Suicide Risk and Living Alone With Depression or Anxiety DOI Creative Commons
Daa Un Moon, Hyewon Kim, Jin‐Hyung Jung

et al.

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(3), P. e251227 - e251227

Published: March 26, 2025

Importance Living alone and mental health disorders, including depression anxiety, are associated with high suicide risk, but their combined impact remains underexplored. Objective To examine the association of living arrangements or anxiety risk. Design, Setting, Participants This population-based cohort study used data from Korean National Health Insurance Service database January 1, 2009, to December 31, 2021, that included adults aged 20 years older who participated in General Screening Program Korea 2009. Individuals incomplete those died by within first year were excluded minimize possibility reverse causation. Data analyzed 28, 2023, 27, 2024. Exposures arrangements, categorized as (≥5 years) others, determined using International Statistical Classification Diseases Related Problems, Tenth Revision codes. Main Outcomes Measures The primary outcome was death suicide, identified through national records. Multivariable Cox proportional hazards regression models estimate adjusted hazard ratios (AHRs) 95% CIs for Results 3 764 279 (mean [SD] age, 47.2 [14.0] years; 55.8% male). Of these individuals, 112 460 (3.0%) had depression, 232 305 (6.2%) 319 993 (8.5%) lived alone. Compared individuals neither nor alone, both exhibited a 558% increased risk (AHR, 6.58 [95% CI, 4.86-8.92]). 290% 3.91 2.96-5.16]), 90% 1.90 1.48-2.43]). AHRs higher between among middle-aged (aged 40 64 men compared other demographic groups. Conclusions Relevance In this an particularly men. These findings underscore importance preventing illness, such while addressing critical factor assessments conditions.

Language: Английский

Big Data Research for Diabetes-Related Diseases Using the Korean National Health Information Database DOI Creative Commons
Kyung‐Soo Kim, Bongseong Kim, Kyungdo Han

et al.

Diabetes & Metabolism Journal, Journal Year: 2025, Volume and Issue: 49(1), P. 13 - 21

Published: Jan. 1, 2025

The Korean National Health Information Database (NHID), which contains nationwide real-world claims data including sociodemographic data, health care utilization screening and healthcare provider information, is a powerful resource to test various hypotheses. It also longitudinal in nature due the recommended checkup every 2 years appropriate for long-term follow-up study as well evaluating relationships between outcomes changes parameters such lifestyle factors, anthropometric measurements, laboratory results. However, because these are not collected research purposes, precise operational definitions of diseases required facilitate big analysis using NHID. In this review, we describe characteristics NHID, used related diabetes, introduce representative diabetes-related

Language: Английский

Citations

1
Social determinants of health and type 2 diabetes in Asia DOI Creative Commons
Kyunghyun Sung, Seung‐Hwan Lee

Journal of Diabetes Investigation, Journal Year: 2025, Volume and Issue: unknown

Published: March 18, 2025

ABSTRACT Type 2 diabetes mellitus (T2DM) is a major global public health challenge driven by complex interplay of genetic, environmental, and social factors. This review highlights the effects determinants (SDOH) on T2DM in Asia, where rapid urbanization, worsening air pollution, distinct socioeconomic structures uniquely influence disease outcomes. Key SDOH domains, status (education, income, occupation), physical environment, food healthcare access, context, were analyzed for their associations with prevalence, progression, management. Among these, environmental lifestyle shifts have emerged as particularly influential factors Asia. Air fine particulate matter, has been increasingly linked to insulin resistance risk Asian populations. Additionally, urbanization changing environments contribute rising incidence through dietary patterns. Across diverse systems countries, primary care remains universally critical component addressing issues. capital cohesion serve protective factors, whereas isolation heightens vulnerabilities. These insights underscore importance strategies combat Future research should prioritize longitudinal studies culturally tailored interventions reduce region's burden.

Language: Английский

Citations

1
Suicide Risk and Living Alone With Depression or Anxiety DOI Creative Commons
Daa Un Moon, Hyewon Kim, Jin‐Hyung Jung

et al.

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(3), P. e251227 - e251227

Published: March 26, 2025

Importance Living alone and mental health disorders, including depression anxiety, are associated with high suicide risk, but their combined impact remains underexplored. Objective To examine the association of living arrangements or anxiety risk. Design, Setting, Participants This population-based cohort study used data from Korean National Health Insurance Service database January 1, 2009, to December 31, 2021, that included adults aged 20 years older who participated in General Screening Program Korea 2009. Individuals incomplete those died by within first year were excluded minimize possibility reverse causation. Data analyzed 28, 2023, 27, 2024. Exposures arrangements, categorized as (≥5 years) others, determined using International Statistical Classification Diseases Related Problems, Tenth Revision codes. Main Outcomes Measures The primary outcome was death suicide, identified through national records. Multivariable Cox proportional hazards regression models estimate adjusted hazard ratios (AHRs) 95% CIs for Results 3 764 279 (mean [SD] age, 47.2 [14.0] years; 55.8% male). Of these individuals, 112 460 (3.0%) had depression, 232 305 (6.2%) 319 993 (8.5%) lived alone. Compared individuals neither nor alone, both exhibited a 558% increased risk (AHR, 6.58 [95% CI, 4.86-8.92]). 290% 3.91 2.96-5.16]), 90% 1.90 1.48-2.43]). AHRs higher between among middle-aged (aged 40 64 men compared other demographic groups. Conclusions Relevance In this an particularly men. These findings underscore importance preventing illness, such while addressing critical factor assessments conditions.

Language: Английский

Citations

0