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KMID : 1138720180440020015
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Korean Public Health Research
2018 Volume.44 No. 2 p.15 ~ p.29
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Awareness of cardio-cerebrovascular disease according to occupation among Korean adults diagnosed with hypertension, diabetes mellitus, or dyslipidemia
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Oh Gyung-Jae
Lee Young-Hoon
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Abstract
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Objective: This study investigated the difference in the awareness of cardio-cerebrovascular disease (CCVD) according to occupation among Korean adults diagnosed with pre-existing diseases of CCVD including hypertension, diabetes mellitus, or dyslipidemia.
Methods: Data from the 2013 Korea Community Health Survey was used. A total of 61,459 adults (26,237 males, 35,222 females) older than 40 years diagnosed with hypertension, diabetes mellitus, or dyslipidemia were included in the final analysis. Occupation was classified as managers/professionals (MP), clerks (CL), service/sales workers (SS), agricultural/forestry/fishery workers (AFF), mechanical/manual laborer (MM), and housewives/unemployed people (HU). Association between occupation and the awareness of CCVD was examined using the logistic regression analysis after adjusting for socio-demographics.
Results: The awareness of CCVD was the highest in CL (48.3%) and the lowest in AFF (19.5%) among males, and the highest in MP (54.0%) and the lowest in AFF (11.4%) among females, respectively. In males, the fully-adjusted odds ratio (OR) for awareness of CCVD of AFF (OR, 0.84; 95% confidence intervals [CI], 0.74-0.95) and MM (OR, 0.85; 95% CI, 0.76-0.94) than MP were significantly lower. In females, the fully-adjusted OR for awareness of CCVD of AFF (OR, 0.56; 95% CI, 0.47-0.68), MM (OR, 0.59; 95% CI, 0.49-0.70), HU (OR, 0.68; 95% CI, 0.57-0.79), CL (OR, 0.71; 95% CI, 0.56-0.90), and SS (OR, 0.77; 95% CI, 0.65-0.92) than MP were significantly lower. Among the detailed pathways, there were gender-specific
occupational differences of awareness of CCVD by internet, public advertising, medical clinics, and public health centers, individually.
Conclusion: In Korean adults diagnosed with hypertension, diabetes mellitus, or dyslipidemia, significant disparities in the awareness of CCVD were identified by gender and occupation. To reduce the disparity of awareness of CCVD, public health efforts with an emphasis on AFF and MM in both genders will be needed.
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KEYWORD
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Cardiovascular diseases, Cerebrovascular disorders, Awareness, Occupations, Chronic disease
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