고혈압 관리 교육 참가자의 특성과 교육 참가의 예측 인자 : 제4기(2008) 국민건강영양조사를 중심으로 = Predictors of Participation in Hypertension Management Education Programs Using Data From the 2008 Korea National Health and Nutrition Examination Survey

다국어 초록 (Multilingual Abstract)

The purpose of this study is to describe the characteristics associated with the hypertension educated population, and to develop and analyze a simple predictive model of the hypertension management education status. Based on the Korea National Health and Nutrition Examination Survey in 2008, a cross-sectional design was used in this study. An effective 1.165 adults(≥30) sample was divided into a participation group (66) and a non-participation group(1,099), and to compare demographic, socio-economic and health characteristics between two groups. Moreover, predictors associated with participation in hypertension education programs were identified by the logistic regression analysis. The participation rate in hypertension education in Korea is only 5.7% which is vastly low given the various programs were provided, and there are statistically significant differences between a participation group and a non-participation group in age(0.050), marital status(0.002), education level(0.000), and residence area(0.037). Furthermore, age for 40-49 years(OR: 0.207), education level of high school(OR: 2.579) and college(OR: 6.417), duration of hypertension(OR: 1.044), CVA(OR: 2.463), and blood pressure(OR: 1.041) are statistically significant predictors associated with the participation in hypertension education programs. To increase the participation of hypertension education program, variables such as age, education level, duration of hypertension, CVA, and blood pressure are more concerned. And, high-risk patients and family members need targeted outreach programs.

참고문헌 (Reference)

1 황영숙, "일개 보건소 당뇨교실 이용 환자의 참가율이 혈당변화에 미치는 영향" 한국농촌의학.지역보건학회 33 (33): 71-81, 2008

2 이혜진, "심뇌혈관질환 고위험군 교육프로그램개발을 위한 노인 고혈압․당뇨병환자와 교육자의 교육요구도 및 지식수준에 대한 비교분석" 한국농촌의학.지역보건학회 35 (35): 177-192, 2010

3 장현숙, "서울지역 일부 노인집단에 대한 만성질환관리 교육의 효과" 한국보건행정학회 20 (20): 157-172, 2010

4 이인숙, "보건소조직을 통한 고혈압관리사업" 3 (3): 25-56, 1993

5 박연주, "보건소 건강증진 프로그램 신청자의 참여 상태와 관련요인" 한국농촌의학.지역보건학회 35 (35): 287-300, 2010

6 김순덕, "고혈압 환자들의 지식, 태도, 실행 변화에 미치는 고혈압 교육프로그램의 효과" 사단법인 대한보건협회 33 (33): 162-174, 2007

7 정만석, "고혈압 예방관리 교육, 홍보 추진 전략개발" 연세대학교 건강증진사업지원단 2010

8 윤희상, "건강증진프로그램 이용과 관련된 요인 -서울시 보건소를 중심으로-" 한국보건사회연구원 28 (28): 157-184, 2008

9 Hypertension Detection and Follow-up Program Cooperative Group, "PatientParticipation in a Hypertension Control Program" 239 : 1507-1514, 1978

10 Chinn D, "Factors associated withnon-participation in a physical activity promotion trial" 120 (120): 309-319, 2006

11 Buchner D, "Factors associated with participation in a community seniorhealth promotion program: a pilot study" 79 (79): 775-777, 1989

12 Cho A, "Bosworth H. Does participatory decisionmaking improve hypertension self-care behaviors and outcomes" 9 (9): 330-336, 2007