Korean J Fam Pract. 2018; 8(3): 429-434  https://doi.org/10.21215/kjfp.2018.8.3.429
Health-Related Behavior of Patients and Family Members with Cardiovascular Disease Focus on Education and House Income: The Korea National Health and Nutrition Examination Survey, 2013-2014
Jin Hyuck Kim1, Jinyoung Shin2,*, Yun-Mi Song1, Hyeon Young Ko1, Seung Yeon Lee1, Youn Jin Roh1
1Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine; 2Department of Family Medicine, Konkuk University Medical Center, Seoul, Korea
Jinyoung Shin
Tel: +82-2-3410-2449, Fax: +82-2-3410-0388
E-mail: jinyoung.shin17@gmail.com
ORCID: http://orcid.org/0000-0001-9558-1853
Received: May 22, 2017; Revised: July 22, 2017; Accepted: August 7, 2017; Published online: June 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Cardiovascular disease (CVD) is the second most common cause of death in Korea. It shows a strong tendency for familial aggregation. However, the relationship between family history of CVD and health-related behaviors has not been clarified. Moreover, health-related behaviors would be greatly influenced by educational or house income level. This study aimed to investigate health-related behaviors according to history of CVD by focusing on educational and house income levels among Koreans.
Methods: For this study, 6,549 Korean adults aged ≥40 years who participated in the Korea National Health and Nutrition Examination Survey between 2013 and 2014 were included. Information regarding health-related behaviors such as smoking, alcohol intake, and family history of CVD were obtained using a self-administered questionnaire. The risk of poor health-related behaviors was assessed using multiple logistic regression analysis.
Results: Of the participants, 407 (6.21%) had CVD and 1,494 (22.81%) had family members with CVD. Overall no significant differences in health-related behaviors were found between the patients and family members with CVD after adjusting for factors such as age and sex. However, lower educational level was related with elevated risks of current smoking and obesity in family members. In addition, lower income level increased the risks of heavy drinking, current smoking, obesity, and skipping health screening.
Conclusion: Poor health-related behaviors in patients and family members with CVD seem to be mediated or modified by educational and income levels. These findings suggest that in the modification of health-related behaviors, the patient’s family history and educational and income levels must be considered.
Keywords: Health Behavior; Cardiovascular Disease; Smoking; Obesity; Primary Prevention
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