지역사회 노인의 대중매체 건강정보에 대한 관심도 및 이용 행태
Concern in and Utilization of the Mass Media Health Information in Community-dwelling Elderly
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초록
연구배경: 최근 대중매체는 일반인들의 건강교육에 많은 역 할을 하고 있으나 노인들에서는 그 유용성이 정확히 밝혀져 있지 않다. 이에 본 연구에서는 노인들의 대중매체 건강정보 에 대한 관심도 및 이용 행태를 파악하고자 하였다. 방법: 2008년 3월부터 6월까지 60세 이상의 노인을 대상으로 서울시와 충주시의 노인복지관 두 곳과 일개 보건소, 두 곳의 2차 병원 외래 및 입원환자에서 일대일 설문조사를 시행하였 다. 결과: 최종 연구대상자 999명 중 대중매체 건강정보에 대한 관심이 아주 많거나 비교적 많다고 응답한 경우는 58.4%였 다. 다중 로지스틱 회귀분석 결과 대중매체 건강정보에 대한 관심이 낮은 군과 관련된 인자로는 저학력, 비운동군, 자신의 건강에 대한 관심도가 낮은 경우였다(각각의 P=0.001, 0.009, <0.001). 지역사회 노인들이 건강정보를 가장 많이 얻는 곳은 대중매체였다. 대중매체 건강정보 이용 빈도를 5분위군으로 나누어 최상위군과 최하위군을 다중 로지스틱 회귀분석으로 비교한 결과 여성 노인, 저학력, 저소득층, 비운동군, 저체중 군, 자가 건강상태 평가가 나쁜 군, 건강정보에 대한 관심도가 낮은 군에서 대중매체 건강정보 이용 빈도가 낮았다(각각의 P 값 <0.001, 0.005, 0.05, <0.001, 0.002, 0.03, 0.005). 그러나 고혈압, 당뇨 등의 만성질환 여부는 대중매체 건강정보에 대한 관심 도 및 이용 빈도와 유의한 관련성을 보이지 않았다. 결론: 대중매체 건강정보에 대한 관심도 및 이용도는 만성 질 환의 유무 보다는 건강에 대한 관심도 및 자가 건강상태 평가, 운동 여부, 학력이나 소득과 같은 사회경제적 인자 등이 중요 한 관련인자였다.
Abstract
Background: Recently, the mass media serves a major role in the public health education, but have not been proven whether they are being appropriately utilized in the elderly. The aim of this study was to identify the elderly person's concern in the mass media health information and utilization behavior. Methods: Between March to June 2008, one to one survey with the elderly people over 60 years was performed in two elderly welfare centers, one public health center, and two secondary hospitals outpatients and inpatients in Seoul and Chungju. Results: A total of 999 subjects were included. By multivariate analysis, factors signifi cantly associated with low concern in the mass media health information were low educational level, non-exercise group, and low concern in own health (P = 0.001, 0.009, < 0.001, respectively). The most frequently utilized health information source was the mass media. By comparing the frequency of health information utilization, women, low educational level, low income, non-exercise group, underweight, low level of self-evaluated health status, and low concern in health information were signifi cantly associated with the lowest quintile of utilization (P value: < 0.001, 0.005, 0.05, < 0.001, 0.002, 0.03, 0.005, respectively). However, the presence of chronic diseases, such as hypertension, diabetes, had no association. Conclusion: In community-dwelling elderly, important factors associated with concern in and utilization of the mass media health information were concern in health, self-evaluated health status, exercise status and socioeconomic factors such as education or income level, rather than comorbid chronic disease.
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