• Korea journal of population studies
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• v.24 no.1
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• pp.67-90
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• 2001

Korea National Statistical Office(KNSO) estimated period birth rates, period death rates, and probability of dying for infant(q$q_{0}$) at period life table, considering the unregistered infant deaths. As Ministry of Health and Welfare(MHW) conducted 1993 and 1996 birth cohort infant death surveys. KNSO re-estimated infant mortality levels(especially q$q_{0}$). For the re-estimation, reference data were derived from death registration. MHW surveys, death registration of developed countries. Model Life Tables, and Life Table for Japan. Seventeen simulations were made by the combination of estimation methods and reference data. The final $q_{0}$ was estimated based on the relationship between $q_{0}$ of MHW 1993 survey and $q_{1-4}$ of registered deaths for the period of 1971~1997. For 1993, $q_{0}$ was calculated directly from the 1993 MHW survey and interpolation and extrapolation were made for 1995 and 1997 using the relative decrease rates of $q_{0}$ between 1993 and 1996 MHW surveys. Utilizing the formular of Coale-Demeny North Model, $q_{0}$ was transformed into $m_{0}$ for the period 1971~1997. Finally, cremation data are found to be very useful for the estimation of 1998 infant mortality level by supplementing unregistered infant deaths, especially neonatal deaths. Furthermore, they are found to be very useful to produce fetal and perinatal death statistics.

• Proceedings of the Korean Environmental Health Society Conference
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• 2005.11a
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• pp.121-125
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• 2005

우리나라 영아 사망은 계속 감소를 보이고 있으나 상대적으로 낮은 출산율이 최근 문제시되고 있다. 영아 사망률은 인구의 사회적 건강의 요인으로서 넓게 인식된다. 따라서 영아 사망률의 사인을 밝히는 것은 낮은 출생률에 대비하고 출생아가 건강한 성인으로 자라날 수 있는 토대를 마련하기 위해서 중요한 연구가 될 것이다. 이에 본 연구에서는 국내에서는 처음으로 Record linkage를 통해 2000년부터 2003년 까지의 출생 자료와 사망 자료를 통합하여 유아 사망에 영향을 미치는 요인을 분석하였다. 다중 로지스틱 회귀분석을 통해 관련 변수들을 보정한 상태에서 조산아의 유아 사망 위험비는 1.42(95%CI =1.25-1.63)로 나타났다. 그 외에 산모의 연령, 부모의 직업, 거주지역 등이 유의한 위험요인으로 나타났고 본 연구에서 저체중은 영아 사망의 위험 요인으로 나타나지 않았다.

• Neonatal Medicine
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• v.18 no.2
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• pp.182-188
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• 2011

Purpose: Recently in Korea, there have been significant improvements in neonatal mortality rate (NMR) and infant mortality rate (IMR). This study aimed to investigate the proportion of the NMR among IMR, with the goal of discerning the influence of improved NMR on the reduction of IMR in the last 5 years in Korea. Methods: All data were from Statistics Korea. Changes in the NMR percentage among IMR and the percentage of the death by the distribution of the birth weight and gestational were investigated. Results: The total birth rate decreased, but the total number of preterm and low birth weight infants increased. These was a large decrease in NMR and IMR. The proportion of NMR among INR exceeded 50%. Early NMR was higher than late NMR. Among the total infant death, the mortality of preterm and low birth weight infants was high. Conclusion: Between 2005 and 2009, the total birth has declined in Korea, but the frequency of low birth weight infants is trending upward. The improvements in NMR and IMR, and the downtrend of the NMR percentage in IMR, are encouraging. It seems that the continued decrease of mortality of preterm and LBWI is required for better improvements NMR and IMR in Korea. This result is expected to be used for the basic data to improve the management of the newborns in Korea.

• Journal of Digital Convergence
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• v.14 no.9
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• pp.379-387
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• 2016

The purpose of this study was to examine the relationship between maternal age and infant mortality in Korea(n=617,867). Data of Korean vital statistics linked National Infant Mortality Survey conducted on births in 1999 were used in this study. The odds ratios (ORs) of infant death by maternal age were estimated with the multiple logistic regression model, adjusting for gender, plurality, birth order, low birth weight, and congenital malformation. After adjusting for the relevant variables, the odds of infant death in the group of maternal age with less than 20 years(Odds ratio [OR], 5.29, 95% confidence interval [CI], 3.51-7.98), 20-24 years(OR, 1.44, 95% CI, 1.23-1.69), 35-39 years(OR, 1.28, 95% CI, 1.11-1.46), and more than 40 years(OR, 1.94, 95% CI, 1.53-2.45) was higher than that of reference group(25-29 years). In conclusion, the higher infant mortality in the group of maternal age with less than 25 years and more than 35 years in Korea appears to be due to higher proportion of low birth weight and pre-term birth. Prenatal care intervention programs which tackle biological factors for advanced maternal age and address socio-economic problems and social stigma for early maternal age should be devised.

• Korea journal of population studies
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• v.21 no.1
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• pp.184-228
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• 1998

This study reviews the relationship between son preference and fertility behavior, and infant and chlid mortality in the context of fertility and mortality decline. In Korea the situation reveals that fertility can decline to a very low level even in the presence of strong son preference, but son preference has certain effects on fertility and childhood mortality. The effect of son preference on fertility increased as the level of fertility declined. Our findings show that son preference causes excess female childhood mortality both directly and indirectly through fertility. Also, in Korea, the analysis reveals that female children suffer excessively high level of mortality and part of the excess mortality is due to parents' behavior on family building related to the effort to secure the birth of a son.

• Korea journal of population studies
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• v.35 no.1
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• pp.131-149
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• 2012

This study examined the effect of parental socioeconomic position on the association between birth outcomes and infant mortality in early and late 2000's. Linked Birth and Infant Death data sets from 2001 to 2003 (T1) and from 2006 to 2008 (T2), provided by the Korea National Statistical Office, were used for analysis. Birth outcomes were categorized into four groups: normal term, small-for-gestational age (SGA), large-for-gestational age (LGA) and intrauterine growth retardation (IUGR). Infant death was defined as the death of a live-born child under one year of age; indicators of parental socioeconomic position were limited to parental education and occupation. The results showed that T2 infant mortality hazard ratios of SGA and IUGR have increased compared to T1. Particularly, preterm and low birth weight babies with shorter gestational age and lighter birth weight than T1 have elevated in T2, possibly indicating that population quality might be continuously aggravated. Moreover, the effect of maternal age on infant mortality has disappeared, rather that of parents' socioeconomic position has increased during the periods, which entailed growing disparities in infant mortality by their social class. Further studies should be therefore done to estimate the effect of parental socioeconomic position on the relationship between birth outcomes and infant mortality in the near future.

• Journal of Preventive Medicine and Public Health
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• v.23 no.1 s.29
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• pp.87-97
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• 1990

We followed up all the infants born to the married women under 50 years of age residing in Gunwee county, Kyungpook Province, between 1 April 1985 and 31 March 1987, and those born to the married women under 50 years residing in Hapchun County, Kyungnam Province, between 1 March 1987 and 28 February 1988, to their first birthday. Likewise, we followed up the infants born to the women who visited the MCH Center of South District Health Center in Taegu City for delivery between 1 April 1985 and 31 March 1987 to the 27th day after birth and obtained the infant mortality rate and the neonatal mortality rate, respectively. There were 17 infant deaths among 1,359 live births in Gunwee and Hapchun Counties and the infant mortality rate was 12.5 per 1,000 live births. Out of 17 infant deaths, 82.4 percent were neontal death and 17.6 percent were postnonatal deaths. Out of the 6,001 live births born to the women visited the MCH Center, 4,834 infants (80.6%) were followed up to the 27th day after birth. Of these 4,834 infants, 36 infants died before the 28th day after birth and thus the neonatal mortality rate was 7.4 per 1,000 live births. Comparison of the maternal characteristics and the birth weight between infants who were followed up and those who were lost to follow-up showed no significant differences. Assuming that the neonatal and postneounatal mortality ratio had been 6:4, the infant mortality rate for the infants born at the MCH Center would have been 12.3 per 1,000 live births. Taking such findings into consideration as the infant mortality rate observed in Gunwee and Hapchun Counties, the neonatal mortality rate at the MCH Center, the causes of infant deaths, and the low birth weight incidence rate, a conservative estimate of infant mortality rate of Korea would be between 12 and 15 per 1,000 live births in $1985{\sim}1988$.

• Korea journal of population studies
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• v.26 no.2
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• pp.33-62
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• 2003

The purpose of this study is to analyze the relative importance of three factor -socioeconomic development, public health development, egalitarian nature of socioeconomic development- affecting mortality declines. Infant mortality rate and life expectancy at birth are used as the mortality index, that is the dependent variables, while GNP is used as the indicator of socioeconomic development, primary school enrollment ratio of female as the indicator of egalitarian nature of socioeconomic development, population per hospital bed as the indicator of public health. The data of these variables are collected two time-periods -before 1970 and during 1970-1980- over 50 countries. The explanatory data analysis is used as the statistical technique. We can find whether the relationship between dependent variable and independent variables are linear or nonlinear, and which case is the influential case in our model. The main results of this study are followings. First, the association between infant mortality rates and four indices are not linear. The most important factor explaining the variation of infant mortality is GNP, while primary enrollment of female is the second and GINI is the third important factor. However, population per hospital bed does not have a significant effect on the infant mortality rates in this study. Second, life expectancy at birth is log-linearly related to GNP. Unlike infant mortality rates, the most important factor explaining the variation of life expectance at birth is women's education and the next important factor GNP, and then the third one GINI. But, still population per hospital bed is not significantly related to the variation of life expectance in this study.

• Clinical and Experimental Pediatrics
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• v.45 no.9
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• pp.1065-1074
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• 2002

Purpose : The purpose of this study is to analyze the epidemiologic characteristics of sudden unexpected death in infancy and to evaluate the importance of postmortem autopsy. Methods : We reviewed, retrospectively, medical records of 34 infants admitted to Kangnam General Hospital from January 1987 to December 2001 because of sudden unexpected death. We investigated the cause of death through medical history, death scene examination, autopsy findings, acylcarnitine and organic acid analysis. Results : Among the total 34 infants, 18 were male(52.9%) and 16 were female(47.1%). Thirty infants(88%) were below the six months of age. Winter was the most affected season(38.2%). Eighteen infants(52.9%) died between 6 and 12AM. The prone sleeping position was observed more frequently than the supine position at death; nine cases in the prone position, six cases in the supine position. The cause of death of 23 cases could not be found by only history and death scene examination. Autopsy was done in 13 cases. Seven cases of them were thought to be SIDS. In six cases, we explained the cause of death with autosy findings. They were an endocardial fibroelastosis, a nesidioblastosis, a subdural hematoma, a bronchopneumonia and two fatty changes of liver. Metabolic screening tests performed in three cases to rule out metabolic disorder since 2000 were all normal. Conclusion : We concluded that autopsy and metabolic screening test should be performed to find out the cause of death in sudden unexpected death in infancy.

• The Journal of the Korean life insurance medical association
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• v.25
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• pp.25-48
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• 2006

연구배경 : 우리나라에서 암발생 및 암사망이 지속적으로 증가하면서 암관리에 대한 국가적인 관리가 시행되고 있으나, 이에 필수적인 암사망통계 자료 및 연구는 미흡한 실정이다. 따라서 자료원별로 암사망통계를 조사하고 비교 분석하고자 한다. 연구방법 : 1997년부터 2002넌까지 통계청의 사망원인통계연보, 보험개발원의 생명보험 사망원인통계자료를 수집하고 연령별, 성별, 암종류별로 비교 분석하였다. 연구결과 : 전체 암종류별 사망분율은 통계청 자료에서는 폐암이 가장 높았고 보험개발원 자료에서는 간암이 가장 높은 분포를 나타냈다. 남자의 경우 통계청과 보험개발원의 암종류별 사망분율은 모두 간암이 가장 높은 분포를 위암, 폐암 순이었다. 여자의 경우 두 자료원 모두 위암의 사망분물이 가장 높았으나, 통계청 자료에서는 간암, 유방암 순이었고, 보험개발원 자료에서는 유방암, 간암 순이었다. 결론 : 본 연구를 통해 사망자료원에 따라 암사망통계의 내용과 결과가 차이가 있으며, 이는 자료원의 목적과 성격에 차이가 있기 때문인 것으로 생각된다. 따라서, 이를 해석하고 이용하는데 자료원에 따라 충분한 검토와 주의가 요망된다.