Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Typology of Community Health Vulnerabilities and Their Effects on Health Status by Type-Using Community Health Survey

지역의 건강결정요인 취약성 유형화 및 유형별 건강수준의 차이

  • Received : 2021.03.16
  • Accepted : 2021.06.28
  • Published : 2021.09.30
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Abstract

Purpose: This study examined health determinants at a community level and put forward to a typology of five different forms of community health vulnerabilities. We also investigated the differences in the prevalence of chronic diseases, self-rated health, and quality of life (EQ-5D) among the five types. Methods: Latent class analysis was applied to material, social capital, and health behavior vulnerability variables across 255 regions of South Korea. The data came from 2017 & 2019 Community Health Survey. Results: We found five types of community health vulnerabilities: Type 1 group had the highest material vulnerabilities compared to Type 5. The typology was found to be significant in all the regression analysis on the prevalence of chronic diseases (hypertension and diabetes), self-rated health status, and quality of life. In the regions with high material vulnerabilities, the material vulnerability appeared the most effective to the health status of individual's. In the other regions with less material vulnerabilities, the social capital and health behavior resources were found to be effective. Conclusion: A comprehensive measure of vulnerability can be helpful to understand community health. Policy makers need to consider the level of material vulnerability when planning for a health promotion project.

Keywords

Acknowledgement

본 연구는 국민건강증진기금의 재원으로 질병관리청 만성질환관리과의 지원을 받아 수행된 연구임(ISSN 2733-5488).

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