Park Jisu, Park Ilsu
Busan Eastern Branch of Korea Association of Health Promotion, 145 Chungnyeoldaero, Dongnae-gu, Busan 47734, Korea.
Department of Healthcare Management, Dong-eui University, 176 Eomgwangro, Busanjin-gu, Busan 47340, Korea.
Healthcare (Basel). 2022 Sep 28;10(10):1894. doi: 10.3390/healthcare10101894.
This study analyzed the effect of the household type on the prevalence of metabolic syndrome in Koreans utilizing data from the sixth, seventh, and eighth Korea National Health and Nutrition Examination Surveys conducted by the Korea Disease Control and Prevention Agency from 2015 to 2019. The demographic characteristics, metabolic syndrome characteristics according to household type, and risk factors of 25,092 subjects were identified using the Rao−Scott χ2−test and weighted multiple logistic regression results. Furthermore, to understand the effect of the household type on prevalence of metabolic syndrome, the selection bias between the groups was eliminated using the propensity score matching method. The average treatment effect for those treated for metabolic syndrome prior to propensity score matching was higher for single-person households, with 0.353 and 0.268 for single- and multi-person households, respectively. The difference was statistically significant (p < 0.0001). However, after propensity score matching, it was observed to be higher for multi-person households, with 0.290 and 0.316 for single- and multi-person households, respectively. However, the difference was not statistically significant (p < 0.1822). Difference was observed regarding the prevalence of metabolic syndrome by individual characteristics, some of which were considered in previous studies. However, the household type alone did not explain the prevalence of metabolic syndrome.
本研究利用韩国疾病控制与预防机构在2015年至2019年期间进行的第六次、第七次和第八次韩国国民健康与营养检查调查的数据，分析了家庭类型对韩国人代谢综合征患病率的影响。使用Rao-Scott卡方检验和加权多元逻辑回归结果，确定了25,092名受试者的人口统计学特征、根据家庭类型划分的代谢综合征特征以及危险因素。此外，为了解家庭类型对代谢综合征患病率的影响，采用倾向得分匹配法消除了组间的选择偏倚。在倾向得分匹配之前，单人家庭中患有代谢综合征的人群的平均治疗效果较高，单人家庭和多人家庭分别为0.353和0.268。差异具有统计学意义（p < 0.0001）。然而，倾向得分匹配后，观察到多人家庭的平均治疗效果更高，单人家庭和多人家庭分别为0.290和0.316。然而，差异无统计学意义（p < 0.1822）。根据个体特征观察到代谢综合征患病率存在差异，其中一些在先前的研究中已有考虑。然而，仅家庭类型并不能解释代谢综合征的患病率。
