Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Convergence-based analysis on geographical variations of the smoking rates

융복합 기반의 지역간 흡연율의 변이 분석

  • Lim, Ji-Hye (Dept. of Healthcare Management, Youngsan University) ;
  • Kang, Sung-Hong (Dept. of Health Policy and Management, Inje University)
  • 임지혜 (영산대학교 의료경영학과) ;
  • 강성홍 (인제대학교 보건행정학과)
  • Received : 2015.06.14
  • Accepted : 2015.08.20
  • Published : 2015.08.28
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Abstract

This study aims to identify geographical variations and factors that affect smoking rates. The data are collected from the Community Health Survey conducted between 2009 and 2011 by Korea Centers for Disease Control and Prevention and other government organizations. Correlation and multiple regression analysis were used to examine the factors influencing smoking rates. For the purpose of investigating regional variations, we employed a decision tree model. The study has found that the significant factors associated with geographical variations in the smoking rates were the rate of hazardous drinking, the completion rate of hypertension education, the experience rate of anti-smoking campaigns, stress awareness rate, hypertension prevalence, health insurance cost, diabetes prevalence, obesity rate, and strength training rate. Convergence-based analysis on geographical variations of the smoking rates is highly important when the regionally customized healthcare programs is implemented. In the future, it is necessary to develop effective program and customized approach for the regions of high smoking rates. Our study is expected to be used as meaningful data for the design of effective health care programs and assessments to lead effective non-smoking program.

본 연구의 목적은 흡연율의 지역간 변이 정도와 흡연율에 영향을 미치는 요인을 살펴보는 데 있다. 분석을 위해 2009-2011년 질병관리본부의 지역사회건강조사 자료와 국민건강보험공단의 자료를 사용하였다. 흡연율에 영향을 미치는 요인을 파악하기 위해 상관분석, 다중회귀분석을 이용하였으며, 지역간 변이 분석을 위해 의사결정나무 모형을 이용하였다. 연구결과, 지역간 흡연율의 변이요인은 고위험음주율, 고혈압관리교육 이수율, 금연캠페인 경험율, 스트레스 인지율, 고혈압 유병률, 건강보험료, 당뇨병 유병률, 비만율, 근력운동 실천율로 나타났다. 융복합 기반으로 지역별 흡연율의 변이를 파악하는 것은 흡연율을 감소시키기 위한 지역별 맞춤형 보건프로그램을 수행하는데 매우 중요하다. 향후 흡연율이 높은 지역의 원인과 대상에 맞는 구체적인 관리방안을 모색하는 노력이 필요할 것이다. 본 연구의 결과는 효과적인 흡연관리사업 방안을 도출하는 데 필요한 기초자료로 의미있게 활용될 수 있으리라 여겨진다.

Keywords

References

  1. WHO, WHO report on the global tobacco epidemic. Geneva, 2008.
  2. R. Doll, R. Peto, K. Wheatley, R. Gray, I. Sutherland, Mortality in relation to smoking: 40 years' observations on male British doctors. British medical Journal, Vol 309, No. 6959, pp. 901-911, 1994. https://doi.org/10.1136/bmj.309.6959.901
  3. Sun-Ha Jee, Smoking status and epidemiologic characteristics. Graduate school of Public Health Yonsei University, 1999.
  4. DOI:http://www.newswire.co.kr/modules/etc/print_news.php?no=614647
  5. Hyong-Oh Cho, Investigating structural changes competing smoking types and their advertising responses through the progress of anti-smoking campaign: A case analysis of the 2005-2006 anti-smoking campaign. The Korean Journal of Advertising and Public Relations, Vol. 8, No. 4, pp. 232-266, 2006.
  6. Tae-Min Song, Changes in smoking rates of male adults in Korea and smoking cessation policy: Focus on smoking cessation clinics. Health and Welfare policy forum, No. 173, pp. 55-63, 2011.
  7. Ministry of Health and Welfare, OECD Health Data 2014.
  8. E. Fernandez, A. Schiaffino, M. Garcia, J. M. Borras, Widening social inequalities in smoking cessation in Spain. Journal Epidemiol Community Health, Vol. 55, pp. 729-730, 2001. https://doi.org/10.1136/jech.55.10.729
  9. B. Galobardes, M. C. Costanza, M. S. Bernstein, C. Delhumeau, A. Morabia, Trends in risk factors for lifestyle-related diseases by socioeconomic position in Geneva, Switzerland, 1999-2003; health inequalities persist. Am J Public Health, Vol. 93, pp. 13002-1309, 2003
  10. Korea Institute for Health and Social Affairs, In-depth Analyses of the Third National Health and Nutrition Examination Survey: The Health Interview and Health Behavior Survey part. 2007.
  11. Sang-Yun Lee, Seung-Wook Lee, A study on the factors influencing smoking behavior in korea. Journal of the Korean Society of Health Statistics, Vol. 25, No. 2, pp. 41-50, 2000.
  12. Yoo-Mi Kim, Dae-Gon Cho, Sung-Hong Kang, Geographic Variations in Prevalence of Self-Reported Diabetes. Health and Social Welfare Review, Vol. 34, No. 3, pp. 82-105, 2014. https://doi.org/10.15709/hswr.2014.34.3.82
  13. Yoo-Mi Kim, Dae-Gon Cho, Sung-Ok Hong, Eun-Ju Kim, Sung-Hong Kang, Analysis on Geographical Variations of the Prevalence of Hypertension using Multi-year Data. Journal of the Korean Geographical Society, Vol. 49, No. 6, pp. 935-948, 2014.
  14. Jan-Di Kim, Jae-Hee Seo, Young-Jeon Shin, Chang-Yup Kim, The factors associated with smoking behavior of low-income people. Health and Social Welfare Review, Vol. 33, No. 1, pp. 577-602, 2013. https://doi.org/10.15709/hswr.2013.33.1.577
  15. Jeong-Soo Choi, The effect of early detection of hypertension and diabetes on smoking and alcohol drinking. Health and Social Welfare Review, Vol. 27, No. 1, pp. 103-130, 2007. https://doi.org/10.15709/hswr.2007.27.1.103
  16. Young-Taek Kim, Bo-Youl Choi, Kay-O Lee, Ho Kim, Jin-Ho Chun, Su-Young Kim, Duk-Hyoung Lee, Yun-A Ghim, Do-Sang Lim, Yang-Wha Kang, Tae-Young Lee, Jeong-Sook Kim, Hyun Jo, Yoo-Jin Kim, Yun-Sil Ko, Soon-Ryu Seo, No-Rye Park, Jong-Koo Lee, Overview of Korean Community Health Survey. Journal Korean Medical Association, No. 55, Vol. 1, pp. 74-83, 2012. https://doi.org/10.5124/jkma.2012.55.1.74
  17. Geun-Yong Kwon, Do-Sang Lim, Eun-Ja Park, Ji-Sun Jung, Ki-Won Kang, Yun-A Kim, Ho Kim, Sung-Ill Cho, Assessment of Applicability of Standardized Rates for Health State Comparison Among Areas: 2008 Community Health Survey. Journal of Preventive Medicine and Public Health, Vol. 43, No. 2, pp. 174-184, 2010. https://doi.org/10.3961/jpmph.2010.43.2.174
  18. J. L. Steel, W. H. McBroom, Conceptual and empirical dimensions of health behaviour. Journal of Health Social Behavior, No. 13, pp. 382-392, 1972.
  19. Korea Institute for Health and Social Affairs, Analysis on the major diseases and health behaviour in korea. 2003.
  20. R. Gupta, A. Misra, Review: Type 2 diabetes in india: Regional disparities. The British Journal of Diabetes and Vascular Disease, Vol. 7, No. 1, pp. 12-16, 2007. https://doi.org/10.1177/14746514070070010301
  21. DOI:https://www.nosmokeguide.or.kr/mbs/nosmokeguide/jsp/board/view.jsp?spage=2&boardId=256&boardSeq=189842&mcategoryId=&id=nosmokeguide_010501000000®Column=&categoryId=0&categoryDepth=&column=&search=&gisuColumn=