Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Medical Facilities UtilizationAccording to Health Status Measured by SF-36 in Male Workers

SF-36에 의한 직장남성의 건강수준과 의료이용과의 관련성

김성아;박기수;장미경;감신

  • Published : 20061200
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Abstract

Objectives: This study was performed to examine the health status measured by SF-36 and medical facilities utilization according to the health status measured by SF-36 in male workers. Methods: A self-administered questionnaire survey was administered to 786 male workers. Results: In bivariate analysis, physical functioning score was significantly different among the workers according to age, educational level, economic level, and job type. The bodily pain score and general health score were significantly different according to the workers’economic level and job type. The vitality score was significantly different according to the workers’age, educational level, economic level, and job type. The social functioning score was significantly different according to the workers’ age, marital status, economic level, and job type. The role limitation emotion score was significantly different according to the workers’age, marital status, and job type. The mental health score was significantly different according to the workers’marital status, economic level, and job type (p<0.05). The SF-36 scores increased with higher workers’self-rated health status (p<0.05). The self-rated current health status of the workers was good when their economic status was high, their previous year health status was good and their SF-36 score was high (p<0.05). The rates of morbidity incidence and medical facilities utilization for 1 year were lower when workers’ SF-36 score was high (p<0.05). Conclusions: In consideration of the above findings, SF-36 is suitable to measure health status and predict the medical utilization.

SF-36을 이용하여 근로자의 건강수준을 평가하고, 추후 1년간의 상병발생 및 의료이용간의 관련성을 살펴봄으로써 건강수준 평가를 통해 개인과 집단의 건강상의 문제를 예측하고 사업장에서의 보건활동에 대한 평가 자료로 활용하기 위해 1개 대기업 사업장 남자 직원 786명을 대상으로 2001년 4월에 SF-36을 이용하여 건강수준에 대한 자료를 수집하였고, 이 자료를 기초로 2002년 4월에 지난 1년간의 상병 발생과 의료기관 이용에 대한 설문조사를 실시하여 분석하였다. 연령이 증가할수록 신체적 기능은 떨어지고, 사회적 기능과 감정적 역할제한 건강수준은 높아졌고, 교육정도에 따른 건강수준은 신체적 기능과 활력이 유의하였는데 신체적 기능은 학력이 높을수록, 활력은 학력이 낮을수록 높았다(p＜0.05). 결혼상태에 따른 건강수준은 사회적 기능, 감정적 역할제한, 정신건강에서 기혼자가 건강수준이 높았고, 경제상태에 따른 건강수준은 경제상태가 좋은 군에서 점수가 높았는데, 신체적 역할제한과 감정적 역할제한을 제외한 나머지 모든 항목에서 유의했다(p＜0.05). 업무형태별로는 통증을 제외한 모든 항목이 유의했는데, 일반지원 부서가 신체적 기능, 활력, 사회적 기능, 감정적 역할제한, 정신건강에서 건강수준이 가장 높았고, 통증과 일반건강에서 생산간접 부서의 건강수준이 가장 높았다(p＜0.05). 주관적 건강상태가 좋다고 답한 군에서 SF-36 전 항목에서 건강수준이 높았다(p＜0.05). 현재의 주관적 건강상태는 경제상태가 높은 군에서, 1년 전 주관적 건강상태가 좋다고 답한 군에서, 그리고 1년 전의 SF-36 건강수준이 높은 군에서 현재의 주관적 건강상태가 좋다고 하였다(p＜0.05).SF-36으로 건강수준을 평가한 후 1년간의 상병발생률은 활력과 정신적 건강 영역을 제외한 나머지 6개 영역에서 건강수준이 높았던 군이 상병발생률이 낮았고, SF-36으로 건강수준을 평가한 후 1년간의 의료기관이용률은 8개 모든 영역에서 건강수준이 높았던 군이 낮았다(p＜0.05). 근로자들의 건강관리를 위하여 SF-36을 이용한 건강수준 평가가 이후 질환의 발생과 유의한 상관이 있어 근로자들의 건강관리에 유의한 지표로서 활용 가능할 것이다

Keywords

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