장애와 기대여명 사이의 연관성 분석
Analysis of the Association between Disability and Life Expectancy
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초록
본 연구는 총 기대여명뿐만 아니라 건강기대여명과 불건강기대여명 추정치를 동시에산출함으로써 전체 생존 기간뿐만 아니라 생존 기간 동안의 건강 관련 삶의 질을계량적으로 분석할 수 있는 다중상태 생명표 모형을 활용하여 장애와 기대여명 사이의연관성을 분석하고 있다. 전반적으로 분석 결과는, 첫째, 장애를 지닌 개인들은 그렇지않은 개인들에 비해 전체 생존 기간이 짧을 것으로 추정될 뿐만 아니라 생존 기간동안의 건강 관련 삶의 질 또한 열악할 개연성이 높음을 보여 주었다. 둘째,기대여명의 구체적인 측정치와 관련하여 총 기대여명과 건강기대여명에서 장애상태별뚜렷한 격차가 존재함을 살펴볼 수 있었는데, 특히 연령대가 낮을수록 총 기대여명에비해 건강기대여명에서의 격차가 더욱 뚜렷하게 나타났다. 마지막으로 총 기대여명이나건강기대여명에 비해 불건강기대여명에서의 장애상태별 차이는 상대적으로 크지 않은것으로 분석되었다.
Abstract
This study explores the association between disability and life expectancy in Korea. In particular, using multi-state life-table models, this study estimates total, healthy, and unhealthy life expectancies to simultaneously examine the quality of life as well as the length of life. Overall the results indicate that, in addition to their shorter life spans, the disabled show a higher proportion of unhealthy state in their lives. This study also finds that differences between the disabled and non-disabled are greater in healthy life expectancy than in total life expectancy, in particular for younger aged groups. Finally, compared to total and healthy life expectancies, the results do not show significant differences in unhealthy life expectancy in general.
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