Byeon Haewon
Department of Speech Language Pathology, College of Health Science, Honam University, Gwangju, Republic of Korea.
Medicine (Baltimore). 2019 Aug;98(31):e16686. doi: 10.1097/MD.0000000000016686.
This study provided the baseline for establishing policies for community health promotion programs to propose the clusters of multiple health risk factors and identify the risks of laryngeal disorders according to the clusters by using the national level survey representing the South Korean population. This study targeted 5941 people who completed the 5th Korean National Health and Nutrition Examination Survey. The independent variables were age, sex, smoking, high-risk drinking, education level, occupation, household income, and self-reported voice problems. The identify cluster relationship with laryngeal disorders by conducting 2-way cluster analysis and multinomial logit analysis. The prevalence of laryngeal disorder was 6.7%. The results of analysis, 3 clusters were automatically extracted. Multinomial logistic regression analysis showed that sociodemographic factors, health risk behaviors, and health status clusters were significantly related to the risk of laryngeal disorders. The males who were smoking, high-risk drinking, college graduate and above, high income, and non-manual workers had a higher risk of laryngeal disorders than females who were non-smokers, non-drinkers, 60 years old and older, economically inactive, and high school graduate. The results of this study suggested that it may be effective to classify population according to sociodemographic and health behaviors and develop health education materials and health promotion program accordingly in order to prevent laryngeal disorders.
本研究为制定社区健康促进项目政策提供了基线,通过使用代表韩国人口的国家级调查,提出多种健康风险因素集群,并根据这些集群确定喉部疾病的风险。本研究的对象是完成第五次韩国国家健康与营养检查调查的5941人。自变量包括年龄、性别、吸烟、高危饮酒、教育水平、职业、家庭收入和自我报告的嗓音问题。通过进行双向聚类分析和多项逻辑回归分析来确定与喉部疾病的集群关系。喉部疾病的患病率为6.7%。分析结果自动提取出3个集群。多项逻辑回归分析表明,社会人口学因素、健康风险行为和健康状况集群与喉部疾病风险显著相关。吸烟、高危饮酒、大学及以上学历、高收入和非体力劳动者的男性比不吸烟、不饮酒、60岁及以上、经济不活跃和高中学历的女性患喉部疾病的风险更高。本研究结果表明,根据社会人口学和健康行为对人群进行分类,并据此制定健康教育材料和健康促进项目,可能对预防喉部疾病有效。