보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제32권3호
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  • Pages.11-22
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  • 2015
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
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지역사회 사망률 관련 요인에 대한 생태학적 연구

An ecological study on factors associated with community mortality rates

  • 지태근 (인제대학원대학교) ;
  • 곽경화 (인제대학교 인간환경미래연구원) ;
  • 제갈정 (인제대학교 보건대학원) ;
  • 박민수 (인제대학교 보건대학원) ;
  • 김광기 (인제대학교 보건대학원)
  • Chi, Tae-Keun (Inje Institute of Advanced Studies) ;
  • Kwag, Kyung Hwa (Institute of Human, Environment and Future, Inje University) ;
  • Jekarl, Jung (Graduate School of Public Health, Inje University) ;
  • Park, Min Su (Graduate School of Public Health, Inje University) ;
  • Kim, Kwang Kee (Graduate School of Public Health, Inje University)
  • 투고 : 2015.08.10
  • 심사 : 2015.09.21
  • 발행 : 2015.09.30
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초록

Objectives: This study was to examine the influences of community characteristics on the mortality rates. Community characteristics included socioeconomic environmental characteristics, health care resources, and health lifestyle practice. Methods: This study used secondary data whose units of analyses were 249 administrative districts. Mortality rates were estimated with hierarchical regression models entered in the order of (1) socioeconomic environmental characteristics, (2) health care resources, and (3) health lifestyle practice. Results: About 70% of mortality rate was explained by socioeconomic environmental characteristics, health care resources, and health lifestyle practice. In particular, socioeconomic environmental characteristics showed the strongest impact on mortality rate. Among socioeconomic characteristics, community with lower rate of households headed with college or more, lower number of inhabitants per on-premise license, higher rate of population in poverty, and rural region showed higher mortality rate. Among health care resources, community with higher number of inhabitants per doctor and lower number of inhabitants per hospital bed showed higher mortality rate. Among health lifestyle practice, community with higher current smoking rate and lower moderate physical activity practice rate showed higher mortality rate. Conclusions: The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

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피인용 문헌

  1. Regional disparity of medical resources and its effect on age-standardized mortality rates in Korea pp.1432-0592, 2019, https://doi.org/10.1007/s00168-019-00897-z
  2. Health Effects of Air-Quality Regulations in Seoul Metropolitan Area: Applying Synthetic Control Method to Controlled-Interrupted Time-Series Analysis vol.11, pp.8, 2015, https://doi.org/10.3390/atmos11080868
  3. Regional Disparity in Adult Obesity Prevalence, and Its Determinants vol.46, pp.4, 2021, https://doi.org/10.21032/jhis.2021.46.4.410