Korean J Fam Pract.  2023 Jun;13(2):105-111. 10.21215/kjfp.2023.13.2.105.

The Association between the Local Safety Level Index and Cardiovascular Risk Factors: The Korean National Health and Nutrition Examination Survey, 2016–2018

• Cho WH
• Hwang JS
• Yun JM

• KMID: 2543192
• DOI: http://doi.org/10.21215/kjfp.2023.13.2.105

Abstract

Background
Hypertension, diabetes, and dyslipidemia are the major risk factors for cardio-cerebrovascular disease, and have the highest mortality rates among the major diseases, except for cancers. According to statistics from the Korea Disease Control and Prevention Agency, the prevalence rates of hypertension, diabetes, and dyslipidemia in 2020 were 28.3%, 13.6%, and 23.9%, respectively. Studying the regional community-based risk factors for these chronic diseases is necessary for promoting public health. This study aimed to evaluate the association between the local safety level index and prevalence of these chronic diseases in the general adult population using data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES).
Methods
The prevalence of hypertension, diabetes, and dyslipidemia according to the local safety level index grade was calculated using the chisquare test. Logistic regression analysis was conducted to identify whether the prevalence of hypertension, diabetes, and dyslipidemia could be predicted based on the local safety level index grade.
Results
In this study, the average age of the subjects was 51.3 years, and the prevalence rates of hypertension, diabetes, and dyslipidemia were 32.5%, 12.7%, and 43.2%, respectively. Regarding the local safety level index, the prevalence of hypertension, diabetes, and dyslipidemia tended to be higher in the lower-ranked categories. However, when confounding variables were adjusted for, the local safety level index grade was not a statistically significant predictor of the prevalence of each disease.
Conclusion
More research is needed to discover the potential risk factors associated with the prevalence of chronic diseases in regional communities.

Keyword

Hypertension; Diabetes Mellitus; Dyslipidemia; Heart Disease Risk Factors; Chronic Disease