한국직업건강간호학회지 (Korean Journal of Occupational Health Nursing)

  • 제21권3호
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  • Pages.209-220
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  • 2012
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  • 2287-2531(pISSN)
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  • 2466-1856(eISSN)
한국직업건강간호학회 (Korean Academic Society of Occupational Health Nursing)
권호 표지
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공무원의 대사증후군 관련 요인 및 대사증후군에 따른 의료비 지출

Influencing Factors for and Medical Expenditures of Metabolic Syndrome among Public Officials

  • 김아린 (대구보건대학교 간호학과) ;
  • 곽찬영 (한림대학교 간호학부) ;
  • 임은실 (대구보건대학교 간호학과)
  • 투고 : 2012.06.04
  • 심사 : 2012.09.12
  • 발행 : 2012.11.30
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초록

Purpose: This study examined the influencing factors for metabolic syndrome and the annual medical expenditures of metabolic syndrome among public officials. Methods: The National Health Insurance data in 2009 were collected for 364,932 public officials and the heath examination results and annual medical expenditures were analyzed using PASW 18.0 program. Results: The prevalence of metabolic syndrome is 17.6%, and it was higher in male officials than that of females in all age groups. In men, the influencing factors for metabolic syndrome were: age, family history of stroke, cardiovascular disease, hypertension, and diabetes mellitus, smoking, alcohol consumption, exercise, and obesity. However, in women, health-related behaviors such as smoking, alcohol consumption and exercise did not affect metabolic syndrome. People who had metabolic syndrome showed significantly higher medical expenditures than those without metabolic syndrome. The odds ratios of having the highest quartile in medical expenditures were 1.372 (95% CI 1.252~1.504, p<.001) in women with metabolic syndrome and 1.213 (95% CI: 1.184~1.243, p<.001) in men. Conclusion: The results implied that health-related behaviors were associated with metabolic syndrome, and resulted in higher medical expenditures. In order not only to decrease the risk of metabolic syndrome but also reduce medical expenditures, nurses should plan health promotion strategies to educate public officials about healthy life strategies.

키워드

과제정보

연구 과제 주관 기관 : 한림대학교

참고문헌

  1. Alberti, K. G., & Zimmet, P. Z. (1998). Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabetic Medicine, 15 (7), 539-553. https://doi.org/10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S
  2. Cho, G. J., Lee, J. H., Park, H. T., Shin, J. H., Hong, S. C., Kim, T., et al. (2008). Postmenopausal status according to years since menopause as an independent risk factor for the metabolic syndrome. Menopause, 15 (3), 524-529. https://doi.org/10.1097/gme.0b013e3181559860
  3. Cho, K. H., Bae, N. K., Park, J. A., & Cho, Y. C. (2007). Factors related to psychosocial distress and fatigue symptoms among clerical public officers. Journal of Agricultural Medicine & Community Health, 33 (1), 11-26.
  4. Choi, S. H., Kim, D. J., Lee, K. E., Kim, Y. M., Song, Y. D., Kim, H. D., et al. (2004). Cut-off value of waist circumference for metabolic syndrome patients in Korean adult population. Journal of Korean Society for the Study of Obesity, 13 (1), 53-60.
  5. Choi, S. M., Kim, K. Y., Lee, T. Y., Jung, J. G., & Lee, O. K. (2009). Incidence and related factors of the metabolic syndrome in a university hospital. Journal of Korean Society for Health Education and Promotion, 26 (4), 35-47.
  6. Dall, T. M., Zhang, Y., Chen, Y. J., Wagner, R. C., Hogan, P. F., Fagan, N. K., et al. (2007). Cost associated with being overweight and with obesity, high alcohol consumption, and tobacco use within the military health system's TRICARE prime-enrolled population. American Journal of Health Promotion, 22 (2), 120-139. https://doi.org/10.4278/0890-1171-22.2.120
  7. Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al. (2005). Diagnosis and management of the metabolic syndrome. An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Executive summary. Cardiology in Review, 13 (6), 322-327.
  8. Joo, N. S., Park, Y. W., Park, T. S., Shin, G. H., Park, R. W., & Kim, B. T. (2008). Medical cost and hospital visit by obesity and central obesity. Journal of Korean Society for the Study of Obesity, 17 (2), 91-98.
  9. Jung, C. H., Park, J. S., Lee, W. Y., & Kim, S. W. (2002). Effects of smoking, alcohol, exercise, level of education, and family history on the metabolic syndrome in Korean adults. Korean Journal of Medicine, 63 (6), 649-659.
  10. Jung, J. G., Kim, J. S., Yoon, S. J., & Oh, M. K. (2012, May 8). Relationships among alcohol consumption, facial flushing response, and metabolic syndrome in healthy men. Annals of Epidemiology, Retrieved May 28, 2012, from http://www.annalsofepidemiology.org/article/S1047-2797(12) 00108-1.
  11. Kawada, T., Otsuka, T., Inagaki H., Wakayama, Y., Li, Q., Li, Y. J., et al. (2010). Association of smoking status, insulin resistance, body mass index, and metabolic syndrome in workers: A 1-year follow-up study. Obesity Research & Clinical Practice, 4 (3), e163-e169. https://doi.org/10.1016/j.orcp.2009.12.004
  12. Kim, B. J., Kim, B. S., Sung, K. C., Kang, J. H., Lee, M. H., & Park, J. R. (2009). Association of smoking status, weight change, and incident metabolic syndrome in men: A 3-year follow-up study. Diabetes Care, 32 (7), 1314-1316. https://doi.org/10.2337/dc09-0060
  13. Kim, J., & Park, S. (2012). Impact of level of physical activity on healthcare utilization among Korean adults. Journal of Korean Academic Nursing, 42 (2), 199-206. https://doi.org/10.4040/jkan.2012.42.2.199
  14. Kim, S. K., Kang, J. H., Jeon, H. S., Yu, B. Y., & Lee, Y. J. (2010). The relationship between metabolic syndrome and intimamedia thickness of the common carotid artery (IMT-CCA) in young adult men. Journal of Korean Society for the Study of Obesity, 19 (4), 149-154.
  15. Korea Association of Health Promotion. (2011). Analysis of health status and health determinants of government officials in Korea (Ilban 11-13). Seoul: Ministry of Health & Welfare.Management Center for Health Promotion.
  16. Kwasniewska, M., Pikala, M., Kaczmarczyk-Chal̸as, K., Piwonńska, A., Tykarski, A., Kozakiewicz, K., et al. (2012). Smoking status, the menopausal transition, and metabolic syndrome in women. Menopause, 19 (2), 194-201. https://doi.org/10.1097/gme.0b013e3182273035
  17. Lee, E. H., Kim, H. K., Lee, Y. H., Moon, S. Y., Kwon, E. J., & Jee, S. H. (2007). Effectiveness of lifestyle intervention on the management of metabolic syndrome. Journal of Korean Society for Health Education and Promotion, 24 (3), 1-19.
  18. Lee, K. (2012). Gender-specific relationships between alcohol drinking patterns and metabolic syndrome: The Korea National Health and Nutrition Examination Survey 2008. Public Health Nutrition, 10 , 1-8.
  19. Lim, S., Shin, H., Song, J. H., Kwak, S. H., Kang, S. M., Ji, W. Y., et al. (2011). Increasing prevalence of metabolic syndrome in Korea: The Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care, 34 (6), 1323- 1328. https://doi.org/10.2337/dc10-2109
  20. Loprinzi, P. D., & Cardinal, B. J. (2012, March 31). Interrelationships among physical activity, depression, homocysteine, and metabolic syndrome with special considerations by sex. Preventive Medicine, Retrieved May 28, 2012, from http://www.sciencedirect.com/science/article/pii/S0091743512001028.
  21. Ministry of Health and Welfare. (2008, December). Korea Health Statistics 2007: Korea National Health and Nutrition Examination Survey (KNHANES IV-1) (Publication No, 11-1351 159-000027-10). Seoul: Korea Center for Disease Control and Prevention.
  22. Ministry of Health and Welfare. (2011, December). Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). (Publication No, 11-1351159- 000027-10). Seoul: Department of Health Politics, Ministry of Health and Welfare.
  23. Ministry of Public Administration and Security. (2009). Operating guidelines for supporting health care of government officials, standard operating procedures no. 221 of Ministry of Public Administration and Security. Established February 17, 2009.
  24. Mottillo, S., Filion, K. B., Genest, J., Joseph, L., Pilote, L., Poirier, P., et al. (2010). The metabolic syndrome and cardiovascular risk: A systematic review and meta-analysis. Journal of the American College of Cardiology, 56 (14), 1113-1132. https://doi.org/10.1016/j.jacc.2010.05.034
  25. Park, H. S., Oh, S. W., Kang, J. H., Park, Y. W., Choi, J. M., Kim, Y. S., et al. (2003). Prevalence and associated factors with metabolic syndrome in South Korea - From the Korean National Health and Nutrition Examination Survey, 1998 -. Journal of Korean Society for the Study of Obesity, 12 (1), 1-14.
  26. Shin, K. P., Lee, S. Y., Kim, Y. J., Lee, J. G., Kim, D. H., Jung, D. W., et al. (2011). The association of homocysteine and metabolic syndrome. Journal of Korean Society for the Study of Obesity, 20 (1), 16-22. https://doi.org/10.7570/kjo.2011.20.1.16
  27. Statistics Korea. (2011). 2010 Annual Report on the Cause of Death Statistics. Daejeon: Statistics Korea.
  28. Sullivan, P. W., Ghushchyan, V., Wyatt, H. R., & Hill, J. O. (2007). The medical cost of cardiometabolic risk factor clusters in the United States. Obesity, 15 (12), 3150-3158. https://doi.org/10.1038/oby.2007.375
  29. Wakabayashi, I. (2011). Association between alcohol drinking and metabolic syndrome in Japanese male workers with diabetes mellitus. Journal of atherosclerosis and thrombosis, 18 (8), 684-692. https://doi.org/10.5551/jat.7435
  30. World Health Organization Western Pacific Region. (2000). The Asia-Pacific perspective: Redefining obesity and its treatment. Sydney, Australia: Health Communications.

피인용 문헌

  1. Influence of Occupational Type and Lifestyle Risk Factors on Prevalence of Metabolic Syndrome among Male Workers: A Retrospective Cohort Study vol.28, pp.2, 2016, https://doi.org/10.7475/kjan.2016.28.2.180
  2. 성인 남녀를 대상으로 대사증후군이 총 진료비에 미치는 영향분석 vol.27, pp.1, 2012, https://doi.org/10.4332/kjhpa.2017.27.1.47