암 경험자의 사회경제요인과 주관적 건강상태와의 관련성 : 제 4, 5, 6기 국민건강영양조사자료(2007-2015) 분석

Abstract

According to a National Cancer Registration Annual Report, the number of cancer patients in Korea reached 217,057 in 2014 while it was 134,557 in 2004, which is a 61.3% increase. The survival rate of cancer patients for five years has been continuously improved since 1993–1995, and the necessity to take care of and pay attention to cancer patients (either those under medical care or survivors after treatments) is increasing every year. As cancer patients who have managed to survive for more than five years after treatments are at risk from recurrence and metastasis, it is essential to predict their death or survival period in managing cancer patients. Thus, out of several health indices, the evaluation index for self-reported health has been used as a significant index for forecasting the death of cancer patients. The evaluation of the self-reported health of people who have suffered from cancer not only to forecast their death but also to reflect on the effect of their illness on their The results of the logistic regression analysis that reflects the characteristics of the survey revealed that the odds ratio of poor self-reported health answered by cancer patients who are unemployed was 2.17 (95%, CI=1.03–4.58) compared with cancer patients who are professional, manager, and administrator. The odds ratio of the lowest group of household monthly income was 2.53 (95%, CI=1.54–4.15) compared with that of the highest group, and the lower group odds ratio was 1.67 (95%, CI=1.07–2.60) while the higher group ratio was 1.64 (95%, CI=1.08–2.51), which was statistically significant. Furthermore, the odds ratio of the poor self-reported health answered by male cancer patients was 0.56 (95%, CI=0.32–0.97) compared with that of the female cancer patients. The odds ratio of the low BMI was 1.96 (95%, CI=1.01–3.82) compared with the BMI normal group. On the other hand, the odds ratio of the high-risk drinker group was 0.31 (95%, CI=0.13–0.75) compared with that of the non-drinker group, while the odds ratio of those who do not have any physical activity at all within one week was 0.73 (95%, CI=0.54–0.99) compared with those who do a physical activity within one week, which was statistically significant. With regard stress, the odds ratio of those who had stress during their daily life was 2.45 (95%, CI=1.72–3.50) compared with those who do not had stress, which was statistically significant. This study analyzed the association between socioeconomic factors and self-reported health of cancer patients using the data on the Korea National Health and Nutrition Examination Survey, while various potential confounders were adjusted. Unlike previous studies, this study selected its targets from all the cancer patients and not from those who suffered from a specific cancer. Considering the outcomes of this study, medical teams are required to pay more attention to cancer patients who are unemployed or have low monthly income when carrying out prognostics and predictions for cancer patients. In addition, this study may contribute to providing a base data for developing a policy to support cancer patients who are unemployed or have low income.