한국인의 백내장에 대한 인지도 역학 조사: 제4기 국민건강영양조사자료
Epidemiological Survey Regarding Cataract Awareness in Korea: KNHANES IV
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목적: 한국 국민의 백내장 인지율을 알아보고자 한다. 대상과 방법: 19세 이상 대상자 11,058명 중 3,662명이 제4기 국민건강영양조사 안검진에 의해 백내장으로 진단받았다. 이 중 본인이백내장이 있다는 사실을 인지하고 있는 대상자는 944명으로 백내장 인지와 관련하여 3,662명에 대한 사회인구통계학적인 변수들 간의 차이를 다중 분석을 통해 분석하였다. 결과: 평균 나이는 65.6세(Standard deviation, 0.2)이며, 19세 이상에서 전국민 환산 인지율은 25% (95% Confidence interval,22.5-26.6)였다. 다변량 로지스틱 회귀분석에서는 고소득자, 시골거주자, 동거인이 있는 자, 고위험 음주자의 인지율이 낮았다. 교호변수를 보정한 선형 모델에서는 연령과 소득수준에서 유의한 차이를 보였다. 지역간 백내장 인지율은 대전, 광주 순서로 11%, 16%로낮게 나타났다. 결론: 백내장 인지율은 타 선진국에 비해 낮으며, 낮은 인지를 갖는 취약계층에 대한 인지율을 높이기 위한 공중보건 교육 및 전략이필요하며, 다른 나라와 같이 안과학회 차원의 노력이 필요하겠다.
Abstract
Purpose: To identify cataract awareness in the Korean population. Methods: The present study included 3,662 subjects who were diagnosed with a cataract by ophthalmic examination out of 11,058 subjects in the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). Among the 3,662participants, 944 were aware that they already had a cataract. The socio-demographic disparities in cataract awareness were identified using multivariate analysis. Results: The mean age of the study population was 65.6 years (standard deviation, 0.2). The awareness calculated based on total weighted population was 24.6% in people over 19 years of age (95% confidence interval, 22.5-26.6%). In multivariate logistic analysis, subjects with higher income, living in a rural area, having a spouse, and binge alcohol use were less likely to be aware of their cataract. In multivariate linear regression analysis after adjusting for confounding factors,there were statistically significant differences of mean in age and monthly house income. Deajeon (11%), and Gwangju (16%) were the lower ranked regions for cataract awareness in Korea. Conclusions: The cataract awareness in Korea was lower than in other developed countries. Public education and strategies to improve cataract awareness in susceptible people are necessary. More effort is needed to improve cataract awareness based on the Korean society’s acceptance of ophthalmologists as in other countries.
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