교직원 중 비흡연자와 흡연자의 건강상태비교

Comparing Health Status of Non-Smokers and Smokers Among School Personnel

  • 발행 : 2005.12.01

초록

Purpose: This study estimated the prevalence of smoking among male and female school employees. This study also correlated key indicators of health with the number of cigarettes consumed per day by the male smokers. The indicators of health included health behavior, blood pressure (mmHg), BMI (kg/m2), diabetes, total cholesterol, GOT, GPT and GTP. Methods: Subjects included 2,640 male and 2,747 female employees working at elementary, middle, and high schools who received a physical check-up at the Seoul School Health Center in 2002. Data was obtained from the physical examinations, questionnaires, and laboratory results. Results: 39.7% of males and 0.4% of females were current smokers. 60% of the male smokers consumed between 10 and 19 cigarettes per day, and39.6% of male smokers had been smoking between 10 and 19 years. Smokers who consumed more than one pack per day had a relatively higher BMI than the non-smokers (24.7 24.1, respectively). However, smokers had lower blood pressure than non-smokers. The mean systolic and diastolic blood pressure of current-smokers were 128.2 and 82.8, respectively, while the values among non-smokers were 129 and 84.5, respectively. The proportion of current smokers with severe obesity (over BMI 30) was 5.0%. This was considerably higher than the 1.3% of severely obese non-smokers. Current-smokers also had mean and abnormal rate of fasting blood glucose, total cholesterol, GOT, GPT, and GTP that were higherthan those of non-smokers. The frequency of red meat consumption, alcohol use, perceived incidents of stress were alsomore frequent in current-smokers than in non-smokers. Exercise frequency was also lower among smokers. In multiple regression after adjusting all possible confounding factors including age, BMI, diet, and drink, the parameter value of fasting blood glucose, cholesterol, GOT, GPT, and GTP increased relative to the level of cigarette consumption. Conclusion: Among school employees, health behavior, and general health status including BMI, total cholesterol, GOT, GPT, GTP, and fasting blood glucose were worse in smokers than in non-smoker.

키워드

참고문헌

  1. 김진옥(2002). 현재흡연자와 비흡연자의 혈중지질 수준 비교. 연세대학교 보건대학원 석사논문
  2. 남정모, 신선미, 이희우(2003). 흡연교직원과 비흡연교직원의 건강상태 및 폐기능에 대한 비교연구. 서울특별시 학교보건원 보고서
  3. 남정모, 신선미(2002). 흡연자의 건강검진 및 설문조사 결과보고서, 한국건강관리협회 용역보고서
  4. 소희영, 이미라, 정미숙(1998). 흡연, 음주, 운동과 건강생활양식. 한국보건간호학회지, 12(2), 257-266
  5. 우은경(2002). 흡연에 대한 지식수준이 흡연행태에 미치는 영향. 연세대학교 석사 논문
  6. 이강숙(2003). 심혈관질환의 예방과 관리: 심혈관 질환의 예방/흡연. 심혈관질환예방 및 관리연구회, 50-57
  7. 통계청(2005)http://wwwsearch.nso.go.kr/search/search2/kosis/SearchRA.jsp
  8. 한국금연운동협의회(2005)http://www.kash.or.kr/user/main.asp?leftType=2&mainType=pds1
  9. 한국보건사회연구원(1999). 1998년도 국민건강. 영양조사 보고서
  10. Craig WY, Palomaki GE, Haddow JE(1989). Cigarette smoking and serum lipid and lipoprotein concentrations : an analysis of published data. BMJ, 298, 784-788 https://doi.org/10.1136/bmj.298.6676.784
  11. Nakamura Y. Sakata K, Yanagawa H(1996). Relationship between smoking habits and other behavior factors among males; from the results of the 1990 National Cardiovascular Survey in Japan. J Epidemiol, 6(2), 87-91 https://doi.org/10.2188/jea.6.87
  12. Oleckno WA, Blacconier MJ(1990). A multiple discriminant analysis of smoking status and health related attitudes and behaviors. Am J Prev Med, 6(6), 323-329 https://doi.org/10.1016/S0749-3797(18)30977-2
  13. Revicki D, Sobal J, DeForge B(1991). Smoking status and the practice of other unhealthy behaviors. Fam Med, 23(5), 361-364