한국의료패널 심층분석 보고서 - 건강행동을 중심으로

Abstract

건강행동은 건강수준과 의료이용에 직간접적으로 영향을 미치는 주요 요인 중 하나로, 흡연, 음주, 신체활동 실천, 약제순응 같은 건강행동을 개선하면 만성질환 관리 수준이 높아져 심장질환, 뇌졸중 등 합병증 발생을 막고 입원 등 추가적인 의료이용을 줄일 수 있다. 이 연구는 한국의료패널 제1기 연간데이터와 제2기 2019년 연간데이터를 사용하여 한국의료패널 참여자의 건강행동 변화와 건강행동에 영향을 미치는 요인을 다각적으로 분석하고자 하였다. 건강행동을 주제로 3개의 세부 연구 결과(건강행동 군집과 영향요인, 건강행동 변화, 약제순응도 현황과 영향요인)를 제시하고 함의를 논의하였다.

Health behaviors are part of the main risk factors which determine health and the management of chronic disease. They are important for healthcare service use because healthy lifestyle can prevent additional medical services such as hospitalization. This study explored current status of health behaviors and various influential factors by using the lst and 2nd Korea Health Panel (KHP) survey data. This report consists of three studies: Firstly, we analyzed the clustering of health behaviors among 3,358 men aged 20~64 participated in the 2nd Korea Health Panel surveys in 2019. The results shows three health behavior clusters such as healthy behavior group, physically inactive group, and smoking and drinking group. For the second study on the changes in health behaviors between 2012 and 2018, we analyzed the health behaviors of 8,089 KHP participants, 1,860 patients with hypertension, and 725 patients with diabetes. The results reveals that smoking rate decreased significantly, while there was no visible reduction in high risk alcohol consumption. We could not observe any significant increase or decrease in physical activities. The third one was on the medication adherence by using longitudinal KHP data of adults aged 20 or more. Non- adherence rate decreased from 25.6 % in 2008 to 23.0% in 2017. Living in rural areas and frequent visit to medical institution were found to make positive effects significantly on the medication adherence.