• Health Policy and Management
• /
• v.28 no.4
• /
• pp.378-391
• /
• 2018

Background: People who were born in different years, that is, different birth cohorts, grow in varying socio-historical and dynamic contexts, which result in differences in social dispositions and physical abilities. Methods: This study used age-period-cohort analysis method to establish explanatory models on healthcare expenditure in Korea reflecting birth cohort factor using intrinsic estimator. Based on these models, we tried to investigate the effects of ageing population on future healthcare expenditure through simulation by scenarios. Results: Coefficient of cohort effect was not as high as that of age effect, but greater than that of period effect. The cohort effect can be interpreted to show 'healthy ageing' phenomenon. Healthy ageing effect shows annual average decrease of -1.74% to 1.57% in healthcare expenditure. Controlling age, period, and birth cohort effects, pure demographic effect of population ageing due to increase in life expectancy shows annual average increase of 1.61%-1.80% in healthcare expenditure. Conclusion: First, since the influence of population factor itself on healthcare expenditure increase is not as big as expected. Second, 'healthy ageing effect' suggests that there is a need of paradigm shift to prevention centered-healthcare services. Third, forecasting of health expenditure needs to reflect social change factors by considering birth cohort effect.

• 한국노년학
• /
• v.29 no.4
• /
• pp.1413-1425
• /
• 2009

The objective of the work is to analyze the factors affecting on changes in filial piety responsibility expectation. For the analysis, this study focuses on the two factors-aging effect and cohort effect. This work analyzes the 4 wave Hallym Aging Panel Data with random intercept model. In the study cohort is divided by the criteria of birth year 1940. and the former cohort is called colony-war cohort and the latter cohort is called industrialization-democratization cohort. The results are in following. First, older cohort shows higher filial piety responsibility expectation score than younger cohort. Second, age shows no relationship with filial responsibility expectation score. Third, male and resident in rural area shows higher score. Forth income, year of schooling, and subjective health show negative relationship with responsibility score.

• Journal of the Korean association of regional geographers
• /
• v.17 no.1
• /
• pp.75-95
• /
• 2011

A birth cohort approach to the Household life-cycle model could be an alternative to cross-sectional data. In this study, each residential mobilities of birth cohorts' is traced by the cohort data from repeated cross-section in the case of Jinju city. Because of the differences in fertilities by era, the volume of each cohort as a consumer in housing has varied and the condition of housing stock also has changed as the time goes by. These changes in housing make not only age effect stressed in Rossi's model, but also cohort and period effect. Due to theses effects of time, every residential mobility trajectories of generations' is different especially in earlier life stages. As households get older, it is found that the age effect reduces and the probability of residential mobility is lower. As this result, the residential succession and filtering between the earlier and latter generations is weakened and the residential segregation could be happened by birth cohort.

• Journal of Preventive Medicine and Public Health
• /
• v.45 no.5
• /
• pp.323-328
• /
• 2012

Objectives: Economic growth and development of medical technology help to improve the average life expectancy, but the western diet and rapid conversions to poor lifestyles lead an increasing risk of major chronic diseases. Coronary heart disease mortality in Korea has been on the increase, while showing a steady decline in the other industrialized countries. An age-period-cohort analysis can help understand the trends in mortality and predict the near future. Methods: We analyzed the time trends of ischemic heart disease mortality, which is on the increase, from 1985 to 2009 using an age-period-cohort model to characterize the effects of ischemic heart disease on changes in the mortality rate over time. Results: All three effects on total ischemic heart disease mortality were statistically significant. Regarding the period effect, the mortality rate was decreased slightly in 2000 to 2004, after it had continuously increased since the late 1980s that trend was similar in both sexes. The expected age effect was noticeable, starting from the mid-60's. In addition, the age effect in women was more remarkable than that in men. Women born from the early 1900s to 1925 observed an increase in ischemic heart mortality. That cohort effect showed significance only in women. Conclusions: The future cohort effect might have a lasting impact on the risk of ischemic heart disease in women with the increasing elderly population, and a national prevention policy is need to establish management of high risk by considering the age-period-cohort effect.

• East Asian Journal of Business Economics (EAJBE)
• /
• v.2 no.4
• /
• pp.26-47
• /
• 2014

The paper examined effect of age cohort on life cycle financial planning. A total of 990 questionnaires were distributed with a 55.2% return rate. Seven hypotheses were analysed using hierarchical and ordinary regression analysis. The results revealed that age cohort variables made significant contribution to life cycle financial planning as well as personal orientation towards retirement planning, particularly the younger age cohort. Age cohorts do affect personal orientation towards retirement planning with the confidence level making a significant impact. Current financial resources do have a strong positive impact on consumption for all age cohorts. On the other hand, no significant effect was found between age cohorts and current financial resources but older age cohorts were relatively more significant predictors. The implication was that not only should their individual perceptions of financial planning become an increasingly important part of people's long-term commitment throughout their life-cycle, it must also assume the role as a self-directed life-long learning process, in view of the ever-changing and complicated financial environment.

• The Korean Journal of Food And Nutrition
• /
• v.33 no.1
• /
• pp.98-104
• /
• 2020

The purpose of this study was to analyze a cohort, age, and time effects on sodium and sodium-calorie intake using the 2007~2017 Korea National Health and Nutrition Examination Survey (KNHANES). For analysis, we have constructed cohort panel data that combine KNHANES data in a time series. The age effect gradually increased from age 45~49 and then decreased afterwards. The time effect showed an increase in average sodium intake until 2010 followed by a subsequent decrease. The cohort effect showed that the sodium intake was the highest for the War of Liberation 1946~1953, and that the younger the latter, the lower the sodium intake. According to a cohort analysis, the younger the generation, the lower the sodium intake compared to the calorie intake, according to the baby boomers. Based on the results of this study, efforts should be made to educate and promote the dieting and providing low-salt meals to reduce sodium intake by generation. An analysis of the health hazards including sodium by generation and age is thought to enable the establishment relevant policies.

• The Korean Journal of Applied Statistics
• /
• v.28 no.4
• /
• pp.703-719
• /
• 2015

We propose an extension of the Lee and Jho (2015) mean reverting the two factor mortality model by incorporating a period-specific cohort effect. We found that the consideration of cohort effect improves the mortality fit of Korea male data above age 65. Parameters are estimated by the weighted least squares method and Metropolis algorithm. We also emphasize that the cohort effect is necessary to choose the base survival index to calculate longevity bond issue price. A key contribution of the article is the proposal and development of a method to calculate the longevity bond price to hedge the longevity risk exposed to Korea National Pension Services.

• Journal of Preventive Medicine and Public Health
• /
• v.48 no.6
• /
• pp.280-286
• /
• 2015

Objectives: Approximately 10% to 15% of lung cancer cases occur in never-smokers. Hormonal factors have been suggested to lead to an elevated risk of lung cancer in women. This systematic review (SR) aimed to investigate the association between hormonal replacement therapy (HRT) and the risk of lung cancer in women using cohort studies. Methods: We first obtained previous SR articles on this topic. Based on these studies we made a list of refereed, cited, and related articles using the PubMed and Scopus databases. All cohort studies that evaluated the relative risk of HRT exposure on lung cancer occurrence in women were selected. Estimate of summary effect size (sES) with 95% confidence intervals (CIs) were calculated. Results: A total of 14 cohort studies were finally selected. A random effect model was applied due to heterogeneity (I-squared, 64.3%). The sES of the 14 articles evaluating the impact of HRT exposure on lung cancer occurrence in women indicated no statistically significant increase in lung cancer risk (sES, 0.99; 95% CI, 0.90 to 1.09). Conclusions: These results showed that HRT history had no effect on the risk of lung cancer in women, even though the sES of case-control studies described in previous SR articles indicated that HRT had a protective effect against lung cancer. It is necessary to conduct a pooled analysis of cohort studies.

• Korea journal of population studies
• /
• v.31 no.1
• /
• pp.75-97
• /
• 2008

Recently Korea is expected with the decrease of population in working ages and also population structure, especially age structure, has changed as aging goes faster. This study focuses on the relationship between age structure and wage structure to analyzes the cohort size effect on the change of age-earnings profile. Our empirical analysis based on Wright(1991)'s model takes weighted OLS regression using the male worker's data of Ministry of Labor 'Wage Structure Survey'($1990{\sim}2006$). In pooled data, we take the conclusion that the cohort size effect was found in high school and college graduate workers, but the effect is different between them. The labor market entry effect of high school graduate workers is negative(-) and his persistent effect is positive(+). On the other hand, the cohort size effect of college graduate workers have appeared the opposite directions in contrary with the existing results of Welch(1979) and Wright(1991). This results are seen as the possibility that college graduate worker has the benefit of wage level by his relative cohort size in spite of high unemployment of young graduate. It will be the sign of need that we should interest in the change of age structure with balancing the labor supply side approach and the demand side study which the previous studies was mainly tended to focus on.

• Journal of Preventive Medicine and Public Health
• /
• v.53 no.3
• /
• pp.198-204
• /
• 2020

Objectives: This study aimed to analyze the mortality of heart disease (HD), ischemic heart disease (IHD), and cerebrovascular disease (CeVD) through an age-period-cohort (APC) analysis. Methods: We used data on mortality due to cardiovascular disease from 1995 to 2018 in Japan, as determined by Vital Statistics. Age groups from 0 years to 99 years were defined by 5-year increments, and cohorts were defined for each age group of each year with a 1-year shift. We used Bayesian APC analysis to decompose the changes in the diseases' mortality rates into age, period, and cohort effects. Results: The period effects for all diseases decreased during the analyzed periods for both men and women. The cohort effects for men increased substantially in cohorts born from around 1940 to the 1970s for all types of cardiovascular diseases. The cohort effects of HD decreased in the cohorts born in the 1970s or later for both men and women. Regarding IHD and CeVD, either a non-increase or decrease of cohort effects was confirmed for cohorts born in the 1970s or later for men, but the effects for women showed a continuously increasing trend in the cohorts born in the 1960s or later. Conclusions: The cohort effects for IHD and CeVD showed increasing trends in younger generations of women. This suggests that preventive approaches against cardiovascular diseases are needed, particularly for women.