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The Relationship between Regional Material Deprivation and the Standardized Mortality Ratio of the Community Residents Aged 15-64 in Korea  

Jeong, Baek-Geun (Department of Preventive Medicine, College of Medicine, Gyeongsang National University)
Jung, Kap-Yeol (Department of Occupational Medicine, College of Medicine, Dong-A University)
Kim, Joon-Youn (Department of Preventive Medicine, College of Medicine, Dong-A University)
Moon, Ok-Ryun (Department of Health Policy, Graduate School of Public Health, Seoul National University)
Lee, Yong-Hwan (Department of Preventive Medicine, College of Medicine, Koshin University)
Hong, Young-Seoub (Department of Preventive Medicine, College of Medicine, Dong-A University)
Yoon, Tae-Ho (Department of Occupational & Preventive Medicine, College of Medicine, Busan National University)
Publication Information
Journal of Preventive Medicine and Public Health / v.39, no.1, 2006 , pp. 46-52 More about this Journal
Abstract
Objectives: This study was performed to investigate the relationship between regional material deprivation and the standardized mortality ratios(SMRs) of community residents aged 15-64 in Korea. Methods: SMRs were investigated using the registered death data from 1995 to 2000 that was obtained from the Korean National Statistics Office with the denominators being drawn from the 1995 to 2000 census. Material deprivation was measured using the Townsend score that was calculated from the 1995 to 2000 census. The relationship between the regional material deprivation and the SMRs of the community residents aged 15-64 was investigated by using ANOVA, Spearman's rank correlation analysis and Pearson's correlation analysis. The trends in mortality inequality were investigated using the concentration index. Results: On the ANOVA, the SMRs of the men and women residents in the least deprived areas were the smallest and those in the most deprived areas were the largest. Spearman's rank correlation analysis, Pearson's correlation analysis and the concentration index revealed that significant positive relationships exist between the regional material deprivation and the SMRs of the community residents aged 15-64. Conclusions: This study suggests that there are mortality inequalities among the communities in Korea and part of this difference is due to the material deprivation of the community. Strategies aimed at reducing mortality inequalities among the communities will be needed to address economic inequalities. Further studies are needed to explore the mechanisms of how the regional deprivation influences on health and how the other factors of the community influence on the health of the community residents.
Keywords
Inequality; Deprivation; SMA;
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1 신영전, 김명희, 전희진, 김석현 역, 사회역학. 한울아카데미;2003, 47-56
2 윤태호, 빈곤 및 소득불평등과 사망률간의 연관성. 대한의사협회 기초의학 진흥기금보고서, 2001
3 Nick AR. Excess mortality in a population with diabetes and the impact of material deprivation: Longitudinal, population based study. Br Med J 2001;322: 1389-1393   DOI   ScienceOn
4 통계청. 시. 군. 구 100대 지표; 2002(1108-1116)
5 Carstairs V, Morris R. Deprivation and Health in Scotland: Aberdeen University Press; 1992
6 Ian RJ, Gillian U, Roger AF, Nicholas B. Social deprivation and bacterial meningitis in north east thames region: three year study using small area statistics. Br Med J 1997; 314: 794   DOI   ScienceOn
7 Nanak K, Adam W, Eddy van D. Socioeconomic inequalities in health: Measurement, computation, statistical inference. J Econom 1997; 77: 87-103   DOI   ScienceOn
8 Wagstaff A, Paci P, Doorslaer E. On the measurement of inequalities in health. Soc Sci Med 1991; 33: 545-557   DOI   ScienceOn
9 West J, Hippisley-Cox J, Coupland CA, Price GM, Groom LM, Kendrick D, Webber E. Do rates of hospital admission for falls and hip fracture in elderly people vary by socioeconomic status? Public Health 2004 Dec; 118(8): 576-581   DOI   ScienceOn
10 통계청. 한국사회 직업구조의 특성과 변화분석: 1995 인구주택총조사 종합분석사업보고서, 1997
11 McLoone P, Boddy FA. Deprivation and mortality in Scotland, 1981 and 1991. Br Med J 1994;309: 1465-1470   DOI   ScienceOn
12 Son M. The relationships of occupational class, educational level and deprivation with mortality in Korea. Korean J Prev Med 2002; 35(1): 76-82 (Korean)
13 Rees P, Brown D, Norman P, Dorling D. Are socioeconomic inequalities in mortality decreasing or increasing within some British regions- An observational study, 1990-1998. J Public Health Med 2002; 25: 208-214
14 von dem Knesebeck O, Luschen G, Cockerham WC, Siegrist J. Socioeconomic status and health among the aged in the United States and Germany: A comparative crosssectional study. Soc Sci Med 2003; 57(9): 1643-1652   DOI   ScienceOn
15 Bentham G, Eimennann J, Haynes R, Lovett A, Brainard J. Limiting long term illness and its associations with mortality and indicators of social deprivation, J Epidemiol Community Health 1995; 49S(2): S57-64
16 Phillmore P, Beattie A, Townsend P. Widening inequality of health in northern England, 1981-91. Br Med J 1994; 308: 1125-1128   DOI
17 Chung HK. The study on the impact of community-level characteristics on the mortality level[dissertation]. Korea: Seoul Univ.;1990 (Korean)
18 Putnam RD. The prosperous community: social capital and public life. Am Prospect 1993; 13: 35-42
19 Mackenbach JP, Kunst AE. Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from Europe. Soc Sci Med 1997;44: 757-771   DOI   ScienceOn
20 Khang YH, Hwang lA, Yun SC, Lee MS, Lee SI, Jo MW, Lee MJ. Census Population vs. registration population: Which population denominator should be used to calculate geographical mortality. J Prev Med Public Health 2005; 38(2): 147-153 (Korean)   과학기술학회마을
21 Zere E, McIntyre D. Inequities in under-five child malnutrition in South Africa. Int J Equity Health 2003; 11: 2(1): 7
22 Lee SG. Social contextual effects on regional mortality and self-rated health status[dissertation]. Korea: Yonsei Univ; 2003 (Korean)
23 Clarke P, Gerdtham U, Johannesson M, Bingefors K. Smith L. On the measurement of relative and absolute income-related health inequality. Soc Sci Med 2002; 55: 1923-1928   DOI   ScienceOn
24 Bartley M, Blane D, Smith GD. The Sociology of Health Inequalities: Blackwell Publishers Ltd, Malden; 1998
25 Ben-Shlomo Y, White IR, Marmot M Does the variation in the socioeconomic characteristics of an area affect mortality? Br Med J 1996; 312: 1013-1014   DOI   ScienceOn
26 van Doorslaer E, Wagstaff A, Income-related inequalities in health some international comparisons. J Health Econ 1997; 16: 93-112   DOI   ScienceOn
27 Dahl E, Elstad JI. Recent changes in social structure and health inequalities in Norway. Scand J Public Health 2001; Suppl 55: 7-17
28 Aberg YM, Fritzell J, Lundberg O, Burstrom B. Exploring relative deprivation: is social comparison a mechanism in the relation between income and health? Soc Sci Med 2003;57: 1463-1473   DOI   ScienceOn
29 홍두승. 한국사회 계층연구를 위한 예비적 고찰. 범문사, 1983