A Study on Drinking, Smoking and Family Disease Histories in the Family Members of Cerebrovascular Disease Patients

뇌졸중 환자 가족의 음주, 흡연 및 가족병력에 관한 연구

  • Choe, Myeon (Dept. of Animal Products Science, Kangweon National University) ;
  • Kim, Jong-Dai (Dept. of Food and Biotechnology, Kangweon National University) ;
  • Kim, Sung-Sil (Dept. of Nursing, Hallym University)
  • 최면 (강원대학교 축산가공학과) ;
  • 김종대 (강원대학교 식품.생명공학부) ;
  • 김성실 (한림대학교 간호학과)
  • Published : 1996.12.01

Abstract

This project was to investigate cerebrovascular disease incidence relation to alcohol consumption, cigarette smoking and family disease history in the family members of normal and cerebrovascular disease patients, besides patients themselves. Alcohol consumption in the family members of cerebrovascular disease patients was significantly higher, especially in male with thirties, forties and fifties, than those of normal. Mean of daily cigarette smoking in the family members of cerebrovascular disease patients was found to be significantly higher, especially in males with forties and fifties, 1]lan those of normal families. Mean of monthly income of normal subjects was significantly higher than those of cerebrovasndar disease families(normal: $673, 000\pm$ 187, 000 won, cerebrovascular: $483, 000\pm213, 000$ won). A degree to be attacked with cerebrovascular disease was very higher in the family members of cerebrovascular disease patients than normal family. Such cases were much higher in father side than in mother side.

뇌졸중은 한국인에 있어서 발병율이 높은 성인병이며 또한 음주, 흡연과 관련이 있는 질병으로 알려져 있는바, 건강한 구성원만을 가진 정상인군과 뇌졸중 환자가 있는 가족의 구성원을 대상으로(환자 자신은 제외) 음주, 흡연정도, 수입과 가족병력을 조사하여 상관관계를 규명하고자 하였다. 뇌졸중 환자 가족의 평균 음주량이 정상인 가족 보다 높게 나타났는데 이는 가족 구성원 중 30대, 40대, 50대 남자의 음주량이 높은 것에 기인하는 것으로 나타났다. 뇌졸중 환자 가족의 흡연량이 정상인 보다 높았는데 이는 주로 뇌졸중 환자 가족중 40대와 50대 남자의 높은 흡연량에 기인하는 것으로 나타났다. 가구당 월 평균 수입은 정상인 세대가 뇌졸중 환자 가족에 비해 유의적으로 높았다(정상인 가족: $673,000\pm187,000원,$ 뇌졸중 환자 가족: $483,000\pm213,000원)$ 뇌졸중 환자가족에서 역시 뇌졸중 병력이 많은 것은 유전적 소인과 더불어 음주, 흡연과 상당한 관련이 있을 것으로 사료된다.

Keywords

References

  1. Postgard. Med. v.89 Extracranial atherosclerosis and cerevrovascular disease. Minimizing the risk of stroke Salgado, E. D.
  2. J. Occup. Med. v.32 Mortality of iron foundry workers : Ⅰ. Overall findings Andjelkovich, D. A.;Mathew, R. M.;Richardson, R. B.;Levine, R. J.
  3. Public Health Rep. v.104 Report of the New England task force on reducing heart disease and stroke risk Havas, S.;Wozenske, S.;Deprez, R.;Miller, L.;Charman, R.;Hamerll, M.;Green, L.
  4. Adv. Alcohol. Subst. Abuse. v.6 Female to male mortality ratios for alcohol-related disorders : possible indicator of susceptibility in different sexes Nanji, A. A.;French, S. W.
  5. Soc. Sci. Med. v.25 Relation of economic change to Swedish health and social well-being Brenner, M. H.
  6. N. Engl. J. Med. v.297 Coffee, alcohol and risk of coronary heart disease among Japanese men living in Hawaii Yano, K.;Rhoads, G. G.;Kagan, A.
  7. Hypertension v.4 no.suppl.Ⅲ Alcohol, tobacco, and hypertension Friedman, G. D.;Klatsky, A. L.;Stegelaub, A. B.
  8. Presse Med. v.16 Mortality in cerebrovascular disease and alcoholism in France Lang T.;Cambien, F.;Richard, J. L.;Bingham, A.
  9. Stroke v.21 Alcohol consumption and carotid atherosclerosis in the Lausanne Stroke Registry Bogousslavsky, J.;Van Melle, G.;Despland, P. A.;Regli, F.
  10. J. Nutr. v.118 Diet, alcohol and corronary heart disease in men Hegsted, D. M.;Ausman, L. M.
  11. Circulation v.64 no.suppl.Ⅲ Alcohol and cardiovascular disease : the Hawaiian experience KaGan, A.;Yano, K.;Rhoads, G. G.;McGee, D. L.
  12. Annal. Int. Med. v.98 Cardiovascular effects of alcohol James, P.;Knochel, M. D.
  13. Neurol. v.55 Smoking and acute cerebrovascular disorders of the ischemic type Cazzato, G.;Zorzon, M.;Monti, F.;Camerotto, A.
  14. Neuroepidemiology v.5 The association between cerebrovascular disease and smoking : a case-control study Molgaard, C. A.;Bartok, A.;Peddecord, K. M.;Rothrock, J.
  15. Stroke v.17 Trends in mortality from cerebrovascular disease in Italy La Vecchia, C.;Decarli, A.
  16. JAMA v.258 The relative impact of smoking and oral contraceptive use on women in the United States Goldbaum, G. M.;Dendrick, J. S.;Hogelin, G. C.;Gentry, E. M.
  17. Stroke v.19 Nuclear magnetic resonance image white matter lesions and risk factors for stroke in normal individuals Lechner, H.;Schmidt, R.;Bertha, G.;Justich, E.;Offenbacher, H.;Schneider, G.
  18. Neurologija v.39 Intra-and extracranial circulatory changes in cigarette smokers assessed by ultrasound : transcranial Doppler(TCD) and duplex scanning investigation Rundek, T.;Demarin, V.;Blazic-Cop, N.;Dordevic, V.
  19. J. Epidemiol. v.129 Declining mortality from ischemic heart disease and cerebrovascular disease in Australia Al-Roomi, K. A.;Dobson, A. J.;Hall, E.;Heller, R. F.;Magnus, P.
  20. 한국영양식량학회지 v.24 고혈압 환자 가족과 정상인에 있어서 음주, 흡연 및 가족병력에 관한 연구 김종대;김현숙;최면;주진순
  21. Acta Med. Scand. v.218 Circulatory manifestation and risk factors in patients with acute cerebrovascular disease and in matched controls von Arbin, M.;Britton, M.;de Faire, U.;Tisell, A.
  22. Stroke v.20 Alcohol use and subsequent cerebrovascular disease hospitalization Klatsky, A. L.;Armstrong, M. A.;Friedman, G. D.
  23. Lancet Frequency of alcohol consumption and morbidity and mortality Kozararevic, D. J.;McGee, D.;Vojvodic, N.;Zukel, W.
  24. Advances in Neurology v.16 Epidimiology of stroke Wolf, P. A.;Dawber, T. R.;Thomas, H. E.;Colton, T.;Kannel, W. B.
  25. Stroke v.13 Relation of blood pressure, serum lipids, and smoking to the risk of cerebral stroke a longitudinal study in eastern Finland Jukka, T.;Salonen, M. P. H.;Pekka Puska, M. A.;Jaakko Tuomilehto, M. A.;Kaija Homan, M. D.
  26. Gastroenterology v.95 Concordant occurrence of gastric and hypertensive disease Amnon sonnenberg
  27. N. Engl. J. Med. v.315 Risk of stroke in male cigarette smokers Abbott, R. D.;Yin, T.;Reed, D. M.;Yano, K.
  28. Public Health Rep. v.101 Massachusetts approach to the prevention of heart disease, cancer, and stroke Havas, S.;Walker, B. Jr.
  29. Stroke v.18 Additional predisposing risk factors for atherothrombotic cerebrovascular disease among treated hypertensive volunteers Rogers, R. L.;Meyer, J. S.;Mortel, K. F.
  30. Clin. Exp. Hyperten v.12 Synergistic effects of risk factors Wilhelmsen, L.
  31. Lancet v.2 Mortality decline and widening social inequalities published erratum appears in Lancet Marmot, M. G.;Mcdowall, M. E.
  32. Am. Heart J. v.115 The need to manage risk factors of coronary heart disease Mancia, G.