Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Socioeconomic Mortality Inequalities in Korea Labor & Income Panel Study

사회경제적 사망률 불평등 : 한국노동패널 조사의 추적 결과

  • Khang Young-Ho (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Lee Sang-Il (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Lee Moo-Song (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Jo Min-Woo (Department of Preventive Medicine, University of Ulsan College of Medicine)
  • 강영호 (울산대학교 의과대학 예방의학교실) ;
  • 이상일 (울산대학교 의과대학 예방의학교실) ;
  • 이무송 (울산대학교 의과대학 예방의학교실) ;
  • 조민우 (울산대학교 의과대학 예방의학교실)
  • Published : 2004.12.01
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Abstract

This study is to examine relationships of several socioeconomic position indicators with mortality risk in a nationwide longitudinal study of South Korea. The Korea Labor & Income Panel Study, conducted on a probability sample of urban South Korean households by Korea Labor Institute, contains date of death information for the decedents which were used to estimate relative risks of mortality and their $95\%$ confidence intervals (CI) with Cox regression analysis. A total of 125 men and women among 8,415 subjects died between 1998 and 2002. Socioeconomic differentials in mortality were observed after adjustment for sex and age. Those with less than 12-year education had 1.90 times $(95\%\;CI=1.25-2.91)$ greater mortality risk than those with 12-year education or more. Greater mortality risks were also found among those with low occupational class and manual occupation. The magnitude of differentials in mortality risks between occupational class were similar in two different approaches to measuring women's occupational class: (1) approach 1 where women, married or not, retain their own occupational class, and (2) approach 2 where married women are assigned their husbands' occupational class. Relative risks of dying among those with low household Income were 1.62 $(95\%\; CI=1.08-2.42)$ compared with the counterparts. Those who reported economic hardship at the time of survey in 1998 had greater risk of mortality $(RR=1.83,\;95\%\;CI=1.21-2.78)$ than those who did not. In conclusion, increased social discourse and policy discussions about these health inequalities are needed in Korean society. Future studies should explore the causes and mechanisms of socioeconomic mortality inequalities.

Keywords

References

  1. 강영호. 우리 나라 건강 형평성 연구의 동향과 과제. In: 한국건강형평성학회 창립 총회 및 세미나 자료집. 한국건강형평성학회; 2003, pp.63-90
  2. 강영호, 김혜련. 우리 나라의 사회경제적 사망률 불평등: 1998년도 국민건강영양조사의 사망추적 결과. 2004 (미발표 논문)
  3. 권태환, 김태헌. 한국인의 생명표: 1970-1985년의 사망유형분석을 중심으로. 서울: 서울대학교출판부; 1990
  4. 김재용, 성주헌, 신영수. 우리 나라 표준화 사망률과 조기 사망으로 인한 수명손실년수의 지역간-계층간 불평등. In: 제 53차 대한예방의학회 추계학술대회 연제집. 대한예방의학회; 2001. pp.257
  5. 김진욱. 가계의 소비지출 비교-가계 특성에 의거한 균등화지수를 중심으로- In: 한국국제경제학회 동계학술대회발표대회 연제집. 한국국제경제학회; 1996
  6. 박순일, 김미곤, 이수연, 정희태, 이경신, 하길웅. 최저생계비 계측조사연구. 서울: 한국보건사회연구원; 1994
  7. 박재빈, 박병태. 한국의 영아사망력: 최근 출산력조사 자료의 분석. 서울: 한국인구보건 연구원; 1981
  8. 박재영. 출생, 사망수준의 추정과 경제, 사회적 변수와의 관계에 관한 연구. 경제기획원 조사통계국 가족계획연구원; 1980
  9. 박찬용, 김진욱, 김태완. 경제위기에 따른 빈곤수준 빛 소득불평등 변화와 정책방향. 서울: 한국보건사회연구원; 1999
  10. 박형종. 우리 나라 농촌지역의 영아사망에 관한 연구. 서울의대잡지 1962;3(4): 337-47
  11. 방하남, 안주엽, 장지연, 박은경, 호정화, 정혜원. 한국 가구와 개인의 경제활동-한국노동패널 1차년도 자료분석- 서울: 한국노동연구원, 1999
  12. 서울대학교 사회학연구회 (편). 사회계층 : 이론과 실제. 서울: 다산출판사; 1991
  13. 성주헌, 손미아, 조희숙, 최지숙, 최인정, 황문선. 우리 나라 시군구 지역별 물질적 결핍 지표와 인구 일인당 평균조기사망 손실년수와의 연관성. In: 제 54차 대한예방의학회 추계학술대회 연제집. 대한예방의학회; 2002. pp.277-8
  14. 손미아. 직업, 교육수준 그리고 물질적 결핍이 사망률에 미치는 영향. 예방의학회지 2002;35(1):76-82
  15. 손미아, 성주헌, 조희숙, 최지숙, 황문선, 이병훈. 우리나라에서 부모의 사회계급이 1995-2001년도 출생 코호트의 조기 사망에 미치는 영향. In: 2003년도 대한예방의학회 제 55차 추계학술대회 연제집. 대한예방의학회; 2003. p280
  16. 송윤미. 사회경제적 수준과 사망의 연관성-한국 남성 759.665명에서의 코호트 연구. 한국역학회지 1998;20(2):219-25
  17. 안창수, 이성기, 이충섭, 이필도, 김미곤, 서정목, 박성준, 이태원. 최저생계비 계측조사연구. 서울: 한국인구보건연구원; 1989
  18. 윤태호. 사회계급 분포와 사망률과의 연관성. 보건행정학회지 2003;13(4):99-114 https://doi.org/10.4332/KJHPA.2003.13.4.099
  19. 윤태호, 문옥륜. 지역별 사회계급 분포와 사망률과의 연관성. In: 2000년도 한국보건행정학회 추계학술대회 연제집. 한국보건행정학회; 2000. pp. 283-90
  20. 이무송, 안윤옥, 이민정, 김동현, 배종면, 신명희 등. 서울남성코호트의 전체 사망률 및 위험요인의 분석. 대한임상건강증진학회지 2003;3(3):253-262
  21. 정진호, 황덕순, 이병희, 최강식. 소득불평등 및 빈곤의 실태와 정책과제. 서울: 한국노동연구원; 2002
  22. 정혜경. 지역사회의 구조적 특성이 사망수준에 미치는 영향에 관한 연구. 서울대학교 보건대학원 박사학위 논문, 1990
  23. 조홍준. 공교 의료보험 피보험자의 사회계층별 사망률 차이에 관한 연구. 서울대학교 보건대학원 박사학위 논문; 1997
  24. 홍두승, 김병조, 조동기. 한국의 직업구조. 서울: 서울대학교출판부, 1999
  25. Acker J. Women and social stratification: A case of intellectual sexism. Am J Sociol 1973;78:936-945 https://doi.org/10.1086/225411
  26. Allison PD. Survival Analysis Using the SAS System: A Practical Guide. Cary, NC SAS Institute, 20000
  27. Fox J. Health Inequalities in European Countries. Aldershot: Gower; 1989
  28. Gravelle H, Sutton M. Income related inequalities in self assessed health in Britain: 1979-1995. J Epidemiol Community Health 2003;57:125-9 https://doi.org/10.1136/jech.57.2.125
  29. Judge K. Income distribution and life expectancy: A critical appraisal. Brit Med J 1995;311:1282-85 https://doi.org/10.1136/bmj.311.7015.1282
  30. Khang YH, Lynch JW, Kaplan GA. Health inequalities in Korea: Age- and sex-specific educational differences in the 10 leading causes of death. Int J Epidemiol 2004a;33(2):299-308 https://doi.org/10.1093/ije/dyg244
  31. Khang YH, Lynch JW, Yoon SC, Lee SI. Trends in socioeconomic health inequalities in Korea: Use of mortality and morbidity measures. J Epidemiol Community Health 2004b;58:308-314 https://doi.org/10.1136/jech.2003.012989
  32. Kim TH. Mortality Transition in Korea: 1960-1980. Seoul National University: The Population and Development Studies Center; 1990.
  33. Kitagawa, E. M. and P. M. Hauser (1973), Differential Mortality in the United States: A Study in Socioeconomic Epidemiology, Cambridge, Mass: Havard University Press
  34. Koskinen S, Martelin T. Why are socioeconomic mortality differences smaller among women than among men? Soc Sci Med 1994;38:1385-1396
  35. Krieger N, Williams DR, Moss NE. Measuring social class in US public health research: Concepts, methodologies, and guidelines. Annu Rev Public Health 1997;18:341-78 https://doi.org/10.1146/annurev.publhealth.18.1.341
  36. Kwon TH. The Trends and Patterns of Mortality and Health in the Republic of Korea (Asian Population Studies Series No. 76). Bankok: Economic and Social Commission for Asia and the Pacific; 1986
  37. Lahelma E, Valkonen T. Health and social inequalities in Finland and elsewhere. Soc Sci Med 1990;31(special issue):257-265 https://doi.org/10.1016/0277-9536(90)90272-T
  38. Macintyre S. The Black Report and beyond: What are the issue? Soc Sci Med 1997;44:723-45 https://doi.org/10.1016/S0277-9536(96)00183-9
  39. Mackenbach JP, Kunst AE, Cavelaars AEJM, Groenhof F, Geurts JJM. Socioeconomic inequalities in morbidity and mortality in western Europe. Lancet 1997;349(7):1655-59 https://doi.org/10.1016/S0140-6736(96)07226-1
  40. Mackenbach JP, Stronks K. A strategy for tackling health inequalities in the Netherlands. Brit Med J 2002;325:1029-32 https://doi.org/10.1136/bmj.325.7371.1029
  41. Oliver A, Healey A, Le Grand J. Addressing health inequalities. Lancet 2002;360:565-7 https://doi.org/10.1016/S0140-6736(02)09713-1
  42. Republic of South Africa. White Paper for the Transformation of the Health System in South Africa: Toward a National Health System Government Gazette; 1997
  43. Sacker A, Firth D, Fitzpatrick R, Lynch K, Bartley M. Comparing health inequality in men and women: Prospective study of mortality 1986-96. Brit Med J 2000;320:1303-1307 https://doi.org/10.1136/bmj.320.7245.1303
  44. Son M, Armstrong B, Choi JM, Yoon TY. Relation of occupational class and education with mortality in Korea. J Epidemiol Community Health 2002;56:798-9 https://doi.org/10.1136/jech.56.10.798
  45. Son M. Commentary: Why the educational effect is so strong in differentials of mortality in Korea? Int J Epidemiol 2004:33(2):308-310
  46. Son M. Occupational Class and Health: The Differentials in Mortality, Morbidity, and Workplace Injury Rates by Occupation, Education, Income and Working Conditions in Korea(PhD Thesis). London School of Hygiene & Tropical Medicine; 2001
  47. Song YM, Byeon JJ. Excess mortality from avoidable and non-avoidable causes in men of low socioeconomic status: a prospective study in Korea. J Epidemiol Community Health 2000;54:166-72 https://doi.org/10.1136/jech.54.3.166
  48. SOU. Equity in Health-The Second Step Towards National Health Targets. Stockholm: National Public Health Commission/SOU; 1999
  49. Townsend P, Davidson N, Whitehead M. Inequalities in health: The Black Report. The Health Divide. London; Penguin Books; 1992
  50. U. K. Department of Health. Inequalities in Health: Report of an Independent Inquiry Chaired by Sir Donald Acheson London: Stationary Office; 1998
  51. U. S. Department of Health and Human Services. Healthy People 2010. Washington, DC: U.S. Department of Health and Human Services; 2000
  52. WHO (World Health Organization). Targets for Health for All. Copenhagen: WHO Regional Office for Europe; 1990

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