS was the lowest.
  Based on the above research results, this study proposed a segmented media use strategy for each target group, such as developing a doctor-patient communication strategy, inducing health behavior through dialogue between acquaintances and/or family members, and producing a documentary program related to CCVD using a local broadcasting station.

• Original Articles 2021-12-02

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  Stepwise stroke recognition through Clinical Information, Vital signs, and Initial Labs (CIVIL) : electronic health record-based observational cohort study

  Sung Eun Lee, Min Kim, Ji Man Hong, Seung Hee Lee, Sang-Moon Yun, Won-Ho Kim

  Public Health Weekly Report 2021; 14(49): 3495-3501

  Abstract

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  Stroke recognition systems have been developed to reduce time delays, however, a comprehensive triaging score identifying stroke subtypes is needed to guide appropriate management. This study aimed to develop a prehospital scoring system for rapid stroke recognition and identify stroke subtype simultaneously.
  In the prospective database of the regional emergency and stroke center, the Clinical Information, Vital signs, and Initial Labs (CIVIL) of 1,599 patients suspected of acute stroke was analyzed from an automatically-stored electronic health record. Final confirmation was performed with neuroimaging. Using multiple regression analyses, this study determined independent predictors of tier 1 (true-stroke or not), tier 2 (hemorrhagic stroke or not), and tier 3 (emergent large vessel occlusion [ELVO] or not). The diagnostic performance of the stepwise CIVIL scoring system was investigated using internal validation. A new scoring system characterized by a stepwise clinical assessment was developed in three tiers.
  Tier 1: Seven CIVIL-AS3A2P items (total score from –7 to +6) were deduced for true stroke as age (>60 years); stroke risks without seizure or psychiatric disease, extreme sugar; “any asymmetry”, “not ambulating”; abnormal blood pressure at a cut-off point +1 with diagnostic sensitivity of 82.1%, specificity of 56.4%. Tier 2: Four items for hemorrhagic stroke were identified as the CIVIL-MAPS indicating mental change, Age below 60 years, high blood Pressure, no Stroke risks with cut-point +2 (sensitivity 47.5%, specificity 85.4%). Tier 3: For ELVO diagnosis: we applied with CIVIL-GFAST items (Gaze, Face, Arm, Speech) with cut-point >3 (sensitivity 66.5%, specificity 79.8%) were applied.
  The CIVIL score is a comprehensive and versatile system that recognizes strokes and identifies the stroke subtype simultaneously.

• Noncommunicable Disease Statistics 2021-12-02

  0 184 184

  Trends in Prevalence of Anemia, 2007-2019

  Public Health Weekly Report 2021; 14(49): 3502-3503

  

  

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