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당뇨병 유병자 중 혈당 미조절군의 주관적 건강인식 관련 요인: 제4?6기 국민건강영양조사 자료(2007?2015)를 중심으로

Factors Associated with Self-Rated Health among Poor Glycemic Control Group with Diabetes Mellitus: The 4th?6th Korea National Health and Nutrition Examination Survey (2007?2015)

보건행정학회지 2019년 29권 4호 p.431 ~ 444
이수영 ( Lee Su-Young ) - 건강보험심사평가원

김희진 ( Kim Hee-Jin ) - 연세대학교 보건대학원 국민건강증진연구소
김규리 ( Kim Kyu-Ri ) - 연세대학교 의과대학 예방의학교실
이용재 ( Lee Yong-Jae ) - 연세대학교 보건대학원 보건정책학과
정우진 ( Chung Woo-Jin ) - 연세대학교 보건대학원 보건정책학과

Abstract


Background: This study aimed to properly manage diseases such as blood sugar control so that patients with diabetes can benefit from both medication and health activities. Also, these health practices are greatly influenced by self-rated health, a subjective assessment of health status. Because self-rated health does not necessarily match the objective health status, it is important to identify which factors affect self-rated health.

Methods: For the study, the data was gathered from the 4th?6th National Health Nutrition Survey (2007?2015). Out of the total 73,353 participants in the survey, 2,303 patients with uncontrolled blood sugar with an HbA1c level of more than 7% were selected for the final study. Dependent variables fell into two categories depending on how the participant reported whether he or she was in good health or not. Independent variables included socio-demographics, health behavioral, and health status factors. This study performed logistic regression analysis.

Results: Out of 2,303 participants, 18.1% reported that their heath was ‘good,’ despite the fact that their blood sugar level was not controlled. After running a logistic regression model, the odds ratio of groups that perceive subjective health awareness as good was higher in the groups of people as below: in the people over 60 years old; in the people who graduated from a junior college or higher than those who had a level of education of primary school completion or less; in the people living in Chungnam than those living in Seoul; and in the group with hypertriglyceridemia.

Conclusion: The study identified factors associated with those failed to perceive the blood sugar level as a severe health problem despite of the fact that blood sugar was not controlled. To improve public health, diabetes management policies need to be addressed to population groups with these problems above.

키워드

Diabetes; self rated health; perceived health status; korean National Health and Nutrition Examination Survey
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