[논문]한국 중년층의 사회경제적 수준과 이명의 관련성

박효은; 송혜영

doi:10.35133/kssche.20190430.08

한국 중년층의 사회경제적 수준과 이명의 관련성
The Relationship between Tinnitus and Socioeconomic Status in the Middle-Aged Population of South Korea 원문보기

한국학교ㆍ지역보건교육학회지 = The Journal of Korean Society for School & Community Health Education, v.20 no.1, 2019년, pp.97 - 111

초록
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목적: 최근 이명의 발생률이 증가하고 있으나 이명에 대한 정확한 원인 발견이 어려운 실정이다. 한국의 경우도 예외는 아니며, 사회경제적 상태에 따른 이명여부를 분석하고자 한다. 방법: 국민건강영양조사 제 5기(2010-2012)의 원시자료를 이용하였으며, 연구 대상자인 40세 이상 12,041명을 다중 로지스틱 회귀분석을 실시하였다(95% CI). 결과: 40세 이상 중년인구의 사회경제적 상태에 따른 이명여부는 통계학적으로 유의한 차이가 있는 것으로 나타났다. 이명의 발생여부는 연령이 높을수록(p<.0001), 직업군에 따라서(p<.0001), 대사증후군이 있는 자(p<.0001), 교육수준이 낮을수록(p<.0001), 기초생활수급자(p<.0001), 배우자가 없는 자(p<.0001), 스트레스가 많을수록(p<.0001), 우울증이 높을수록(p=.0034) 이명이 발생하였다. 회귀분석 결과 여성의 경우 대상자의 학력이 초등학교 이하인 그룹에서 교차비가 높았으며(OR:1.784, 1.322-2.408) 소득이 하위계층인 그룹에서 교차비가 높았다(OR:1.591, 1.293-19.58). 하지만 남성의 경우에는 유의한 결과가 나오지 않았다. 결론: 본 연구는 40세 이상 중년인구의 사회 경제적 상태에 따른 이명여부를 파악함으로써 남성보다 여성에서 사회경제적 수준에 따라 이명여부에 영향을 많이 받는 것을 밝혀낸 것에 연구의 의의가 있다.

주제어

AI 본문요약
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문제 정의

The purpose of this study is to investigate the prevalence of tinnitus according to general characteristics, health behavior, and socioeconomic level and to investigate the risk factors of tinnitus in middle-aged population. Independent variables are general characteristics, socioeconomic level, health behavior and dependent variable is tinnitus.
Therefore, in this study, we will analyze the relationship between socioeconomic level and tinnitus by gender and prepare basic data for future national health-related policies.

제안 방법

Several physiological measurements were taken as well, including participants’ height, weight, and waist circumference (WC) in everyday clothing; body mass index (BMI); and serum levels of glucose, triglycerides, and high-density lipoprotein (HDL)-cholesterol.
This study analyzed the tinnitus according to the socioeconomic level of the middle aged population from the 5th Korea National Health and Nutrition Examination (2010-2012). We used complex sample cross analysis and logistic regression analysis on 12,041 over 40 years of age.
Data for this study were extracted from the 5th Korea National Health and Nutrition Examination Survey(KNHANES-V) conducted in 2010 2012. This survey applied a complex, stratified, multi stage probability sampling design based on age, sex, and region to accurately represent the non-institutionalized civilian Korean population. Moreover, a rolling sample survey method was used.
To analyze the influence of participants’ SES on their odds of having tinnitus, we performed a multiple regression analysis while controlling for certain variables, the results of which are shown in [Table 3].

대상 데이터

We excluded individuals who were younger than 40 years of age because these individuals were expected to be more socioeconomically unstable, particularly with regard to income. After further exclusion of participants with missing data regarding household income or education level, the data of 12,014 (5,161 men and 6,853 women) participants were analyzed.

데이터처리

The means ± standard errors (SE) for continuous variables and percentages (SEs) for categorical variables were calculated. One-way ANOVAs or Rao-Scott chi-square tests were used to compare tinnitus status according to general characteristics and SES. The SAS survey procedures were used to reflect the complex sampling design, and the sampling weights of the KNHANES V were applied to provide nationally representative prevalence estimates.
One-way ANOVAs or Rao-Scott chi-square tests were used to compare tinnitus status according to general characteristics and SES. The SAS survey procedures were used to reflect the complex sampling design, and the sampling weights of the KNHANES V were applied to provide nationally representative prevalence estimates. We examined the trend of the relationships of household income and education level with tinnitus using p for trend.

이론/모형

We examined the trend of the relationships of household income and education level with tinnitus using p for trend. Multivariate logistic regression analysis was used to estimate the prevalence odds ratios (ORs) and 95% confidence intervals (CIs) for having tinnitus for each SES category. Several models were applied to evaluate the potential effects of the modifiable behaviors from the general characteristics.

성능/효과

Through this study, it was shown that the tinnitus sufferers by age, occupation, metabolic syndrome, education level, income level, spouse, stress, depression. Tinnitus patients have fear, melancholy, and anxiety about their tinnitus.

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