노인의 고혈압에 영향을 주는 건강행태요인 - 제8차 국민건강영양조사를 활용하여
Health-related Behavior Affecting Hypertension in the Elderly Using Data from the 8th Korea National Health and Nutrition Examination Survey
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본 연구는 한국 노인의 고혈압에 영향을 미치는 건강행태 요인을 평가하기 위해 수행되었다. 본 연구는 제8차 국민건강영양조사(2019)의 65세 이상 피험자 1,404명의 데이터를 분석하였다. 남성의 경우 고혈압 발병률은 연령(OR=1.056, P=0.004), 만성질환 가족력이 없는 경우(OR=0.662, P=0.024), 저체중(OR= 0.142, P＜0.001), 정상체중(OR=0.390; P＜0.001), 비음주자(OR=0.552; P=0.001)와 관련이 있었다. 여성의 경우 고혈압 발생률은 연령(OR=1.091; P＜0.001), 만성질환 가족력이 없는 경우(OR=0.424; P＜0.001), 정상체중(OR=0.532; P＜0.001), 좋지 않은 주관적 건강 수준(OR=1.640; P=0.018)이 관련이 있었다. 결론적으로, 남성에서는 고혈압에 영향을 미치는 요인은 연령, 비만, 만성질환 가족력, 음주습관 등이었고, 여성에서는 연령, 비만, 만성질환 가족력, 주관적 건강수준 등이었다. 따라서, 노인의 고혈압 발생률을 낮추기 위해 성별에 맞는 건강증진 및 중재 프로그램과 건강정책을 수립하는 노력이 필요하다고 사료된다.
Abstract
The present study sought to assess the health-related behavior affecting hypertension in the Korean elderly. A data set comprising 1,404 subjects aged ≥65 from the Korea National Health and Nutrition Examination Survey VIII-1 (2019) was analyzed. In men, the incidence of hypertension was associated with age (odds ratio [OR], 1.056; P=0.004), absence of a family history of chronic diseases (OR, 0.662; P=0.024), underweight status (OR, 0.142; P＜0.001), normal weight status (OR, 0.390; P＜0.001), and non-drinkers (OR, 0.552; P=0.001). In women, the incidence of hypertension was associated with age (OR, 1.091; P＜0.001), absence of a family history of chronic diseases (OR, 0.424; P＜0.001), normal weight status (OR, 0.532; P＜0.001), and poor subjective health level (OR, 1.640; P=0.018). In conclusion, the factors affecting hypertension in men were age, obesity, family history of chronic diseases, and drinking. In women, the factors affecting hypertension were age, obesity, family history of chronic diseases, and subjective health level. Therefore, it is proposed to make efforts to establish gender-appropriate health promotion and intervention programs and health policies to reduce the incidence of hypertension in the elderly.
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