Journal of Korean Biological Nursing Science

  • 제23권4호
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  • Pages.276-286
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  • 2021
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  • 2383-6415(pISSN)
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  • 2383-6423(eISSN)
한국기초간호학회 (Korean society of Biological Nursing Science)
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가족 구조에 따른 골다공증 인지율 영향요인-50세 이상 골다공증 폐경여성

Factors Influencing Osteoporosis Awareness Depending on Family Structure-Postmenopausal Women Aged over 50 Years with Osteoporosis

  • 김지영 (원광보건대학교 간호학과) ;
  • 박영례 (국립군산대학교 간호학과)
  • Kim, Ji Young (Department of Nursing, Wonkwang Health Science University) ;
  • Park, Youngrye (Department of Nursing, Kunsan National University)
  • 투고 : 2021.09.14
  • 심사 : 2021.11.25
  • 발행 : 2021.11.30
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초록

Purpose: The purpose of this study was to investigate the factors influencing osteoporosis awareness depending on the family structure in postmenopausal women aged over 50 years with osteoporosis. Methods: The study was a cross-sectional study that used secondary data. Postmenopausal women with osteoporosis aged over 50 years (n= 567) from the National Health Nutrition Survey of the 5th (2010, 2011) were selected for analysis. Data were analyzed by complex sampling design multiple regression analysis. Results: Among the patients with osteoporosis, the osteoporosis awareness was very low at 29.0%, and 32.5% for single households and 28.1% for household with spouses. There were significant differences in the factors influencing osteoporosis awareness depending on the family structure. For single household, factors that influenced osteoporosis awareness included sleeping for more than 9 hours (OR, 4.32), anxiety and depression (OR, 3.21), a history of fracture (OR, 0.29), and a family history of osteoporosis (OR, 0.29). In the household with a spouse, osteoporosis awareness was highest in women in their 60 seconds (OR, 3.45), unhealthy group (OR, 2.27), and underweight group (OR, 5.31). Other factors that influenced osteoporosis awareness included pain/discomfort (OR, 2.31), smoking (OR, 7.71), and a history of fracture (OR, 0.36). Conclusion: It is necessary to improve osteoporosis awareness for effective osteoporosis management through osteoporosis screening and counseling, and continuous osteoporosis education programs.

키워드

참고문헌

  1. Health Insurance Review & Assessment Service. Healthcare bigdata hub [Internet]. Wonju: Health Insurance Review & Assessment Service; 2021 [cited 2021 November 16]. Available from: http://opendata.hira.or.kr/op/opc/olapMfrnIntrsIlnsInfo.do
  2. Oh HJ. Development of guideline for life cycle osteoporosis health care. Trend and research report. Osong: Korea Centers for Disease Control and Prevention; 2009 Oct. Report No.: MONO1201127325.
  3. Lee KO, Kim YS. A study on the relationship between social support, burden and quality of life in intensive care unit patient's family. The Medical Journal of Chosun University. 2006;31(2):34-50.
  4. Chung HY. Osteoporosis diagnosis and treatment 2007. Journal of Korean Endocrine Society. 2008;23(2):76-108. https://doi.org/10.3803/jkes.2008.23.2.76
  5. National Health Insurance Service. As a result of the analysis of osteoporotic fractures and refractures in Koreans, 17.4% of the first hip fractures died within 1 year [Internet]. Seoul: National Health Insurance Service; 2018 [cited 2021 February 11]. Available from: https://www.nhis.or.kr/nhis/together/wbhaea01600m01.do?
  6. Kim YM, Kim JH, Cho DS. Gender difference in osteoporosis prevalence, awareness and treatment: based on the Korea national health and nutrition examination survey 2008-2011. Journal of Korean Academy of Nursing. 2015;45(2):293-305. https://doi.org/10.4040/jkan.2015.45.2.293
  7. Kang MI, Koh JM, Gong HS, Kim DY, Kim DH, Kim BJ, et al. Physician's guide for diagnosis & treatment of osteoporosis. Seoul: Korean Society for Bone and Mineral Research; 2015. p.166.
  8. Choi JS. The effect of early detection of hypertension and diabetes on smoking and alcohol drinking. Korea Institute for Health and Social Affairs. 2007;7(1):103-130.
  9. Johnson JG, Cohen P, Gould MS, Kasen S, Brown J, Brook JS. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Archives of General Psychiatry. 2002;59(8):741-9. https://doi.org/10.1001/archpsyc.59.8.741
  10. Choi YH, Nam CM, Joo MH, Moon KT, Shim JS, Kim HC, et al. Awareness, treatment, control, and related factors of hypertension in Gwacheon. Journal of Preventive Medicine and Public Health. 2003;36(3):263-270.
  11. Lee YS. Factors related to diabetes awareness and treatment in young and middle-aged adults with diabetes [master's thesis]. Seoul: Yonsei University; 2015. p.60.
  12. Kim YR. Analysis of hypertension management rate and factors [master's thesis]. Seoul: Yonsei University; 2017. p.58.
  13. Kim HK, Lee HJ, Ju YJ, Park SM. Factors influencing the ego integrity of elders living alone. Journal of Korean Gerontological Nursing. 2009;2(4):465-469.
  14. Shin MA. Comparative study on health behavior and mental health between one person and multi-person households : analysis of data from the national health and nutrition examination surveys(2013, 2015, 2017). Journal of the Korean Society for Wellness. 2019;14(4):11-23. https://doi.org/10.21097/ksw.2019.11.14.4.11
  15. Jeong SS, Kim JS. Comparison of health behaviors and health level between elders living alone and those living with a spouse. Global Health & Nursing. 2014; 4(1):27-36.
  16. Kim KH, Lee K, Ko YJ, Kim SJ, Oh SI, Durrance DY, et al. Prevalence, awareness, and treatment of osteoporosis among Korean women: the fourth Korea National Health and Nutrition Examination Survey. Bone. 2012;50(5):1039-1047. https://doi.org/10.1016/j.bone.2012.02.007
  17. Alswat K, Adler SM. Gender differences in osteoporosis screening: retrospective analysis. Archives of Osteoporosis. 2012;7(1-2):311-313. https://doi.org/10.1007/s11657-012-0113-0
  18. Haaland DA, Cohen DR, Kennedy CC, Khalidi NA, Adachi JD, Papaioannou A. Closing the osteoporosis care gap-Increased osteoporosis awareness among geriatrics and rehabilitation teams. BMC Geriatrics. 2009;9(1):28. https://doi.org/10.1186/1471-2318-9-28
  19. Barzanji AT, Alamri FA, Mohamed AG. Osteoporosis: a study of knowledge, attitude and practice among adults in Riyadh, Saudi Arabia. Journal of Community Health. 2013;38(6):1098-1105. https://doi.org/10.1007/s10900-013-9719-4
  20. Darout IA, Alamir A, Sultana S. Osteoporosis knowledge and related health behavior among women in Jazan Region, Kingdom of Saudi Arabia. The Journal of Contemporary Dental Practice. 2017;18(5):378-382. https://doi.org/10.5005/jp-journals-10024-2050
  21. Senthilraja M, Cherian KE, Jebasingh FK, Kapoor N, Paul TV, Asha HS. Osteoporosis knowledge and beliefs among postmenopausal women: A cross-sectional study from a teaching hospital in southern India. Journal of Family Medicine and Primary Care. 2019;8(4):1374-1378. https://doi.org/10.4103/jfmpc.jfmpc_95_19
  22. World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney: Health Communications Australia Pty Ltd; 2000. p. 17-20.
  23. The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: the Korean Nutrition Society; 2020 [cited 2021 February 13]. Available from: https://www.kns.or.kr/FileRoom/FileRoom.asp?BoardID=Kdr
  24. Datasolution. SPSS statistics complex samples. 5th ed. Seoul: Hannarae Publishers; 2016. p. 67-134.
  25. Kim EG, Park SK. Comparison of health behaviors, disease prevalence between one-person women and multiple households women in Korea. Journal of Korean Public Health Nursing. 2016;30(3):483-494. https://doi.org/10.5932/jkphn.2016.30.3.483
  26. Kim LH, Kim KS, Kang MG, Rye SY, Lee CG, Park JK, et al. The prevalence of osteoporosis and its related factors among some rural women. Journal of the Korean Society of Maternal and Child Health. 2007;11(1):64-77. https://doi.org/10.21896/jksmch.2007.11.1.64
  27. Cho NH, Shin C, Park C, Kim KC. Geographic difference in the prevalence of osteoporosis in Korea. Korean Society of Osteroporosis. 2005;3(2):98-109.
  28. Hwang HW, Park OJ. A study on self esteem, health condition, and life satisfaction according to living arrangement in the elderly. Nursing & Health Issues, 2007;12(1):1-19
  29. Park JH, Joe HG, Kim JY, Kim TY, Lee JA, Kim JS. Recognition of osteoporosis and analysis of influencing factors. Korean Journal of Family Medicine. 2004; 25(7):542-9.
  30. Jeong SS, Kim JS. Comparison of health behaviors and health level between elders living alone and those living with a spouse. Global Health & Nursing. 2014;4(1):27-36.
  31. Kobayashi D, Takahashi O, Deshpande GA, Shimbo T, Fukui T. Association between osteoporosis and sleep duration in healthy middle-aged and elderly adults: a large-scale, cross-sectional study in Japan. Sleep and Breathing. 2012; 16(2):579-583. https://doi.org/10.1007/s11325-011-0545-6
  32. Kim JS, Shin HY, Kwon YS, Kang HC. Association between osteoporosis and sleep duration in over fifty year old men and postmenopausal women. Korean Journal of Family Practice. 2015;5(1):12-16.
  33. Lee JH, Oh YE. Effect of social exclusion on depression and suicidal ideation among the elderly in Korea: focus on gender differences. The Korean Journal of Community Living Science. 2016;27(4):831-50. https://doi.org/10.7856/kjcls.2016.27.4.831
  34. Lee HJ, Rho JO. Study on the osteoporosis knowledge, concern about osteoporosis factors, and health behavior to prevent osteoporosis of women in Jeonbuk area. Journal of Nutrition and Health. 2018;51(6):526-537. https://doi.org/10.4163/jnh.2018.51.6.526
  35. Kim SH, Lee YH. Factors related to osteopenia in community people. Journal of Korean Public Health Nursing. 2015;29(2):177-89. https://doi.org/10.5932/jkphn.2015.29.2.177
  36. Park AH, Park HR. Relationships between osteoporosis knowledge, outcome expectations for exercise, and self-efficacy for exercise in elderly women with osteoporosis aged over 60. Korean Journal of Rehabilitation Nursing. 2019;22(2):95-103. https://doi.org/10.7587/kjrehn.2019.95
  37. Kwon HY, Ha YC, Yoo JI. Health-related quality of life in accordance with fracture history and comorbidities in Korean patients with osteoporosis. Journal of Bone Metabolism. 2016;23(4):199-206. https://doi.org/10.11005/jbm.2016.23.4.199
  38. Chang YK, Seo HJ, Jin YW, Joeng MS, Sung SH, Park DY, et al. The prevalence and risk factors of osteopenia and osteoporosis in 40-59 year-old male workers. Korean Journal of Occupational and Environmental Medicine. 2006;18(2):130-7. https://doi.org/10.35371/kjoem.2006.18.2.130