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Community Health Convergence through Analysis of Chronic Disease Influencing Factors -Focusing on 30-40s Adults in Sejong City-

만성질환 영향요인 분석을 통한 지역사회 건강융합 -세종특별자치시 30-40대를 중심으로-

  • Lee, Mi-Kyoung (College of Nursing, Eulji University) ;
  • Jo, Ahra (Graduate School of Nursing, Eulji University) ;
  • Lim, Sun-Og (Department of Nursing, Shingyeong University)
  • Received : 2017.04.04
  • Accepted : 2017.05.20
  • Published : 2017.05.28

Abstract

The study was investigated for verifying the rate of diagnosis influencing factors for chronic diseases the people living in the Dong and Myeon in Sejong city. This study was secondary analysis based on the data from the Community Health Survey(2013-2015), totaling 1,067 people. The data were analyzed using a hierarchical logistic regression. The results showed that the probability of getting diagnosed with chronic diseases was 7.34 times higher for men than for women in the people living in the Dong. Also the group with less than three days of walking was 2.2 times higher than the other group who walked more than 3days. However, smoking group in the people living in the Myeon was 1.19 times higher than non-smoking group. As a result of the study, it was confirmed that it is necessary to develop a differentiated chronic disease prevention health care program adequate to Sejong city dweller.

본 연구는 세종특별자치시 동, 면 거주자의 만성질환 진단율과 영향요인을 확인하기 위해 조사되었다. 2013-2015년 지역사회 건강조사 자료를 활용한 2차 분석 연구로 총 1,067명의 자료가 이용되었고 위계적 로지스틱 회귀분석을 이용하여 분석하였다. 분석결과, 동 지역 거주자는 만성질환 진단을 받을 확률이 여자보다 남자가 7.34배 높았고, 걷기 일수가 3일 미만인 군이 3일 이상인 군에 비해 2.20배 높았다. 면 지역 거주자는 비 흡연 군 보다 흡연 군이 1.19배 높은 것으로 나타났다. 연구결과, 동지역 거주자와 면지역 거주자에게 차별화된 만성질환 예방건강관리 프로그램 개발이 필요한 것으로 확인되었다.

Keywords

References

  1. World Health Organization. Noncommunicable diseases [internet]. World Health Organization; 2017[cited 2017 April 1]. Available from: http://www.who.int/mediacentre/factsheets/fs355/en/.
  2. Statistics Korea. 2015 Cause of death and mortality rates [Internet]. Seoul: Statistics Korea; 2015[cited 2017 April 1]. Available from: http://www.narastat.kr/metasvc/svc/SvcMetaDcDtaPopup.do?confmNo=101054.
  3. S. H. Jee, Y. Jang, D. J. Oh, B. H. Oh, S. H. Lee, S. W. Park, K. B. Seung, Y. J. Mok, K. J. Jung, H. J. Kim, Y. D. Yun, S. J. Baek, D. C. Lee, S. H. Choi, M. J. Kim, J. D. Sung, B. L. Cho, E. S. Kim, B. Y. Yu, T. Y. Lee, J. S. Kim, Y. J. Lee, J. K. Oh, S. H. Kim, J. K. Park, S. B. Koh, S. B. Park, S. Y. Lee, C. I. Yoo, M. C. Kim, H. K. Kim, J. S. Park, H. C. Kim, G. J. Lee, W. Mark, "A Coronary Heart Disease Prediction Model: the Korean Heart Study", BMJ Open, Vol. 4, No. 5, e005025. 2014. https://doi.org/10.1136/bmjopen-2014-005025
  4. S. W. Jung, Y. T. Cho, "Neighborhood Characteristics and Individual Health under Korean Context", Journal of Preventive Medicine and Public Health, Vol. 38, No. 3, pp. 259-266, 2005.
  5. Korea Health Statistics 2015 : Korea National Health and Nutrition Examination Survey (KNHANES VI-3), Korea Centers for Disease Control and Prevention, 2016.
  6. B. G. Jeong, K. Y. Jung, J. Y. Kim, O. R. Moon, Y. H. Lee, Y. S. Hong, T. H. Yoon, "The Relationship between Regional Material Deprivation and the Standardized Mortality Ratio of the Community Residents Aged 15-64 in Korea", Journal of Preventive Medicine and Public Health, Vol. 39, No. 1, pp. 46-52, 2006.
  7. Sejong-si Community Health Statistics 2015, Sejong Health Center, 2016.
  8. http://www.sleepmed.or.kr/sleep/sleep02.html.
  9. J. S. Pyo, "Gender Gap and Difference in Women Shown in National Health Statistics -Centering Around a Mental Heatlh, a Medical System Use and a Chronic Disease-", Women Health, Vol. 10, No. 1, pp. 65-114, 2009.
  10. Chronic Disease Status and Issues, Korea Centers for Disease Control and Prevention, 2016.
  11. H. S. Kim, Y. H. Park, "Related Factors on Health Service Utilization and Satisfaction of Health Center Clients-using 2010 Community Health Survey", The Korean Journal of Health Service Management. Vol. 7, No. 3, pp. 95-109, 2013. https://doi.org/10.12811/kshsm.2013.7.3.095
  12. Y. R. Kim, T. Y. Lee, C. S. Park, "A Study on the Relationship Between Individual Patient Behavior, Medical Care Level and Therapeutic Compliance : Community Health Survey", Journal of the Korea Academia-Industrial Cooperation Society, Vol. 17, No.5, pp. 104-115, 2016. https://doi.org/10.5762/KAIS.2016.17.5.104
  13. Y. H. Bae, K. W. Lee, "Risk Factors for Cardiovascular Disease in Adults Aged 30 Years and Older", Journal of The Korean Society of Integrative Medicine, Vol. 4, No. 2, pp. 97-107, 2016. https://doi.org/10.15268/ksim.2016.4.2.097
  14. M. J. Kim, "The convergence correlational Study on Office Workers' Health Related Behaviors and Prevalence Rates of Metabolic Syndrome", Journal of the Korea Convergence Society, Vol. 7, No. 3, pp. 99-109, 2016. https://doi.org/10.15207/JKCS.2016.7.3.099
  15. H. S. Lee, S. A. Hong, "Convergence Effect Factors of Hypertension and Diabetes Mellitus on Depression and Suicidal Impulse.", Journal of the Korea Convergence Society, Vol. 8, No. 1, pp. 123-129, 2017. https://doi.org/10.15207/JKCS.2017.8.1.123
  16. M. J. Kim, E. O. Park, "The Prevalence and the Related Factors of Metabolic Syndrome in Urban and Rural Community", Korean Journal of Adult Nursing, Vol. 26, No. 1, pp. 67-77, 2014. https://doi.org/10.7475/kjan.2014.26.1.67
  17. Y. M. Kim, S. H. Kang, "Changes and determinants affecting on geographic variations in health behavior, prevalence of hypertension and diabetes in Korean", Journal of digital Convergence, Vol. 13, No. 11, pp. 241-254, 2015. https://doi.org/10.14400/JDC.2015.13.11.241
  18. Report on the Social Survey 2016, Statistics Korea, 2016.
  19. S. Y. Kim, K. C. Yoon, "An Analysis of the Regional Differences of Health Inequality and the Exploration of the Factors Causing the Differences", The Korean Journal of Local Government Studies, Vol. 15, No. 4, pp. 31-57, 2011.
  20. S. O. Chang, C. S. Park, "Analysis of Smoking Temptation, Nicotine Dependency, Perceived Health Status Corresponding to Stage of Change in Smoking Cessation in Middle Aged Men", Journal of Korean Academy of Fundamentals of Nursing, Vol. 8, No. 1, pp. 69-80, 2001.
  21. D. H. Park, E. H. Jang, "Convergence Factors Related to Glycemic Control in Workers with Diabetes Mellitus : using the Korean National Health and Nutrition Examination Survey, 2009-2013", Journal of the Korea Convergence Society, Vol. 6, No. 6, pp. 95-103, 2015. https://doi.org/10.15207/JKCS.2015.6.6.095
  22. 2013 Korean Hypertension Treatment Guidelines, The Korean Society of Hypertension, 2013.
  23. D. J. Kim, "Summary of the American Diabetes Association Standards of Medical Care in Diabetes 2012", The Journal of Korean Diabetes, Vol. 13, No. 1, pp. 7-14, 2012. https://doi.org/10.4093/jkd.2012.13.1.7
  24. Dyslipidemia Treatment Guidelines, The Korean Society of Lipidology and Atherosclerosis, 2015.
  25. S. Y. Lee, "Community Based Strategies and Directions for the Management of Hypertension and Diabetes", Korean Journal of Health Education and Promotion, Vol. 33, No. 4, pp. 67-77, 2016. https://doi.org/10.14367/kjhep.2016.33.4.67
  26. S. K. Kang, H. S. Jeon, "An Exploratory Study on Age Differences in Health Trajectory and its Predictors : Using Korean Welfare Panel Study from W1 to W7", Social Science Research, Vol. 24, No. 3, pp. 61-84, 2013.
  27. J. H. Kang, "Nutritional and Health Status of the Youthand Middle-Aged in Korea", Korean Journal of Community Nutrition, Vol. 14, Np. 5, pp. 613-618, 2009.