재미 한국인과 한국인의 건강수준 및 건강행태에 관한 비교

A Comparison of Health Status and Health Behaviors between Korean Americans and Koreans

  • 이윤현 (남서울대학교 보건행정학과)
  • Lee, Yoon-Hyeon (Department of Health Administration, Namseoul University)
  • 투고 : 2010.10.23
  • 심사 : 2010.12.11
  • 발행 : 2010.12.30

초록

Objectives: This study purports to comparatively study health condition, health behaviors, and health care utilization of Koreans living in Korea and in the US, and then, to analyze the factors influencing them. Methods: The collected data were analyzed on the basis of the 2005 Korea National Health and Nutrition Examination Survey. Of 25,196 adults aged 19 or older, 7,802 respondents to health behavior survey and 5,526 respondents to physical examination survey. The analyzed data of the Korean Americans were the results of the California Health Interview Survey (CHIS) conducted by the UCLA Center for Health Policy Research in 2005. This study analyzed the responses of 645 known Korean respondents to the 2005 CHIS. Results: In regard to differences in overall health condition between the two groups, it was found that both the male and female Korean Americans thought their own overall health conditions were relatively poor compared to Koreans, especially in relation to diabetes and cardiovascular diseases. For smoking status considered as one of health behavior factors, smokers of the Koreans account for 46.1% which is higher than that of the Korean Americans and the proportion of the Koreans smoking daily is also at least two times higher than that of the Korean Americans. Similarly, for alcohol drinking, the Koreans showed higher drinking experience rate and no less than three times higher drinking frequency than that of Korean Americans. Conclusion: It is expected that this study will contribute greatly to solving health problems among foreign immigrants and overseas Koreans in future by clarifying any differences in health status and health behaviors resulting from sociocultural differences despite of similar genetic factors.

키워드

참고문헌

  1. 공은숙, 박상호, 신동진, 허영란, 한오순, 허남연. 아포지단백 E유전자형 검사를 통한 치매고위험군 유형별 분포: 건강한 농촌주민을 대상으로. 한국노년학화연구 2004;13:5-22.
  2. 김기랑, 홍서아, 김미경. 한국인의 생애 주기별 교육 수준에 따른 영양 상태와 식품 불충분성-2005년도 국민건강영양조사 자료를 이용하여. 한국영양학회지 2008;41(7):667-681.
  3. 김민희. 다문화 가정의 문제점과 대안. 한민족-다문화서포트. 2009.
  4. 김옥수, 전해옥, 김동희, 김보혜, 김희정. 한국 성인의 고혈압전기 발생 위험요인 분석: 2005년 국민건강영양조사. 성인간호학회지 2009;21(3):281-292.
  5. 김정희. 예방적 건강행위와 건강통제위 성격 성향과의 관계에 대한 연구. 대한간호학회지. 1985;15(2):49-61.
  6. 김현실. 문화정체성, 문화변용과 청소년의 정신건강-캐나다 소수 민족 이민 청소년을 중심으로-. 한국간호과학회 정신간호학회 2006;15(4):384-391.
  7. 박윤영. 정우진 역. 보건의료경제학. 대한의사협회 의료정책연구소. 2005.
  8. 박재순. 중년후기 여성의 건강증진행위 모형구축[박사학위논문]. 서울:서울대학교대학원, 1995.
  9. 보건복지가족부. 국민건강영양조사 제3기 총괄보고서. 보건복지가족부/한국보건사회연구원, 2006.
  10. 성한나. 한국인의 폭음 관련 요인 및 폭음으로 인한 건강문제:2005년 국민건강영양조사 분석[석사학위논문]. 울산:울산대학교 대학원, 2009.
  11. 윤진. 산업장 근로자의 건강증진행위와 그 결정요인에 관한 연구[석사학위논문]. 서울:이화여자대학교 대학원, 1990.
  12. 의료정책연구소. 보건의료통계분석-OECD 보건통계 자료를 기초로. 대한의사협회 의료정책연구소, 2007.
  13. 이기헌, 이철민, 권혁태, 오승원. 한국 남성 비만과 흡연의 관련성: 제 3차 및 4차 국민건강영양조사 자료분석. 대한금연학회지 2010;1(2):115-123.
  14. 이명숙. Apo E. 유전자의 다형성과 질병. 한국지질학회지 1995;5(1).
  15. 이윤현. A Comparison of Health Status and Health Behaviorsbetween Korean Americans and Koreans. 한국보건교육건강증진학회 2009년도 춘계학술대회자료집, 2009.
  16. 이영휘. 충남 일부주민의 건강통제위 성격과 건강행위와의 관계연구. 대한간호학회지 1998;18(2):118-127.
  17. 손 신, 이정미, 류철원. 뉴욕시 거주 한인 노년층 이민자들의 심리적 안녕감에 영향을 미치는 문화적응과정상의 요인들에 관한 연구. 노인복지연구 2007;38:79-107.
  18. 신형두. Single Nucleotide Polymorphism 분석을 통한 질병의 유전학적 연구. 대한당뇨병학회 제14차춘계학술대회, 2001.
  19. 정애리. 다문화 가정 유아의 차별 경험을 통한 인간이해 가치 교육적 함의. 윤리교육연구 2010;21:249-268.
  20. 정영미, 이희영, 신동수. 한국 성인의 흡연율 및 만성폐쇄성 폐질환과의 관계. 성인간호학회 춘계학술대회, 2010.
  21. 질병관리본부. 국민건강영양조사 제3기 조사결과 심층분석연구: 건강면접 및 보건의식 부문. 질병관리본부/ 한국보건사회연구원, 2007.
  22. www.chis.ucla.edu. California Health Interview Survey, 2005.
  23. Anderson R, Lee B. Factors Affecting the Relationship Between Family Income and Medical Care Consumption. in Empirical Studies in Health Economics, edited by Herbert Klarman. Baltimore: Johns Hopkins 1970.
  24. Blazer DG, Wu LT. The epidemiology of at-risk and binge drinking among middle-aged and elderly community adults: National survey on drug use and health. American Journal of Psychiatry 2009;166(10):1162-1169. https://doi.org/10.1176/appi.ajp.2009.09010016
  25. Cho J, Juon HS. Assessing overweight and obesity risk among Korea Americans in California using World Health Organization body mass index criteria for Asians. Preventive Chronic Diseases 2006;3(3):A79.
  26. Cho YT, Ahn HS, Jung SW. Migration and Health: A Comparative Study of Korean Americans and Koreans' Mortality Profiles. Korea Journal of Population Studies 2001;24(2).
  27. Cho YT, Song SE, Frisbie WP. Adverse birth outcomes among Korean Americans: The impact of nativity and social proximity to other Koreans. Population Research and Policy Review. 2005;24:263-282. https://doi.org/10.1007/s11113-005-4083-4
  28. Chun KM, Marin G. Readings in ethnic psychology. New York: Routledge 1998;73-99.
  29. Duffy ME. Determinants of health promotion in mid-life women. Nursing Research 1988;37(6):358-362.
  30. Johnson JL, Ratner PA, Bottorff JL, Hayduk LA. An exploration of Pender's health promotion model using LISREL. Nursing Research 1993;42(3):132-138.
  31. Lee SH, Nguyen HA, Aydin MJ, Kurata J. Linguistic Minorities in a Health Survey. California Health Interview Survey. UCLA, 2008.
  32. Lee SH, Brown ER, Grant D, Belin T, Brick JM. Exploring Nonresponse Bias in a Health Survey Using Neighborhood Characteristics, American Journal of Public Health. 2009.
  33. Lee SH, Lee KS, Lee YH. Health Risk Behaviors, Diet and Exercise, and Chronic Conditions of Koreans: Transnational Perspectives. American Public Heath Association. 2009
  34. McGinnis JM et al. The case for more active policy attention to health promotion. Health Affairs 2002;21:78-93.
  35. Min PG. Korea Americans in Pyong Gap Min (ed.) Asian Americans: Contemporary Trends and Issues. California: Sage Publications. 1995;169-198.
  36. Newhouse JP, Phelps CE. New Estimates of Price and Income Elasticities of Medical Care Services. The Role of Health Insurance in the Health Services, edited by Richard Rosett. New York: Neal Watson, 1976.
  37. Phinney JS, Rosenthal D. Ethnic identity formation in adolescence: Process, context, and outcome. In G. Adams, 1992.
  38. Sohn L, Harada ND. Knowledge and use of prevention health practices among Korean women in Los Angeles county. Preventive Medicine 2005;41(1):167-178. https://doi.org/10.1016/j.ypmed.2004.09.039
  39. Sohn L. The health and health status of older Korean Americans at the 100-year anniversary of Korean immigration. Journal of Cross-cultural Gerontology 2004;19(3):203-219.
  40. Sue D, Mak WS, Sue DW. Ethnic identity. In L.E. Lee & N. Zane (Eds.), Handbook of Asian American psychology. Thousand Oaks: Sage Publications 1998;289-323.
  41. Walker SN, Volkan K, Sechrist KR, Pender NJ. The healthpromoting lifestyles of older adults; Comparisons with young and middle-aged adults, correlates and patterns. Advances in Nursing Science 1988;76-90.