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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-8036311 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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