Institute of Health Policy and Management, Seoul National University Medical Research Center, 103 Daehak-ro (Yeongeon-dong) Jongno-gu, Seoul 03080, Korea.
Ewha Institute for Age Integration Research, Ewha Womans University, SK Telecom building 504-1 ho, Ewhayeodae-gil 52, Seodaemun-gu, Seoul 03760, Korea.
Int J Environ Res Public Health. 2020 Jun 23;17(12):4504. doi: 10.3390/ijerph17124504.
While numerous comparative works on the magnitude of health inequalities in Europe have been conducted, there is a paucity of research that encompasses non-European nations such as Asian countries. This study was conducted to compare Europe and Korea in terms of educational health inequalities, with poor self-rated health (SRH) as the outcome variable. The European Union Statistics on Income and Living Conditions and the Korea National Health and Nutrition Examination Survey in 2017 were used (31 countries). Adult men and women aged 20+ years were included (207,245 men and 238,007 women). The age-standardized, sex-specific prevalence of poor SRH by educational level was computed. The slope index of inequality (SII) and relative index of inequality (RII) were calculated. The prevalence of poor SRH was higher in Korea than in other countries for both low/middle- and highly educated individuals. Among highly educated Koreans, the proportion of less healthy women was higher than that of less healthy men. Korea's SII was the highest for men (15.7%) and the ninth-highest for women (10.4%). In contrast, Korea's RII was the third-lowest for men (3.27), and the lowest among women (1.98). This high-SII-low-RII mix seems to have been generated by the high level of baseline poor SRH.
尽管已经有许多关于欧洲健康不平等程度的比较研究，但对于亚洲等非欧洲国家的研究却很少。本研究旨在比较欧洲和韩国的教育健康不平等，以自评健康状况较差（poor self-rated health，SRH）为结果变量。本研究使用了 2017 年欧盟收入和生活条件统计数据以及韩国国家健康和营养检查调查数据（涵盖 31 个国家）。纳入年龄在 20 岁及以上的成年男性和女性（男性 207,245 人，女性 238,007 人）。计算了按教育程度划分的年龄标准化、性别特异性poor SRH 的流行率。计算了不平等斜率指数（slope index of inequality，SII）和相对不平等指数（relative index of inequality，RII）。对于低/中高教育程度的个体，韩国的 poor SRH 流行率均高于其他国家。在高教育程度的韩国人中，不健康女性的比例高于不健康男性。韩国的 SII 男性最高（15.7%），女性第九（10.4%）。相比之下，韩国的 RII 男性第三低（3.27），女性最低（1.98）。这种高 SII 低 RII 的组合似乎是由基线 poor SRH 水平较高引起的。
