심리 및 생리적 요인이 성인천식에 미치는 영향 = Effects of Psychological and Physiological Factors on Asthma in Korean Adults

다국어 초록 (Multilingual Abstract)

This study aimed to investigate the association between asthma and emotions, such as depression, stress, and health awareness. We observed the effects of blood indices on asthma in Korean adults. Data from 5852 adults were taken from the 2017 Seventh Korea National Health and Nutrition Examination Survey and analyzed using a multivariate logistic regression model. The probability of asthma occurrence in over 65 years old was higher than in 19-44 years old (OR = 1.48), and asthma occurrence was high in subjects with low educational (OR = 1.89) and income (OR = 2.07) levels. With regard to marital status, singleness and divorce and dye were found to have increased the probability of asthma occurrence by 1.62- and 2.30-folds, respectively. The restriction of activities was another factor that increased with asthma occurrence (OR = 2.39). In terms of emotions, general health awareness was significantly 3.45 times increased the probability of asthma occurrence at their health bad awareness. Furthermore, depression (OR = 1.782) was shown to have increased asthma occurrence. The blood index of C-CRP 1.12 times increased the probability of asthma occurrence. The factors that influenced asthma occurrence were age, education, income, marital status, the restriction of activities, general health awareness, depression, and C-CRP. Emotional factors and blood indices are potential risk factors for the development of asthma in Korean adults. By understanding the increased risks of asthma occurrence with general characteristics and emotional factors and blood indices, the management and prevention of asthma should include the management of emotional factors.

국문 초록 (Abstract)

본 연구는 국민건강영양조사(2017) 자료를 이용하여 의사로부터 천식 진단을 받은 대상자의 자가 건강인지도, 스트 레스, 2주 연속 우울감 등의 심리적 요인과 생리적 건강지표인 혈액 검사 자료를 비교하고 관련 위험요인들을 분석하였 다. 연구에 사용된 국민건강영양조사(2017) 전체 대상자 수는 8,127명이며, 그 중의 성인(19세 이상) 5,852명을 대상으 로 자료를 분석하였다. 일반적 특성 중 나이에 따른 천식 발생의 위험도는 65세 이상에서 높이 나타났으며(OR=1.48), 학력(OR=1.89)과 소득(OR=2.07)이 낮을수록 천식질환 발생 위험도가 증가하는 것으로 관찰되었다. 또한, 결혼 상태에 서는 유배우자 동거와 비교하면 미혼(OR=1.62)과 무 배우자(사별, 이혼; OR=2.30)에서 천식 발생확률이 증가하였으며, 천식 진단군은 활동 제한(OR=2.39)이 높은 것으로 확인되었다. 심리적 요인에 있어서는 건강이 나쁘다고 인식할수록 천식 발생 유병률이 증가하였으며(OR=3.45), 우울감을 느끼는 경우도 증가하였지만(OR=1.78), 스트레스는 천식 발생 관련 위험요인이 아닌 것으로 확인되었다. 객관적 검사자료인 생리적 지표에서는 고감도 C-반응성 단백질 수치가 증가할수록 천식 발생 위험도가 증가함이 확인되었다(OR=1.12). 따라서 자가 건강인지도 및 우울감 같은 심리적 요인과 생리적 건강지표 중 하나인 고감도 C-반응성 단백질은 성인천식 질환의 잠재적 위험요인으로 인지되며, 이를 바탕으 로 성인천식 질환 관리에 있어서 일반적 특성뿐만 아니라 심리적 요인 및 생리적 건강지표를 고려한 성인건강 관련 프로그램이 필요할 것으로 생각된다.

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