리 프로그램과 보건정책 수립 시 1인 가구에 초점을 맞춘 차별화된 전략 및 중 재 계획이 필요하다고 여겨진다.
끝으로 본 연구결과에서는 가구유형이 건강행태와 대사증후군에 영향을 미치는 것을 확인하였으나, 이에 대한 명확한 원인과 인과관계를 파악할 순 없었으므로 향후 전향적 코호트 연구 등 종단적 연구를 통해 면밀한 분석을 수행할 것을 제 언하는 바이다.
Ⅵ. 참고 문헌
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국문초록
우리나라의 1인 가구는 2015년부터 가장 높은 비율을 차지하는 가구유형이며, 1인 가구는 다인 가구에 비해 건강상태가 취약하고, 대사증후군 유병 위험이 높 은 것으로 보고되고 있으나, 이를 예방하기 위한 정책 방안이나 가구유형의 특성 에 따른 건강관리 프로그램은 찾아보기 어렵다. 본 연구는 1인 가구와 다인 가구 의 특성을 비교하고, 가구유형이 건강행태와 대사증후군에 미치는 영향을 파악하 여, 1인 가구의 건강 및 대사증후군 예방관리를 위한 기초자료를 제공하고자 하 였다.
본 연구는 국민건강영양조사 제7기 1~2차년도 원시자료를 이용하여 건강설문조 사, 검진조사, 영양조사에 모두 참여한 만 30세 이상 69세 이하 성인 남녀 6,872 명을 최종 대상자로 선정하여 분석하였다. 통계분석에는 SPSS Statistics (Ver 23.0) program을 이용하였고, 복합표본 요소 분석방법을 사용하여 교차분석, 일 반선형모형 t-검정, 로지스틱 회귀분석을 시행하였으며 모든 통계적 유의수준은 p<0.05인 경우로 하였다.
본 연구의 결과 인구사회학적 특성을 보정하지 않은 상태에서 1인 가구는 다 인 가구에 비해 흡연, 음주, 불안우울감 많이 느낌, 아침식사 주 1회 미만, 식생 활형편 불충분의 위험성이 더 높았고, 고혈압, 고혈당, 대사증후군의 위험성도 높 게 나타났다. 인구사회학적 특성을 보정한 상태에서도 흡연, 음주, 아침식사 주 1 회 미만, 식생활형편 불충분의 위험성이 높았다.
본 연구를 통해 1인 가구가 다인 가구보다 건강관리가 취약한 것으로 나타났고, 가구유형에 따라 건강행태, 대사증후군 및 그 구성요소에 미치는 영향에 차이가 있음을 확인할 수 있었다. 이에 따라 대사증후군 및 만성질환 예방을 위한 건강 관리 프로그램과 보건정책 수립 시 1인 가구에 초점을 맞춘 차별화된 전략 및 중재 계획이 필요하다.
ABSTRACT
Study about Health Behavior and Metabolic Syndrome of One-person Households : Based on The Data from Korea National Health and
Nutrition Examination Survey (KNHANES)
Me-Dal Kim
Department of Public Health
Graduate School of Public Health and Welfare JeJu National University
(Supervised by Eun-Ok Park)
Objective: One-person households have made up the greatest population
percentage in Korea since 2015. Compared to multi-person households, they have been reported to have more poor health status and higher incidence of metabolic syndrome. However, there are limited number of prevention policies for the risk concerned, or health management programs tailored upon each household’s characteristics. The present study aims to provide baseline data for the one-person households’health behavior and prevention of metabolic syndrome by comparing the characteristics of one-person and multi-person households, and investigate the impact of household types on health behaviors and metabolic syndrome.
Methods: The study samples included 6,872 adults, aged between 30 and
69, who participated in all of health interviews, health examinations, and nutrition surveys of the 7th Korea National Health and Nutrition Examination Survey (KNHANES), 1st and 2nd years. SPSS Statistics (Ver 23.0) program was used for statistical analysis. Cross-section analysis, general linear model’s t-tests, logistic regression analysis were performed under complex sample modules. The cut-off value for all statistical significance wasp
<0.05.Results: Without adjustment for sociodemographic factors, one-person
households had higher risks of smoking, drinking alcohol, anxiety and depression, having less than one breakfast in a week, and being underfed. as well as hypertension, hyperglycemia, and metabolic syndrome. When adjusted, they still had higher risks of smoking, drinking alcohol, poor intake of breakfast, and poor dietary life.Conclusion: The present study illustrated that the one-person households
were more prone to poor health management compared with their counterparts, while each household types had different impacts on health behavior, metabolic syndrome, and its components. Therefore, health management programs to prevent metabolic syndrome and chronic diseases, as well as health policies including exclusive strategies interventions individualized for one-person household are necessary.Keywords: One-person household, Health behavior, Metabolic syndrome, Adults, KNHANES