Regional disparities in health literacy for chronic diseases
Focusing on healthcare resources and local extinction index
Bibliographic Data
| ID | 22070972 |
|---|---|
| Authors | Seokmin Ji (0000-0002-3868-7835, Korea University), Young Gyu Kwon (0000-0003-3848-7259, Department of Public), Hyunseo Lee (Korea University), Chaehwan Shin (Korea University), M Sohn (0000-0001-7748-5622, Cyber University of Korea), Mankyu Choi (0000-0002-8576-8195, Korea University, corresponding author) |
| Year | 2024 |
| Volume | 12 |
| Pages | 1423645-1423645 |
| Publication date | 2024-09-12 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2024.1423645 |
| PMID | 39346595 |
| OpenAlex | W4402497461 |
| Language | EN |
| Citations received | 1 |
| References cited | 29 |
Objective: This study compared disparities between community health characteristics and health literacy levels for hypertension and diabetes by combining community-level characteristics, such as the local extinction index and healthcare resources, with individual-level characteristics based on the Andersen healthcare utilization model. Method: Data obtained from the 2017, 2019, and 2021 Community Health Surveys, Korean Statistical Information Service, and National Health Insurance Service were analyzed. The analyses included spatial analysis, propensity score matching, and cross-analysis. Results: Twenty-five extinction-risk regions (ERRs) were identified in 2017, 26 in 2019, and 29 in 2021, indicating a high risk of extinction and insufficient healthcare resources in non-metropolitan regions. Based on analyses of demographic changes and unmet medical needs at the individual level, we observed increased age and economic activity, decreased healthcare access, and lower education levels in ERRs compared to non-extinction-risk regions (NERRs). No significant differences were found between the regions regarding diagnosis or medication use concerning the health literacy gap for hypertension and diabetes. However, individuals in ERRs were significantly less likely than those in NERRs to be aware of such diseases or educated about their management. Discussion: Given that healthcare services in ERRs focus on chronic disease management rather than prevention, we propose two directions to reduce health disparities in ERRs. First, the government should encourage cooperation with private healthcare organizations to ensure the provision of health education programs in vulnerable areas. Second, improvements in awareness and education regarding chronic disease management can be achieved through digital healthcare and telemedicine. This study identifies regional disparities in chronic disease prevention and management, providing a basis for policies to ensure healthier communities with health equity
Biology · Economic growth · Economics · Environmental health · Geography · Health care · Health equity · Health literacy · Literacy · World Wide Web · Computer Science · Health and Wellbeing Research · Health Literacy and Information Accessibility · Health Promotion and Cardiovascular Prevention · Medicine
Korea Community Health Survey Data Profiles
Notes on Continuous Stochastic Phenomena
Health Promotion Glossary
Unmet healthcare needs and the local extinction index
Low utilization of health care services following screening for hypertension in Dar es Salaam (Tanzania)
Estimating the effects of agri-environmental measures using difference-in-difference coarsened exact matching
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |