지역 간 건강수준 비교를 위한 표준화율 적용의 적절성 평가: 2008년 지역사회건강조사를 바탕으로

제목
지역 간 건강수준 비교를 위한 표준화율 적용의 적절성 평가: 2008년 지역사회건강조사를 바탕으로
Assessment of Applicability of Standardized Rates for Health State Comparison Among Areas: 2008 Community Health Survey
저자

권근용; 임도상; 박은자; 정지선; 강기원; 김윤아; 김호; 조성일

키워드
Age distribution; Health surveys; Population characteristics; Standardization
발행연도
2010-03-31
발행기관
대한예방의학회
Series
Journal of Preventive Medicine & Public Health(예방의학회지), vol. 43, no. 2, pp. 174 - 184
Journal Title
Journal of Preventive Medicine & Public Health(예방의학회지)
초록
Objectives: This study shows the issues that should be considered when applying standardized rates using Community Health Survey(CHS) data. Methods: We analyzed 2008 CHS data. In order to obtain the reliability of standardized rates, we calculated z-score and rank correlation coefficients between direct standardized rate and indirect standardized rate for 31 major indices. Especially, we assessed the change of correlations according to population composition (age and sex), and characteristics of the index. We used Mantel-Haenszel chi-square to quantify the difference of population composition. Results: Among 31 major indices, 29 indices' z-score and rank correlation coefficients were over 0.9. However, regions with larger differences in population composition showed lower reliability. Low reliability was also observed for the indices specific to subgroups with small denominator such as 'permanent lesion from stroke', and the index with large regional variations in age-related differences such as 'obtaining health examinations'. Conclusions: Standardized rates may have low reliability, if comparison is made between areas with extremely large differences in population composition, or for indicies with large regional variations in age-related differences. Therefore, the special features of standardized rates should be considered when health state are compared among areas.
ISSN
1975-8375
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