Osong Public Health and Research Perspectives

Original Articles

Individual and contextual factors associated with measles infection in Malaysia: a multilevel analysis: Mohd Rujhan Hadfi Mat Daud, Nor Azwany Yaacob, Wan Nor Arifin, Jamiatul Aida Md Sani, Wan Abdul Hannan Wan Ibadullah; Osong Public Health Res Perspect. 2024;15(5):429-439. Published online August 21, 2024; DOI: https://doi.org/10.24171/j.phrp.2024.0156

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Graphical Abstract Abstract PDF: Objectives
Despite effective vaccination strategies, measles remains a global public health challenge. The study explored individual and contextual factors associated with measles infection in Malaysia from 2018 to 2022, informing the development of targeted public health interventions. Methods: This cross-sectional study utilised data from the Ministry of Health, the Department of Statistics, and the Department of Environment Malaysia. Multilevel logistic regression analysis was employed to examine individual-level factors, including age, sex, ethnicity, nationality, contact history, travel history, and vaccination status. Concurrently, contextual factors were assessed, encompassing district-level determinants such as population density, median household income, urbanisation, the number of health and rural clinics, vaccination rates, fine particulate matter less than 2.5 μm (PM2.5) levels, relative humidity, and temperature, to determine their impact on measles infection risk. Results: Measles infection was significantly associated with various individual factors. These included age (adjusted odds ratio [aOR], 1.02; 95% confidence interval [CI], 1.02–1.03), ethnicity, non-Malaysian nationality (aOR, 34.53; 95% CI, 8.42– 141.51), prior contact with a measles case (aOR, 2.36; 95% CI, 2.07–2.69), travel history (aOR, 2.30; 95% CI, 1.13–4.70), and vaccination status (aOR, 0.76; 95% CI, 0.72–0.79). Among contextual factors, urbanisation (aOR, 1.56; 95% CI, 1.16– 2.10) and the number of clinics (aOR, 0.98; 95% CI, 0.97–0.99) were significant determinants. Conclusion: This multilevel logistic regression analysis illuminates the complexities of measles transmission, advocating public health interventions tailored to individual and contextual vulnerabilities. The findings highlight the need for a synergistic approach that combines vaccination campaigns, healthcare accessibility improvements, and socioeconomic interventions to effectively combat measles.

Neighborhood Deprivation and Unmet Health Care Needs: A Multilevel Analysis of Older Individuals in South Korea: Seung Eun Lee, Miyeon Yeon, Chul-Woung Kim, Tae-Ho Yoon, Dongjin Kim, Jihee Choi; Osong Public Health Res Perspect. 2019;10(5):295-306. Published online October 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.5.06

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Objectives

In this study the relationship between neighborhood deprivation and the unmet health care needs of elderly individuals (≥ 65 years) was examined. Some previous studies suggested that neighborhood characteristics affect access to health care, yet research on the unmet needs of older individuals is limited.

Methods

Multilevel logistic regression analysis was used to assess the relationship of neighborhood-level factors with unmet health care needs due to costs, adjusting for individual-level factors, in individuals ≥ 65 years in the 2017 Korean Community Health Survey (n = 63,388).

Results

There were 2.6% of elderly individuals who experienced unmet health care needs due to costs. Following adjustment for individual and neighborhood characteristics, the neighborhood deprivation in urban areas was found to have an inverse association with unmet needs (odds ratio = 0.50; 95% confidence interval = 0.24–1.06) for the most deprived quartile versus the least deprived quartile). However, in rural areas neighborhood deprivation was not a significant variable. Among the individual-level variables, household income was one of the strongest correlates with unmet needs in both urban and rural areas.

Conclusion

The present findings suggest that targeted policy interventions reflecting both neighborhood and individual characteristics, should be implemented to reduce the unmet health care needs of elderly individuals.

Citations

Citations to this article as recorded by

What are the factors affecting older adults’ experience of unmet healthcare needs amid the COVID-19 pandemic in Korea?
Sujin Kim, Jongnam Hwang
BMC Geriatrics.2023;[Epub] CrossRef
Linking neighbourhood safety and children's internalizing and externalizing problems: Mediating role of maternal depression
Youngmin Cho
Child & Family Social Work.2023; 28(4): 1089. CrossRef
Urban-Rural Differences in the Prevalence of Depressive Symptoms in Korean Adults
Ji-An Jeong, Sun A Kim, Jung Ho Yang, Min-Ho Shin
Chonnam Medical Journal.2023; 59(2): 128. CrossRef
PhaVIP: Phage VIrion Protein classification based on chaos game representation and Vision Transformer
Jiayu Shang, Cheng Peng, Xubo Tang, Yanni Sun
Bioinformatics.2023; 39(Supplement): i30. CrossRef
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A. A. Zelenina, S. A. Shalnova, S. A. Maksimov
Cardiovascular Therapy and Prevention.2023; 22(7): 3652. CrossRef
The Older Persons' Index of Multiple Deprivation: Measuring the deprivation circumstances of older populations in Aotearoa New Zealand
Daniel J. Exeter, Michael Browne, Tommi Robinson-Chen, Jessie Colbert, Ngaire Kerse, Arier Lee
Health & Place.2022; 76: 102850. CrossRef
The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults
Chiyoung Lee, Qing Yang, Eun-Ok Im, Eleanor Schildwachter McConnell, Sin-Ho Jung, Hyeoneui Kim
Journal of Cardiovascular Nursing.2021; 36(4): E38. CrossRef
Association between community deprivation and practising health behaviours among South Korean adults: a survey-based cross-sectional study
Bich Na Jang, Hin Moi Youn, Doo Woong Lee, Jae Hong Joo, Eun-Cheol Park
BMJ Open.2021; 11(6): e047244. CrossRef

Associations between Social and Physical Environments, and Physical Activity in Adults from Urban and Rural Regions: Bongjeong Kim, Hye Sun Hyun; Osong Public Health Res Perspect. 2018;9(1):16-24. Published online December 31, 2017; DOI: https://doi.org/10.24171/j.phrp.2018.9.1.04

6,042 View
56 Download
8 Crossref

Abstract PDF

Objectives

This study investigates investigated the relationship between social and physical environments, and moderate to vigorous physical activity (MVPA) amongst adults in both rural and urban areas within Korea.

Methods

A sample of 128,735 adults from the 2013 Community Health Survey (CHS) was analyzed using a multilevel logistic analysis.

Results

Urban residents with higher satisfaction in public transportation satisfaction and rural residents with more access to sports parks, hiking trails, and bike cycle paths were more likely to be active. The MVPA of adults from rural areas correlated urban adults was uncorrelatedwith neighborhood factors, but that of rural adults was whereas no correlations were observed in adults from urban areas.

Conclusion

These differences should be considered when developing interventions strategies to enhance adult physical activity in different communities.

Citations

Citations to this article as recorded by

Built and natural environment correlates of physical activity of adults living in rural areas: a systematic review
Christina Müller, Lisa Paulsen, Jens Bucksch, Birgit Wallmann-Sperlich
International Journal of Behavioral Nutrition and .2024;[Epub] CrossRef
Work till old age: an analysis of self-employment’s impact on depression among the older adults in China
Li He, Jinxu Zhao, Man Li, Zhiyong Song, Yanling Ma, Zhixiong Yang
Frontiers in Psychiatry.2024;[Epub] CrossRef
Neighborhood Environmental Factors and Physical Activity Status among Rural Older Adults in Japan
Kenta Okuyama, Takafumi Abe, Xinjun Li, Yuta Toyama, Kristina Sundquist, Toru Nabika
International Journal of Environmental Research an.2021; 18(4): 1450. CrossRef
Youth’s Physical Activity and Fitness from a Rural Environment of an Azores Island
João Pedro Gouveia, Pedro Forte, Eduarda Coelho
Social Sciences.2021; 10(3): 96. CrossRef
The Changes in Obesity Prevalence and Dietary Habits in Korean Adults by Residential Area during the Last 10 Years — Based on the 4th (2007–2009) and the 7th (2016–2018) Korea National Health and Nutrition Examination Survey Data
Da-Mee Kim, Kyung-Hee Kim
Korean Journal of Community Nutrition.2021; 26(1): 37. CrossRef
Regional Disparity in Adult Obesity Prevalence, and Its Determinants
Bongjeong Kim
Journal of Health Informatics and Statistics.2021; 46(4): 410. CrossRef
Factors Affecting Activity Limitation in the Elderly: Data Processed from the Korea National Health and Nutrition Examination Survey, 2016
Jong-Hoon Moon
Osong Public Health and Research Perspectives.2019; 10(3): 117. CrossRef
Corrigendum to “Associations between Social and Physical Environments, and Physical Activity in Adults from Urban and Rural Regions”[Osong Public Health Res Perspect 2018;9(1):16–24]
Bongjeong Kim, Hye Sun Hyun
Osong Public Health and Research Perspectives.2018; 9(5): 283. CrossRef

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