장애인과 시력장애인의 인구사회학적 차이: 제3기 국민건강 영양 조사자료
Disparities of Socio-Demographic Factors between Visually Disabled People and Other Disabled People: KNHANES Ⅲ
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
목적: 장애인과 시력장애인의 사회인구통계학적 차이에 대한 이해를 넓히고자 하였다. 대상과 방법: 25,215명의 제3기 국민건강영양조사를 완료한 군에서 비장애인, 시각장애인을 제외한 장애인, 시각장애인의 나이, 성별,월수입, 직업, 교육 정도, 거주지역, 의료보험을 분석하였고, 다변량 로지스틱 회귀분석을 통해 가장 많은 차이를 보이는 부분을 비교하였다. 결과: 시각장애인은 여타 장애인과 비교해서, 40-64세, 남성, 취업자, 서울/경기/부산을 제외한 지역거주자가 많았고, 비장애인에 비해서는 위의 요인들에 추가하여 저 학력자가 많았다. 결론: 시각장애인과 다른 장애인의 사회인구학적 차이가 있으며, 안과 의사로서 외래에서 시력 및 시야 각을 통한 시각장애인의 판정뿐만 아니라 그들을 이해하고 같이 고충을 풀어가며, 실명예방 제단이나, 사회 사업 팀 협의 진료 등을 활용한 전인적이고 포괄적인의료행위가 필요하다.
Abstract
Purpose: To identify the disparities of socio-demographic factors between visually disabled people and other people with disabilities. Methods: The fourth Korea National Health and Nutrition Examination Survey (KNHANES III) is a nationwide survey. The present study included 25,125 people who completed the KNHANES III. For analysis, the participants were divided into 3groups: subjects without disabilities, subjects with disabilities but without visual disabilities, and subjects with visual disabilities. The gender, age, monthly house income, occupation, education, residential area, and health insurance were investigated. Multivariate logistic regression analysis was used to determine the most differentiating factor. Results: Visually disabled people were proportionally older (40 to 64 years), were male, living in a non-metropolitan area except Seoul/Pusan/Gyunggi compared to other disabled people and also had a higher proportion of the above factors, as well as lower education compared to non-disabled people. Conclusions: Socio-demographic factors showed disparities in visually disabled people and people with other disabilities. Ophthalmologists should understand these disparities and be involved in establishing policies to reduce the disparities. Ophthalmologists also need to provide holistic and comprehensive medical care using the Blindness is Preventable! Korea Foundation for the Prevention of Blindness, consultation with social work teams in hospitals and other institutions, as well as evaluating the visual impairment.
참고문헌 (11)
- Maberley DA, "The prevalence of low vision and blindness in Canada", Eye (Lond), 20, pp.341~346 (2006)
- Robbins HG, "The low vision patient of tomorrow becomes the low vision patient of today", Clin Exp Optom, 84, pp.101~103 (2001)
- Rahmani B, "The cause-specific prevalence of visual impairment in an urban population. The Baltimore Eye Survey", Ophthalmology, 103, pp.1721~1726 (1996)
- Newland HS, "Epidemiology of blindness and visual impairment in the kingdom of Tonga", Br J Ophthalmol, 78, pp.344~348
- West SK, "Function and visual impairment in a population-based study of older adults. The SEE project. Salisbury Eye Evaluation", Invest Ophthalmol Vis Sci, 38, pp.72~82 (1997)
- Deaton A, "Mortality, inequality and race in American cities and states", Soc Sci Med, 56, pp.1139~1153 (2003)
- Benjamin AE, "Consumer-directed services at home: a new model for persons with disabilities", Health Aff (Millwood), 20, pp.80~95 (2001)
- Kempen JH, "The prevalence of refractive errors among adults in the United States, Western Europe, and Australia", Arch Ophthalmol, 122, pp.495~505 (2004)
- Muñoz B, "Blindness, visual impairment and the problem of uncorrected refractive error in a Mexican-American population: Proyecto VER", Invest Ophthalmol Vis Sci, 43, pp.608~614 (2002)
- Congdon N, "Causes and prevalence of visual impairment among adults in the United States", Arch Ophthalmol, 122, pp.477~485 (2004)
- 박종화, "서울지역에 등록된 시각장애인의 역학적 분석과 저시력 재활치료", 대한안과학회지, 50(4), pp.572~579 (2009), 대한안과학회