국내 성인 고혈압 유병자의 건강증진행동과 의료이용 간의 연관성

Abstract

This study aimed to explore the associations between health-promoting behaviors and healthcare utilization among Korean adults with hypertension. A balanced panel dataset was built using the data of 2,112 adults with hypertension collected using the Korea Health Panel(version 1.6). The dataset included data regarding four health-promoting behaviors such as not smoking, not drinking heavily, doing aerobic physical activities, and living a non-sedentary lifestyle; along with annual personal health expenditures; and inpatient services related information. The marginal effects calculated from the multiple panel tobit models showed that adults with hypertension doing aerobic physical activities incurred approximately 8.3% less in annual personal health expenditures than those who did not participate in aerobic physical activities. Further, the results from the multiple panel logistic regressions showed that the probability of hospitalization decreased by approximately 28% among those doing aerobic physical activities and by approximately 16% among those engaging in three or more health-promoting behaviors. Therefore, it is necessary to encourage physical activity and multiple health-promoting behaviors to manage healthcare utilization among people with hypertension.