Chung Seo-Yeon, Lee Ru-Gyeom, Park So-Youn, Oh In-Hwan
Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul 02447, Republic of Korea.
Department of Medical Education and Humanities, School of Medicine, Kyung Hee University, Seoul 02453, Republic of Korea.
Healthcare (Basel). 2024 Jan 23;12(3):293. doi: 10.3390/healthcare12030293.
Despite the improved living standards in South Korea, people with disabilities still experience health disparities. Therefore, we analyzed differences in mortality rates among people with disabilities according to income level and residential area using representative data from the National Health Insurance Service in South Korea. Descriptive statistics and Cox proportional risk models were used to identify the risk factors for mortality affecting people with disabilities stratified by income level and residential area. Those living in non-metropolitan areas and low-income households had high mortality risks, suggesting that income level and residential area were related to mortality risk. The mortality risk of those with a high-income level was 1.534 times higher in non-metropolitan areas than in Seoul metropolitan areas (95% confidence interval [CI] = 1.44-1.63). Among people with low income living in non-metropolitan areas, the crude hazard ratios of mortality risk were 1.26 (95% CI = 1.14-1.39), 1.44 (95% CI = 1.34-1.54), and 1.39 (95% CI = 1.20-1.61) for those with brain lesions, sensory impairment (visual/hearing/speech impairment), and kidney failure, respectively. No significant differences were observed between people with autism in non-metropolitan and Seoul metropolitan areas and those with low- and high-income levels. Health issues and countermeasures are crucial to reduce mortality risk among people with disabilities.
尽管韩国的生活水平有所提高，但残疾人仍然面临健康差距。因此，我们利用韩国国民健康保险服务的代表性数据，分析了不同收入水平和居住地区的残疾人死亡率差异。描述性统计和Cox比例风险模型被用于确定按收入水平和居住地区分层的影响残疾人死亡率的风险因素。生活在非都市地区和低收入家庭的人有较高的死亡风险，这表明收入水平和居住地区与死亡风险有关。高收入水平人群在非都市地区的死亡风险比在首尔都市地区高1.534倍（95%置信区间[CI]=1.44-1.63）。在生活在非都市地区的低收入人群中，患有脑部病变、感觉障碍（视觉/听觉/言语障碍）和肾衰竭的人群的死亡率粗风险比分别为1.26（95%CI=1.14-1.39）、1.44（95%CI=1.34-1.54）和1.39（95%CI=1.20-1.61）。非都市地区和首尔都市地区的自闭症患者以及低收入和高收入水平的自闭症患者之间未观察到显著差异。健康问题和应对措施对于降低残疾人的死亡风险至关重要。
