The Gaps in Health-Adjusted Life Years (Hale) by Income and Region in Korea

A National Representative Bigdata Analysis

Datos Bibliográficos

ID15510697
AutoresYoung-Eun Kim (0009-0000-4237-691X, National Health Insurance Service), Young‐Eun Kim (0000-0003-0694-6844, National Health Insurance Service), Yoon-Sun Jung (0000-0002-9379-4908, Korea University), Minsu Ock (0000-0001-9949-9224, Ulsan College), Hyesook Park (0000-0002-9359-6522, Ewha Womans University), Ki-Beom Kim (0000-0001-7613-0125, Korea University), Dun‐Sol Go (0000-0002-9025-7760, Korea Institute for Health and Social Affairs), Dun-Sol Go (Korea Institute for Health and Social Affairs), Seok‐Jun Yoon (0000-0003-3297-0071, Korea University, autor de correspondencia)
Año2021
Volumen18
Número7
Páginas3473-3473
Fecha de publicación2021-03-27
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18073473
PMID33801588
OpenAlexW3149938798
IdiomaEN
Citas recibidas3
Referencias citadas14

This study aims to calculate the health-adjusted life years (HALE) by using years lived with disability (YLD) from the national claims data, as well as to identify the differences and inequalities in income level and region. The study was carried out on total population receiving health insurance and medical benefits. We calculated incidence-based YLD for 260 disease groups, and used it as the number of healthy years lost to calculate HALE. We adopted the insurance premium to calculate the income as a proxy indicator. For the region classification, we chose 250 Korean municipal-level administrative districts. Our results revealed that HALE increased from 2008 to 2018. HALE in males increased faster than that in females. HALE was higher in higher income levels. In 2018, the gap in HALE between Q1 and Q2, the lower income group, was about 5.57 years. The gap in females by income level was smaller than that in males. Moreover, the gap in HALE by region was found to increase. Results suggest that there is an inequality in YLD in terms of income level in Korea. Therefore, we need intensive management for the low-income group to promote HALE at the national level

Demographic economics · Economic inequality · Economics · Geography · Incidence (geometry · Inequality · Low income · Population · Proxy (statistics · Socioeconomics · Sociology · Statistics · Demography · Global Health Care Issues · Health and Wellbeing Research · Health disparities and outcomes · Mathematics