Comparison of Health Behaviors Patterns between Korean Seventh-Day Adventists and the General Korean Population

한국 제칠일 안식일 예수 재림교인과 일반인의 건강행동 비교연구

  • Lim, Jong-Min (Department of Public Health, The Graduate School, Konyang University) ;
  • Jang, Ju-Dong (Department of Preventive Medicine, College of Medicine, Konyang University) ;
  • Lee, Moo-Sik (Department of Preventive Medicine, College of Medicine, Konyang University)
  • 임종민 (건양대학교 일반대학원 보건학과) ;
  • 장주동 (건양대학교 의과대학 예방의학교실) ;
  • 이무식 (건양대학교 의과대학 예방의학교실)
  • Received : 2016.04.27
  • Accepted : 2016.07.07
  • Published : 2016.07.31


Objectives: This study examined the characteristics and related factors by comparing the lifestyles and health behaviors between Korean Seventh-day Adventists and the general population of Korea. Methods: A survey was conducted of 878 people more than 20-years-old Korean Seventh-day Adventists who live in the metropolitan area and 3,000 people more than 20-years-old who live in the metropolitan area in 4th (2nd year) National Health and Nutrition Survey. A comparison of health behaviors related to health screenings, smoking, drinking, physical activity, subjective stress, weight management, and oral health was analyzed using a chi-square test. Logistic regression analysis was used to identify the contributing factor to the health behavior. Results: Health screening rates among Korean Seventh-day Adventists were higher than the general population (p<0.001), but Korean Seventh-day Adventists showed lower rates of health screening in the 20-30 ages. Lifetime smoking experience rates and current smoking rates were significantly lower in the Korean Seventh-day Adventists than in the general population (p<0.001). The success rate of smoking cessation among ex-smokers of Korean Seventh-day Adventists were very high. In terms of the drinking rate, Korean Seventh-day Adventists were significantly lower than the general population (p<0.001). The drinking rate of men was higher than women (p<0.001). Moderate physical activity of men were higher than women in Korean Seventh-day Adventists (p<0.001). Conclusion: The lifestyles and health behaviors of Korean Seventh-day Adventists, such as tobacco smoking and alcoholic drinking, were eminently healthier than the general population. Nevertheless, further well-organized studies will be needed.

연구목적: 이 연구는 한국의 재림교인과 일반 인구집단간의 생활습관 및 건강행동 비교 분석 연구를 통하여 특성과 관련요인들을 도출하고자 실시하였다. 연구방법: 수도권 지역 만 20세 이상 재림교인 878명과 제4기 2차년도 국민건강영양 조사자료 중에서 수도권 지역 만 20세 이상 3,000명을 대상으로 건강행태와 관련된 건강검진, 흡연, 음주, 신체활동, 주관적 스트레스, 체중관리, 구강건강 관련 항목의 비교는 카이제곱 검정을 사용하였으며, 건강행동에 기여요인을 확인하기 위해 로지스틱회귀분석을 실시하였다. 연구결과: 건강검진율은 재림교인이 일반 인구집단보다 높게 나타났으며(p<0.001), 재림교인은 연령이 낮은 20-30대에서 검진율이 낮게 나타났다(p<0.001). 평생 흡연 경험율 및 현재 흡연율에서 재림교인이 일반 인구집단보다 현저하게 낮게 나타났으며(p<0.001), 재림교인 중 과거 흡연자의 금연 성공율은 매우 높게 나타났다. 음주율에서는 재림교인이 일반 인구집단보다 현저하게 낮게 나타났으며, 재림교인은 신앙기간이 짧을수록 음주를 많이 하는 것으로 나타났으며(p<0.001), 남자가 여자보다 음주율이 높은 것으로 나타났다(p<0.001). 중등도 신체활동 및 걷기 운동에서 재림교인은 일반 인구집단보다 실천율이 높게 나타났으며, 재림교인들의 남자가 여자보다 중등도 신체활동은 높은 것으로 나타났다(p<0.001). 결론: 이상에서 나타난 재림교인들의 건강생활습관에서 흡연 및 음주 등에서는 일반 인구집단에 보다 탁월하게 건강생활을 실천하고 있어 추후 보다 심층적인 추적관찰 연구 등이 필요해 보인다.


  1. Maselko J, Kubzansky L, Kawachi I, Seeman T, Berkman L, Religious service attendance and allostatic load among high-functioning elderly, Psychosomatic Medicine, 69, pp. 464-472, 2007. DOI:
  2. Porterfield A, Healing in the history of Christianity, New York, Oxford University Press, 2005. DOI:
  3. Fraser GE, Shavlik DJ, Ten years of life: is it a matter of choice?, Arch Intern Med, 161, pp. 1645-1652, 2001. DOI:
  4. Orlich MJ, Singh PN, Sabate J, Jaceldo-Siegl K, Fan J, Knutsen S, Beeson WL, Fraser GE, Vegetarian dietary patterns and mortality in Adventist Health Study 2, JAMA Intern Med, 173(13), pp. 1230-1238, 2013. DOI:
  5. Kwok CS, Umar S, Myint PK, Mamas MA, Loke YK, Vegetarian diet, Seventh Day adventists and risk of cardiovascular mortality: a systematic review and meta-analysis, International Journal of Cardiology, 176(3), pp. 680-686, 2014. DOI:
  6. Phillips RL, Kuzma JW, Beeson WL, et al., Influence of selection versus lifestyle on risk of fatal cancer and cardiovascular disease among Seventh-day Adventists, American Journal of Epidemiology, 112, pp. 296-314, 1980.
  7. Tonstad S, Butler T, Yan R, Fraser G, Type of vegetarian diet, body weight and prevalence of type 2 diabetes, Diabetes Care, 32, 791e6, 2009.
  8. Hoff A, Johannessen-Henry CT, Ross L, et al., Religion and reduced cancer risk: what is the explanation?, A review. European Journal of Cancer, 44, pp. 2573-2579, 2008. DOI:
  9. Butler TL, Fraser GE, Beeson WL, Knutsen SF, Herring RP, Chan J, et al., Cohort profile: The Adventist Health Study-2 (AHS-2), International Journal of Epidemiology, 37(2), pp. 260-265, 2008. DOI:
  10. Jo MA, Maxwell AE, Choi S, Bastani R, Interest in Health Promotion Among Korean American Seventh-day Adventists Attending a Religious Retreat, Asian Pacific J Cancer Prev, 13, pp. 2923-2930, 2012. DOI:
  11. Taylor RB, Ureda JR, Denham JW, Health promotion: principles and clinical applications, Norwalk, CT: Appleton-Century-Crofts, 1982.
  12. Lee YB. A Study on perceptions of Smoking Decisional Balance of Adult Patient with Chronic Diseases, Doctoral Dissertation, Kosin University, 2009.
  13. Meng KH, Smoking-Attributable Mortality Among Korean Adults, Korean Journal of Epidemiology, 10(2), pp. 138-145, 1998
  14. Chang WY. The study for the Epidemiologic Characteristics of Cancer Patients in Jeju Special Self-governing Province. Journal of the Korea Academia-Industrial cooperation Society, 16(2), pp. 1292-1303, 2015. DOI:
  15. Jee SH, Lee JK, Kim IS, Smoking-Attributable Mortality Among Korean Adults: 1981-2003, Korean Journal of Epidemiology, 28(1), pp. 92-99, 2006.
  16. Kim GH, Smoking, Drink and Health, Inje medical journal, 2(1), pp. 133-142, 1999.
  17. Kim CD, Affecting Factors on Job Stress and Health Status of Hair Dressers, Doctoral Dissertation, Soonchunhyang University, 2005.
  18. Park MS, Park KA. The differences of dietary and health-related habits, depression, eating disorder and nutrient intake according to the life stress in nursing college students, Journal of the Korea Academia -Industrial cooperation Society, 15(1), pp. 344-355, 2014. DOI:
  19. Adventist world, 2009, may
  20. Fraser GE, Associations between diet and cancer, ischemic heart disease, and all-cause mortality in non-Hispanic white California Seventh-day Adventists, American Society for Clinical Nutrition, 70(suppl), pp. 532S-538S, 1999
  21. Kotz D. 11 Health habits that will help you live to 100, U.S.News & world report, 2009, http://health.
  22. Kim JH, The influence of cognitive coping on sick role behavioral compliance and depression, satisfaction with life in hemodialysis patients, Journal of the Korea Academia-Industrial cooperation Society, 16(2), pp. 1328-1338, 2015. DOI:
  23. Belloc NB, Breslow L, Relationship of physical health status and health practices, American Journal of Preventive Medicine, 1(3), pp. 409-421, 1972. DOI:
  24. Lee SD, Association of Health-related Behavior and Diseases of Users of Comprehensive Medical Examination : Focusing on one medium sized hospital, Master's Thesis, Daegu Haany University, 2009.
  25. Ministry of Health and Welfare, The Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2006.
  26. Kim YA, Chung SJ, Suh KH, Health Behaviors, Type A Behavior Patterns, Coping Styles, Physical Symptoms among Korean Seventh-day Adventists, The Korean Journal of Health Psychology, 10(2), pp. 167-182, 2005.
  27. Kim MJ, A study on the effect of religious activity on the family relational satisfaction, Master's Thesis, Inha University, 2007.
  28. Park DO, Korean's Religiosity and Social Stress, Institute for Social Sciences Catholic University, 14( 1), 1998.
  29. Fonnebo V, The healthy Seventh-Day Adventist lifestyle: what is the Norwegian experience?, American Journal of Clinical Nutrition, 59, pp. 1124S-1129S, 1983.
  30. Snowdon DA, Animal product consumption and mortality because of all causes combined, coronary heart disease, stroke, diabetes, and cancer in Seventh-day Adventists, The American Journal of Clinical Nutrition, 48, pp. 739-748, 1988.
  31. Choi HY, The Related Factors of exercise and diet in Seventh-day Adventists, Master's Thesis, Sahmyook University, 2006.