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장애인의 만성질환, 건강행태 및 사망위험: 국민건강보험공단 건강검진자료 분석

Other Titles
 Chronic Diseases, Health Behaviors, and Mortality in Persons with Disabilities: An Analysis of the National Health Insurance Service-Health Screening (NHIS-HEALS) Database 
Authors
 김지영  ;  강민욱  ;  서욱영  ;  이지원 
Citation
 Health and Social Welfare Review (보건사회연구), Vol.40(2) : 121-150, 2020-06 
Journal Title
 Health and Social Welfare Review (보건사회연구) 
ISSN
 1226-072X 
Issue Date
2020-06
Keywords
Persons with Disabilities ; Chronic Diseases ; Health Behaviors ; Mortality Risk
Abstract
The purpose of the study was to compare chronic diseases and health behaviors between persons with and without disabilities matching with sex and ages, and to analyze mortality risk according to health behaviors of persons with disabilities. We used data from the Korean National Health Insurance Service-National Health Screening Cohort (NHIS-HEALS). The chi-square test, logistic regression, and Cox’s proportional risk model were used. All statistical analyses were completed using SAS Enterprise Guide 7.1 software. P-values less than 0.05 were considered significant. A total of 5,490 persons (915 persons with disabilities vs. 4,575 persons without disabilities, mean age 67.6 ± 10.36 years) were selected. Participants with disabilities has higher prevalence of hypertension (OR=1.34, 95% CI:1.15-1.56), diabetes (OR=1.51, 95% CI:1.28-1.79), heart disease (OR=1.49, 95% CI:1.18-1.87), cerebrovascular disease (OR=4.00, 95% CI:3.22-4.96), cancer (OR=3.83 , 95% CI: 2.66-5.52) and higher mortality risk of 1.97 times compared to the participants without disabilities (95%CI: 1.73-2.24). The health behaviors affecting the mortality risk of the persons with disabilities were smoking and body mass index. In the future, active health-care policies and education programs will be needed to prevent the risk of developing chronic diseases and premature death for persons with disabilities.
Files in This Item:
T202002810.pdf Download
DOI
10.15709/hswr.2020.40.2.121
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Family Medicine (가정의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Ji Won(이지원) ORCID logo https://orcid.org/0000-0002-2666-4249
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179332
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