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http://dx.doi.org/10.3961/jpmph.2009.42.3.199

The Impact of Socioeconomic Factors on the Gender Differences of Disability and Subjective Health Among Elderly Koreans  

Jeon, Gyeong-Suk (Department of Nursing, Division of Health Science, Dongseo University)
Jang, Soong-Nang (Institute of Health and Environment, Seoul National University)
Rhee, Seon-Ja (Graduate School of Public Health, Seoul National University)
Publication Information
Journal of Preventive Medicine and Public Health / v.42, no.3, 2009 , pp. 199-207 More about this Journal
Abstract
Objectives : Research on the gender differences of health among older Korean people has been limited compared with the research for other stages of life. This study first examined the patterns and magnitude of the gender differences of health in later life. Second, we examined the gender differences in the health of older men and women that were attributable to differing socioeconomic conditions. Methods : Using the nationally representative 2005 Korean National Health and Nutrition Examination Survey, the gender differences in disability and subjective poor health were assessed by calculating the age adjusted and gender-specific prevalence. Logistic regression analyses were used to assess if the differences between the men and women for health could be explained by differential exposure to socioeconomic factors and/or the differential vulnerability of men and women to these socioeconomic factors. Results : Our results indicated that older women were more likely than the men to report disability and poor subjective health. The health disadvantage of older women was diminished by differential experiences with socioeconomic factors, and especially education. The differences shrink as much as 43.7% in the case of disability and 35.4% in the case of poor subjective health by the differential exposure to educational attainment. Any differential vulnerability to socioeconomic factors was not found between the men and women, which means that socioeconomic factors may have similar effect on health in both genders. Conclusions : Differential socioeconomic experience and exposure between the men and women might cause gender difference in health in old age Koreans.
Keywords
Elderly; Disability; Subjective health; Gender; Socioeconomic factors; Education;
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1 Arber S, Cooper H. Gender difference in health in later life: The new paradox? Soc Sci Med1999; 48(1):61-76   DOI   ScienceOn
2 Ross CE, Bird CE, Sex stratification and health lifestyle: Consequences of men s and women s perceived health, J health Soc Behav 1994;35(2):161-178   DOI   ScienceOn
3 McDonough P, Walters V, Gender and health: Reassessing patterns and explanations, Soc Sci Med 2001; 52(4):547-559   DOI   ScienceOn
4 Chun HR, Khang YH, Kim IH, Cho SI, Explaining gender differences in ill-health in South Korea: The roles of socio-structural, psychosocial, and behavioral factors, Soc Sci Med 2008; 67(6):988-1001   DOI   ScienceOn
5 Korean National Statistical Office, 2007 Statistics of Elderly. Daejeon: Korea National Statistical Office;c2008 [cited 2008 Sep 10], Available from URL: http://www.kosis.kr(Korean)
6 Ministry of Health & Welfare, Korea Institute of Health and Social Welfare, The Third Korea National and Nutrition Examination Survey (KNHANES ), 2005: Summary, Seoul: Korea Institute of Health and Social Welfare;2006, p.1-62, (Korean)
7 Allison PD, Comparing logit and probit coefficients across groups, Sociol Methods Res 1999; 28(2):186-208   DOI
8 Araya R, Lewis G, Rojas G, Fritsch R, Education and income:Which is more important for mental health?J Epidemiol Community Health 2003;57(7):501-505   DOI   ScienceOn
9 Kosiak B, Sangl J, Correa-de-Araujo R, Quality of health care for older women: What do we know? Womens Health Issues 2006;16(2):89-99   DOI   ScienceOn
10 Filakti H, Fox J, Differences in mortality by housing tenure and by car access from the OPCS logitudinal study, Popul Trends 1995;(81):27-30   PUBMED
11 Arber S, Ginn J, Gender and inequalities in health in later life, Soc Sci Med 1993; 36(1):33-46   DOI   ScienceOn
12 Kessler RC, McLeod JD, Sex differences in vulnerability to undesirable life events, Am Sociol Rev 1984;49(5):620-631   DOI   ScienceOn
13 Matthews S, Manor O, Power C, Social inequalities in health:Are there gender differences? Soc Sci Med 1999;48(1):49-60   DOI   ScienceOn
14 Rautio N, Adamson J, Heikkinen E, Ebrahim S, Associations of socio-economic position and disability among older women in Britain and Jyvaskyla, Finland, Arch Gerontol Geriatr 2006; 42(2):141-155   DOI   ScienceOn
15 van Oort FV, van Lenthe FJ, Mackenbach JP, Material, psychosocial, and behavioural factors in the explanation of educational inequalities in mortality in the Netherlands, J Epidemiol Community Health 2005;59(3):214-220   DOI   ScienceOn
16 Son M, Armstrong B, Choi JM, Yoon TY, Relation of occupational class and education with mortality in Korea, J Epidemiol Community Health 2002;56(10): 798-799   DOI   ScienceOn
17 Moser KA, Pugh HS, Goldblatt PO, Inequalities in women s health: Looking at mortality differentials using an alternative approach, Br Med J 1988; 296(6631): 1221-1224   DOI
18 Macintyre S, Hunt K, Sweeting H. Gender differences in health: Are the really as simple as they seem? Soc Sci Med 1996;42(4):617-624   DOI   ScienceOn
19 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
20 Khang YH, Lynch JW, Kaplan GA, Health inequalities in Korea: Age- and sex-specific educational differences in the 10 leading causes of death, Int J Epidemiol 2004;33(2):299-308   DOI   ScienceOn
21 Won CW, Rho YG, SunWoo D, Lee YS, The validity and reliability of Korean Instrumental Activities of Daily Living (K-IADL) scale, J Korean Geriatr Soc 2002; 6(4): 273-280(Korean)
22 Roy K, Chaudhuri A, Influence of socioeconomic status, wealth and financial empowerment on gender differences in health and healthcare utilization in later life: Evidence from India, Soc Sci Med 2008;66(9):1951-1962   DOI   ScienceOn
23 Seok JE, Lim JG, Income gap and differences of income sources between older women and men, J Korean Gerontol Soc 2007; 27(1):1-22 (Korean)
24 OECD. OECD Health Data 2007: Statistics and Indicators for 30 Countries. Paris: OECD; 2007
25 Korea Centers for Disease Control and Prevention, Korea Institute for Health and Social Affairs, In-depth Analyses of the third National Health and Nutritional Examination Survey: The Health Interview and Health Behavior Survey Part, Seoul: Korea Institute for Health and Social Affairs;2007
26 Andersson P, Leppert J, Men of low socioeconomic and educational level possess pronounced deficient knowledge about the risk factors related to coronary heart disease, J Cardiovasc Risk 2001; 8(6):371-377   DOI   ScienceOn
27 Jagger C, Matthews R, Melzer D, Matthews F, Brayne C; MRC CFAS , Educational differences in the dynamics of disability incidence, recovery and mortality: Findings from the MRC Cognitive Function and Ageing Study (MRC CFAS), Int J Epidemiol 2007;36(2):358-365   DOI   ScienceOn
28 Shye D, Mullooy JP, Freeborn DK, Pope CR, Gender differences in the relationship between social network support and mortality: A longitudinal study, Soc Sci Med 1995; 41(7):935-947   DOI   ScienceOn
29 Grundy E, Holt G, The socioeconomic status of older adults: How should we measure it in studies of health inequalities? J Epidemiol Community Health 2001; 55(12): 895-904   DOI   ScienceOn
30 Marmot MG, Shipley MJ. Do socioeconomic differences in mortality persist after retirement? 25 year follow up of civil servants from the first Whitehall study. BMJ 1996; 313(7066):1177-1180   DOI   ScienceOn
31 Jeon GS, Jang SN, Rhee SJ, Kawachi I, Cho SI, Gender differences in correlates of mental health among elderly Koreans, J Gerontol B Psychol Sci Soc Sci 2007;62(5):S323-329   DOI
32 Denton M, Prus S, Walters V, Gender differences in health: Canadian study of the psychosocial, structural and behavioural determinants of health, Soc Sci Med 2004;58(12): 2585-2600   DOI   ScienceOn
33 Lahelma E, Martikainen P, Rahkonen O, Silventoinen K, Gender differences in illhealth in Finland: Patterns, magnitude and change, Soc Sci Med 1999; 48(1): 7-19   DOI   ScienceOn
34 Prus SG, Gee E, Gender differences in influence of economic, lifestyle and psychosocial factors on later-life health, Can J Public Health 2003;94(4):306-309   ScienceOn
35 Stroebe M, Stroebe W, Schut H. Gender differences in adjustment to bereavement: An empirical and theoretical review, Rev Gen Psychol 2001;5(1): 62-83   DOI   ScienceOn
36 Bird C, Rieker P, Gender matters: An integrated model for understanding men s and women s health, Soc Sci Med 1999; 48(6):745-755   DOI   ScienceOn
37 Knodel J, Ofstedal MB. Gender and aging in the developing world: Where are the men? Popul Dev Rev 2003;29(4):677-698   DOI   ScienceOn
38 Lee GR, DeMaris A, Bavin S, Sullivan R, Gender differences in the depressive effect of widowhood in later life, J Gerontol B Psychol Sci Soc Sci 2001;56(1): S56-61   DOI
39 Jeon GS, Gender differences in social factors of health in later life, J Korean Gerontol Soc 2008: 28(3):459-475(Korean)
40 Hunt K, Annandale E. Relocating gender and morbidity: examining men s and women s health in contemporary Western societies: Introduction to special issue on gender and health. Soc Sci Med 1999; 48(1): 1-5   DOI   ScienceOn