소아 안검진 현황 및 관련 요인 분석: 국민건강영양조사 2008-2012
Factors Associated with Vision Screening in Children: The Korea National Health and Nutrition Examination Survey
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참고문헌
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초록
목적: 소아 안검진 현황 및 관련 사회인구의 통계학적 요인을 밝히고자 하였다. 대상과 방법: 본 연구는 국민건강영양조사 중 2008년부터 2012년까지, “지난 1년 동안 안과검사(시력검사)를 받은 적이 있습니까?” 라는 질문을 완료한 3세 이상부터 11세까지 소아 4,827명을 대상으로 다변량 로지스틱 회귀분석을 이용하여 안검진과 관련된 요인을분석하였다. 결과: 3세(25.8%)부터 11세(72.5%)까지 안검진율은 점차적으로 증가하였고, 지역별로는 부산(63.5%), 대구(62.2%), 서울(59.9%)순으로 높았다. 검진율이 낮은 지역은 충남(43.2%), 충북(44.6%), 전남(44.9%)순으로 낮았다. 검진의 장벽과 관련된 사회인구통계학적 요인으로는, 가구 소득의 상위 2번째 4분위수가 하위 첫 번째 4분위수에 비해 통계상 경계적으로 검진율이 높았으며(adjusted Odds Ratio [aOR]＝1.5, 95% confidential interval [CI], 1.0-2.4), 가구원의 수가 5명 이상인 가구에서 아이의 검진율이 한 자녀를 가진가구의 검진율보다 유의하게 낮았다(aOR＝0.6, 95% CI, 0.4-0.8). 결론: 우리나라의 소아에서 안검진율은 연령대별(25.8-72.5%), 지역별(43.2-63.5%) 차이가 있으며, 지역 간 격차, 낮은 소득수준과많은 세대구성원 수가 장벽으로 작용하고 있다.
Abstract
Purpose: To identify the factors associated with vision screening in children. Methods: This study included 4,827 young children 3-11 years of age who answered the question “Has [name] ever had an eye examination (vision screening) in the past year?” from The Korea National Health and Nutrition Examination Survey 2008-2012 (KNHANES). The trained interviewer asked the questions to a member of the household familiar with the study participant. The factors related to vision screening were analyzed using multivariate logistic regression. Results: The rate of vision screening gradually increased with age in young children between 3 (25.8%) and 11 years of age (72.5%). Regarding the rate by region, Busan had the highest rate (63.5%), followed by Daegu (62.2%) and Seoul (59.9%). Chungnam had the lowest rate (43.2%), followed by Chonbuk (44.6%) and Chonnam (44.9%). Higher income was associated with increased screening rate with marginal statistical significance (adjusted odds ratio [aOR]＝1.5 for 3rd quartile, 95% confidential interval [CI], 1.0-2.4 versus 1st quartile as a reference group). Households with 5 or more members were less likely to receive vision screening compared to households with 1 child (aOR＝0.6, 95% CI, 0.4-0.8). Conclusions: The rate of vision screening differed according to age group (25.8-72.5%) and region (43.2- 63.5%). Regional disparity, low household income and large number of household members were barriers for vision screening in Korean children.
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