DOI QR코드

DOI QR Code

성별에 따른 건강불평등 및 관련요인 연구

Gender Based Health Inequality and Impacting Factors

  • 송미영 (충남여성정책개발원) ;
  • 임우연 (충남여성정책개발원) ;
  • 김증임 (순천향대학교 의과대학 간호학과)
  • 투고 : 2015.03.25
  • 심사 : 2015.06.16
  • 발행 : 2015.06.20

초록

Purpose: This study was aimed to identify gender-based health inequality and explore impacting factors on health inequality in one province in Korea. Methods: This was an explanatory study using the secondary data on Chungnam province from the Fifth Community Health Survey from August 16 to Oct 31, 2012. Variables included in this analysis were education level, poverty, marital status, and residential community for socio-cultural characteristics and subjective health status as an indicator of health inequality. Data were analyzed by ${\chi}^2$-test, t-test, ANOVA, and multiple linear regression. Results: There were gender inequalities and disparities in health, and these inequalities were greater in woman than in man (${\chi}^2$=161.8, p<.001). The impacting factors were education level, poverty, marital status, and residential community, which was accounted for 22.6% of variances of health inequality. Among these variables, gender showed the largest influence in health inequalities. Conclusion: To solve health inequalities, it should be considered gender differences based on social determinants of health. It is necessary to develop long term project based on these results and the social determinants model of World Health Organization.

키워드

참고문헌

  1. Graham H, Kelly MP. Health inequalities: Concepts, frameworks and policy. [Cited 2015 June 12]. London: Health Development Agency. 2004 Available from: https://www.nice.org.uk/proxy/?sourceUrl=http%3a%2f%2fwww.nice.org.uk%2fniceMedia%2fdocuments%2fhealth_inequalities_concepts.pdf
  2. Giddens A. Sociology. 5th ed. Hyundae Sahyoihak. Kim MS, Kim YH, Song HG, Shin KY, Yu HJ, Translator. Seoul: Eulyoo Co; 2009:236-237.
  3. Kim DJ, Lee SY, Ki M, Kim MH, Kim SS, Kim YM, et al. Developing health inequalities indicators and monitoring the status of health inequalities in Korea. Sejong: Korean Institute for Health and Social Affairs; 2013. pp.79-102, 419.
  4. Oakley A. Life stress, support and class inequality: Explaining the health of women and children. European Journal of Public Health. 1994;4:81-91. https://doi.org/10.1093/eurpub/4.2.81
  5. Macinko JA, Starfield B. Annotated bibliography on equity in health, 1980-2001. International Journal of Equity and Health. 2002;1:1. https://doi.org/10.1186/1475-9276-1-1
  6. Ishikawa Y, Nishiuchi H, Hayashi H, Viswanath K. Socioeconomic status and health communication inequalities in Japan: A nationwide cross-sectional survey. PLoS ONE 2012;7(7):e40 [Cited June 12]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395686/pdf/pone.0040664.pdf
  7. de Looper, M. and Lafortune G. Measuring disparities in health status and in access and use of health care in OECD countries. OECD Health Working Papers: OECD Publishing; 2009;43:56. [Cited June 12]. Available from: http://www.oecd ilibrary.org/content/workingpaper/225748084267
  8. Lee EH, So AY, Choi SS. A study about promoting health lifestyles and relating variables on the life-cycle of women. Journal of Korean Academy of Nursing. 1999;29(3):700-710. https://doi.org/10.4040/jkan.1999.29.3.700
  9. Kim YT, Chung JJ. Importance of a gender-specific health policy. Journal of The Korean Society of Maternal and Child Health. 2014;18(1):35-46. https://doi.org/10.21896/jksmch.2014.18.1.35
  10. Kim YT, Kim DS, Kim IS, Chung JJ. A study on the foreign cases for the strategies for promoting women's health policy in Korea. Seoul: Korean Women's Development Institute; 2013. [Cited 2014 Dec 16]. Available from: http://img.kisti.re.kr/originalView/originalView.jsp
  11. Kim YT, Ahn SS, Chung JJ, Choi SW. Korean women's health condition and policy agenda. Seoul: Korean Women's Development Institute; 2008. [Cited 2014 Dec 16]. Available from: http://img.kisti.re.kr/originalView/originalView.jsp
  12. Kim SG, Kim DJ, Lee EK, Hwang JH, Hwang NH, Park SN, et al. Mid-to-long-term plans for health and well-being of Chungcheongnam- do. Seijong: Korea Institute for Health and Social Affairs. 2013:354-355.
  13. Korea Centers for Disease Control and Prevention. Community health survey. [Cited 2014 March 20]. Available from: https://chs.cdc.go.kr/chs/index.do
  14. Solar O, Irwin A. A conceptual framework for action on the social determinants of health [Cited 2015 June 11]. Available from: http://www.who.int/social_determinants/resources/csdh_framework_action_05_07.pdf
  15. Moss NE. Gender equity and socioeconomic inequality: A framework for the patterning of women's health. Social Science & Medicine. 2002;54(5):649-661. https://doi.org/10.1016/S0277-9536(01)00115-0
  16. Kim MH, Lee JH. Current status of policy developments in tackling health inequalities and the next steps to be taken in Korea. Journal of Korean Medical Association. 2013;56(3): 206-212. https://doi.org/10.5124/jkma.2013.56.3.206
  17. Afifi M. Gender differences in mental health. Singapore Medical Journal. 2007;48(5):385-391.
  18. Bertakis KD. Gender differences in the utilization of health care services. Journal of Family Practice. 2000;49(2):147-152.
  19. Han KT, Park EC, Kim JH, Kim SJ, Park SH. Is marital status associated with quality of life? Health and Quality of Life Outcomes. 2014;12:109. https://doi.org/10.1186/s12955-014-0109-0
  20. Doyal L. What makes women sick: gender and the political economy of health. British Medical Journal. 1995;311:577.
  21. Rieker PP, Bird CE. Rethinking gender differences in health: Why we need to integrate social and biological perspectives. Journals of Gerontology: Series B, 2005;60B(special issue II):40-47.
  22. World Health Organization. Depression [Cited 2014 March 20]. Available from: http://www.who.int/mediacentre/factsheets/fs369/en/
  23. World Health Organization. Women health [Cited 2015 May 01]. Available from: http://www.who.int/topics/womens_health/en/
  24. McElmury BJ, Norr LF, Park RS. Women's health and development: A global challenge (World Health Organization). Jones & Bartlett Publishers. Cited in Lee KH. Women's health and equality of men and women. Korean Journal of Women Health Nursing. 1999;5(2):237-244.
  25. Kim DJ, Ki M, Kim MH, Kim YM, Yun TH, Jang SR. et al. Health inequalities indicators and policy issues in Korea. Sejong: Korean Institute for Health and Social Affairs; 2014. pp. 15-26, 217-253.

피인용 문헌

  1. 일개 도시 거주 노인의 건강행위 기반 1차년도 코호트 연구: 성별 및 연령별 비교 vol.29, pp.5, 2015, https://doi.org/10.7475/kjan.2017.29.5.505
  2. 최근 4년간 여성건강간호학회지에 게재된 여성건강 관련 연구의 동향(2013~2017년) vol.24, pp.1, 2018, https://doi.org/10.4069/kjwhn.2018.24.1.90
  3. 혼종 모형을 이용한 건강 불평등 개념분석 vol.19, pp.3, 2015, https://doi.org/10.5762/kais.2018.19.3.520
  4. 한방안이비인후피부과 입원환자의 특성 연구 -2012년 3월부터 2018년 2월까지 대전대학교 둔산한방병원을 중심으로- vol.32, pp.1, 2015, https://doi.org/10.6114/jkood.2019.32.1.016
  5. 대전한방병원 한방안이비인후피부과로 내원한 귀 질환 환자 특성 분석 -2012년 3월부터 2019년 2월까지- vol.33, pp.2, 2015, https://doi.org/10.6114/jkood.2020.33.2.023
  6. Low 6-Minute Walk Distance and Muscle Mass Predict Drop out in Cardiac Rehabilitation vol.8, pp.4, 2015, https://doi.org/10.3390/healthcare8040430
  7. 우리나라 성인의 사회경제적 요인이 건강 수준에 미치는 영향: 7기 국민건강영양조사를 중심으로 vol.34, pp.3, 2015, https://doi.org/10.5932/jkphn.2020.34.3.416