An Assessment of Magnitudes and Patterns of Socioeconomic Inequalities across Various Health Problems: A Large National Cross-Sectional Survey in Korea

Ji-Yeon Shin; Jiseun Lim; Myung Ki; Yeong-Jun Song; Heeran Chun; Dongjin Kim

doi:10.3390/ijerph15122868

제목: An Assessment of Magnitudes and Patterns of Socioeconomic Inequalities across Various Health Problems: A Large National Cross-Sectional Survey in Korea

저자: Ji-Yeon Shin ; Jiseun Lim ; Myung Ki ; Yeong-Jun Song ; Heeran Chun ; Dongjin Kim

키워드: socioeconomic inequalities in common health problems ; socioeconomic factors ; health inequalities in non-communicable diseases ; health inequalities in mental diseases ; health inequalities policy ; Korea

발행연도: 2018-12-14

발행기관: Multidisciplinary Digital Publishing Institute

인용정보: International Journal of Environmental Research and Public Health, vol. 15, no. 12, pp. 1 - 13

초록: Magnitudes of health inequalities present consequences of socioeconomic impact on each health problem. To provide knowledge on the size of health problems in terms of socioeconomic burden, we examined the magnitudes and patterns of health inequalities across 12 health problems. A total of 17,292 participants older than 30 years were drawn from the Korea National Health and Nutrition Examination Survey (KNHANES, 2010–2012). The age-adjusted prevalence ratios were compared across socioeconomic positions (SEPs) based on income, education, and occupation. The magnitudes of socioeconomic inequalities varied across 12 health problems and, in general, the patterns of socioeconomic inequalities were similar among groups of health problems (i.e., non-communicable diseases (NCDs), mental health, and subjective health states). Signiﬁcant health inequalities across NCDs, such as diabetes, hypertension, ischemic heart disease, andarthritis,wereobservedmainlyinwomen. Socioeconomicinequalitiesinmentalhealthproblems, such as depression, suicidal ideation, and suicide attempts, were profound for both genders and across SEP measures. Signiﬁcant socioeconomic inequalities were also observed for subjective health. No or weak associations were observed for injury and HBV infection. The patterns of socioeconomic inequalities were similar among groups of health problems. Mental illnesses appeared to require prioritization of socioeconomic approaches for improvement in terms of absolute prevalence and relative socioeconomic distribution.

Fulltext: https://doi.org/10.3390/ijerph15122868

ISSN: 1660-4601

DOI: 10.3390/ijerph15122868

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