일부 도시지역 주민들의 일상생활습관과 스트레스와의 관련성

Health Related Lifestyle and Stress Among Inhabitants of a City in Korea

  • 손철준 (충남대학교 보건대학원) ;
  • 조영채 (충남대학교 의과대학 예방의학교실)
  • 발행 : 2004.06.01

초록

The purpose of this study was to evaluate the patterns of stresses arising from various life styles and their related sociodemographic factors in urban residents. The subjects were recruited from the population of two ‘Dong’s (administrative blocks) representative of Daejeon city through stratified cluster random sampling during the period ranging from June I st to Aug. 31 st, 2003. Self-administered questionnaires, including items asking about subjects' sociodemographic characteristics, daily life styles, measurement of stresses by General Health Questionnaire (Goldberg, 1978), were delivered to 396 residents and their responses were analyzed with the following results. 1. Based on the discriminant scores of HPI, 46.7% of the subjects were found to have less than 4 points (poor life style), whereas 53.3% had points higher than 5 (good life style). Higher than 5 points were scored more frequently in females than in the male, in the age group of 40's - 60's than the 30's, in the group with spouse than without, in the group with both spouse and offsprings than without, and in the group owning a house than not. 2. Based on the degree of stress, 17.7% of the subjects were determined to be healthy, 74.5% were potentially under stress, and 7.8% were at higher risk of stress. The proportion of healthy individuals were significantly higher in the male, advanced aged group(40's and 60's), the group with higher education years( over highschool), with higher monthly income over two million Won, and with spouse, than their respective counterparts. On the other hand the proportion of the individuals potentially under stress and at higher risk of stress was significantly higher in the female, in the age group of 30's and over 60's, in the group with academic career lower than middle school, with monthly income lower than two million Won, and without spouse. 3. Based on the relation of HPI with degree of stresses, subjects with HPI scores lower than 4 had increased rate of falling into the groups under potential stress and at higher risk of stress, while on the other hand those with over 5 points were found to be healthy in light of stress. 4. Based on the specific relation of each item of HPI with degree of stress, the proportion of healthy individuals was higher in the groups who take appropriate hours of sleep(7-8hours), who take breakfasts everyday, who take physical exercises everyday, who don't smoke, who don't drink alcohol, who take snacks everyday, who are overweight and obese, whereas the proportion of the group under potential stress and at higher risk of stress was higher in their comparable counterparts. 5. The relation of mean scores of HPI with stress scores in both male and female subjects showed negative correlation that the higher HPI scores, the lower stress scores. 6. Multivariate regression analysis to reveal the factors influencing the stress of the subjects showed that for men the significant factors were age, education, presence of job or not, exercise, subjective health status, with the explanatory power of 26.3%. For women, they included educational years, presence of spouse or not, job, owning a house or not, sleeping hours, drinking habit, taking snacks, subjective health status, with the explanatory power of 31.8%. The above study results suggests that stresses of urban residents have significant correlation with daily life styles and this correlation is also remarkably distinguished by different age and sex.

키워드

참고문헌

  1. 김돈균, 이채언, 정갑열. 병원근무 간호원들의 피로 자각증상에 관한 조사연구. 부산의대잡지 1976;16(2):195-204
  2. 대한예방의학회. 건강통계자료수집 및 측정의 표준화. 계축문화사, pp.92-135, 2000
  3. 박내경, 김정윤, 조영채, 이동배. 일부 산업장 근로자들의 피로자각증상과 일상생활요인과의 관련성. 대한산업의학회지 1998;10(2):214-226
  4. 송인순, 조영채. 중학생의 피로자각증상과 체형 및 건강의식과의 관련성성에 관한 연구. 한국학교보건학회지 1997;10(2):169-178
  5. 오장균. 한 사업장 근로자들의 스트레스 생활습관 및 건강수준간의 관계. 대한산업의학회지 2000;12(1):26-40
  6. 예방의학과 공중보건 편집위원회. 예방의학과 공중보건. 계축문화사, pp.11-12, 2001
  7. 이명학, 남해성, 손석준, 이정애, 김병우. 한 대학신입생의 우울수준과 관련변인에 관한 연구. 대한보건협회지 1994;20(2):71-83
  8. 이영수. 일부 산업장근로자들에 있어서 스트레스 자각정도와 건강습관과의 관련성. 예방의학회지 1990;23(1):33-42
  9. 이혜진, 김택준, 전정일, 구정완, 정치경. 약사의 피로증상. 대한산업의학회지 1997;9(1):26-39
  10. 장세진. 건강통계자료수집 및 측정의 표준화 연구 -스트레스. 대한예방의학회편, 계축문화사, pp.92-143, 2000
  11. 森本兼麎. ライフスタイル硏究の意義と展望. ライフスタイルと健康, 東京, 醫學書院, pp.6-10, 1991
  12. 川上憲人, 源各隆史, 金子哲也. 企業從業員における健康習慣と抑うつ症狀の關連性. 塵業醫學 1987;29:425-437
  13. 安喰桓輔, 森本兼麎. 地域集團のライフスタイルと精神的健康度. 森本暴麎 編, ライフスタイル と健康, 東京, 醫學書院, pp.172-178, 1991
  14. 日高良雄, 中村敏子, 樓本和子. 地域住民及び中小 規模事業所從事者等の生活習慣と健康度に ついて. 地域醫學 1993;7(10):1546-1553
  15. 入江正洋, 宮田正和, 永田領史. 健康に關する認識 およびライフスタイルとメンタルヘルス. 産衛誌 1997;39(4)107-115
  16. 淵野由夏, 講上哲也, 德井敎孝, 井手珞子, 藤野善久, 吉村健淸. 地域住民ライフスタイルと精帥的 健康度との關連. 日本公衛誌 2003;50:303-313
  17. 星 旦二, 森本暴麎. 日常生活習慣と身體的健康度との關連性. 日本公衛誌1986;33:72
  18. 飯 飯島久美子, 森本暴麎. ライフスタイルの健康影 響評價-生活習慣, 不定呼訴と精神的健康との關連性. 日本公衛誌1988;35:573-578
  19. Breslow L, Belloc NB. Relationship of physical health status and health practices. Prev Med, 1972;1:409-421 https://doi.org/10.1016/0091-7435(72)90014-X
  20. Brown G, Birley J. Crisis and life changes and the onset of schizophrenia, J Health Soc Behav 1968;9:203-213 https://doi.org/10.2307/2948405
  21. Caplan RD. Job demand and worker health: main effects and occupational differences. Ann Arbor, Michigan Institute for Research, pp.192-202, 1980
  22. DeLongis A, Coyne JC, Dakof G, Folkman S, Lazarus RS. Relationships of daily hassless, uplifts and major life events to health status. Health Psychology 1982;1:119-136 https://doi.org/10.1037/0278-6133.1.2.119
  23. Depue RA, Monroe SM. Conceptualization and measurement of human disorder in life stress research: the problem of chronic disturbance. Psychol Bul 1986;99:36-51 https://doi.org/10.1037/0033-2909.99.1.36
  24. Ezoe S, Morimoto K. Behavioral life-style and mental health status of Japanese factory workers. Prev Med 1994;23:98-105 https://doi.org/10.1006/pmed.1994.1014
  25. Frederick T, Frerichs RR, Clark VA. Personal health habits and symptoms of depression at the community level. Prev Med 1988;17:173-182 https://doi.org/10.1016/0091-7435(88)90061-8
  26. Goldberg DP. Manual of the General Health Questionnaire. Windsor, England: NFER Publishy, 1978
  27. Hobfoll S. Conservation of resources: A new attempt at conceptualizing stress. Am Psychol 1988;44:513-524 https://doi.org/10.1037/0003-066X.44.3.513
  28. House JS. Occupational stress and coronary heart disease: a review and theoretical integration. J Health Soc Behav 1974;15:12-27 https://doi.org/10.2307/2136922
  29. Jenkins CD. Psychologic and social precursors of coronary heart disease. N Eng J Med 1971;284:244-255 https://doi.org/10.1056/NEJM197102042840506
  30. Kanner AD, Coyne JC, Schaefer C, Lazarus RS. Comparison of two modes of stress measurement, daily hassless and uplifts versus major life events. J of Behavioral Medicine 1981;4:1-39 https://doi.org/10.1007/BF00844845
  31. Kornhauser A. The mental health of the industrial worker. New York Wiley, pp.81-107, 1965
  32. Matthews KA. Stressful work conditions and diastolic blood pressure among blue collar factory workers. Am J Epidemiol 1987;126:280-290 https://doi.org/10.1093/aje/126.2.280
  33. Metzner HL, Carman WJ, House J. Health practice, risk factors and chronic disease in Techmsch. Prevent Med 1983;12:491-507 https://doi.org/10.1016/0091-7435(83)90204-9
  34. Simonsick EM. Personal health habits and mental health in a national probability sample. Am J Prev Med 1991;7:425-437