• Title/Summary/Keyword: the inequality of health

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Migration and Economic Inequality in Indonesia: Longitudinal Data Analysis

  • YULIADI, Imamudin;RAHARJA, Sigit Satria
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.11
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    • pp.541-548
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    • 2020
  • This study aimed to explain the factors that influenced an individual's decision to migrate. The method of analysis in this study was the estimation of the probit regression model with data from the Indonesian Family Life Survey (IFLS-5), which covered 30,000 individuals from 13 provinces in Indonesia. Data from IFLS-5 were longitudinal data, meaning that the study was looking for data consistently to get reliable data from respondents. The research variables to determine the individual's decision to migrate were education level, income level, employment status, marital status, land ownership status, health quality, gender, residence status, and poverty status. Individual decision to migrate as a dependent variable was placed as a dummy variable. The results showed that the level of education, income level, employment status, marital status, land ownership status, health quality, and poverty status significantly influenced an individual's decision to migrate. Meanwhile, gender and residence status did not significantly affect an individual's decision to migrate. This research recommends that it is necessary to pursue a policy of economic equality between regions because economic factors are the main trigger for an individual's decision to migrate. Policies to overcome economic disparities among regions will reduce the individual's decision to migrate.

The determinants of purchasing private health insurance among middle-aged and elderly Korean adults (중.고령자의 민간의료보험 가입 여부의 결정 요인)

  • Yoo, Ki-Bong;Cho, Woo-Hyun;Lee, Min-Jee;Kwon, Jeoung-A;Park, Eun-Cheol
    • Korea Journal of Hospital Management
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    • v.17 no.3
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    • pp.23-36
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    • 2012
  • Objectives : The coverage of Korean National Health Insurance is limited to basic level. Korean government encourages private health insurance for covering medical securities. So, many studies examined the determinants of purchasing private health insurance. However, 11% of Korean population is older than 65 in 2011. Considering the elderly is important to establish a health policy. The aim of this study is to examine factors determining the purchase of private health insurance among middle-aged and elderly Korean adults. Methods : We used the second Korean Longitudinal Study of Ageing (KLoSA), selected 8,688 sample of the aged 47 or older for the analysis. KLoSA collected information on demographic characteristics, income, health- related factors. KLoSA data include in the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Logistic regression was used to examine the relationship between the determinants of purchasing private health insurance and the factors which include age, gender, education, residential district, marital status, smoking, drinking, physical exercise, economic activity status, national health insurance type, income, the number of chronic disease, and the number of outpatient, inpatient, oriental hospital visit, dental clinic visit for two years. Results : People who were older, did not live in a city, had higher IADL, currently drunk alcohol, did exercise regularly and had chronic diseases more than three were inclined not to purchase private health insurance. Females, the married, well-educated, past & currently smokers, the employed, high income earners, national health insurers, metropolitan citizens and someone who got high MMSE were more likely to purchase private health insurance. The more people experienced outpatients, inpatients, dental clinics and Chinese medicine clinics, the more private health insurance was purchased. The elderly people over 75 had more private health insurance than the aged 65-74. The strongest factors for private health insurance is gender, and economic status such as income. Conclusion : In this study, we found healthy-high income people were more likely to purchase private health insurance. In contrast, unhealthy-low income and older people did not. The economic factors were strongly related with private health insurance in aged over 75. These mean inequality exists in the using private health insurance. Therefore, the government should consider vulnerable social group before expanding private health insurance.

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APPROXIMATION OF ZEROS OF SUM OF MONOTONE MAPPINGS WITH APPLICATIONS TO VARIATIONAL INEQUALITY AND IMAGE RESTORATION PROBLEMS

  • Adamu, Abubakar;Deepho, Jitsupa;Ibrahim, Abdulkarim Hassan;Abubakar, Auwal Bala
    • Nonlinear Functional Analysis and Applications
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    • v.26 no.2
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    • pp.411-432
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    • 2021
  • In this paper, an inertial Halpern-type forward backward iterative algorithm for approximating solution of a monotone inclusion problem whose solution is also a fixed point of some nonlinear mapping is introduced and studied. Strong convergence theorem is established in a real Hilbert space. Furthermore, our theorem is applied to variational inequality problems, convex minimization problems and image restoration problems. Finally, numerical illustrations are presented to support the main theorem and its applications.

The impacts of working time flexibilization on occupational safety and health: an expert survey

  • Daseul Moon;Hyunjoo Kim
    • Annals of Occupational and Environmental Medicine
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    • v.35
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    • pp.20.1-20.7
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    • 2023
  • The policy proposal by the current Korean government that proposes flexible overtime rules is causing social controversy. This study has explored the 612 experts' opinions on the occupational safety and health impacts of the policy using an online self-report survey. They expected short-term overwork (87.25%), overwork inequality (86.44%), irregular working hours (84.31%), chronic overwork (84.15%), long working hours (83.66%), and unpredictability of working hours (81.86%) as a result of the policy change. They also responded that the policy change would increase industrial accident deaths (87.25%), mental illnesses (87.09%), deaths due to overwork or cardiovascular diseases (83.84%), and accidents (83.33%). They disagreed that the government's flexibilization policy, while agreeing that the necessity of policies on regulating night work (94.77%), guaranteeing wages to eliminate overtime (90.36%), establishing working time regulations for the bogus self-employed (82.84%), and applying the 52-hour workweek system to all workplaces (76.47%). These expert opinions are consistent with previous research on the health effects of working hours.

Physical and Mental Health Differential by Income Level Amongst the Divorced: A Focus on Midlife Divorce

  • Cha, Seung-Eun;Han, Gyoung-Hae
    • International Journal of Human Ecology
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    • v.7 no.2
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    • pp.111-124
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    • 2006
  • The purpose of this study was to analyze the differences in the health status of the divorced population according to their income status and to explain the social mechanisms. By analyzing 287 midlife men and women divorced within the last 5 years, we found a strong inverse relationship between their health and income status: the low-income divorced group was more liable to depression and poor physical health. Lack of social connections and having less hope for remarriage after getting a divorce were main factors explaining health vulnerability of the low income group among divorced. Further details have been discussed.

Has Income-related Inequity in Health Care Utilization and Expenditures Been Improved? Evidence From the Korean National Health and Nutrition Examination Survey of 2005 and 2010

  • Kim, Eunkyoung;Kwon, Soonman;Xu, Ke
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.5
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    • pp.237-248
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    • 2013
  • Objectives: The purpose of this study is to examine and explain the extent of income-related inequity in health care utilization and expenditures to compare the extent in 2005 and 2010 in Korea. Methods: We employed the concentration indices and the horizontal inequity index proposed by Wagstaff and van Doorslaer based on one- and two-part models. This study was conducted using data from the 2005 and 2010 Korean National Health and Nutrition Examination Survey. We examined health care utilization and expenditures for different types of health care providers, including health centers, physician clinics, hospitals, general hospitals, dental care, and licensed traditional medical practitioners. Results: The results show the equitable distribution of overall health care utilization with pro-poor tendencies and modest pro-rich inequity in the amount of medical expenditures in 2010. For the decomposition analysis, non-need variables such as income, education, private insurance, and occupational status have contributed considerably to pro-rich inequality in health care over the period between 2005 and 2010. Conclusions: We found that health care utilization in Korea in 2010 was fairly equitable, but the poor still have some barriers to accessing primary care and continuing to receive medical care.

The effect of Health Inequality Factors on Health Level of the Rural Elderly (건강불평등 요인이 농촌노인의 건강수준에 미치는 영향)

  • Choi, Dong Hee;Chae, Young Ran
    • Journal of Korean Biological Nursing Science
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    • v.19 no.2
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    • pp.98-106
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    • 2017
  • Purpose: This study aimed to analyze the relationships between the factors affecting health levels of the elderly in rural areas. Methods: Subjects were 257 elderly people residing in rural areas of six cities and Gangwon Province. Data was collected through questionnaires (demographic and socioeconomic status, social resources, health behaviors, physical environment, psychological tendency and general health levels) and was analyzed by using multiple regression and Sobel test. Results: The demographic and socioeconomic characteristics of the subjects exerted statistically significant influence on their social resources, health behaviors, physical environment, and psychological tendencies. The demographic and socioeconomic characteristics, social resources, health behaviors, physical environment, and psychological tendencies, in turn, exerted a statistically significant influence on the health level. The social resources had mediating effects on the relationship between income, one of the demographic and socioeconomic characteristics, and health level. The residential environments had mediating effects on the relationship between income and health level. The psychological tendency had mediating effects on the relationship between income and health level. Conclusion: This study suggests that income is an important factor affecting health level among rural elderly people. In addition, social resources, health behaviors, physical environment, and psychological tendencies among them also affect health level, so it is necessary to make strategies to improve these factors.

A Study on the Regional Gap Analysis and Management of the Elderly Health in an Aging Society

  • YOO, Chae-Hyun;SHIN, Seung-Jung
    • International journal of advanced smart convergence
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    • v.10 no.2
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    • pp.168-174
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    • 2021
  • Korea is ranked as the world's No. 1 country in its aging rate. While the interest and demand for health is rapidly increasing, the health status of the elderly is in the lowest among OECD members. Increased chronic diseases, the burden of medical costs and digital/untact changes of societies after COVID-19 have caused the direction of healthcare to be changed from treatment oriented to health care and prevention oriented, along with increased income levels and a desire for a healthy life. Amid this paradigm of change, the gap in health standards and health inequality for the elderly according to local structure and social conditions affects not only socio-economic but also the quality of life for individual senior citizen. Utilizing prior data of Aging Research Panel Survey, this study aims to compare and analyze health conditions and regional gaps which are significant influences on the satisfaction of the life of the elderly, and to suggest direction of studies for health care to provide solutions for health inequalities. The findings are intended to be a basic data for researching models of the New Normal Smart Healthcare System that bridge the health gap between the elderly and enhance life satisfaction with health care models suitable for regional characteristics in aging society.

The Influence of Family Structure and Sex on Health Status (성별에 따른 가구형태가 건강상태에 미치는 영향)

  • Jeon, Gyeong-Suk;Lee, Hyo-Young
    • Journal of Korean Public Health Nursing
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    • v.23 no.2
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    • pp.162-173
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    • 2009
  • Purpose: This study investigated the health and socioeconomic status of single-parent and partnered families, and examined the intersection between sex and single-parent status focusing on inequalities of health and socioeconomic status. Methods: This was a cross-sectional study using the data from the nationally representative 2005 Korean National Health and Nutrition Examination Survey. A total of 14,827 respondents had custody of their own children and other family members (13,943 were coupled families and 891 were single-parent). Results: Our result indicate that single-parent had poorer health status and were more likely to have lower educational attainment, lower household income, no home ownership and be unemployed. However, the association between single-parent status and socioeconomic and health inequality were in divergent ways according to sex. The most socioeconomically disadvantaged were single-parent women. Inequalities in health differ markedly by sex but vary little according to single-parent status. Conclusions: An uneven distribution of socioeconomic resources might help us to understand why single-parent, both women and men, have worse health than parents who live together. Previously recognized sex gap with regard to health status also might help us to understand the difference in health between single-parent men and single-parent women found here.

Health Status and Medical Utilization of Women in Rural Area (농촌지역 여성의 건강수준과 의료이용에 대한 연구)

  • Shin, Hyung-Chul;Kang, Ji-Young;Park, Woong-Sub;Kim, Sang-A
    • Journal of agricultural medicine and community health
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    • v.34 no.1
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    • pp.67-75
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    • 2009
  • Objectives: This study was conducted to examine health inequality for gender and region in Korea. Especially it focused on health status such as disease prevalence and medical utilization of rural women. Methods: Data from the Korea national health and nutrition survey in 2001 were used. The final sample size was 37,108 individuals with age 20 and over. This study applied the logistic regression for nominal variables such as disease prevalence and unmet care needs and with the regression for continuos variables such as the length and costs of medical services. Results: Rates of disease prevalence and unmet care needs for chronic disease in rural area are higher than those in middle cities and big cities, and regional differences of those for women are more than those for mens with controlling ages. There could be interaction effect with region and sex. Conclusions: This study suggests that health policy maker should take consider of special status of rural women who are in health inequality.