DOI QR코드

DOI QR Code

The Change Analysis about Health Behavior and Examination Result of Periodical Medical Examiner

정기 검진자의 건강행태 및 검진결과 변화분석

  • Lee, Tae-Yong (Dept. of Preventive Medicine, Chungnam University School of Medicine) ;
  • Yoon, Dal-Sik (Korea Association of Health Promotion, Gwangju Jeonnam Branch)
  • 이태용 (충남대학교 의학전문대학원 예방의학교실) ;
  • 윤달식 (한국건강관리협회 광주.전남지부)
  • Received : 2013.10.21
  • Accepted : 2014.02.05
  • Published : 2014.02.28

Abstract

The subject of investigation was 13,828 people who took periodical medical examiner in some health examination centers two times in 2009 and 2011 so as to analyze changes of borderline group, disease group for 4 diseases(hypertension, diabetes, liver disease, hyperlipemia) and health behavior of some medical examiner. For the contents of investigation, drinking and smoking habit was investigated as a general characteristic of subjects. For the items of health examination, there were SBP, DBP, AST, ALT, GGT, Glucose, Total Cholesterol and Triglyceride. The main results are as follows. In comparison with the starting year of research, drinking and smoking rate of the final year was reduced respectively by 1.6% and 1.4%. And, borderline group by examination items, hypertension was reduced by 2.2% from 62.0% to 59.8% in the final year in comparison with the starting year of investigation, And, fasting blood glucose was 17.1%, hyperlipemia was 6.6%, LFT was 2.0% for the reduction. In disease group, hypertension was reduced by 0.6% from 6.7% to 6.1%. And, fast blood glucose was 1.9%, hyperlipemia was 4.2%, LFT was 1.3% for reduction. Borderline group showed more reduction in comparison with disease group in all of items. The above results showed borderline group showed more reduction of manifestation rate than disease group in all of 4 diseases. Therefore, it's expected that disease group will show reduction in the future. But, it's necessary to study on future's changes through the continuous management and tracing observation.

일부 건강검진 수진자들의 4대질환(고혈압, 당뇨병, 간질환, 고지혈증)에 대한 경계군과 유질환군 및 건강행태의 변화를 분석하고자 2009년과 2011년 2회에 걸쳐 일개 건강검진센터에서 정기 건강검진을 받았던 13,828명을 조사대상으로 하였다. 조사내용은 대상자의 일반적 특성으로 음주와 흡연습관을 조사하였고, 건강검진 항목으로는 SBP, DBP, AST, ALT, GGT, Glucose, T-Cholesterol, Triglyceride 이었으며 주요 결과는 다음과 같다. 연구시작년도에 비하여 종료년도 음주율 및 흡연율은 1.6%, 1.4% 각각 감소하였고. 검진항목별 경계군은 조사시작년도에 비하여 종료년도 고혈압은 62.0%에서 59.8%로 2.2%, 식전혈당은 17.1%, 고지혈증은 6.6%, 간기능은 2.0% 감소하였고, 유질환군은 고혈압은 6.7%에서 6.1%로 0.6%, 식전혈당은 1.9%, 고지혈증은 4.2%, 간기능은 1.3% 감소하였다. 이상의 결과에서 4대질환 모든 항목에서 경계군이 유질환군에 비해 유소견율이 더 많이 감소하는 경향을 보여 향후 유질환군이 감소할 것으로 예측할 수 있으나, 지속적인 관리 및 추적관찰을 통하여 미래의 변화에 대해 연구해야 할 필요성이 있겠다.

Keywords

References

  1. Ministry of health & welfare, Fundamental Health Promotion Act, 2011.
  2. Maciosek MV, Coffield AB, Edwards NM, et al, "Priorities among effective clinical preventive services : Results of a systematic review and analysis", American Journal of Preventive Medicine, Vol. 31, No. 1, pp. 52-61, 2006. DOI: http://dx.doi.org/10.1016/j.amepre.2006.03.011
  3. Ji-young Yeo, Hyoung-sun Jeong, "Determinants of health screening and its and effects on health behaviors", Korean J. of Health Policy & Administration, Vol. 22, No. 1, pp. 49-64, 2012. DOI: http://dx.doi.org/10.4332/KJHPA.2012.22.1.049
  4. National Health Insurance Corporation, Fellow-up health examination program, 2010.
  5. Kang-Jin Lee, Young-Hee Choi, Effect assessment of worksite-based, post-examination, health care management system, The korea society of industrial medicine, Vol. 18, No. 1, pp. 1-14, 2006.
  6. Gun-Ok Kang, Health and Lifestyle, Nadal, 1997.
  7. Ministry of Health and Welfare, 2011 National Health Statistics, 2012.
  8. Keon-Yeop Kim, Sin Kam, Jong-Hyun Lee, Young-Ae Ha, kyung-Eun Lee, A Cross-Section Study on r-GTP and Related Factors in Male Workers, J Prev Med Public Health, Vol. 35, No. 2, pp. 169-174, 2002.
  9. Ward BW et al. Early release of selected estimates based on data from the 2011 National Health Interview Survey. National Center for Health Statistics. 2011.
  10. Jee SH, Samet JM, Ohrr H 등. Smoking and cancer risk in Korean men and women. Cancer Cause Control, Vol. 15, pp. 341-348, 2004. DOI: http://dx.doi.org/10.1023/B:CACO.0000027481.48153.97
  11. Yano K, Maclean CJ, Reed DM. A comparison of 12-year mortality and predictive factors of coronary heart disease among Japanese men in Japan and Hawaii. Am J Epidemiol Vol. 127, pp. 476-487, 1998.
  12. Jee SH, Suh I, Kim IS. Smoking and atherosclerotic cardiovascular disease in men with low levels of serum cholesterol : The Korea Medical Insurance Corporation Study, JAMA, Vol. 282, pp. 2149-55, 1999 DOI: http://dx.doi.org/10.1001/jama.282.22.2149
  13. Jeong-Sun Kim, Health and disease patterns in korea, Shinkwangpub, 2001.
  14. National Statistical Office, 2011 Statistical Yearbook of the cause of death, 2012
  15. National Health Insurance Corporation, Insured person medical checkup results analysis, 1996.
  16. Korea Institute for Health and Social Affairs, Korea's major sickness and health behavior analysis, 2001.