Explaining gender differences in ill-health in South Korea: The roles of socio-structural, psychosocial, and behavioral factors
This study examines and explains the gender disparity in health despite rapid modernization in South Korea where the social structure is still based on traditional gender relations. A nationally representative sample of 2897 men and 3286 women aged 25-64 from the 2001 Korean National Health and Nutrition Examination Survey was analyzed. Health indicators included self rated health and chronic disease. Age-adjusted prevalence was computed according to a gender and odds ratios (OR) derived from logistic regression. Percentage changes in OR by inclusion of determinant variables (socio-structural, psychosocial, and behavioral) into the base logistic regression model were used to estimate the contributions to the gender gap in two morbidity measures. Results showed a substantial female excess in ill-health in both measures, revealing an increasing disparity in the older age group. Group-specific age-adjusted prevalence of ill-health showed an inverse relationship to socioeconomic position. When adjusting for each determinant, employment status, education, and depression contributed the greatest to the gender gap. After adjusting for all suggested determinants, 78% for self rated health and 86% for chronic disease in excess OR could be explained. After stratifying for age, the full model provided a complete explanation for the female excess in chronic illness, but for self rated health a female excess was still evident for the younger age group. Socio-structural factors played a crucial role in accounting for female excess in ill-health. This result calls for greater attention to gender-based health inequality stemming from socio-structural determinants in South Korea. Cross-cultural validation studies are suggested for further discussion of the link between changing gender relations and the gender health gap in morbidity in diverse settings.
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Volume (Year): 67 (2008)
Issue (Month): 6 (September)
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- McDonough, Peggy & Walters, Vivienne, 2001. "Gender and health: reassessing patterns and explanations," Social Science & Medicine, Elsevier, vol. 52(4), pages 547-559, February.
- Green, Carla A & Pope, Clyde R, 1999. "Gender, psychosocial factors and the use of medical services: a longitudinal analysis," Social Science & Medicine, Elsevier, vol. 48(10), pages 1363-1372, May.
- Denton, Margaret & Prus, Steven & Walters, Vivienne, 2004. "Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health," Social Science & Medicine, Elsevier, vol. 58(12), pages 2585-2600, June.
- Umberson, Debra, 1992. "Gender, marital status and the social control of health behavior," Social Science & Medicine, Elsevier, vol. 34(8), pages 907-917, April.
- Gijsbers van Wijk, Cecile M. T. & Kolk, Annemarie M. & van den Bosch, Wil J. H. M. & van den Hoogen, Henk J. M., 1995. "Male and female health problems in general practice: The differential impact of social position and social roles," Social Science & Medicine, Elsevier, vol. 40(5), pages 597-611, March.
- Denton, Margaret & Walters, Vivienne, 1999. "Gender differences in structural and behavioral determinants of health: an analysis of the social production of health," Social Science & Medicine, Elsevier, vol. 48(9), pages 1221-1235, May.
- Lahelma, Eero & Martikainen, Pekka & Rahkonen, Ossi & Silventoinen, Karri, 1999. "Gender differences in illhealth in Finland: patterns, magnitude and change," Social Science & Medicine, Elsevier, vol. 48(1), pages 7-19, January.
- Bird, Chloe E. & Rieker, Patricia P., 1999. "Gender matters: an integrated model for understanding men's and women's health," Social Science & Medicine, Elsevier, vol. 48(6), pages 745-755, March.
- Macintyre, Sally & Hunt, Kate & Sweeting, Helen, 1996. "Gender differences in health: Are things really as simple as they seem?," Social Science & Medicine, Elsevier, vol. 42(4), pages 617-624, February.
- Lahelma, Eero & Arber, Sara & Kivelä, Katariina & Roos, Eva, 2002. "Multiple roles and health among British and Finnish women: the influence of socioeconomic circumstances," Social Science & Medicine, Elsevier, vol. 54(5), pages 727-740, March.
- Backhans, Mona C. & Lundberg, Michael & Månsdotter, Anna, 2007. "Does increased gender equality lead to a convergence of health outcomes for men and women? A study of Swedish municipalities," Social Science & Medicine, Elsevier, vol. 64(9), pages 1892-1903, May.
- Strazdins, Lyndall & Bammer, Gabriele, 2004. "Women, work and musculoskeletal health," Social Science & Medicine, Elsevier, vol. 58(6), pages 997-1005, March.
- Macintyre, Sally & Ford, Graeme & Hunt, Kate, 1999. "Do women 'over-report' morbidity? Men's and women's responses to structured prompting on a standard question on long standing illness," Social Science & Medicine, Elsevier, vol. 48(1), pages 89-98, January.
- O'Neill, June & Polachek, Solomon, 1993. "Why the Gender Gap in Wages Narrowed in the 1980s," Journal of Labor Economics, University of Chicago Press, vol. 11(1), pages 205-28, January.
- Arber, Sara, 1991. "Class, paid employment and family roles: Making sense of structural disadvantage, gender and health status," Social Science & Medicine, Elsevier, vol. 32(4), pages 425-436, January.
- Arber, Sara & Cooper, Helen, 1999. "Gender differences in health in later life: the new paradox?," Social Science & Medicine, Elsevier, vol. 48(1), pages 61-76, January.
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