Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

A Comparison of Community Health Status by Region and an Investigation of related Factors using Community Health Indicators

지역사회 보건사회지표를 이용한 시군구 지역 간 건강수준 비교 및 관련 요인 상관관계 분석

  • Received : 2011.09.07
  • Accepted : 2012.03.05
  • Published : 2012.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this paper was to compare community health status by region and to investigate related factors using community health and social indicators. Methods: Data were collected from statistics of local districts that were provided by KNSO and KCDC. ANOVA and correlation were analyzed using PASW 18.0. Results: The standardized cancer mortality rate was higher in metropolitan areas than in other areas. On the contrary, the mortality of respiratory disease, traffic accident, and suicide were higher in rural areas. Small cities and county districts showed higher prevalence in obesity prevalence than metropolitan areas. Metropolitan areas presented higher prevalence in alcohol drinking during the previous month, perceived stress, and seat belt use. The age-adjusted standardized mortality rate was correlated with higher prevalence of smoking, obesity, percentage of the elderly, number of beds, number of social welfare facilities, number of registered cars, lower percentage of financial independence, number of doctors, and percentage of water supply service & sewage. Conclusion: Since significant differences in mortality rate and prevalence of health risk behaviors exist between regional areas and the mortality rate was correlated with other social indicators and health indicators, health policies and social policies considering these differences should be develop and implemented to the communities.

Keywords

References

  1. Chung, H. K. (1990). The study on the impact of communitylevel characteristics on the mortality level. Unpublished doctoral dissertation, Seoull National University, Seoul.
  2. Diez-Roux, A. V., Merkin, S. S., Arnett, D., Chambless, L. Massing M., Nieto, F. J., et al. (2001). Neighborhood of residence and incidence of coronary heart disease. The New England Journal of Medicine, 345 , 99-106. https://doi.org/10.1056/NEJM200107123450205
  3. Gehlert, S., Mininger, C., & Cipriano-Steffens, T. M. (2011). Placing biology in breast cancer disparities research. In L. M.Burton, S. P. Kemp, M. Leung, S. A. Matthews & D. T. Takeuchi (Eds.), Communities, neighborhoods, and health (pp. 57-88). New York: Springer.
  4. Gikas, A., Merkouris, P., Skliros, E., & Sotiropoulos, A. (2007). Urban-rural differences in smoking prevalence in Greece. European Journal of Public Health, 17 (4), 211-213.
  5. Gregory, I. N. (2009). Comparisons between geographies of mortality and deprivation from the 1900s and 2001: Spatial analysis of census and mortality statistics. British Medical Journal, 339. Retrieved September 1, 2011, from http:// www.bmj.com/content/339/bmj.b3454.abstract
  6. Haynes, R., & Gale, S. (2000). Deprivation and poor health in rural areas: Inequalities hidden by averages. Health & Place, 6, 275-285. https://doi.org/10.1016/S1353-8292(00)00009-5
  7. Idris, B. I., Giskes, K., Borrell, C., Benach, J., Costa, G., Federico, B., et al. (2007). Higher smoking prevalence in urban compared to non-urban areas: Time trends in six European countries. Health & Place, 13 , 702-712. https://doi.org/10.1016/j.healthplace.2006.11.001
  8. Jeong, B, G., Jung, K. Y., Kim. J. Y., Moon, O. R., Lee, Y. H., Hong, Y. S., et al. (2006). The relationship between regional material deprivation and standardized mortality ratio of the communities residents aged 15-64 in Korea. Preventive Medicine Publication Health, 39, 46-52.
  9. Khang, Y. H. (2007). Different logivity by village. In C. G. Lee (Ed.), Chasing health inequality in Korea: A report for making it social issues (pp. 67-79). Seoul: Publishing Company Meem.
  10. Kim, C. Y. (2004). Socio-economic status, health, and health risk behavior. Health and Welfare Policy Forum, 92 , 18-25.
  11. Kim, H. Y. (2010). Community inequalities in health: The contextual effect of social capital. Korean Journal of Sociology, 44 (2), 59-92.
  12. Kim, J. H., & Yoon, T. H. (2008). Comparison of health inequalities in small areas with using the standardized mortality ratios in Korea. Preventive Medicine Publication Health, 41, 300-306. https://doi.org/10.3961/jpmph.2008.41.5.300
  13. Lee, M. S. (2005). Health inequalities among Korean adults. Korean Sociological Journal, 39 (6), 183-209.
  14. Lee, S. G. (2002). Social contextual effects on regional mortality and self-rated health status. Unpublished doctoral dissertation, Yonsei University, Seoul.
  15. Marmot, M. (2004). Social causes of social inequalities in health. In S. Anand, F. Peter & A. Sen (Eds.), Public health, ethics, and equity (pp 37-61). New York: Oxford University Press.
  16. Massey, D. S. (2004). Segregation and stratification: A biosocial perspective. Du Bois Review, 1 , 7-25.
  17. Ministry of Health and Welfare, Korea Center for Disease Control and Prevention. (2010). Taking a glance into community health survey in Korea, 2009. Seoul: Author.
  18. Parks, S. E., Housemann, R. A., & Brownson, R. C. (2003). Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. Journal of Epidemiology and Community Health, 57 , 29-35. https://doi.org/10.1136/jech.57.1.29
  19. Robert, S. A. (1998). Community-level socioeconomic status effects on adult health. Journal of Health and Social Behavior, 39, 18-37. https://doi.org/10.2307/2676387
  20. Ross, C. E., & Mirowsky, J. (2001). Neighborhood disadvantage, disorder, and health. Journal of Health and Social Behavior, 42 , 258-276. https://doi.org/10.2307/3090214
  21. Shi, L., Starfield, B., Kennedy, B., & Kawachi, I. (1999). Income inequality, primary care, and health indicators. The Journal of Family Practice, 48 , 275-284..
  22. Shin, H., Lee, S., & Chu, J. M. (2009). Development of composite deprivation index for Korea: The correlation with standardized mortality ratio. Preventive Medicine Publication Health, 42 , 392-402. https://doi.org/10.3961/jpmph.2009.42.6.392
  23. Statistics Korea. (2010a). Explanation on staistics (about statistics on causes of death). Retrived January 12, 2012, from http:// kosis.kr/metadata/main.jsp?c_id=1999038
  24. Statistics Korea. (2010b). Korea statistical information services. Retrived January 12, 2012, from http://kosis.kr/index/index. jsp
  25. Takano, T., & Nakamura, K. (2001). An analysis of health levels and various indicators of urban environments for healthy cities projects. Journal of Epidemiology and Community Health, 55 , 263-270. https://doi.org/10.1136/jech.55.4.263