COVID-19: Special Article
- Mainstreaming of Health Equity in Infectious Disease Control Policy During the COVID-19 Pandemic Era
-
Hongjo Choi, Seong-Yi Kim, Jung-Woo Kim, Yukyung Park, Myoung-Hee Kim
-
J Prev Med Public Health. 2021;54(1):1-7. Published online January 15, 2021
-
DOI: https://doi.org/10.3961/jpmph.20.593
-
-
5,994
View
-
313
Download
-
8
Web of Science
-
9
Crossref
-
Abstract
Summary
PDF
- The Korean government’s strategy to combat coronavirus disease 2019 (COVID-19) has focused on non-pharmaceutical interventions, such as social distancing and wearing masks, along with testing, tracing, and treatment; overall, its performance has been relatively good compared to that of many other countries heavily affected by COVID-19. However, little attention has been paid to health equity in measures to control the COVID-19 pandemic. The study aimed to examine the unequal impacts of COVID-19 across socioeconomic groups and to suggest potential solutions to tackle these inequalities. The pathways linking social determinants and health could be entry points to tackle the unequal consequences of this public health emergency. It is crucial for infectious disease policy to consider social determinants of health including poor housing, precarious working conditions, disrupted healthcare services, and suspension of social services. Moreover, the high levels of uncertainty and complexity inherent in this public health emergency, as well as the health and socioeconomic inequalities caused by the pandemic, underscore the need for good governance other than top-down measures by the government. We emphasize that a people-centered perspective is a key approach during the pandemic era. Mutual trust between the state and civil society, strong accountability of the government, and civic participation are essential components of cooperative disaster governance.
-
Summary
Korean summary
"이 연구는 코로나19 대유행이 건강불평등에 미치는 영향을 검토하고, 불평등 완화 방안을 제시하고자 한다. 건강의 사회적 결정요인은 코로나19와 건강불평등을 이해하기 위한 출발점이다. 건강의 사회적 결정요인은 코로나19 감염과 그로 인한 사망 등 직접영향 경로와 코로나19 대응과정의 문제로 건강불평등을 야기하는 간접영향 경로에 모두 관여한다. 공중보건위기로 인한 건강불평등을 줄이기 위해서는 시민참여를 통한 협력적 거버넌스 강화와 모든 건강정책에서 사람중심돌봄의 관점을 견지하는 것이 필요하다."
-
Citations
Citations to this article as recorded by
- How have researchers defined institutions, politics, organizations and governance in research related to epidemic and pandemic response? A scoping review to map current concepts
Austin Wu, Shivangi Khanna, Shelly Keidar, Peter Berman, Laura Jane Brubacher
Health Policy and Planning.2023; 38(3): 377. CrossRef - Public health emergency preparedness for infectious disease emergencies: a scoping review of recent evidence
Jessica M Lee, Rachel Jansen, Kate E Sanderson, Fiona Guerra, Sue Keller-Olaman, Michelle Murti, Tracey L O’Sullivan, Madelyn P Law, Brian Schwartz, Laura E Bourns, Yasmin Khan
BMC Public Health.2023;[Epub] CrossRef - Illustrating the impact of commercial determinants of health on the global COVID-19 pandemic: Thematic analysis of 16 country case studies
Toby Freeman, Fran Baum, Connie Musolino, Joanne Flavel, Martin McKee, Chunhuei Chi, Camila Giugliani, Matheus Zuliane Falcão, Wim De Ceukelaire, Philippa Howden-Chapman, Thanh Huong Nguyen, Hani Serag, Sun Kim, Alvarez Dardet Carlos, Hailay Abrha Gesesew
Health Policy.2023; 134: 104860. CrossRef - Ambient PM2.5 exposures could increase risk of tuberculosis recurrence
Kyung-Duk Min, Sun-Young Kim, Sung-il Cho
Environmental Health and Preventive Medicine.2023; 28: 48. CrossRef - Unequal burdens of COVID-19 infection: a nationwide cohort study of COVID-19-related health inequalities in Korea
Jeangeun Jeon, Jieun Park, Min-Hyeok Choi, Hongjo Choi, Myoung-Hee Kim
Epidemiology and Health.2023; 45: e2023068. CrossRef - The Unequal Effects of Social Distancing Policy on Subway Ridership during the COVID-19 Pandemic in Seoul, South Korea
Jaeyoung Ha, Suyoung Jo, Hee-kyoung Nam, Sung-il Cho
Journal of Urban Health.2022; 99(1): 77. CrossRef - Disaster vulnerability and community resilience factors affecting post-disaster wellness: A longitudinal analysis of the Survey on the Change of Life of Disaster Victim
Jimin Gim, Sangjoon Shin
International Journal of Disaster Risk Reduction.2022; 81: 103273. CrossRef - Disaster Vulnerability and Community Resilience Factors Affecting Post-Disaster Wellness
Jimin Gim, Sangjoon Shin
SSRN Electronic Journal.2022;[Epub] CrossRef - Pleading Voices Behind Bars: Health Equity for Detainees During the COVID-19 Pandemic in the Philippines
Dalmacito A. Cordero
Journal of Preventive Medicine and Public Health.2021; 54(6): 481. CrossRef
Original Article
- Deprivation and Mortality at the Town Level in Busan, Korea: An Ecological Study
-
Min-Hyeok Choi, Kyu-Seok Cheong, Byung-Mann Cho, In-Kyung Hwang, Chang-Hun Kim, Myoung-Hee Kim, Seung-Sik Hwang, Jeong-Hun Lim, Tae-Ho Yoon
-
J Prev Med Public Health. 2011;44(6):242-248. Published online November 14, 2011
-
DOI: https://doi.org/10.3961/jpmph.2011.44.6.242
-
-
10,893
View
-
94
Download
-
31
Crossref
-
Abstract
PDF
- Objectives
Busan is reported to have the highest mortality rate among 16 provinces in Korea, as well as considerable health inequality across its districts. This study sought to examine overall and cause-specific mortality and deprivation at the town level in Busan, thereby identifying towns and causes of deaths to be targeted for improving overall health and alleviating health inequality.
MethodsStandardized mortality ratios (SMRs) for all-cause and four specific leading causes of death were calculated at the town level in Busan for the years 2005 through 2008. To construct a deprivation index, principal components and factor analysis were adopted, using 10% sample data from the 2005 census. Geographic information system (GIS) mapping techniques were applied to compare spatial distributions between the deprivation index and SMRs. We fitted the Gaussian conditional autoregressive model (CAR) to estimate the relative risks of mortality by deprivation level, controlling for both the heterogeneity effect and spatial autocorrelation.
ResultsThe SMRs of towns in Busan averaged 100.3, ranging from 70.7 to 139.8. In old inner cities and towns reclaimed for replaced households, the deprivation index and SMRs were relatively high. CAR modeling showed that gaps in SMRs for heart disease, cerebrovascular disease, and physical injury were particularly high.
ConclusionsOur findings indicate that more deprived towns are likely to have higher mortality, in particular from cardiovascular disease and physical injury. To improve overall health status and address health inequality, such deprived towns should be targeted.
-
Summary
-
Citations
Citations to this article as recorded by
- Spatial associations of daily PM2.5 concentration with cardiovascular and pulmonary morbidity in Korea
Dajeong Ham, Hyun-Joo Bae, Soontae Kim, Hyungryul Lim, Jonghyuk Choi, Ho-Jang Kwon, Sanghyuk Bae
Chemosphere.2024; 367: 143669. CrossRef - Area-Level Socioeconomic Inequalities in Intracranial Injury-Related Hospitalization in Korea: A Retrospective Analysis of Data From Korea National Hospital Discharge Survey 2008–2015
Hang A Park, Federico E. Vaca, Kyunghee Jung-Choi, Hyesook Park, Ju Ok Park
Journal of Korean Medical Science.2023;[Epub] CrossRef - Associations Between Neighborhood Deprivation and Smoking Behaviors Among Lifetime Adult Smokers in the Republic of Korea: A Multilevel Analysis
Junghee Kim, Sunhee Park
International Journal of Mental Health and Addiction.2023;[Epub] CrossRef - Impact of health disparities on national breast cancer screening participation rates in South Korea
Fatima Nari, Juwon Park, Nayeon Kim, Dong Jin Kim, Jae Kwan Jun, Kui Son Choi, Mina Suh
Scientific Reports.2023;[Epub] CrossRef - Spatial stratification and socio-spatial inequalities: the case of Seoul and Busan in South Korea
Seungwoo Han
Humanities and Social Sciences Communications.2022;[Epub] CrossRef - Epidemiology and Clinical Patterns of Ocular Trauma at a Level 1 Trauma Center in Korea
Jungyul Park, Sang Cheol Yang, Hee-young Choi
Journal of Korean Medical Science.2021;[Epub] CrossRef - Typology of Community Health Vulnerabilities and Their Effects on Health Status by Type-Using Community Health Survey
Bohyun Park, Kyunghee Yi, Sookja Choi, Sukyong Seo, Seonim Choi
Journal of Korean Academy of Community Health Nursing.2021; 32(3): 281. CrossRef - Spatial distribution of neighborhood-level housing prices and its association with all-cause mortality in Seoul, Korea (2013–2018): A spatial panel data analysis
Ikhan Kim
SSM - Population Health.2021; 16: 100963. CrossRef - The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
Claudia Costa, Angela Freitas, Ricardo Almendra, Paula Santana
International Journal of Environmental Research and Public Health.2020; 17(22): 8517. CrossRef - Association between Area-Level Socioeconomic Deprivation and Prehospital Delay in Acute Ischemic Stroke Patients: An Ecological Study
Hang A Park, Hye Ah Lee, Ju Ok Park
International Journal of Environmental Research and Public Health.2020; 17(20): 7392. CrossRef - Regional Differences in Years of Life Lost in Korea from 1997 to 2015
Dun-Sol Go, Young-Eun Kim, Munkhzul Radnaabaatar, Yunsun Jung, Jaehun Jung, Seok-Jun Yoon
Journal of Korean Medical Science.2019;[Epub] CrossRef - Use of the National Health Information Database for Estimating Town-Level Mortality in Korea: Comparison with the National Administrative Data, 2014–2017
Ikhan Kim, Youngs Chang, Hee-Yeon Kang, Yeon-Yong Kim, Jong Heon Park, Young-Ho Khang
Journal of Korean Medical Science.2019;[Epub] CrossRef - Why is Life Expectancy in Busan Shorter than in Seoul? Age and Cause-Specific Contributions to the Difference in Life Expectancy between Two Cities
Young-Ho Khang, Jinwook Bahk
Yonsei Medical Journal.2019; 60(7): 687. CrossRef - Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review
Chi-Young Lee, Yong-Hwan Lee
Journal of Preventive Medicine and Public Health.2019; 52(5): 281. CrossRef - Factors associated with the rates of coronary artery bypass graft and percutaneous coronary intervention
Agnus M. Kim, Jong Heon Park, Seongcheol Cho, Sungchan Kang, Tae Ho Yoon, Yoon Kim
BMC Cardiovascular Disorders.2019;[Epub] CrossRef - Effect of Area-Level Deprivation on Cancer Survival Time: A Register-Based Follow-up Study of 145 585 Korean Subjects
Minjung Kwak, Changhoon Kim
Asia Pacific Journal of Public Health.2018; 30(1): 19. CrossRef - Regional Differences in Years of Life Lost in Korea from 1997 to 2015
Dun-Sol Go, Young-Eun Kim, Munkhzul Radnaabaatar, Yunsun Jung, Jaehun Jung, Seok-Jun Yoon
Journal of Korean Medical Science.2018;[Epub] CrossRef - Difference of stage at cancer diagnosis by socioeconomic status for four target cancers of the National Cancer Screening Program in Korea: Results from the Gwangju and Jeonnam cancer registries
Sun-Seog Kweon, Min-Gyeong Kim, Mi-Ran Kang, Min-Ho Shin, Jin-Su Choi
Journal of Epidemiology.2017; 27(7): 299. CrossRef - Income Differences in Smoking Prevalences in 245 Districts of South Korea: Patterns by Area Deprivation and Urbanity, 2008-2014
Ikhan Kim, Jinwook Bahk, Tae-Ho Yoon, Sung-Cheol Yun, Young-Ho Khang
Journal of Preventive Medicine and Public Health.2017; 50(2): 100. CrossRef - Area-level Socioeconomic Deprivation Affect Individual Cancer Mortality in Korea
Hae-Sung Nam
Journal of Korean Medical Science.2017; 32(12): 1905. CrossRef - Disparities by Age, Sex, Tumor Stage, Diagnosis Path, and Area-level Socioeconomic Status in Survival Time for Major Cancers: Results from the Busan Cancer Registry
Minjung Kwak, Changhoon Kim
Journal of Korean Medical Science.2017; 32(12): 1974. CrossRef - Regional Deprivation Index and Socioeconomic Inequalities Related to Infant Deaths in Korea
Jae-Won Yun, Young-Ju Kim, Mia Son
Journal of Korean Medical Science.2016; 31(4): 568. CrossRef - Cancer incidence and mortality estimations in Busan by using spatial multi-level model
Younggyu Ko, Junhee Han, Taeho Yoon, Changhoon Kim, Maengseok Noh
Journal of the Korean Data and Information Science Society.2016; 27(5): 1169. CrossRef - Small area estimations for disease mapping by using spatial model
Daeseong An, Junhee Han, Taeho Yoon, Changhoon Kim, Maengseok Noh
Journal of the Korean Data and Information Science Society.2015; 26(1): 101. CrossRef - Deprivation and suicide mortality across 424 neighborhoods in Seoul, South Korea: a Bayesian spatial analysis
Tae-Ho Yoon, Maengseok Noh, Junhee Han, Kyunghee Jung-Choi, Young-Ho Khang
International Journal of Public Health.2015; 60(8): 969. CrossRef - Relationship between local authority deprivation and activity limitation in adults aged 50 or over
Tae-Ho Yoon, Soo-Young Kim, Mi-Sook Yun, Kyung-Joo Moon
Korean Journal of Health Education and Promotion.2015; 32(2): 27. CrossRef - The influence of regional deprivation index on personal happiness using multilevel analysis
Kim Kil Hun, Chun Jin-Ho, Sohn Hae Sook
Epidemiology and Health.2015; 37: e2015019. CrossRef - Pulmonary tuberculosis in São Luis, State of Maranhão, Brazil: space and space-time risk clusters for death (2008-2012)
Marcelino Santos Neto, Mellina Yamamura, Maria Concebida da Cunha Garcia, Marcela Paschoal Popolin, Ludmila Barbosa Bandeira Rodrigues, Francisco Chiaravalloti Neto, Inês Fronteira, Ricardo Alexandre Arcêncio
Revista da Sociedade Brasileira de Medicina Tropical.2015; 48(1): 69. CrossRef - The Use of Housing Price As a Neighborhood Indicator for Socio-Economic Status and the Neighborhood Health Studies
Chul Sohn
Journal of Korea Spatial Information Society.2013; 21(6): 81. CrossRef - Desigualdades sociais na distribuição espacial das hospitalizações por doenças respiratórias
Fernanda Pedro Antunes, Maria da Conceição Nascimento Costa, Jairnilson Silva Paim, Ligia Maria Vieira-da-Silva, Álvaro Augusto Cruz, Márcio Natividade, Mauricio L. Barreto
Cadernos de Saúde Pública.2013; 29(7): 1346. CrossRef - Exploring Multidimensional Public Health Data Using Self Organizing Map and GIS
Chul Sohn
Journal of Korea Spatial Information Society.2012; 20(6): 23. CrossRef