성별, 연령별, 월소득차이에 따른 질병발생의 위험성 차이연구― 암, 고혈압, 중풍, 당뇨병, 관절염, 심장병을 중심으로 ―

Abstract

In order to verify the risk of onset of the illnesses based on gender, age, and monthly income 1,739 subjects from Hongcheon county, Gangwon province were selected. Questionnaire on demographic sociology, health condition, existence of illnesses(cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders), and usage of public health services was surveyed from October 1, 2006 to October 20, 2006. Following conclusions were reached on the basis of the questionnaire: - For demographic sociological peculiarities, gender, age, occupation, and education level were evenly distributed. Most were under normal marriage(67.38%), health insurance(86.39%), 494(36.0%) individuals with less than monthly income of 1 million won, 494(36.0%) individuals with monthly income between 1 and 2 million won, 219(16.0%) with monthly income between 2 and 3 million won, and 164(12.0%) individuals with more than 3 million won, thus showing relatively low income.- For health status, 1,199(70.28%) individuals are non-smokers, 209(45.63%) individuals smoke 10～20 cigarettes a day, 754(44.02%) individuals exercise less than twice a week are the major sector of the population. 1,518(88.10%) individuals have regular checkup more than once and 1,131(65.49%) stated their health condition less than average. - For comparison of existence of illnesses between genders, there was no statistical significance on cancer, stroke, and diabetes. But statistical significance was shown on hypertension(P value 0.025), arthritis(P value 0.000), and cardiac disorders(P value 0.016). Statistical significance was seen in the age comparison, and OR(confidence interval) drastically increased with increase in age. - There was no difference between the primary health clinic(P value 0.000), most visited clinic(P value 0.000), selection criteria(P value 0.000), and satisfaction on efficacy(P value 0.000). There was a tendency preferring hospital than public health center with increase in income. - For correlation between the existence of illnesses among different income levels, except for cancer(P value 0.172), statistical significance was seen in hypertension(P value 0.000), stroke(P value 0.003), diabetes (P value 0.001), arthritis(P value 0.000), and cardiac disorders(P value 0.000). The number of individuals suffering from illnesses and ratio all decreased for all illnesses with increase in income. - After adjusting confounding factors(gender, age, income, marriage, occupation, education) and male (1) as the standard, OR (confidence interval) of cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders were 0.47(0.11～2.05), 1.27(0.89～1.81), 0.58(0.21～1.59), 0.71(0.41～1.23), 1.79(1.34～2.39, P<0.01), and 1.46(0.72～2.96), respectively. Risk of arthritis is significantly high in female and 20's (1) as the standard, OR(confidence interval) of cancer, hypertension, stroke, diabetes, arthritis, cardiac disorders were 1.01(0.96～1.07), 1.06(1.04～1.07, P<0.01), 1.05(1.01～1.10, P<0.01), 1.06(1.03～1.08, P<0.01), 1.05(1.03～1.06, P<0.01), and 1.06(1.04～1.09, P<0.01), respectively. Risk of onset for illnesses significantly increased with yearly aging except for cancer. - For comparison between monthly income after adjusting confounding factors(gender, age, income, marriage, occupation, education), with less than 1 million won (1) as the standard, OR(confidence interval) of cancer for 1 to 2 million won, 2 to 3 million won, and more than 3 million won were 0.23(0.03～2.16), 2.53(0.41～15.43), and 1.73(0.15～19.50), respectively. OR(confidence interval) of hypertension were 1.12(0.76 ～1.66), 0.68(0.34～1.34), and 2.04(1.08～3.86, P<0.01), respectively. OR(confidence interval) of stroke were 0.96(0.30～3.08) for 1 to 2 million won, and 0.80(0.08～8.46) for 2 to 3 million won. OR(confidence interval) of diabetes were 0.73(0.38～1.38), 0.65(0.24～1.71), and 0.69(0.24～2.01), respectively. The values were 0.76(0.55～1.03), 1.14(0.75～1.73), and 0.90(0.56～1.46), respectively for arthritis. OR(confidence interval) of cardiac disorders were 1.15(0.53～2.48), 0.63(0.13～3.12), and 1.20(0.28～5.14), respectively. Risks of cancer, hypertension, stroke, diabetes, arthritis, and cardiac disorders were dependent of monthly income, and stroke and diabetes decreased with increase in income. Summarizing above data, arthritis was significantly higher in women and increase in age by each year brought significant increase in the chance of onset in hypertension, stroke, diabetes, arthritis, and cardiac disorders except for cancer. Stroke and diabetes decreased with increase in income. Above findings can be applied and reflected in public health policies at the national level, and it can also be applied at the personal level for individual health maintenance and prevention