J Korean Acad Community Health Nurs.  2012 Mar;23(1):31-39. 10.12799/jkachn.2012.23.1.31.

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

Affiliations
  • 1College of Nursing, Jeju National University, Jeju, Korea. eopark@jejunu.ac.kr

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.

Keyword

Health status indicator; Community

MeSH Terms

Accidents, Traffic
Aged
Alcohol Drinking
Health Policy
Health Status Indicators
Humans
Obesity
Prevalence
Public Policy
Risk-Taking
Seat Belts
Smoke
Smoking
Social Welfare
Suicide
Water Supply
Smoke

Reference

1. Chung HK. The study on the impact of community-level characteristics on the mortality level. 1990. Seoul: Seoul National University;Unpublished doctoral dissertation.
2. Diez-Roux AV, Merkin SS, Arnett D, Chambless L, Massing M, Nieto FJ, et al. Neighborhood of residence and incidence of coronary heart disease. N Engl J Med. 2001. 345:99–106.
3. Gehlert S, Mininger C, Cipriano-Steffens TM. Burton LM, Kemp SP, Leung M, Matthews SA, Takeuchi DT, editors. Placing biology in breast cancer disparities research. Communities, neighborhoods, and health. 2011. New York: Springer;57–88.
4. Gikas A, Merkouris P, Skliros E, Sotiropoulos A. Urban-rural differences in smoking prevalence in Greece. Eur J Public Health. 2007. 17(4):402.
5. Gregory IN. Comparisons between geographies of mortality and deprivation from the 1900s and 2001: Spatial analysis of census and mortality statistics. British Medical Journal, 339. 2009. Retrieved September 1, 2011. from http://www.bmj.com/content/339/bmj.b3454.abstract.
6. Haynes R, Gale S. Deprivation and poor health in rural areas: Inequalities hidden by averages. Health Place. 2000. 6:275–285.
Article
7. Idris BI, Giskes K, Borrell C, Benach J, Costa G, Federico B, et al. Higher smoking prevalence in urban compared to non-urban areas: Time trends in six European countries. Health Place. 2007. 13:702–712.
Article
8. Jeong BG, Jung KY, Kim JY, Moon OR, Lee YH, Hong YS, et al. The relationship between regional material deprivation and standardized mortality ratio of the communities residents aged 15-64 in Korea. J Prev Med Public Health. 2006. 39:46–52.
9. Khang YH. Lee CG, editor. Different logivity by village. Chasing health inequality in Korea: A report for making it social issues. 2007. Seoul: Publishing Company Meem;67–79.
10. Kim CY. Socio-economic status, health, and healthrisk behavior. Health Welf Policy Forum. 2004. 92:18–25.
Article
11. Kim HY. Community inequalities in health: The contextual effect of social capital. Korean J Sociol. 2010. 44(2):59–92.
Article
12. Kim JH, Yoon TH. Comparison of health inequalities in small areas with using the standardized mortality ratios in Korea. J Prev Med Public Health. 2008. 41:300–306.
Article
13. Lee MS. Health inequalities among Korean adults. Korean J Sociol. 2005. 39(6):183–209.
Article
14. Lee SG. Social contextual effects on regional mortality and self-rated health status. 2002. Seoul: Yonsei University;Unpublished doctoral dissertation.
Article
15. Marmot M. Anand S, Peter F, Sen A, editors. Social causes of social inequalities in health. Public health, ethics, and equity. 2004. New York: Oxford University Press;37–61.
Article
16. Massey DS. Segregation and stratification: A biosocial perspective. Du Bois Rev. 2004. 1:7–25.
17. Ministry of Health and Welfare. Korea Center for Disease Control and Prevention. Taking a glance into community health survey in Korea, 2009. 2010. Seoul: Author.
18. Parks SE, Housemann RA, Brownson RC. Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. J Epidemiol Community Health. 2003. 57:29–35.
Article
19. Robert SA. Community-level socioeconomic status effects on adult health. J Health Soc Behav. 1998. 39:18–37.
Article
20. Ross CE, Mirowsky J. Neighborhood disadvantage, disorder, and health. J Health Soc Behav. 2001. 42:258–276.
21. Shi L, Starfield B, Kennedy B, Kawachi I. Income inequality, primary care, and health indicators. J Fam Pract. 1999. 48:275–284.
22. Shin H, Lee S, Chu JM. Development of composite deprivation index for Korea: The correlation with standardized mortality ratio. J Prev Med Public Health. 2009. 42:392–402.
23. Statistics Korea. Explanation on staistics (about statistics on causes of death). 2010a. Retrived January 12, 2012. from http://kosis.kr/metadata/main.jsp?c_id=1999038.
24. Statistics Korea. Korea statistical information services. 2010b. Retrived January 12, 2012. from http://kosis.kr/index/index.jsp.
Article
25. Takano T, Nakamura K. An analysis of health levels and various indicators of urban environments for healthy cities projects. J Epidemiol Community Health. 2001. 55:263–270.
Article
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