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Health Inequalities between Rural and Urban Areas in South Korea

도시와 농촌 간 건강불평등

  • Yoon, Tae-Ho (Department of Preventive & Occupational Medicine, School of Medicine, Pusan National University) ;
  • Kim, Ji-Hyun (Department of Preventive & Occupational Medicine, School of Medicine, Pusan National University)
  • 윤태호 (부산대학교 의학전문대학원 예방의학 및 산업의학 교실) ;
  • 김지현 (부산대학교 의학전문대학원 예방의학 및 산업의학 교실)
  • Published : 2006.12.31

Abstract

Purpose: To compare of health inequalities between rural and urban areas in term of health status, health behaviors and medical care utilization by using national-wide data. Method: The data came from the 2000 and 2005 census data, 2004 death certification statistics and 2001 national health and nutrition survey. The health indicators used in this study were mortality, perceived health status, health related behaviors, morbidity, accidents and suicides, mental health-related factors, health care accessibility. Korean rural areas have been experiencing a rapid aging process and there are demographic differences between rural and urban populations. Thus, both of crude rates and age-adjusted rates were compared. Result: Although the degrees decreased after adjustment for age, health inequalities between areas still existed. The people who lived in rural areas suffer from higher mortality, morbidity and unhealthy behavior compared to people in urban areas. Especially, regional health inequalities for women were significant. Health care accessibility in rural areas was also lower and medical indirect costs for rural residents were higher than those of urban residents. Conclusion: To reduce health inequalities between geographical areas, political efforts to tackle health inequalities in the rural areas are required.

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