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40?64세 중년 성인에서 복합만성질환에 따른 입원위험: 2013?2015년 국민건강영양조사 자료

Risk of Hospitalization by Multimorbidity in Middle-Aged Adults Using the 2013?2015 Korea National Health and Nutrition Examination Survey

가정의학 2021년 11권 1호 p.22 ~ 28
박새영, 이언숙, 양윤준, 윤영숙, 이준형, 허연, 박원진, 천지민, 문정원,
소속 상세정보
박새영 ( Prk Sae-Young ) - Inje University Ilsan Paik Hospital Department of Family Medicine
이언숙 ( Lee Eon-Sook ) - Inje University Ilsan Paik Hospital Department of Family Medicine
양윤준 ( Yang Yun-Jun ) - Inje University Ilsan Paik Hospital Department of Family Medicine
윤영숙 ( Yoon Yeong-Sook ) - Inje University Ilsan Paik Hospital Department of Family Medicine
이준형 ( Lee Jun-Hyung ) - Inje University Ilsan Paik Hospital Department of Family Medicine
허연 ( Huh Youn ) - Inje University Ilsan Paik Hospital Department of Family Medicine
박원진 ( Park Won-Jin ) - Inje University Ilsan Paik Hospital Department of Family Medicine
천지민 ( Cheon Ji-Min ) - Inje University Ilsan Paik Hospital Department of Family Medicine
문정원 ( Mun Jung-Won ) - Inje University Ilsan Paik Hospital Department of Family Medicine

Abstract


Background: Rapidly growing older population and recent lifestyle changes has led to increased prevalence of chronic diseases. Previous studies have shown that multimorbidity has been linked to greater health care services utilization, including hospitalization or emergency room admissions, by older adults. This study aimed to evaluate the association between multimorbidity and hospitalization in middle-aged adults using data from the Korea National Health and Nutrition Examination Survey (KNHANES).

Methods: Data from the 6th KNHANES (2013?2015) were used to identify the link between hospitalization and multimorbidity in a middle-aged population with one or more diseases (n=4,460). Multimorbidity was defined as the co-occurrence of three or more chronic conditions. Multivariate logistic regression analysis was adopted to evaluate the association between multimorbidity and hospitalization within the previous 1 year after adjustment for age, sex, education, private insurance, and subjective health status.

Results: Prevalence of multimorbidity (≥3 chronic diseases) in the middle-aged population was 10.1%. Multivariate logistic analysis showed that hospital admission within the previous 1 year was associated with multimorbidity after adjusting for age, sex, education, private insurance, smoking, alcohol consumption frequency, and exercise (OR, 1.51; 95% CI, 1.22?1.87). Subjective health status was an independent risk factor for hospitalization within the previous 1 year (OR, 3.17; 95% CI, 2.49?4.02).

Conclusion: Multimorbidity is a factor associated with increased health care service use, such as hospitalization, in the middle-aged population. Strengthening the primary health care system could be required to effectively manage multimorbidity in the middle-aged population.

키워드

Multimorbidity; Hospitalization; Subjective Healths; Middle Aged

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