Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Effects of the Parents' Social Class on Infant and Child Death among 1995-2004 Birth Cohort in Korea

우리나라의 1995-2004년도 출생코호트에서 부모의 사회계급이 영아사망률과 소아사망률에 미치는 영향

  • 오주환 (서울대학교 보건대학원) ;
  • 최용준 (한림대학교 의과대학 사회의학교실) ;
  • 공정옥 (강원대학교 의과대학 예방의학교실) ;
  • 최지숙 (강원대학교 의과대학 예방의학교실) ;
  • 진은정 (강원대학교 의과대학 예방의학교실) ;
  • 정성태 (강원대학교 의과대학 예방의학교실) ;
  • 박세진 (서울대학교 보건대학원) ;
  • 손미아 (강원대학교 의과대학 예방의학교실)
  • Published : 2006.11.30
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Abstract

Objectives : To investigate the effect of parents' social class on infant and child mortality rates among the birth cohort, for the period of transition to and from the Koran economic crisis 1995-2004. Methods : All births reported to between 1995 and 2004 (n=5,711,337) were analyzed using a Cox regression model, to study the role of the social determinants of parents in infant and child mortality. The results were adjusted for the parents' age, education and occupation, together with mother's obstetrical history. Results. The crude death rate among those under 10 was 3.71 per 1000 births (21,217 deaths among 5,711,337 births) between 1995 and 2004. The birth cohorts from lower educated parents less than elementary school showed higher mortality rates compared with those from higher educated parents over university level (HR:3.0 (95%CI:2.8-3.7) for father and HR:3.4 (95%CI:3.3-4.5) for mother). The mother's education level showed a stronger relationship with mortality among the birth cohort than that of the fathers. The gaps in infant mortality rates by parents' social class, and educational level became wider from 1995 to 2004. In particular, the breadth of the existing gap between higher and lower parents' social class groups has dramatically widened since the economic crisis of 1998. Discussions : This study shows that social differences exist in infant and child mortality rates. Also, the gap for the infant mortality due to social class has become wider since the economic crisis of 1998.

Keywords

References

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