공무원의 대사증후군 관련 요인 및 대사증후군에 따른 의료비 지출
Influencing Factors for and Medical Expenditures of Metabolic Syndrome among Public Officials
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: This study examined the influencing factors for metabolic syndrome and the annual medical expenditures of metabolic syndrome among public officials. Methods: The National Health Insurance data in 2009were collected for 364,932 public officials and the heath examination results and annual medical expenditures were analyzed using PASW 18.0 program. Results: The prevalence of metabolic syndrome is 17.6%, and it was higher in male officials than that of females in all age groups. In men, the influencing factors for metabolic syndrome were: age, family history of stroke, cardiovascular disease, hypertension, and diabetes mellitus, smoking, alcohol consumption, exercise, and obesity. However, in women, health-related behaviors such as smoking, alcohol consumption and exercise did not affect metabolic syndrome. People who had metabolic syndrome showed significantly higher medical expenditures than those without metabolic syndrome. The odds ratios of having the highest quartile in medical expenditures were 1.372 (95% CI 1.252~1.504, p<.001) in women with metabolic syndrome and 1.213 (95% CI: 1.184~1.243, p<.001) in men. Conclusion: The results implied that health-related behaviors were associated with metabolic syndrome, and resulted in higher medical expenditures. In order not only to decrease the risk of metabolic syndrome but also reduce medical expenditures, nurses should plan health promotion strategies to educate public officials about healthy life strategies.
Abstract
Purpose: This study examined the influencing factors for metabolic syndrome and the annual medical expenditures of metabolic syndrome among public officials. Methods: The National Health Insurance data in 2009were collected for 364,932 public officials and the heath examination results and annual medical expenditures were analyzed using PASW 18.0 program. Results: The prevalence of metabolic syndrome is 17.6%, and it was higher in male officials than that of females in all age groups. In men, the influencing factors for metabolic syndrome were: age, family history of stroke, cardiovascular disease, hypertension, and diabetes mellitus, smoking, alcohol consumption, exercise, and obesity. However, in women, health-related behaviors such as smoking, alcohol consumption and exercise did not affect metabolic syndrome. People who had metabolic syndrome showed significantly higher medical expenditures than those without metabolic syndrome. The odds ratios of having the highest quartile in medical expenditures were 1.372 (95% CI 1.252~1.504, p<.001) in women with metabolic syndrome and 1.213 (95% CI: 1.184~1.243, p<.001) in men. Conclusion: The results implied that health-related behaviors were associated with metabolic syndrome, and resulted in higher medical expenditures. In order not only to decrease the risk of metabolic syndrome but also reduce medical expenditures, nurses should plan health promotion strategies to educate public officials about healthy life strategies.
참고문헌 (30)
- Alberti, K. G., "Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1 : Diagnosis and classification of diabetes mellitus provisional report of a WHO consultation", Diabetic Medicine, 15(7), pp.539~553 (1998)
- Cho, G. J., "Postmenopausal status according to years since menopause as an independent risk factor for the metabolic syndrome", Menopause, 15(3), pp.524~529 (2008)
- 조광희, "일부 사무직 공무원의 사회심리적 스트레스와 피로수준에 관련된 요인", 농촌의학.지역보건, 33(1), pp.11~26 (2008), 한국농촌의학.지역보건학회
- Choi, S. H., "Cut-off value of waist circumference for metabolic syndrome patients in Korean adult population", Journal of Korean Society for the Study of Obesity, 13(1), pp.53~60 (2004)
- 최세묵, "대학병원 종합검진센터 수진자의 대사증후군 발생과 관련요인", 보건교육건강증진학회지, 26(4), pp.37~50 (2009), 한국보건교육건강증진학회
- Dall, T. M., "Cost associated with being overweight and with obesity, high alcohol consumption, and tobacco use within the military health system's TRICARE prime-enrolled population", American Journal of Health Promotion, 22(2), pp.120~139 (2007)
- Grundy, S. M., "Diagnosis and management of the metabolic syndrome. An American Heart Association", National Heart, Lung, and Blood Institute Scientific Statement. Executive summary, 2005, pp.13(6), 322~327
- 주남석, "비만 및 복부비만 유무에 따른 의료 비용과 병원 방문 횟수의 비교", 대한비만학회지, 17(2), pp.91~98 (2008), 대한비만학회
- 정찬희, "한국 성인에서 흡연, 음주, 운동, 교육정도 및 가족력이 대사증후군에 미치는 영향", 대한내과학회지, 63(6), pp.5~667 (2002), 대한내과학회
- "Relationships among alcohol consumption, facial flushing response, and metabolic syndrome in healthy men" (2012)[URL]
- Kawada, T., "Association of smoking status, insulin resistance, body mass index, and metabolic syndrome in workers: A 1-year follow-up study", Obesity Research & Clinical Practice, 4(3), pp.e163~e169 (2010)
- Kim, B. J., "Association of smoking status, weight change, and incident metabolic syndrome in men : A 3-year follow-up study", Diabetes Care, 32(7), pp.1314~1316 (2009)
- 김지윤, "성인의 신체활동 정도가 의료이용에 미치는 영향", Journal of Korean Academy of Nursing, 42(2), pp.199~206 (2012), 한국간호과학회[DOI]
- 김선경, "젊은 성인 남성에서 대사증후군과 총경동맥 내중막 두께와의 관련성", 대한비만학회지, 19(4), pp.148~154 (2010), 대한비만학회
- Analysis of health status and health determinants of government officials in Korea (Ilban 11-13), "Korea Association of Health Promotion", Ministry of Health & Welfare ‧ Management Center for Health Promotion, ~ (2011)
- Kwaśniewska, M., "Smoking status, the menopausal transition, and metabolic syndrome in women", Menopause, 19(2), pp.194~201 (2012)
- 이은희, "생활습관 중재프로그램이 성인의 건강생활습관실천과 대사증후군 개선에 미치는 효과 분석", 보건교육건강증진학회지, 24(2), pp.1~19 (2007), 한국보건교육건강증진학회
- Lee, K., "Gender-specific relationships between alcohol drinking patterns and metabolic syndrome : The Korea National Health and Nutrition Examination Survey 2008", Public Health Nutrition, 10, pp.1~8 (2012)
- Lim, S., "Increasing Prevalence of Metabolic Syndrome in Korea The Korean National Health and Nutrition Examination Survey for 1998-2007", DIABETES CARE, 34(6), pp.1323~1328, AMER DIABETES ASSOC
- "Interrelationships among physical activity, depression, homocysteine, and metabolic syndrome with special considerations by sex" (2012)[URL]
- Korea Health Statistics 2007: Korea National Health and Nutrition Examination Survey (KNHANES Ⅳ-1), "Ministry of Health and Welfare", Korea Center for Disease Control and Prevention, ~, pp.Publication No, 11-1351 159-000027-10 (2008)
- Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1), "Ministry of Health and Welfare", Department of Health Politics, Ministry of Health and Welfare, ~, pp.Publication No, 11-1351159- 000027-10 (2011)
- Ministry of Public Administration and Security, "Operating guidelines for supporting health care of government officials, standard operating procedures no. 221 of Ministry of Public Administration and Security. Established February 17, 2009", ~ (2009)
- Mottillo, S., "The metabolic syndrome and cardiovascular risk : A systematic review and meta-analysis", Journal of the American College of Cardiology, 56(14), pp.1113~1132 (2010)
- Park, H. S., "Prevalence and associated factors with metabolic syndrome in South Korea-From the Korean National Health and Nutrition Examination Survey, 1998-", Journal of Korean Society for the Study of Obesity, 12(1), pp.1~14 (2003)
- 신경필, "호모시스테인과 대사증후군의 상관관계", 대한비만학회지, 20(1), pp.17~22 (2011), 대한비만학회
- 2010 Annual Report on the Cause of Death Statistics, "Statistics Korea", Statistics Korea, ~ (2011)
- Sullivan, P. W., "The medical cost of cardiometabolic risk factor clusters in the United States", Obesity, 15(12), pp.3150~3158 (2007)
- Wakabayashi, I., "Association between alcohol drinking and metabolic syndrome in Japanese male workers with diabetes mellitus", Journal of atherosclerosis and thrombosis, 18(8), pp.684~692 (2011)
- The Asia-Pacific perspective: Redefining obesity and its treatment, "World Health Organization Western Pacific Region", Health Communications, ~ (2000)