우리나라 대도시의 지역별 후기조기분만 발생에 관한 연구 : 2008-2012

임달오,박상화 보건의료산업학회 2014 보건의료산업학회지 Vol.8 No.3

The objective of the study was to analyze the regional variance of late preterm birth (LPT: 34-36 weeks) by analyzing 2008-2012 birth certificated data of seven metropolitan cities (536,984 births: primiparous singleton birth) from Korea Statistics. The odds ratio and 95% confidence intervals were calculated from multinominal logistic regression analyses to describe the regional variance of LPT adjusted for maternal and infantile variables. The highest incidence of LPT rate by region were observed in Ulsan metropolitan city (3.7 percent), and the lowest in Deajon metropolitan city (3.1 percent). After adjustment by logistic regression for infantile sex, maternal variables, there was a significant increase in the risk of late preterm birth in Ulsan metropolitan city (odds ratio: 1.21) as compared with the incidence of LPT in Deajon metropolitan city. The odds ratio of LPT by region were 1.17 in Daegu metropolitan city, 1.13 Busan metropolitan city, and 1.12 in Incheon metropolitan city. More research is required to understand the risk factors for late preterm birth in this area including socio-demographic factors, medical factors, and regional and environmental factors.

우리나라 기대수명의 패턴 변화, 1990-2020

임달오,유영현 한국보건정보통계학회 2024 보건정보통계학회지 Vol.49 No.1

Objectives: The purpose of this study is to measure the contribution of life expectancy to changes in mortality due to age, sign in Korea. Methods: This study used the life table data (1990-2020) and analyzed the data of the death statistics of the National Statistical Office in 1990 and 2020 (Categorization data by ICD-10). The contribution of differen ages, and causes of death to the change in life expectancy at birth during the 1900-2020 was estimated with a decomposition technique developed by Arriaga. Results: The contribution to the average life span of 1990-2007 was 7.50 years, and 2.91 years between 2007-2015. From 1990 to 2007, the positive contributing causes of death were cerebrovascular disease (0.781 years), hypertensive disease (0.599 years), and heart disease (0.475 years), and the negative contributing causes were intentional self-harm (- 0.304 years), pneumonia (-0.209 years), and colon cancer (-0.092 years). From 2007 to 2015, the positive contributing causes were malignant neoplasms (0.548 years), cerebrovascular disease (0.529 years), and diabetes (0.162 years), and the negative contributing causes were pneumonia (-0.198 years), Alzheimer’s (-0.060 years), sepsis (-0.038 years), etc. From 2015 to 2020, the positive contributing causes of death were malignant neoplasms (0.474 years), cerebrovascular disease (0.301 years), and heart disease (0.475 years), and the negative contributing causes were intentional self-harm (-0.304 years), pneumonia (-0.209 years), and colon cancer (-0.092 years). In general, pneumonia was shown to be the cause of death with the largest negative contribution due to increased mortality, and the pattern by age group showed that the positive contribution was relatively large in the age group after 65 years of age. In common, the positive con- tribution of most causes decreased as time passed. Conclusions: The age group that contributed the most to the increase in life expectancy after 1990 was found to be 70-74 years old (0.74 years) from 1990-2007. In addition, it was found to have contributed significantly to those aged 70-74 (0.42 years) from 2007-2015 and those aged 75-79 (0.27 years) from 2015-2020. In the overall period, the contribution to average life expectancy appears to be large in the age group of 65 years or older, and in recent years, the contribution to average life expectancy from age 0 gradually decreases, while the contribu- tion to average life expectancy in the middle-aged and older age group increases. This study evaluated the increase in life expectancy by age and cause of death by applying join point regression analysis, which can partially complement the limitations of existing models, to evaluate and analyze the amount of life expectancy according to changes in mortality level. .

Study on the Alcohol Related Mortality in Korea 1990 to 1995

임달오,전준휘 한국보건교육건강증진학회 1998 한국보건교육·건강증진학회 학술대회 발표논문집 Vol.- No.-

우리나라 자살 방법의 추이: 1997-1999, 2017-2019

임달오 한국보건정보통계학회 2023 보건정보통계학회지 Vol.48 No.1

Objectives: The aim of this study was to examine trend of the gender and age death rate of intentional self-harm in Korea 1997-1999 and 2017-2019. The analysis was based on data of intentional self-harm deaths from the 1997-1999 (21,937 deaths) and 2017-2019 (39,920 deaths) vital statistics of Korea. Methods: We are analyzed annual data from 1997-1999 and 2017-2019 for Korea in order to examine trends in the rates and methods of suicide. Data on suicide methods were obtained from the death certificate data (1997-1999 and 2017-2019) of Korea Statistics. Results: The common methods in 1997-1999 were hanging (37.6%), poisoning (37.2%), and jumping (9.5%). In 2017-2019, hanging (51.9%) has surpassed poisoning (26.2%) as the most often used method. The preferred suicide methods were hanging and poisoning in Korea. Through 2003-2011, the suicide rate (per 100,000 popu- lation) increased from 26.0 to 40.7 in male and increased from 10.7 to 16.2 in female, There was a decline in rates of poisoning and drowning in both gender but an increase in hanging and jumping by both gender during the period. Age specific suicide rate increased with advanced age in both gender. The odds (2017-2019) were greater than the odds (1997-1999) in both gender. Conclusions: All age suicide rates of hanging increased in both gender. there was decline in age specific rate of poisoning in both gender. .

한국 , 일본의 사망수준 차이에 관한 연구

임달오 한국보건통계학회 1994 보건정보통계학회지 Vol.19 No.1

This study attempts to analyze mortality change and differentials with application of life table in Korea and Japan. The major findings are as follows : 1. In Korea, the mortality change age 0 has the largest impaction life expectancy at birth during the 1961-1991, contributed in both sexes with 3.82(28.98%) and 1.51(22.00%) years respectively, while in Japan the decline in mortality at the age group over 65 years has been the largest contributor(39.62% for male and 50.84% for females). Particularly, in Japan the mortality change after age 65 seems to be more important than it was in Korea. In 1961, 1978.79(79) and 1991(90), the mortality change after 55 years has been the largest impact on the total differential in life expectancy at birth in both sexes between Korea and Japan. 2. In Korea and Japan, the mortality differential at the ages after 55 still made the largest condition to the total sex differential of life expectancy at birth in 1961, 1970, 1978.79(79) and 1991(90), while the mortality differential at the 0-4 ages has the smallest impact on the increase to the total sex differential of life expectancy at birth in the same times, which accounted for the much higher mortality of males at the age group over 55 years. 3. In males, the probabilities of eventually dying of each cause in 1993 marks the highest at birth in case of malignant neoplasms (23.00%, 26.22%) in Korea and Japan, followed by heart disease(20.11%) in Japan, cerebroascular disease(16.65%) in Korea. In females, in case of cerebrovasular disease(20.19%) marks the highest at birch, followed by malignant neoplasms(14.14%), heart disease(10.57%) in Korea, while in Japan heart disease(25.17%), malignant neoplasms(17.40%) cerebrovascular disease(16.79%) in order. In Japan, malignant neoplasms and heart disease seem to be more important than it's in Korea, while in Korea it's cerebrovascular disease. 4. In Korea and Japan, the life expectancy at birth could be most prolonged by elimination of the malignant neoplasms in both sexes in 1993. In Korea, the second and third contributors to the incerease of years where the injury & poisoning and cerebrovascular disease in male, and cerbrovascular disease and injury & poisoning in female respectively. In Japan, heart disease and cerebrovascular disease were the first and second important contributors. The life expectancy at 65 could be most prolonged by elimination of the malignant neoplasms in both sexes in Korea, and prolonged by elimination of the malignant neoplasms in male and heart disease in females in Japan.

혼외 출생아의 조기분만과 저체중아 발생 위험도에 관한 연구 : 2008-2012년 출생통계

임달오,박상화 보건의료산업학회 2014 보건의료산업학회지 Vol.8 No.3

The objective of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in extramarital birth by analyzing 2008-2012 birth certificated data (2,328,719 births) from Korea Statistics. Odds ratio and 95% confidence intervals (95% CI) were calculated from logistic regression analyses to describe the associations between PTB & LBW and extramarital birth adjusted for maternal age, maternal occupation & education, infantile sex, birth order and number of child birth (singleton & multiple birth). The rate of extramarital birth was 1.8 percent and 2.1 percent in 2010-11. The incidence of LBW was 8.1 percent in extramarital birth and 5.0 percent in marital birth. The incidence of PTB in extramarital birth were 8.2 percent and 5.8 percent in marital birth. Compared with marital birth, the odds ratio (OR) for PTB were 1.48 (95% CI: 1.43-1.54) for extramarital birth. Risk of LBW was higher in extramarital birth (OR: 1.70, 95% CI: 1.64-1.76) than that of marital birth. Among mothers younger than 20 years, the odds ratio of PTB among extramarital birth, relative to married birth was 1.69 (1.49-1.91). Among unmarried mothers, those at a higher risk of LBW was aged 20-29 years (1.69: 1.59-1.79). Maternal unmarried status was associated with increased risk of PTB and LBW.

한국인의 알코올과 관련된 사망력 분석

임달오,전준희 한국보건통계학회 1998 한국보건정보통계학회지 Vol.23 No.1

This study sought to examine the ompact of alcohol use and misuse on mortality in Korea during the 1990-1995 Metheds, ARDI(Alcohol Related Disease Impact) estimation software and Korea sital statistics data were to calculate alcohol related mortality, mortality rates, and YPLL(years of potential life lost). THe major findings are as follows : Injury diagnoses were major contributors to the total estimated number of alcohol related deaths and years of potential life lost before age 65. Alcohol related mortality rates were significantly higher for men. However, age-adjusted death rates for alcohol defined diagnoses declined significantly from 1990 to 1995. A structured database approach to analyzing mortality data represents an important advance for alcohol research that has implications for policy and program planning. alcohol related mortality were motor vehicle accidents(5,331 deaths, 23.5), cander of the stomach(1,470 deaths, 17.3), cancer of the liver/intra bepatic bilc ducts(1,112 deaths, 13.1) alcohol dependence syndrome(1,112 deaths, 6.5), cardiovascular diseases(1,096 deaths, 12.9) and cancer of the esophagus(948 deaths, 11.2), these five individual causes of death accounted for more than half of the estimated alcohol related mortality korcan during 1995. Man accounted for 16,674(72.8%) of the alcohol related dcaths in korea during 1995 ; women, for 6,229(27.2%). Such deaths accounted for 12.3% of all deaths for men and 6.0% for women. for men, major causes of these deaths were motor vehicle accidents(5.33] deaths, 32.0%), cancer of the stomach(1,470 deaths, 8.8%) and chronic liver diseases and cirrhosis(1380 deaths, 8.3%). For women, the largest conrributors to alcohol related mortality were motor wchicle accidents(1,888 deaths, 30.3%), cerebrovascular diseases(1,215 deaths, 19.5%) and cancer of the stomach(845 deaths, 13.6%) During 1995, approximately 352.812(male : 277,106, female : 75,706)YPLL to age 65 and 589,615(male : 451, 216, femalc : 138,399)YPLL to life expectancy were attributable to alcohol related causes. The major contributors to these alcohol related years lost were the diagnostic categories of unintentional injuries. On average, each male death was associated with 16.6 and 27.1 years lost, respectively, wheareas, each female death represented 12.2 and 24.6 years lost, respectively. For both sexes, alcohol related injury deaths accounted for nearly 24-27 YPLL to life expectancy per death_ Male-female YPLL differentials were greatest for intenional injury and mental disorder deaths. The ate-adjusted alcohol defined death rate significantly declined from deaths (male : 18.9, female : 14.2) per 100,000 population aged 15 and over in 1990 to deaths (male : 18.0, female : 13.6) deaths in 1995. The age adjusted alcohol defined death rate for men was significantly higher than for women.

Trends in the Leading Causes of Death in Korea, 1983-2012

임달오,하미나,송인명 대한의학회 2014 Journal of Korean medical science Vol.12 No.12

This study aimed to analyze trends in the 10 leading causes of death in Korea from 1983 to2012. Death rates were derived from the Korean Statistics Information Service databaseand age-adjusted to the 2010 population. Joinpoint regression analysis was used to identifythe points when statistically significant changes occurred in the trends. Between 1983 and2012, the age-standardized death rate (ASR) from all causes decreased by 61.6% for menand 51.2% for women. ASRs from malignant neoplasms, diabetes mellitus, and transportaccidents increased initially before decreasing. ASRs from hypertensive diseases, heartdiseases, cerebrovascular diseases and diseases of the liver showed favorable trends (ASR %change: -94.4%, -53.8%, -76.0%, and -78.9% for men, and -77.1%, -36.5%, -67.8%,and -79.9% for women, respectively). ASRs from pneumonia decreased until the mid-1990s and thereafter increased. ASRs from intentional self-harm increased persistentlysince around 1990 (ASR % change: 122.0% for men and 217.4% for women). Inconclusion, death rates from all causes in Korea decreased significantly in the last threedecades except in the late 1990s. Despite the great strides made in the overall mortality,temporal trends varied widely by cause. Mortality trends for malignant neoplasms,diabetes mellitus, pneumonia and intentional self-harm were unfavorable.

Study on the Alcohol Related Mortality in Korea 1990 to 1995

임달오,전준휘 대한보건협회 1998 대한보건협회 보건종합학술대회 Vol.- No.-

최근 노령인구의 사망력 동향

임달오 한국보건통계학회 1995 한국보건정보통계학회지 Vol.22 No.1

This study attempts to analyze mortality at older ages(age 65 and over) during the last decade. the major findings are as follows : 1. In 19983-1993. the proportions of all deaths for females(55.01-67.61%) is considerably greater than for males(38.10-4276%) that occur at age 65 and over indicates that over two-thirds of all female deaths in 1993. During the same periods, declines in both sexes death rates continued at age 65-79 particularly noteworthy for males than females. In sex-mortality ratios. the highest ratios of excess male mortality are found for up to age 80 and over, which reflects the relatively low female death rates at older ages. Caus-specific death rates from the five selected caused are generally higher for males and females during the same period. particularly the probability is higher for malignant neoplasms(11.65-19.98 for male and 3.81-8.17 for female in 1993) and cerebrovascular diseases(6.48-38.57 for male and 3.65-25.71 for female in 1993). 2. In males. the probabilities eventually dying of each cause during the 1983-1991 mark the highest at the oldest age group after 65 years, in case of cerebrovascular diseases(16.67-15.26%) followed by malignant neoplasms(16.66-8.13%) and heart diseases(11.88-9.71%) while in females in case of cerebrovasucular diseases(18-12-15.17%) marks the highest too heart diseases(14.07-12.78%), malignant neoplasms(8.71-4.54%), hypertensive diseases(6.83-6.41) in order. in both sexes cerebrovascular diseases and hear diseases at age 80 and over seem to be more important than its in other of the specific cause of death. 3. The mortality change at the age 65 and over has the largest impact on the life expectancy at birth during the 1983-1991, contributed in both sexes with 1.1652(30.54%) and 0.8078(23656%) years respectively the decline in mortality from the hypertensive diseases tended to reduce life expectancy a change in the positive direction added 0.0907 and 0.0724 years in both sexes however while an increase in mortality from diseases of the malignant neoplasms tended to reduce life expectancy, a change in the opposite direction added -0.7641 and -0.3816 years for males and females respectively.