Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Association between the Psychosocial Well-being Status and Adverse Lipid Profiles in a Rural Korean Community

한 농촌지역 주민들의 사회 심리적 안녕과 이상지질혈증간 관련성

  • Kim, Chang-Hoon (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Kim, Myoung-Hee (Department of Preventive Medicine, EulJi University school of Medicine) ;
  • Cho, Sung-Il (Seoul National University Graduate School of Public Health) ;
  • Nam, Jung-Hyun (Department of Psychiatry, Hanyang University College of Medicine) ;
  • Choi, Bo-Youl (Department of Preventive Medicine, Hanyang University College of Medicine)
  • 김창훈 (한양대학교 의과대학 예방의학교실) ;
  • 김명희 (을지대학교 의과대학 예방의학교실) ;
  • 조성일 (서울대학교 보건대학원) ;
  • 남정현 (한양대학교 의과대학 신경정신과학교실) ;
  • 최보율 (한양대학교 의과대학 예방의학교실)
  • Published : 2003.03.01
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Abstract

Objectives : To identify the psychosocial well-being status in a rural community, and examine the association between the psychosocial well-being status and adverse lipid profile. Method : In 2001, we surveyed 575 subjects in Yangpyoung, Kyounggido, including medical examination, fasting-blood sample and questionnaires for the psychosocial well-being status, socioeconomic position and behavioral risk factors. The logistic regression analysis was used to examine explanatory factors of the psychosocial well-being status, and association between the psychosocial well-being status and adverse lipid profiles. Result : The association between the psychosocial well-being status and adverse lipid profiles was not strong. The total cholesterol and triglyceridelevels were associated with psychosocial well-being. The adjusted odds ratio for moderate psychosocial well-being relating to total cholesterol was 1.90 (95%CI, 0.82-4.04), but that for triglyceride was 0.65 (95%CI, 0.36-1.21). The HDL-Cholesterol and LOL-Cholesterol level were not associated with the psychosocial well-being status. Conclusion : The total cholesterol and psychosocial well-being status were weakly associated, but the between the psychosocial well-being status and adverse lipid profiles were not consistent.

Keywords

References

  1. 사망원인 통계연보 2001, 통계청
  2. 김정순. 한국인의 건강과 질병양상(3), 산광출판사 2001; 148-150
  3. Kaplan G, Keil J. Socioeconomic factors and cardiovascular disease: a review of the literature. Circulation 1993; 88: 1973-1998 https://doi.org/10.1161/01.CIR.88.4.1973
  4. Brunner E. Marmot M. Socialorganization, stress. & health. social determinants of health. OxfordUniversity press 1999; 17-43
  5. Hemingway H, Marmot M. Psychosocial factors in the aetiology and prognosis of coronary heart disease: systematic review of prospective cohort studies BMJ 1999; 318: 1460-1467 https://doi.org/10.1136/bmj.318.7196.1460
  6. DarwinR. Epidemiology and Prevention of Cardiovascular Disease. A Global Challenge. An Aspen publication 1998 ; 228-231
  7. Marmot M, Smith G, Stansfeld S, Patel C, North F, Head J, White I, Brunner E, Feeney A. Health inequalities among britishcivil servants: the whitehall II study. Lancet 1991: 337: 1387-1393 https://doi.org/10.1016/0140-6736(91)93068-K
  8. Sapolsky Rand Mott G. Social subordinance in wild baboons is associated with suppressed high density lipoprotein-cholesterol concentrations: The possible role of chronic social stress. Endocrinology 1987; 121(5): 1605-1610 https://doi.org/10.1210/endo-121-5-1605
  9. Stansfeld S, Fuhere R, ShipleyM, Marmot M. Psychosocial distressas a risk factor for coronary heart disease in the Whitehall II study.Int J Epidemiol 2002; 31: 248-255 https://doi.org/10.1093/ije/31.1.248
  10. 한국인 영양 권장량. 제 7차 개정 한국 영양학회 2000: 31-41
  11. Marmot M. Multilevel approaches to understanding social determinants. Social epidemiology 2000. Oxford university press: 354-355
  12. 장세진. 스트레스. 건강 통계 자료 수집 및 측정의 표준화, 대한예방의학회 2000: 92-141
  13. Blackburn-Munro G, Blackburn-Munro R. Chronic pain, chronic stress and depression: coincidence or consequence? J Neuroendocrinol 2001; 13: 1009-1023 https://doi.org/10.1046/j.0007-1331.2001.00727.x
  14. Turner R, Lloyd D. The Stress processand the social distribution of depression. J Health Soc Behav 1999; 40: 374-404 https://doi.org/10.2307/2676332
  15. Rhee MK, Lee YH, Park SH, Sohn CH, Chung YC, Hong SK, Lee BK, Chang P, Yoon AR. A standardization study of beck depression inventory I- korean version(K-BDI): Reliability and factor analysis. Korean J Psychopathol 1995; 4(1): 77-95 [Korean]
  16. Rhee MK. Lee YH, Jung HY Choi JH, Kim SH, Kim YK, Lee SK. A standardization study of beck depression inventory II- korean version(K-BDI): validity. Korean J Psychopathol 1995; 4(1): 96-104 [Korean]
  17. Third report of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) full report. NHLBI. 2001.[cited 2002 Aug 10] Available from: URL :http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3_rpt.pdf
  18. 1998년도 국민 건강 영양 조사 총괄보고서 보건복지부 1999
  19. Cha BS, Chang SJ, Lee MK, Park JK. Research on work stress and mental health of the industrial workers. Korean J Prev Med 1989; 22(1): 90-101 [Korean]
  20. Loscocco K, SpitzeG. Workingconditions, social support,and the well-being of female and male factory workers. J Health Soc behav 1990: 31: 313-327 https://doi.org/10.2307/2136816
  21. Haw M. Women,work and stress: a review and agenda for the future. J Health Soc Behav 1982; 23: 132-144 https://doi.org/10.2307/2136510
  22. Hur SO, Chang SS, Koo JW, Park CY. The assessment of stress between white and blue collar workers by using psychosocial well-being index. Korean J Prev Med 1996; 29(3): 609-616 [Korean]
  23. Cohen S, Kessler R, Gordon L. Strategies for measuring stress in studies of psychiatric and physical disorder. Measuring Stress. Oxforduniversity press 1995: 3-26
  24. Krieger N, Chen J, Selby J. Comparing individual-based & household-based measures of social class to assess class inequalities in women' s health: a methodological study of 684 US women. J Epidemiol Community Health 1999; 53: 612-623 https://doi.org/10.1136/jech.53.10.612
  25. Berkman L, Macintyre S. The measurement of social class in health studies : old measures & new formulations. Social inequalities & cancer. IARC 1997; 51-64
  26. Lynch J, Kaplan G. socioeconomic position. Socialepidemiology. Oxford Universitypress. 2000: 13-14
  27. McEwen B. Protective and Damaging effects of stress mediators. NEJM 1998; 338: 171-179 https://doi.org/10.1056/NEJM199801153380307
  28. Brunner E, Marmot M, Nanchahal K, Shipley M, Stansfeld S, luneja M, Alberti K. Social inequality in coronary risk: Central obesity and the metabolic syndrome. evidence from whitehall II study, Diabetologia 1997; 40: 1341-1349 https://doi.org/10.1007/s001250050830