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자원봉사활동과 고혈압 및 관련 현상과의 전향적 연구

Volunteering, Hypertension Risks, and Related Phenomena: A Prospective Cohort Study

  • 투고 : 2021.03.18
  • 심사 : 2021.04.05
  • 발행 : 2021.08.30

초록

본 논문은 전향적 설계를 통하여 중장년 및 노년기 성인 자원봉사와 고혈압 발생, 고혈압증세 호전, 일상생활활동 어려움발생, 약복용 및 치료 등과의 관계를 규명하고자 한다. 이를 위해 2008년~2018년까지 10년에 걸쳐 수집된 종단 패널데이터를 사용했으며 분석 코호트 약 5,867명을 표본 추출하여 멀티레벨 혼합효과일반화선형 모델로 통계분석을 수행했다. 분석결과 자원봉사를 적어도 연 200시간 이상 한 사람은 안했을 때 보다 고혈압발생위험이 3.4배 낮았고, 연 50~99시간 한 사람은 안했을 때 보다 고혈압 증세호전이 더 크게 증가하였으며, 연 200시간 이상 자원봉사를 한 사람은 안했을 때 보다 활동어려움 발생확률이 7.7배 낮았으며, 그리고 연 50~99시간 자원봉사를 한 사람은 안했을 때 보다 약 복용 및 치료 발생 확률이 2.5배 낮은 것으로 나타났다. 이 결과는 중장년 및 노년기 성인의 자원봉사는 고혈압 및 관련 현상에 유익한 개선 효과가 있다는 것을 함의한다. 그리고 연구 한계점, 추후 연구방향, 실천함의를 논의했다.

The paper tried to determine relationships between volunteering and hypertension risks, symptom betterment, activity difficulty occurrences, and medicine treatment among middle-aged and older adults, with a prospective cohort study. Multilevel mixed-effects generalized linear models were used for the analysis of longitudinal panel data collected over 10 years from 2008 to 2018, using 5,867 cohort samples. The results showed that those who volunteered at least 200 hours per year were 3.4 times more lower than not-volunteering in risks of hypertension, those who volunteered yearly 50~99 hours were a lot more improved than not-volunteering in the symptom betterment, those who volunteered yearly at least 200 hours were 7.7 times lower than not-volunteering in activity difficulty occurrences, and those who volunteered yearly 50~99 hours were 2.5 times lower than not-volunteering in the occurrences of medicine treatment. These indicate that volunteering among middle-aged and older adults may have health benefits against incident hypertension. Finally the thesis discusses the study limitations, future directions of studies, and the practices implications.

키워드

과제정보

이 논문은 2019년 대한민국 교육부와 한국연구재단의 인문사회분야 중견연구자지원사업의 지원을 받아 수행된 연구임 (NRF-2019S1A5A2A01045421)

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