Department of Health Policy and Management, Jeju National University School of Medicine, Jeju, Korea.
Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2020 Nov 16;35(44):e365. doi: 10.3346/jkms.2020.35.e365.
This study aimed to calculate life expectancy in the areas around 614 subway stations on 23 subway lines in the Seoul metropolitan area of Korea from 2008 to 2017.
We used the National Health Information Database provided by the National Health Insurance Service, which covers the whole population of Korea. The analysis was conducted on the level of the smallest administrative units within a 200-m radius of each subway station. Life expectancy was calculated by constructing an abridged life table using the number of population and deaths in each area and 5-year age groups (0, 1-4, …, 85+) during the whole study period.
The median life expectancy in the areas around 614 subway stations was 82.9 years (interquartile range, 2.2 years; minimum, 77.6 years; maximum, 87.4 years). The life expectancy of areas around subway stations located in Seoul was higher than those in Incheon and Gyeonggi-do, but variation within the region was observed. Significant differences were observed between some adjacent subway stations. In Incheon and Gyeonggi-do, substantially higher life expectancy was found around subway stations in newly developed urban areas, and lower life expectancy was found in central Incheon and suburbs in Gyeonggi-do.
When using areas around subway stations as the unit of analysis, variation in life expectancy in the Seoul metropolitan area was observed. This approach may reduce the stigma associated with presenting health inequalities at the level of the smallest administrative units and foster public awareness of health inequalities.
本研究旨在计算 2008 年至 2017 年期间韩国首尔大都市地区 23 条地铁线路的 614 个地铁站周边地区的预期寿命。
我们使用了国民健康保险服务提供的国家健康信息数据库,该数据库涵盖了韩国的全部人口。分析是在每个地铁站 200 米半径内的最小行政单位一级进行的。通过使用每个地区的人口数量和死亡人数以及整个研究期间的 5 岁年龄组(0、1-4 岁等,85+ 岁)构建简化寿命表来计算预期寿命。
在 614 个地铁站周边地区的预期寿命中位数为 82.9 岁(四分位距为 2.2 岁;最小值为 77.6 岁;最大值为 87.4 岁)。位于首尔的地铁站周边地区的预期寿命高于仁川和京畿道的预期寿命,但该地区内部存在差异。一些相邻的地铁站之间存在显著差异。在仁川和京畿道,在新开发的城市地区周围的地铁站发现了更高的预期寿命,而在仁川市中心和京畿道郊区发现了较低的预期寿命。
当使用地铁站周边地区作为分析单位时,观察到首尔大都市地区预期寿命的变化。这种方法可能会减少将健康不平等呈现为最小行政单位的耻辱感,并提高公众对健康不平等的认识。