DOI QR코드

DOI QR Code

만성질환에 대한 가족력의 유병률과 위험도에 관한 연구: 국민건강영양조사(2019)를 중심으로

A Study on the Prevalence and Risk of Family History for Chronic Diseases: Findings from the Korea National Health and Nutrition Examination Survey 2019

  • 이난초 (한림대학교 융합인재학부) ;
  • 김민주 (한림대학교 융합인재학부) ;
  • 최희진 (한림대학교 융합인재학부) ;
  • 이종석 (한림대학교 융합인재학부) ;
  • 정득 (한림대학교 융합인재학부)
  • Lee, Nan-Cho (School of Multidiciplinary Studies, Hallym University) ;
  • Kim, Min-Ju (School of Multidiciplinary Studies, Hallym University) ;
  • Choi, Hee-Jin (School of Multidiciplinary Studies, Hallym University) ;
  • Lee, Jongseok (School of Multidiciplinary Studies, Hallym University) ;
  • Jung, Deuk (School of Multidiciplinary Studies, Hallym University)
  • 투고 : 2021.05.28
  • 심사 : 2021.08.20
  • 발행 : 2021.08.28

초록

본 연구는 국민건강영양조사 2019 자료를 이용하여 만성질환 가족력에 대한 만성질환의 유병률과 위험도를 실증적으로 도출하고자 하였다. 연구 대상자는 5,691명으로 만성질환 가족력과 관계있는 인구사회학적 변수들을 통제한 후, 만성질환 유병에 대한 만성질환 가족력의 위험도인 오즈비를 검증하기 위해 로지스틱 회귀분석을 수행하였다. 주요 결과는 성별, 나이, 소득수준, 교육수준, 거주지역을 통제한 경우, 만성질환 가족력이 없는 집단 대비 가족력이 있는 집단에서 만성질환이 발병할 위험도인 오즈비는 고혈압 2.623, 이상지질혈증 1.868, 당뇨병 1.964, 관절염 1.435로 유의하게 나타났다. 이러한 결과는 가족력 검사에 대한 표준화 도구를 개발하고 보건의료의 예방의학 차원에서 가족력이 있는 구성원에 대한 건강과 질병 관리 시스템이 필요함을 시사한다. 본 연구는 만성질환 유병률에 영향을 미치는 인구사회학적 변수를 통제하고, 만성질환에 대한 가족력의 위험도를 실증적으로 확인하여 보건의료 측면에서 실천방안을 제언했다는 점에서 의의가 있다.

This study was conducted to empirically analyze the prevalence and risk of chronic diseases in the family history of chronic diseases using data from the Korea National Health and Nutrition Examination Survey 2019. Based on 5,691 people, after controlling for socio-demographic variables that were related to family history of chronic diseases, logistic regression analysis was performed to verify the odds ratio, which was the risk of family history of chronic diseases for the prevalence of chronic diseases. The main results were founded that Odds ratio, which was the risk of chronic diseases in groups with a family history compared to those without a family history, was statistically significant at hypertension(2.623), dyslipidemia(1.868), diabetes(1.964), and arthritis(1.435) when gender, age, income status, education level and residence were controlled. These results suggest that it is not only necessary to develop a standardization tool for family history tests, but also a health and disease management system for members with a family history in terms of preventive medicine in health care. This study is significant in that it proposed a practical plan in terms of health care by controlling variables that affect the prevalence of chronic diseases and empirically identifying the risk of family history of chronic diseases.

키워드

참고문헌

  1. Statistics Korea. (2019). Estimates of future population. Daejeon : Statistics Korea.
  2. Department of Health and Human Services. (2018). Survey of the Actual Conditions of the Elderly in 2017. Sejong : Department of Health and Human Services.
  3. Korea Institute of Health and Social Studies. (2013). Compound Chronic Disease Analysis of the Elderly: Focusing on Outpatient Use. Sejong : Korea Institute of Health and Social Studies.
  4. WHO. (2015). Noncommunicable diseases fact sheet. WHO(Online). https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
  5. Korea Centers for Disease Control and Prevention. (2021). Current Status and Status of Chronic Diseases in 2020. Cheongju : Korea Centers for Disease Control and Prevention.
  6. Korea Centers for Disease Control and Prevention. (2019). The Eighth Korea national health and nutrition examination survey. Cheongju : Korea Centers for Disease Control and Prevention.
  7. G. D. Go. (2019). Health News May 2019 Edition. Seoul : Korea Health Care Association.
  8. N. Y. Kim. (2009). A Study on the Factors Affecting Chronic Diseases of the Elderly. Master's dissertation. Wonkwang University, Jeollabuk-do.
  9. Y. H. Oh. (2015. May). The Health Status of Older Koreans and Policy Considerations. Health and welfare policy forum, 223(0), 29-39.
  10. J. H. Lee. (2014). Family tree diseases: family history diseases. Medical Report, 38(8), 38-39.
  11. L. J. Choi. K. W. Kim, S. G. Choi, S. M. Kim, S. M. Park & J. S. Son. (2019). The Influence of Family History of Hypertension on Hypertension Prevalence, Management and Healthy Behaviors among Korean Adults: Results from the Korea National Health and Nutrition Examination Survey. Korean Journal of Health Promotion, 19(1), 1-8. DOI : 10.15384/kjhp.2019.19.1.1
  12. Lonzer MD. Imrie R, Rogers D, Worley D, Licata A & Secic M. (1996). Effects of heredity, age, weight, puberty, activity, and calcium intake on bone mineral density in children. Clin Pediatr (Phila), 35(4), 85-9. DOI : 10.1177/000992289603500402.
  13. H. S. Kim, B. N. Yu & E. H. Lee. (2018). Evaluation of the national chronic diseases management policy: performance and future directions. Public Health Affairs, 2(1), 105-120. DOI : 10.29339/pha.2.1.105
  14. Korea Institute for Health Promotion and Development. (2021). Development and pilot evaluation of patient experience evaluation tools for primary care chronic disease management. Seoul : Korea Institute for Health Promotion and Development.
  15. Y. H. Jung, S. J. Go & E. J. Kim. (2013). A study on the effective chronic disease management. Sejong : Korea Institute of Health and Social Studies.
  16. M. H. Kim & D. H. Lee. (2011). Factors Related to Health-promoting Behaviors and Chronic Diseases in the Elderly. Journal of Health Education and Health Promotion, 28(2), 99-107.
  17. P. Yoon, M. T. Scheuner & M. J. Khoury. (2003). Research priorities for evaluating family history in the prevention of common chronic diseases. Am J Prev Med., 24, 128-35. DOI : 10.1016/s0749-3797(02)00585-8
  18. Weir E. (2005). Using a family history tool to prevent chronic diseases. Canadian Medical Association journal= journal de l'Association medicale canadienne, 172(5), 631. DOI : 10.1503/cmaj.045260