노인에서의 독거 여부와 복합 만성 질환의 연관성
Association between Living Alone and Multimorbidity in the Elderly
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연구배경: 한국 독거노인과 복합 만성 질환과의 연관성은명확하지 않다. 우리는 한국 노인에서 독거와 복합 만성 질환의 빈도과의 연관성을 알아보고자 한다. 방법: 국민건강영양조사 Ⅶ (2016-2018) 자료를 이용하여분석하였다. 60세 이상의 4,244명을 대상으로 하였다. 또한다변량 로지스틱 회귀분석을 실시하였다. 결과: 전체 대상자의 31.0%가 복합 만성 질환이 있었다. 복합 만성 질환의 비율은 가족과 사는 노인에 비해서 독거노인에서 통계학적으로 유의하게 높았다. 연령, 나이, 흡연상태, 음주습관, 체질량지수, 교육수준, 소득수준의 변수로보정을 해서 분석한 결과에서 독거노인에서 복합 만성 질환의 위험이 증가하였다(OR, 1.24; 95% CI, 1.04-1.48). 결론: 독거노인에서 복합 만성 질환의 위험이 증가하기때문에 독거노인에서 복합 만성 질환의 여부를 확인하는 것이 필요할 것으로 생각된다.
Abstract
Background: The relationship between solitary life and multimorbidity among older people in Korea is not clear. We aimed to examine the association between solitary life and the prevalence of multimorbidity among Korean older people. Methods: We analyzed the data from the Korea National Health and Nutrition Examination Survey Ⅶ (2016-2018) using multivariable logistic regression analysis. The study included 4,244 individuals aged ≥60 years. Results: Multimorbidity was reported in 31.0% of the participants. The rate of multimorbidity was significantly higher in older people living alone compared to those living with their families. After adjusting for confounding variables such as age, sex, smoking status, alcohol consumption, body mass index (BMI), educational level, and personal income, older people living alone were significantly associated with higher risks of having multimorbidity compared to those living with their families (odds ratio, 1.24; 95% confidence interval, 1.04-1.48). Conclusions: Since there is a risk of multimorbidity in older people living alone, it is necessary to examine whether multimorbidity exists in older people living alone.
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