Browse > Article

Relationship of Socioeconomic Status and Health Behaviors with Self-rated Health Status  

Yoon, Byoung-Jun (Korea National Open University)
Publication Information
The Journal of Korean Society for School & Community Health Education / v.17, no.3, 2016 , pp. 71-85 More about this Journal
Abstract
Objectives: This study was conducted in order to determine how the association between socioeconomic status and health behaviors with self-rated health status among Korean aged 20-64 years. Methods: A nationally representative sample(2,027 men and 2,626 women) from the 2013 Korea National Health and Nutrition Surveys was analyzed. To estimate the odds ratio and 95% confidence intervals, logistic regression was conducted. Results: The study shows that socioeconomic status was related with self-rated health status. that was, lower education and income led to a significant increase in poor health status. The odds ratio of self-rated health status after controlling for age was 2.83(95% CI, 1.60-5.00) for men, 2.32(95% CI, 1.15-3.46) for women among those with the lowest-educated group compared to the highest-educated group. When household income was considered, the odds ratio of self-rated health for men was 3.50(95% CI, 2.11-5.79) and 2.21(95% CI, 1.53-3.20) for women among those in the lowest-income group compared to the highest-income group. Health behaviors had little effect on the relationship between socioeconomic status and self-rated health status. Conclusions: This study found that there existed socioeconomic differences in poor health status in Korean. The effect of education was stronger than that of income for both men and women.
Keywords
Socioeconomic Status; Self-rated Health Status; Health Behaviors;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 김민경, 정우진, 임승지, 윤수진, 이자경, 김은경, 고난주. 한국인의 사회경제적 불평등에 따른 주관적 건강수준의 차이와 건강행태 기여요인 분석. 예방의학회지 2010;43(1): 50-61.
2 김진희. 근로자의 사회경제적 지위와 건강행태, 주관적 건강수준의 관련성: 남녀 차이를 중심으로, 보건교육.건강증진학회(2) 2011;28(1):57-67.
3 김혜련, 강영호, 윤강재, 김창석. 건강수준의 사회계층별 차이와 정책방향. 한국보건사회연구원, 2004.
4 김혜련. 만성질환 유병과 주관적 건강수준의 사회계층별 차이와 건강행태의 영향. 보건사회연구 2005;25(2):1-35.
5 대한예방의학회. 예방의학과 공중보건학. 서울:계축문화사, 2015.
6 손미아. 사회계급과 건강행위가 유병률에 미치는 영향. 예방의학회지 2002; 35(1):57-64.
7 윤병준, 이원재, 이주열. 건강증진론. 서울:KNOU PRESS, 2008.
8 윤태호. 우리나라 사회계층별 건강행태의 차이. 예방의학회지 2000;33(4):469-476.
9 Acheson D. Independent inquiry into inequalities in health. London: The Stationary Office, 1998.
10 Adler NE, Boyce WT, Chesney MA, Folkman S, Syme SL. Socioeconomic inequalities in health: no easy solution. JAMA 1993;269:3140.   DOI
11 Belloc NB, Breslow L. Relationship of physical health status and health practices. Preventive Medicine 1972; 1(3):409-421.   DOI
12 Cavelaars AE, Kunst AE, Geurts JJ, Crialesi P, Grotvedt L, Helmert U. et al. Differences in self reported morbidity by educational level: A comparison of 11 western european countries. Journal of Epidemiology and Community Health 1998;52(4):219-227.   DOI
13 Davey SG, Bartly M, Blane D. Explanations for socioeconomic differencials in mortality: evidence from Britain and elsewhere. European Public Health 1994;4:131-144.   DOI
14 Khang YH, Lynch JW, Yoon SC, Lee SI. Trends in socioeconomic health inqualties in Korea: Use of mortality and morbidity measures. Journal of Epidemiology and Community Health 2004;58(4):308-314.   DOI
15 Hendramoorthy M, Emil K, Stavros P. Selfrated Health and socio-economic inequalities in England, 1996-2009: Repeated national cross-sectional study. Social Science & Medicine 2015; 136-137: 135-146.   DOI
16 Idler EL, Benyamini Y. Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior 1997;38:21-37.   DOI
17 Kaplan GA, Camacho T. Perceived health and mortality: A nine year follow-up of the human population laboratory cohort. American Journal of Epidemiology 1983;117(3):292-304.   DOI
18 Lalonde M. A new perspective on the Health of Canadians, A working document, Ministry of Health and Welfare in Canadian Government, 1974.
19 Lantz PM, House JS, LepKowski JM, Willidms DR, Mero RP, Chen J. Socioeconomic factors, health behaviors and mortality: results from a nationally representative prospective study of US adults. Journal of American Medical Association 1998;279:1703-1708.   DOI
20 Macintyre S. The black report and beyond what are the issues? Social Science & Medicine 1997;44(6):723-745.   DOI
21 Mackenbach JP, Kunst AE, Cavelaars AEJM, Groenhof F, Geurts JM. Socio-economic inequalities in mortality and morbidity in Western Europe. Lancet 1997;349(7):1655-1659.   DOI
22 Sorlie PD, Backlund E, Keller JB. US mortality by economic, demographic and social characteristics: The National Longitudinal Mortality Study. American Journal of Public Health 1995;85:949-956.   DOI
23 Winkleby MA, Jatulis DE, Frank E, Fortman SP. Socioeconomic status and health: How education, income and occupation contribute to risk factors for cardiovascular diseases. American Journal of Public Health 1992;82(6):816-820.   DOI
24 Subramanian SV, Kawachi I, Kennedy BP. Does the statue you live in make a difference? Multilevel analysis of self rated health in the US. Social Science & Medicine 2001;53(1):9-19.   DOI
25 WHO. Cardiovascular diseases risk factors:New areas for research, WHO Technical Report Series 841. Geneva, 1994.
26 Wingard DL, Berkman LF, Brand RT. A multivarate analysis of health-related practice: a nine-year mortality follow-up of the Alameda County Study. American Journal of Epidemiology 1982;116(5)765-775.   DOI