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Yi-chen Chen - One of the best experts on this subject based on the ideXlab platform.
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Association Between Long-term Exposure to PM2.5 and Incidence of Type 2 Diabetes in Taiwan: A National Retrospective Cohort Study.
Epidemiology (Cambridge Mass.), 2019Co-Authors: Wen-chi Pan, Yi-chen ChenAbstract:Long-term exposure to fine particulate matter (PM with an aerodynamic diameter ≤2.5 µm; PM2.5) contributes to an elevated incidence of type 2 diabetes (T2D) in North America and Europe, but there is limited empirical evidence for Asian countries. This study determined the association between and the exposure-response relationship for PM2.5 and the incidence of T2D in Taiwan. This retrospective cohort study was conducted for the years 2001-2012. Health information, including age, sex, Health Insurance Premium, type of occupation, medication, and disease status, was retrieved from the Longitudinal Health Insurance Database 2000. Monitoring data for PM2.5 came from the Environmental Protection Administration of Taiwan, and Land-use Regression modeling was used to approximate participants' long-term exposure to PM2.5. Cox proportional hazards models with a generalized estimating equation to account for the correlation within the locations of the medical facilities were used to estimate the association between exposure to PM2.5 and the incidence of T2D, adjusting for the potential confounders. We also examined effect modification of sex, age, hyperlipidemia, and National Health Insurance Premium for the association. Forty-eight thousand six hundred eleven new cases of diabetes were identified among 505,151 eligible participants, with the median follow-up of 12 years. Positive associations were identified between long-term exposure to PM2.5 exposure and the incidence of T2D. An increase of 10 μg/m PM2.5 was associated with an 11.0% increase in the risk of contracting diabetes (95% confidence interval = 8.0%, 13.0%). The results show that there is an almost linear relationship between exposure to PM2.5 and the incidence of T2D. Sex, age, hyperlipidemia, and National Health Insurance Premium acted as effect modifiers of the association between diabetes incidence and levels of PM2.5 exposure in Taiwan. In the population in Taiwan, long-term exposure to PM2.5 increases the risk of incidence of T2D by 11%. This effect is more pronounced in elderly male patients who exhibit hyperlipidemia and in individuals who have a lower Insurance Health Insurance Premium.
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Association Between Long-term Exposure to PM2.5 and Incidence of Type 2 Diabetes in Taiwan: A National Retrospective Cohort Study.
Epidemiology, 2019Co-Authors: Wen-chi Pan, Yi-chen ChenAbstract:Background Long-term exposure to fine particulate matter (PM with an aerodynamic diameter ≤2.5 µm; PM2.5) contributes to an elevated incidence of type 2 diabetes (T2D) in North America and Europe, but there is limited empirical evidence for Asian countries. This study determined the association between and the exposure-response relationship for PM2.5 and the incidence of T2D in Taiwan. Methods This retrospective cohort study was conducted for the years 2001-2012. Health information, including age, sex, Health Insurance Premium, type of occupation, medication, and disease status, was retrieved from the Longitudinal Health Insurance Database 2000. Monitoring data for PM2.5 came from the Environmental Protection Administration of Taiwan, and Land-use Regression modeling was used to approximate participants' long-term exposure to PM2.5. Cox proportional hazards models with a generalized estimating equation to account for the correlation within the locations of the medical facilities were used to estimate the association between exposure to PM2.5 and the incidence of T2D, adjusting for the potential confounders. We also examined effect modification of sex, age, hyperlipidemia, and National Health Insurance Premium for the association. Results Forty-eight thousand six hundred eleven new cases of diabetes were identified among 505,151 eligible participants, with the median follow-up of 12 years. Positive associations were identified between long-term exposure to PM2.5 exposure and the incidence of T2D. An increase of 10 μg/m PM2.5 was associated with an 11.0% increase in the risk of contracting diabetes (95% confidence interval = 8.0%, 13.0%). The results show that there is an almost linear relationship between exposure to PM2.5 and the incidence of T2D. Sex, age, hyperlipidemia, and National Health Insurance Premium acted as effect modifiers of the association between diabetes incidence and levels of PM2.5 exposure in Taiwan. Conclusions In the population in Taiwan, long-term exposure to PM2.5 increases the risk of incidence of T2D by 11%. This effect is more pronounced in elderly male patients who exhibit hyperlipidemia and in individuals who have a lower Insurance Health Insurance Premium.
Wen-chi Pan - One of the best experts on this subject based on the ideXlab platform.
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Association Between Long-term Exposure to PM2.5 and Incidence of Type 2 Diabetes in Taiwan: A National Retrospective Cohort Study.
Epidemiology (Cambridge Mass.), 2019Co-Authors: Wen-chi Pan, Yi-chen ChenAbstract:Long-term exposure to fine particulate matter (PM with an aerodynamic diameter ≤2.5 µm; PM2.5) contributes to an elevated incidence of type 2 diabetes (T2D) in North America and Europe, but there is limited empirical evidence for Asian countries. This study determined the association between and the exposure-response relationship for PM2.5 and the incidence of T2D in Taiwan. This retrospective cohort study was conducted for the years 2001-2012. Health information, including age, sex, Health Insurance Premium, type of occupation, medication, and disease status, was retrieved from the Longitudinal Health Insurance Database 2000. Monitoring data for PM2.5 came from the Environmental Protection Administration of Taiwan, and Land-use Regression modeling was used to approximate participants' long-term exposure to PM2.5. Cox proportional hazards models with a generalized estimating equation to account for the correlation within the locations of the medical facilities were used to estimate the association between exposure to PM2.5 and the incidence of T2D, adjusting for the potential confounders. We also examined effect modification of sex, age, hyperlipidemia, and National Health Insurance Premium for the association. Forty-eight thousand six hundred eleven new cases of diabetes were identified among 505,151 eligible participants, with the median follow-up of 12 years. Positive associations were identified between long-term exposure to PM2.5 exposure and the incidence of T2D. An increase of 10 μg/m PM2.5 was associated with an 11.0% increase in the risk of contracting diabetes (95% confidence interval = 8.0%, 13.0%). The results show that there is an almost linear relationship between exposure to PM2.5 and the incidence of T2D. Sex, age, hyperlipidemia, and National Health Insurance Premium acted as effect modifiers of the association between diabetes incidence and levels of PM2.5 exposure in Taiwan. In the population in Taiwan, long-term exposure to PM2.5 increases the risk of incidence of T2D by 11%. This effect is more pronounced in elderly male patients who exhibit hyperlipidemia and in individuals who have a lower Insurance Health Insurance Premium.
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Association Between Long-term Exposure to PM2.5 and Incidence of Type 2 Diabetes in Taiwan: A National Retrospective Cohort Study.
Epidemiology, 2019Co-Authors: Wen-chi Pan, Yi-chen ChenAbstract:Background Long-term exposure to fine particulate matter (PM with an aerodynamic diameter ≤2.5 µm; PM2.5) contributes to an elevated incidence of type 2 diabetes (T2D) in North America and Europe, but there is limited empirical evidence for Asian countries. This study determined the association between and the exposure-response relationship for PM2.5 and the incidence of T2D in Taiwan. Methods This retrospective cohort study was conducted for the years 2001-2012. Health information, including age, sex, Health Insurance Premium, type of occupation, medication, and disease status, was retrieved from the Longitudinal Health Insurance Database 2000. Monitoring data for PM2.5 came from the Environmental Protection Administration of Taiwan, and Land-use Regression modeling was used to approximate participants' long-term exposure to PM2.5. Cox proportional hazards models with a generalized estimating equation to account for the correlation within the locations of the medical facilities were used to estimate the association between exposure to PM2.5 and the incidence of T2D, adjusting for the potential confounders. We also examined effect modification of sex, age, hyperlipidemia, and National Health Insurance Premium for the association. Results Forty-eight thousand six hundred eleven new cases of diabetes were identified among 505,151 eligible participants, with the median follow-up of 12 years. Positive associations were identified between long-term exposure to PM2.5 exposure and the incidence of T2D. An increase of 10 μg/m PM2.5 was associated with an 11.0% increase in the risk of contracting diabetes (95% confidence interval = 8.0%, 13.0%). The results show that there is an almost linear relationship between exposure to PM2.5 and the incidence of T2D. Sex, age, hyperlipidemia, and National Health Insurance Premium acted as effect modifiers of the association between diabetes incidence and levels of PM2.5 exposure in Taiwan. Conclusions In the population in Taiwan, long-term exposure to PM2.5 increases the risk of incidence of T2D by 11%. This effect is more pronounced in elderly male patients who exhibit hyperlipidemia and in individuals who have a lower Insurance Health Insurance Premium.
Henni Djuhaeni - One of the best experts on this subject based on the ideXlab platform.
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ability and willingness to pay Premium in the framework of national Health Insurance system
Althea Medical Journal, 2015Co-Authors: Aulia Abdillah Ramadhan, Andri Reza Rahmadi, Henni DjuhaeniAbstract:Background : The National Health Insurance is one of the government’s efforts to improve community access to Health services. The government has fixed the Premiums to be paid by community, except for underprivileged community. The aim of the study was to identify Ability to Pay (ATP) and Willingness to Pay (WTP) of the national Health Insurance Premium. Methods : A descriptive study which involved 210 housewives who were chosen by rapid survey method was conducted from September to November 2013 in Cipacing village, Jatinangor, Sumedang, West Java. Data collection was using questionnaire to obtain level of ability and willingness to pay the Health Insurance Premium. The results were compared to the required Premium by the government (Rp 22,000,-). Results : Most of the respondents were only housewives, but there were still respondents who were private workers. Most of them were 20–39 years old. About 57.6% of the respondents were able to pay for the required Premium, but Only 17.4% of the them were willing to pay according to the required Premium. Conclusions : The ATP of the respondents are higher compared to the WTP, meaning that most of the respondents are able to pay the requires Premium but are not willing to pay it. [AMJ.2015;2(4):502–5] DOI: 10.15850/amj.v2n4.635
Aulia Abdillah Ramadhan - One of the best experts on this subject based on the ideXlab platform.
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ability and willingness to pay Premium in the framework of national Health Insurance system
Althea Medical Journal, 2015Co-Authors: Aulia Abdillah Ramadhan, Andri Reza Rahmadi, Henni DjuhaeniAbstract:Background : The National Health Insurance is one of the government’s efforts to improve community access to Health services. The government has fixed the Premiums to be paid by community, except for underprivileged community. The aim of the study was to identify Ability to Pay (ATP) and Willingness to Pay (WTP) of the national Health Insurance Premium. Methods : A descriptive study which involved 210 housewives who were chosen by rapid survey method was conducted from September to November 2013 in Cipacing village, Jatinangor, Sumedang, West Java. Data collection was using questionnaire to obtain level of ability and willingness to pay the Health Insurance Premium. The results were compared to the required Premium by the government (Rp 22,000,-). Results : Most of the respondents were only housewives, but there were still respondents who were private workers. Most of them were 20–39 years old. About 57.6% of the respondents were able to pay for the required Premium, but Only 17.4% of the them were willing to pay according to the required Premium. Conclusions : The ATP of the respondents are higher compared to the WTP, meaning that most of the respondents are able to pay the requires Premium but are not willing to pay it. [AMJ.2015;2(4):502–5] DOI: 10.15850/amj.v2n4.635
Miaoju Chwo - One of the best experts on this subject based on the ideXlab platform.
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received understanding and satisfaction of national Health Insurance Premium subsidy scheme by families of children with disabilities a census study in taipei city
Research in Developmental Disabilities, 2009Co-Authors: Jinding Lin, Yawen Lin, Chiafeng Yen, Chinghui Loh, Miaoju ChwoAbstract:Abstract The purposes of the present study are to provide the first data on utilization, understanding and satisfaction of the National Health Insurance (NHI) Premium subsidy for families of children with disabilities in Taipei. Data from the 2001 Taipei Early Intervention Utilization and Evaluation Survey for Aged 0–6 Children with Disabilities were analyzed. In the study, a total of 1006 questionnaires were mailed, of which 340 valid questionnaires were returned, giving a response rate of 33.8%. More than one-third of families of children with disabilities did not receive any financial subsidy of National Health Insurance (NHI). Less than half of the respondents (43.8%) understood the NHI Premium subsidy policy completely, while 28.7% partial understood and 27.5% still did not know this auxiliary policy. Approximately 38.5% of the respondents were specifically very satisfied or satisfied, with the NHI subsidy program. There were 18.9% respondents who felt dissatisfied or very dissatisfied with the NHI scheme for children with disabilities in Taiwan. Chi-square or t-test analyses were significant for the caregiver's age (p
