지역사회건강조사에서 EQ-5D index의 지역간 변이와 관련 요인: 사회심리적 요인의 중요성
Regional Variation of EQ-5D Index and Related Factors in Community Health Survey: Major Role of Psychosocial Factors in Korea
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Objectives: As an ecological study, this study was performed to identify the community-level variation of health related quality-of-life (HRQOL), and to explore the factors that explain the variation, using 2017 Korean Community Health Survey (KCHS) data. Methods: Community health indicators of KCHS, which are correlated with the EQ-5D index of Si-gun-gu districts, were selected as independent variables. Multiple linear regression model was used to derive factors that explain regional variations in the EQ-5D index. Results: The EQ-5D index variation in 229 districts nationwide was 1.1 times for extremal quotient (EQ) and 1.0 for coefficient of variance (CV). The Si-gun-gu districts with the EQ-5D index in the lower 25% were more distributed in the province (27.7%) than in the metropolitan area (20.3%). As a result of multiple linear regression analysis, the depressed mood experience rate, perceived stress rate, suicide ideation rate, and physician diagnosed arthritis rate were derived as major factors of the variation. Conclusions: In order to reduce the gap in HRQOL between the districts, the priority of local health policies should be placed on the above factors including psychosocial factors.
Abstract
Objectives: As an ecological study, this study was performed to identify the community-level variation of health related quality-of-life (HRQOL), and to explore the factors that explain the variation, using 2017 Korean Community Health Survey (KCHS) data. Methods: Community health indicators of KCHS, which are correlated with the EQ-5D index of Si-gun-gu districts, were selected as independent variables. Multiple linear regression model was used to derive factors that explain regional variations in the EQ-5D index. Results: The EQ-5D index variation in 229 districts nationwide was 1.1 times for extremal quotient (EQ) and 1.0 for coefficient of variance (CV). The Si-gun-gu districts with the EQ-5D index in the lower 25% were more distributed in the province (27.7%) than in the metropolitan area (20.3%). As a result of multiple linear regression analysis, the depressed mood experience rate, perceived stress rate, suicide ideation rate, and physician diagnosed arthritis rate were derived as major factors of the variation. Conclusions: In order to reduce the gap in HRQOL between the districts, the priority of local health policies should be placed on the above factors including psychosocial factors.
참고문헌 (18)
- Curtis S, "Health and inequality: geographical perspectives" (2004), Sage
- Macintyre S, "Place effects on health : how can we conceptualise, operationalise and measure them", Soc Sci Med, 55, pp.125~139 (2002)
- 이상규, "Regional Contextual Factors and Self-Rated Health: a Multilevel Study of Korean Adults", 보건교육건강증진학회지, 21(4), pp.75~97 (2004), 한국보건교육건강증진학회
- Black D, "The Black report, inequalities in health" (1982), Penguin Books
- 정진영, "지역 간 건강수준 및 건강행태 변이요인 연구 : 지역사회건강조사와 지역 특성 연계자료를 기반으로", 대한보건연구, 43(3), pp.91~108 (2017), 사단법인 대한보건협회[DOI]
- A Conceptual Framework for Action on the Social Determinants of Health, "WHO", World Health Organization, ~, pp.Discussion Paper Series on Social Determinants of Health, 2 (2010)
- Closing the Gap in a Generation:Health Equity Through Action on the Social Determinants of Health: Final Report of the Commission on Social Determinants of Health, "WHO Commission on Social Determinants of Health", World Health Organization, ~ (2008)
- Developing Health Inequalities Report and Monitoring the Status of Health Inequalities in Korea, "Kim DJ", ~ (2013)
- 정용래, "지역사회 건강관련 삶의 질에 영향을 미치는 요인: 지역사회 단위 분석", 한국콘텐츠학회 논문지, 15(1), pp.276~285 (2015), 한국콘텐츠학회[DOI]
- 손애리, "서울시 지역주민의 인구사회적 특성과 정신건강상태에 따른 건강관련 삶의 질", 보건교육건강증진학회지, 27(4), pp.141~152 (2010), 한국보건교육건강증진학회
- An HM, "Factors of health related quality of life of Korea male and female adults according to life cycle: By using 4th National Health and Nutrition Examination Survey", pp.2010
- 김영택, "지역사회건강조사의 조사 기획과 수행", 대한의사협회지, 55(1), pp.74~83 (2012), 대한의사협회
- Lee YK, "South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states", Value Health, 12(8), pp.1187~1193 (2009)
- Nam JM, "A study on the statistical distribution and testing of variation indicies at the small area variation analysis", Korean J Prev Med, 32(1), pp.80~87 (1999)
- 한미아, "일부 농촌지역 성인에서 EQ-5D를 이용한 건강관련 삶의 질", 예방의학회지, 41(3), pp.173~180 (2008), 대한예방의학회
- 노지영, "우리나라 노인에서 관절염과 동반 만성질환에 의한 건강관련 삶의 질 감소 효과", 한국산학기술학회논문지, 15(6), pp.3751~3758 (2014), 한국산학기술학회[DOI]
- 길선령, "우리나라 성인에서 일부 질환과 연관된 건강관련 삶의 질 감소", 예방의학회지, 41(6), pp.434~441 (2008), 대한예방의학회
- 신환호, "비당뇨병 환자와의 비교를 통한 우리나라 당뇨병 환자의 삶의 질; 제5기 국민건강영양조사(2010-2012)", 농촌의학.지역보건, 40(1), pp.21~31 (2015), 한국농촌의학.지역보건학회[DOI]