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소득계층에 따른 뇌심혈관질환 사망률 차이
Socioeconomic Differentials in Stroke and Cardiovascular Disease Mortality in Korea

임정수   (가천의과대학교 예방의학과UU0000009  ); 최대경   (가천의과대학교 예방의학과UU0000009  ); 임준   (가천의과대학교 예방의학과UU0000009  ); 홍두호   (가천의과대학교 예방의학과UU0000009  ); 김종균   (강남대학교 실버산업연구원UU0016050  ); 박상현   (제주대학교 의과대학 마취통증의학과UU0001165  ); 윤성태   (가천의과대학교 보건대학원UU0000009  );
  • 초록

    Objectives: A number of studies in economically developed countries have shown occurrence of stroke and cardiovascular disease to be inversely related to socioeconomic class. The purpose of this study is to investigate socioeconomic differentials in stroke and cardiovascular disease mortality in Korea. Methods: Two data from two sources, registry data from National Health Insurance Corporation and death certification data from National Statistics Office, were used to calculate mortality rate for five socioeconomic classes. Poisson regression analysis was used to calculate relative indices of inequality as a measure of mortality differentials between socioeconomic classes. Results: For males, graded socioeconomic differentials in mortality were observed with higher mortality rates related to lower socioeconomic class for intracerebral hemorrhage, cerebral infarct, hypertension, ischemic heart disease, myocardial infarct, and arrhythmia. The relative index of inequality for stroke and cardiovascular disease was 1.61(95% CI=1.54-1.68). For females, these differentials were observed for arrhythmia and intracerebral hemorrhage. The relative index of inequality was 1.06(95% CI=1.02-1.11). Conclusions: This socioeconomic differential in mortality, consistent with the results of other studies performed in economically developed countries suggest that Socioeconomic class can influence mortality regardless of the developmental stage of the country.


  • 주제어

    Socioeconomic Differential .   Stroke .   Cardiovascular Disease .   Mortality.  

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