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[韩国自评健康状况中的社会经济不平等及健康行为因素的作用]

[Socioeconomic inequity in self-rated health status and contribution of health behavioral factors in Korea].

作者信息

Kim Minkyung, Chung Woojin, Lim Seungji, Yoon Soojin, Lee Jakyoung, Kim Eunkyung, Ko Lanju

机构信息

Graduate School of Public Health, Yonsei University, Korea.

出版信息

J Prev Med Public Health. 2010 Jan;43(1):50-61. doi: 10.3961/jpmph.2010.43.1.50.

Abstract

OBJECTIVES

The study is investigated socioeconomic variations in self-rated health status and contribution of health behavioral factors in Korea.

METHODS

A nationally representative sample (2,800 men and 3,230 women aged 20-64 years) from the 2005 Korea National Health and Nutrition Surveys was analyzed using logistic regression.

RESULTS

Self-rated health was lower among lower socioeconomic groups compared with higher socioeconomic groups, with gender being irrelevant. This association was attenuated when health behavioral and socio-demographic factors were adjusted. When each health behavioral factor was considered separately, mediators such as smoking in men, and stress or exercise in women explained a large part of the decreased socioeconomic health inequalities.

CONCLUSIONS

In Korea, subjective health inequalities arise from different socioeconomic status, but this difference is decreased by health behavioral factors. Therefore, socioeconomic inequity in self-rated health status can be corrected more effectively by promotional health behaviors.

摘要

目的

本研究调查了韩国自评健康状况的社会经济差异以及健康行为因素的作用。

方法

使用逻辑回归分析了2005年韩国国民健康与营养调查中具有全国代表性的样本(2800名20 - 64岁男性和3230名20 - 64岁女性)。

结果

与社会经济地位较高的群体相比,社会经济地位较低的群体自评健康状况较差,且与性别无关。在对健康行为和社会人口学因素进行调整后,这种关联减弱。当分别考虑每个健康行为因素时,男性中的吸烟以及女性中的压力或运动等中介因素解释了社会经济健康不平等下降的很大一部分。

结论

在韩国,主观健康不平等源于不同的社会经济地位,但这种差异会因健康行为因素而减小。因此,通过促进健康行为可以更有效地纠正自评健康状况中的社会经济不平等。

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