목적: 본 연구는 우리나라 성인의 건강형평성 주요 척도에 따른 백내장을 분석함으로써 눈 건강 형평성을 평가하고자 하였다. 방법: 국민건강영양조사(2009) 안검진 조사 데이터를 이용하여 무수정체안을 제외한 만 20세 이상의성인7,412명을 대상으로 소득수준, 교육수준, 직업, 지역에 따른 백내장의 유병률 및 오즈비를 분석하였다. 백내장은 안과전문의가 slit-lamp를 이용하여 검사하였다. 건강형평성 주요 척도에 따른 유병률은 t-검정 및 x² 검정하였고, 오즈비(odds ratio)는 로지스틱 회귀분석을 이용하였으며, 유의수준은 0.05로 PASW18.0을 사용하여 분석하였다. 결과: 백내장의 표준화 유병률은 26.4%이었다, 유병률은 가구소득‘하’에서41.2%, ‘초졸 이하’59.9%.‘무직’53.9%,‘도시지역’62.8%이었다. 건강형평성 주요 척도에 따른 백내장의 오즈비는 50세 이상군에서 가구소득이 ‘하’일 때 2.60(CI, 196-344), ‘무직군’일 때 2.33(CI, 1.49-3.34), 농촌지역에서 1.24(CI, 0.99-1.56)로 높게 나타났다. 20-49세군은 ‘초졸 이하’에서 5.48(CI, 2.71-11.06)이었고, ‘농림어업 숙련 종사지군’에서 .33(CI, 1.37-8.10)으로 높았다. 농촌지역에서 가구소득이 ‘하’일 때 오즈비는 2.33(CI, 1.35-3.69), ‘초졸 이하’일 때 2.03(CI, 0.97-4.26), ‘단순노무 종사지군’에서 1.28(CI, 0.52-3.14)로 도시지역에 비해 높았다. 여자의 경우 가구소득이‘하’에서 1.60(CI, 1.12-2.30), ‘초졸 이하’에서 1.79(CI, 1.09-2.92)로 남자에 비해 높게 나타났다. 결론: 낮은 사회경제적 상태에서 백내장의 유병률과 오즈비가 증가하여 우리나라 성인의 눈 건강 불평등이 존재하였으며, 이를 위해 저소득층을 위한 종합적인 일차안보건의료정책이 필요하다. 또한 외국의 안보건정책과의 비교를 통해 기존의 치료 위주의 보건정책보다는 예방과 교육 중심의 보건정책의 개발이 요구된다.

The purpose of this research was to investigate the relationships between the socioeconomic condition, health attitude and the eye health of the elderly. Thereupon, this study is attributed to promote the eye health of the elderly. Data were collected through questionnaire by one-to-one interview in a community. The content of original questionnaires were revised by literature review and the pilot study. The sample was consisted of 285 elderly with a mean age of 71.8 years. In the study group, female was 52.3% and male was 47.7%, respectively. In age group, over 80 years was 16.5%, 75-79 was 21.0%, 70-74 was 29.5%, 65-69 was 26.0% and 60-64 was 7.0%. In maritai status, married and living with spouse was 54.4%, widowed was 45.6%. The elderly were suffering with diseases of arthritis(33.3%), hypertension(20.1%), cataract(14.2%) and diabetes(9.7%), respectively. Socioeconomics conditions were measured with monthly allowance money : The upper group those who can spend over 310,000 won was 13.6%, 110,000-300,000 won was 34.0%, less than 100,000 won was 52.5%, respectively. Therefore, the person who were very active health practice group were correlated positively with the wealthier group. Of the total, 33.2% of the elderly answered, they are suffering from two kinds of diseases combined at the same time. For the elderly who have the more concem on eye health were positively correlated with the higher educational level, live with spouse, and the ones who can spend the more monthly allowances. Eye health concem is positively correlated to health attitude.