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논문 상세정보

한국 건강불평등의 현황과 문제점

Health Inequalities in Korea: Current Conditions and Implications


Objectives : The aim of this study is to summarize the current conditions and implications of health inequalities in South Korea. Methods : Through a literature review of empirical studies and supplementary analysis of the data presented in the 1998, 2001, and 2005 KNHANEs, we evaluated the extent and trends of socioeconomic inequalities in both health risk factors, such as smoking, physical activity, and obesity, and outcomes, such as total mortality, subjective poor health status by self-reports and metabolic syndrome. Relative risks and odds ratios were used to measure differences across socioeconomic groups, and the relative index of inequality was used to evaluate the changes in inequalities over time. Results : We found clear inequalities to various degrees?in most health indicators. While little change was observed in mortality differences over time, the socioeconomic gaps in risk factors and morbidity have been widening, with much larger differences among the younger population. Conclusions : Socioeconomic inequalities are pervasive across various health indicators, and some of them are increasing. The trends in socioeconomic inequalities in health should be carefully monitored, and comprehensive measures to alleviate health inequalities are needed, especially for young populations.

참고문헌 (64)

  1. 1. Kang SW, Shin YS, Lee TJ, Kang EJ, Kim TW, Choi HS, Lim WS. A Study on Social Polarization in Korea. Korea Institute for Health and Social Affairs; 2006 (Korean) 
  2. 2. Chang SH. Do the 'New Poverty' exist in Korea? In: Korea Center for City and Environment Research. New Poverty in Korea. Hanyoul; 2006 (Korean) 
  3. 3. Kim YS. Flexibility of Labour Market and Precarious Work. Korea Labour and Society Institute; 2004 (Korean) 
  4. 4. Jun WO, Sung EM, Son JS, Hong WP. Social Security for Precarious Work. Progressive Politics Institute; 2006 (Korean) 
  5. 5. Chang SS. Inequality of educational opportunity in Korea: Then effects of family background on educational attainment. Korean Sociol 2000; 34(3): 671-708 (Korean) 
  6. 6. Phang HN, Kim KH. Trends and differentials in educational stratification in Korea. Korean J Sociol 2003; 37(4): 31-65 (Korean) 
  7. 7. Kim KK. Educational disparities in Korea and its related factors. Korean Sociol Edu 2005; 15(3): 1-27 (Korean) 
  8. 8. Phang HN, Kim KH. Opportunity and inequality: Educational stratification in Korea. Korean J Sociol 2002; 36(4): 193-222 (Korean) 
  9. 9. Peter F, Evans T. Ethical dimensions of health equity. In: Evans T, Whitehead M, Diderichsen F, Bhuiya A, Wirth M, Editors. Challenging Inequities in Health: From Ethics to Action. New Yark: Oxford University Press; 2001 
  10. 10. Whitehead M. The concepts and principles of equity and health. WHO regional office for europe 1989. [cited 2007 Aug 14]; Available from: URL:http://www.euro.who.int/Document/PAE/conceptsrpd414.pdf 
  11. 11. Braveman P. Monitoring equity in health : A Policy-Oriented Approach in Low- and Middle-Income Countries. Geneva: World Health Organization; 1998 
  12. 12. Mackenbach JP, Bakker MJ, Kunst AE, Diderichsen F. Socioeconomic Inequalities in Health in Europe: An Overview. In: Mackenbach JP, Bakker M, editors. Reducing Inequalities in Health : A European Perspective. London: Routledge; 2002 
  13. 13. Song YM, Byeon JJ. Excess mortality from avoidable and non-avoidable causes in men of low socioeconomic status: A prospective study in Korea. J Epidemiol Community Health 2000; 54(3): 166-172 
  14. 14. Khang YH, Kim HR. Relationship of education, occupation, and income with mortality in a representative longitudinal study of South Korea. Eur J Epidemiol 2005; 20(3): 217-220 
  15. 15. Khang YH, Kim HR. Explaining socioeconomic inequality in mortality among South Koreans: an examination of multiple pathways in a nationally representative longitudinal study. Int J Epidemiol 2005; 34(3): 630-637 
  16. 16. Khang YH, Kim HR. Socioeconomic mortality inequality in Korea: mortality follow-up of the 1998 National Health and Nutrition Examination Survey (NHANES) data. J Prev Med Public Health 2006; 39(2): 115-122 (Korean) 
  17. 17. Khang YH, Lynch JW, Kaplan GA. Health inequalities in Korea: Age-and sex-specific educational differences in the 10 leading causes of death. Int J Epidemiol 2004; 33(2): 299-308 
  18. 18. Khang YH, Lynch JW, Yun S, Lee SI. Trends in socioeconomic health inequalities in Korea: Use of mortality and morbidity measures. J Epidemiol Community Health 2004; 58(4): 308-314 
  19. 19. Son M, Armstrong B, Choi JM, Yoon TY. Relation of occupational class and education with mortality in Korea. J Epidemiol Community Health 2002; 56(10): 798-799 
  20. 20. Son M. The relationships of occupational class, education level and deprivation with mortality in Korea. J Prev Med Public Health 2002; 35(1): 76-82 (Korean) 
  21. 21. Kim KH, Lee KH, Lee SM, Lee SY, Lee YS, Lim KR, Chang JE, Cho SW, Choi EH, Chung ST, Jin E, Son M. The proportional mortality ratios of specific cause mortality by occupation and education among men aged 20-64 in Korea (1993-2004). J Prev Med Public Health 2007; 42(1): 7-15 (Korean) 
  22. 22. Yoon TH. The relationship between social class distribution and mortality. Korean J Health Policy Admin 2003; 13(4): 99-114 (Korean) 
  23. 23. Song YM, Smith GD, Sung J. Adult height and cause-specific mortality: A large prospective study of South Korean men. Am J Epidemiol 2003; 158(5): 479-485 
  24. 24. Khang YH, Yun SC, Hwang IA, Lee MS, Jo MW, Lee MJ. Changes in mortality inequality in relation to the south Korean economic crisis: Use of area-based socioeconomic position. J Prev Med Public Health 2005; 38(3): 359-365 (Korean) 
  25. 25. Jeong BG, Jung KY, Kim JY, Moon OR, Lee YR, Hong YS, Yoon TH. The relationship between regional material deprivation and the standardized mortality ratio of the community residents aged 15-64 in Korea. J Prev Med Public Health 2006; 39(1): 46-52 (Korean) 
  26. 26. Kim MH, Subramanian SV, Kawachi I, Kim CY. Association between childhood fatal injuries and socioeconomic position at individual and area levels: a multilevel study. J Epidemiol Community Health 2007; 61(2): 135-140 
  27. 27. Song YM, Ferrer RL, Cho SI, Sung J, Ebrahim S, Davey Smith G. Socioeconomic status and cardiovascular disease among men: The Korean national health service prospective cohort study. Am J Public Health 2006; 96(1): 152-159 
  28. 28. Choe MK. Sex differentials in infant and child mortality in Korea. Soc Biol 1987; 34(1-2): 12-25 
  29. 29. Kim TH. Changing determinants of infant and child mortality: On the basis of the Korean experience, 1955-73. J Biosoc Sci 1988; 20(3): 345-355 
  30. 30. Son M, Oh J, Choi YJ, Kong JO, Choi J, Jin E, Jung ST, Park SJ. The effects of the parents' social class on infant and child death among 1995-2004 birth cohort in Korea. J Prev Med Public Health 2006; 39(6); 469-476 (Korean) 
  31. 31. Idler EL, Benyamini Y. Self-rated health and mortality. J Health Soc Behav 1997; 38(1): 21-37 
  32. 32. Ohrr HC, Jee SH, Kim IS. Self rated health and mortality in elderly-Kangwha cohort, 8-year follow up. Korean J Epidemiol 1994; 16(2): 172-180 (Korean) 
  33. 33. Eckel RH, Grudy SM, Zimmet PZ. The metabolic syndrome. Lancet 2005; 365(9468): 1415-1428 
  34. 34. Brunner EJ, Marmot MG, Nanchahal K, Shipley MJ, Stansfeld SA, Juneja M, Alberti KG. Social inequality in coronary risk: Central obesity and the metabolic syndrome. Evidence from the Whitehall II study. Diabetologia 1997; 40(11): 1341-1349 
  35. 35. Din-Dzietham R, Liao D, Diez-Roux A, Nieto FJ, Paton C, Howard G, Brown A, Camethon M, Tyroler HA. Association of educational achievement with pulsatile arterial diameter change of the common carotid artery: The Atherosclerosis Risk in Communities (ARIC) Study, 1987-1992. Am J Epidemiol 2000; 152(7): 617-627 
  36. 36. Jee SH, Jo IH, Yun JE, Sui JW, Kim IS. Smoking and cause of death in Korea: 11 years follow-up prospective study. Korean J Epidemiol 2005; 27(1): 182-190 (Korean) 
  37. 37. CDC. Reducing the Health Consequences of Smoking: 25 years of Progress a Report of the Surgeon General. Atlanta: US Department of Health and Human Service, CDC; 1989 
  38. 38. Blair SN, Kohl HW, Barlow CE, Paffenbarger RS, Gibbons LW, Macca CA. Changes in physical fitness and all-cause mortality. JAMA 1995;273(14): 1093-1098 
  39. 39. US Department of Health and Human Service. Physical Activity and Health: A Report of the Surgeon General. Atlanta: US Department of Health and Human Service, CDC; 1996 
  40. 40. Jee SH, Pastor-Barriuso R, Appel LJ, Miller ER, Guallar E. Body mass index and incident ischemic heart disease in south Korean men and women. Am J Epidemiol 2005; 162(1): 42-48 
  41. 41. Sea MK, Kim HR, Sea DW, Sun WD, Shin YJ, Choi EJ, Choi JS, Hwang NM. Establish of New Health Plan 2010. Ministry of Health and Welfare and Korea Institute for Health and Social Affairs; 2005 (Korean) 
  42. 42. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 2002; 106(25): 3143-3421 
  43. 43. Harper S, Lynch JW. Measuring Health Inequalities. In: Oakes JM, Kaufman JS, editors. Methods in Social Epidemiology. San Francisco: Jossey-Bass; 2006 
  44. 44. Mackenbach JP, Kunst AE. Measuring the magnitude of socioeconomic inequalities in health : An overview of available measures illustrated with two examples from Europe. Soc Sci Med 1997; 44(6): 757-771 
  45. 45. The Korea society for equity in health. Practical measuring of health inequality. The Korea society for equity in health; 2007. [cited 2007 Aug 1]; Available from: URL: http://www.healthequity.or.kr/(Korean) 
  46. 46. Kim HR. The relationship of socioeconomic position and health behaviors with morbidity in Seoul, Korea. Health Soc Welf Rev 2005; 25(2): 3-35 (Korean) 
  47. 47. Lee MS. Health inequalities among Korean adults-socioeconomic status and residential area differences. Korean J Sociol 2005; 39(6): 183-209 (Korean) 
  48. 48. Kim CY, Kim MH. Inequality in Health Status and Health Care Access. In: Choi JS, Editors. Analysis of Major Morbidity and Health Behaviors in Korean-results from 2001 KNHANEs. Ministry of Health and Welfare and Korea Institute for Health and Social Affairs; 2003 (Korean) 
  49. 49. Kim MH, Kim MK, Choi BY, Shin YJ. Educational disparities in the metabolic syndrome in a rapidly changing society- the case of South Korea. Int J Epidemiol 2005; 34(6): 1266-1273 
  50. 50. Park MJ, Yun KE, Lee GE, Cho HJ, Park HS. A cross-sectional study of socioeconomic status and the metabolic syndrome in Korean adults. Ann Epidemiol 2007; 17(4): 320-326 
  51. 51. Paek KW, Chun KH, Jin KN, Lee KS. Do health behaviors moderate the effect of Socioeconomic status on metabolic syndrome? Ann Epidemiol 2006; 16(10): 756-762 
  52. 52. Brunner EJ, Hemingway H, Walker BR, Page M, Clarke P, Juneja M, Shipley MJ, Kumari M, Andrew R, Seckl JR, Papadopoulos A, Checkley S, Rumley A, Lowe GD, Stansfeld SA, Marmot MG. Adrenocortical, autonomic, and inflammatory causes of the metabilic syndrome: Nested case-control study. Circulntion 2002; 106(21): 2659-2665 
  53. 53. Ministry of Health and Social Welfare. 2006 Smoking Rate Survey Results. Ministry of Health and Welfare; 2006 (Korean) 
  54. 54. Lahelma E, Rahkonen O, Berg MA, Helakorp S, Prattala R, Puska P, Uutela A. Changes in health status and health behavior among Finnish adults 1978-1993. Scand J Work Environ Health 1997; 23(suppl 3): 85-90 
  55. 55. Peltonen M, Huhtasaari F, Stegmayr B, Lundberg V, Asplund K. Secular trends in social patterning of cardiovascular risk factor levels in Sweden. The Northern Sweden MONICA study 1986-1994. J Intern Med 1998; 244(1): 1-9 
  56. 56. Osler M, Gerdes LU, Davidsen M, Bronnum-Hansen H, Madsen M, Jorgensen T, Schroll M. Socioeconomic status and trends in risk factors for cardiovascular diseases in the Danish MONICA population, 1982-1992. J Epidemiol Community Health 2000; 54(2): 108-113 
  57. 57. Cho HJ, Song YM, Davey Smith G, Ebrahim S. Trends in socioeconomic differentials in cigarette smoking behavior between 1990-1998: A large prospective study in Korean men. Public Health 2004; 118(8): 553-558 
  58. 58. Khang YH, Cho HJ. Socioeconomic inequality in cigarette smoking: Trends by gender, age, and socioeconomic position in South Korea, 1989-2003. Prev Med 2006; 42(6): 415-422 
  59. 59. Khang YH, Kang MA, Kim MH, Kim YM, Shin YJ, Yoo WS, Yoon TH, Jang SN, Jeong BG, Jungchoi KH, Cho SI, Cho HJ, Choi YE, Choi YJ, Heo SI. Developing Indicatiors of Equity in Health and Monitoring Magnitude of Socioeconomic Inequalities in Health. Korea Institute for Health and Social Affairs; 2006 (Korean) 
  60. 60. Ford ES, Merritt RK, Heath GW, Powell KE, Washbum RA, Kriska A, Haile G. Physical activity behaviors in lower and higher socioeconomic status populations. Am J Epidemiol 1991; 133(12): 1246-1256 
  61. 61. Yoon TH, Moon OR, Lee SY, Jeong BG, Kim NS, Jhang WK. Differences in health behaviors among the social strata in Korea. Korean J Prev Med 2000; 33(4): 469-476 (Korean) 
  62. 62. Yang YJ, Yoon YS, Oh SW, Lee ES. The amount of physical activity of Korean adults measured from the 2001 KNHANES. J Korean Acad Fam Med 2005; 26(1): 22-30 (Korean) 
  63. 63. Yoon YS, Oh SW, Park HS. Socioecomic status in relation to obesity and abdominal obesity in Korean adults; A focus on sex differences. Obestiy 2006; 14(5): 909-919 
  64. 64. Monteiro CA, Moura EC, Conde WL, Popkin BM. Socioeconomic status and obesity in adult population of developing countries: A review. Bull World Health Organ 2004; 82(12): 940-946 


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