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The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis

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 an...

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Autores principales: Kim, Young-Eun, Jung, Yoon-Sun, Ock, Minsu, Park, Hyesook, Kim, Ki-Beom, Go, Dun-Sol, Yoon, Seok-Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036311/
https://www.ncbi.nlm.nih.gov/pubmed/33801588
http://dx.doi.org/10.3390/ijerph18073473
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author Kim, Young-Eun
Jung, Yoon-Sun
Ock, Minsu
Park, Hyesook
Kim, Ki-Beom
Go, Dun-Sol
Yoon, Seok-Jun
author_facet Kim, Young-Eun
Jung, Yoon-Sun
Ock, Minsu
Park, Hyesook
Kim, Ki-Beom
Go, Dun-Sol
Yoon, Seok-Jun
author_sort Kim, Young-Eun
collection PubMed
description 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.
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spelling pubmed-80363112021-04-12 The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis Kim, Young-Eun Jung, Yoon-Sun Ock, Minsu Park, Hyesook Kim, Ki-Beom Go, Dun-Sol Yoon, Seok-Jun Int J Environ Res Public Health Article 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. MDPI 2021-03-27 /pmc/articles/PMC8036311/ /pubmed/33801588 http://dx.doi.org/10.3390/ijerph18073473 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Kim, Young-Eun
Jung, Yoon-Sun
Ock, Minsu
Park, Hyesook
Kim, Ki-Beom
Go, Dun-Sol
Yoon, Seok-Jun
The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis
title The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis
title_full The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis
title_fullStr The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis
title_full_unstemmed The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis
title_short The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis
title_sort gaps in health-adjusted life years (hale) by income and region in korea: a national representative bigdata analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036311/
https://www.ncbi.nlm.nih.gov/pubmed/33801588
http://dx.doi.org/10.3390/ijerph18073473
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