인구사회학적특성 및 위험요인과 위장조영검사 유소견율간의 관계 분석

The Analysis of Relation Between the Abnormality Rate of UGI Series and Demographic and Sociological Features as well as Risk Factors - Focused in Kyung-Buk Area -

Purpose : The UGI Series is used as a tool for the nation’s gastric cancer screening. This study analyzes the relationship between the abnormality rate of GI disorders using UGI Series and the subjects’ demographic/sociological features in addition to risk factors. Thus, it will help understand the high risk group for GI disorders and improve the balance and access of medical service for people with low-income. Materials and Methods : Although it is limited to grasp high risk factors for GI disorders, the studied subjects included “meclicmd” subjects(l,232) as well as the lower 50%(3,044) and higher 50%(527) of “health insurance” subjects. All of these three groups received UGI Series at the Korean Association of Health Promotion from April 1, 2006 to May 31, 2006. In addition, by using the results of UGI Series and the questionnaire from the tested subjects, one was able to compare and analyze the relation among demographic/sociological variables(social class, gender, age), risk factors(alcohol, smoking), and the abnormality rate of UGI Series. The data analysis was performed using Chi-square test and multiple regression analysis. Results : First of all, the abnormality rate of GI disorders by UGI Series was significantly higher in “medicaid” group than the other two groups. Also, it showed a higher tendency in the aged, male, drinkers, and smokers. The impression on suspected gastric cancer had a similar tendency. Second, the factors that significantly influenced the abnormality rate of UGI Series included social class, gender, age, and use of alcohol. Smoking, however, partially influenced the abnormality rate. Conclusion : One may predict that the high risk factors for UGI disorder include “medicaid” people, male, old age, drinkers, and smokers. One may also state that the health level of low-income people is relatively inferior compared to other social classes. In addition, they are more exposed to risk factors. The cause of such results originate from the problems of access to medical service due to their economic reasons. This group of people’s lack of concern for healthy life style may be another cause. Therefore, active health education, persuasion of medical exam, further management of people with abnonnality are essential for the high risk group of GI disorders.