한국인 60세 이상 노년층의 황반변성과 백내장의 위험요인 -국민건강보험공단 노인코호트 자료를 활용하여-
Risk Factors Associated with Cataract and Macular degeneration by in Korean aged 60 years and over
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연구목적: 60세 이상 인구에서 나이 관련 안질환인 백내장과 황반변성의 위험요인을 알아보고자 한다. 연구방법: 건강보험공단 노인코호트(2002년-2013년)자료를 활용하여. 연구기간동안 노년층의 대표 안질환인 백내장(ICD-10; H25)과 나이관련 황반변성(ICD-10; H353)을 진단받은 341,588명을 대상(남: 44.18%, 여:61.887%)으로 두 질환의 유병률 결정 요인을 Cox 확률비례위험모형을 이용하여 분석하였다. 분석결과: 백내장과 나이관련 황반변성 유병율은 여성이, 나이가 많을수록, 고소득 집단일수록, 고혈압, 심장질환, 당뇨가 있으면 더 높게 나타났다(p<0.0001). 결론: 60세 이상 노인들은 고혈압, 심장질환 및 당뇨와 같은 만성질환이 많을수록 백내장과 황반변성 유병률이 더 높았다. 눈이 건강한 고령화 사회를 만들기 위해서는 노인들의 만성질환 관리가 필수적으로 요구된다.
Abstract
Purpose: This study was conducted to identify factors associated with cataract and age-related macular degeneration in elders. Methods: In total, 341,588 men(44.18%,) and women(61.887%), aged over 60, were recruited from Korean National Health Insurance Service-Senior(2002-2013). We also analysed the factors which determine the prevalence of contract (ICD-10: H25) and age-related macular degeneration(ICD-10: H353) using Cox proportional hazard regression model Results: The subjects who were women, in older age, the group of higher income level, with hypertension, with heart disease, and with diabetes, the prevalence of both contract and age-related macular were increased(p<0.0001). Conclusion: The prevalence of contract and age-related macular degeneration were higher in old age of Korean who has chronic diseases such as hypertension, heart disease, and diabetes. The management of chronic diseases are essentially required in elderly for more healthy eye in aged society.
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