국민건강영양조사 자료를 활용하여 만 19세 이상 성인 중심으로

학위논문(석사) -- 서울대학교대학원 : 보건대학원 보건학과(보건학전공), 2022.2. 조성일.This study is a descriptive cross-sectional study to identity correlation between Depressive mood and Physical activity among Korean Adults with Chronic Diseases by Household type based on data from the 6th 2nd year (2014), 7th 1st year (2016) and 3rd year (2018) Korea National Health and Nutrition Examination Survey. A total of 6,483 patients (2,759 males, 3,724 females) were included, excluding subjects diagnosed with depression by a doctor and subjects with missing dependent variables among chronic disease patients. As for the research analysis method, frequency analysis was performed to identify general characteristics of chronic disease patients aged 19 years and older, and cross-analysis was performed to determine whether there was a difference in the effect of each variable on depressive mood and physical activity intensity. Logistic regression analysis was performed after controlling for relevant variables to understand the correlation of physical activity by household type on depressive mood. There were statistically significant differences(p<0.05) in the correlation between gender, age, household type, education level, household income, marital status, occupation indicating demographic characteristics and health behavior characteristics which are number of chronic diseases, smoking, drinking, and BMI on depressive mood and physical activity intensity. In this study, by analyzing the correlation between physical activity and depressive mood by household type, physical activity of chronic disease patients has a correlation with a decrease in depressive mood. In the results before and after adjusting for demographic and health behavior characteristics, it was found that there was a negative correlation between physical activity and depressive mood in multi- and one-person households. Also, compared to multi-person households, one-person households showed a more pronounced difference when they were physically active than when they were not. This is significant in that it presents indicators of physical activity by household type to reduce depressive mood in chronic disease patients by reflecting the recent social trend of changes in household composition and the increase in chronic disease patients in Korea. It is meaningful that it will be used as a basis for preparing guidelines for physical activity to reduce depressive mood and a multidisciplinary approach to chronic disease patients in the future.본 연구는 국민건강영양조사 제6기 2차년도(2014), 제7기 1차년도(2016) 및 3차년도(2018) 자료로 만 19세 이상 성인 만성질환자를 대상으로 분석한 연구로, 만 19세 이상 성인 만성질환자의 가구형태별 신체활동과 우울감의 상관성을 파악하기 위한 서술적 단면 연구이다. 만성질환자 중 의사에게 우울증을 진단받은 대상자 및 종속 변수의 결측을 가지고 있는 대상자를 제외한 총 6,483명 (남성 2,759명, 여성 3,724명)을 대상으로 하였다. 연구 분석 방법은 만 19세 이상 만성질환자의 일반적 특성을 파악하기 위해 빈도분석을 실시하였으며, 우울감 여부 및 신체활동의 강도에 대해 각 변수의 영향에 차이가 있는지 파악하기 위해 교차분석을 실시하였다. 가구 형태별 신체활동과 우울감의 상관성을 파악하고자 관련 변수를 통제한 후 로지스틱 회귀분석을 실시하였다. 만성질환자의 인구학적 특성 및 건강행태 특성을 나타내는 변수인 성별, 연령, 가구 유형, 교육수준, 가구소득, 혼인여부, 직업, 만성질환 수, 흡연, 음주, BMI이 우울감 유무 및 신체활동 강도의 상관성에 대해 통계적으로 유의한 차이가 있는 것(p