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Predictors Affecting the Elderly’s Use of Emergency Medical Services
Ju Moon Park, Aeree Sohn
Osong Public Health Res Perspect. 2020;11(4):209-215.   Published online August 31, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.4.10
  • 4,963 View
  • 77 Download
  • 3 Web of Science
  • 6 Crossref
AbstractAbstract PDF
Objectives

Elderly adults are the demographic most likely to utilize emergency medical services (EMS). This study aimed to examine the difference in EMS utilization in subgroups of the elderly population by assessing the predictors for using EMS.

Methods

Using both descriptive and logistic regression analyses, this study analyses data from the 2014 Korean Health Panel Survey (n = 3,175).

Results

It was observed that certain predisposing factors such as age, sex, and marital status were significant predictors of EMS utilization. However, differences in EMS need do not fully account for the original differences observed between subgroups of elderly Koreans. While health status and disability were important predictors of elderly Koreans using EMS, place of residence did not account for subgroup differences. Nonetheless, place of residence remained particularly important predictors of EMS utilization for the elderly.

Conclusion

Emergency needs and resource availability are 2 main determinants for elderly Koreans using EMS. In addition, it was observed that the demographic subgroup profile of unmarried/divorced/separated/widowed men who were aged 75 and older was least likely to utilize EMS. Improving their resource availability to meet their EMS needs should be a top priority for national policy making to narrow elderly population subgroup differences.

Citations

Citations to this article as recorded by  
  • Fatores associados às causas externas em idosos atendidos pelo serviço de atendimento móvel de urgência
    Ana Angélica Oliveira de Brito, Beatriz Barros de Vasconcelos, Ana Maria Ribeiro dos Santos, Débora de Oliveira Lima, Maria Zélia de Araújo Madeira, Guilherme Guarino de Moura Sá, Julyanne dos Santos Nolêto, Rouslanny Kelly Cipriano de Oliveira
    Revista Gaúcha de Enfermagem.2024;[Epub]     CrossRef
  • Factors associated with external causes in elderly attended by the mobile emergency care service
    Ana Angélica Oliveira de Brito, Beatriz Barros de Vasconcelos, Ana Maria Ribeiro dos Santos, Débora de Oliveira Lima, Maria Zélia de Araújo Madeira, Guilherme Guarino de Moura Sá, Julyanne dos Santos Nolêto, Rouslanny Kelly Cipriano de Oliveira
    Revista Gaúcha de Enfermagem.2024;[Epub]     CrossRef
  • The Epidemiology of Adult Emergency Medical Services Use in Muğla
    Ömer Faruk Karakoyun, Kıvanç Karaman, Burcu Kaymak Golcuk, Yalcin Golcuk
    Paramedik ve Acil Sağlık Hizmetleri Dergisi.2024; 5(1): 1.     CrossRef
  • Medical and social factors influencing the utilization of healthcare services among older adults in Israel during the COVID-19 lockdown
    Ohad Shaked, Liat Korn, Yair Shapiro, Moti Zwilling, Avi Zigdon
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Social Factors Contributing to Healthcare Service Requirements during the First COVID-19 Lockdown among Older Adults
    Ohad Shaked, Liat Korn, Yair Shapiro, Avi Zigdon
    Healthcare.2022; 10(10): 1854.     CrossRef
  • Socio-demographic characteristics and their relation to medical service consumption among elderly in Israel during the COVID-19 lockdown in 2020 as compared to the corresponding period in 2019
    Ohad Shaked, Liat Korn, Yair Shapiro, Gideon Koren, Avi Zigdon, Aviad Tur-Sinai
    PLOS ONE.2022; 17(12): e0278893.     CrossRef
The Association Between Lung Function and Type 2 Diabetes in Koreans
Do-Youn Lee, Seung-min Nam
Osong Public Health Res Perspect. 2020;11(1):27-33.   Published online February 28, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.1.05
  • 5,907 View
  • 135 Download
  • 2 Web of Science
  • 4 Crossref
AbstractAbstract PDF
Objectives

This study was performed to test the association between lung function and type 2 diabetes mellitus (T2DM) in Korean patients.

Methods

Data from the 6th Korea National Health and Nutrition Examination Survey (2013 to 2015) was used in this study. There were 3,466 individuals aged between 40 and 80 years, with T2DM, who had a smoking and alcohol status listed, and blood analysis (including blood pressure), were included in this study. Lung function, measured by spirometer ventilatory dysfunction was categorized into 3 patterns: normal, restrictive ventilatory dysfunction, and obstructive ventilatory dysfunction (OVD).

Results

Based on multivariate logistic regression analysis, individuals with restrictive ventilatory dysfunction had an increased odds ratio (OR 1.615, 95% CI 1.137–2.294) for T2DM compared with individuals with normal ventilatory function, whereas OVD had no increase in the odds ratio (OR 1.169, 95 % CI 0.857–1.594). Model 1, which adjusted for age and gender, showed that the probability of having restrictive disorder was 1.559 times (95% CI 1.617–2.082) higher for prediabetes patients, and 2.320 times (95% CI 1.611–3.343) higher for T2DM patients, compared to normal individuals. For Model 4, which was fully adjusted for variables, the probability of having a restrictive disorder was 1.837 times higher for T2DM patients (95% CI 1.260–2.679).

Conclusion

Restrictive ventilatory dysfunction, but not OVD, was associated independently with T2DM.

Citations

Citations to this article as recorded by  
  • Cardiorespiratory dynamics of type 2 diabetes mellitus: An extensive view of breathing and fitness challenges in a diabetes prevalent population
    Uzair Abbas, Shahbaz Ali Shah, Nisha Babar, Pashmina Agha, Mohiba Ali Khowaja, Maryam Nasrumminallah, Hibba Erum Arif, Niaz Hussain, Syed Mustafa Hasan, Israr Ahmed Baloch, Hidetaka Hamasaki
    PLOS ONE.2024; 19(7): e0303564.     CrossRef
  • Evaluating the impact of type 2 diabetes mellitus on pulmonary vascular function and the development of pulmonary fibrosis
    Nhlakanipho Mzimela, Nosipho Dimba, Aubrey Sosibo, Andile Khathi
    Frontiers in Endocrinology.2024;[Epub]     CrossRef
  • Hidden chronic metabolic acidosis of diabetes type 2 (CMAD): Clues, causes and consequences
    Hayder A. Giha
    Reviews in Endocrine and Metabolic Disorders.2023; 24(4): 735.     CrossRef
  • Association of Pulmonary Function Decline over Time with Longitudinal Change of Glycated Hemoglobin in Participants without Diabetes Mellitus
    Wen-Hsien Lee, Da-Wei Wu, Ying-Chih Chen, Yi-Hsueh Liu, Wei-Sheng Liao, Szu-Chia Chen, Chih-Hsing Hung, Chao-Hung Kuo, Ho-Ming Su
    Journal of Personalized Medicine.2021; 11(10): 994.     CrossRef

PHRP : Osong Public Health and Research Perspectives