• Title/Summary/Keyword: sex differentials in mortality

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

  • 박경애
    • Journal of Families and Better Life
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    • v.10 no.2
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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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Sex Preference and Sex Differentials in Child Mortality: A Comparative Analysis of Koreans, Hans and Dais in China (성선호에 따른 유아의 성별 차별사망력: 중국의 조선족, 한족과 다이족의 비교분석)

  • 김두섭
    • Korea journal of population studies
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    • v.23 no.2
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    • pp.143-166
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    • 2000
  • This paper attempts to explore the relation between health care availability and child mortality among ethnic groups with different cultural traditions of sex preference. Micro-data from the 1990 Census of China for Yanbian and Xishuangbanna Prefectures are used. Based on the analysis of data for Koreans, Hans, and Dais in these prefectures, a new model explaining the relation between sex preference, health care. and differentials in child mortality is proposed in this paper. In societies, where health care is easily available, the level of child mortality is not likely to be a function of sex preference. In societies where there is little availability of health care, members of ethnic groups with strong sex preference do whatever possible to assure survival of their children of the preferred sex. But actions to assure survival of children of the sex not preferred by their parents depend on the costs involved and other considerations. Therefore, the level of child mortality for the preferred sex is likely to be substantially lower than that of the not-preferred sex. However, as availability of health care improves and the cost of obtaining health care becomes lower, survival of children of the not-preferred sex are likely to improve. It is generally agreed that Koreans and Hans show strong son preference, while Dais have cultural traditions of daughter preference. In Yanbian, where virtually all children receive health care whenever it is needed, Korean females and Han females show lower child mortality than their male counterparts, although the difference is not found to be significant for Koreans. In Xishuangbanna, where there is little availability of health care, Dai males show markedly higher child mortality than Dai females, and Han females have higher child mortality than Han males. However, small improvements in the availability of health care in Xishuangbanna translate into substantial improvements in survival of male children for Dais, and survival of female children for Hans.

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

  • 윤덕중;김태헌
    • Korea journal of population studies
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    • v.12 no.2
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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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An Empirical Review of the Relationship between Schooling and Demand for Children on the Basis of Quantity-Quality Interaction Model (자녀교육과 수요간의 상관관계에 관한 실증적 고찰)

  • Chang-Jin Moon
    • Korea journal of population studies
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    • v.11 no.1
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    • pp.197-203
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    • 1988
  • In order to examine cause-specific mortality in Korea by comparing mortality of Japan, various mortality indicators are calculated using 1995 of ficial statistics of twonations. The mortality measures are cause-specific mortality rate by sex, age, andmarital status, cause-specific age-standardized death rate and potential years of lifelost, and their ratios by sex and nation. Items of major causes of death include allcauses (total deaths),tuberculosis, malignant neoplasm, diabetes mellitushypertensive diseases, heart diseases, cerebrovascular diseases, liver diseasestransport accidents, and suicide. Major characteristics of mortality in Korea are asfollows . (1) Death rates from most causes except suicide are higher in Korea thanJapan and especially death rates from tuberculosis, hypertensive diseases, liverdiseases, and transport accidents are higher for economically active Koreans : (2)Death rates from tuberculosis, liver diseases, transport accidents, and malignantneoplasm are salient for Korean children (3) Sex-differentials in mortality fromliver diseases, tuberculosis , and transport accidents are large for economically activeKoreans, because male mortality is higher than female mortality : (4) Suicide ratesare lower for economically active males, and higher for females aged 10s and 20s inKorea than Japan : (5) Death rates are highest f3r divorced or widowed under 45years of age depending on causes, but death rates from all causes are highest fornever-married of the age 45 and over in Korea : and (6) Sex-differentials inmortality are greatest for widowed in Korea and for divorced in Japan.

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

  • Khang Young-Ho;Lee Sang-Il;Lee Moo-Song;Jo Min-Woo
    • Health Policy and Management
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    • v.14 no.4
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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.

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

  • Kim, Soo-Young
    • Korea journal of population studies
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    • v.34 no.3
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    • pp.157-177
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    • 2011
  • This paper examines the performance of the coherent Lee-Carter method for the mortality forecasting for the Republic of Korea combined with Japan and the Taiwan Province of China as a group by comparing it with the separately applied Lee-Carter method. It narrowed the gap of life expectancies between three countries from 6.8 years to 3.0 years in 2050, with higher life expectancy forecasts for the Taiwan Province of China and lower ones for Japan than with the separate forecast. This method did not affect the sex-combined life expectancy forecast for the Republic of Korea, but it accelerated the mortality decline for ages 65 and over and decelerated it for the younger age groups, diminishing sex differentials of life expectancy at a slower speed. It suggests that the integration of regional mortality information into mortality forecasting of one country gives several advantages in terms of short run fit within each country as well as long run convergence between countries, a modification of the age pattern of mortality decline, and a consistent application of the forecasting of subgroups within a country.