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Concordance of Hypertension in Husband and Wife Living in a Rural Area

일부 농촌지역 주민들의 부부간 고혈압 위험요인의 일치성

  • You, Donk-Kyum (Dept. of Preventive Medicine and Public Health, College of Medicine, Chungnam National University) ;
  • Lee, So-Young (Dept. of Preventive Medicine and Public Health, College of Medicine, Chungnam National University) ;
  • Lee, Tae-Yong (Dept. of Preventive Medicine and Public Health, College of Medicine, Chungnam National University) ;
  • Lee, Eun-Hee (Dept. of Health administration, Daegu Health college)
  • 유동균 (충남대학교의과대학 예방의학교실) ;
  • 이소영 (충남대학교의과대학 예방의학교실) ;
  • 이태용 (충남대학교의과대학 예방의학교실) ;
  • 이은희 (대구보건대학 보건행정과)
  • Published : 2009.03.31

Abstract

This study conducted to find concordance of hypertension in older couples. For these purposes, the researcher conducted surveys of 297 couples residents in a rural area, Geumsan-gun, Chungcheongnam-do during January and February 2006. Risk factors differed from between couples were smoking, alcohol drinking, triglyceride that were higher in men; stress and LDL higher in women. Wife's risk factors of hypertension related to husband's risk of hypertension were metabolic syndrome (OR=2.879) and current alcohol drinking (OR=1.892). Husband's risk factors of hypertension related to wife's risk of hypertension were age (OR=1.037), Obesity (OR=1.922), metabolic syndrome (OR=4.100), and triglyceride (OR=1.793). Conclusively, important risk factors affecting hypertension of couples living in a rural area were age, metabolic syndrome, and body mass index. It needs to care these factors closely.

보건복지가족부 질병관리본부의 건강관리를 위한 지역 코호트사업으로 금산군 1개읍 9개면에 거주하는 만 40세이상부터 70세까지의 주민 중 본 연구에 참여의사를 밝힌 임의 추출된 총 2,007명(남: 868명, 여: 1,139명) 중 부부가 함께 조사된 297쌍(594명)을 대상으로 배우자의 고혈압 위험요인이 상대 배우자의 고혈압에 미치는 영향을 조사한 결과는 다음과 같다. 고혈압 위험요인은 아내가 대사증후군이 있는 경우(OR=2.879), 현재 음주자(OR=1.892)에서 높았다. 아내 고혈압에 대한 남편의 고혈압 위험요인은 연령(OR=1.037), 비만(OR=1.922), 대사증후군(OR=4.100), 중성지방(OR=1.793)에서 높았다. 결론적으로 농촌지역 부부들에서 함께 공유하는 공간과 시간에서 고혈압에 영향을 주는 요인은 연령, 체질량지수, 대사 증후군이 중요하므로 이에 대한 관리가 필요하다고 본다.

Keywords

References

  1. 보건복지부, "한국보건사회연구원. 한국인의 주요 상병 및 건강행태 분석" 2001년 국민건강. 영양조사 건강부문 심층분석 결과, 2003.
  2. 서울임상병리검사센터, SCL검사안내서, 2004.
  3. 통계청, 사망원인통계연보, 2007.
  4. American Diabets Association, "Treatment of hypertension in adults with diabetes." Diabetes Care pp.580-582. 2003; 26(Suppl 1)
  5. Barrett AE, "Marital trajectories and mental health." J Health Soc Behav pp.451-64. 2000; 41: https://doi.org/10.2307/2676297
  6. Berkman LF, Kawachi I, editors "Social epidemiology." New York: Oxford University Press; 2000.
  7. Bookwala J, Schulz R. "Spousal similarity in subjective well-being: the cardiovascular health study." pp.582-590. Psychol Aging 1996; 11: https://doi.org/10.1037/0882-7974.11.4.582
  8. Grundy SM, Cleeman JL, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al, "Diagnosis and management of the metabolic syndrome; American Heart Association/ National Heart, Lung, and Blood Institute Scientific Statement." pp.2735-2752. Circulation 2005; 112: https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  9. Houston M, Fox B, Taylor N, "Hypertension." pp.40-41. Wellness Central; 2003.
  10. Kawachi I, Berkman LF, editors, "Neighbor-hoods and health." New York: Oxford University Press; 2003.
  11. Kokkinos PF, Narayan P, Colleran JA, Pittaras A, Notargiacomo A, Reda D, Papademetriou V, "Effects of regular exercise on blood pressure and left ventricular hypertrophy in african-american men with severe hypertension." pp.1462-1467. N Engl J Med 1995; 333: https://doi.org/10.1056/NEJM199511303332204
  12. Kulkarni S, O'Farrell I, Erasi M, Kochar MS, "Stress and hypertension."pp.34-38. WMJ 1998; 87(11):
  13. Mirowsky J, Ross CE, "Education, social status, and health." New York: Aldine de Gruyter; 2003.
  14. National Institute of Health, "National Heart, Lung, and Blood Institute." The DASH eating plan. 2004.
  15. Quirouette C, Gold DP, "Spousal characteristics as predictors of well-being in older couples." pp.257-269 Int J Aging Hum Dev 1992; 34: https://doi.org/10.2190/35PY-3AXX-XT1V-71LR
  16. Robles TF, Kiecolt-Glaser JK, "The physiology of marriage: pathways to health," pp.409-416. Physiol Behav 2003; 70:
  17. Seals DR, Reiling MJ, "Hypertensive humans." pp.583-592.Hypertension 1991; 18(5): https://doi.org/10.1161/01.HYP.18.5.583
  18. Smith KR, Wick CD, "Linked lives, dependent demise? Survival analysis of husbands and wives." pp.81-93. Demography 1994; 31: https://doi.org/10.2307/2061909
  19. Sohn E, "A study of severity of Hypertension in Koreans." pp.45-51.Korean J Med 1970; 13(2);
  20. Stimpson JP, Peek K, "Concordance of chronic conditions in older Mexican American couples." pp.1-5.Prev Chron Ds 2005; 2(3):
  21. Tower RB, Kasl SV, Darefsky AS, "Types of marital closenss and mortality risk in older couples." pp.644-59.Psychosom Med 2002; 64: https://doi.org/10.1097/00006842-200207000-00015