Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Comparison of Cardiovascular Disease Characteristics According to the Employment Status among Emergency Department Patients

대학병원 응급실에 방문한 뇌.심혈관질환자의 직업 유무에 따른 특성 비교

  • Rhie, Jeong-Bae (Graduate School of Public Health Yonsei University) ;
  • Ryu, Inn-Shil (Graduate School of Public Health Yonsei University) ;
  • Jeong, In-Chul (Graduate School of Public Health Yonsei University) ;
  • Park, Yoo-Seok (Department of Emergency Medicine, College of Medicine, Yonsei University) ;
  • Lim, Yong-Su (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Kim, Sun-Hyu (Department of Emergency Medicine, University of Ulsan College of medicine, Ulsan University Hospital) ;
  • Won, Jong-Uk (Department of Preventive Medicine-Institute for Occupational Health, College of Medicine, Yonsei University)
  • 이정배 (연세대학교 보건대학원) ;
  • 유인실 (연세대학교 보건대학원) ;
  • 정인철 (연세대학교 보건대학원) ;
  • 박유석 (연세대학교 의과대학 응급의학교실) ;
  • 임용수 (가천의과대학 길병원 응급의학교실) ;
  • 김선휴 (울산대학교 의과대학 울산대학교병원 응급의학과) ;
  • 원종욱 (연세대학교 의과대학 예방의학교실-산업보건 연구소)
  • Published : 2011.06.30
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Abstract

Objectives: The object of this study was to indentify characteristics of cardiovascular disease in the employed population in comparson with the non-employed group. Methods: The study subjects were patients aged 20~65 from 3 university based hospital emergency centers and a structured questionnaire were used for comparing the characteristics of cardiovascular disease according to employment status. Multivariate logistic regression was used to analyze the association between employment status and cardiovascular disease risk factors. Results: Among the patients, 573 people were employed (482 males, 91 females) and 251 were nonemployed (117 males, 134 females). Compared to the non-employed group, the employed group was distinctive in that it contained patients of younger age, had a male dominant gender distribution, and a higher proportion of smoking and drinking patients. The employed group was less likely to be previouslydiagnosed with diabetes, hypertension, chronic renal failure, cardiovascular disease, or cerebrovascular disease. The employed group was generally more stressed out but there was no significant differences in sleeping time. Infarction was more frequent in the employed group, but hemorrhage was more frequent in the non-employed group. According to the multivariate logistic regression analysis results, the odds ratio of drinking and stress was 1.89(95% CI: 1.25~2.86) and 2.68(95% CI: 1.80~3.99) respectively. Conclusions: Infarction was more frequent in the employed group. Drinking and stress were also more frequent in the employed group. The results of this study don't necessarily mean that stress and drinking are more important than other risk factors but, it means stress and drinking control are more important in the employed group compared to the non-employed group.

목적: 직장인과 비직장인의 뇌 심혈관질환 발생의 특성을 비교하여 직장인 뇌 심혈관질환의 특성을 알아보고자 한다. 방법: 3개 대학병원 응급의료센타에 뇌 심혈관질환으로 방문한 20세 이상 65세 미만의 환자를 대상으로 구조화된 조사표를 사용하여 직업에 따른 뇌 심혈관질환의 특성을 비교 분석한다. 직업의 유무를 독립변수로 하고 뇌 심혈관질환 위험요인을 종속변수로 하여 다변량 로지스틱 회귀 분석을 시행하였다. 결과: 조사대상자 중 직장인은 573명(남자 482, 여자 91명)이고, 비직장인은 251명(남자 117, 여자 134명)이다. 직업이 있는 경우 비직장인에 비해 평균 연령이 적었고, 남자의 비율이 높았고, 체질량 지수가 높았다. 현재 흡연 및 음주하는 경우가 비직장인에 비해 많았다. 직장인의 경우 당뇨, 고혈압, 만성신부전으로 진단된 경우가 적었고 이전에 심혈관질환 및 뇌혈관질환으로 진단 받은 경우도 적었다. 스트레스의 경우 직장인에서 많았고, 수면 시간은 차이가 없었다. 경색은 직장인에서 많았고, 비직장인의 경우 출혈이 많았다. 다변량 로지스틱 회귀분석을 통하여 비교해 본 결과 직업이 있는 경우 현재 음주할비차비가 1.89(95% CI: 1.25~2.86)이고, 스트레스가 있었을 비차비는 2.68(95% CI: 1.80~3.99)이었다. 결론: 직장인은 비직장인에 비하여 경색증이 더 많이 발생하고 있으며, 위험요인으로는 음주와 스트레스가 더 많았다. 직장인의 경우 뇌 심혈관질환 관리에 있어서 비직장인 보다는 스트레스와 음주에 대한 관리가 좀 더 필요함을 의미한다.

Keywords

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