Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Burden of Noncommunicable Diseases and National Strategies to Control Them in Korea

  • Khang, Young-Ho (Department of Preventive Medicine, University of Ulsan College of Medicine)
  • Received : 2013.07.01
  • Accepted : 2013.07.15
  • Published : 2013.07.31
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Abstract

Noncommunicable diseases (NCDs) are the most important causes of premature mortality and disability-adjusted life years in Korea. NCDs are also the main contributor to socioeconomic inequalities in mortality and life expectancy. Reduction of NCDs and NCD inequalities would result in significant improvement in healthy life expectancy and health equity in Korea. Major NCD risk factors such as dietary risks (including salt intake), alcohol consumption, cigarette smoking, and high blood pressure were found to be the leading modifiable risk factors of disability-adjusted life years in Korea, based on the 2010 Global Burden of Disease Study. Several Korean studies have shown that these risk factors play an important role in creating socioeconomic inequalities in NCD mortality and total mortality. Current international discussions on NCD policies in the United Nations and the World Health Organization would provide better opportunities for developing aggressive population-wide policy measures in Korea. Considering the paucity of population-wide policies to control major NCD risk factors in Korea, rigorous population approaches such as taxation and regulation of unhealthy commodities as well as public education and mass campaigns should be further developed in Korea.

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References

  1. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380(9859):2095-2128. https://doi.org/10.1016/S0140-6736(12)61728-0
  2. Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380(9859):2197-2223. https://doi.org/10.1016/S0140-6736(12)61689-4
  3. Di Cesare M, Khang YH, Asaria P, Blakely T, Cowan MJ, Farzad-far F, et al. Inequalities in non-communicable diseases and effective responses. Lancet 2013;381(9866):585-597. https://doi.org/10.1016/S0140-6736(12)61851-0
  4. World Health Organization. The global burden of disease: 2004 update. Geneva: World Health Organization; 2008, p. 1-146.
  5. World Health Organization. Global status report on noncommunicable diseases 2010. Geneva: World Health Organization; 2011, p. 1-89.
  6. World Health Organization. 2008-2013 Action plan for the global strategy for the prevention and control of noncommunicable diseases [cited 2013 Jun 21]. Available from:http://whqlibdoc.who.int/publications/2009/9789241597418_eng.pdf.
  7. World Health Organization. About NCDnet [cited 2013 Jun 21]. Available from:http://www.who.int/ncdnet/about/en/.
  8. The NCD Alliance. Who we are [cited 2013 Jun 21]. Available from: http://www.ncdalliance.org/who-we-are.
  9. World Health Organization. Final comprehensive global monitoring framework for NCDs [cited 2013 Jun 21]. Available from:http://ncdalliance.org/sites/default/files/rfiles/GMF_Final%20Table%20of%20Targets.pdf.
  10. Alleyne G, Binagwaho A, Haines A, Jahan S, Nugent R, Rojhani A, et al. Embedding non-communicable diseases in the post-2015 development agenda. Lancet 2013;381(9866):566-574. https://doi.org/10.1016/S0140-6736(12)61806-6
  11. Eriksen MP, Mackay J, Ross H. The tobacco atlas. 4th ed. New York: American Cancer Society; 2012, p. 44-45.
  12. Bloom DE, Cafiero E, Jane-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The global economic burden of noncommunicable diseases. Geneva: World Economic Forum; 2011, p.1-41.
  13. United Nations. The future we want [cited 2013 Jun 25]. Available from:https://rio20.un.org/sites/rio20.un.org/files/a-conf.216l-1_english.pdf.
  14. World Health Organization. Noncommunicable diseases country profiles 2011. Geneva: World Health Organization; 2011, p. 153.
  15. Institute for Health Metrics and Evaluation. GBD arrow diagram [cited 2013 Jun 26]. Available from:http://www.healthmetricsandevaluation.org/gbd/visualizations/gbd-arrow-diagram.
  16. Yoon SJ, Bae SC, Lee SI, Chang H, Jo HS, Sung JH, et al. Measuring the burden of disease in Korea. J Korean Med Sci 2007;22(3):518-523. https://doi.org/10.3346/jkms.2007.22.3.518
  17. Kim EJ, Yoon SJ, Jo MW, Kim HJ. Measuring the burden of chronic diseases in Korea in 2007. Public Health 2013. doi:10.1016/j.puhe.2012.12.024.
  18. Ministry of Health and Welfare. 2009 White paper. Seoul: Ministry of Health and Welfare; 2010, p. 747 (Korean).
  19. Yang S, Khang YH, Harper S, Davey Smith G, Leon DA, Lynch J. Understanding the rapid increase in life expectancy in South Korea. Am J Public Health 2010;100(5):896-903. https://doi.org/10.2105/AJPH.2009.160341
  20. Ezzati M, Riboli E. Can noncommunicable diseases be prevented? Lessons from studies of populations and individuals. Science 2012;337(6101):1482-1487. https://doi.org/10.1126/science.1227001
  21. National Cancer Information Center. Cancer incidence [cited 2013 Jun 26]. Available from: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040101000000 (Korean).
  22. Jung KW, Won YJ, Kong HJ, Oh CM, Seo HG, Lee JS. Cancer statistics in Korea: incidence, mortality, survival and prevalence in 2010. Cancer Res Treat 2013;45(1):1-14. https://doi.org/10.4143/crt.2013.45.1.1
  23. Hong JS, Kang HC, Lee SH, Kim J. Long-term trend in the incidence of acute myocardial infarction in Korea: 1997-2007. Korean Circ J 2009;39(11):467-476. https://doi.org/10.4070/kcj.2009.39.11.467
  24. Kim RB, Kim BG, Kim YM, Seo JW, Lim YS, Kim HS, et al. Trends in the incidence of hospitalized acute myocardial infarction and stroke in Korea, 2006-2010. J Korean Med Sci 2013;28(1):16-24. https://doi.org/10.3346/jkms.2013.28.1.16
  25. Kim DJ. The epidemiology of diabetes in Korea. Diabetes Metab J 2011;35(4):303-308. https://doi.org/10.4093/dmj.2011.35.4.303
  26. Kim DS, Kim YS, Jung KS, Chang JH, Lim CM, Lee JH, et al. Prevalence of chronic obstructive pulmonary disease in Korea: a population-based spirometry survey. Am J Respir Crit Care Med 2005;172(7):842-847. https://doi.org/10.1164/rccm.200502-259OC
  27. Yoo KH, Kim YS, Sheen SS, Park JH, Hwang YI, Kim SH, et al. Prevalence of chronic obstructive pulmonary disease in Korea: the fourth Korean National Health and Nutrition Examination Survey, 2008. Respirology 2011;16(4):659-665. https://doi.org/10.1111/j.1440-1843.2011.01951.x
  28. Khang YH, Lynch JW, Kaplan GA. Health inequalities in Korea: age- and sex-specific educational differences in the 10 leading causes of death. Int J Epidemiol 2004;33(2):299-308. https://doi.org/10.1093/ije/dyg244
  29. Jung-Choi K, Khang YH, Cho HJ. Socioeconomic differentials in cause-specific mortality among 1.4 million South Korean public servants and their dependents. J Epidemiol Community Health 2011;65(7):632-638. https://doi.org/10.1136/jech.2009.100651
  30. Kim CW, Lee SY, Moon OR. Inequalities in cancer incidence and mortality across income groups and policy implications in South Korea. Public Health 2008;122(3):229-236. https://doi.org/10.1016/j.puhe.2007.07.003
  31. Yim J, Hwang SS, Yoo KY, Kim CY. Contribution of income-related inequality and healthcare utilisation to survival in cancers of the lung, liver, stomach and colon. J Epidemiol Community Health 2012;66(1):37-40. https://doi.org/10.1136/jech.2009.104554
  32. Ministry of Health and Welfare; Korea Centers for Disease Control and Prevention. 2009 Korea health statistics: findings of Korea National Health and Nutrition Examination Survey IV-3 (2009). Seoul: Ministry of Health and Welfare; 2010, p. 1-588(Korean).
  33. Kim YM, Jung-Choi K. Socioeconomic inequalities in health risk factors in Korea. J Korean Med Assoc 2013;56(3):175-183 (Korean). https://doi.org/10.5124/jkma.2013.56.3.175
  34. Cho HJ. Equity in health care: current situation in South Korea. J Korean Med Assoc 2013;56(3):184-194 (Korean). https://doi.org/10.5124/jkma.2013.56.3.184
  35. Khang YH, Yang S, Cho HJ, Jung-Choi K, Yun SC. Decomposition of socio-economic differences in life expectancy at birth by age and cause of death among 4 million South Korean public servants and their dependents. Int J Epidemiol 2010;39(6):1656-1666. https://doi.org/10.1093/ije/dyq117
  36. Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P,et al. Priority actions for the non-communicable disease crisis. Lancet 2011;377(9775):1438-1447. https://doi.org/10.1016/S0140-6736(11)60393-0
  37. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380(9859):2224-2260. https://doi.org/10.1016/S0140-6736(12)61766-8
  38. Ikeda N, Inoue M, Iso H, Ikeda S, Satoh T, Noda M, et al. Adult mortality attributable to preventable risk factors for noncommunicable diseases and injuries in Japan: a comparative risk assessment. PLoS Med 2012;9(1):e1001160. https://doi.org/10.1371/journal.pmed.1001160
  39. Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Geneva: World Health Organization; 2008, p. 1-224.
  40. Khang YH, Lynch JW, Yang S, Harper S, Yun SC, Jung-Choi K, et al. The contribution of material, psychosocial, and behavioral factors in explaining educational and occupational mortality inequalities in a nationally representative sample of South Koreans: relative and absolute perspectives. Soc Sci Med 2009;68(5):858-866. https://doi.org/10.1016/j.socscimed.2008.12.003
  41. Khang YH, Lynch JW, Jung-Choi K, Cho HJ. Explaining agespecific inequalities in mortality from all causes, cardiovascular disease and ischaemic heart disease among South Korean male public servants: relative and absolute perspectives. Heart 2008;94(1):75-82. https://doi.org/10.1136/hrt.2007.117747
  42. Lynch J, Davey Smith G, Harper S, Bainbridge K. Explaining the social gradient in coronary heart disease: comparing relative and absolute risk approaches. J Epidemiol Community Health 2006;60(5):436-441. https://doi.org/10.1136/jech.2005.041350
  43. Kivimäki M, Shipley MJ, Ferrie JE, Singh-Manoux A, Batty GD, Chandola T, et al. Best-practice interventions to reduce socioeconomic inequalities of coronary heart disease mortality in UK: a prospective occupational cohort study. Lancet 2008;372(9650):1648-1654. https://doi.org/10.1016/S0140-6736(08)61688-8
  44. Center for Health and Social Change. Exploring the UN NCD Summit [cited 2013 Jun 28]. Available from: http://www.chsc.or.kr/xe/?document_srl=69567 (Korean).
  45. Beaglehole R, Bonita R, Horton R. Independent global accountability for NCDs. Lancet 2013;381(9867):602-605. https://doi.org/10.1016/S0140-6736(13)60101-4
  46. Bonita R, Magnusson R, Bovet P, Zhao D, Malta DC, Geneau R, et al. Country actions to meet UN commitments on non-communicable diseases: a stepwise approach. Lancet 2013;381(9866):575-584. https://doi.org/10.1016/S0140-6736(12)61993-X
  47. World Bank. The growing danger of non-communicable diseases: acting now to reverse course. Washington, DC: World Bank; 2011, p. 1-14.
  48. World Health Organization. Global strategy to reduce the harmful use of alcohol. Geneva: World Health Organization; 2010, p. 1-38.
  49. Moodie R, Stuckler D, Monteiro C, Sheron N, Neal B, Thamarangsi T, et al. Profits and pandemics: prevention of harmful effects of tobacco, alcohol, and ultra-processed food and drink industries. Lancet 2013;381(9867):670-679. https://doi.org/10.1016/S0140-6736(12)62089-3
  50. Kim MH, Lee J. Current status of policy developments in tackling health inequalities and the next steps to be taken in Korea. J Korean Med Assoc 2013;56(3):206-212 (Korean). https://doi.org/10.5124/jkma.2013.56.3.206

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