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40세 이상 성인에서 사회경제적 수준 및 건강행동과 대사증후군의 관련성

Socioeconomic Status and Health Behaviors Associated with Metabolic Syndrome in Adults over 40 Years

박재용|김동현|김성희
대한임상건강증진학회 (Korean Society For Health Promotion And Disease Prevention)|2013.12|Korean Journal of Health Promotion|제13권 제4호|pp. 125-132

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참고문헌

키워드

대사증후군건강행동Health behaviorMetabolic syndrome사회경제적 수준Socioeconomic status
주제분류기타자연과학

초록

연구배경: 만성질환의 예방과 관리에 있어서 식이, 신체적활동, 흡연, 음주 등의 건강행동 수정이 가장 효과적인 것으로알려져 있다. 그러나 건강행동은 사회경제적 요인, 심리사회적요인들과 복합적으로 관련되어 있기 때문에 건강행동 변화를유도하는 것은 쉽지 않다. 사회경제적 수준(Socioeconomicstatus, SES)은 건강관리를 위해 활용할 수 있는 가용 자원에대한 접근성을 반영하며, 대사증후군(Metabolic syndrome,MetS)은 심혈관 질환의 대표적인 지표이다. 본 연구는 SES와 건강행동 그리고 MetS 사이의 관련성에 대해 알아보았다. 연구방법: ‘건강검진 수진자 코호트(Korean Health ExamineeCohort, KOEX, 2004-2008년)’를 통해 등록된 40세 이상성인 24,515명(남자: 8,214명, 여자: 16,301명)을 연구대상으로 하였다. SES는 교육수준과 가구소득을 3분위하여high SES, middle SES, low SES 군으로 구분하였고 대사증후군의 진단기준은 National Cholesterol EducationProgram-Adults Treatment Panel III (NCEP-ATP III,2007)를 사용하였다. 연구결과: 조사대상자들의 high, middle, low SES 군의MetS 유병률은 각각 13.8%, 17.4%, 25.3%였다. SES에 따른 MetS 교차비는 공변량 보정 후, 여자에서 high, middle,low SES 군에서 각각 1.0, 1.54 (95% confidence interval[95% CI]=1.34-1.76), 2.01 (95% CI=1.72-2.36)이었고, 남자에서는 유의하지 않았다. 결론: SES는 건강행동과 역의 상관성이 있었고. 대사증후군에서도 역상관성이 있었으나 여자에서만 유의하였다.

Abstract

Background: The most effective means of preventing chronic disease is known to be promoting health behaviors; but this is difficult because health behaviors are associated with the socioeconomic status (SES). SES is a measure of access to material resources and social resources. This study aimed to assess the association between metabolic syndrome (MetS) and SES after controlling for health behaviors (smoking, alcohol intake, physical activity, and diet). Methods: 24,515 participants (8,214 men, 16,301 women) older than 40 years were recruited from the 2004-2008 Korean Health Examinee Cohort. Along with MetS components, SES and health behaviors data were collected through individual interviews. SES was classified into tertiles (high, middle, and low groups) measured by education and house income levels. MetS was defined using the criteria from the modified National Cholesterol Education Program Adult Treatment Panel-lll (NCEP ATP-lll, 2007). Results: Among the study subjects, the prevalences of MetS were 13.8%, 17.4%, and 25.3% in the high, middle,and low SES groups, respectively. After controlling for age and health behaviors, the odds ratios for MetS in the high, middle, and low SES were 1.0, 1.54 (95% confidence interval [95% CI]=1.34-1.76), and 2.01 (95% CI=1.72-2.36), respectively, for women. This association was not seen in men. Conclusion: SES was inversely associated with metabolic syndrome, as with health behaviors, but only for women.

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