Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Regional Disparities of Suicide Mortality by Gender

성별에 따른 지역 간 자살률 차이 및 영향요인 분석

  • Seo, Eun-Won (Department of Health Administration, Yonsei University Graduate School) ;
  • Kwak, Jin-Mi (Department of Health Administration, Yonsei University Graduate School) ;
  • Kim, Da-Yang (Department of Health Administration, Yonsei University Graduate School) ;
  • Lee, Kwang-Soo (Department of Health Administration, Yonsei University College of Health Sciences)
  • 서은원 (연세대학교 대학원 보건행정학과) ;
  • 곽진미 (연세대학교 대학원 보건행정학과) ;
  • 김다양 (연세대학교 대학원 보건행정학과) ;
  • 이광수 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2015.07.30
  • Accepted : 2015.11.03
  • Published : 2015.12.31
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Abstract

Background: Suicide is one of important health problems in Korea. Previous studies showed factors associated with suicide in individual levels. However, suicide was influenced by society that individuals belong to, so it was required to analyze suicide in local levels. The purpose of this study was to analyze the regional disparities of suicide mortality by gender and the association between local characteristics and suicide mortality. Methods: This study included 229 city county district administrative districts in Korea. Age- and sex-standardized suicide mortality and age-standardized suicide mortality (male/female) were used as dependent variables. City county district types, socio-demographics (number of divorces per 1,000 population, number of marriages per 1,000 population, and single households), financial variable (financial independence), welfare variable (welfare budget), and health behavior/status (perceived health status scores and EuroQol-5 dimension [EQ-5D]) were used to represent the local characteristics. We used hot-spot analysis to identify the spatial patterns of suicide mortality and negative binomial regression analysis to examine factors affecting suicide mortality. Results: There were differences in distribution of suicide mortality and hot-spot regions of suicide mortality by gender. Negative binomial regression analysis provided that city county district types (city), number of divorces per 1,000 population, financial independence, and EQ-5D had significant influences on the age- and sex-standardized suicide mortality per 100,000. Factor influencing suicide mortality was the number of divorces per 1,000 population in both male and female. Conclusion: Study results provided evidences that suicide mortality among regions was differed by gender. Health policy makers will need to consider gender and local characteristics when making policies for suicides.

Keywords

References

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