| Kyung Eun Yun | 2 Articles |
Background
The prevalence of current cigarette smoking is the net result of different processes over the entire life course, namely initiation, continuation and cessation of smoking. This study examined the association of socioeconomic indicators with initiating and quitting smoking among South Korean men. Methods: We analyzed a total of 2,798 men aged 25-64 who participated in the Korean National Health and Nutrition Examination Survey in 2005. Odds ratios (ORs) with 95% confi dence intervals (CIs) for smoking initiation and cessation according to socioeconomic position indicators were calculated with logistic regression. Socioeconomic position was measured by education, occupation, income and marital status. Results: Greater rates of ever initiation of smoking were observed among lower educated men (OR = 1.51; 95% CI = 1.09-2.09) after controlling for other socioeconomic factors. Independent associations were found among men who performed manual labor (OR = 1.55; 95% CI = 1.12-2.14). After simultaneous adjustment for socioeconomic factors, lower likelihood of quitting smoking was detected among men who were in the middle third and the lower third income group (OR = 0.72; 95% CI = 0.55-0.92, OR = 0.60; 95% CI = 0.46-0.79, respectively), who performed manual labor (OR = 0.66; 95% CI = 0.50-0.86) or who were not married (OR for never-married = 0.65; 95% CI = 0.42-0.99 and OR for divorced or widowed = 0.56; 95% CI = 0.36-0.87, respectively). Conclusion: For Korean men, educational attainment was a strong predictor of ever initiating smoking, however, smoking cessation was independently related to income and marital status. To be effective, tobacco control interventions should consider these different social determinants in initiating and quitting smoking. Citations Citations to this article as recorded by
Background
Current guidelines for the treatment of hyperlipidemia propose lifestyle modification as a first-line intervention. The aim of this study was to identify the factors which determine responsiveness of LDL-cholesterol lowering to lifestyle modifi cation in hypercholesterolemic patients.Methods: A total of 109 patients aged between 30 and 70 years (52 men and 109 women) who were diagnosed with hypercholesterolemia between July 2007 and February 2008 at Asan Medical Center were enrolled in this study. The patients were educated on lifestyle modifi cations by trained family physicians. We measured clinical, anthropometric, lifestyle parameters and lipid profiles initially and at eight weeks after education. Stepwise multiple linear regression models were used to assess covariates and variance components.Results: The serum level of LDL-cholesterol decreased in both women (8.0 ± 15.37%, P < 0 .001) and men (4.95 ± 9.81%, P < 0.001). In women, dietary adherence (Ղ = 0.267, P = 0.004), change in physical activity duration (Ղ = 0.196, P = 0.034) and menopausal state (Ղ = -0.207, P = 0.026) were signifi cant predictors in response of percent change in LDL- cholesterol. In men, dietary adherence (Ղ = 0.372, P = 0.007) was a predictor in response of percent change in LDL-cholesterol.Conclusion: Adherence to lifestyle modifi cation was a main factor which had infl uenced on response of percent change in LDL-C levels. In women, however, menopausal state was also an important factor. Citations Citations to this article as recorded by
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