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우리나라 성인 여성의 골다공증 위험도 평가점수 모형 개발

Developing the Osteoporosis Risk Scorecard Model in Korean Adult Women

보건정보통계학회지 2021년 46권 1호 p.44 ~ 53
박일수,
소속 상세정보
박일수 ( Park Il-Su ) - Dong-Eui University Department of Healthcare Management

Abstract


Objectives: The aim of the study was to develop the osteoporosis risk scorecard model in korean adult women aged over 30 years old.

Methods: The participants of the study were 11,427 adult women aged over 30 years old who participated in the four years of the Korea National Health and Nutrition Examination Survey (2015-2018). The data were analyzed using Rao-Scott chi-square test and weighted multiple logistic regression analysis of complex sampling design. The osteoporosis risk scorecard model was developed by weighted multiple logistic regression using points to double the odds (PDO) method.
Results: This study found that there were many major influencing factors for osteoporosis which included household income, educational level, body mass index (BMI), hypertension, stroke, rheumatoid arthritis, hypercholesterolemia, sarcopenia, menopause and age of menarche. In the scorecard results, the highest score range was observed in the order menopause, age of menarche (16-17 years old), educational level (elementary school or below), rheumatoid arthritis BMI ( < 18.5 kg/m2 ) and others, suggesting that these were the most important risk factors.

Conclusions: The significance of this study is that it comprehensively grasps the causal relationship between osteoporosis and various factors in korean adult women. Also, it can be used as a useful measurement tool for women’s musculoskeletal health management in health-related organizations by scoring this relationship.

키워드

Osteoporosis; Risk scorecard; Weighted multiple logistic regression; Points to double the odds

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