한국 노인에서 미충족 의료 수요와 연관 요인: 제7기 국민건강영양조사(2017년)
Factors Associated with Unmet Healthcare Needs of the Older Korean Population: The Seventh Korea National Health and Nutrition Examination Survey 2017
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연구배경: 우리나라는 세계에서 가장 빠르게 고령화가 진행되고 있다. 노인들은 더 많은 의료 서비스를 필요로 하지만, 복잡하고 다양한 원인에 의해 여전히 미충족 의료 수요가 존재한다. 이에 본 연구는 65세 이상 한국 노인을 대상으로 미충족 의료 수요와 관련된 요인들을 알아보고자 시행되었다. 방법: 2017년에 수행된 제7기 국민건강영양조사에 참여한만 65세 이상 노인 중 1,194명을 대상으로 단면연구를 시행하였다. 미충족 의료 수요에 관련된 요인들을 알아보고자사회인구학적 특성, 생활습관 및 건강상태, 동반질환 변수들을 포함하여 다중 로지스틱 회귀분석을 사용하여 분석하였다. 결과: 연구 대상자 중 미충족 의료 수요가 있는 노인은7.8%에 해당하였다. 연령, 성별, 교육수준, 가구소득, 독거여부, 민간의료보험 가입, 규칙적 걷기, 체질량지수 기준 비만도, 의도하지 않은 체중 감소, 골관절염 변수를 보정한 후로지스틱 회귀분석을 시행한 결과, 여성(오즈비, 1.921; 95% 신뢰구간, 1.061-3.479), 비만(오즈비, 1.691; 95% 신뢰구간, 1.015-2.816), 의도하지 않은 체중 감소(오즈비, 2.218; 95%신뢰구간, 1.105-4.453)가 미충족 의료 수요가 있는 노인과통계적으로 유의한 연관성을 나타냈다. 결론: 한국 노인에서 여성, 비만, 의도하지 않은 체중 감소는 미충족 의료 수요의 위험요인일 가능성이 높다.
Abstract
Background: South Korea has the fastest growing aging population in the world, and older people require more healthcare services. Unmet healthcare needs still exist in Korea due to several complex reasons. This study aimed to evaluate the factors associated with unmet healthcare needs of the older Korean population. Methods: This cross-sectional study included 1,194 older adults, aged 65 years and older, who participated in the Seventh Korea National Health and Nutrition Examination Survey conducted in 2017. Sociodemographic factors, lifestyle and health status, comorbidity, and unmet healthcare needs were included in this study’s analysis. Multiple logistic regression analysis was used to evaluate the association between unmet healthcare needs and other factors. Results: The prevalence of unmet healthcare needs in this study population was 7.8%. After adjusting for age, sex, education level, household income, living alone, private health insurance, regular walking, body mass index, unintended weight loss, and osteoarthritis, women (adjusted odds ratio [aOR], 1.921; 95% confidence interval [CI], 1.061-3.479) and unintended weight loss (aOR, 2.218; 95% CI, 1.105-4.453) were more likely to have unmet healthcare needs than their counterparts. The group with general obesity (aOR, 1.691; 95% CI, 1.015-2.816) was more likely to have unmet healthcare needs than the group with normal body mass index. Conclusions: Among the older Korean population, being a woman, general obesity, and unintended weight loss may be risk factors for unmet healthcare needs.
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