• Title/Summary/Keyword: disparities

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The Great Divide: How the Pandemic Widened Socioeconomic Inequalities

  • Choongik CHOI;Kwang-Hoon LEE
    • East Asian Journal of Business Economics (EAJBE)
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    • v.11 no.2
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    • pp.71-80
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    • 2023
  • Purpose - The pandemic has magnified and deepened existing socioeconomic disparities, including healthcare, education, income, gender, and housing. This study aims to examine the intersectionality of these disparities and their implications for promoting equity and justice. Research design, data, and methodology - This study is a comprehensive review of the literature on the impact of the COVID-19 pandemic on socioeconomic disparities. The review includes empirical studies, policy reports, and academic articles on healthcare, education, income, gender, and housing disparities. Result - The pandemic has exposed significant disparities in healthcare, education, income, gender, and housing. Healthcare disparities have been highlighted, and there is a need for more equitable access to care and addressing social determinants of health. Educational and income disparities are closely linked, perpetuating cycles of poverty and inequality. Gender disparities have been exacerbated, with women experiencing disproportionate impacts on their health, well-being, and economic security. The pandemic has highlighted the need for safe, stable, and affordable housing. Conclusion - The pandemic has brought to light numerous socioeconomic disparities that require systemic change to address. Promoting equity and justice requires a comprehensive, long-term approach that addresses systemic factors and promotes social and economic equity. By taking action to address these issues, we can create a more just and equitable society that promotes the health and well-being of all its members.

The Role of Selected Health-Related Behaviors in the Socioeconomic Disparities in Oral Health among Adults (성인 구강건강수준의 사회경제적 불평등에서 일부 구강건강관련 행태 요인의 역할)

  • Lee, Weon-Young
    • Korean Journal of Health Education and Promotion
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    • v.26 no.1
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    • pp.129-140
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    • 2009
  • Objectives: This study aimed to examined the socioeconomic disparities in oral health related behaviors and to assess if those behaviors eliminate socioeconomic disparities in oral health in a nationally representative sample of adults aged 30-64. Methods: Data are from the Korea Third National Health and Nutrition Examination Survey (2005). Behaviors were indicated by smoking, over intake of daily calories from carbohydrate, perceived stress, frequency of daily tooth brushing, use of oral hygiene goods, insufficient oral treatment. Oral health outcomes were self-reported dental caries and periodontitis during the last 12 months and perceived oral health. Education, household income, and employed status indicated socioeconomic position. Sex, age, residential area, marital status were adjusted for in the logistic regression analysis. Logistic regression analysis was used to assess socioeconomic disparities in behaviors. Logistic regression model adjusting and not adjusting for behaviors were compared to assess the change in socioeconomic disparities in oral health. Results: Clear socioeconomic disparities in all behaviors were showed. After adjusting for behaviors, the association between oral health and socioeconomic indicators attenuated but did not disappear. For example, the odd ratios of reporting poorer oral health for persons in no education or elementary school education and middle school education groups, compared with college or higher education group, were 1.77 (95% CI: 1.36-2.29) and 1.56 (1.19-1.97), respectively. After adjusting for all indicators of behaviors, these odds ratios attenuated to 1.54 (1.17-2.03) and 1.48 (1.15-1.91) for those groups, respectively. Conclusion: These findings suggest that the presence of more complex determinants of socioeconomic disparities in oral health should be considered with developing preventive policies for those disparities.

Diet-Related Health Disparities in African Americans

  • Satia Jessie A.
    • Journal of Community Nutrition
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    • v.8 no.1
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    • pp.24-30
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    • 2006
  • Disparities in health and disease between various population subgroups, such as racial and ethnic groups, are a major focus of public health research but also pose considerable challenges. Diet is a key contributor to disparities in many chronic diseases and conditions. Therefore, in order to understand and address racial and ethnic health disparities, it is important to characterize the dietary patterns of the populations of interest. African Americans are at higher risk for many diet-related chronic disease conditions, such as obesity, type II diabetes, cardiovascular disease, and many cancers relative to other racial/ethnic groups in the United States. In this report, I describe the diet-related chronic disease profiles of African Americans, characterize their dietary patterns and food preferences, identify demographic, psychosocial, environmental, and cultural factors that may affect their dietary choices, and propose strategies for improving the dietary and health profiles of African Americans.

Assessing Spatial Disparities and Spatial-Temporal Dynamic of Urban Green Spaces: a Case Study of City of Chicago

  • Yang, Byungyun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.38 no.5
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    • pp.487-496
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    • 2020
  • This study introduces how GISs (Geographic Information Systems) are used to assess spatial disparities in urban green spaces in the Chicago. Green spaces provide us with a variety of benefits, namely environmental, economic, and physical benefits. This study seeks to explore socioeconomic relationships between green spaces and their surrounding communities and to evaluate spatial disparities from a variety of perspectives, such as health-related, socioeconomic, and physical environment factors. To achieve this goal, this study used spatial statistics, such as optimized hotspot analysis, network analysis, and space-time cluster analysis, which enable conclusions to be drawn from the geographic data. In particular, 12 variables within the three factors are used to assess spatial disparities in the benefits of the use of green spaces. Finally, the variables are standardized to rank the community areas and identify where the most vulnerable community areas or parks are. To evaluate the benefits given to the community areas, this study used the z- and composite scores, which are compared in the three different combinations. After identifying the most vulnerable community area, crime data is used to spatially understand when and where crimes occur near the parks selected. This work contributes to the work of urban planners who need to spatially evaluate community areas in considering the benefits of the uses of green spaces.

An Analysis of Recovery Rate and a Change of Depth Recognition After Watching 3D Videos (3D 영상 시청 시 콘텐츠에 따른 깊이 인지 변화와 회복도 분석)

  • Kim, Yong-Woo;Kang, Hang-Bong
    • Journal of Korea Multimedia Society
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    • v.18 no.1
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    • pp.88-96
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    • 2015
  • The recent increase in the production of 3D contents allowed viewers to experience various 3D contents. However, some of the viewers did not experience 3D depth well. Several researches were done in past to measure viewers' 3D depth perception, but these researches were done with certain limitations. In this paper, we measured viewers' 3D depth perception and recovery rate in relation with the changes in binocular disparities, saturation, and brightness values after subjects' watching 2D/3D contents. The results showed that when viewers watched the 3D content with positive binocular disparities for 42 minutes, viewers felt that the object seemed to have moved further forward than it was before; with 3D content with negative binocular disparities, viewers felt that the object seemed to be moved backwards. We found that the locational differences of the object in positive disparities were greater than those in the negative binocular disparities. The recovery rate was computed by comparing two measured values of before and after watching 3D contents for 30 minutes. On average, after 30-minute break, viewers showed roughly 50 % of recovery rate.

Measuring Socioeconomic Disparities in Cancer Incidence in Tehran, 2008

  • Rohani-Rasaf, Marzieh;Moradi-Lakeh, Maziar;Ramezani, Rashid;Asadi-Lari, Mohsen
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2955-2960
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    • 2012
  • Background: Health disparities exist among and within countries, while developing and low income countries suffer more. The aim of this study was to quantify cancer disparities with regard to socioeconomic position (SEP) in 22 districts of Tehran, Iran. Method: According to the national cancer registry, 7599 new cancer cases were recorded within 22 districts of Tehran in 2008. Based on combined data from census and a population-based health equity study (Urban HEART), socioeconomic position (SEP) was calculated for each district. Index of disparity, absolute and relative concentration indices (ACI & RCI) were used for measuring disparities in cancer incidence. Results: The overall cancer age standardised rate (ASR) was 117.2 per 100,000 individuals (120.4 for men and 113.5 for women). Maximum ASR in both genders was seen in districts 6, 3, 1 and 2. Breast, colorectal, stomach, skin and prostate were the most common cancers. Districts with higher SEP had higher ASR (r=0.9, p<0.001). Positive ACI and RCI indicated that cancer cases accumulated in districts with high SEP. Female disparity was greater than for men in all measures. Breast, colorectal, prostate and bladder ASR ascended across SEP groups. Negative ACI and RCI in cervical and skin cancers in women indicate their aggregation in lower SEP groups. Breast cancer had the highest absolute disparities measure. Conclusion: This report provides an appropriate guide and new evidence on disparities across geographical, demographic and particular SEP groups. Higher ASR in specific districts warrants further research to investigate the background predisposing factors.

Gender and Social Disparities in Esophagus Cancer Incidence in Iran, 2003-2009: A Time Trend Province-level Study

  • Kiadaliri, Aliasghar Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.623-627
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    • 2014
  • Background: Esophagus cancer (EC) is among the five most common cancers in both sexes in Iran, with an incidence rate well above world average. Social rank (SR) of individuals and regions are well-known independent predictors of EC incidence. The aim of current study was to assess gender and social disparities in EC incidence across Iran's provinces through 2003-2009. Materials and Methods: Data on distribution of population at province level were obtained from the Statistical Centre of Iran. Age-standardized incidence rates of EC were gathered from the National Cancer Registry. The Human Development Index (HDI) was used to assess the province social rank. Rate ratios and Kunst and Mackenbach relative indices of inequality ($RII_{KM}$) were used to assess gender and social inequalities, respectively. Annual percentage change (APC) was calculated using joinpoint regression. Results: EC incidence rate increased 4.6% and 6.5% per year among females and males, respectively. There were no gender disparities in EC incidence over the study period. There were substantial social disparities in favor of better-off provinces in Iran. These social disparities were generally the same between males and females and were stable over the study period. Conclusions: The results showed an inverse association between the provinces' social rank and EC incidence rate in Iran. In addition, I found that, in contrast with international trends, women are at the same risk of EC as men in Iran. Further investigations are needed to explain these disparities in EC incidence across the provinces.

Factors affecting regional disparities in the number of teeth sealed with pit and fissure sealants: information for the National Health Insurance (건강보험청구 치면열구전색 치아수의 지역격차와 지역수준 관련요인)

  • Choi, Jin Sun;Jung, Se Hwan
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.145-151
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    • 2018
  • Objectives: The purpose of this study was to interpret regional disparities in the number of teeth sealed with pit and fissure sealants, identify the factors that affect these disparities and find solutions for the same. Methods: Data were collected from the National Health Insurance Service and Korean statistical information service using metropolis-city-rural area dental health infrastructure variables, regional health behavior variables, and local finance-related variables. Results: In 2015, the number of teeth sealed with pit and fissure sealants per 100 people was higher in the metropolis or city than in the rural area. There was a positive correlation between the number of teeth sealed with pit and fissure sealants and the number of dentists, dental hygienists, dental institutions, standardization rate of subjective awareness of well-being, standardization rate of brushing after lunch, and the proportion of welfare budget in the general budget. There was a negative correlation with the annual standardization rate of health institution use, the standardization rate of unused medical services, and the local government's financial independence. According to the final model of the multiple regression analysis, while the impact of infrastructure on dentistry was not statistically significant, the statistical significance of standardization rate of brushing after lunch, the local government's financial independence, and the proportion of welfare budget in the general budget were maintained. Conclusions: To reduce regional disparities in the volume of use of pit and fissure sealants, it was concluded that it may be effective to select regions with a consideration of the level of regional economic power, implement separate and appropriate policies and projects, and improve the awareness in residents.

Analysis and Implications of Intra-regional Disparities by using Market Concentration Ratio - Focusing on the Chungcheongbuk-do region - (시장집중도를 이용한 바이오헬스산업의 지역개발격차 분석 및 시사점 - 충북지역을 중심으로 - )

  • Ye-Jin Cho;Sang-Eun Choi
    • Journal of the Korean Regional Science Association
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    • v.39 no.2
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    • pp.19-30
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    • 2023
  • This study analyzed intra-regional disparities by using the concentration index of industrial organization theory. And the range of study is 11 cities in Chungcheongbuk-do province. This study aims to clarify the characteristics of the intra-regional disparities by using concentration ratio(CR) and Herfindahl-Hirschman Index. After the review of previous studies, we intend to study the intra-regional disparities using these two indexes. Target is the bio-health industry that all povinces in South Korea want to develop competitively. In addition the analysis was conducted by dividing the bio-health industry into four detailed fields(pharmaceuticals, medical devices, health functional foods, and cosmetics). These fields are based on the results of the city and county competitiveness-enhancing industry. The research results derived the intra-regional disparities index based on sales, the number of workers, and R&D expenses by detailed field. As a result it was confirmed that the strengths according to the detailed fields differed by region. It can be used as basic data in establishing differentiated industrial development strategies for each region in the future.

The Disparities in Subjective Health by Employment Form and Gender: Focusing on the Interaction Effects with Health Resources (고용형태와 성별에 따른 주관적 건강에서의 격차: 건강자원과의 상호작용 효과를 중심으로)

  • Kim, Jin-Young;Lim, In-Sook;Song, Yea-Li-A;Han, Sinn-Won
    • Korea journal of population studies
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    • v.35 no.1
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    • pp.181-209
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    • 2012
  • Employment form and gender as stratification factors may generate health disparities in Korea. Previous studies have examined the existence of health disparities by employment form and gender. However, few studies examined how the health disparities can be reduced effectively. This study intends to confirm the existence of health disparities between employment-gender groups and explore the effective health resources which can reduce the possible disparities. Using a national probability sample of Korean adults collected in 2011, we attempts to test the interaction effects between employment-gender groups and health resources on self-rated health. For health resources, 24 variables of five dimensions(social relationship, psychological resource, activity factor, health behavior, and usage of medical service) are taken into account. In results, first, the health levels of the other three employment-gender groups are worse than that of male-regular workers. Second, the effective health resources which can reduce the health disparities are different across the employment-gender groups. An effective health resource for female-nonregular workers is a peaceful relationship with her children. Effective health resources for male-nonregular workers are peaceful relationships with his parents and siblings, low stress, religious activity, and exercise. An effective health resource for female-regular workers is interpersonal trust. These results imply that personal or social interventions for health of specific disadvantaged groups need to focus on specific resources which are more effective for the groups.

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