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BMC Public Health. 2018 Sep 21;18(1):1133. doi: 10.1186/s12889-018-6031-3.

Gastroesophageal reflux disease and its related factors among women of reproductive age: Korea Nurses' Health Study.

Kim O1,2, Jang HJ3,4, Kim S5, Lee HY6, Cho E7,8, Lee JE9, Jung H10, Kim J11.

Author information

1
College of Nursing, Ewha Womans University, Seoul, Republic of Korea.
2
Ewha Research Institute of Nursing Science, Seoul, Republic of Korea.
3
Division of Nursing, Hallym University, 1 Hallymdaehak-gil, Chuncheon, 24252, Republic of Korea. hjjang@hallym.ac.kr.
4
Research Institute of Nursing Science, Hallym University, Chuncheon, Republic of Korea. hjjang@hallym.ac.kr.
5
College of Nursing, Yonsei University, Seoul, Republic of Korea.
6
Department of Nursing, Doowon Technical University, Anseong, Republic of Korea.
7
Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, RI, USA.
8
Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
9
Department of Food and Nutrition, College of Human Ecology, Seoul National University, Seoul, Republic of Korea.
10
College of Nursing, Konyang University, Daejeon, Republic of Korea.
11
Department of Nursing, Dong-eui University, Busan, Republic of Korea.

Abstract

BACKGROUND:

Recently, the number of patients diagnosed with gastroesophageal reflux disease (GERD) has increased in Korea. Risk factors of GERD include age, sex, medication use, lack of physical exercise, increased psychological stress, low or high body mass index (BMI), unhealthy eating habits, increased alcohol consumption, and cigarette smoking. However, few studies examined the major factors affecting GERD in women of childbearing age. Therefore, this study assessed the risk factors of GERD among 20,613 female nurses of reproductive age using data from the Korea Nurses' Health Study.

METHODS:

Participants were recruited from July 2013 to November 2014. They provided their history of GERD 1 year prior to data collection, along with information on their demographic characteristics, health-related behaviors, diet, medical history, and physical and psychological factors. Of the total sample, 1184 individuals with GERD diagnosed in the year prior to the study were identified. Propensity score matching was used for analysis.

RESULTS:

Cigarette smoking, increased alcohol consumption, low or high BMI, depression, and increased psychosocial stress were associated with the prevalence of GERD among Korean young women. Multivariate ordinal logistic regression analysis revealed significant positive relationships between GERD and being a former smoker; having a low (< 18.5 kg/m2) or high BMI (> 23 kg/m2); and having mild, moderate, moderately severe, and severe depression.

CONCLUSIONS:

Smoking, BMI, and depression were associated with GERD. To reduce this risk among female nurses, intervention strategies are required to help nurses maintain a normal weight and manage their depression.

KEYWORDS:

Body mass index; Depression; Gastroesophageal reflux; Nurses; Reproductive age

PMID:
30241473
PMCID:
PMC6150961
DOI:
10.1186/s12889-018-6031-3
[Indexed for MEDLINE]
Free PMC Article

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