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利用2008年至2017年的10年综合数据,分析韩国残疾人按残疾类型划分的死亡率模式及预期寿命。

Disability type-specific mortality patterns and life expectancy among disabled people in South Korea using 10-year combined data between 2008 and 2017.

作者信息

Bahk Jinwook, Kang Hee-Yeon, Khang Young-Ho

机构信息

Department of Public Health, Keimyung University, 1095, Dalgubeol-daero, Dalseo-gu, Daegu, Korea.

Department of Health Policy and Management, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, Korea.

出版信息

Prev Med Rep. 2022 Aug 19;29:101958. doi: 10.1016/j.pmedr.2022.101958. eCollection 2022 Oct.

Abstract

People with disabilities have a higher mortality risk than non-disabled people. However, mortality patterns and life expectancy according to disability types are under-researched. This study investigated the sociodemographic characteristics and compared mortality and life expectancy among people with disabilities according to disability type in Korea using 10-year combined data between 2008 and 2017. The National Health Information Database from the National Health Insurance Service covering the total Korean population between 2008 and 2017 was obtained. This study described the age and income distributions of people with disabilities and calculated the mortality rate, proportional mortality ratio, and life expectancy according to disability type. Most disability subgroups had higher average ages than were found for non-disabled people. The proportion of the bottom 20% household income group was also higher in all types of disabilities than in non-disabled people. The crude mortality rate, age-standardized mortality rate, and life expectancy were all worse in people with all types of disabilities than in their non-disabled counterparts, but variations according to disability type were found. The composition of causes of death also varied across disability types. Although all types of disabilities were associated with higher mortality rates and lower life expectancy, the sociodemographic characteristics and mortality and life expectancy patterns differed across types of disability. People with disabilities experienced various health-related problems and financial burdens. Public assistance needs to be strengthened to guarantee adequate income and health care services for people with disabilities, considering their sociodemographic characteristics and mortality patterns.

摘要

残疾人的死亡风险高于非残疾人。然而,根据残疾类型的死亡率模式和预期寿命的研究还不够充分。本研究利用2008年至2017年的10年综合数据,调查了韩国残疾人的社会人口学特征,并比较了不同残疾类型的残疾人的死亡率和预期寿命。获取了韩国国民健康保险服务中心的国家健康信息数据库,该数据库涵盖了2008年至2017年的全体韩国人口。本研究描述了残疾人的年龄和收入分布,并根据残疾类型计算了死亡率、比例死亡率和预期寿命。大多数残疾亚组的平均年龄高于非残疾人。在所有残疾类型中,家庭收入最低的20%群体的比例也高于非残疾人。所有类型的残疾人的粗死亡率、年龄标准化死亡率和预期寿命均比非残疾人差,但不同残疾类型存在差异。死亡原因的构成也因残疾类型而异。虽然所有类型的残疾都与较高的死亡率和较低的预期寿命相关,但不同类型残疾的社会人口学特征以及死亡率和预期寿命模式有所不同。残疾人面临各种与健康相关的问题和经济负担。考虑到残疾人的社会人口学特征和死亡率模式,需要加强公共援助,以保障他们有足够的收入和医疗服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b2a/9501987/c4a572f260d0/gr1.jpg

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