제1장 연구 개요···················································································· 1
1. 연구의 필요성 및 목적 ·············································································· 1
1) 연구의 필요성 ······················································································· 1
2) 연구의 목적 ··························································································· 2
3) 연구의 범위 ··························································································· 2
2. 연구 방법 ····································································································· 2
1) 분석 데이터셋 ······················································································· 2
2) 연구 추진 단계 ····················································································· 7
제2장 부산시 주요 사망원인 분석··················································· 8
1. 전국 사망률 현황 및 추이 ········································································ 8
2. 1레벨 사망원인별 사망률 ········································································ 10
1) 19개 사망원인 대분류별 사망률 ······················································ 10
2) 신생물 ·································································································· 11
3) 순환계통 질환 ····················································································· 13
4) 호흡계통 질환 ····················································································· 15
5) 소화계통 질환 ····················································································· 17
3. 2레벨 사망원인별 사망률 ········································································ 19
1) 심장 질환 ····························································································· 21
2) 뇌혈관 질환 ························································································· 23
3) 폐암 ······································································································ 25
4) 폐렴 ······································································································ 27
5) 간암 ······································································································ 29
6) 대장암 ·································································································· 31
7) 당뇨병 ·································································································· 33
4. 부산시 중점 사망원인 도출 ···································································· 35
제3장 부산시 건강지표 비교 분석················································· 37
1. 부산시 중점 사망원인과의 관련 지표 ··················································· 37
2. 건강지표 별 특성 분석 ············································································ 41
1) 흡연 ······································································································ 41
2) 음주, 비만 ··························································································· 47
3) 신체활동, 식생활 ················································································ 51
4) 정신건강, 삶의 질 ·············································································· 55
5) 만성질환 관리, 의료이용 특성 ························································· 59
3. 부산시 건강지표 상대 비교 ···································································· 63
제4장 건강서비스 정책 중점 분야 제안········································ 65
1. 중점 사망원인과 건강지표와의 부합도 ················································· 65
2. 부합도에 따른 건강서비스 정책 우선 순위 ·········································· 69
1) 정기적 건강검진 ················································································· 69
2) 금연 정책 강화 ··················································································· 69
3) 전반적 건강 및 삶의 질 개선 ·························································· 69
제5장 결 론························································································· 71
참고문헌······························································································ 73
<표 Ⅰ-1> 통계청 사망원인통계 사망원인(50항목) 분류 ······························ 4
<표 Ⅰ-2> 지역사회건강조사 주요 지표 ·························································· 6
<표 Ⅱ-1> 연도별 연령표준화 사망률 추이(2014년~2017년) ······················· 8
<표 Ⅱ-2> 사망원인 대분류별 사망률 추이(2014년~2017년) ···················· 10
<표 Ⅱ-3> 신생물(C00-D48)에 의한 사망률 추이 ······································· 11
<표 Ⅱ-4> 순환계통 질환(I00-I99)에 의한 사망률 추이 ···························· 13
<표 Ⅱ-5> 호흡계통 질환(J00-J98,U04)에 의한 사망률 추이 ···················· 15
<표 Ⅱ-6> 소화계통 질환(K00-K92)에 의한 사망률 추이 ·························· 17
<표 Ⅱ-7> 사망원인 2레벨 분류별 사망률 추이(2014년~2017년) ············· 20
<표 Ⅱ-8> 심장질환(I21-I51)에 의한 사망률 추이 ······································ 21
<표 Ⅱ-9> 뇌혈관질환(I60-I69)에 의한 사망률 추이 ·································· 23
<표 Ⅱ-10> 폐암(C33-C34)에 의한 사망률 추이 ········································ 25
<표 Ⅱ-11> 폐렴(J12-J18)에 의한 사망률 추이 ··········································· 27
<표 Ⅱ-12> 간암(C22)에 의한 사망률 추이 ················································· 29
<표 Ⅱ-13> 대장암(C18-C21)에 의한 사망률 추이 ····································· 31
<표 Ⅱ-14> 당뇨병(E10-E14)에 의한 사망률 추이 ····································· 33
<표 Ⅱ-15> 주요 사망원인별 부산시 전국대비 사망률 비율 ····················· 36
<표 Ⅲ-1> 특·광역시 현재흡연율의 연도별 추이 ········································· 43
<표 Ⅲ-2> 특·광역시 남자 현재흡연율의 연도별 추이 ······························· 43
<표 Ⅲ-3> 특·광역시 가정실내 간접흡연 노출율의 연도별 추이 ·············· 45
<표 Ⅲ-4> 특·광역시 직장실내 간접흡연 노출율의 연도별 추이 ·············· 45
<표 Ⅲ-5> 특·광역시 고위험 음주율의 연도별 추이 ··································· 49
<표 Ⅲ-6> 특·광역시 연간음주자 고위험 음주율의 연도별 추이 ·············· 49
<표 Ⅲ-7> 특·광역시 건강생활 실천율의 연도별 추이 ······························· 53
<표 Ⅲ-8> 특·광역시 영양표시 독해율의 연도별 추이 ······························· 53
<표 Ⅲ-9> 특·광역시 스트레스 인지율의 연도별 추이 ······························· 57
<표 Ⅲ-10> 특·광역시 주관적 건강수준 인지율의 연도별 추이 ················ 57
<표 Ⅲ-11> 특·광역시 이상지질혈증 진단경험율의 연도별 추이 ·············· 61
<표 Ⅲ-12> 특·광역시 연간 미충족의료율의 연도별 추이 ·························· 61
<그림 Ⅰ-1> 연구 추진 단계 ············································································ 7
<그림 Ⅱ-1> 지역별 연도별 연령표준화사망률 추이 ····································· 9
<그림 Ⅱ-2> 신생물에 의한 사망률의 연도별 단계구분도 ························· 12
<그림 Ⅱ-3> 순환계통 질환에 의한 사망률의 연도별 단계구분도 ············ 14
<그림 Ⅱ-4> 호흡계통 질환에 의한 사망률의 연도별 단계구분도 ············ 16
<그림 Ⅱ-5> 소화계통 질환에 의한 사망률의 연도별 단계구분도 ············ 18
<그림 Ⅱ-6> 심장질환에 의한 사망률의 연도별 단계구분도 ····················· 22
<그림 Ⅱ-7> 뇌혈관질환에 의한 사망률의 연도별 단계구분도 ·················· 24
<그림 Ⅱ-8> 폐암에 의한 사망률의 연도별 단계구분도 ····························· 26
<그림 Ⅱ-9> 폐렴에 의한 사망률의 연도별 단계구분도 ····························· 28
<그림 Ⅱ-10> 간암에 의한 사망률의 연도별 단계구분도 ··························· 30
<그림 Ⅱ-11> 대장암에 의한 사망률의 연도별 단계구분도 ······················· 32
<그림 Ⅱ-12> 당뇨병에 의한 사망률의 연도별 단계구분도 ······················· 34
<그림 Ⅱ-13> 주요 사망원인에 대한 주요 지역별 비교 ····························· 35
<그림 Ⅲ-1> 부산시 중점 사망원인과 건강행태 지표와의 상관성 ············ 38
<그림 Ⅲ-2> 부산시 중점 사망원인과 만성질환관리 및
의료이용 지표와의 상관성 ······················································· 39
<그림 Ⅲ-3> 심장질환에 의한 사망률과 주요 건강지표와의 산점도 분석 ··· 40
<그림 Ⅲ-4> 2017년 흡연 관련 지표의 주요 지역별 비교 ························ 41
<그림 Ⅲ-5> 흡연 관련 지표의 연도별 비교 ················································ 42
<그림 Ⅲ-6> 시도별 현재흡연율의 연도별 단계구분도 ······························· 44
<그림 Ⅲ-7> 시도별 남자 현재흡연율의 연도별 단계구분도 ····················· 44
<그림 Ⅲ-8> 시도별 가정실내 간접흡연율의 연도별 단계구분도 ·············· 46
<그림 Ⅲ-9> 시도별 직장실내 간접흡연율의 연도별 단계구분도 ·············· 46
<그림 Ⅲ-10> 2017년 음주, 비만 관련 지표의 주요 지역별 비교 ··········· 47
<그림 Ⅲ-11> 음주, 비만 관련 지표의 연도별 비교 ··································· 48
<그림 Ⅲ-12> 시도별 고위험 음주율의 연도별 단계구분도 ························· 50
<그림 Ⅲ-13> 시도별 연간음주자의 고위험 음주율의 연도별 단계구분도 ·· 50
<그림 Ⅲ-14> 2017년 신체활동, 식생활 지표의 주요 지역별 비교 ········· 51
<그림 Ⅲ-15> 신체활동, 식생활 지표의 연도별 비교 ································· 52
<그림 Ⅲ-16> 시도별 건강생활 실천율의 연도별 단계구분도 ··················· 54
<그림 Ⅲ-17> 시도별 영양표시 독해율의 연도별 단계구분도 ··················· 54
<그림 Ⅲ-18> 2017년 정신건강, 삶의질 지표의 주요 지역별 비교 ········· 55
<그림 Ⅲ-19> 정신건강, 삶의질 지표의 연도별 비교 ································· 56
<그림 Ⅲ-20> 시도별 스트레스 인지율의 연도별 단계구분도 ··················· 58
<그림 Ⅲ-21> 시도별 주관적 건강수준 인지율의 연도별 단계구분도 ······ 58
<그림 Ⅲ-22> 2017년 만성질환 관리, 의료이용 특성 지표의 주요 지역별 비교·· 59
<그림 Ⅲ-23> 만성질환 관리, 의료이용 특성 지표의 연도별 비교 ·········· 60
<그림 Ⅲ-24> 시도별 이상지질혈증 진단경험율의 연도별 단계구분도 ···· 62
<그림 Ⅲ-25> 시도별 연간 미충족 의료율의 연도별 단계구분도 ·············· 62
<그림 Ⅲ-26> 부산시 건강행태 지표와 전국 평균과의 비교 ····················· 63
<그림 Ⅲ-27> 부산시 만성질환관리 및 의료이용특성 지표와 전국 평균과의 비교·· 64
<그림 Ⅳ-1> 사망원인과 건강지표의 부합도 계산식 ··································· 65
<그림 Ⅳ-2> 부산시 중점 사망원인과 건강행태 지표의 부합도 ················ 66
<그림 Ⅳ-3> 부산시 중점 사망원인과 만성질환관리 및 의료이용 지표의 부합도·· 67
<그림 Ⅳ-4> 부산시 중점 사망원인과 건강지표의 부합도 ························· 68
