당뇨병 환자의 약물치료 관련 요인

Abstract

ABSTRACT

The Associated Factors of Medical Treatment in Diabetic Patients.

Choi, Sun-Ju Advisor : Prof. Ryu, So-Yeon M.D., Ph.D Department of Public Health Graduate School of Health Science, Chosun University

Objective: The purpose of this study was to identify the assciated factors with medical treatment in diabetic patients.

Methods: This study subjects were 23,772 diabetic patients aged 30 and over who participated in 2016 Community Health Survey. Independent variables were sociodemographic factors, lifestyle and health-related characteristics, and diabetes-related characteristics of subjects, and dependent variable was medical treatment for diabetes mellitus. To find the assocatied factors with medical treatment in diabetic patients, the used statistical analysis methods were chi-square test, multiple logistic regression analysis.

Results: The rate of medical treatment for diabetes mellitus (DM) of the subjects was 88.7%. Of the sociodemographic characteristics, the medical treatment for DM were significantly associated with female (odds ratio [OR] (95% confidence interval [CI], 1.3 (1.0-1.8)), older ages (in 40s, OR (95% CI), 2.8 (1.3-5.9), in 50s, 4.5(2.2-9.1), in 60s 4.2 (2.1-8.5), in 70s over, 6.1(3.0-12.6)), lower educational level (in high school, 1.8 (1.3-2.5), in middle school, 1.6 (1.1-2.4), in elementary school, (OR, 1.7(1.2-2.5), in non-educated, 1.5 (1.0-2.3)), living in city (1,2 (1.0-1.6), in rural area (1.7 (1.3-2.1)). In lifestyle and health-related characteristics, walking practice (0.6 (0.4-0.9) and poor self-rated health (1.4 (1.0-2.0) were associated with medical treatment. Of the diabetes-related characteristics, cognition of blood glucose level (2.7 (2.1-3.3)), perception of glucose control (2.7 (1.8-4.2)) and receiving health education for DM (1.3 (1.0-1.6) were also associated with medical treatment for DM.

Conclusion: Conclusively, gender, age, educational level, residential area, walking activity, self-rated health and knowledge of DM were associated with medical treatment for DM. It will be necessary to apply an effective diabetes management program that reflects the related factors to the treatment of DM.

Keyword: Associated factors, Community Health Survey, Diabetes Mellitus, Medical treatment.