성인 남자 현재흡연율의 지역간 격차와 관련 요인 - 2차 자료를 활용한 생태학적 분석을 중심으로

초록

Background: The disparity in smoking prevalence and related health burdens has been among the most important global public health issues. This includes Korea, where the current smoking rate in males is quiet high, but varies significantly by area. To address this issue, area specific gaps in current smoking rates and potential associated factors were investigated in this study. Methods: Secondary data from the national health survey, and statics provided by the Korea Centers for Disease Control and Prevention, Statistics Korea, and the Korean Ministry of Public Administration, were analyzed to determine the current male smoking rate and 37 additional statistics covering 255 geographic districts. Correlation and multiple regression analyses were performed to investigate the associations of potential factors on the current smoking rates using multi-level approaches of the socio-ecological model. Statistical geographic information serv- ice was performed to compare their area distribution.Results: The lowest and highest current smoking rates observed were 18.7% and 51.5%, respectively, revealing a rate variance of 32.8%. Male college graduation rate (β=−0.252, P< .05), annual weight control attempt rate (β=−0.183, P<.05), divorce rate (β=0.180, P< .05), monthly binge drinking rate (β=0.159, P<.05), and the number of bars per 1000 people in an area (β=0.155, P<.05) were all identified as meaningful factors associated with the rate gap. Conclusion: Tailored tobacco control strategies and cessation services incorporating area specific environmental and individual factors should be implemented to minimize the gap in smoking prevalence and its related health burdens. Further research is required which comprehensively examines the evidence and provides effective practical solutions.

키워드