육군 용사의 건강 및 의료이용 형평성

Abstract

Purpose: The purpose of this study is to find out the factors affecting health equity and equity of healthcare utilization status among Republic of Korea army soldiers. Methods: The study used descriptive study design, and 204 soldiers were recruited from two troops. Data were collected by structured questionnaires and were analyzed through descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression. Results: Self-efficacy for healthcare (β=.05, p<.001), self well-being (β=.04, p=.008), and perceived social economic status (β=.02, p=.033) were found to be factors affecting health equity status. The regression model explained 25.2% of health equity status. As one variable for equity of healthcare utilization, the experience of healthcare activity was affected by self-efficacy for healthcare (β=.04, p=.001), and this model indicated 7.1% of equity of healthcare utilization. Availability of healthcare service, as the other variable, was influenced by service area (β=.47, p=.005), self-efficacy for healthcare (β=.01, p=.023), and these addressed 5.3% of healthcare utilization equity. Conclusion: Results of this study indicate that self-efficacy for healthcare and self well-being are important to enhance health equity and equity of healthcare utilization of army soldiers. Furthermore, service area should be considered to minimize limitations of healthcare approach and to develop policies or guidelines.