Browse > Article
http://dx.doi.org/10.5392/JKCA.2018.18.10.145

Risk of Death and Occurrence of Secondary Disease of Cancer and Cardiovascular Disease Patient by Income Level in Korea  

Kang, Minjin (국민건강보험공단 일산병원 연구소)
Son, Kangju (연세대학교 의학전산통계학협동과정)
Publication Information
The Journal of the Korea Contents Association / v.18, no.10, 2018 , pp. 145-157 More about this Journal
Abstract
In this study, we analyzed the effect of the income level of cancer, stroke, and myocardial infarction on mortality by using National Health Insurance Service(NHIS) Cohort 2.0 DB. Patients who newly developed the disease in 2007 were observed till 2015. The analysis used the Cox probability proportional risk model and the competing risk model. The income level used information at the time of the onset of the disease in 2007, categorized into low / mid / high. The results showed that there were differences in the risks of death and secondary disease in patients with cancer, stroke, or myocardial infarction according to the income level. In addition to the need for a social safety net to lower the incidence of early deaths in low-income families, it seems necessary to continue to strengthen universal protection for serious diseases similar to the current policy.
Keywords
Mortality; Competing Risk Model; Secondary Disease; Income;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 사회통계국 인구동향과, 2016 사망원인통계연보, 통계청, 2017.
2 V. L. Feigin, C. M. Lawes, D. A. Bennett, S. L. Barker-Collo, and V. Parag, "Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review," Lancet Neurol, Vol.8, No.4, pp.355-369, 2009.   DOI
3 V. L. Feigin, M. H. Forouzanfar, R. Krishnamurthi, G. A. Mensah, M. Connor, and D. A. Bennett, "Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010," Lancet. Vol.383, No.9913, pp.245-254, 2014.   DOI
4 P. F. Jason and J. C. Robert, "A Proportional Hazards Model for the Subdistribution of a Competing Risk," J. of the American Statistical Association, Vol.94, No.446, pp.496-509, 1999.   DOI
5 김가희, 임지혜, "뇌졸중 환자의 Charlson Comorbidity Index에 따른 사망률 분석," 한국콘텐츠학회논문지, 제16권, 제3호, pp.22-32, 2016.   DOI
6 김동진, "우리나라 건강형평성 현황 및 대책," 이슈앤포커스, Vol.194, pp.1-8, 2013.
7 https://stats.oecd.org/
8 임정수, 최대경, 임준, 홍두호, 김종균, 박상현, 윤성태, "소득계층에 따른 뇌심혈관질환 사망률 차이," 한국보건교육.건강증진학회지, 제23권, 제2호, pp.109-119, 2006.
9 K. L. Wilkins and R. L. Woodgate, "Preventing second cancers in cancer survivors," Oncology Nursing Forum. Vol.35, No.2, pp.E12-E22, 2008.   DOI
10 A. B. Mariotto, J. H. Rowland, L. A. Ries, S. Scoppa, and E. J. Feuer, "Multiple cancer prevalence: A growing challenge in long-term survivorship," Cancer Epidemiology, Biomarkers, and Prevention, Vol.16, No.3, pp.566-571, 2007.   DOI
11 L. B. Travis, "The epidemiology of second primary cancers," Cancer Epidemiology, Biomarkers and Prevention, Vol.15, No.11, pp.2020-2026, 2006.   DOI
12 이수형, "중증질환자의 의료이용 및 의료비 지출이 주는 시사점: 지역과 개인의 사회경제적 수준을 중심으로," 이슈앤포커스, Vol.235, pp.1-8, 2014.
13 국립암센터 국가암관리사업단 중앙암등록사업부 암등록통계과, 2007 국가암등록사업 연례보고서, 중앙암등록본부, 2009.
14 G. S. Goda, J. B. Shoven, and S. N. Slavov, Differential Mortality by Income and Social Security Progressivity, SIEPR Discussion Paper No.08-61, Standard Institute for Economic Policy Research, 2009.
15 A. E. Moran, M. H. Forouzanfar, G. A. Roth, G. A. Mensah, M. Ezzati, A. Flaxman, C. J. Murray, and M. Naghavi, "The global burden of ischemic heart disease in 1990 and 2010: the Global Burden of Disease 2010 study," Circulation, Vol.129, No.14, pp.1493-1501, 2014.   DOI
16 R. G. Wilkinson, M. A. MMedSc, and E. P. Kate, "Income Inequality and Socioeconomic Gradients in Mortality," American Journal of Public Health, Vol.98, No.4, pp.699-704, 2008.   DOI
17 J. E. Duggan, R. Gillingham, and J. S. Greenlees, Mortality and Lifetime Income: Evidence from U.S. Social Security Records, IMF Working Paper, International Monetary Fund, 2007.
18 이상이, 소득계층별 암 발생, 암 치명률의 불평등 연구 - 건강보험 지역가입자와 의료급여대상자를 중심으로 -, 국민건강보험공단, 2005.
19 The Lancet, "Cancer survivors: living longer, and now, better," Lancet, Vol.364, pp.2153-2154, 2004.   DOI
20 L. A. G. Ries, D. Harkins, and M. Krapcho, SEER cancer statistics review, 1975-2003, National Cnacer Institute, 2006.
21 김한상, 보장성 강화 효과 분석-4대 중증질환 중심으로 일반화, 건강보험심사평가원, 2018.
22 이은경, 4대 중증질환 보장성 확대 정책에 대한 소고, 재정포럼, 2013(12).
23 D. R. Cox, "Regression Models and Life-Tables," J. of the Royal Statistical Society, Series B (Methodological), Vol.34, No.2, pp.187-220, 1972.   DOI
24 최원호, Charlson Comorbidity Index를 활용한 고관절치환술 환자의 건강결과 예측에 관한 연구, 고려대학교, 박사학위논문, 2008.
25 건강보험심사평가원, 건강보험 청구자료 분석 매뉴얼, 건강보험심사평가원, 2017.