Ko Hansoo, Kim Jinseob, Kim Donggil, Kim Saerom, Park Yukyung, Kim Chang-yup
Preventive Medicine Program, Graduate School of Public Health, Seoul National University, Seoul, Korea.
J Prev Med Public Health. 2013 Jan;46(1):1-9. doi: 10.3961/jpmph.2013.46.1.1. Epub 2013 Jan 31.
We examined the association between social expenditures of the local government and the mortality level in Korea, 2004 to 2010.
We used social expenditure data of 230 local governments during 2004 to 2010 from the Social Expenditure Database prepared by the Korean Institute for Health and Social Affairs. Fixed effect panel data regression analysis was adopted to look for associations between social expenditures and age-standardized mortality and the premature death index.
Social expenditures of local governments per capita was not significantly associated with standardized mortality but was associated with the premature death index (decline of 1.0 [for males] and 0.5 [for females] for each expenditure of 100 000 Korean won, i.e., approximately 100 US dollar). As an index of the voluntary effort of local governments, the self-managed project ratio was associated with a decline in the standardized mortality in females (decline of 0.4 for each increase of 1%). The share of health care was not significant.
There were associations between social expenditures of the local government and the mortality level in Korea. In particular, social expenditures per capita were significantly associated with a decline in premature death. However, the voluntary efforts of local governments were not significantly related to the decline in premature death.
我们研究了2004年至2010年韩国地方政府社会支出与死亡率之间的关联。
我们使用了韩国卫生和社会事务研究所编制的社会支出数据库中2004年至2010年期间230个地方政府的社会支出数据。采用固定效应面板数据回归分析来寻找社会支出与年龄标准化死亡率和过早死亡指数之间的关联。
地方政府人均社会支出与标准化死亡率无显著关联，但与过早死亡指数相关（每支出10万韩元，即约100美元，男性过早死亡指数下降1.0，女性下降0.5）。作为地方政府自愿努力的一个指标，自我管理项目比例与女性标准化死亡率的下降相关（每增加1%下降0.4）。医疗保健支出占比不显著。
韩国地方政府社会支出与死亡率之间存在关联。特别是，人均社会支出与过早死亡的下降显著相关。然而，地方政府的自愿努力与过早死亡的下降没有显著关系。
