노인의 성별에 따른 골관절염 유병 관련 영향요인

Abstract

This study aims to identify the factors influencing the prevalence of osteoarthritis among the elderly aged 65 and older, and to provide fundamental data for developing intervention measures for osteoarthritis management. The subjects of this study were 8,175 elderly individuals (3,521 men and 4,654 women) aged 65 and older, drawn from the 2016-2020 Korea National Health and Nutrition Examination Survey data. The analysis was performed using the SPSS/WIN 25 program, applying complex sample analysis methods. Frequencies, percentages, means, standard deviations, and gender comparisons were analyzed using chi-square tests for cross-tabulations, and logistic regression analysis was conducted to identify factors influencing the prevalence of osteoarthritis. The results revealed significant differences in age, education level, cohabitation with a spouse, home ownership, smoking, drinking, aerobic physical activity, walking, BMI, depression experience, and presence of arthritis between male and female elderly subjects. The estimated prevalence of osteoarthritis among the Korean elderly aged 65 and older, based on the sample, was 25.0% (10.3% for men and 35.9% for women). When examining the differences in osteoarthritis prevalence according to sociodemographic and health-related characteristics, it was found that among elderly men, there were statistically significant differences in osteoarthritis prevalence related to education level, drinking, walking, and obesity. Among elderly women, significant differences were observed in education level, presence of a spouse, walking, obesity, and depression. Furthermore, the factors influencing the prevalence of osteoarthritis among elderly men were education level, while for elderly women, the influencing factors were education level, residential area, and BMI. Based on these results, it is necessary to develop multifaceted and individualized nursing intervention programs tailored to gender.