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Gastroesophageal reflux disease and its related factors among women of reproductive age: Korea Nurses' Health Study

 Oksoo Kim  ;  Hee Jung Jang  ;  Sue Kim  ;  Hea-Young Lee  ;  Eunyoung Cho  ;  Jung Eun Lee  ;  Heeja Jung  ;  Jiyoung Kim 
 BMC PUBLIC HEALTH, Vol.18(1) : 1133, 2018 
Journal Title
Issue Date
Adult ; Body Mass Index ; Depression/epidemiology ; Female ; Gastroesophageal Reflux/epidemiology* ; Health Surveys ; Humans ; Middle Aged ; Nurses/psychology ; Nurses/statistics & numerical data* ; Republic of Korea/epidemiology ; Risk Factors ; Smoking/epidemiology ; Young Adult
Body mass index ; Depression ; Gastroesophageal reflux ; Nurses ; Reproductive age
BACKGROUND: Recently, the number of patients diagnosed with gastroesophageal reflux disease (GERD) has increased in Korea. Risk factors of GERD include age, sex, medication use, lack of physical exercise, increased psychological stress, low or high body mass index (BMI), unhealthy eating habits, increased alcohol consumption, and cigarette smoking. However, few studies examined the major factors affecting GERD in women of childbearing age. Therefore, this study assessed the risk factors of GERD among 20,613 female nurses of reproductive age using data from the Korea Nurses' Health Study. METHODS: Participants were recruited from July 2013 to November 2014. They provided their history of GERD 1 year prior to data collection, along with information on their demographic characteristics, health-related behaviors, diet, medical history, and physical and psychological factors. Of the total sample, 1184 individuals with GERD diagnosed in the year prior to the study were identified. Propensity score matching was used for analysis. RESULTS: Cigarette smoking, increased alcohol consumption, low or high BMI, depression, and increased psychosocial stress were associated with the prevalence of GERD among Korean young women. Multivariate ordinal logistic regression analysis revealed significant positive relationships between GERD and being a former smoker; having a low (< 18.5 kg/m2) or high BMI (> 23 kg/m2); and having mild, moderate, moderately severe, and severe depression. CONCLUSIONS: Smoking, BMI, and depression were associated with GERD. To reduce this risk among female nurses, intervention strategies are required to help nurses maintain a normal weight and manage their depression.
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3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
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