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KMID : 0858820220390020015
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Journal of Korean Society for Health Education and Promotion
2022 Volume.39 No. 2 p.15 ~ p.25
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Changes in daily physical activities by income level according to the prevalence of hypertension and diabetes during the COVID-19 pandemic: The 2020 Community Health Survey
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Yoon Min-Sun
Jeong Hyun-Suk
Bae Bo-Young
Hong Na-Young
Yim Hyeon-Woo
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Abstract
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Objectives: This study aimed to examine the changes in daily physical activities during the COVID-19 epidemic compared to before COVID-19 according to the prevalence of hypertension and diabetes. Furthermore, it also investigated whether a difference in the decrease in daily physical activity occurred according to economic level.
Methods: The participants included 64,840 people in the hypertensive/diabetic group and 96,092 people in the non-hypertensive/-diabetic group using the 2020 Community Health Survey data. A multivariable logistic regression analysis was used to calculate the adjusted odds ratios for the decrease in daily physical activities during the COVID-19 epidemic between the two groups. Household income was stratified into quartiles to determine the association according to economic level.
Results: During COVID-19, the decrease rate of daily physical activities in the hypertensive/diabetic group was 46.1%, which was significantly lower than that in the non-hypertensive/-diabetic group (51.5%) (aOR, 95% CI: 0.961, 0.934-0.989). However, in the lowest income group (1st quartile), the decrease in daily physical activities was higher in the hypertension/diabetes group (aOR, 95% CI: 1.114, 1.051-1.181).
Conclusion: Strategies are needed to maintain and increase physical activities among hypertensive or diabetic patients in low-income groups during the COVID-19 pandemic.
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KEYWORD
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COVID-19, chronic disease, physical activity, health inequality, Community Health Survey
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