• Health Policy and Management
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• v.18 no.4
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• pp.1-22
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• 2008

Burden of disease analysis provides a unique perspective on health by integrating fatal and non-fatal outcomes, yet allows the outcome of two classes to be examined separately. Although many studies have shown the inequality in health outcomes across socioeconomic status (SES), an analysis and comparison of Disability Adjusted Life Year (DALY) between different socioeconomic groups has been rare. This paper calculates the DALY and analyzes the distribution of DALYs for different SES. This study draws from 3,278 cases from the survey on "The Livelihood and Welfare Needs of the Elderly (2004)". It first provides a comprehensive assessment of the burden of 10 chronic diseases of the elderly based on DALY. Then this paper analyzes inequalities in the burden of disease by the levels of SES such as education, income, family size, occupation, and subjective economic conditions. For the elderly, the burden of disease is the highest for hypertension, arthritis and cancer. DALY rate per 1,000 people for the most socio-economically disadvantaged group is expressed as a multiple of the standardized rate for the least disadvantaged group (Rate Ratios). Family size is strongly related to. the difference in the burden of disease between SES groups, and the elderly Who live alone have higher DALY rate than those who live with their family. Other significant variables related to SES groups include subjective economic conditions, occupation, elderly income, and household income.

• The Journal of the Korea Contents Association
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• v.16 no.3
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• pp.596-606
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• 2016

The purpose of this study was to find out the factors influencing asthma, allergic rhinitis, and atopic dermatitis among Korean adolescents. Data of 72,060 adolescents aged 12 to 18 years were derived from the 10th Korean youth's risk web-based study, which was conducted in 2014. Multiple logistic regression analysis revealed that factors influencing asthma was sex, age, BMI, subjective socioeconomic status, smoking, and subjective perception of stress. Factors influencing allergic rhinitis was age, place of residence, subjective socioeconomic status, drinking, and subjective perception of stress. Factors influencing atopic dermatitis was sex, age, subjective socioeconomic status, drinking, and subjective perception of stress. In conclusion, regulatory policy of lifestyle, such as smoking and drinking adversely affect allergy related disease in adolescents strengthening comprehensive prevention education and stress management are probably the two need to be implemented at national side.

• Journal of Korean Academy of Nursing
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• v.49 no.1
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• pp.104-112
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• 2019

Purpose: This study aimed to identify types of quality of life (QoL) based on the 5 dimensions of EQ-5D and predict factors affecting types of QoL. Methods: This study was a secondary analysis using data from the Korean Health Panel Survey-II(2012). Participants were 2,071 middle-aged men who had completed the additional survey in 2012 and the data were analyzed using SPSS 20.0 and Mplus 5.21 for latent analysis. Results: Three latent classes of QoL were identified: serious (2.4% of the sample), threatened (15.5%), and stable types (82.0%). The types and characteristics of QoL among the latent classes differed. On comparing latent type 1 with latent type 2, the socioeconomic status (p<.05), employment status (p<.05), and subjective health status (p<.001) were found to be significant. On comparing latent type 1 with latent type 3, the socioeconomic status (p<.05), current smoking status (p<.001), and subjective health status (p<.001) were found to be significant. On comparing latent type 2 with latent type 3, the socioeconomic status (p<.05), subjective health status (p<.001), stress (p<.001) were found to be significant. Conclusion: The results showed significant heterogeneity in types of QoL and the predictors of QoL by types were different. These findings provide basic information for developing nursing interventions to improve QoL. Specific characteristics depending on the subtypes should be considered during the development of interventions.

• Journal of the Korea Convergence Society
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• v.9 no.9
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• pp.337-343
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• 2018

The study is investigated socioeconomic variations in perceived oral health status and contribution of oral health behavioral factors. A nationally representative sample (365 health and 1,787 unhealth aged 20 over years) from the 2015 Korea National Health and Nutrition Surveys was analyzed using logistic regression. Perceived oral health was lower among lower socioeconomic groups compared with higher socioeconomic groups. This association was increased when demo-socioeconomic factors and oral health behavioral were adjusted. When each oral health behavioral factor was considered separately, mediators such as smoking, frequency of tooth brushing and used oral care products or oral health examination explained a large part of the increased socioeconomic oral health status. Subjective bad oral health arise from different socioeconomic status, but this difference is increased by oral health behavioral factors. Therefore, socioeconomic inequity in perceived oral health status can be corrected more effectively by promotional oral health behaviors.

• Journal of Korean society of Dental Hygiene
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• v.19 no.4
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• pp.565-575
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• 2019

Objectives: In this study, both subjective and objective levels of oral health were used to identify the relationship between oral health inequalities. Methods: Korean National Health and Nutritional Examination Survey data from 2013 to 2015 were combined to create an analysis plan. Oral health questions categorized as subjective oral health conditions and oral health-related diseases used dental tissue disease status as data measured by the Community Periodical Index(CPI) and decayed, missing, filled teeth(DMFT) experience. Other data on oral health behaviors such as toothache experience, the frequency of toothbrush use, chewing problems, oral examination status, and unmet dental care needs were classified and analyzed according to the socioeconomic level. Data were analyzed using frequency and cross analyses, and the statistical significance level was set at 0.05. Results: It was found that higher the economic and educational level, better was the subjective oral health, lower the CPI, lower the experience of toothache, higher the frequency of toothbrush use, lower the number of people having chewing problems, and higher the frequency of oral checkups. Conclusions: Oral health inequality exists among social classes. It is suggested that continuous research and efforts be carried out to promote oral health while considering socioeconomic and educational levels. Further, active government efforts will be needed to address polarization by social class.

• Child Health Nursing Research
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• v.27 no.4
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• pp.309-316
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• 2021

Purpose: This study aimed to comprehensively explore the associations of socioeconomic status, parenting style, and grit with children's health behaviors. Methods: This was a cross-sectional study of 1,040 parents and their children using data from the 2018 Korean Children's Panel Survey. Socioeconomic status was measured in terms of household income and subjective socioeconomic status. Parenting style and grit and were measured using 62 and 8 items, respectively. Health behaviors were measured by assessing healthy eating habits, physical activity, and sedentary behavior. Results: Higher household income (β=.07, p=.018) and high maternal levels of an authoritative parenting style (β=.20, p<.001) were associated with higher compliance with healthy eating habits among children. Higher grit was associated with a higher number of weekly physical activity days (β=.08, p=.028) and sedentary behavior for <2 hours (odds ratio [OR]=1.04, 95% confidence interval [CI]=1.01-1.07) in children. A maternal permissive parenting style was associated with sedentary behavior for >2 hours on weekdays (OR=0.43, 95% CI=0.27-0.69). Conclusion: We suggest that when planning interventions to improve children's health behavior, it is essential to adopt a multifaceted approach that avoids practicing a maternal permissive parenting style, promotes an authoritative parenting style, and incorporates strategies to increase children's grit.

• Journal of Preventive Medicine and Public Health
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• v.43 no.1
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• pp.50-61
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• 2010

Objectives: The study is investigated socioeconomic variations in self-rated health status and contribution of health behavioral factors in Korea. Methods: A nationally representative sample (2,800 men and 3,230 women aged 20-64 years) from the 2005 Korea National Health and Nutrition Surveys was analyzed using logistic regression. Results: Self-rated health was lower among lower socioeconomic groups compared with higher socioeconomic groups, with gender being irrelevant. This association was attenuated when health behavioral and socio-demographic factors were adjusted. When each health behavioral factor was considered separately, mediators such as smoking in men, and stress or exercise in women explained a large part of the decreased socioeconomic health inequalities. Conclusions: In Korea, subjective health inequalities arise from different socioeconomic status, but this difference is decreased by health behavioral factors. Therefore, socioeconomic inequity in self-rated health status can be corrected more effectively by promotional health behaviors.

• Journal of Preventive Medicine and Public Health
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• v.42 no.5
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• pp.305-314
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• 2009

Objectives : The physical activity of Korean adolescents and its distribution based on social characteristics have not yet been fully assessed. This study intends to reveal the distribution of physical activity by its subgroups and offer possible explanatory variables. Methods : The 3rd Korea Youth Risk Behavior Web-based Survey was analyzed for this study. The appropriateness of physical activity was defined by Korea s Health Plan 2010 and physical inactivity was assessed independently. Family affluence scale, parents education levels, subjective economic status, grade, and school location were considered explanatory variables. All statistical analysis was conducted using SAS ver. 9.1. Results : The proportion of participants engaging in vigorous physical activity was high in males (41.6%), at a low grade (38.5%), within the high family affluence scale group (35.5%). The distribution of participants engaging in moderate physical activity showed similar patterns, but the overall proportion was lower (9.8%). Low family affluence and students with lower subjective economic status reported a higher prevalence of physical inactivity. In multiple logistic regression analysis for physical activity, significant factors included family affluence scale (p<0.05). For physical inactivity, family affluence scale, parents education levels, and subjective economic status were included as significant factors (p<0.05). Conclusions : The results suggest that the physical activity and inactivity of adolescents may be affected by socioeconomic variables, such as family affluence scale. This implies the need to take proper measures to address these socio-economic inequalities.

• Journal of Community Nutrition
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• v.8 no.1
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• pp.38-43
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• 2006

There were numerous evidences that subjective health evaluation was a powerful indicator for morbidity and mortality in many countries. Since self-rated health (SRH) was a reasonable health measure, identifying predictors for SRH would be beneficial for assessment of overall health, monitoring health status, and development of health promotion programs. Health risks, health behavior, socioeconomic characteristics and social capital were potential indicators for SRH. We examined association. between SRH and indicators such as health risk factors, subjective living condition, income, education level and dietary variety score. Total 4,262 subjects, aged between 20 and 69 years old, were selected from KNHANES 2001; those who completed health examination, nutrition survey, and provided their socioeconomic information. Results of logistic regression showed that it was likely to have better SRH for those who were younger, male and have higher education, higher income, better living condition, no metabolic syndrome and higher dietary variety.

• Korean Journal of Health Education and Promotion
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• v.21 no.4
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• pp.75-97
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• 2004

Objectives: To examine whether the socioeconomic characteristics of communities (contextual effects) are related to the self-rated health of community residents after controlling individual characteristics (compositional effects). Methods: A linked data set including information on individuals from raw data of 1998 Korean National Health and Nutrition Survey(KNHNS) and information on the regions where the individuals lived from the socioeconomic statistical indices of Si-Gun-Gu (city-county-ward) in 1998 was established. The contextual factors of communities were generated from these socioeconomic indices through factor analysis. The contextual effects of community over and above the individual characteristics on the self-rated health were investigated using multilevel analysis. Results: The contextual factors of the community expressed as the factor scores have influence on the self-rated health of their residents above the compositional factors. When the communities were categorized into 5 groups (highest, high, middle, low, lowest) according to each of their factor scores, for factor 1 reflecting urbanization reversely, the residents of the communities that had the high, middle, and low factor scores showed significantly poor subjective health status than the residents of the lowest (most urbanized) group. For factor 2 reflecting community services and health resources, the subjective health status of the residents gradually became poorer when the group went from the highest to the lowest, and the low and lowest groups showed a significant difference. For factor 3 reflecting the manufacturing industry, as compared with the communities that have the highest factor scores, the other 4 groups showed significantly poorer subjective health status. And for factor 4 reflecting the scale of the regional government, as compared with the middle group, the rest of the 4 groups showed significantly better self-rated health. Conclusions: There existed regional contextual effects on their residents' health in Korean adults. To make policies tackling these contextual effects possible, more elaborate researches to find more specific factors and to explain the mechanisms of how health is influenced by the contextual factors are needed.