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Discussion of Global Public Health—Risks, Safety, Vulnerabilities and Healthcare System

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 9434

Special Issue Editor


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Guest Editor
Department of Gerontology Health and Welfare, College of Natural Science, Pai Chai University, 155-40 Baejae-ro, Daejeon 35345, Republic of Korea
Interests: public health; environmental health; preventive medicine; women health; tobacco control; health geography; health behavior; health education; healthy city

Special Issue Information

Dear Colleagues,

We continue to face public health challenges globally and nationally. COVID-19 is catalyzing a crisis and transforming social, cultural, and health systems, and places that do not adequately overcome these challenges face a severe public health crisis. Even in this situation, we must continue efforts to identify and intervene in various health determinants from a public health perspective. This Special Issue looks for articles on risk factors, safety, vulnerability, and healthcare systems in health.

Potential topics include but are not limited to global public health, COVID-19, determinants of health, health risk factors, health equity, safety and health, role of healthcare systems in population health status, and perspectives in public health.

Dr. Myung-Bae Park
Guest Editor

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Keywords

  • global public health
  • COVID-19
  • determinants of health
  • health equity
  • safety
  • vulnerabilities
  • healthcare systems

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Published Papers (5 papers)

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Editorial

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4 pages, 277 KiB  
Editorial
Differences between Self-Report and Biomarkers in Smoking Indicators: The Necessity of Biomonitoring in Global Surveillance
by Myung-Bae Park
Int. J. Environ. Res. Public Health 2023, 20(3), 1801; https://doi.org/10.3390/ijerph20031801 - 18 Jan 2023
Cited by 1 | Viewed by 1064
Abstract
Tobacco causes premature death through cardiovascular disease, cancer, and respiratory disease [...] Full article

Research

Jump to: Editorial

11 pages, 315 KiB  
Article
Factors Affecting Inpatients’ Mortality through Intentional Self-Harm at In-Hospitals in South Korea
by Sulki Choi, Sangmi Kim and Hyunsook Lee
Int. J. Environ. Res. Public Health 2023, 20(4), 3095; https://doi.org/10.3390/ijerph20043095 - 10 Feb 2023
Viewed by 1289
Abstract
This study aimed to identify the patient characteristics, comorbidities, risk factors, and means of the self-harm of patients who attempt self-harm in and outside of a hospital, and to determine the characteristics of death by suicide among survival and death patient groups in [...] Read more.
This study aimed to identify the patient characteristics, comorbidities, risk factors, and means of the self-harm of patients who attempt self-harm in and outside of a hospital, and to determine the characteristics of death by suicide among survival and death patient groups in South Korea. This study used data from the Korean National Hospital Discharge In-depth Injury Survey conducted from 2007 to 2019. In total, 7192 outpatient participants and 43 inpatient participants performed self-harm. Frequency analysis, chi-square tests, Fisher’s exact test, and logistic regression analysis were performed using STATA, version 15.0 (StataCorp), and statistical significance was set at 5%. Thirty-one inpatients who performed self-harm survived, and 12 died. Among male inpatients, the older they were, the higher the rates of self-harm and mortality rates due to falls and poisoning if they had comorbidities and financial problems. In addition, the rate of self-harm attempts within a short period after hospitalization was high. Our evidence of the characteristics of patients who performed self-harm in the hospital and the influencing factors of self-harm can be used as primary data for predicting patients at a high risk of self-harm and for creating preventative policies to reduce the risk of self-harm among inpatients in South Korea. Full article
12 pages, 340 KiB  
Article
Factors Influencing Depressive Symptoms in Middle-Aged South Korean Workers by Job Type: A Population-Based Study
by Myoungjin Kwon, Sung Yun Ahn and Sun Ae Kim
Int. J. Environ. Res. Public Health 2022, 19(21), 14310; https://doi.org/10.3390/ijerph192114310 - 2 Nov 2022
Cited by 1 | Viewed by 1578
Abstract
Depressive symptoms can be influenced by different factors, including job types. In this study, we identified factors that affect depressive symptoms among South Korean workers by job type using data from the Korea National Health and Nutrition Examination Survey. Examined respondents were between [...] Read more.
Depressive symptoms can be influenced by different factors, including job types. In this study, we identified factors that affect depressive symptoms among South Korean workers by job type using data from the Korea National Health and Nutrition Examination Survey. Examined respondents were between 40 and 69 years (N = 9375). A complex sample linear regression analysis revealed various significant factors based on job type. For office workers, the number of household members, health-related quality of life, diabetes, sitting time, subjective health, and stress were significant influencing factors for depressive symptoms (explanatory power of 23.2%) (p < 0.001). For service workers, gender, health-related quality of life, food intake, aerobic exercise, sitting time, subjective health, and stress were significant influencing factors for depressive symptoms (explanatory power of 49.6%) (p < 0.001). For labor workers, gender, type of living, health-related quality of life, BMI, weight change, weight control, aerobic exercise, diabetes, subjective health, and stress were significant influencing factors for depressive symptoms (explanatory power of 35.8%) (p < 0.001). These differences highlight the need for customized programs targeted at each job type to maintain and promote mental health among workers. Full article
10 pages, 804 KiB  
Article
The Impact of COVID-19 Pandemic on Outpatient Visits for All-Cause and Chronic Diseases in Korea: A Nationwide Population-Based Study
by Boram Sim and Eun Woo Nam
Int. J. Environ. Res. Public Health 2022, 19(9), 5674; https://doi.org/10.3390/ijerph19095674 - 6 May 2022
Cited by 7 | Viewed by 2018
Abstract
This study explores the impact of the coronavirus disease 2019 (COVID-19) pandemic on outpatient visits for all-cause and chronic diseases in 2020. We extracted the data of patients who visited medical institutions over the past five years (2016–2020) from nationwide claims data and [...] Read more.
This study explores the impact of the coronavirus disease 2019 (COVID-19) pandemic on outpatient visits for all-cause and chronic diseases in 2020. We extracted the data of patients who visited medical institutions over the past five years (2016–2020) from nationwide claims data and measured the number of monthly outpatient visits. A negative binomial regression model was fitted to monthly outpatient visits from 2016 to 2019 to estimate the numbers of 2020. The number of all-cause outpatient visits in 2020 was 12% lower than expected. However, this change was relatively stable in outpatient visits for chronic diseases, which was 2% lower than expected. Deficits in all-cause outpatient visits were observed in all months except January; however, deficits in outpatient visits for chronic diseases have rebounded since April 2020. The levels of change in healthcare utilization were observed differently among disease groups, which indicates that the impacts of the pandemic were disproportionate. This study calls for a policy response to emerging and reemerging infectious diseases, as the findings confirm that a health crisis, such as the COVID-19 pandemic, could disrupt the healthcare system. Assessing the mid-to long-term impacts of COVID-19 on healthcare utilization and health consequences will require further research. Full article
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10 pages, 605 KiB  
Article
Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data
by Young-Taek Park, Daekyun Kim, Su-Jin Koh, Yeon Sook Kim and Sang Mi Kim
Int. J. Environ. Res. Public Health 2022, 19(3), 1566; https://doi.org/10.3390/ijerph19031566 - 29 Jan 2022
Cited by 1 | Viewed by 2557
Abstract
The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which [...] Read more.
The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hospice Unit (IHU) care. This study aimed to compare the characteristics of two groups of hospice patients: COHC care only and both IHU care and COHC groups. Healthcare claim data from 1 April 2018 to 31 March 2020 were retrieved from the HIRA data warehouse system. The main outcome variable was patients receiving COHC only or both COHC and IHU care. The total number of hospice patients was 6482. A multivariate logistic regression analysis was used. Of 6482 hospice care recipients, 3789 (58.5%) received both COHC and IHU care. Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; p < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; p < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; p < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; p < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. Policymakers on hospice care need to establish plans that promote efficient hospice care delivery systems. Full article
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