The Journal of Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회지)

The Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회)
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Factors Influencing the national health screening program in Seniors over 65 years old: Using the eight Korea national health and nutrition examination survey(KNHANES VIII 2019~2021)

65세 이상 노인의 국가건강검진 수검 여부에 미치는 요인: 제8기 국민건강영양조사(2019~2021년) 자료를 이용하여

  • Kim Seok Hwan (Department of Health information, Dongguk University Wise Campus)
  • 김석환 (동국대학교 WISE캠퍼스 보건의료정보학과)
  • Received : 2023.11.06
  • Accepted : 2023.11.17
  • Published : 2023.11.30
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Abstract

Objectives: This study attempted to examine the factors that affect the national health checkup rate of the elderly, analyze the impact of these factors, and discuss countermeasures to problems that may arise based on this. Methods: This study used the '8th National Health and Nutrition Examination Survey (2019-2021)', a nationwide survey, as the main data. The subjects of the study are seniors aged 65 years or older, the dependent variable is whether or not they underwent a national health checkup, and the independent variables are gender, marital status, residence, education level, income level, economic activity, type of medical coverage, private insurance subscription, subjective health, High blood pressure, diabetes, depression, stress, and weight change were selected. The statistical analysis package for data analysis is SPSS ver. 27.0 was used, and a p value of less than 0.05 was considered significant. Results: Of the 2,806 seniors aged 65 years or older, 2,074 (73.9%) took the national health screening over the past two years. In terms of marital status, married was 1.451 times higher than single (p<0.001), and in terms of residence, myeon was 1.240 times higher than dong (p<0.01). In terms of education level, college graduates were 2.053 times higher than elementary school graduates (p<0.001), and in terms of economic activity, the employed were 1.325 times higher than the unemployed (p<0.01). Private insurance was 1.883 times higher than non-subscription (p<0.001), weight change was 1.234 times higher for change than no change (p<0.05), and current smoking rate was 2.003 times higher for non-smokers than for former smokers. It was high (p<0.001). Conclusion: In conclusion, if differentiated promotion and health education are strengthened for the elderly who cannot participate in the national health screening, the participation rate of the elderly in the national health screening is expected to increase.

Keywords

References

  1. 국민건강보험공단. 2022. 2020 건강검진통계연보. 강원: 국민건강보험공단.
  2. 김경희. (2023). 농촌 노인의 암 검진 수검 관련 요인. 지식융합연구, 6(1), 191-208. 
  3. 김석영, 이정찬, 안병기, 김양균. (2017). 장애인의 건강검진 미수검에 영향을 미치는 요인. 보건의료산업학회지, 11(4), 89-104. 
  4. 김석환, 김미주, (2018). 중증질환자의 민간의료보험 가입 현황 및 가입여부에 따른 의료이용 분석 국민건강영양조사 제7기 1차년도(2016) 원시자료를 중심으로. 대한보건연구, 44(1), 83-92.  https://doi.org/10.22900/KPHR.2018.44.1.007
  5. 박경연, 안혜경. (2016). 한국 중년남성의 건강검진 수진 예측요인: 제6기 2013년 국민건강영양조사를 이용하여. Journal of the Korean Data Analysis Society, 18(2), 1035-1049. 
  6. 신유정, 김정순, 김윤희. (2010). 기혼 여성의 결혼전 건강검진 이행예측요인. Journal of the Korean Data Analysis Society, 12(2), 839-850. 
  7. 여지영, 정형선. (2012). 건강검진 수검의 결정요인 및 건강증진행위 변화 효과. 보건행정학회지, 22(1), 49-64.  https://doi.org/10.4332/KJHPA.2012.22.1.049
  8. 유아현, 조수현, 신혜원, 이성원. (2021). 건강검진수검률에 미치는 영향요인 분석 : 국민건강영양조사 제7기 자료를 중심으로. 산업융합연구, 19(1), 1-6. 
  9. 이윤석. (2012). 혼인상태에 따른 중년남녀의 건강행위와 건강상태. 한국인구학, 35(2), 103-131. 
  10. 임현지 외 6명. (2012). 한국인 중년에서 결혼상태와 건강행동: 2007-2010년 국민건강영양조사 자료를 사용하여. 대한임상건강증진학회지, 12(4), 178-186. 
  11. 이희성, 권순호. (2020). 초고령화사회의 노인복지제도의 문제점 및 개선방안. 노동법논총, 50, 1-29. 
  12. 통계청. 2023.「생명표」2022, 국가발전지표. 
  13. 한순희, 조은희, 손정아, 소은선. (2016). 한국인의 성별에 따른 건강검진 수검 관련 요인 = 국민건강영양조사 제6기 1차(2013) 자료를 이용하여. 보건교육건강증진학회지, 33(3), 37-48. 
  14. Broyles RW, Narine L, Brandt Jr EN, Biard-Holmes D. (2000). Health risks, ability to pay, and the use of primary care: is the distribution of service effective and equitable?. Preventive Medicine, 30(6), 453-62. DOI: https://doi.org/10.1006/pmed.2000.0672 
  15. Chung TH, Kim MC, Lee JH, Choi CH, Kim CS. (2010). The Impact of Weight Changes on Metabolic Syndrome over a Time period of 8 years in Korean Male Workers. Korean Journal of Occupational and Environmental Medicine, 22(1), 20-28. DOI: https://doi.org/10.35371/kjoem.2010.22.1.20 
  16. Hughes ME, Waite LJ. (2009). Marital biography and health at mid-life. Journal of Health and Social Behavior, 50(3), 344-58. DOI: https://doi.org/10.1177/002214650905000307 
  17. Hilary Graham GD. (1999). Patterns and predictors of tobacco consumption among women. Health Education Research, 14(5), 611-618. DOI: https://doi.org/10.1093/her/14.5.611 
  18. KOSIS. 2023. 2023 일반건강검진 대상 및 수검 인원 현황. 대전 : 국가통계포털 
  19. Lee WC, Lee SY. (2010). National Health Screening Program of Korea. Journal of Korean Medicine Association, 53(5), 363-370. DOI: https://doi.org/10.5124/jkma.2010.53.5.363 
  20. Maciosek MV, Coffield AB, Edward NM. (2006). Priorities among effective clinical preventive services: Results of a systematic review and analysis. American Journal of Preventive Medicine, 31(1), 52-61. DOI: https://doi.org/10.1016/j.amepre.2006.03.012 
  21. Politi MC, Clark MA, Rogers ML, McGarry K, Sciamanna CN. (2008). Patient-provider communication and cancer screening among unmarried women. Patient Education and Counseling, 73(2), 251-255. DOI: https://doi.org/10.1016/j.pec.2008.07.030