Effect of Practicing Health Behaviors on Unmet Needs among Patients with Chronic Diseases: A Longitudinal Study

Jang, Bich-Na; Kim, Hwi-Jun; Kim, Boram; Woo, Seonyeong; Lee, Woojin; Park, Sohee

doi:10.3390/ijerph18157977

Cited by 4 publications

(6 citation statements)

References 25 publications

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“…The inverse association between unhealthy living and the rate of health check-ups in middle-aged and older men could be linked to heightened health awareness, which often comes with advancing age [ 41 ]. In contrast to findings from individual-level research [ 16 ], we identified a negative association between unhealthy living and unmet medical needs in middle-aged and older women. Women in rural areas were more likely to experience unmet healthcare needs than those in other settings [ 42 ].…”

Section: Discussioncontrasting

confidence: 99%

“…However, these approaches may obscure the full nuances of factors associated with health practices in men and women across age groups, which could be better understood through a stratified analysis. In addition, heterogeneity across studies, such as the definitions of clustered unhealthy lifestyles and the covariates examined, can impede the synthesis of findings from multiple studies, which is necessary to gain a broader understanding of health lifestyles among diverse subpopulations [ 12 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of unhealthy living by gender, age group, and chronic health conditions across districts in South Korea using the 2010-2017 Community Health Surveys

Bui,

Nguyen,

Lee

et al. 2024

Epidemiol Health

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OBJECTIVES We investigated the prevalence and determinants of unhealthy living by gender, age, and comorbidities across Korean districts. METHODS For 806,246 men and 923,260 women from 245 districts who participated in the 2010-2017 Korean Community Health Surveys, risk scores were calculated based on obesity, physical inactivity, smoking, and high-risk alcohol consumption, each scored from 0 (lowest risk) to 2 (highest risk). A risk score ≥4 was defined as indicating unhealthy living, and weighted proportions were calculated for each district. Using multivariate regression, an ecological model including community socioeconomic, interpersonal, and neighborhood factors was examined by gender, age, and comorbidities. RESULTS The mean age-standardized rate of unhealthy living was 24.05% for men and 4.91% for women (coefficients of variation, 13.94% and 29.51%, respectively). Individuals with chronic diseases more frequently exhibited unhealthy lifestyles. Unhealthy lifestyles were associated with educational attainment (β-coefficients: men, -0.21; women, -0.15), high household income (β=0.08 and 0.03, respectively), pub density (β=0.52 and 0.22, respectively), and fast-food outlet density (β=2.81 and 1.63, respectively). Negative associations were observed with manual labor, social activity participation, and hospital bed density. Unhealthy living was positively associated with living alone among women and with being unemployed among middle-aged men. Access to parks was negatively associated with unhealthy living among young men and women. The ecological model explained 32% of regional variation in men and 41% in women. CONCLUSIONS Improving the neighborhood built and socioeconomic environment may reduce regional disparities in lifestyle behaviors; however, the impacts may vary according to socio-demographic traits and comorbidities.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determinants of unhealthy living by gender, age group, and chronic health conditions across districts in South Korea using the 2010-2017 Community Health Surveys

Bui,

Nguyen,

Lee

et al. 2024

Epidemiol Health

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“…Finally, we found differences in the number of older adults who received or did not receive help if they had a chronic condition. Previous literature has shown that older adults with chronic condition are more likely to report a perceived unmet health care need ( Jang et al, 2021 ). However, the MHAS does not include follow-up questions to identify the reasons why these needs go unattended.…”

Section: Discussionmentioning

confidence: 99%

Caregiving to Older Adults With a Physical Limitation: Evidence From the Mexican Health and Aging Study

Díaz-Venegas¹,

Samper‐Ternent

Wong

2023

Innovation in Aging

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Background and Objectives Many older adults face physical limitations to performing activities of daily life (ADLs) and instrumental activities of daily life (IADLs) and seek help with performing them. In Mexico, family caregivers, especially spouses and adult children, traditionally take care of older adults. However, a detailed characterization of the care received has not been thoroughly provided. We sought to identify socioeconomic, demographic, and health-related differences in receiving help among older adults reporting physical limitations. Research Design and Methods Using the 2012 wave of the Mexican Health and Aging Study, we provided information on adults aged 60+ who reported one or more physical limitations and whether they received help or not. We estimated two logistic regression models to obtain the odds ratios (ORs) of receiving help among individuals with an ADL limitation and those with an IADL limitation. Results Adults with ADL limitations received, on average, approximately 10.7 hours of assistance per day, whereas those with at least one IADL limitation received around 7.7 hours of help per day. Women were more likely to receive help with ADLs than men (OR = 2.35). Individuals with chronic conditions such as hypertension, diabetes, and arthritis also received more help with both ADLs and IADLs. Discussion and Implications Our work suggests that help received does respond to the care needs of older adults, but future research should focus on the burden of care for caregivers and expand this analysis using a longitudinal data approach.

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“…According to the previous study, however, among 5,820 Korean adults, 66.0% did not meet any of the physical activity guidelines using moderate and vigorous physical activity time and resistance exercise frequency from the Korea National Health and Nutrition Examination Survey [1]. Indeed, in South Korea, due to the increasing proportion of elderly population and those conducting poor health behaviors, including lack of exercises, the prevalence of chronic diseases are growing [2].…”

Section: Introductionmentioning

confidence: 92%

“…Also, physical activity and exercise are now considered principal interventions for use in primary and secondary prevention of chronic diseases [5]. Despite the fact that insu cient physical activity is one of the main risk factors for chronic diseases and patients with chronic diseases experience an increase in individual medical needs, limited research has scrutinized the effects of physical activity on medical expenses for those with chronic diseases [2]. This gap in the research led me to investigate the potential connection between medical expenses and behavioral changes in regular physical activity among patients with chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

Effect of Changes in Physical Activity on Medical Expenditure among South Korean Adults with Chronic Diseases

Jeong

2024

Preprint

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Objectives Regular physical activity is a cost-effective way to enhance both physical and mental health without any side effects. Yet, among 5,820 Korean adults, 66.0% did not meet any of the physical activity guidelines. Due to the increasing proportion of elderly population and those conducting poor health behaviors, such as lack of exercises, the prevalence of chronic diseases is growing rapidly in South Korea. Nevertheless of the circumstances getting worse and economic burden increasing as a result, lack of researches scrutinized the effects of physical activity of patients with chronic diseases on medical expense. Therefore, this study aimed to examine the effect of changes in physical activity on medical expenses among South Korean adults with chronic diseases. Methods Data were included from the 2014, 2015, 2016, 2017 and 2018 Korea Health Panel Survey. The KHPS is conducted by a national institution based on 90% of the 2005 Population and Housing Census data as a sampling frame, and therefore, the national representation was maintained. “Changes in physical activity” was the main independent variable. Physical activity was categorized as one of the four status: increase, decrease, remained active, remained inactive. The dependent variable, medical expenditure, was calculated by the sum of outpatient medical expenses, hospitalization expenses, and emergency medical expenses. Generalized Estimating Equation was performed to examine target effect. Results Those who decreased physical activity compared to the previous year presented with a higher estimate of total medical cost compared to those who maintained regular physical activity. (decrease: estimate = 392269.40, p-value = 0.0174). More importantly, those who remained inactive resulted in highest total medical cost (remained inactive: estimate = 476968.60, p-value = 0.0005). Lastly, those started to perform regular physical activity did not show a statistically significant difference between those who always remained active. Conclusion This study suggests that every patient with chronic diseases to either start or continue to exercise and the government officials to develop chronic diseases management programs inducing patients to actively participate in physical activity, for both maintaining a healthy quality of life for the individual and minimizing excessive medical expenses.

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Effect of Practicing Health Behaviors on Unmet Needs among Patients with Chronic Diseases: A Longitudinal Study

Cited by 4 publications

References 25 publications

Determinants of unhealthy living by gender, age group, and chronic health conditions across districts in South Korea using the 2010-2017 Community Health Surveys

Determinants of unhealthy living by gender, age group, and chronic health conditions across districts in South Korea using the 2010-2017 Community Health Surveys

Caregiving to Older Adults With a Physical Limitation: Evidence From the Mexican Health and Aging Study

Effect of Changes in Physical Activity on Medical Expenditure among South Korean Adults with Chronic Diseases

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