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Analysis of regional variation in the lifetime physician diagnosis rate of atopic dermatitis

아토피피부염 평생의사진단율의 지역별 변이 분석

  • Ko, Keum-Bok (Dept. of Nursing, Sunlin University) ;
  • Hwang, Ji-Young (Dept. of Health, Graduate School of Social Welfare, Uiduk University) ;
  • Park, Il-Su (Dept. of Health Management, Uiduk University)
  • Received : 2018.10.26
  • Accepted : 2019.01.20
  • Published : 2019.01.28

Abstract

The purpose of this study is to analyze temporal and spatial variations of atopic dermatitis and to identify major factors. Data utilized in the study were collected by the Community Health Survey, KOSIS and so and on from 2009 to 2013. This study was analyzed using descriptive statistics and Geographically weighted regression model. As a result, regional diagnosis rate of atopic dermatitis was increased by 5 years, and difference related to geographic location was so large. The regional characteristics that contribute to the diagnosis of atopic dermatitis were as follows: older adults population ratio, ratio of basic living security received people, depression experience rate, high risk drinking rate, number of wastewater discharge business, number of tobacco retail business, number of fast food restaurant business. This study is meaningful in that it provided basic data on health policy direction and provided information on prioritization of health business in each region.

본 연구는 아토피피부염 발생의 시 군 구 단위별로 시공간적 변이를 분석하고, 이에 대한 주요 요인을 파악하는 것이다. 연구에 활용한 자료는 2009년~2013년까지의 지역사회건강조사와 통계청의 통계포털시스템 등에서 수집한 자료로 시 군 구 단위의 데이터베이스를 구축한 뒤, 기술통계 및 지리적 가중회귀모형을 이용하여 분석하였다. 분석결과, 지역별 아토피피부염 진단율은 5년간 지속적으로 증가하였으며, 지역 간 차이도 큰 것으로 나타났다. 아토피피부염 진단에 미치는 요인은 노인비율, 우울증 경험률, 기초생활 수급자 비율, 고위험 음주율, 담배 소매업 수, 폐수배출업소 수, 패스트푸드 음식점 업수로 나타났다. 본 연구는 아토피피부염과 관련된 지역적 특성을 고려한 보건정책에 기초 자료를 제공하고, 지역별 건강사업 우선순위 결정에 대한 정보를 제시하였다는 점에서 의의를 가진다.

Keywords

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Fig. 1. Regional/year distribution of diagnosis rates of atopic dermatitis

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Fig. 2. Standardized residuals of GWR model

Table 1. Research data and sources

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Table 2. Definition of variables

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Table 3. Regional general characteristics

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Table 4. Regional variations of diagnosis rates of atopic dermatitis by year I

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Table 5. Regional variations of diagnosis rates of atopic dermatitis by year II

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Table 6. Correlation analysis between the diagnosis rates of atopic dermatitis and factors influencing

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Table 7. An analysis of factors affecting on diagnosis rates of atopic dermatitis(GWR/OLS)

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