J Prev Med Public Health.  2009 May;42(3):199-207. 10.3961/jpmph.2009.42.3.199.

The Impact of Socioeconomic Factors on the Gender Differences of Disability and Subjective Health Among Elderly Koreans

Affiliations
  • 1Department of Nursing, Division of Health Science, Dongseo University, Korea. gsj64@gdsu.dongseo.ac.kr
  • 2Institute of Health and Environment, Seoul National University, Korea.
  • 3Department of Society, Human Development and Health, Harvard School of Public Health, U.S.A.
  • 4Graduate School of Public Health, Seoul National University, Korea.

Abstract


OBJECTIVES
Research on the gender differences of health among older Korean people has been limited compared with the research for other stages of life. This study first examined the patterns and magnitude of the gender differences of health in later life. Second, we examined the gender differences in the health of older men and women that were attributable to differing socioeconomic conditions.
METHODS
Using the nationally representative 2005 Korean National Health and Nutrition Examination Survey, the gender differences in disability and subjective poor health were assessed by calculating the age adjusted and gender-specific prevalence. Logistic regression analyses were used to assess if the differences between the men and women for health could be explained by differential exposure to socioeconomic factors and/or the differential vulnerability of men and women to these socioeconomic factors.
RESULTS
Our results indicated that older women were more likely than the men to report disability and poor subjective health. The health disadvantage of older women was diminished by differential experiences with socioeconomic factors, and especially education. The differences shrink as much as 43.7% in the case of disability and 35.4% in the case of poor subjective health by the differential exposure to educational attainment. Any differential vulnerability to socioeconomic factors was not found between the men and women, which means that socioeconomic factors may have similar effect on health in both genders.
CONCLUSIONS
Differential socioeconomic experience and exposure between the men and women might cause gender difference in health in old age Koreans.

Keyword

Elderly; Disability; Subjective health; Gender; Socioeconomic factors; Education

MeSH Terms

Aged
Aged, 80 and over
*Disabled Persons
Female
*Health Status
Humans
Korea
Logistic Models
Male
Nutrition Surveys
Sex Factors
*Social Class
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