Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

The Relationship between Regional Material Deprivation and the Standardized Mortality Ratio of the Community Residents Aged 15-64 in Korea

우리나라에서의 지역의 물질적 결핍수준과 15-64세 인구 표준화사망비의 관계

  • Jeong, Baek-Geun (Department of Preventive Medicine, College of Medicine, Gyeongsang National University) ;
  • Jung, Kap-Yeol (Department of Occupational Medicine, College of Medicine, Dong-A University) ;
  • Kim, Joon-Youn (Department of Preventive Medicine, College of Medicine, Dong-A University) ;
  • Moon, Ok-Ryun (Department of Health Policy, Graduate School of Public Health, Seoul National University) ;
  • Lee, Yong-Hwan (Department of Preventive Medicine, College of Medicine, Koshin University) ;
  • Hong, Young-Seoub (Department of Preventive Medicine, College of Medicine, Dong-A University) ;
  • Yoon, Tae-Ho (Department of Occupational & Preventive Medicine, College of Medicine, Busan National University)
  • 정백근 (경상대학교 의과대학 예방의학교실) ;
  • 정갑열 (동아대학교 의과대학 산업의학교실) ;
  • 김준연 (동아대학교 의과대학 예방의학교실) ;
  • 문옥륜 (서울대학교 보건대학원 보건정책학교실) ;
  • 이용환 (고신대학교 의과대학 예방의학교실) ;
  • 홍영습 (동아대학교 의과대학 예방의학교실) ;
  • 윤태호 (부산대학교 의과대학 예방의학 및 산업의학교실)
  • Published : 2006.01.31
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Abstract

Objectives: This study was performed to investigate the relationship between regional material deprivation and the standardized mortality ratios(SMRs) of community residents aged 15-64 in Korea. Methods: SMRs were investigated using the registered death data from 1995 to 2000 that was obtained from the Korean National Statistics Office with the denominators being drawn from the 1995 to 2000 census. Material deprivation was measured using the Townsend score that was calculated from the 1995 to 2000 census. The relationship between the regional material deprivation and the SMRs of the community residents aged 15-64 was investigated by using ANOVA, Spearman's rank correlation analysis and Pearson's correlation analysis. The trends in mortality inequality were investigated using the concentration index. Results: On the ANOVA, the SMRs of the men and women residents in the least deprived areas were the smallest and those in the most deprived areas were the largest. Spearman's rank correlation analysis, Pearson's correlation analysis and the concentration index revealed that significant positive relationships exist between the regional material deprivation and the SMRs of the community residents aged 15-64. Conclusions: This study suggests that there are mortality inequalities among the communities in Korea and part of this difference is due to the material deprivation of the community. Strategies aimed at reducing mortality inequalities among the communities will be needed to address economic inequalities. Further studies are needed to explore the mechanisms of how the regional deprivation influences on health and how the other factors of the community influence on the health of the community residents.

Keywords

References

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