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http://dx.doi.org/10.14367/kjhep.2015.32.3.11

An ecological study on factors associated with community mortality rates  

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)
Publication Information
Korean Journal of Health Education and Promotion / v.32, no.3, 2015 , pp. 11-22 More about this Journal
Abstract
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.
Keywords
Community; Mortality rate; Socioeconomic characteristics; Health care resources; Health lifestyle practice;
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