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Objectives : The aims of this paper were to develop the
composite deprivation index (CDI) for the sub-district (Eup-
Myen-Dong) levels based on the theory of social exclusion
and to explore the relationship between the CDI and the
standardized mortality ratio (SMR).
Methods : The paper calculated the age adjusted SMR
and we included five dimensions of social exclusion for
CDI; unemployment, poverty, housing, labor and social
network. The proxy variables of the five dimensions were
the proportion of unemployed males, the percent of
recipients receiving National Basic Livelihood Security Act
benefits, the proportion of households under the minimum
housing standard, the proportion of people with a low social
class and the proportion of single-parent household. All the
variables were standardized using geometric transformation
and then we summed up them for a single index. The paper
utilized the 2004-2006 National Death Registry data, the
2003-2006 national residents' registration data, the 2005
Population Census data and the 2005-2006 means-tested
benefit recipients' data.
Results : The figures were 115.6, 105.8 and 105.1 for the
CDI of metropolitan areas (big cities), middle size cities and
rural areas, respectively. The distributional variation of the
CDI was the highest in metropolitan areas (8.9 - 353.7) and
the lowest was in the rural areas (26.8 - 209.7). The extent
and relative differences of deprivation increased with
urbanization. Compared to the Townsend and Carstairs
index, the CDI better represented the characteristics of
rural deprivation. The correlation with the SMR was
statistically significant and the direction of the CDI effects
on the SMR was in accordance with that of the previous
studies.
Conclusions : The study findings indicated mortality
inequalities due to the difference in the CDI. Despite the
attempt to improve deprivation measures, further research
is warranted for the consensus development of a
deprivation index.번호 | 참고문헌 | 국회도서관 소장유무 |
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1 | Underprivileged Areas: Validation And Distribution Of Scores ![]() |
미소장 |
2 | Townsend P, Phillimore P, Beattie A. Health and Deprivation: Inequalities and the North. New South Wales: Croom Helm; 1988. | 미소장 |
3 | Carstairs V, Morris R. Deprivation and Health in Scotland. Scotland: Aberdeen University Press; 1991. | 미소장 |
4 | Office of the Deputy Prime Minister. The English Indices of Deprivation 2004. West Yorkshire: Office of the Deputy Prime Minister;2004. p. 1-180. | 미소장 |
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6 | A deprivation index for health and welfare planning in Quebec. ![]() |
미소장 |
7 | The Relationships of Occupational Class, Educational Level and Deprivation with Mortality in Korea | 소장 |
8 | [The relationship between regional material deprivation and the standardized mortality ratio of the community residents aged 15-64 in Korea]. | 소장 |
9 | Kim MH. A Multilevel Aanalysis on the Association between Socioeconomic Factors and the Metabolic Syndrome [dissertation]. Seoul: Hanyang University; 2002. (Korean) | 미소장 |
10 | Lee SG. Social Contextual Effects on Regional Mortality and Self-rated Health Status [dissertation]. Seoul: Yonsei University; 2002.(Korean) | 미소장 |
11 | Sim JH. The Relationship of Socioeconomic Status and Area based Deprivation on Cerebrovascular Mortality in Korea [dissertation]. Chuncheon: Kangwon National University; 2007. (Korean) | 미소장 |
12 | Chu JM, Park JI, Cho MR, Choi SJ, Im JH, Shin HS, et al. Environmental Policy for Lowincome Population in Urban Area. Seoul: Korea Environment Institute; 2007. p. 106-109.(Korean) | 미소장 |
13 | Association between childhood fatal injuries and socioeconomic position at individual and area levels: a multilevel study ![]() |
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미소장 |
20 | Bradshaw J. The relationship between poverty and social exclusion in Britain. [cited 2009 March 5] Available from: http://www.bris.ac.uk/poverty/pse/conf_pap/pol00_jrb.pdf | 미소장 |
21 | Social Indicators and Living Conditions in the Netherlands ![]() |
미소장 |
22 | Contribution System of National Health Insurance ![]() |
미소장 |
23 | Lee EW. Determinants and characteristics of rural poverty. Rural Econ Rev 2007; 30(4): 87-103. (Korean) | 미소장 |
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25 | Kim AN, No DM, Kim MS, Shin HS, Kim TW, Kang MH, et al. A Study of Support for the Socially Excluded toward Social Integration, the Dynamics and Multiple Dimensions of Social Exclusion. Seoul: Korea Institute for Health and Social Affairs; 2008.(Korean) | 미소장 |
26 | Townsend P, David N. Inequalities in Health:The Black Report. London: Pelican Books;1982. | 미소장 |
27 | The Proportional Mortality Ratios of Specific-cause Mortality by Occupation and Education among Men Aged 20-64 in Korea (1993-2004) | 소장 |
28 | Comparative Study on the Poverty Trend and Driving Factors in Welfare States | 소장 |
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30 | Kim MS, Won YH. The impact of self-control on the low-income single parents’psychological well-being. Korean Academy of Social Welfare Fall Conference Proceedings. 2003:359-376. (Korean) | 미소장 |
31 | Comparisons of Health Inequalities in Small Areas with Using the Standardized Mortality Ratios in Korea | 소장 |
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33 | Individual Social Class, Area-Based Deprivation, Cardiovascular Disease Risk Factors, and Mortality: The Renfrew and Paisley Study ![]() |
미소장 |
34 | Which deprivation? A comparison of selected deprivation indexes. ![]() |
미소장 |
35 | Health inequalities in Korea: age- and sex-specific educational differences in the 10 leading causes of death ![]() |
미소장 |
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37 | Nakaya T. An information statistical approach to the modifiable areal unit problem in incidence rate maps. Environ Planning A 2000;32(1): 91-109. | 미소장 |
38 | Armhein C. Searching for the elusive aggregation effect: Evidence from statistical simulations. Environ Planning A 1995; 27(1):105-119. | 미소장 |
39 | Underprivileged Areas And Health Care Planning: Implications Of Use Of Jarman Indicators Of Urban Deprivation ![]() |
미소장 |
40 | Reijneveld SA, Verheij RA, de Bakker DH. The impact of area deprivation on differences in health: Does the choice of the geographical classification matter? J Epidemiol Community Health 2000; 54(4): 306-313. | 미소장 |
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