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[韩国的健康不平等:现状与影响]

[Health inequalities in Korea: current conditions and implications].

作者信息

Kim Yu-Mi, Kim Myoung-Hee

机构信息

Department of Preventive Medicine, Hanyang University College of Medicine.

出版信息

J Prev Med Public Health. 2007 Nov;40(6):431-8. doi: 10.3961/jpmph.2007.40.6.431.

Abstract

OBJECTIVES

The aim of this study is to summarize the current conditions and implications of health inequalities in South Korea.

METHODS

Through a literature review of empirical studies and supplementary analysis of the data presented in the 1998, 2001, and 2005 KNHANEs, we evaluated the extent and trends of socioeconomic inequalities in both health risk factors, such as smoking, physical activity, and obesity, and outcomes, such as total mortality, subjective poor health status by self-reports and metabolic syndrome. Relative risks and odds ratios were used to measure differences across socioeconomic groups, and the relative index of inequality was used to evaluate the changes in inequalities over time.

RESULTS

We found clear inequalities to various degrees in most health indicators. While little change was observed in mortality differences over time, the socioeconomic gaps in risk factors and morbidity have been widening, with much larger differences among the younger population.

CONCLUSIONS

Socioeconomic inequalities are pervasive across various health indicators, and some of them are increasing. The trends in socioeconomic inequalities in health should be carefully monitored, and comprehensive measures to alleviate health inequalities are needed, especially for young populations.

摘要

目的

本研究旨在总结韩国健康不平等的现状及影响。

方法

通过对实证研究的文献综述以及对1998年、2001年和2005年韩国国家健康与营养检查调查(KNHANEs)所呈现数据的补充分析,我们评估了健康风险因素(如吸烟、体育活动和肥胖)以及健康结果(如总死亡率、自我报告的主观健康状况不佳和代谢综合征)方面社会经济不平等的程度和趋势。相对风险和比值比用于衡量社会经济群体之间的差异,不平等相对指数用于评估不平等随时间的变化。

结果

我们发现大多数健康指标都存在不同程度的明显不平等。虽然随着时间推移死亡率差异变化不大,但风险因素和发病率方面的社会经济差距一直在扩大,年轻人群体之间的差异更大。

结论

社会经济不平等在各种健康指标中普遍存在,其中一些还在加剧。应仔细监测健康方面社会经济不平等的趋势,需要采取综合措施来缓解健康不平等,特别是针对年轻人群体。

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