한국농촌인구(韓國農村人口)의 종신적(終身的) 노동능력상실(勞動能力喪失) 빈도(頻度)와 원인(原因)

Frequency and Causes of Life-long Labour Force Loss in Rural Population of Korea

한국(韓國)의 종신적(終身的) 노동능력상실자(勞動能力喪失者)의 빈도(頻度)와 원인(原因)을 조사(調査) 파악(把握)함으로써 그 관리방안(管理方案)의 모색(模索)을 위한 기초자료(基礎資料)를 얻고자 함이 본(本) 연구(硏究)의 목적(目的)이다. 조사대상(調査對象)은 1974년(年) 전국대학생(全國大學生) 하계연합봉사국(夏季聯合奉仕國)의 활동지역(活動地域)이었던 81개군내(個郡內)의 대상(對象) 지역사회(地域社會)에서 제비를 뽑아 선택(選擇)된 총(總) 4,174가구(家口)의 전가일원(全家日員)인 총(總) 27,172명(名)이었다. 조사원(調査員)으로서의 대학생(大學生) 1명당(名當) 1가구(家口)씩을 방문(訪問)하여 가구원중(家口員中)의 종신적(終身的) 노동능력상실자(勞動能力喪失者)의 유무(有無), 있는 경우 그 원인(原因) 및 시작연령(始作年齡) 등을 조사(調査)하였으며 그 성적(成績)의 개요(槪要)는 다음과 같다. 종신적(終身的) 노동능력상실자(勞動能力喪失者)(가구당(家口當) $1{\sim}4$명(名))가 있는 가구(家口)는 전체적(全體的)으로 8.9%로 나타났다. 종신적(終身的) 노동능력상실자(勞動能力喪失者)의 전체적(全體的)인 조유병률(粗有病率)은 1,000당(當) 15.1로 나타났으며, 연령표준화율(年齡標準化率)로 본 성별(性別) 유병률(有病率)(1,000당(當))은 남(男) 16.3, 여(女) 13.4로 나타났다. 그리고 그 율(率)은 연령(年齡)의 증가(增加)에 따라 점차 증가(增加)되었다. 종신적(終身的) 노동능력상실(勞動能力喪失)의 원인별(原因別) 유병률(有病率)(1,000당(當))을 보면 노쇠(老衰) 10.2, 사지장애(四肢障碍) 2.4, 내장기계(內臟器系)의 만성질환(慢性疾患) 1.2, 근육골격계(筋肉骨格系)의 기타(其他) 이상(異常) 0.5, 양면맹(兩眠盲) 0.4, 척추장애(脊椎障碍) 0.2, 정신병(精神病) 0.2 및 전간(癲癎) 0.1의 순(順)으로 나타났다. 그중(中) 사지장애(四肢障碍)의 원인(原因)으로는 뇌졸중증(腦卒中症), 폴리오, 사고(事故), 관절염(關節炎) 및 전상(戰傷) 등으로 나타났다. 원인별(原因別) 및 성별(性別)로 종신적(終身的) 노동능력상실(勞動能力喪失)의 발생연령별(發生年齡別) 빈도비(頻度比)도 계산(計算) 관찰(觀察)하였다.

This study was conducted in order to observe some descriptive epidemiological findings and causes of life-long labour force loss in the rural population of Korea, and to consider, on the basis of these observations, some principles of the necessary control measures. The total number of subjects in the study was 27,172, all family members of 4,174 households. The study population was located in the 81 counties, out of a total of 138 counties, where the college students conducted service activities during the summer of 1974. In each village area where these service activities were conducted, one household per student interviewer was randomly selected. Student interviewers were instructed on the contents of the questionnaire prior to the survey. The main contents of the questionnaire form included address, name, sex and age of each family members, and present life-long labour force loss, if any, of each family member. In cases of current labour force loss, the age of onset and causes were recorded. Of the total households surveyed, 8.9% had family members (1-4 in number) with life-long labour force loss. Of the total persons surveyed, the crude prevalence rate for life-long labour force loss was 15.1 per 1,000; and the age-standardized prevalence rates for male and female were 16.3 per 1,000 and 13.4 per 1,000, respectively. The rates, in both sexes, were gradually increased as the ages were increased. The prevalence rates per 1,000, in order, for life-long labour force loss by the causes were 10.2 for senility, 2.4 for impairment of extremities, 1.2 for chronic diseases of internal organs, 0.5 for other conditions of muosculoskeletal system, 0.4 for blindness in both eyes, 0.2 for impairment of spine, 0.2 for psychoses, and 0.1 for epilepsy. Among them the causes of impairment of extremities were stroke, poliomyelitis, accidents, arthritis and injury due to war operation, in that order of higher relative frequency. The frequency ratios by age of onset were also observed by the causes and sex.