보건행정학회지 (Health Policy and Management)

  • 제26권3호
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  • Pages.207-218
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  • 2016
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  • 1225-4266(pISSN)
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  • 2289-0149(eISSN)
한국보건행정학회 (Korean Academy of Health Policy and Management)
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당뇨병 환자의 합병증검사 및 당화혈색소검사 수진 관련 요인

The Associated Factors with Utilization of Tests for Diabetes Complication and Hemoglobin A1c among Some Diabetes Patients

  • 손영은 (조선대학교 대학원 보건학과) ;
  • 류소연 (조선대학교 의과대학 예방의학교실) ;
  • 박종 (조선대학교 의과대학 예방의학교실) ;
  • 한미아 (조선대학교 의과대학 예방의학교실) ;
  • 구혜민 (조선대학교 대학원 보건학과)
  • Son, Young Eun (Department of Health Science, Chosun University Graduate School) ;
  • Ryu, So Yeon (Department of Preventive Medicine, Chosun University College of Medicine) ;
  • Park, Jong (Department of Preventive Medicine, Chosun University College of Medicine) ;
  • Han, Mi Ah (Department of Preventive Medicine, Chosun University College of Medicine) ;
  • Gu, Hyae Min (Department of Health Science, Chosun University Graduate School)
  • 투고 : 2016.04.11
  • 심사 : 2016.09.12
  • 발행 : 2016.09.30
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초록

Background: This study was performed to identify factors associated with the utilization of tests for diabetes complication and hemoglobin A1c (HbA1c) among diabetes patients in Jeollanam-do, Korea. Methods: The study subjects were 2,310 diabetes patients participated in 2014 community health survey in Jeollanam-do, Korea. Dependent variables were the utilizations of fundus examination, microalbuminuria test, and HbA1c test. The used statistical analysis methods were chi-square test and hierarchical regression analysis with weight in consideration of complex sample design. Results: The utilization rates of fundus examination, microalbuminuria test, and HbA1c test were 25.8%, 27.4%, and 12.3%, respectively. In the results of hierarchical regression, fundus examination was significantly related to age, education level in predisposing factors, residential area in enabling factors and recognition of blood sugar, drug therapy, and subjective health status in need factors. Microalbuminuria examination was significantly related to monthly income, residential area in predisposing and health screening, recognition of blood sugar, drug therapy, diabetic education, number of chronic disease, and subjective health status in need factors. HbA1c examination was significantly related to age, education level, marital status in predisposing factors, residential area in enabling factors and drinking, recognition of blood sugar, drug therapy, and diabetic education in need factors. Conclusion: The results of this study were shown that perception of their disease seriousness, education about diabetes management, and accessibility of tests were important to utilization of test for diabetes complication and HbA1c. It might be necessary to the develop and strength strategies for enhancing the utilization of tests for diabetes complication and management in diabetes patients.

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