Browse > Article
http://dx.doi.org/10.4332/KJHPA.2009.19.2.085

The Difference of Health According to employment Status and Income Level of Wage-Earners  

Woo, Hye-Kyung (National Cancer Center)
Moon, Ok-Ryun (Department of Health Services Administration, Inje Institute of Advanced Studies)
Park, Jong-Hyock (National Cancer Center)
Publication Information
Health Policy and Management / v.19, no.2, 2009 , pp. 85-110 More about this Journal
Abstract
The aim of this study was to examine whether health status is different according to employment status and income level in wage-earners. We analyzed wage-earners of 2199 men and 1194 women aged 30-64 years, using data from the 2006 Korean Labor and Income Panel Study(KLIPS). The difference of health status according to employment status and income level was compared with the multiple logistic regression and the standardized concentration index of ill-health. The risk of ill-health was high when waged-earners had low income. The same is true for poor employment status when their employment status was unstable as in manual laborers, irregular workers, temporary, daily workers or part-time workers. furthermore, the wage-earners with lower income and a relatively disadvantageous employment status showed the lowest health status compared to other groups. Ill-health was relatively more concentrated in lower income group and poor employment status. This study identified the existence of health inequality among various employment status of wage-earners. It is suggested that policies that deal with the inequality in social class may have an important impact on the health of the population.
Keywords
health inequality; wage-earner; income; employment status;
Citations & Related Records
Times Cited By KSCI : 8  (Citation Analysis)
연도 인용수 순위
1 Van Doorslaer E, Wagstaff A, Bleichrodt H, Calonge S, Gerdtham UG, Gerfin M, et al. Income-related inequalities in health: some international comparisons. J Health Econ 1997;16(1):93-112   DOI   ScienceOn
2 Khang YH, Kim HR. Relationship of education, occupation, and income with mortality in a representative longitudinal study of South Korea. Eur J Epidemiol 2005;20(3):217-20   DOI   ScienceOn
3 강영호, 이상일, 이무송, 조민우. 사회경제적 사망률 불평등: 한국노동패널 조사의 추적결과. 보건행정학회지 2004;14(4):1-20   과학기술학회마을   DOI
4 강영호, 김혜련, 우리 나라의 사회경제적 사망률 불평등: 1998년도 국민건강영양조사 자료의 사망추적 결과. 예방의학회지 2006;39(2):115-122   과학기술학회마을
5 남재량, 성재민, 이상호, 최효미, 신선옥, 배기준. 한국노동패널 1-9차년도 조사자료 User's Guide/Code Book. 서울: 한국노동연구원; 2008
6 김일호, 백도명, 조성일. 비정규직 근로가 건강에 미치는 영향. 예방의학회지 2005;38(3): 337-344   과학기술학회마을
7 금재호, 여성노동시장의 현상과 과제. 서울: 한국노동연구원; 2002
8 권순석, 김상용, 임정수, 손석준, 최진수. 자가건강인지도에 따른 3년간의 의료이용도와 사망위험 비교. 예방의학회지 1999;32(3):355-360   과학기술학회마을
9 박진욱, 한윤정, 김승섭. 고용형태의 변화에 따른 건강불평등. 예방의학회지 2007;40(5): 388-396   과학기술학회마을   DOI
10 보건복지부, 2006년도 최저생계비 개정 공표(안). 서울; 보건복지부: 2005
11 손미아. 직업, 교육수준 그리고 물질적 결핍이 사망률에 미치는 영향. 예방의학회지 2002; 35(1):76-82   과학기술학회마을
12 이덕희, 김창엽. 건강상태와 노동시장 성과의 이중인과관계에 대한 연구. 한국노동패널 학술 대회 논문집Ⅱ. 서울: 한국노동연구원; 2003
13 이병희, 김혜원, 황덕순, 김동현, 김영미, 김우영. 고용안전망과 활성화 전략 연구. 서울: 한국노동연구원; 2008
14 윤태호. 사회계급 분포와 사망률과의 연관성. 보건행정학회지 2003;13(4):99-114   과학기술학회마을   DOI
15 우혜경, 문옥륜. 주관적 건강상태에 따른 사망률 차이. 보건행정학회지 2008;18(4):49-65   과학기술학회마을   DOI
16 지선하, 오희철, 김일순. 노인 스스로 인지한 건강상태와 사망률에 관한 연구: 강화코호트 연구. 한국역학회지 1994;16(2):172-180
17 노대명, 최승아. 한국 근로빈곤층의 소득․고용실태 연구. 서울: 한국보건사회연구원; 2004
18 통계청. 경제활동인구 부가조사(근로형태별, 비임금근로) 결과. 대전; 통계청: 2008.
19 통계청. 2009년 1월 고용동향. 대전; 통계청: 2009
20 한국건강형평성학회. 건강형평성 측정 방법론. 서울: 한울아카데미; 2007
21 문옥륜, 이규식, 이기효, 장동민, 이해종, 김창엽 등. 의료서비스의 배분적 정의. 서울: 서울 대학교 출판부; 1999
22 Geyer S, Hemstrom O, Peter R, Vagero D. Education, income, and occupational class cannot be used interchangeably in social epidemiology. Empirical evidence against a common practice. J Epidemiol Community Health 2006;60(9):804-810   DOI   ScienceOn
23 이승렬. 노동자의 건강상태와 노동시장 성과: 실증적 연구. 서울: 한국노동연구원; 2007
24 Idler EL, Benyamini Y. Self-rated health and mortality: A review of twenty-seven community studies. J Health Soc Behav 1997;38(1): 21-37   DOI   ScienceOn
25 Kim IH, Muntaner C, Khang YH, Paek D, Cho SI. The relationship between nonstandard working and mental health in a representative sample of the South Korean population. Soc Sci Med 2006;63(3):566-574   DOI   ScienceOn
26 Kim IH, Khang YH, Muntaner C, Chun H, Cho SI. Gender, Precarious Work, and Chronic Diseases in South Korea. Am J Ind Med. 2008;51(10):748-57   DOI   ScienceOn
27 Mossey JM, Shapiro E. Self-rated health: A predictor of mortality among the elderly. Am J Public Health 1982; 72(8): 800-808   DOI   ScienceOn
28 Stronks K, van de Mheen H, van den Bos J, Mackenbach JP. The interrelationship between income, health and employment status. Int J Epidemiol 1997;26(3):592-600   DOI   ScienceOn
29 O'Donnell O, Doorslaer E, Wagstaff A, Lindelow M. Analyzing Health Equity Using Household Survey Data. Washington, DC; World Bank Institute: 2008. pp.83-106
30 Rogot E, Sorlie PD, Johnson NJ. Life expectancy by employment status, income, and education in the National Longitudinal Mortality Study. Public Health Rep 1992;107(4):457-461
31 Becker GS. Human Capital : A Theoretical and Empirical Analysis with Special Reference to Education, 3rd ed. Chicago; University of Chicago Press: 1993
32 Dahl E. Social inequality in health-the role of the healthy worker effect. Soc Sci Med 1993;36(8):1019-1030   DOI   ScienceOn
33 Geyer S, Peter R. Income, occupational position, qualification and health inequalities-competing risks? (comparing indicators of social status). J Epidemiol Community Health 2000;54(4):299-305   DOI   ScienceOn
34 Kim MH, Kim CY, Park JK, Kawachi I. Is precarious employment damaging to self-rated health? Results of propensity score matching methods, using longitudinal data in South Korea. Soc Sci Med. 2008;67(12):1982-94   DOI   ScienceOn
35 Mackenbach JP, Simon JG, Looman CW, Joung IM. Self-assessed health and mortality: could psychosocial factors explain the association?. Int J Epidemiol 2002;31(6):1094-1097   DOI   ScienceOn
36 Kivimaki M, Vahtera J, Virtanen M, Elovainio M, Pentti J, Ferrie JE. Temporary employment and risk of overall and cause-specific mortality. Am J Epidemiol 2003;158(7):663-8   DOI   ScienceOn
37 Virtanen M, Kivim„ki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J. Temporary employment and health: a review. Int J Epidemiol 2005;34(3):610-622   DOI   ScienceOn
38 최용준, 정백근, 조성일, 정최경희, 장숙랑, 강민아, 등. 건강 불평등 연구에서 사회경제적 위치 지표의 개념과 활용. 예방의학회지 2007;40(6):475-486   과학기술학회마을   DOI
39 Hemstrom O. Health inequalities by wage income in Sweden: The role of work environment. Soc Sci Med 2005;61(3):637-647   DOI   ScienceOn
40 Borg V, Kristensen TS. Social class and self-rated health: can the gradient be explained by differences in life style or work environment?. Soc Sci Med 2000;51(7):1019-1030   DOI   ScienceOn