[논문]코로나19에서 고혈압 치료율의 지역 간 변이요인 분석

박종호; 김지혜

doi:10.14400/jdc.2022.20.4.469

코로나19에서 고혈압 치료율의 지역 간 변이요인 분석
Interregional Variant Factor Analysis of Hypertension Treatment Rate in COVID-19 원문보기

디지털융복합연구 = Journal of digital convergence, v.20 no.4, 2022년, pp.469 - 482

박종호 (광주대학교 보건행정학부) , 김지혜 (진주보건대학교 보건행정과)

초록
AI-Helper

본 연구의 목적은 코로나19에서 고혈압 치료율의 지역 간 변이요인을 분석하는 것이다. 이를 위해 생태학적 분석에 적합한 데이터를 2020년 질병관리청 지역건강통계, 각 지자체 코로나19 확진자 현황 자료, 국민건강보험공단, 건강보험심사평가원의 건강보험통계, 한국사회보장정보원의 복지통계, 한국교통연구원의 교통접근성 지표 자료를 수집하였다. 고혈압 치료율의 지역 간 변이와 관련 요인을 SPSS Statistics 23을 활용하여 기술통계, 상관분석을 실시하였으며, 지역 간 변이 요인을 Arc GIS를 이용하여 지리적 가중회귀분석을 실시하였다. 연구결과로 지리적 가중회귀모형의 전반적인 설명력은 27.6%였으며, 지역별로는 23.1%에서 33.4%까지 분포하는 것으로 나타났고, 고혈압 치료율에 영향을 미치는 요인으로 기초생활보장 의료급여 수급자 비율, 당뇨병 치료율, 인구10만 명당 보건기관 수가 높을수록 고혈압 치료율이 높았으며, 코로나19 확진자수, 코로나19 유행으로 감소된 신체활동 비율, 코로나19 유행으로 감소된 음주 비율이 낮을수록 고혈압 치료율이 높은 것으로 분석되었다. 이러한 결과를 기반으로 코로나19에서 고혈압 치료율의 지역 간 변이요인 분석은 효과적인 고혈압 치료율 관리 사업을 기대할 수 있을 것이며, 더 나아가 지역사회 중심의 건강증진 정책 수립에 활용될 것으로 기대된다.

Abstract ▼ AI-Helper

The purpose of this study is to analyze regional variation factors of hypertension treatment rate in COVID-19 based on the analysis results based on ecological methodology. To this end, data suitable for ecological analysis were collected from the Korea Centers for Disease Control and Prevention's regional health statistics, local government COVID-19 confirmed cases, National Health Insurance Corporation, Health Insurance Review and Assessment Service's welfare statistics, and Korea Transport Institute's traffic access index. Descriptive statistics and correlation analysis were conducted using SPSS Statistics 23 for regional variation and related factors in hypertension treatment rate, and geographical weighted regression analysis was conducted using Arc GIS for regional variation factors. As a result of the study, the overall explanatory power of the calculated geo-weighted regression model was 27.6%, distributed from 23.1% to 33.4% by region. As factors affecting the treatment rate of hypertension, the higher the rate of basic living security medical benefits, diabetes treatment rate, and health institutions per 100,000 population, the higher the rate of hypertension treatment, the lower the number of COVID-19 confirmed patients, the lower the rate of physical activity, and the alcohol consumption. Percentage of alcohol consumption decreased due to COVID-19 pandemic. It was analyzed that the lower the ratio, the higher the treatment rate for hypertension. Based on these results, the analysis of regional variables in the treatment rate of hypertension in COVID-19 can be expected to be effective in managing the treatment rate of hypertension, and furthermore, it is expected to be used to establish community-centered health promotion policies.

주제어

표/그림 (17)

표 Table 1. Local COVID-19 characteristic variables
표 Table 2. Sociology of population in the region of the characteristic values.
표 Table 3. Characteristics of local health behavior.
표 Table 4. The characteristics of local medical supply.
그림 Fig. 1. Distribution of hypertension treatment rates by region
표 Table 5. Interregional variation of hypertension treatment rates.
표 Table 6. The characteristics of COVID-19 in the region.
표 Table 7. Demographic and sociological characteristics of the region.
표 Table 8. Characteristics of local health behavior.
표 Table 9. The characteristics of local medical supply.
표 Table 10. The characteristics of COVID-19 in the region.
표 Table 11. Demographic and sociological characteristics of the region.
그림 Fig. 2. Spatial Autocorrelation, Global Moran's I
표 Table 12. Characteristics of local health behavior.
표 Table 13. The characteristics of local medical supply.
그림 Fig. 3. Spatial distribution of Local R-square
표 Table 14. Analysis of Related Factors of Regional Variation in Diabetes Treatment Rate.

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