• Title/Summary/Keyword: the inequality of health

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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.

Global Prostate Cancer Incidence and Mortality Rates According to the Human Development Index

  • Khazaei, Salman;Rezaeian, Shahab;Ayubi, Erfan;Gholamaliee, Behzad;Pishkuhi, Mahin Ahmadi;Khazaei, Somayeh;Mansori, Kamyar;Nematollahi, Shahrzad;Sani, Mohadeseh;Hanis, Shiva Mansouri
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3793-3796
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    • 2016
  • Background: Prostate cancer (PC) is one of the leading causes of death, especially in developed countries. The human development index (HDI) and its dimensions seem correlated with incidence and mortality rates of PC. This study aimed to assess the association of the specific components of HDI (life expectancy at birth, education, gross national income per 1000 capita, health, and living standards) with burden indicators of PC worldwide. Materials and Methods: Information of the incidence and mortality rates of PC was obtained from the GLOBOCAN cancer project in year 2012 and data about the HDI 2013 were obtained from the World Bank database. The correlation between incidence, mortality rates, and the HDI parameters were assessed using STATA software. Results: A significant inequality of PC incidence rates was observed according to concentration indexes=0.25 with 95% CI (0.22, 0.34) and a negative mortality concentration index of -0.04 with 95% CI (-0.09, 0.01) was observed. Conclusions: A positive significant correlation was detected between the incidence rates of PC and the HDI and its dimensions including life expectancy at birth, education, income, urbanization level and obesity. However, there was a negative significant correlation between the standardized mortality rates and the life expectancy, income and HDI.

A Study on the Family Planning Practice of Some Urbanites (일부 도시지역 주민의 가족계획 실천에 관한 연구)

  • Kim, Young-Ha;Cha, Hyung-Hun;Yum, Yong-Tae
    • Journal of agricultural medicine and community health
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    • v.9 no.1
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    • pp.27-38
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    • 1984
  • The Family Planning Project as a birthcontrol policy has been enthusiastically carried out by the government since 1962. But gradually it get less enthusiastic. Therefore, it is required to establish a more comprehensive and systematic plan and to carry out it thoroughly. And it is needless to say that people's knowledge about family planning, their attitudes and their practice should be concretly comprehended. Taking these things into consideration, this study surveys the general situation on family planning among 237 married women of less than 34 years in Guro 6-dong, one of target areas for Korea University Health Project from Sep. 17, 1984 to Oct. 13, 1984. The results are as follows; 1) Most of the subjects (62.8%) want 2 children and 13.6% want one child. But son-preference consciousness is remarkably revealed among them, which is thought to cause social inequality between man and woman. Therefore, it needs to change the traditional son-preference convention, for equality of all men regardless of sex. 2) The rate of induced abortion experience by person is 61.6% and the average frequency is 1.4. Almost all the induced abortion are carried out at clinics and hospitals during 2~3 months after conception. To prevent these unnecessary conception and induced abortion in view of maternal health, ethics and economics, proper contraceptive measures should be emphasized. 3) Temporary contraceptives should be sold more widely in the basis of free trade in order to practice the intensive and comprehensive family planning because the degree which Health Center has been utilized for buying temporary contraceptives is low. 4) There are serious problems such as the side effects and the lack of follow up care in permanent contraceptives. Those lower the practice rate of permanent contraception. Therefore it is necessary to improve the quality of permanent contraception practice and strengthen the follow-up care.

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Inequalities in External-Cause Mortality in 2018 across Industries in Republic of Korea

  • Lim, Jiyoung;Ko, Kwon;Lee, Kyung Eun;Park, Jae Bum;Lee, Seungho;Jeong, Inchul
    • Safety and Health at Work
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    • v.13 no.1
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    • pp.117-125
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    • 2022
  • Background: External-cause mortality is an important public health issue worldwide. Considering its significance to workers' health and inequalities across industries, we aimed to describe the state of external-cause mortality and investigate its difference by industry in Republic of Korea based on data for 2018. Methods: Data obtained from the Statistics Korea and Korean Employment Information System were used. External causes of death were divided into three categories (suicide, transport accident, and others), and death occurred during employment period or within 90 days after unemployment was regarded as workers' death. We calculated age- and sex-standardized mortalities per 100,000, standardized mortality ratios (SMRs) compared to the general population and total workers, and mortality rate ratios (RRs) across industries using information and communication as a reference. Correlation analyses between income, education, and mortality were conducted. Results: Age- and sex-standardized external-cause mortality per 100,000 in all workers was 29.4 (suicide: 16.2, transport accident: 6.6, others: 6.6). Compared to the general population, all external-cause and suicide SMRs were significantly lower; however, there was no significant difference in transport accidents. When compared to total workers, wholesale, transportation, and business facilities management showed higher SMR for suicide, and agriculture, forestry, and fishing, mining and quarrying, construction, transportation and storage, and public administration and defense showed higher SMR for transport accidents. A moderate to strong negative correlation was observed between education level and mortality (both age- and sex-standardized mortality rates and SMR compared to the general population). Conclusion: Inequalities in external-cause mortalities from suicide, transport accidents, and other causes were found. For reducing the differences, improved policies are needed for industries with higher mortalities.

The Convergence Study about Use Satisfaction of Public Health Center in Urban Areas and Rural Areas (도심지역과 농촌지역의 보건소 이용 만족도에 관한 융합연구)

  • Lee, Bo-Woo;Lee, Young-Ju;Jang, Seon-Ju;Kim, Chang-Gyu
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.123-128
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    • 2019
  • This study divided 409 local residents in G city of Gyeongsangbuk-do into urban area and rural area, and analyzed the satisfaction with using public health center. The subjects of this study were 284 people who had experience using public health centers among 409 people. In rural areas, satisfaction with general care, oriental care, dental care, physical therapy, examination, and vaccination was low. To improve this, it is necessary to expand and improve facilities so that smooth public health services can be provided to local residents. It is necessary to implement health care policies to resolve medical inequality between urban areas and rural areas.

The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data

  • Kang, Sanggu;Jeong, Yeri;Park, Eun Hye;Hwang, Seung-sik
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.5
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    • pp.455-463
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    • 2022
  • Objectives: Economic hardship has a serious impact on adolescents' mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents' suicidal behaviors. Methods: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.

Relationship between socioeconomic characteristics and prevalence of periodontal disease in Korean adults: The 6th Korean National Health and Nutrition (2015) (한국 성인의 사회경제적 수준과 치주질환 유병과의 관련성: 제6기 국민건강영양조사(2015년) 자료를 중심으로)

  • Choi, Ma-I;Mun, So-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.1109-1119
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    • 2017
  • Objectives: The purpose of this study is to evaluate the relationship between socioeconomic characteristics and prevalence of periodontal disease in a representative sample of Korean adults older than age 20. Methods: Data of 3,837 adults were collected by the six Korean National Health and Nutrition Examination Survey, which was conducted in 2015. Socioeconomic, demographic, and oral health-related behavior data were collected as independent variables. We determined frequencies, percentage, and determining statistical significance using multiple regression analysis. Results: Prevalence of periodontal diseases showed statistically significant difference in accordance with sex, age, socioeconomic and demographical characteristics and oral health-related behavior. It was confirmed that the prevalence of periodontal diseases was increased in the lower educational level and income (OR, 1.478 and 1.520) after adjusting for conditions such as age, sex, recent dental check-ups, visiting dental clinic, tooth brushing frequency, use of self-care devices. Conclusions: The prevalence of periodontal disease was related with socioeconomic factors in Korean adults. Therefore, differentiated oral health service policies and dental health education among adults with lower education and income is required in order to reduce the prevalence of periodontal disease.

The Effects of Socio-Economic Status on Drinking and Smoking in Korean Adolescents (청소년의 흡연 및 음주 행태와 사회경제적 수준과의 관계)

  • Cho, Sun-Hee;Eom, Ae-Yong;Jeon, Gyeong-Suk
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.13-25
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    • 2012
  • There is growing evidence that substance use such as tobacco or alcohol consumption influences health disparity among adolescents. Previous research papers have shown an inconsistency in the relationship between socio-economic status (SES) and substance use in adolescents. However, little is known about socio-economic differences in unhealthy behaviors among Korean adolescents. The purpose of the present study is to explore associations between SES and substance use in Korean adolescents. The analysis was performed using data from the 2009 Korean Youth Risk Behavior Web-based Survey (YRBS), which included a nationally representative sample of middle and high school students. Drinking/heavy drinking and smoking/daily smoking behavior indices were used for dependent variables, and perceived economic status, family affluence score, parents' education were used for independent variables. Chi-square test were used to compare tobacco and alcohol consumption among 3 SES groups. Logistic regression models were used to identify statistically significant socio-economic factors after adjusting other covariates. Higher perceived economic status and higher family affluence were associated with higher rates of smoking, daily smoking, drinking, and heavy drinking, while lower level of parents' education was related to higher use of tobacco and alcohol. Socio-economic status significantly influences health behaviors in adolescents, and it may consequently affect health disparity in their adulthood. Therefore, there is a need of continuous monitoring and follow-up research of health disparity among adolescents.

Nutrient Intake Status of the Elderly in Metropolitan, Middle & Small Cities, and Rural Areas according to Income Level within the Same Region: Korea National Health and Nutrition Examination Survey (2016-2018) (대도시·중소도시·읍면지역 및 동일한 지역내에서의 소득수준에 따른 노인의 영양소 섭취 현황: 국민건강영양조사 2016-2018년 자료 활용)

  • Kim, Sangyeon;Hong, Hye-Sook;Lee, Hae-Jeung
    • Journal of the Korean Society of Food Culture
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    • v.36 no.1
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    • pp.92-102
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    • 2021
  • There is little information on the nutrient intake according to the city size and small town in Korean elderly. This study analyzed the nutritional consumption of older people in metropolitan, middle and small cities, and rural areas according to four income levels. The recent data from the 2016~2018 Korean National Health and Nutrition Survey, Centers for Disease Control and Prevention were used. The final analysis included 4,325 individuals (Male: 1,856, Female: 2,469) over 65 years old. Multivariable regression with a complex sample design was conducted to compare the nutrient intake among the groups. In a comparison within regions, the nutrition status of the elderly in small towns was more vulnerable than metropolitan and middle & small cities. The energy intakes were similar between the groups. The carbohydrate intake of middle & small cities was significantly higher than the other regions. The intake of other nutrients in metropolitan and middle & small cities appeared to be higher than in rural areas. The number of nutrients with statistical significance between low and high-income levels were 19 in metropolitan, 11 in middle & small cities, and 5 in rural areas. Each contribution of carbohydrate, fat, and protein to the total energy intake was lower in the low-income level than the high-income level in metropolitan and middle & small cities. On the other hand, in rural areas, only the contribution of protein to energy intake was lower in the low-income level than the high-income level. Cities with higher levels of urbanization had more severe nutritional inequality in relation to the income level. There was also nutritional inequality present in rural areas but it was to a lesser extent. Moreover, the generally low level of nutrient intake was problematic in rural areas. These findings could be used as fundamental evidence for developing community nutritional policies for the elderly.

Cumulative Impact Assessment Using Environmental Health Screening Tool in Seoul (환경보건 스크리닝 툴을 이용한 서울시 누적영향 평가)

  • Lim, Yu-ra;Bae, Hyun-joo
    • Journal of the Korean association of regional geographers
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    • v.20 no.4
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    • pp.444-453
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    • 2014
  • Inequality of environmental impact is forecast to deepen due to the damage of environmental risk by the interaction between environmental and social inequalities causing more harms to environmentally vulnerable population. This study assessed the integrated cumulative impact of Seoul using Environmental Health Screening Tool developed by Environmental Protection Agency of California. In order to screen vulnerable area to environmental health, 10 indexes have been selected according to the environmental burden of exposure to environment and public health effects, population characteristics of sensitive populations and socio-economic factors. As a result of assessment conducted on cumulative impact of Seoul for years 2009~2011 through Environmental Health Screening Tool, risk factor for districts of Gangseo and Gangnam of Seoul showed high - Gangseo area indicated high risk factor both in environmental burden and population characteristics, while Gangnam area appeared high in environmental burden. The result of survey will be able to suggest scientific basis to push through fair and effective environmental policy in consideration of environment vulnerable population.

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