Cho Kyoung Im, Kim Bo Hyun, Je Hyung Gon, Jang Jae Sik, Park Yong Hyun
Department of Internal Medicine, Kosin University School of Medicine, 34 Amnam-Dong, Seo-Ku, Busan 602-702, Republic of Korea.
Department of Internal Medicine, Pusan National University Hospital and Biomedical Research Institute, 179 Gudeok-Ro, Seo-Gu, Busan 602-739, Republic of Korea.
Biomed Res Int. 2016;2016:3973197. doi: 10.1155/2016/3973197. Epub 2016 Dec 5.
We aimed to assess the gender-specific associations between psychological factors and socioeconomic status (SES) and metabolic syndrome (MetS) in Korean adults. We examined 4,689 Korean adults aged 20-79 years who participated in the 2013 Korean National Health Examination and Nutrition Survey. With regard to SES, occupation status (none, manual, and nonmanual), marital status (single, married, divorced, and widowed), and psychological factors (detection of stress, depressive symptoms, and suicidal thoughts) were determined via questionnaires. Compared with married men, single and divorced men exhibited ORs (95% confidence interval [CIs]) for MetS of 0.45 (0.31-0.65) and 1.61 (1.02-2.55), respectively, after adjusting for covariates. However, this association was not significant in women. Compared with those in the lowest household income group and least educated group in women, the ORs for MetS in the highest income group and the most educated group were 0.63 (CI 0.46-0.86) and 0.46 (CI 0.32-0.67), respectively. Suicidal thoughts in men (OR 1.64, CI 1.03-2.61) and perceived stress in women (OR 1.26, CI 1.01-1.59) were associated with MetS. In this study, MetS has gender-specific associations with lower SES and psychological factors. Thus, gender-specific public health interventions based on SES and psychological factors are needed to prevent and treat MetS and reduce additional cardiovascular disease risk.
我们旨在评估韩国成年人心理因素与社会经济地位（SES）及代谢综合征（MetS）之间的性别特异性关联。我们调查了4689名年龄在20 - 79岁之间、参与2013年韩国国民健康检查与营养调查的韩国成年人。关于SES，通过问卷调查确定职业状况（无业、体力劳动和非体力劳动）、婚姻状况（单身、已婚、离异和丧偶）以及心理因素（压力检测、抑郁症状和自杀念头）。在调整协变量后，与已婚男性相比，单身和离异男性患MetS的比值比（OR）（95%置信区间[CI]）分别为0.45（0.31 - 0.65）和1.61（1.02 - 2.55）。然而，这种关联在女性中并不显著。与女性中家庭收入最低组和受教育程度最低组相比，收入最高组和受教育程度最高组患MetS的OR分别为0.63（CI 0.46 - 0.86）和0.46（CI 0.32 - 0.67）。男性的自杀念头（OR 1.64，CI 1.03 - 2.61）和女性的感知压力（OR 1.26，CI 1.01 - 1.59）与MetS相关。在本研究中，MetS与较低的SES和心理因素存在性别特异性关联。因此，需要基于SES和心理因素的性别特异性公共卫生干预措施来预防和治疗MetS，并降低额外的心血管疾病风险。
