한국인 중년에서 결혼상태와 건강행동: 2007-2010년 국민건강영양조사 자료를 사용하여
Marital Status and Health Behaviors in Middle-Aged Korean Adults: from the 2007-2010 Korea National Health and Nutrition Examination Survey
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참고문헌
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초록
연구배경: 결혼상태는 중요한 인구사회학적인 변수일뿐만 아니라 건강행태와 건강상태에도 영향을 미친다. 본연구에서 한국인의 대표표본을 사용하여 결혼상태에 따른건강행태의 관련성을 확인하고, 이러한 관련성이 성별에따라 차이를 보이는지 평가하고자 하였다. 방법: 2007년부터 2010년 4개년 동안 국민건강영양조사에 참여한 40부터 65세 사이 중년성인을 9,535명을 대상으로 하였다. 결혼상태는 가구조사설문을 이용하여 유배우자 동거군, 이혼별거군, 사별군, 미혼군으로 나누었다. 흡연여부, 위험음주, 규칙적 운동실천, 아침식사섭취, 건강검진 수검의 다섯 가지 영역의 건강행태 실천여부를 건강설문과 영양조사 자료에서 파악하였다. 결과: 건강행태에 영향을 미치는 요인을 보정한 후, 남성에서는 유배우자 동거군보다 이혼별거군에서 위험음주율(1.52, 1.05-2.19)이 높고, 규칙적인 아침식사 섭취(0.44,0.29-0.67)와 건강검진 수검률(0.54, 0.37-0.79)이 낮았다. 반면 남성 미혼군에서는 유배우자 동거군보다 높은 운동실천율(1.81, 1.13-2.88)을 보였다. 여성에서는 이혼별거군과미혼군 모두에서 유배우자 동거군보다 흡연율과 위험음주율이 3-6배 높았으며, 규칙적인 운동실천이나 건강검진 수검은 결혼상태의 영향을 받지 않았다. 여성에서도 이혼별거군에서는 남성과 마찬가지로 규칙적인 아침식사 섭취(0.55, 0.41-0.74)를 덜 하고 있었다. 성과 결혼상태의 유의한 교호작용은 흡연(P<0.001), 고위험 음주(P<0.001), 규칙적인 아침식사 섭취(P<0.001), 건강검진 수검(P=0.003)에서관찰되었다. 결론: 결혼상태에 따라 영향을 받는 건강행태는 성별에따른 차이를 보이며, 배우자 비동거군 중에서도 비동거의원인에 따라 다른 관련성을 보인다.
Abstract
Background: Marital status is not only an important sociodemographic variable for health studies but influences health behavior and health condition of individuals. This study assessed a representative sample to see whether marital status is associated with health behavior in middle-aged Korean adults, and if the association differed by sex. Methods: This is a cross-sectional study of 9,535 Korean middle-aged adults who participated in the 2007-2010Korean National Health and Nutrition Examination Survey. Our data were from this survey. The subjects were classified as married and living with a partner, widowed, separated/divorced, or never married. We assessed the relationship between marital status and five health behaviors (smoking, high risk alcohol intake, regular exercise,regular breakfast consumption, and periodic health screening) after controlling covariates. Results: In men, the separated/divorced group had a higher risk for high risk alcohol consumption (odds ratio [OR], 1.52; 95% confidence interval [CI], 1.05-2.19) and lower tendencies to have breakfast regularly (OR,0.44; 95% CI, 0.29-0.67) and to undergo health screening (OR, 0.54; 95% CI, 0.37-0.79) than the married and living with a partner group while men were more likely to exercise regularly (OR, 1.81; 95% CI, 1.13-2.88). In women, both of the separated/divorced group and had a significantly higher risk for smoking and high risk alcohol consumption than married and living with a partner group by 3-6 times. The separated/divorced women group was less likely to have breakfast regularly (OR, 0.55; 95% CI, 0.41-0.74). Significant interactions between sex and marital status were observed with smoking (P<0.001), high risk alcohol intake (P<0.001), regular breakfast consumption (P<0.001), and periodic health screening (P=0.003). Conclusions: The association between marital status and health behaviors differed by sex. Even in the single group, differences were seen according to the subtypes of the single group.
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