DOI QR코드

DOI QR Code

Trends in Gender-based Health Inequality in a Transitional Society: A Historical Analysis of South Korea

  • Chun, Hee-Ran (Department of Public Administration, Ewha Womans University) ;
  • Cho, Sung-Il (Department of Epidemiology, School of Public Health, Seoul National University) ;
  • Khang, Young-Ho (Department of Preventive Medicine, University of Ulsan College of Medicine) ;
  • Kang, Min-Ah (Department of Public Administration, Ewha Womans University) ;
  • Kim, Il-Ho (Social Epidemiological Research Centre for Addiction and Mental Health)
  • 투고 : 2011.05.04
  • 심사 : 2012.02.09
  • 발행 : 2012.03.31

초록

Objectives: This study examined the trends in gender disparity in the self-rated health of people aged 25 to 64 in South Korea, a rapidly changing society, with specific attention to socio-structural inequality. Methods: Representative sample data were obtained from six successive, nationwide Social Statistics Surveys of the Korean National Statistical Office performed during 1992 to 2010. Results: The results showed a convergent trend in poor self-rated health between genders since 1992, with a sharper decline in gender disparity observed in younger adults (aged 25 to 44) than in older adults (aged 45 to 64). The diminishing gender gap seemed to be attributable to an increase in women;s educational attainment levels and to their higher status in the labor market. Conclusions: The study indicated the importance of equitable social opportunities for both genders for understanding the historical trends in the gender gap in the self-reported health data from South Korea.

키워드

참고문헌

  1. Trovato F, Heyen NB. A varied pattern of change of the sex differential in survival in the G7 countries. J Biosoc Sci 2006;38(3):391-401.
  2. Trovato F, Lalu NM. Narrowing sex differentials in life expectancy in the industrialized world: early 1970's to early 1990's. Soc Biol 1996;43(1-2):20-37.
  3. Macintyre S, Hunt K, Sweeting H. Gender differences in health: are things really as simple as they seem? Soc Sci Med 1996;42(4):617-624.
  4. Arber S, Cooper H. Gender differences in health in later life: the new paradox? Soc Sci Med 1999;48(1):61-76.
  5. Lahelma E, Martikainen P, Rahkonen O, Silventoinen K. Gender differences in illhealth in Finland: patterns, magnitude and change. Soc Sci Med 1999;48(1):7-19.
  6. Backhans MC, Lundberg M, Mansdotter A. Does increased gender equality lead to a convergence of health outcomes for men and women? A study of Swedish municipalities. Soc Sci Med 2007;64(9):1892-1903.
  7. Schinittker J. Working more and feeling better: women's health, employment, and family life, 1974-2004. Am Sociol Rev 2007;72(2): 221-238.
  8. Chun H, Doyal L, Payne S, Il-Cho S, Kim IH. Understanding women, health, and social change: the case of South Korea. Int J Health Serv 2006;36(3):575-592.
  9. Chun H, Khang YH, Kim IH, Cho SI. Explaining gender differences in ill-health in South Korea: the roles of sociostructural, psychosocial, and behavioral factors. Soc Sci Med 2008;67(6):988-1001.
  10. Gu D, Dupre ME, Warner DF, Zeng Y. Changing health status and health expectancies among older adults in China: gender differences from 1992 to 2002. Soc Sci Med 2009;68(12):2170-2179.
  11. Heistaro S, Vartiainen E, Puska P. Trends in self-rated health in Finland 1972-1992. Prev Med 1996;25(5):625-632.
  12. Kawada T, Wakayama Y, Katsumata M, Inagaki H, Otsuka T, Hirata Y, et al. Patterns in self-rated health according to age and sex in a Japanese national survey, 1989-2004. Gend Med 2009;6(1):329-334.
  13. Kunst AE, Bos V, Lahelma E, Bartley M, Lissau I, Regidor E, et al. Trends in socioeconomic inequalities in self-assessed health in 10 European countries. Int J Epidemiol 2005;34(2):295-305.
  14. Salomon JA, Nordhagen S, Oza S, Murray CJ. Are Americans feeling less healthy? The puzzle of trends in self-rated health. Am J Epidemiol 2009;170(3):343-351.
  15. Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997;38(1):21-37.
  16. Khang YH, Kim HR. Gender differences in self-rated health and mortality association: role of pain-inducing musculoskeletal disorders. J Womens Health (Larchmt) 2010;19(1):109-116.
  17. Mackenbach JP, Kunst AE. Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. Soc Sci Med 1997;44(6):757-771.
  18. Spiegelman D, Hertzmark E. Easy SAS calculations for risk or prevalence ratios and differences. Am J Epidemiol 2005;162(3):199-200.
  19. Khang YH, Yun SC, Lynch JW. Monitoring trends in socioeconomic health inequalities: it matters how you measure. BMC Public Health 2008;8:66.
  20. Rahman O, Strauss J, Gertler P, Ashley D, Fox K. Gender differences in adult health: an international comparison. Gerontologist 1994;34(4):463-469.
  21. Bird CE, Rieker PP. Gender matters: an integrated model for understanding men's and women's health. Soc Sci Med 1999;48(6):745-755.
  22. Shin YJ, Won JW, Lee SH, Park SM. Policy direction for the utilization of womens human capital in a low fertility and aging society. Seoul: Korea Institute for Health and Social Affairs; 2008.
  23. Hausmann R, Tyson LD, Zahid S. The global gender gap report 2009. Geneva: World Economic Forum; 2009.
  24. Benyamini Y, Blumstein T, Lusky A, Modan B. Gender differences in the self-rated health-mortality association: is it poor self-rated health that predicts mortality or excellent self-rated health that predicts survival? Gerontologist 2003;43(3):396-405.
  25. Wolinsky FD, Johnson RJ. Perceived health status and mortality among older men and women. J Gerontol 1992;47(6):S304-S312.
  26. Eriksson I, Unden AL, Elofsson S. Self-rated health. Comparisons between three different measures. Results from a population study. Int J Epidemiol 2001;30(2):326-333.

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  3. Gender bias in cardiovascular healthcare of a tertiary care centre of North India vol.8, pp.1, 2012, https://doi.org/10.1136/heartasia-2015-010710
  4. Female disability disadvantage: a global perspective on sex differences in physical function and disability vol.36, pp.6, 2012, https://doi.org/10.1017/s0144686x15000227
  5. Marital Power Dynamics and Well-Being of Marriage Migrants vol.37, pp.14, 2016, https://doi.org/10.1177/0192513x15570317
  6. Temporal trends in educational inequalities in non-communicable diseases in Korea, 2007-2015 vol.12, pp.12, 2012, https://doi.org/10.1371/journal.pone.0190143