공무원의 대사증후군 관련 요인 및 대사증후군에 따른 의료비 지출

• 영문명: Influencing Factors for and Medical Expenditures of Metabolic Syndrome among Public Officials
• 발행기관: 한국직업건강간호학회
• 저자명: 김아린(Kim, Ahrin) 곽찬영(Kwak, Chanyeong) 임은실(Yim, Eun Shil)
• 간행물 정보: 『한국직업건강간호학회지』제21권 제3호, 209~220쪽, 전체 12쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2012.11.30

영문 초록

Purpose: This study examined the influencing factors for metabolic syndrome and the annual medical expenditures of metabolic syndrome among public officials. Methods: The National Health Insurance data in 2009 were collected for 364,932 public officials and the heath examination results and annual medical expenditures were analyzed using PASW 18.0 program. Results: The prevalence of metabolic syndrome is 17.6%, and it was higher in male officials than that of females in all age groups. In men, the influencing factors for metabolic syndrome were: age, family history of stroke, cardiovascular disease, hypertension, and diabetes mellitus, smoking, alcohol consumption, exercise, and obesity. However, in women, health-related behaviors such as smoking, alcohol consumption and exercise did not affect metabolic syndrome. People who had metabolic syndrome showed significantly higher medical expenditures than those without metabolic syndrome. The odds ratios of having the highest quartile in medical expenditures were 1.372 (95% CI 1.252~1.504, p<.001) in women with metabolic syndrome and 1.213 (95% CI: 1.184~1.243, p<.001) in men. Conclusion: The results implied that health-related behaviors were associated with metabolic syndrome, and resulted in higher medical expenditures. In order not only to decrease the risk of metabolic syndrome but also reduce medical expenditures, nurses should plan health promotion strategies to educate public officials about healthy life strategies.

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키워드

대사증후군 위험요인 건강행위 의료비 Metabolic syndrome X Risk factors Health behavior Health care costs