Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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A Comparative Analysis of Smoking-Associated Factors in Wonju-si and Chuncheon-si: Based on the National Health Insurance Service-Health Screening Database

원주시와 춘천시 흡연 관련 요인 비교 분석: 국민건강보험공단 건강검진 DB 바탕으로

  • Yun-Ji Jeong (Department of Health Administration, Yonsei University Graduate School ) ;
  • Lee-Seo Seol (Health Insurance Research Institute, National Health Insurance Service) ;
  • Hyung-Kyung Cho (Health Insurance Research Institute, National Health Insurance Service) ;
  • Hyun-Ji Lee (Health Insurance Research Institute, National Health Insurance Service) ;
  • Kwang-Soo Lee (Department of Health Administration, Yonsei University Graduate School )
  • 정윤지 (연세대학교 일반대학원 보건행정학과) ;
  • 설이서 (국민건강보험공단 건강보험연구원) ;
  • 조형경 (국민건강보험공단 건강보험연구원) ;
  • 이현지 (국민건강보험공단 건강보험연구원) ;
  • 이광수 (연세대학교 일반대학원 보건행정학과)
  • Received : 2023.01.17
  • Accepted : 2023.03.15
  • Published : 2023.03.30
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Abstract

Purposes: The purpose of this study was to analyze the factors associated with current smoking status in Wonju-si and Chuncheon-si, and to study the cause of difference in smoking rates between these two regions. Methodology: Data was from the National Health Insurance Service database from 2019 to 2020. Current smoking status was based on the response to the health examination questionnaire. Logistic regression analysis was conducted to identify factors associated with current smoking status. The study included 207,307 individuals from Wonju-si and 173,698 individuals from Chuncheon-si. Findings: The smoking rate of Wonju-si was 19.83%, and Chuncheon-si was 18.20%, showing a difference in the smoking rates between the two regions. Logistic regression analysis found that men, those aged 40-49, being a self-employed insured, a medical-aid beneficiary, having a lower income, working in construction, transport, storage, communication, or manufacturing industries, having a high-risk drinking level and being underweight were significantly associated with a higher likelihood of smoking(p<0.05). Additionally, having a chronic disease was associated with a lower likelihood of smoking in the case of Chuncheon-si(p<0.05). Practical Implication: This study found the differences of factors associated with smoking rates between the two regions and could provide implications for establishing intervention programs or policies that could contribute to lowering the smoking rate in areas with high smoking rates.

Keywords

Acknowledgement

이 논문은 2021년 질병관리청의 재원으로 정책연구용역사업비를 지원받아 수행된 연구임(2021-11-021).

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