Abstract
Many people suffers from multiple chronic diseases, leading cause of death and disability in the world. The purpose of this study was to investigate factors affecting multiple chronic diseases, hypertension, and diabetes. We analyzed the data of one metropolitan city of community health survey, 2015. 4,590 citizens were enrolled in this study. Prevalence of multiple chronic diseases, hypertension, and diabetes were 5.14%, 16.8%, and 3.89%, respectively. Educational attainment, income, salt intake, and BMI were identified as independent risk factors associated with multiple chronic diseases. Educational attainment, income, salt intake were significantly associated with hypertension and age, educational attainment, frequency of alcohol drinking, salt intake were associated with diabetes. Multiple chronic diseases, hypertension, and diabetes were associated with sociodemographic, economic, and health behavioral factors. We should consider these variables in the prevention and management programs and policies for patients with multiple chronic diseases.
이 연구는 일개 광역시 지역의 2015년도 지역사회건강조사 응답자 4,590명의 자료를 분석하였다. 만성질환의 대표질환인 고혈압, 당뇨, 복합만성질환자에 대한 단변량 및 다변량 분석을 실시하였다. 주요 연구결과로 복합만성질환과 유의한 관련변수로 학력, 소득, 소금섭취 및 BMI 등이 이었으며, 고혈압은 학력, 소득, 소금섭취 등이었고, 당뇨는 연령, 학력, 음주빈도, BMI 등 이었다. 복합만성질환과 고혈압, 당뇨는 인구, 사회통계적 특성과 건강행태적 특성, 건강관리적 특성에 따라 유의한 차이를 있음을 재확인하였다. 추후 복합만성질환 및 고혈압, 당뇨 등의 만성질환의 예방관리프로그램 기획과 정책개발에 이러한 점들을 고려해야 할 것이다.