Impact of economic crisis on cause-specific mortality in South Korea
Impact of economic crisis on cause-specific mortality in South Korea
复制标题
DOI：
10.1093/ije/dyi224
复制
发表时间：
2005-12-01
影响因子：
7.7
通讯作者：
Kaplan, GA
中科院分区：
文献类型：
--
作者：
Khang, YH;Lynch, JW;Kaplan, GA
背景经济变化可以是健康的强有力的决定因素。20世纪90年代末，韩国经历了经济急剧下滑。本研究探讨了韩国大规模经济变化是否影响了全因死亡率和特定原因死亡率的趋势。（死亡证明）和死亡证明数据使用韩国国家统计局的数据（分子）计算经济危机前后的年龄标准化死亡率。因为在危机期间，男女和所有年龄组的死亡率继续下降。脑血管意外、胃癌和肝病是造成这一下降的主要原因。交通事故死亡率也显著下降。死亡率增加最显著的是自杀死亡。在经济危机期间，杀人，肺炎和酒精依赖的死亡率增加，但这些占总mortality.Conclusions短期死亡率的影响，韩国经济危机相对较小。经济衰退的任何短期影响似乎都被中风、胃癌和肝病等死亡原因大幅下降的势头所压倒，这些死亡原因可能与更长病因时期的暴露有关。然而，这项研究的重点是相当直接的死亡率影响，需要进行后续研究来阐明韩国经济危机对健康的长期影响。
Background Economic changes can be powerful determinants of health. In the late 1990s, South Korea experienced a steep economic decline. This study examines whether the massive economic changes affected trends in all-cause and cause-specific mortality in South Korea.Method Mid-year population estimates of 5 year age groups (denominators) and death certificate data (numerators) from the National Statistical Office of Korea were used to compute cause-specific age-standardized mortality rates before and after the economic crisis.Results All-cause mortality continued to decrease in both sexes and all age groups during the crisis. Cerebrovascular accidents, stomach cancer, and liver disease contributed most to this decline. A remarkable decrease in transport accident mortality rates was also observed. The most salient increase in mortality was suicidal death. Mortality from homicide, pneumonia, and alcohol dependence increased during the economic crisis, but these accounted for a small proportion of total mortality.Conclusions Short-term mortality effects of the South Korean economic crisis were relatively small. It appears that any short-term effects of the economic decline were overwhelmed by the momentum of large declines in causes of death such as stroke, stomach cancer, and liver disease, which are probably related to exposures with much longer aetiological periods. However, this study focused on rather immediate mortality effects and follow-up studies are needed to elucidate any longer-term health effects of the South Korean economic crisis.