Socioeconomic Inequity in Self-Rated Health Status and Contribution of Health Behavioral Factors in Korea

Kim, Minkyung; Chung, Woojin; Lim, Seungji; Yoon, Sung Hyun; Lee, Jakyoung; Kim, Eunkyung; Ko, L.S.F

doi:10.3961/jpmph.2010.43.1.50

Cited by 37 publications

(21 citation statements)

References 25 publications

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“…Our additional analyses showed that the indirectly standardized prevalence of poor self-rated health among rural petty bourgeoisie was 20.1% while the prevalence among urban petty bourgeoisie was 17.0%. This result was similar to that of a previous study in which the self-employed in the agricultural sector reported much worse self-rated health than those in other social strata [36]. Korean economic development has been accomplished by focusing on industrialization and urbanization since the 1960s [37].…”

Section: Discussionsupporting

confidence: 88%

Neo-Marxian social class inequalities in self-rated health among the employed in South Korea: the role of material, behavioral, psychosocial, and workplace environmental factors

et al. 2017

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BackgroundThe aim of this study was to examine the pattern of social inequality in self-rated health among the employed using the Wright’s social class location indicator, and to assess the roles of material, behavioral, psychosocial, and workplace environmental factors as mediating factors in explaining the social class inequality in self-rated health in South Korea.MethodsThis study used data from the 4th Korea National Health and Nutrition Examination Survey from 2007 to 2009. Study subjects included the employed population of 4392 men and 3309 women aged 19–64 years. Subjects were classified into twelve social class positions based on the Wright’s social class map. The health outcome was self-rated health. Material, psychosocial, behavioral, and workplace environmental factors were considered as potential mediators in explaining social class health inequality. We calculated prevalence ratios of poor self-rated health according to social class, adjusted for age and mediating factors using Poisson regression models.ResultsNonskilled workers and petty bourgeoisie reported worse self-rated health than other social classes among men. The age-adjusted prevalence of petty bourgeoisie and nonskilled workers were about four-fold greater than that of managers. Expert supervisors in the contradictory class location had a greater prevalence of poor self-rated health than experts in men. In women, the prevalence of poor self-rated health was greater in most social classes than their male counterparts, while the differences among social classes within women were not statistically significant. Workplace environmental factors explained the social class inequality by from 24 to 31% in nonskilled and skilled workers and nonskilled supervisors, respectively, and material factors showed an explanatory ability of about 8% for both nonskilled workers and petty bourgeoisie in men.ConclusionsWe showed the inequality in self-rated health according to the Wright’s social class in an industrialized Asian country. Policy efforts to improve workplace environments in nonskilled and skilled workers and nonskilled supervisors would have a moderate effect on reducing the magnitude of social class inequality in self-rated health. Furthermore, the means to improve power relations in the workplace should be devised to further reduce the social class inequalities in health.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4269-9) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 88%

Neo-Marxian social class inequalities in self-rated health among the employed in South Korea: the role of material, behavioral, psychosocial, and workplace environmental factors

et al. 2017

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“…Figure 1 shows the conceptual model of this research. Prior Korean studies revealed that parental SEP affects an individual’s own SEP [ 13 ], and an individual’s current SEP has been reported to be related to his or her self-rated health [ 14 ]. In addition, parental SEP has been shown to affect an individual’s adulthood health independently of own SEP [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

Associations Between Preschool Education Experiences and Adulthood Self-rated Health

Lee

Bahk

Khang

2017

J Prev Med Public Health

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ObjectivesThis study aimed to examine the association between preschool education experiences and adulthood self-rated health using representative data from a national population-based survey.MethodsData from the Korean Labor and Income Panel Study in 2006 and 2012 were used. A total of 2391 men and women 21-41 years of age were analyzed. Log-binomial regression analyses were conducted to examine the associations between preschool education experience and self-rated health in adulthood. Parental socioeconomic position (SEP) indicators were considered as confounders of the association between preschool education experience and adulthood subjective health, while current SEP indicators were analyzed as mediators. Age-adjusted prevalence ratios (PRs) and the associated 95% confidence intervals (CIs) were estimated.ResultsCompared with men without any experience of preschool education, those with both kindergarten and other preschool education experiences showed a lower prevalence of self-rated poor health (PR, 0.65; 95% CI, 0.47 to 0.89). In women, however, such an association was not evident. The relationship of preschool education experiences with self-rated poor health in adulthood among men was confounded by parental SEP indicators and was also mediated by current SEP indicators. After adjustment for parental and current SEP indicators, the magnitude of the associations between preschool education experiences and adulthood subjective health was attenuated in men.ConclusionsPreschool education experience was associated with adulthood self-rated health in men. However, this association was explained by parental and current SEP indicators. Further investigations employing a larger sample size and objective health outcomes are warranted in the future.

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“…국내에서도 최근 청소년 흡연에 대한 선행연구들에서는 가족구조 등의 외형 적 환경 요인들보다 가족 간 관계와 같은 기능적 환경 요인들 에 더 주목을 하고 있으며 (Lee, 2007), Kim & Park (1994) (Adler et al, 1994;Choi et al, 2007;Kim, 2011;Kim et al, 2010;Kim, Khang, Yun, & Kim, 2004;Pappas, Queen, Hadden, & Fisher, 1993;Son, 2002). 부 모의 학력은 아버지와 어머니 중 높은 학력을 따르도록 하 였다 (Goodman, 1999;Kang, 2005).…”

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The Relationship between Smoking, Alcohol Drinking, and Parenting Behavior Perceived by Adolescents

Roh¹,

Kim²

2013

Korean Journal of Health Education and Promotion

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Objectives: The purpose of this study was to analysis the health behaviors differences of adolescents depending on whether parenting behavior perceived by adolescents. Methods: The data which is used in this study was extracted from the 2011 second korean adolescents' penal data collected by the National Youth Policy Institute. Multivariate logistic regression analysis was performed in order to find how degree parents relationship factors are associated with adolescents' health behavior after adjusting sex, smoking(alcohol drinking) friends, and other significant variables. The data was processed by SAS 9.1. Results: Respondent's general characteristics such as smoking(alcohol drinking)friends, parents' job were positively relative to smoking and alcohol drinking experience. Also Parents's affection and experience of being abused from parents were significantly associated with smoking(alcohol drinking) experience. Conclusions: Negative vertical attitude for children is important for the health risk behaviors of adolescents. To increase effectiveness of the health policy for the adolescents in korea, it is important to adapt new strategy to include the positive empowerment of adolescents' social networks except for smoking(alcohol drinking)friends and policy support to turn negative vertical attitude for children into positive attitude for children.

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Socioeconomic Inequity in Self-Rated Health Status and Contribution of Health Behavioral Factors in Korea

Abstract: In Korea, subjective health inequalities arise from different socioeconomic status, but this difference is decreased by health behavioral factors. Therefore, socioeconomic inequity in self-rated health status can be corrected more effectively by promotional health behaviors.

Cited by 37 publications

References 25 publications

Neo-Marxian social class inequalities in self-rated health among the employed in South Korea: the role of material, behavioral, psychosocial, and workplace environmental factors

Neo-Marxian social class inequalities in self-rated health among the employed in South Korea: the role of material, behavioral, psychosocial, and workplace environmental factors

Associations Between Preschool Education Experiences and Adulthood Self-rated Health

The Relationship between Smoking, Alcohol Drinking, and Parenting Behavior Perceived by Adolescents

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