A Comparison of the Prevalence of Cardiovascular Disease and Lifestyle Habits by Disability Status and Type of Disability in Korean Adults: A Propensity Score Matching Analysis

Oh Jong Choi, S. Hwang
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引用次数: 3

Abstract

Purpose: This study was conducted to evaluate the prevalence and lifestyle habits of cardiovascular disease (CVD) according to the type of disability in Korean adults compared to adults without disability. Methods: This study was secondary data analysis using the National Health check-up database from 2010 to 2013. Among the total 395,627 adults aged 30~80, the physically disabled (n=21,614) and the mentally disabled (n=1,448) who met the diagnosis criteria were extracted and compared with non-disabled (n=372,565) through 1:2 propensity score matching for nine characteristics. Results: Prior to matching, the prevalence of CVD was 34.4% in individuals without disabilities, accounting for 53.8% in those with physical disabilities and 22.4% in those with mental disabilities, showing significant differences between groups (p<.001). After matching, compared to the individuals without disability, those with physically disabled had significantly higher prevalence of CVD and the average number of CVD (p<.001). The prevalence of hypertension, diabetes, and vascular disease was significantly higher in the physically disabled (p<.05). Drinking was significantly higher in the non-disabled than in the physically and mentally disabled, and smoking was more in the non-disabled than in the mentally disabled. Physical activity was found to be significantly less in both the physically and mentally disabled than in the non-disabled (p<.01). Conclusion: It is necessary to confirm the differences in the prevalence of CVD risk factors and lifestyle according to the type of disability, suggesting the development and verification of health promotion programs including physical activity for CVD prevention in the disabled with CVD risk factors.
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按残疾状况和残疾类型划分的韩国成年人心血管疾病患病率和生活习惯的比较:倾向得分匹配分析
目的:本研究旨在根据残疾类型评估韩国成年人与无残疾成年人心血管疾病(CVD)的患病率和生活习惯。方法:利用2010 - 2013年全国健康体检数据库进行二次资料分析。在30~80岁的395,627名成人中,抽取符合诊断标准的肢体残疾者(n=21,614)和精神残疾者(n=1,448),通过9个特征的1:2倾向评分匹配与非残疾者(n=372,565)进行比较。结果:配对前,无残疾人群CVD患病率为34.4%,身体残疾人群CVD患病率为53.8%,精神残疾人群CVD患病率为22.4%,组间差异有统计学意义(p< 0.001)。匹配后,与无残疾的个体相比,肢体残疾者的CVD患病率和平均CVD数量显著高于无残疾的个体(p< 0.001)。身体残疾的高血压、糖尿病和血管疾病的患病率明显更高(p< 0.05)。非残疾人群饮酒的比例明显高于身体和精神残疾者,非残疾人群吸烟的比例明显高于精神残疾者。身体和精神残疾者的体力活动明显少于非残疾者(p< 0.01)。结论:有必要根据残疾类型确定CVD危险因素的患病率和生活方式的差异,建议在有CVD危险因素的残疾人群中制定和验证包括体育锻炼在内的健康促进计划来预防CVD。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
12
期刊介绍: The Journal of Korean Academy of Community Health Nursing is the official journal of the Korean Academy of Community Health Nursing. This journal aims to provide worldwide access to tilmely research and practice feature of use to community health nurses, educators, school health teachers, occupational nurses, and administrators in the field of community health nursing. JKACHN coverage includes theoretical, practical, and educational issues related to community health nursing. Articles include original research articles, reviews, editorials.
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