한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제16권1호
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  • Pages.418-428
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  • 2015
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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뇌졸중의 영향 요인과 매개요인

Influencing and Mediating Factors in Stroke: Based on 2007-2012 Korea National Health and Nutrition Examination Survey

  • 배승근 (경북대학교 대학원 보건학과) ;
  • 이성국 (경북대학교 예방의학교실) ;
  • 한창현 (국립중앙의료원 경북응급의료정보센터)
  • Bae, Seung-Geun (Department of Public Health, Graduate School of Kyungpook National University) ;
  • Lee, Sung-Kook (Department of Preventive Medicine, Kyungpook National University) ;
  • Han, Chang-Hyun (National Medical Center, GyeongBuk Emergency Medical Information Center)
  • 투고 : 2014.12.09
  • 심사 : 2015.01.08
  • 발행 : 2015.01.31
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초록

본 연구는 뇌졸중에 영향을 미치는 요인과 매개효과를 파악하여 뇌졸중 질환자의 올바른 건강행태를 유도하고 이에 따른 뇌졸중 질환 예방의 기초자료를 제공하고자 하였다. 자료는 국민건강영양조사 4기 및 5기 데이터를 이용하였으며 분석방법은 빈도분석과 다중로지스틱회귀분석 및 구조방정식 분석을 실시하였다. 분석결과 남자의 경우 뇌졸중에 영향을 미치는 인구사회학적 특성으로는 연령, 직업, 주관적 건강상태, 음주, 고혈압과 당뇨병 유무 변수이었고, 여자의 경우는 연령, 직업, 주관적 건강상태, 스트레스 정도, 고혈압 유무이었다. 건강행태가 뇌졸중 여부에 영향을 미치는 과정에서 선행질환은 부분매개 모형과 완전매개 모형의 ${\chi}^2$ 값의 차이가 5.80으로 통계적으로 유의하여(p<0.01), 부분매개 효과가 있는 것으로 분석되었다. 뇌졸중 예방을 위해 잘못된 건강행태를 변화시키기 위한 예방적 건강 교육과 건강관리 네트워크를 강화할 수 있는 정책이 필요하며, 선행질환이 있는 경우 건강상태에 대한 장기적인 진단 및 지속적인 생활습관개선이 필요하다.

This study conducted influencing and mediated effect on stroke to lead correct health behavior of stroke patients and tried to provide preliminary data of stroke prevention. It used stage 4 and 5 data of a national health and nutrition examination survey, analysis method was frequency analysis, Chi-square test, multiple logistic regression and structural equation modeling. In case of male, factors affecting to stroke were age, job, self-related health, alcohol, hypertention and diabetes. In case of female, age, job, self-related health, stress level and hypertention affected to stroke. In tested results on whether or not mediated effect of preceding disease exists, 5.80 difference in ${\chi}^2$ between partial mediated modeling and full mediated modeling was statistically significant(p<0.01). Therefore, partial mediated modeling was adequate to this study. We need preventive health education for changing wrong health behaviors and policy that strengthens health care network. If someone has preceding disease, they need long-term diagnosis for health condition and continuous improvement in life style.

키워드

참고문헌

  1. Statistics Korea. 2013 Cause of death statistics.
  2. Dijkerman HC, Ietswaart M, Johnston M, Macwalter RS, "Does motor imagery training improve hand function in chronic stroke patients", A pilot study. Clin Rehabil. 18(5), pp. 538-549, 2004. DOI: http://dx.doi.org/10.1191/0269215504cr769oa
  3. Hardie K, Hankey GJ, Jamrozik K, Broadhurst RJ, & Anderson C, "Ten-year risk of first recurrent stroke and disability after first-ever stroke in the Perth Community stroke study", Stroke, 35, pp.731-735, 2004. DOI: http://dx.doi.org/10.1161/01.STR.0000116183.50167.D9
  4. Wang G, Bowman BA, "Recent economic evaluations of interventions to prevent cardiovascular disease by reducing sodium intake", Current Atherosclerosis Reports, 15(9), pp.1-9, 2013. DOI: http://dx.doi.org/10.1007/s11883-013-0349-1
  5. Ministry of Health and Welfare. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey(KNHANES V-2), pp.53-61, 2012.
  6. Korean Stroke Society. Stroke story (definition, cause). Retrieved December 1, 2014, from http://www.stroke.or.kr/stroke/qna_view.php?gubun=5.
  7. H. W. Kim, "The Correlation Between Smoking and Cardiovascular diseases -Based on the 4th & 5th KNHANES", Seoul National University, Seoul, 2012.
  8. K. J. Park, "The impact of health behaviors and social strata on the prevalence of cardio-cerebrovasculardiseas", Soonchunhyang Universit. Asan, 2012.
  9. S. O. Shin, E. K. Roh, "A Influencing Factor s in Korea Adults Stroke", Journal of the Korea Academia-Industrial cooperation Society, 14(12), pp. 6227-6236, 2013. https://doi.org/10.5762/KAIS.2013.14.12.6227
  10. Jakovljevic D, Sarti C, Sivenius J, Torppa J, Mahonen M, Immonen-Raiha P, Kaarsalo E, Alhainen K, Kuulasmaa K, Tuomilehto J, Puska P, & Salomaa V, "Socioeconomic status and ischemic stroke", Stroke, 32, pp. 1492-1498, 2001. DOI: http://dx.doi.org/10.1161/01.STR.32.7.1492
  11. C. M, Choi, Y. H. Song, S. Y. RHee, J. T. Woo, "Framingham Risk Scores by Occupational Group: Based on the 3rd Korean National Health and Nutrition Examination Survey", Konren J Occup Envion Med., 21(1), pp. 63-75, 2009.
  12. H. W. Kim, "The Correlation Between Smoking and Cardiovascular Diseases", Seoul National University. Seoul. 2012.
  13. M. S. Song, Y. S. Byeon, K. S. Lim, J. W. Oak, "A Study on Health Behavior in People at Risk for a Cerebrovascular Accident", Journal of Korean Academy of Nursing, 37(7), pp.1091-1097. 2007. https://doi.org/10.4040/jkan.2007.37.7.1091
  14. Y. J. Cho, "Alcohol and Risk of Ischemic Stroke in the Elderly people: A Nested Case-Control Study", Seoul National University. Seoul. 2004.
  15. K. J. Park, "The Impact of Health Behaviors and Social Strata on the Prevalence of Cardio-Cerebrovascular Disease", Soonchunhyang University. Asan. 2012.
  16. Y. J. Kim, C. Y. Kwak, "Prevalence and Associated Risk Factors for Cardiovascular Disease: Findings from the 2005, 2007 Korea National Health and Nutrition Examination Survey", Journal of Korean Health Promot, 11(3), pp.169-176, 2011.
  17. T. H. Park, M. K. Kim, K. B. Lee, J. M. Park, S. J. Lee, K. H. Jung, Y. J. Cho, J. S. Lee, J. Y. Lee, H. J. Bae, "Prevalence of Risk Factors for Ischemic Stroke in Korean: A Systematic Review", Journal of Korean Neurology Assoc, 27(1), pp.19-27, 2009.
  18. Kjeldsen SE, Julius S, Hedner T, & Hansson L, "Stroke is More Common Than myocardial infarction in hypertension: Analysis based on 11 major randomized intervention trials", Blood Pressure, 10(4), pp.190-192, 2001. DOI: http://dx.doi.org/10.1080/08037050152669684
  19. Eliasson M, Lindahl B, Lundberg V, & Stegmayr B, "Diabetes and obesity in Northern Sweden: Occurrence and risk factors for stroke and myocardial infarction", Scandinavian Journal of Public Health, 31(61), pp.70-77, 2003. DOI: http://dx.doi.org/10.1080/14034950310001360
  20. Stratton IM, Adler AI, Neil HAW, Matthews DR, Manley SE, Cull CA, Holman RR, "Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes(UKPDS 35): prospective observational study. Bmj, 321(7258), pp.405-412. 2000. DOI: http://dx.doi.org/10.1136/bmj.321.7258.405
  21. Korea Institute for Health and Social Affairs (2011). 2011 Korean National Health and Nutrition Examination Survey. Seoul, Korean.
  22. Daniel S, Bereczki D, "Alcohol as a risk factor for hemorrhagic stroke", Ideggyogy Sz, 20;57(7-8), pp.247-256. 2004.
  23. Lewis A, Segal A, "Hyperlipidemia and primary prevention of stroke: does risk factor identification and reduction really work?" Current Atherosclerosis Report, 12(4), pp.225-229, 2010. DOI: http://dx.doi.org/10.1007/s11883-010-0117-4

피인용 문헌

  1. The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients vol.16, pp.12, 2015, https://doi.org/10.5762/KAIS.2015.16.12.8525