Kun Yang Chuang

A bibliometric and citation analysis of stroke-related research in Taiwan

As the population ages in Taiwan, stroke research has received greater attention in recent years. Strokes have significant impacts on the health and well-being of the elderly. To formulate future research policy, information on stroke publications should be collected. In this research, we studied stroke-related research articles published by Taiwan researchers which were indexed in the Science Citation Index from 1991 to 2005. We found that the quantity of publications has increased at a quicker pace than the worldwide trend. Over the years, there has been an increase in international collaboration, mainly with researchers in the U.S. Article visibility, measured as the frequency of being cited, also increased during the period. It appears that stroke research in Taiwan has become more globally connected and has also improved in quality. The publication output was concentrated in a few institutes, but there was a wide variation among these institutes in the ability to independently conduct research. A wide array of keywords indicated a probable lack of continuity in research. Nevertheless, there was an inverse relationship between stroke mortality and number of published articles in Taiwan. To improve the quality and efficiency of stroke research, continuity in research focuses needs to be maintained, and thus funding should be allocated on a long-term basis to institutes with a proven record of success.

Gender differences in relationships between social capital and individual smoking and drinking behavior in Taiwan

Despite the concept of social capital receiving great attention in the area of health research, few studies have analyzed the differential effects of social capital between genders. This article assesses gender differences in the relationships between social capital and smoking and drinking behavior in Taiwan. Data on individual sociodemographic characteristics, smoking, drinking, and social capital were obtained from the Taiwan Social Change Survey conducted in 1995 and in 2000. The overall response rate was 67%. In total, 3713 women and men aged over 20 years living in 204 neighborhoods were interviewed. Social capital indicators were aggregated at the neighborhood level, and included neighborhood closeness, political influence, social contact, social trust, and social participation. The data were analyzed with multilevel binomial regression models. Gender differences were found in some aspects of social capital. Stronger effects of social trust on smoking were found for women than for men, whereas stronger effects of neighborhood closeness on drinking were found for women than for men. Social participation was positively associated with drinking in both genders. The findings of this study provide new evidence for the differential effects of social capital by gender in Taiwan, suggesting that more studies are needed to understand social capitals effects in Asian societies and the mechanisms by which the effects may vary with gender.

Characteristics of research in China assessed with Essential Science Indicators

To provide an overview of the characteristics of research in China, a bibliometric evaluation of highly cited papers with high-level representation was conducted during the period from 1999 to 2009 based on the Essential Science Indicators (ESI) database. A comprehensive assessment covered overall performance, journals, subject categories, internationally collaborative countries, national inter-institutionally collaborative institutions, and most-cited papers in 22 scientific fields. China saw a strong growth in scientific publications in the last decade, to some extent due to increasing research and development expenditure. China has been more active in ESI fields of chemistry and physics, but more excellent in materials science, engineering and mathematics. Most publications were concerned with the common Science Citation Index subject categories of multidisciplinary chemistry, multidisciplinary materials and science, and physical chemistry. About one half China’s ESC papers were internationally collaborative and the eight major industrialized countries (the USA, Germany, the UK, Japan, France, Canada, Russia, and Italy) played a prominent role in scientific collaboration with China, especially the USA. The Chinese Academy of Sciences took the leading position of institutions with many branches. The “985 Project” stimulated the most productive institutions for academic research with a huge funding injection and the universities in Hong Kong showed good scientific performance. The citation impact of internationally collaborative papers differed among fields and international collaborations made positive contributions to academic research in China.

Bibliometric profile of top-cited single-author articles in the Science Citation Index Expanded

In this study, we identified and analyzed characteristics of top-cited single-author articles published in the Science Citation Index Expanded from 1991 to 2010. A top-cited single-author article was defined as an article that had been cited at least 1000 times from the time of its publication to 2012. Results showed that 1760 top-cited single-author articles were published in 539 journals listed in 130 Web of Science categories between 1901 and 2010. The top productive journal was Science and the most productive category was multidisciplinary physics. Most of the articles were not published in high-impact journals. Harvard University led all other institutions in publishing top-cited single-author articles. Nobel Prize winners contributed 7.0% of articles. In total, 72 Nobel Prize winners published 124 single-author articles. Single-authored papers published in different periods exhibited different patterns of citation trends. However, top-cited articles consistently showed repetitive peaks regardless of the time period of publication. “Theory (or theories)” was the most frequently appeared title word of all time. Leading title words varied at different time periods, and only five title words, method(s), protein(s), structure(s), molecular, and quantum consistently remained in the top 20 in different time periods.

Social cohesion matters in health

IntroductionThe concept of social cohesion has invoked debate due to the vagueness of its definition and the limitations of current measurements. This paper attempts to examine the concept of social cohesion, develop measurements, and investigate the relationship between social cohesion and individual health.MethodsThis study used a multilevel study design. The individual-level samples from 29 high-income countries were obtained from the 2000 World Value Survey (WVS) and the 2002 European Value Survey. National-level social cohesion statistics were obtained from Organization of Economic Cooperation and Development datasets, World Development Indicators, and Asian Development Bank key indicators for the year 2000, and from aggregating responses from the WVS. In total 47,923 individuals were included in this study. The factor analysis was applied to identify dimensions of social cohesion, which were used as entities in the cluster analysis to generate a regime typology of social cohesion. Then, multilevel regression models were applied to assess the influences of social cohesion on an individual’s self-rated health.Results and discussionFactor analysis identified five dimensions of social cohesion: social equality, social inclusion, social development, social capital, and social diversity. Then, the cluster analysis revealed five regimes of social cohesion. A multi-level analysis showed that respondents in countries with higher social inclusion, social capital, and social diversity were more likely to report good health above and beyond individual-level characteristics.ConclusionsThis study is an innovative effort to incorporate different aspects of social cohesion. This study suggests that social cohesion was associated with individual self-rated after controlling individual characteristics. To achieve further advancement in population health, developed countries should consider policies that would foster a society with a high level of social inclusion, social capital, and social diversity. Future research could focus on identifying possible pathways by which social cohesion influences various health outcomes.

Welfare state regimes, infant mortality and life expectancy: integrating evidence from East Asia

Background This longitudinal study builds on the cross-sectional work of Karim et al and examines the influence of welfare state regime on population health with a particular focus on East Asian welfare states (eg, Hong Kong, Japan, Korea, Singapore and Taiwan). Methods Data were extracted from the Organisation of Economic Co-operation and Development Data Set, World Development Indicators and Asian Development Banks key indicators from 1980 to 2006. Infant mortalities and life expectancy were used as health-outcome varables. Thirty-one countries were categorised into six types of welfare regimes: Scandinavian, Anglo-Saxon, Bismarckian, Southern, Eastern European and East Asian. Mixed models were applied to analyse the data with repeated measurements. Results In keeping with Karim et al, Scandinavian and Eastern European welfare states have lower and higher infant mortalities respectively compared with East Asian welfare states. Eastern European welfare states had a lower life expectancy than East Asian welfare states. Most welfare states had a higher social, health and education expenditure, and higher densities of physicians than East Asian welfare states. Conclusion East Asian welfare states did not have worse health than most welfare states. Future studies should continue to incorporate East Asian countries in the typology of welfare regimes that include more social, economic, political and healthcare system characteristic variables to provide insight on the mechanism by which welfare-state regimes influence population health.

Factors associated with contraceptive use and intention to use contraceptives among married women in Ethiopia

ABSTRACT Family planning has improved the well-being of families by preventing high-risk pregnancies and abortions and reducing unplanned pregnancies. However, the effectiveness of family planning efforts has not been consistent across countries. This study examined factors associated with contraceptive use among married women in Ethiopia. Data were from the 2011 Ethiopian Demographic and Health Survey. The sample comprised 10,204 married women (aged 15–49 years). Logistic regression models were used to analyze the data. Among married women in Ethiopia, 29.2% used contraceptive methods. About 44.1% of women who were not current users of contraceptives reported that they intended to use contraceptives in the future. Age at first marriage, being educated, number of living children, exposure to mass media, being employed, having educated partners, and having been informed about contraceptive use at health facilities were positively associated with current contraceptive use. By contrast, older age, a rural resident, or Muslim; belonging to the Afar or Somali ethnic groups; desiring numerous children; having husbands who desired additional children; and abortion experience were negatively associated with current contraceptive use. Our findings indicated that improving education, providing employment opportunities for women, and providing training to family planning providers are essential to increasing contraceptive use.

Political and economic characteristics as moderators of the relationship between health services and infant mortality in less-developed countries

Background Few studies have addressed how political and economic contexts shape the effects of health services and environment, such that a politically and economically unstable society, despite having sufficient health professionals and facilities, finds it difficult to transfer health resources into actual population health performance. We examined whether political and economic characteristics moderate the effects of health services on infant mortality rates (IMR) in less-developed countries. Methods This study used a longitudinal ecological study design and focused on 46 less-developed countries during the 30-year period from 1980 to 2009. Data were derived from World Development Indicators, the United Nations Commodity Trade Statistics Database and the Polity IV project. Lagged dependent variable panel regression models were used to increase the causal inferences. Random intercept models were used to accommodate the possible problem of a serial correlation of errors because of the repeated measurements. Results After controlling for baseline IMR and other socioeconomic variables, our study showed that democracy had a direct effect on IMR, and a moderating effect on the relationship between health services and IMR. The effects of health services on IMR were stronger for countries with a lower level of democracy than for countries with a higher level of democracy in the 10-year models. Compared with other trade-rated characteristics, democracy is a more robust predictor of long-term IMR in less-developed countries. Conclusions Our study provides additional evidence that democracy has direct effects on IMR and further showed that democracy can modify the effects of health services on IMR.

Analysis of the effects of individual and community level factors on childhood immunization in Malawi

BACKGROUND Empirical evidence regarding the relationship between childhood immunization and individual- and community-level factors in low-income countries has received little attention. We compared the trends and the effects of a wide range of individual- and community-level socioeconomic factors on the likelihood of a child being immunized between 2004 and 2010 in Malawi. METHODS We used data from the 2004 and 2010 Malawi Demographic and Health Survey and applied generalized estimating logistic regression equation to analyze data respectively on 2042 and 3496 children aged 12-23months. We compared the relationship between individual- and community-level socioeconomic factors and a childs vaccination status for four basic vaccines recommended by the World Health Organization: bacillus Calmette-Guérin (BCG) vaccine, diphtheria-tetanus-pertussis (DPT3) vaccine, oral polio vaccine (OPV3), and measles-containing vaccine 1 (MCV1). RESULTS The trends of vaccination had a similar pattern in 2004 and 2010. The coverage of the four vaccinations was highest for BCG and lowest for OPV3 and complete immunization was higher in 2010. The multivariate analyses show that mothers low education, having one or none antenatal visits, having no immunization card, having immunization card but not seen, residing in poor households, and living in central region were the most significant factors associated with decreased odds of achieving vaccination coverage and complete vaccination in both 2004 and 2010. However, maternal education was more likely to be associated with childrens immunization in 2010, while the geographical region was more likely to be associated with childrens immunization in 2004. CONCLUSIONS There were marked improvements in the national immunization coverage from 2004 to 2010. In order to achieve complete immunization, to further enhance the national immunization coverage as well as to lessen the gaps and disparities in childhood vaccination in Malawi, policy makers should design interventions based on the factors addressed in this study.

Comments on a bibliometric study of the trend in articles related to eutrophication published in Science Citation Index

In bibliometric research, the use of filter has a significant impact on data. Careless use of filter may lead to inaccurate results and wrong conclusions. The paper titled ‘‘a bibliometric study of the trend in articles related to eutrophication published in Science Citation Index’’ by Yi and Jie (2011) may have committed such error, and is an example of an inadequate, careless construed filter may mislead readers. In the section of Materials and methods, the authors used only ‘‘Eutrophication’’ as the keyword to search parts of titles, abstracts, or keywords, and have stated ‘‘the total number of papers related to eutrophication research in the ISI web database between 1991 and 2010 is 9,782’’. In this instance, the authors did not consider other keywords that are synonymous to ‘‘eutrophication’’, for example ‘‘eutrophic’’. We conducted a search using ‘‘eutrophication’’ and ‘‘eutrophic’’ as keywords, and identified 15,088 papers were found in Science Citation Index Expanded (SCI-Expanded) between 1991 and 2010, a drastic increase of 54%. The analyses and results present in Yi and Jie (2011) were based on a grossly underestimated database, and thus may have presented misleading results. Another search criteria used by Yi and Jie (2011) is also questionable. It concerns the date of data collection. The authors’ stated ‘‘Citation counts of all the papers obtained on December 15th, 2010 when the SCI search process for this study was conducted’’, while claiming the study frame to be from 1991 through 2010. Thus, a half-month of citation was missing. The actual data time frame appears to be inconsistent with the author’s claim. To show the impact of inappropriate search filter, identical tables were reproduced here, but with ‘‘eutrophication’’ and ‘‘eutrophic’’ as keywords. Compared to results from Yi and Jie (2011), in which only ‘‘eutrophication’’ was used, 16 out of 20 countries in Table 1 have different rankings. In Table 2, 18 out of 20 journals would have different ranking, with only the top two journals remained the same. It appears that ranking of top country or top journal is less likely to be affected when the sample size is under-estimated. For other