Osong Public Health and Research Perspectives

Epidemiological trends and regional risk factors for scrub typhus in Busan, Republic of Korea: 2019–2023: Keoungsuk Kim, Hyeokjin Lee, Seungah Park, Gey Ok Lee, Sang-Eun Lee; Received January 24, 2026 Accepted March 19, 2026 Published online May 11, 2026; DOI: https://doi.org/10.24171/j.phrp.2026.0085 [Epub ahead of print]

Abstract
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Objectives
Scrub typhus, an acute disease caused by Orientia tsutsugamushi and transmitted by larval chigger mites, is a representative autumn febrile illness in the Republic of Korea. We examined epidemiological characteristics underlying spatial heterogeneity in Busan Metropolitan City to inform region-specific prevention and control policies.
Methods
We analyzed 1,645 confirmed and suspected scrub typhus cases reported in Busan from 2019 to 2023. Crude incidence rates and age-standardized incidence rates (ASIRs) per 100,000 population were calculated using the 2021 mid-year population. The chi-square test assessed associations between disease occurrence and exposure activities within the preceding 30 days. Correlation analyses examined the relationships of ASIR with environmental indicators, including per capita urban forest area, and epidemiological indicators, including prior infectious disease education.
Results
The overall mean ASIR in Busan was 8.35 per 100,000 population, below the national average. However, incidence was higher in peri-urban districts, including Gijang-gun (26.12/100,000) and Gangseo-gu (15.02/100,000), than in central urban districts such as Jung-gu (2.20/100,000). Higher incidence was observed among women and older adults (≥60 years). ASIR correlated strongly with per capita urban forest area (r=0.92; 95% confidence interval, 0.79–0.97; p<0.001). Regional differences were significant for agriculture/forestry, gardening, and general outdoor activities (p<0.001). Districts with higher incidence also displayed higher rates of infectious disease education, although this may reflect reverse causation.
Conclusion
In Busan, scrub typhus incidence was concentrated in peri-urban districts. These findings support region-specific prevention strategies, evaluation of infectious disease education, enhanced mite surveillance, and practical protective measures during fieldwork.

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Evidence for a perinatal origin of childhood obesity: a systematic review and meta-analysis of risk and protective factors: Andi Rispah Sulistianingsih, Nurjazuli Nurjazuli, Martha Irene Kartasurya, Syamsulhuda Budi Musthofa, Jauhari Oka Reuwpassa; Osong Public Health Res Perspect 2026;17(2):114-135.
Published online March 27, 2026; DOI: https://doi.org/10.24171/j.phrp.2025.0351

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Factors influencing adherence to anti-tuberculosis treatment in Morocco: a cross-sectional study from the Béni Mellal-Khénifra region: Mohamed Dellal, Sanae Batoui, Youness Aassem, Khalid Habbari; Osong Public Health Res Perspect 2025;16(5):476-485.
Published online September 19, 2025; DOI: https://doi.org/10.24171/j.phrp.2025.0153

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Identifying risk factors for COVID-19 cluster infections in schools in the Republic of Korea: a case-control study: Jihyun Choi, Seongju Choi, Baigu Lee, Young-Joon Park, Sang Eun Lee; Osong Public Health Res Perspect 2024;15(4):375-382.
Published online July 11, 2024; DOI: https://doi.org/10.24171/j.phrp.2023.0351

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Household secondary attack rates and risk factors during periods of SARS-CoV-2 Delta and Omicron variant predominance in the Republic of Korea: Jin Lee, Mijeong Ko, Seontae Kim, Dosang Lim, Gemma Park, Sang-Eun Lee; Osong Public Health Res Perspect 2023;14(4):263-271.
Published online August 11, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0133

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Risk factors for transmission in a COVID-19 cluster infection in a high school in the Republic of Korea: Jin-Hwan Jeon, Su Jin Kang, Se-Jin Jeong, Hyeon-Cheol Jang, Young-Joon Park, Sang-Eun Lee; Osong Public Health Res Perspect 2023;14(4):252-262.
Published online July 27, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0125

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Risk factors associated with death due to severe fever with thrombocytopenia syndrome in hospitalized Korean patients (2018–2022): Jia Kim, Hyo-jeong Hong, Ji-hye Hwang, Na-Ri Shin, Kyungwon Hwang; Osong Public Health Res Perspect 2023;14(3):151-163.
Published online June 8, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0048

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Risk factors for deaths associated with COVID-19 according to the cause of death classification in Republic of Korea: Na-Young Kim, Seong-Sun Kim, Hyun Ju Lee, Dong Hwi Kim, Boyeong Ryu, Eunjeong Shin, Donghyok Kwon; Osong Public Health Res Perspect 2023;14(2):89-99.
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Published online October 26, 2021; DOI: https://doi.org/10.24171/j.phrp.2021.0208

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Risk Factors in Early Life for Preschool Children in Korea that are Associated with Being Overweight or Obese: Jin Suk Ra, Hyun Jung Yun; Osong Public Health Res Perspect 2020;11(1):15-26.
Published online February 28, 2020; DOI: https://doi.org/10.24171/j.phrp.2020.11.1.04

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Enteroparasitism and Risk Factors Associated with Clinical Manifestations in Children and Adults of Jalisco State in Western Mexico: María de la Luz Galván-Ramírez, Ana Luisa Madriz-Elisondo, Cynthia Guadalupe Temores Ramírez, Jorge de Jesús Romero Rameño, Dania Araceli de la O Carrasco, Marco Antonio Cardona López; Osong Public Health Res Perspect 2019;10(1):39-48.
Published online February 28, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.1.08

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Published online June 30, 2011; DOI: https://doi.org/10.1016/j.phrp.2011.07.006

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