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      • KCI등재

        한국인의 특정사인이 평균수명에 미치는 영향

        김정근(Kim Jong Kun),임달오(Lim Dar Oh),서명희(Suh Mung Hee) 한국노년학회 1990 한국노년학 Vol.10 No.1

        This study is to investigate how major causes of death influence korean life expectancy. The causes of death analyzed are one of the following 7 categories, namely ; Infectious and Parasitic Diseases(001-139), Tuberculosis(010-018), Malignant Neoplasms(140-208), Hypertensive Diseases(401-405), Cerebrovascular Diseases(430-438), Chronic Liver Diseases and Cirrhosis(571), Accidents(E800-E999). The major findings are as follows : 1. Average ages of people died by cerebrovascular diseases, hypertensive diseases, malignant neoplasms are 68.3, 67.5, 62.1 respectively, and ages distribution of people died from all of seven causes of death show A-shape pattern in male and adverse Lshape pattern in female. 2. The probabilities of eventually dying of malignant neoplasms mask the peaks at 40 in male and 20 in female, and 60 in male and 50 in female in case of cerebrovascular diseases. Among the curve of eventual death probability, the curve of malignant neoplasms is higher than any other curve before 60 in male, and cerebrovascular diseases is the highest after 60 in female. 3. These life tables are reflecting accurately the effects of age distribution on the specific cause of death in the survival curves of these tables. It was observed that the survival curve of accidents is going sharply downward with aging while curves of cerebrovascular diseases and hypertensive diseases decline from the age of 50 in male and 60 in female. They are going sharply downward after 60 in age. 4. The life expectancy is prolonged by eliminating malignant neoplasms as causes of death ; 2.36 years in male and 1.96 years in female. Accidents is the top contributing cause of death in case of male which influence to the life expectancy. By eliminating accidents as a cause of death life expectancy gains 2.45 years in male.

      • KCI등재

        在日韓國人의 生活文化의 異質化와 適應過程에 關한 保健學的 硏究

        金正根(Jong-Kun Kim),張昌谷(Chang-Gok Chang),林達旿(Dar-Oh Lim),金武采(Mu-Chae Kim),李州烈(Ju-Yul Lee) 한국인구학회 1992 한국인구학 Vol.15 No.2

        After world war Ⅱ Japanese life expectancy has been improved remarkably, and reached the highest level in the world around late 1970's. The life expectancy of Korean has also shown tremendous improvement in recent years with about 20 year's gap from the Japanese. The reason of rapid improvement of life expectancy can be explained by changes in the structure of cause of death due to health system, living standard, social welfare, health behavior of individuals and so on. Korean in Japan is placed under different situations from both Korean in Korea and Japanese in these regards, and expected to show different picture of cause of death pattern. The objective of this study is the comparision of changing patterns of cause of death of three population groups, Korean in Japan, Korean in Korea and Japanese, and to investigate the reasons which effect to the structural difference of mortality cause with special emphasis on health ecological aspects. One of the major limitations of the Korean causes of death statistics is the under-registration which ranges about 10% of the total events, and inaccuracy of the exact cause of death. Some 20% of registered deaths were unable to classify by ICD. However, it is concluded that the Korean data are evaluated as sufficient to stand for over-viewing of trends of cause of death pattern. The evaluation is done by comparing data from registration and field survey over the same population sample. Population data of Korean in Japan differ between two sources of data; census and foreigner's registration. Correction is done by life table method under the assumption that age-specific mortality pattern would accord with that of the Japanese. The crude death rate was lowest among Korean in Japan, 5.7 deaths per 1,000 population in 1965. The crude death rates of Korean in Japan and Japanese are increasing recently influenced by age structure while Korean in Korea still shows decreasing tendency. The adjusted death rate is lowest among Japnaese, followed by Korean in Japan, and Korean in Korea. The leading causes of death of Korean in Korea until 1960's was infectious diseases including pneumonia and tuberculosis. The causes of death structure changed gradually to accidents, neoplasm, hypertensive disease, cerebro-vascular disease in order. The main difference in cause of death between Korean and Japanese is high rate of liver diseases and diabetes for both Korean in Japan and Korea. A special feature of cause of death among Korean in Korea is remakably high rate of hypertensive disease, which is assumed to be caused by physicians tendency in choosing diagnostic categories. The low ischemic heart disease and high vasculo-cerebral disease are the distinctive characteristic of the three population groups compared to western countries. Specific causes of death were selected for detailed sex, age and ethnic group comparisons based on their high death rates. Cancer is the cause of death which showed most drama tical increase in all three population groups. In Korea 20.1% of all death were caused by cancer in 1990 compared with 10.5% in 1981. Cancer of the liver is the leading cause of cancer death among Korean in Japan for both sexes, followed by cancer of the lung and cancer of the stomach, while that of Korean in Korea is cancer of the stomach, followed by cancer of the liver and cancer of the lung for male. Causes of infant mortality were examined among the three population groups since 1980 on yearly bases. For both Japanese and Korean in Japan, leading cause of death ranks as conditions originating in the perinatal period, congenital anomalies, accidents and other violent causes. Trends since 1980 for these two population groups in the leading cause of infant mortality showed no changes. On the contrary, significant changes in leading cause of death structure in Korea were observed : The ranking of leading cause of death in 1981 were congenital asnomali

      • KCI등재

        人口政策과 人口資質向上을 위한 硏究

        金正根(Jong Kun Kim),許程(Jung Huh) 한국인구학회 1980 한국인구학 Vol.3 No.1

        Vast volumes of studies of the medical and public health aspects of fertility and family planning have been published by the various institutes of health related research and university scholars in Korea. None of them, however, have dealed with the population problems associated with biologically and mentally handicapped people. It must be emphasized that the purpose of Korea's population policy should be to improve the quality of the population rather than to decrease its rate of increase. In this spirit, the first report of this study is to identify problems related with mentally and physically less fitted population, and to attempt to offer the possible solutions to the health planners and policy-makers. Several nation-wide surveys of the handicapped people in Korea have been compared. Each survey shows a wide range of difference in the prevalence of the handicaps (see Table 13). In this study, the data on the handicaps are collected by two independent system; one by the nationwide survey and the other by the reporting system existing at the Seoul National University Demonstration Health Project. The Chandrasekar-Deming technique was used to estimate the total number of handicaps. The estimates are summarized in the tables 8, 9 and 10. Estimate of total number of handicapped people in Korea is 601,400 with the prevalence rate of 16.1 per thousand persons. Even if taking a number of conditions which may result in a biased estimate of the total number of the handicaps into consideration, the proportion of handicapped people in Korea has increased in the past two decade as the result of the rapid decline in fertility and childhood mortality, which consequently prolonged life expectancy of persons with congenital or acquired impediment. An increase in the proportion of handicapped people will eventually bring about serious problems of social welfare, medical care, and population qualities from various aspects including eugenics. To tackle the problem, there must be an increased emphasis on the prevention of handicaps from the government and private sector. Based on the amount and quality of data, and from the practical point of view, this study prepared a set of recommendations for the government to strengthen its programs of the preventive activities during the prenatal period and early childhood, early finding from routine examinations, and proper social and medical rehabilitation.

      • KCI등재
      • KCI등재

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