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응급의료 취약지 거주가 심근경색증 증상 인지에 미치는 영향

The Effect of Residence in Underserved Emergency Medical Services Areas on Awareness of Myocardial Infarction Symptoms in Korea

오희영|조미래|장석용
한국보건정보통계학회 (The Korean Society of Health informatics statistics)|2021.02|보건정보통계학회지 (Journal of Health Informatics and Statistics)|제46권 제1호|pp. 8-18|DOI https://doi.org/10.21032/jhis.2021.46.1.8

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참고문헌

키워드

KnowledgeMyocardial infarctionCardiovascular diseasesAwarenessEmergency medical services

초록

Objectives: The purpose of this study is to investigate the awareness level of myocardial infarction (MI) symptoms for the residents in the underserved and deserved emergency medical services areas and verify the effect of the existence of residence in the underserved emergency medical services areas on the awareness of MI symptoms. Methods: This is a cross sectional study by using the data of the 2017 Korea Community Health Survey. The residence in the underserved emergency medical services areas is defined as being targeted to the residents in 101 areas notified in ⸢Emergency Medical Service Act⸥. The awareness of MI symptoms was classified as being aware of all five items of MI symptoms. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) are computed by multivariable logistic regression. Results: Of the total 195,246 subjects, 43.6% were aware of MI symptoms (43.7% and 43.6% of underserved and deserved emergency medical services areas, respectively). The residence in the underserved emergency medical services areas was associated with the awareness of MI symptoms (aOR 1.15, 95% CI = 1.11-1.18). In addition, this study has found that gender, age, education level, income level, occupation, subjective stress level, drinking frequency, current smoking, and diagnosis of hypertension and diabetes were factors influencing the awareness of MI symptoms. Conclusions: Continuous efforts are needed to increase the awareness of MI symptoms for the residents in the underserved and deserved emergency medical services areas. Education and promotion should be conducted in consideration of gender, age, education level, income level, and occupation to improve the awareness of MI symptoms.

Abstract

Objectives: The purpose of this study is to investigate the awareness level of myocardial infarction (MI) symptoms for the residents in the underserved and deserved emergency medical services areas and verify the effect of the existence of residence in the underserved emergency medical services areas on the awareness of MI symptoms. Methods: This is a cross sectional study by using the data of the 2017 Korea Community Health Survey. The residence in the underserved emergency medical services areas is defined as being targeted to the residents in 101 areas notified in ⸢Emergency Medical Service Act⸥. The awareness of MI symptoms was classified as being aware of all five items of MI symptoms. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) are computed by multivariable logistic regression. Results: Of the total 195,246 subjects, 43.6% were aware of MI symptoms (43.7% and 43.6% of underserved and deserved emergency medical services areas, respectively). The residence in the underserved emergency medical services areas was associated with the awareness of MI symptoms (aOR 1.15, 95% CI = 1.11-1.18). In addition, this study has found that gender, age, education level, income level, occupation, subjective stress level, drinking frequency, current smoking, and diagnosis of hypertension and diabetes were factors influencing the awareness of MI symptoms. Conclusions: Continuous efforts are needed to increase the awareness of MI symptoms for the residents in the underserved and deserved emergency medical services areas. Education and promotion should be conducted in consideration of gender, age, education level, income level, and occupation to improve the awareness of MI symptoms.

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관련 논문AI추천

Factors affecting awareness of myocardial infarction symptoms among the general public in Korea박경실한국역학회 · Epidemiology and Health2020 · 제42권 일개 도 지역 지역주민의 심근경색증 조기증상 인지도와 관련요인김건엽, 나윤주, 이유미, 최연희한국보건정보통계학회 · 보건정보통계학회지2015 · 제40권 제3호한국 고령층의 심근경색증 조기 증상인지에 영향을 미치는 요인최향숙(사)위기관리이론과실천 · Crisisonomy2025 · 제21권 제8호Predictors of anticipated coping behavior at myocardial infarction symptom onset among a nationwide sample of South Korean adults박경실한국역학회 · Epidemiology and Health2021 · 제43권 지역별 응급의료접근성이 노인의 허혈성 심장질환 사망률에 미치는 영향고은정, 조근자사단법인 한국응급구조학회 · 한국응급구조학회지2021 · 제25권 제2호Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction김대혁, 김록범, 김희숙, 박기수, 박태호, 양동헌, 윤경호, 은상준, 이건세, 최시완, 황석재연세대학교의과대학 · Yonsei Medical Journal2017 · 제58권 제4호

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