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The Relationship between Tinnitus and Socioeconomic Status in the Middle-Aged Population of South Korea

한국 중년층의 사회경제적 수준과 이명의 관련성

  • 박효은 (수원여자대학교 간호학과) ;
  • 송혜영 (전북과학대학교 간호학과)
  • Received : 2019.01.15
  • Accepted : 2019.02.15
  • Published : 2019.04.30

Abstract

목적: 최근 이명의 발생률이 증가하고 있으나 이명에 대한 정확한 원인 발견이 어려운 실정이다. 한국의 경우도 예외는 아니며, 사회경제적 상태에 따른 이명여부를 분석하고자 한다. 방법: 국민건강영양조사 제 5기(2010-2012)의 원시자료를 이용하였으며, 연구 대상자인 40세 이상 12,041명을 다중 로지스틱 회귀분석을 실시하였다(95% CI). 결과: 40세 이상 중년인구의 사회경제적 상태에 따른 이명여부는 통계학적으로 유의한 차이가 있는 것으로 나타났다. 이명의 발생여부는 연령이 높을수록(p<.0001), 직업군에 따라서(p<.0001), 대사증후군이 있는 자(p<.0001), 교육수준이 낮을수록(p<.0001), 기초생활수급자(p<.0001), 배우자가 없는 자(p<.0001), 스트레스가 많을수록(p<.0001), 우울증이 높을수록(p=.0034) 이명이 발생하였다. 회귀분석 결과 여성의 경우 대상자의 학력이 초등학교 이하인 그룹에서 교차비가 높았으며(OR:1.784, 1.322-2.408) 소득이 하위계층인 그룹에서 교차비가 높았다(OR:1.591, 1.293-19.58). 하지만 남성의 경우에는 유의한 결과가 나오지 않았다. 결론: 본 연구는 40세 이상 중년인구의 사회 경제적 상태에 따른 이명여부를 파악함으로써 남성보다 여성에서 사회경제적 수준에 따라 이명여부에 영향을 많이 받는 것을 밝혀낸 것에 연구의 의의가 있다.

Keywords

References

  1. Adler NE, Boyce WT, Chesney MA, Folkman S, Syme SL. (1993). Socioeconomic inequalities in health: no easy solution. JAMA, 269(24), 3140-3145. https://doi.org/10.1001/jama.1993.03500240084031
  2. Adler NE. (2009). Health disparities through a psychological lens. Am Psychol, 64(8), 663-673. https://doi.org/10.1037/0003-066X.64.8.663
  3. Anderson NB, Armstead CA. (1995). Toward understanding the association of socioeconomic status and health: A new challenge for the bio psycho social approach. Psychosom Med, 57(3), 213-225. https://doi.org/10.1097/00006842-199505000-00003
  4. Byoung-Jun Y. (2016). Differential effects on self-rated health by socioeconomic class. J Health Info Stat, 14(1), 35-42.
  5. Baguley D, McFerran D, Hall D. (2013). Tinnitus. Lancet. 9;382(9904), 1600-7. PMID: 23827090. Epub 2013/07/06. eng.
  6. Berg AL, Serpanos YC. (2011). High frequency hearing sensitivity in adolescent womens of a lower socioeconomic status over a period of 24 years (1985-2008). J Adolesc Health, 48(2), 203-283 https://doi.org/10.1016/j.jadohealth.2010.06.014
  7. Chae S-W. (2009). The development of health care of ears, nose and neck by lifecycle-The final report of the academic research project. Centers for Disease Control and Prevention, Seoul.
  8. Cho YS et al. (2010). Prevalence of otolaryngologic diseases in South Korea: data from the Korea national health and nutrition examination survey 2008. Clin Exp Otorhinolaryngol, 3, 183-193. https://doi.org/10.3342/ceo.2010.3.4.183
  9. Choi A-Y. (2011). A clinical comparison of the objective and subjective tinnitus [Masters thesis]. Eulji University, Republic of Korea.
  10. Chou K. (2008). Combined effect of vision and hearing impairment on depression in older adults: Evidence from the English longitudinal study of ageing. J Affect Disord, 106(1-2), 191-196. https://doi.org/10.1016/j.jad.2007.05.028
  11. Cundiff JM, Uchino BN, Smith TW, Birmingham W. (2015). Socioeconomic status and health: education and income are independent and joint predictors of ambulatory blood pressure. J Behav Med, 38(1), 9-16. https://doi.org/10.1007/s10865-013-9515-8
  12. Dobie RA. (2003). Depression and tinnitus. Otolaryngol Clin North Am, 36(2): 383-388. https://doi.org/10.1016/S0030-6665(02)00168-8
  13. Dobie RA. (2004). Overview: Suffering from tinnitus. Tinnitus: Theory and management. Snow Jr JB, ed. BC Decker, Lewiston, NY, 1-7.
  14. Gomaa MA, Elmagd MH, Elbadry MM, Kader RM. (2014). Depression, Anxiety and Stress Scale in patients with tinnitus and hearing loss. Eur Arch Otorhinolaryngol, 271, 2177-2184. https://doi.org/10.1007/s00405-013-2715-6
  15. Hallberg R, Johnsson T, Axelsson A. (1993). Structure of perceived handicap in middleaged mens with noise-induced hearing loss, with and without tinnitus. Audiology, 32(2), 137-189. https://doi.org/10.3109/00206099309071863
  16. Henry JA, Dennis KC, Schechter MA. (2005). General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res, 48(5), 1204-1235. https://doi.org/10.1044/1092-4388(2005/084)
  17. Henry JA Zaugg TL, Myers PJ, Schechter MA. (2008). The role of audiologic evaluation in progressive audiologic tinnitus management. Trends Amplif, 12(3), 170-187. https://doi.org/10.1177/1084713808319941
  18. Hoffman HJ, Reed GW. (2004). Epidemiology of tinnitus. Tinnitus: Theory and management. Snow Jr JB, ed. BC Decker, Lewiston, NY, 16-41.
  19. Johnston DW, Propper C, Shields MA. (2009). Comparing subjective and objective measures of health: evidence from hypertension for the income/health gradient. J Health Econ, 28(3), 540-552. https://doi.org/10.1016/j.jhealeco.2009.02.010
  20. Khedr EM et al. (2010). Epidemiologic study of chronic tinnitus in Assiut, Egypt. Neuroepidemiology, 35(1), 45-52. https://doi.org/10.1159/000306630
  21. Kim H-J et al. (2015). Analysis of the prevalence and associated risk factors of tinnitus in adults. PLoS ONE, 10(5):e0127578. https://doi.org/10.1371/journal.pone.0127578
  22. Knobel KA, Sanchez TG. (2008). Influence of silence and attention on tinnitus perception. Otolaryngol Head Neck Surg, 138(1), 18-22. https://doi.org/10.1016/j.otohns.2007.09.023
  23. Laskar HA et al. (2015). Tinnitus: A hospital based retrospective study. Indian J Otol, 21(3), 197-200. https://doi.org/10.4103/0971-7749.159710
  24. Lee J, Lee S, Jang S, Ryu OH. (2013). Age-related changes in the prevalence of osteoporosis according to gender and skeletal site: The Korea National Health and Nutrition Examination Survey 2008-2010. Endocrinol Metab (Seoul), 28(3), 180-191. https://doi.org/10.3803/EnM.2013.28.3.180
  25. Lee KO, Yoon HS. (2001). Relationship between inequalities in health and inequalities in socioeconomic status. J Korean Community Nurs, 12(3), 609-619.
  26. National Institute for Occupational Safety and Health. (1998). Criteria for are commended standard: occupational noise exposure. Revised criteria 1998. National Institute for Occupational Safety and Health. Cincinnati, OH.
  27. Newton TL. (2009). Cardiovascular functioning, personality, and the social world: The domain of hierarchical power. Neurosci Biobehav Rev, 33(2), 145-159. https://doi.org/10.1016/j.neubiorev.2008.07.005
  28. Park YH et al. (2014). Gender difference in the association of metabolic syndrome and its components with age-related cataract: the Korea National Health and Nutrition Examination Survey 2008-2010. PLos One, 9: e85068. https://doi.org/10.1371/journal.pone.0085068
  29. Son M. (2002). The relationship of social class and health behaviors with morbidity in Korea. Korean J Prev Med, 35(1), 57-64.
  30. Sriwattanatamma P, Breysse P. (2000). Comparison of NIOSH noise criteria and OSHA hearing conservation criteria. Am J Ind Med, 37(4), 334-338. https://doi.org/10.1002/(SICI)1097-0274(200004)37:4<334::AID-AJIM2>3.0.CO;2-Z
  31. Widen SE, Erlandsson SI. (2004). The influence of socio-economic status on adolescent attitude to social noise and hearing protection. Noise Health, 7(25), 59-70.
  32. Woodward M, Oliphant J, Lowe G, Tunstall-Pedoe H. (2003). Contribution of contem poraneous risk factors to social inequality in coronary heart disease and all causes mortality. Prev Med, 36(5), 561-568. https://doi.org/10.1016/S0091-7435(03)00010-0