지역 박탈수준과 중고령층의 활동제한의 연관성
Relationship between local authority deprivation and activity limitation in adults aged 50 or over
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Objectives: As the increasing of the length of the lifespan, more recent policy interest are concerned with how many years of life are lived without functional disability or activity limitation. We investigated the relationship between deprivation and activity limitation at the 251 local authority level. Methods: The data were derived from the 2010 Census 10% sample data. Crude and age-standardized activity limitation rates by gender at the ages of 50 or over and deprivation index were calculated. Mapping and multiple linear regression analysis were applied to explore relationship between area activity limitation and area deprivation. Results: There were considerable differences in activity limitation rate across the 251 local authorities. Age-standardized activity limitation rate in both male and female were strongly associated with the level of area deprivation. Especially, low social class, male unemployment, or non-apartment residents at the local level were strong positive association with local authorities’ age-standardized activity limitation. Conclusion: More policy attention is needed for tackling regional inequality in activity limitation among older adults.
Abstract
Objectives: As the increasing of the length of the lifespan, more recent policy interest are concerned with how many years of life are lived without functional disability or activity limitation. We investigated the relationship between deprivation and activity limitation at the 251 local authority level. Methods: The data were derived from the 2010 Census 10% sample data. Crude and age-standardized activity limitation rates by gender at the ages of 50 or over and deprivation index were calculated. Mapping and multiple linear regression analysis were applied to explore relationship between area activity limitation and area deprivation. Results: There were considerable differences in activity limitation rate across the 251 local authorities. Age-standardized activity limitation rate in both male and female were strongly associated with the level of area deprivation. Especially, low social class, male unemployment, or non-apartment residents at the local level were strong positive association with local authorities’ age-standardized activity limitation. Conclusion: More policy attention is needed for tackling regional inequality in activity limitation among older adults.
참고문헌 (30)
- Aneshensel, C. S., "Urban neighborhoods and depressive symptoms among older adults", J Gerontol B Psychol Sci Soc Sci, 62, pp.52~69 (2007)
- Balfour, J. L., "Neighborhood environment and loss of physical function in older adults : Evidence fromthe Alameda County Study", Am J Epidemiol, 155, pp.507~515 (2002)
- Berger N., "The global activity limitation indicator and self-rated health : two comparison predictors of mortality", Archives of Public Health, 73, pp.25~ (2015)
- Regional differences in Health Expectancy in Korea and Policy Suggestions, "Byeon, Y. C.", Korea Institute for Health and Social Affairs, ~ (2011)
- Cagney, K. A., "Racial disparities in self-rated health at older ages: what difference does the neighborhood make?", J Gerontol B Psychol Sci Soc Sci, 60(4), pp.181~190 (2005)
- 2009 National Health Interview Survey (NHIS) Questionnaire, "Centers for Disease Control and Prevention", Adult Health Status and Limitations, ~ (2010)
- Carstairs, V., "Deprivation: explaining differences in mortality between Scotland and England and Wales", BMJ, 299, pp.886S~ (1989)
- 최민혁, "Deprivation and Mortality at the Town Level in Busan, Korea: An Ecological Study", 예방의학회지, 44(6), pp.242~248 (2011), 대한예방의학회
- Christensen, K., "Ageing populations : the challenges ahead", Lancet, 374, pp.1196~1208 (2009)
- Crimmins, E. M., "Trends in healthy life expectancy in the United States, 1970-1990 : gender, racial, and educational differences", Soc Sci Med, 52, pp.1629~1641 (2001)
- "Healthy Life Years"[URL]
- 한소현, "우리나라 지역별 건강수명과 관련요인", 한국인구학, 35(2), pp.209~232 (2012), 한국인구학회
- 허재헌, "서울시 노인의 사회경제적 수준별 활동제한 및 건강행태", 한국노년학, 28(1), pp.87~104 (2008), 한국노년학회
- Jarman, B., "Identification of underprivileged areas", BMJ, 286, pp.1705S8~ (1983)
- 정백근, "우리나라에서의 지역의 물질적 결핍수준과 15-64세 인구 표준화사망비의 관계", 예방의학회지, 39(1), pp.46~52 (2006), 대한예방의학회
- Kim, M. H., "A multilevel analysis on the association between socioeconomic factors and the metabolic syndrome", doctor, pp.2002
- Lang, I. A., "Neighborhood deprivation, individual socioeconomic status, and cognitive function in older people : analyses from the English Longitudinal Study of Ageing", J Am Geriatr Soc, 56, pp.191~198 (2008)
- Lutz, W., "The coming acceleration of global population ageing", Nature, 451(7), pp.716~719 (2008)
- Macintyre, S, "Place effects on health : how can we conceptualise", operationalise and measure them? Soc Sci Med, 55, pp.125~139 (2002)
- Maki, N., "Educational differences in disability-free life expectancy : a comparative study of long-standing activity limitation in eight European countries", Soc Sci Med, 94, pp.1~8 (2013)
- Morris, R., "Which deprivation? A comparison of selected deprivation indexes", J Public Health Med, 13(4), pp.318S26~ (1991)
- "OECD health data"[URL]
- Local authority variation in activity limitations(disability) for males and females, "Office for National Statistics", England and Wales, Office for National Statistics, ~ (2013)
- 신호성, "표준화사망비와 지역결핍지수의 상관관계: 지역사회 통합결핍지수 개발", 예방의학회지, 42(6), pp.392~402 (2009), 대한예방의학회
- 손미아, "직업,교육수준 그리고 물질적 결핍이 사망률에 미치는 영향", 예방의학회지, 35(1), pp.10~82 (2002), 대한예방의학회
- Townsend, P., "Deprivation", J Soc Policy, 16(2), pp.125S46~ (1987)
- Townsend, P., "Health and Deprivation: Inequality and the North" (1988), Routledge
- Walters, K., "Local area deprivation and urban-rural differences in anxiety and depression among people older than 75years in Britain", Am J Public Health, 94, pp.1768~1774 (2004)
- "Health Topics: Disablities"[URL]
- 윤태호, "사회계급 분포와 사망률과의 연관성", 보건행정학회지, 13(4), pp.99~114 (2003), 한국보건행정학회