Kim Ji Man, Jo Yong-Sim, Park Eun-Cheol, Cho Woo-Hyun, Choi Jongwon, Chang Hoo-Sun
Department of Public Health, Graduate School, Yonsei University, Seoul, Korea Institute of Health Services Research, Yonsei University, Seoul, Korea National Health Insurance Corporation Ilsan Hospital, Goyang-si, Korea.
National Health Insurance Corporation, Seoul, Korea.
Asia Pac J Public Health. 2015 Mar;27(2):NP2443-57. doi: 10.1177/1010539512466569. Epub 2012 Nov 27.
This study investigates the relationship between economic status and mortality of Korean men and women who were under and over the average national life expectancy using Cox's proportional hazard model to adjust for health status, past medical history, and age. The study subjects come from local applicants of Korean National Health Insurance who had a health examination in 2005. They were enrolled into a follow-up investigation from 2005 to 2011. In individuals younger than the average life expectancy, the mortality of the lowest economic status was 2.48 times higher in men and 2.02 times higher in women than that in the highest economic status. Economic status-mortality association in males older than the average life expectancy was attenuated but not eliminated. However, there is no significant relationship between economic status and mortality for females above the average life expectancy.
本研究使用Cox比例风险模型,针对健康状况、既往病史和年龄进行调整,调查了韩国男性和女性在低于和高于全国平均预期寿命情况下的经济状况与死亡率之间的关系。研究对象来自2005年接受健康检查的韩国国民健康保险的本地申请者。他们于2005年至2011年被纳入一项随访调查。在低于平均预期寿命的人群中,经济状况最差的男性死亡率比经济状况最好的男性高2.48倍,女性高2.02倍。高于平均预期寿命的男性中,经济状况与死亡率之间存在的关联虽有所减弱但并未消除。然而,高于平均预期寿命的女性中,经济状况与死亡率之间不存在显著关系。