30-40대 성인의 고혈압 관리율과 혈압 검진과의 관계
Association Between Hypertension Management and Blood Pressure Screening Among Adults in 30s and 40s
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연구배경: 30-40대 성인은 고혈압 관리율(인지율, 치료율, 조절률)이 취약한 집단임에도 불구하고 국내외 모두30-40대에 초점을 맞추어 고혈압 관리와 관련된 요인을 알아보는 연구는 부족하였다. 이에 본 연구는 제4기 국민건강영양조사 자료를 이용하여 30-40대 성인을 대상으로 혈압검진을 포함하여 고혈압 관리율에 영향을 미치는 요인을 알아보는 것을 목적으로 하였다. 방법: 제4기 국민건강영양조사 자료를 이차 자료분석하였다. 30-40대 성인의 고혈압 관리율과 혈압검진 여부 및기타 관련요인을 알아보기 위해 카이제곱 검정 및 로지스틱 회귀분석을 하였다. 모든 자료분석은 SAS 9.1 version 프로그램을 이용하였다. 결과: 30-40대 고혈압 환자에서 고혈압을 인지할 가능성은 정상인 사람에 비해 당뇨병을 앓고 있는 사람(odds ratio [OR] 2.23; 95% confidence interval [CI] 1.27-3.90), 주관적 건강상태가 좋은 사람에 비해 나쁜 사람(OR 2.89;95% CI 1.82-4.58), 2년 이내 혈압측정을 실시하지 않은 경우보다 실시한 경우(OR 5.96; 95% CI 2.90-12.25)에 높았다. 또한 30-40대 고혈압 환자에서 고혈압을 치료할 가능성은 남성에 비해 여성(OR 2.50; 95% CI 1.47-4.27), 정상인 사람에 비해 당뇨병을 앓고 있는 사람(OR 2.59; 95% CI 1.49-4.47), 주관적 건강상태가 좋은 사람에 비해 나쁜 사람(OR 2.53; 95% CI 1.54-4.14), 현재 흡연자에 비해 과거 흡연자(OR 2.01; 95% CI 1.22-3.29), 2년 이내 혈압측정을 실시하지 않은 경우보다 실시한 경우(OR 12.64; 95% CI 4.87-32.77)에 높았다. 30-40대 고혈압 환자에서 고혈압을조절할 가능성은 남성에 비해 여성(OR 2.47; 95% CI 1.29-4.72), 현재 흡연자에 비해 과거 흡연자(OR 2.46; 95%CI 1.35-4.50), 2년 이내 혈압측정을 실시하지 않은 경우보다 실시한 경우(OR 9.24; 95% CI 3.15-27.15)에 높았다. 결론: 30대, 성인 남자이고, 현재 흡연자이며 본인이 건강하다고 생각하고 주기적 혈압측정을 하지 않는 사람의고혈압 관리율이 가장 낮았다. 따라서 30-40대의 효율적인고혈압 관리를 위하여 이러한 취약집단에 초점을 맞춘 보건사업 전략이 요구된다. 더 많은 사람이 혈압검진을 받도록 주기적 혈압검진의 중요성을 홍보해야 하며, 혈압을 측정한 뒤에는 이 연령대에 음주, 흡연 등 나쁜 건강습관을가진 사람이 많으므로 혈압검진 사후관리 프로그램의 제공이 필요하다.
Abstract
Background: Although adults in 30s and 40s are at risk for hypertension management due to low rates of awareness, treatment, and control of hypertension, there has been a lack of study on hypertension management for this population. Thus, the purpose of this study is to examine blood pressure screening and other associated factors with hypertension management in terms of awareness, control, and treatment. Methods: Secondary data analysis was performed on the data from the Fourth Korea National Health and Nutrition Examination Survey in 2007-2009. To examine whether blood pressure screening affects hypertension management in 929 subjects aged 30s and 40s with hypertension. Other factors, such as socio-demographics, health status, and health behaviors, were also included for data analysis. Chi-square test and multiple logistic regression analysis were carried out using SAS 9.1. Results: Hypertension awareness rates were high in those who had diabetes mellitus (odds ratio [OR] 2.23; 95% confidence interval [CI] 1.27-3.90), self-rated their health status as poor (OR 2.89; 95% CI 1.82-4.58), and received a blood pressure check up (OR 5.96; 95% CI 2.90-12.25). Hypertension treatment rates were high in women (OR 2.50; 95% CI 1.47-4.27), and high in those who had diabetes mellitus (OR 2.59; 95% CI 1.49-4.47), self-rated their health status as poor (OR 2.53; 95% CI 1.54-4.14), self-reported as past smoker (OR 2.01; 95% CI 1.22-3.29), and received a blood pressure check up (OR 12.64; 95% CI 4.87-32.77). Hypertension control rates were high in women (OR 2.47; 95% CI 1.29-4.72), and high in those who self-reported as past smoker (OR 2.46; 95% CI 1.35-4.50), and received a blood pressure check up (OR 9.24; 95% CI 3.15-27.15). Conclusions: For effective hypertension management in 30s and 40s, we should encourage this population to have a regular blood pressure screening.
참고문헌 (23)
- "The current status of chronic diseases" (2010)[URL]
- The Third Korea National health statistics National Health and Nutrition Examination Survey, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 1~727, pp.KNHANS IV (2011)
- Fauci A, "Harrison’s principles of internal medicine", pp.1871~1887 (2009), McGraw-Hill
- Department of Internal Medicine, Seoul National University College of Medicine, "Textbook of internal medicine", pp.820~834 (2004), Korea Medical Book
- Alsuwaida A, "Gender disparities in the awareness and control of hypertension", Clin Exp Hypertens, 33(5), pp.354~357 (2011)
- Tian S, "Factors associated with prevalence, awareness, treatment and control of hypertension in urban adults from 33 communities in China: the CHPSNE Study", Hypertens Res, 34(10), pp.1087~1092 (2011)
- Ostchega Y, "Are demographic characteristics, health care access and utilization, and comorbid conditions associated with hypertension among US adults?", Am J Hypertens, 21(2), pp.159~165 (2008)
- The Korean Academy of Family Medicine, "Lifetime Health Maintenance Program for Koreans" (2009), GukJin P&D
- Ministry of Health and Welfare, "Health screening business guideline 2012", Ministry of Health and Welfare, ~ (2012)
- "USPSTF A-Z Topic Guide" (2011)[URL]
- Remington PL, "Chronic disease epidemiology and control", pp.335~356 (2010), American Public Health Assiciation
- Task force, "Guidelines for preventive activities in general practice", The Royal Australian College of General Practitioners, ~ (2009)
- Kim JO, "A study on management and health-related behaviors of the hypertensive patient", pp.2011
- 장동민, "개인의 고혈압 관리 요인", 보건과 사회과학, 11(24), pp.43~66 (2008), 한국보건사회학회
- Choi SR, "Prevalence and perception levels for essential hypertension: the third Korea national health and nutrition examination survey", pp.2009
- Bersamin A, "Predictors of hypertension awareness, treatment, and control among Mexican American women and men", J Gen Intern Med, 24(Suppl 3), pp.521~527 (2009)
- Triantafyllou A, "Prevalence, awareness, treatment and control of hypertension in an elderly population in Greece", Rural Remote Health, 10(2), pp.1225~ (2010)
- Kim JY, "Related factors to medication behaviors of hypertensive and diabetes patients", pp.2010
- Ostchega Y, "Trends in hypertension prevalence, awareness, treatment, and control in older U.S. adults: data from the National Health and Nutrition Examination Survey 1988 to 2004", J Am Geriatr Soc, 55(7), pp.1056~1065 (2007)
- Son KA, "Factors affecting continuity of taking drugs and therapy of hypertension patients in Korea", pp.2010
- Heo NW, "Lifestyle modification and hypertension control in hypertensives", pp.2002
- Chobanian AV, "Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure", Hypertension, 42(6), pp.1206~1252 (2003)
- 박종훈, "고혈압이 조절 안 되는 원인과 대책", 대한내과학회지, 76(4), pp.398~401 (2009), 대한내과학회