• 제목/요약/키워드: sex differentials in mortality

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결혼, 성역할 및 사망력 : 한.미 비교연구 (Marriage, Sex Role, and Mortality : A Comparison Between Korea and the United States)

  • 박경애
    • 가정과삶의질연구
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    • 제10권2호
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    • pp.51-59
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    • 1992
  • Previous studies indicated that unmarried persons are subject to higher mortality than the married, and that the differentials are more marked for male than for females. There are two major approaches to explaining the marital status differentials in mortality ; selection function and protection function of marriage. Following protection fucntion, this study develops the new "instrumental / expressive sex-role" hypothesis in order to explain why marriage protects males more against death. The hypothesis expects that male's instrumental role and female's expressive role have direct effect as well as indirect effect through social integration on sex differential mortality by marital status. for the hypothesis testing, Korea and US vital statistics and census data are used to compute age-specific , age-adjusted mortality rates and their ratios for persons in different marital status. Major findings are as follows. 1)For both Korea and US being married is more advantageous to males than females, ad being widowed, divorced, and separated is more disadvantageous to males, while being never-married is more disadvantageous to females, 2) For Korea, the never married men and women have the highest mortality rates, 3) For US the never married women have the highest mortality rate, while the divorced, separated, and widowed men have the highest mortality rate. Fro both Korea and US data, selection function is rejected, but instrumental/expressive sex-role hypothesis succeeds in accounting for the sex and marital status differential in mortality.

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성선호에 따른 유아의 성별 차별사망력: 중국의 조선족, 한족과 다이족의 비교분석 (Sex Preference and Sex Differentials in Child Mortality: A Comparative Analysis of Koreans, Hans and Dais in China)

  • 김두섭
    • 한국인구학
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    • 제23권2호
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    • pp.143-166
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    • 2000
  • 이 연구는 상이한 성선호의 문화적 전통을 지닌 인종집단들을 대상으로 하여 의료수준과 유아사망력의 관계를 파악하기 위한 것이다 이를 위해 1990년 중국인구센서스 중에서 연변자치 주에 거주하는 조선족과 한족 그리고 서쌍판납자치주의 한족과 다이족의 원자료를 활용하였다. 이 논문은 성선호, 사회경제적 수준, 의료수준과 유아의 성별 차별사망력의 관계를 설명하기 위한 새로운 모형을 제시하고 있다. 의료인력이 널리 가용한 지역사회에서는 유아사망력의 수준이 성선호에 의하여 영향받을 가능성이 낮다. 그러나 지역사회의 의료수준이 낮으면, 특정한 성을 선호하는 경향이 강한 인종집단의 구성원들은 선호하는 성의 자녀들의 생존을 위하여 모든 노력을 기울이게 될 것이다. 이에 반해서 부모들이 선호하지 않는 성의 자녀생존을 위한 행위들은 이에 수 반되는 비용이나 여러 가지 조건들에 의하여 영향을 받게될 것이다. 따라서 선호하는 성의 유아사망력의 수준은 선호하지 않는 성의 그것에 비해 월등히 낮을 가능성이 크다. 그러나 사회경제적 발전과정에서 의료수준이 향상되고 이에 수반되는 비용이 낮아지면, 선호하지 않는 성의 유아사망력은 급격히 감소하고 성별 사망력의 차이는 줄어드는 경향을 보이게 된다. 이 연구에서 강한 남아선호관을 지닌 조선족 및 한족과, 반대로 여아를 선호하는 경향이 강한 다이족의 유아사망력을 분석한 결과는 이러한 명제들을 뒷받침 해준다.

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사회$\cdot$경제적 요인별 차별 사망력의 변화: 1970 ~ 1986 (The Changes of Mortality Differentials by Socioeconomic Determinats(1970~86) : Based on Death Registration Data)

  • 윤덕중;김태헌
    • 한국인구학
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    • 제12권2호
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    • pp.1-21
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    • 1989
  • For the analysis of mortality differentials by socioeconomic factors based on death registration data, we have considered four variables : place of residence, educational attainment, marital status and occupation. The age range adopted were 5 to 64 years of age for place of residence, and 25 to 64 years of age for the other factors. The mortality differentials by socioeconomic variables were clear and in the expected direction: mortality levels among urban residents, better educated groups, and non- agricultural workers were lower than among the other sub- groups. The average mortality level in rural areas is much higher than in urban areas : the rural mortality levels were at least double the urban levels at ages below 40 years, but became smaller after age 40, and no clear differentials by urban I rural residence increased until 1974~76 for the both sexes, but since the then differentials have declined slowley for both sexes. This changing pattern of mortality differentials by place of residence can be explained by historical socioeconomic development : the development generally started in urban areas, and rural areas followed : in the course of socioeconomic development the differences between the death rates in the two areas became smaller and finally the mortality levels in the two areas became nearly the same, as is found in the developed countries nowadays. The inverse relationships between mortality and educational level became stronger between the periods 1970~72 and 1984~86, but showed the same atterns of mortality differentials in both period : larger differences among the younger age groups, and for males, than among the older age groups, and for females. The increasing mortality differentials in the fourteen-year period between 1970~72 and 1984~86 were caused by inadequate living standards of the non- educated, whose proportion in the total population, however, dropped sharply during that period. Also, the much lower proportions of low - educated groups or of persons with no formal education among males than females helped to establish the clearly pronounced differentials. The mortality differentials by marital status in Korea showed the usual pattern : the mortality rates of the married in each age and sex group were clearly lower than those of others during the fourteen-year period between 1970~72 and 1984~86. In Korean society which remotes universal marriage, the never married recorded especially high death rates, presumably mainly because of ill - health, but also possibly because of the stigma attached to celibacy. However, the mortality differentials by marital status changed with the changes in the proportionate distribution by marital status during the period : the differences between the death rates of the married and never married groups became smaller, the proportion of the never married group increased : in contrast, the differences between mortalities of the married and widowed / divorced / separated groups widened, with the decrease in the proportion of the later group ; this tendency was perticularly marked for females. Occupational groups also showed clear mortality differences : among four occupational groups mortality of males was highest among agricultural workers and lowest among 'professional, admi-nistrative and clerical workers, However, when the death rates were standardized by educational level, the death rates by occupation in age group 45~64 years were nearly the same (excet for the mixed group consisting of unemployed, students, military servicemen and unknown). Therefore, the clear mortality dfferentials by occupation in Korea resulted mainly from the differences in educational level between different occupation groups. Since socioeconomic characteristics are related to each other, the net effect of each variable was examined. Each of the three variables - ducational level, marital status and urban / rural residence affected significantly Korean adult mortality when the effects of the other variables were controlled. Among the three variables educational level was the most important factor for the determination of the adult mortality level. When male's occupation was added to the above three variables, the effects of occupation on adult mortality were notably smaller after control for the effects of the other three variables while the net effects of these three variables were nearly the same irrespectively whether occupation was included or not. Thus, the differences in educational level (mainly), place of residence and marital status bring out the clear differences in observed mortality levels by occupation.

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자녀교육과 수요간의 상관관계에 관한 실증적 고찰 (An Empirical Review of the Relationship between Schooling and Demand for Children on the Basis of Quantity-Quality Interaction Model)

  • Chang-Jin Moon
    • 한국인구학
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    • 제11권1호
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    • pp.197-203
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    • 1988
  • 한국 사망력의 수준 및 특징을 일본과 비교하고자 양국의 1995년 공식통계를 사용하여 사망원인별로 성$\cdot$연령$\cdot$혼인상태별 사망률, 연령표준화사망률, 생존기간손실년수(PYLL) 및 동 측정치의 남녀간 비와 한일간 비를 계산하였다. 사망원인 항목은 모든 사인(총사망), 결핵, 악성신생물, 당뇨병, 고혈압성 질환, 심장 질환, 뇌혈관 질환, 간 진환, 교통사고, 자살을 포함한다. 일본과 비교하여 한국 사망력의 두드러진 특징은 다음과 같다 : (1)자살을 제외한 대부분의 사인에서 한국의 사망률이 일본보다 높은데 , 특히 결핵, 고혈압성 질환, 간 질환 및 교통사고의 경우 한국 생산활동연령층의 사망률이 두드러지게 높다 : (2)결핵, 간질환, 교통사고, 암사망이 한국의 소아에게서도 발생한다 : (3)한국의 생산활동연령층에서 간 질환, 결핵, 교통사고에 의한 성별 사망력 격차가 큰데, 남성의 사망률이 여성의 사망률보다 높기 때문이다 : (4)자살률이 한국생산활동연령층 남성의 경우 일본보다 낮고, 10대와 20대 여성의 자살률은 일본보다 높다 : (5)한국의 45세 미만에서는 사인에 따라 사별이나 이혼상태에서, 45세 이상에서는 모든 사인에 대해 남녀 모두 미혼상태에서 사망력이 가장 높다. : (6)한국은 사별상태에서, 일본은 이혼상태에서 성별 사망력 격차가 가장 크다.

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사회경제적 사망률 불평등 : 한국노동패널 조사의 추적 결과 (Socioeconomic Mortality Inequalities in Korea Labor & Income Panel Study)

  • 강영호;이상일;이무송;조민우
    • 보건행정학회지
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    • 제14권4호
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    • pp.1-20
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    • 2004
  • 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.

한국의 사망력 추계 : 통합 Lee-Carter 방법 (Mortality Forecasting for the Republic of Korea: the Coherent Lee-Carter Method)

  • 김수영
    • 한국인구학
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    • 제34권3호
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    • pp.157-177
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    • 2011
  • 이 연구에서는 한국의 사망력 추계를 위해 Li 와 Lee가 그룹 인구의 일관성 있는 사망력 추계를 위해 제안한 Coherent Lee-Carter방법을 일본, 타이완의 자료를 결합하여 적용하고, 이 방법의 적합을 검증하였으며, Lee-Carter방법을 각각 적용했을 때와의 결과를 비교하였다. 세 국가를 하나의 그룹으로 작성한 이 방법은 세 국가에 각각 Lee-Carter방법을 적용했을 때에 비해 타이완의 기대수명 증가를 가속시키고, 일본의 기대수명 증가를 감속시키면서, 2050년 세 국가의 기대수명 범위를 6.8세에서 3.0세로 감소시켰다. 한국의 경우는 남녀전체의 기대수명은 크게 변화시키지 않았으나, 65세 이상의 기대수명 증가를 가속화시키고, 65세 이하의 기대수명증가를 감속화 시켰으며, 남녀 기대수명 차이를 서서히 감소시켰다. 이 방법은 한 국가의 사망력 추계를 위해 사망환경이 유사한 국가의 사망력을 결합하는 것은 장기간의 사망력 수렴뿐만 아니라, 단기간의 사망력 추계의 적합도 향상, 연령별 사망력 감소 패턴의 보정 및 한 국가 내 세부 그룹 인구의 일관성 있는 사망력 추계에의 응용 등 여러 가지 장점이 있음을 시사한다.