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English Abstract
- Health Inequality Measurement in Korea Using EuroQol-5 Dimension Valuation Weights.
- Hosung Shin, Dongjin Kim
- J Prev Med Public Health. 2008;41(3):165-172.
- DOI: https://doi.org/10.3961/jpmph.2008.41.3.165
- 6,782 View
- 74 Download
- 6 Crossref
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Abstract
PDF - OBJECTIVES
Despite various government initiatives, including the expansion of national health insurance coverage, health inequality has been a key health policy issue in South Korea during the past decade. This study describes and compares the extent of the total health inequality and the income-related health inequality over time among Korean adults. METHODS: This study employs the 1998, 2001 and 2005 Korean National Health and Nutrition Examination Surveys (KNHANESs). The self-assessed health (SAH) ordinal responses, measured on a five-point scale, rescaled to cardinal values to measure the health inequalities with using interval regression. The boundaries of each threshold for the interval regression analysis were obtained from the empirical distribution of the EuroQol-5 Dimension (EQ-5D) valuation weights estimated from the 2005 KNHANES. The final model predicting the individuals' health status included age, gender, educational attainment, occupation, income, and the regional prosperity index. The concentration index was used to measure and analyze the health inequality. RESULTS: The KNHANES data showed an unequal distribution of the total health inequality in favor of the higher income groups, and this is getting worse over time (0.0327 in 1998, 0.0393 in 2001 and 0.0924 in 2005). The income-related health inequality in 2005 was 0.0278, indicating that 30.1% of the total health inequality can be attributed to income. CONCLUSIONS: The findings indicate there are health inequalities across the sociodemographic and income groups despite the recent government's efforts. Further research is warranted to investigate what potential policy actions are necessary to decrease the health inequality in Korea. -
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Citations
Citations to this article as recorded by
- Medical cost trends under national health insurance benefit extension in Republic of Korea
Jinha An, Sukil Kim
The International Journal of Health Planning and Management.2020; 35(6): 1351. CrossRef - Head-to-head comparison between the EQ-5D-5L and the EQ-5D-3L in general population health surveys
Marc Martí-Pastor, Angels Pont, Mónica Ávila, Olatz Garin, Gemma Vilagut, Carlos G. Forero, Yolanda Pardo, Ricard Tresserras, Antonia Medina-Bustos, Oriol Garcia-Codina, Juan Cabasés, Luis Rajmil, Jordi Alonso, Montse Ferrer
Population Health Metrics.2018;[Epub] CrossRef - The Influence of Depression on the Life Satisfaction of the Elderly with Hypertension
Hun-Hee Lee, Jung-Seo Lee, Gyeong-Nam Lee
Journal of the Korea Society of Computer and Information.2016; 21(8): 117. CrossRef - The Association between Economic Status and Depressive Symptoms: An Individual and Community Level Approach
Sun-Jin Jo, Hyeon Woo Yim, Myeong Hee Bang, Mi Ok Lee, Tae-Youn Jun, Jin-Sook Choi, Myung-Soo Lee, Won-Chul Lee, Yong-Moon Park
Psychiatry Investigation.2011; 8(3): 194. CrossRef - Gender, Socioeconomic Status, and Self-Rated Health in a Transitional Middle-Income Setting
Sam-ang Seubsman, Matthew James Kelly, Vasoontara Yiengprugsawan, Adrian C. Sleigh
Asia Pacific Journal of Public Health.2011; 23(5): 754. CrossRef - Discriminative capacity of the EQ-5D, SF-6D, and SF-12 as measures of health status in population health survey
Oriol Cunillera, Ricard Tresserras, Luis Rajmil, Gemma Vilagut, Pilar Brugulat, Mike Herdman, Anna Mompart, Antonia Medina, Yolanda Pardo, Jordi Alonso, John Brazier, Montse Ferrer
Quality of Life Research.2010; 19(6): 853. CrossRef
Original Articles- Health Effects from Odor Pollution in Sihwa Industrial Complex.
- Soo Hun Cho, Seong Woo Choi, Sun Mean Kim, Young Su Ju, Jae Yong Kim
- Korean J Prev Med. 1999;32(4):473-481.
- 2,968 View
- 35 Download
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Abstract
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- OBJECTIVES
In recent days, the problem of odor pollution in community near Sihwa Industrial complex, Kynuggi Province is becoming of significant public concern. We have investigated the health effects of the Sihwa residents from odor pollution comparing with other less polluted areas. METHODS: The Ansan and Kuri Cities were selected as control areas. The parents of the elementary and middle school students in these three areas were surveyed with structured questionnaire twice, Nov 1997 and June 1998 each. As a exposure index, the ambient air concentrations of five major air pollutants(particulates, O3, SO2, NO2, CO) and subjective odor perception were used. We have focused health outcomes such as the prevalence of nonspecific irritant symptoms, respiratory disease among family members and the score of quality of life(QOL). RESULTS: Although the mean concentrations of major air pollutants except particulates were similar or lower in Sihwa than other areas, the odor perception rate and the monthly odor perception days were significantly higher. It suggested that odor producing chemical compounds are the major source of environmental pollution problem. There were higher prevalence rates of nonspecific irritant symptoms and respiratory disease among family members in Sihwa than other control areas. The QOL score was also lower in Sihwa. The odor perception proved to be a most important factor in reporting adverse health effects and lowering the QOL score. CONCLUSION: The residents living near Sihwa industrial complex were suffering from more adverse health symptoms and poorer QOL status than control areas. And it may be due to environmental odor pollution from industrial complex. Therefore, further research will be needed for monitoring of the responsible chemicals emitted from industries. -
Summary
- Quality of Life(QOL), Life Satisfaction, and Its Determinents of the Physically Disabled in Taegu City .
- Youg Sook Lee, Keon Yeop Kim, Ki Soo Park, Jae Hee Son, Jong Young Lee
- Korean J Prev Med. 1998;31(3):503-515.
- 2,749 View
- 34 Download
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Abstract
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- In order to investigate the factors influencing QOL and life satisfaction of the physically disabled, the author interviewed, by using structuralized questionnaire, 440 individuals among the physically disabled who were participated in Health Examination from April to July, 1997. The questionnaire consisted of the general characteristics(sex, age, marital status, family number, etc), the Reintegration to Normal Living Index(RNLI) to assess QOL, and the single item of five-likert scale to evaluate life satisfaction. The means of RNLI were 16.2+/-4.8 in total score, 12.2+/-3.4 in daily functioning and 4.0+/-2.1 in perception of self. The respondents were less reintegrated toward social activities and relationships than impairments or disabilities. While the satisfied group was 47.3%, the dissatisfied group was 52.7%. As the results of multiple regression and logistic regression analysis, the significant predictors of QOL were age, education, job, grade of disability and subjective health status. The life satisfaction were related to economic status, job and subjective health status. To improve QOL and life satisfaction of the physically disabled, it is important that we improve their basic socioeconomic status by getting a job through rehabilitation education and induce them to have positive self-assessment by extending the opportunity of social participation.
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