사회경제적 건강 불평등에 대한 생애적 접근법 = Lifecourse Approaches to Socioeconomic Health Inequalities

다국어 초록 (Multilingual Abstract)

Evidence on the relation of socioeconomic position (SEP) with health and illness is mounting in South Korea. Several unlinked studies and individually linked studies (longitudinal study) showed a graded inverse relationship between SEP and mortality among South Korean males and females. Based on the mortality relative ratios by occupational class reported in the published papers of South Korea and western countries, the magnitude of the socioeconomic inequality in mortality in South Korea seems to be similar to or even greater than that in western industrialized countries. A potential contribution of health related selection, health behaviors and psychosocial factors to explain this socioeconomic inequality in mortality was discussed. It was suggested that early life exposure measures would demonstrate a greater ability to explain socioeconomic inequalities in all-cause mortality than the above pathway variables in South Korea. This is based on the cause-specific structure of mortality among the South Korean population who have a relatively greater proportion of stomach cancer, hemorrhagic stroke, liver cancer and liver disease, and tuberculosis, which share early life exposures as important elements of their etiology, than western countries. However, the relative contribution of early and later life socioeconomic conditions in producing socioeconomic inequality in health may differ according to the outcome, thus remains to be investigated.

참고문헌 (Reference)

1 "한국 사회의 건강 형평성 실태 한국건강형평성학회 창립 총회 및 세미나자료집" 31-62, 2003

2 "우리 나라 건강 형평성 연구의 동향과 과제 한국건강형평성학회 창립 총회 및 세미나 자료집" 63-90, 2003

3 "국민의료의 형평성 분석과 정책과제" 한국보건사회연구원 2004

4 "what do primate studies of socialhierachies and the development of CHDtell us about humans Abstracts of The Societyfor Social Medicine 47th Annual ScientificMeeting" 42 : 2003

5 "risk of all-causemortality" 144 : 934-942, amjepidemiol1996

6 "developmentalhealth and the wealth of nations" The Guilford Press 1999

7 "department of health report of an independent inquiry chairedby Sir Donald Acheson" 1998

8 "department of health and human services Department of Health and Human Services" 2000

9 "babies and health in laterlife" 1998

10 "Why the educationaleffect is so strong in differentials of mortality inKorea" 33 (33): 308-310, intjepidemiol2004

11 "Underlyingcomponents of inequalities in mortalitybetween and within countries" Oxford University Press 58-87, 2001

12 "Trends in socioeconomic health inequalities inKorea:Use of mortality and morbiditymeasures" 58 : 308-314, Health2004

13 "Thedifferentials in mortality andworkplace injury rates by occupation" income and working conditions inKorea [dissertation] 2001

14 "TheBlack report on socioeconomic inequalities inhealth 10 years on" 301 : 373-377, 1990

15 "The trends and patterns of mortalityand health in the Republic of Korea Economic and Social Commission for Asia andthe Pacific" 1986

16 "The relationships of occupational class educational level and deprivation withmortality in Korea" 35 (35): 76-82, koreanjprevmed2002

17 "The relationship of social class andhealth behaviors with morbidity in Korea" 35 (35): 57-64, koreanjprevmed2002

18 "The relationship between socialclass distribution and mortality" 13 (13): 99-114, 2003

19 "The logic for a conception-todeathcohort study" 12 : 445-451, 2002

20 "The effect of rohler's index inchildhood on the body mass index andmorbidity of hypertension in adulthood" Seoul National University 1999

21 "The danishnational birth cohort-its background,structureand aim" 29 : 300-307, 2001

22 "The concepts and principles ofequity and health" Int J Health Serv 22 (22): 429-445, 1992

23 "The challenge of thegradient" socioeco (socioeco): 15-24, ampsycholo1994

24 "The black report and beyond:What are the issue" 44 : 723-745, 1997

25 "Socioeconomicinequalities in morbidity and mortality inwestern Europe" 349 (349): 1655-1659, 1997

26 "Socioeconomic statusand health:what we know and what we don't" 896 : 3-15, 1999

27 "Socioeconomic mortality inequalities in Korealabor & income panel study" 14 (14): 1-20, koreanjhealthpoladmin2004

28 "Socioeconomic inequalities inmortality among women and among men:aninternational study" 89 : 1800-1886, 1999

29 "Socioeconomic inequalities inhealth in Europe" Diderichsen F 3-24, 2002

30 "Socioeconomic differentials in mortality:Evidence from Glasgow graveyards" 305 : 1554-1557, 1992

31 "Socioeconomic Health Inequalities andCounter Policies in Korea KoreaInstitute for Health and Social Affairs" 2004

32 "Socialselectioln:what does it contribute to social classdifferences in health" 15 : 2-15, Illness1993

33 "Social inequality and death asillustrated in late-medieval death dances" 85 (85): 1285-1292, 1995

34 "Social differences in mortality in theeighteenth century.An analysis of Berlinchurch registers" 36 : 232-248, 1991

35 "Social class,healthbehaviour,and mortality among men andwomen in eastern Finland" 311 : 589-593, 1995

36 "Social class selection and classdifferences in relation to stillbirths and infantdeaths" 1520-1524, bmj1955

37 "Social class and coronaryheart disease" 45 : 13-19, 1981

38 "Self-reported stress andsubsequent hospital admissions as a result ofhypertension" 25 (25): 62-68, 2003

39 "Rethinking the health selectionexplanation for health inequalities" 32 : 3733-84, Med1991

40 "Results from anationally representative prospective study ofUS adults" 1703-1708, jama1998

41 "Reliability of educationand occupational class between health surveydata and death certificate data" in press

42 "Relationship ofeducation,occupation,and income withmortality in a representative longitudinal studyof South Korea" 20 : 217-220, 2005

43 "Relationship of childhoodsocioeconomic position with adult mortality inSouth Korea Proceedings of The 6thAcademic Meeting of Korea Labor & IncomePanel Study" 225-245, 2005

44 "Relation of occupational class and educationwith mortality in Korea" 56 : 798-799, 2002

45 "Psychosocialinterventions can improve clinical outcomes inorganic disease(Pro)" 64 : 552-557, 2002

46 "Psychosocialinterventions can improve clinical outcomes inorganic disease(Con)" 64 : 558-563, 2002

47 "Psychosocial andmaterial pathways in the relation betweenincome and health a response to Lynch" Sondergaard C 1233-1236, bmj2001

48 "Psychologicalstress and cardiovascular disease:Empiricaldemonstration of bias in a prospectiveobservational study on Scottishmen" 324 : 1247-1253, 2002

49 "Overallmortality and related lifestyle factors amongSeoul male cohort." 3 : 253-263, koreanjhealthpromotdisprev2003

50 "Mortality differentials of governmentofficers and private school teachers by socialstratification in Korea [Dissertation]" Seoul National University 1997

51 "Mortality by social class,1971-85" 56 : 6-15, 1989

52 "Mortality Transition in Korea" Seoul National University ThePopulation and Development Studies Center 1960-19801990

53 "Limitations of adjustmentfor reporting tendency in observational studiesof stress and self reported coronary heartdisease" 56 : 76-77, 2002

54 "Limblength and dementia in an older Koreanpopulation" 74 : 427-432, Psychiatry2003

55 "Lifecourse approaches to inequalities in coronaryheart disease risk psychosocialpathways to coronary heart disease" 20-49, 2002

56 "Life table in Korea" Seoul National University Press 17-29, 1970-19851990

57 "Life courseperspectives on coronary heart disease" 2002

58 "Is social capital thekey to inequalities in health" 93 (93): 122-129, amjpublichealth2003

59 "Is control at workthe key to socio-economic gradients inmortality" 350 : 1369-1370, lancet1997

60 "Inequalities in health:Ten years andlittle further on" 336 : 491-493, 1990

61 "Inequalities in health HealthInequalities in European Countries" 198919-49

62 "Inequalities in health" Penguin Books 1992

63 "Income inequality and mortality:Importance to health of individual income,psychosocial environment,or materialconditions" 320 : 1200-1204, 2000

64 "Impact ofupward social mobility on populationmortality:Analysis with routine data" 325 : 134-137, 2002

65 "Impact ofeconomic crisis on cause-specific mortality inSouth Korea"

66 "Healthinequalities in Korea Age- and sex-specificeducational differences in the 10 leading causesof death" 33 (33): 299-308, intjepidemiol2004

67 "Health inequalities in European countries" 1989

68 "Fetal origins of cardiovascularand lung disease" Inc 2001

69 "Explanations for socio-economic differentialsin mortality:Evidence from Britain andelsewhere" 4 : 131-144, 1994

70 "Explaining socioeconomicinequality in mortality among South Koreans:An examination of multiple pathways in anationally representative longitudinal study" 34 : 630-637, 2005

71 "Explaining educationaldifferences in mortality:the role of behavioraland material factors" 89 : 535-540, 1999

72 "Excess mortality fromavoidable and non-avoidable causes in men oflow socioeconomic status:a prospective studyin Korea" 54 : 166-172, Health2000

73 "Employment grade and coronary heartdisease in British civil servants" 32 (32): 244-249, 1978

74 "Diseaseaetiology and materialist explanations ofsocioeconomic mortality differentials" 7 (7): 385-391, 1997

75 "Differentialmortality in the United States:A study insocioeconomic epidemiology" 1973

76 "Contribution of jobcontrol and other risk factors to socialvariations in coronary heart disease incidence" 350 : 235-239, 1997

77 "Contribution of contemporaneousrisk factors to social inequality in coronaryheart disease and all causes mortality" 36 : 561-568, 2003

78 "Childhood socioeconomic circumstances andcause-specific mortality in adulthood:Systematic review and interpretation" 26 : 7-21, 2004

79 "Changes in mortalityinequality in relation to the South Koreaneconomic crisis use of area-based socioeconomicposition" in press

80 "Annotatedbibliography on equity in health" 1 (1): 1-20, 1980-2001intjequityhealth2002

81 "An assessment of the black report'sexplanations of health inequalities" 7 : 423-445, 1985

82 "Adultheight and cause-specific mortality:A largeprospective study of South Korean men" 158 : 479-485, 2003

83 "A study on infant deaths in Koreanrural area" 41-51, seouljmed1962

84 "A life courseapproach to chronic disease epidemiology" Oxford University Press 1997

85 "A life courseapproach to chronic disease epidemiology" Oxford University Press 2004

86 "A life course approachto women's health^" OxfordUniversity Press 2002