한국 여성에서 출산 및 모유수유와 당뇨병과의 관련성

Abstract

The Association of Childbirth and Breastfeeding with Diabetes Mellitus in Some Korean Women Kim, Seulkee Advisor : Prof. Ryu, So-Yeon, MD, Ph.D, Department of Public Health, Graduate School of Health Science, Chosun University Objective: This study is a secondary data analysis study using data from the 8th Korean National Health and Nutrition Examination Survey (KNHANES, 2019-2021). It was conducted to determine the association of childbirth, breastfeeding experience, breastfeeding period, and other factors with diabetes mellitus in some Korean women. Methods: The subjects of this study were 7,883 women over the age of 19 who participated in the 8th KNHNES, who had information related to diabetes and responded to the women's health survey. Analysis variables are diabetes prevalence, fertility, breastfeeding experience and duration. To find out their associations, chi-square test, independent sample t-test, and multiple logistic regression analysis were performed. Results: As a result of the study, 92.5% of women had birth experience, 79.4% of women had breastfeeding experience, and the prevalence of diabetes was 14.9%. As a result of simple analysis, the prevalence of diabetes increased significantly with more childbirth experience, and the average breastfeeding period was longer in women with diabetes than in women without diabetes. However, as a result of multiple logistic regression analysis with other related factors under control, fertility was not significantly related to diabetes in Korean women, and the odds ratio of diabetes decreased significantly to 0.996(95% CI=0.993-0.998) with longer breastfeeding period. Other variables related to diabetes in Korean women were age, education level, residential area, waist circumference, family history of diabetes, and binge drinking. Conclusion: In conclusion, female health characteristics such as breastfeeding were significantly associated with diabetes in women. In order to prevent and manage chronic diseases such as diabetes in women, research is needed to confirm the relationship between women's health characteristics such as childbirth and breastfeeding, and attempts to utilize the research results are needed. Keyword : Breastfeeding, Childbirth, Diabetes mellitus, Korean women