Unhealthy lifestyle behaviors such as smoking, alcohol consumption, and physical inactivity (multiple risks) often lead to serious health consequence and impaired health status. The purpose of this study was to investigate the trend in health-related behavioral factors over time among adults in South Korea (hereafter Korea). The data of 1,595,842 Koreans older than 19 years who participated in the 2008-2014 Korea Community Health Survey were analyzed to assess the trend in the prevalence of behavioral risk factors. Individual or clustering health-related behaviors were assessed according to sex, age, and region among 228,712 adults who participated in the 2014 survey. From 2008 to 2014, the age-adjusted prevalence of obesity and high-risk alcohol use increased the prevalence of male current smoking and marginally decreased walking ability. Over 7 years, the percentage of adults who reported having all three healthy behaviors (i.e., currently not smoking, not consuming alcohol or having high-risk alcohol use, and engaging in walking) decreased from 35.2% in 2008 to 29.6% in 2014. Increased efforts to emphasize multiple health-related behavioral risk factors, including reducing alcohol use and smoking, and to encourage walking are needed in the thirties and forties age groups in Korea.
Summary
Korean summary
본 논문은 지역사회건강조사를 기반으로 한 우리나라 성인의 지난 7년간 주요건강행태변화와 주요 건강위험요인에 대한 결과를 보여주고 있으며, 각 지역간의 차이를 제시함으로써 지역 보건사업의 필요성을 제시하였다.
Citations
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Korean summary
지역사회건강조사는 보건소별로 층화집락추출법으로 900명을 조사하여 보건소단위의 건강지표를 생산하고 있다. 동읍면단위 건강지표의 생산을 요구하는 보건소가 증가하고 있으나 일부 동읍면은 조사된 인원이 십여명 정도이므로 통상적 통계기법으로는 일정 수준의 정도를 갖는 동읍면단위 건강지표를 생산할 수 없다. 본고에서는 외부행정정보 또는 인접 동읍면을 통합한 자료를 이용하는 추정방법인 소지역추정법을 이용하여 동읍면단위 흡연율을 생산하는 알고리즘을 소개하고 2013년 강남구 보건소자료를 사용한 수치적인 결과를 예시하였다.