보건행정학회지 (Health Policy and Management)

  • 제29권4호
  • /
  • Pages.469-481
  • /
  • 2019
  • /
  • 1225-4266(pISSN)
  • /
  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

우리나라 노인의 관절염 유병과 인구사회적 요인의 관련성: 노인실태조사(2014, 2017) 자료 분석

Association between Arthritis and Socio-Demographic Factors in Korean Elderlies: The National Survey of Korean Elderly (2014, 2017) Dataset Analysis

  • 하운경 (한국쓰리엠 헬스케어사업부) ;
  • 박관규 (연세대학교 의과대학 정형외과학교실) ;
  • 김태현 (연세대학교 보건대학원 병원경영학과) ;
  • 이규희 (이대목동병원 임상시험센터) ;
  • 이용재 (연세대학교 대학원 경제학과) ;
  • 정우진 (연세대학교 보건대학원 보건정책학과)
  • Ha, Woonkyung (Health Care Business, 3M Korea) ;
  • Park, Kwankyu (Department of Orthopaedic Surgery, Yonsei University College of Medicine) ;
  • Kim, Taehyun (Department of Hospital Administration, Yonsei University Graduate School of Public Health) ;
  • Lee, Kyuhee (Clinical Trial Center, Ewha Womans University Mokdong Hospital) ;
  • Lee, Yongjae (School of Economics, The Graduate School, Yonsei University) ;
  • Chung, Woojin (Department of Health Policy and Management, Yonsei University Graduate School of Public Health)
  • 투고 : 2019.08.07
  • 심사 : 2019.10.01
  • 발행 : 2019.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: As South Korea is becoming an aged society very rapidly, the increase in osteoarthritis prevalence raises various public health issues in this country. This study aimed to explore the socio-demographic factors associated with osteoarthritis in the current Korean elderlies. Methods: Using the National Survey of Korean Elderly data (2014, 2017), we analyzed 20,326 elderlies (males, 8,248; females, 12,078) and conducted multivariate logistic regression analyses by sex. The dependent variable is whether a participant was diagnosed with osteoarthritis or not. Independent variables of interest is socio-demographic factors such as age, marital status, household type, residential area, household income, religion, the longest job, the number of close relatives, the number of close friends, and survey year. Control variables are various health behavioral factors and disease-related factors. Results: Prevalence of osteoarthritis was 19.2% in male elderlies and 47.0% in female elderlies. According to the results of the multivariate logistic regression adjusted for all studied control variables, the odds ratio (OR) for having osteoarthritis of under-elementary school graduates (their counterpart was college graduate group) was 1.81 (95% confidence interval [CI], 1.29-2.52) in males and 1.67 (95% CI, 1.12-2.47) in females. The OR of those having a job in agriculture & forestry fishery as their longest job (their counterpart was those who had never participated in labor force during their lifetime) was 5.07 (95% CI, 1.46-17.58) in males and 1.49 (95% CI, 1.27-1.74) in females. In males, the second-low quartile group in household yearly income (their counterpart was the highest quartile group) had the OR of 1.22 (95% CI, 0.98-1.53). In females, the OR of those having a religion of Buddhism (their counterpart was those having no religion) was 1.20 (95% CI, 1.07-1.35) and the OR of those who had no relatives (their counterpart was those having more than 3 close relatives) was 1.31 (95% CI, 1.10-1.56). Conclusion: This study found that in Korean elderlies, education, the longest job, household income, religion, and the number of close relatives are associated with their suffering from osteoarthritis. Further study and designing appropriate interventions are needed to alleviate current and future individual and socioeconomic burdens of osteoarthritis in an aged society like South Korea.

키워드

참고문헌

  1. World Health Organization. The burden of musculoskeletal conditions at the start of the new millennium. Geneva: World Health Organization; 2003.
  2. Woo KJ, Oh KW. Prevalence of osteoarthritis among adults over 50 years old in Korea, 2010-2013. Public Health Wkly Rep 2015;8(4):82-84.
  3. Statistics Korea. 2016 Elderly statistics. Daejeon: Statistics Korea; 2016.
  4. Grazio S. Osteoarthritis: epidemiology, economics and quality of life. Reumatizam 2005;52(2):21-29.
  5. Park HJ, Lee SK. The association between osteoarthritis and health-related quality of life in women aged 50 years and over: using the Korea National Health and Nutrition Examination Survey (KNHANES) data. Korean J Health Educ Promot 2012;29(2):23-32.
  6. Lee HS. Prevalence of osteoarthritis and related risk factors in the elderly: data from the fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010-2012. J Korean Diet Assoc 2014;20(2):99-109. DOI: https://doi.org/10.14373/JKDA.2014.20.2.99.
  7. Nishimura A, Hasegawa M, Kato K, Yamada T, Uchida A, Sudo A. Risk factors for the incidence and progression of radiographic osteoarthritis of the knee among Japanese. Int Orthop 2011;35(6):839-843. DOI: https://doi.org/10.1007/s00264-010-1073-x.
  8. Son JT, Park SY. A survey on experience and illness management of rural women with osteoarthritis. J Korean Acad Fundam Nurs 2006;13(3):419-427.
  9. Oka H, Akune T, Muraki S, En-yo Y, Yoshida M, Saika A, et al. Association of low dietary vitamin K intake with radiographic knee osteoarthritis in the Japanese elderly population: dietary survey in a population-based cohort of the ROAD study. J Orthop Sci 2009;14(6):687-692. DOI: https://doi.org/10.1007/s00776-009-1395-y.
  10. MacKay C, Canizares M, Davis AM, Badley EM. Health care utilization for musculoskeletal disorders. Arthritis Care Res (Hoboken) 2010;62(2):161-169. DOI: https://doi.org/10.1002/acr.20064.
  11. Kim SA, Kim JI. A study of relationship of pain and fatigue in elderly women with osteoarthritis. J Muscle Joint Health 2007;14(1):70-76.
  12. Kim SY, Nam HS, Kang C. Prevalence of arthritis and related factors among Korean adults. J Korea Acad Ind Coop Soc 2012;13(9):4073-4081. https://doi.org/10.5762/KAIS.2012.13.9.4073
  13. Hur NW, Choi CB, Uhm WS, Bae SC. The prevalence and trend of arthritis in Korea: results from Korea National Health and Nutrition Examination Surveys. J Korean Rheum Asso 2008;15(1):11-26. DOI:https://doi.org/10.4078/jkra.2008.15.1.11.
  14. Uhm WS, Yun JE, Park YW, Kim HR, Nam JJ, Lee HS, et al. Prevalence of self-reported arthritis and its epidemiologic characteristics in Korea. J Korean Rheum Assoc 2004;11(2):116-125.
  15. Choi HJ, Han WJ, Im JS, Baek HJ. The prevalence and clinical features of musculoskeletal diseases in Incheon: results from chronic disease management surveys. J Korean Rheum Assoc 2009;16(4):281-290. DOI: https://doi.org/10.4078/jkra.2009.16.4.281.
  16. Park NG, Kim WK, Shin DH, Choi YM, Lee YJ, Lee EB, et al. Prevalence of osteoarthritis and rheumatoid arthritis in two communities in Korea. J Korean Rheum Assoc 2003;10(2):151-157.
  17. Kim M, Bae SH. Factors influencing health-related quality of life in older adults with osteoarthritis: based on the 2010-2011 Korea National Health and Nutrition Examination Survey. J Muscle Joint Health 2014;21(3):195-205. DOI: https://doi.org/10.5953/JMJH.2014.21.3.195.
  18. Jeon E. Health behaviors of the elderly with osteoarthritis across gender groups. J Korean Data Inf Sci Soc 2015;26(6):1453-1463. DOI: https://doi.org/10.7465/jkdi.2015.26.6.1453.
  19. Felson DT, Zhang Y. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum 1998;41(8):1343-1355. DOI: https://doi.org/10.1002/1529-0131(199808)41:8<1343::aid-art3>3.0.co;2-9.
  20. Han CD, Yang IH, Lee WS, Park YJ, Park KK. Correlation between metabolic syndrome and knee osteoarthritis: data from the Korean National Health and Nutrition Examination Survey (KNHANES). BMC Public Health 2013;13:603. DOI: https://doi.org/10.1186/1471-2458-13-603.
  21. Kim MY, Park JK, Koh SB, Kim CB. Factors influencing utilization of medical care among osteoarthritis patients in Korea: using 2005 Korean National Health and Nutrition Survey data. J Prev Med Public Health 2010;43(6):513-522. DOI: https://doi.org/10.3961/jpmph.2010.43.6.513.
  22. Richmond RS, Carlson CS, Register TC, Shanker G, Loeser RF. Functional estrogen receptors in adult articular cartilage: estrogen replacement therapy increases chondrocyte synthesis of proteoglycans and insulin-like growth factor binding protein 2. Arthritis Rheum 2000;43(9):2081-2090. DOI: https://doi.org/10.1002/1529-0131(200009)43:9<2081::AID-ANR20>3.0.CO;2-I.
  23. Lian K, Lui L, Zmuda JM, Nevitt MC, Hochberg MC, Lee JM, et al. Estrogen receptor alpha genotype is associated with a reduced prevalence of radiographic hip osteoarthritis in elderly Caucasian women. Osteoarthritis Cartilage 2007;15(8):972-978. DOI:https://doi.org/10.1016/j.joca.2007.02.020.
  24. Csintalan RP, Schulz MM, Woo J, McMahon PJ, Lee TQ. Gender differences in patellofemoral joint biomechanics. Clin Orthop Relat Res 2002;(402):260-269. DOI: https://doi.org/10.1097/00003086-200209000-00026.
  25. Gandhi R, Dhotar H, Tsvetkov D, Mahomed NN. The relation between body mass index and waist-hip ratio in knee osteoarthritis. Can J Surg 2010;53(3):151-154.
  26. Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med 2010;26(3):355-369. DOI: https://doi.org/10.1016/j.cger.2010.03.001.
  27. Korea Institute for Health and Social Affairs. Survey of living conditions and welfare needs of Korean elderly. Sejong: Korea Institute for Health and Social Affairs; 2014, 2017.
  28. Mili F, Helmick CG, Zack MM. Prevalence of arthritis: analysis of data from the US Behavioral Risk Factor Surveillance System, 1996-99. J Rheumatol 2002;29(9):1981-1988.
  29. Berman RL, Iris MA. Approaches to self-care in late life. Qual Health Res 1998;8(2):224-236. DOI: https://doi.org/10.1177/104973239800800206.
  30. Yang SJ. A study on nutrition and health evaluation of osteoarthritis elderly in community. J Korean Acad Community Health Nurs 2006;17(2):186-194.
  31. Lee JY, Moon YS. Effects of chronic pain and social support on depression and suicide in the elderly. J Digit Converg 2015;13(10):445-458. DOI: https://doi.org/10.14400/JDC.2015.13.10.445.
  32. Chokkhanchitchai S, Tangarunsanti T, Jaovisidha S, Nantiruj K, Janwityanujit S. The effect of religious practice on the prevalence of knee osteoarthritis. Clin Rheumatol 2010;29(1):39-44. DOI:https://doi.org/10.1007/s10067-009-1295-8.