운동과학 (Aug 2024)

Association Between Sport-for-All Condition and Healthcare Utilization: Results from the National Health Insurance Sharing Service Linkage

  • Sang-Hwa Lee,
  • Saejong Park,
  • Kwangjun Kim,
  • Joohon Sung,
  • Soo Hyun Park

DOI
https://doi.org/10.15857/ksep.2024.00339
Journal volume & issue
Vol. 33, no. 3
pp. 353 – 361

Abstract

Read online

PURPOSE This study aimed to investigate the association between Sport-for-All (SFA) Condition and Healthcare utilization. METHODS Using data from the National SFA survey (2019 and 2021) and the National Fitness Award100 (n=313) linked to the National health insurance sharing service, we examined associations between SFA condition and healthcare utilization. RESULTS Hierarchical regression analysis indicated that demographic and health factors, individual-level factors, social and environmental factors of SFA participation, and physical fitness were associated with healthcare utilization. These factors uniquely explained 16.5%, 19.4%, 3.4%, and 0.2% of healthcare costs, and 11.5%, 11.8%, 8.5%, and 0.6% of healthcare services, respectively. Eight factors were associated with healthcare utilization. For healthcare costs, the significant factors were as follows: age (β=0.279, p<.05), chronic disease (β=0.396, p<.05), frequency of SFA (β=0.309, p<0.05), Intensity of exercise (β=-0.180, p<.05), self-related fitness (β=-0.291, p<.01), awareness of sports facilities (β=-0.178, p<.05), Experience with courses related to Sport-for-All (β=-0.195, p<.05), and certification of physical fitness (β=-0.117, p<.05). For healthcare service, the factors are as follow: age (β=0.349 p<.05), chronic disease (β=0.393, p<.05), frequency of SFA (β=0.302, p<.05), Intensity of exercise (β=-0.157, p<.05), self-related fitness (β= -0.286, p<.01), awareness of sports facilities (β=-0.194, p<.05), Experience with courses related to SFA (β=-0.153, p<.05), and certification of physical fitness (β=-0.134, p<.05). Additionally, participation in SFA exhibited a J-shaped pattern of healthcare utilization. CONCLUSIONS We confirmed an association between SFA condition and healthcare utilization. Future studies should adopt a systematic, sports data-driven cohort approach to better understand and enhance the effectiveness of SFA participation.

Keywords