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Social and Physical Environments and Self-Rated Health in Urban and Rural Communities in Korea

Author

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  • Jung-A Lee

    (Department of Health Management, Graduate School, Ewha Womans University, Seoul 120-750, Korea
    Department of Health and Medical Information, Myongji College, Seoul 120-776, Korea)

  • Jong Heon Park

    (Department of Big Data Steering, National Health Insurance Service, Seoul 121-749, Korea
    These authors contributed equally to this work.)

  • Myung Kim

    (Department of Health Education and Management, College of Health Sciences, Ewha Womans University, Seoul 120-750, Korea
    These authors contributed equally to this work.)

Abstract

This study evaluated the associations between social and physical environments and self-rated health (SRH) for urban and rural Korean adults, using data from the Korean Community Health Survey (KCHS) of 199,790 participants (115,454 urban and 84,336 rural). The main dependent variable was SRH, while the primary independent variables were social and physical characteristics. Urban residents reported better SRH than did rural residents. Five social environmental variables (trust of neighbors, residence in the area for over 20 years, exchanging help with neighbors, friend and fellowship activities, contact with relatives and neighbors over five times per month) were more prevalent among rural residents. Satisfaction with physical environment was more common among rural residents, but satisfaction with traffic and healthcare facilities was more common among urban areas. After adjusting for relevant factors, positive associations between SRH and trust of neighbors, exchanging help with neighbors, participation in social activities or organizations, and physical environment existed in both rural and urban populations. Also, in both areas, there was no demonstrated association between SRH and years of residence or frequency of contact with relatives. Our findings suggest the existence of an association between social and physical factors and perceived health status among the general population of Korea.

Suggested Citation

  • Jung-A Lee & Jong Heon Park & Myung Kim, 2015. "Social and Physical Environments and Self-Rated Health in Urban and Rural Communities in Korea," IJERPH, MDPI, vol. 12(11), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:11:p:14329-14341:d:58719
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    References listed on IDEAS

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    Cited by:

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    2. Zhenhua Zheng & Hong Chen & Liu Yang, 2019. "Transfer of Promotion Effects on Elderly Health with Age: From Physical Environment to Interpersonal Environment and Social Participation," IJERPH, MDPI, vol. 16(15), pages 1-15, August.
    3. Wanwan Zheng & Yuqing Liang & Woon Seek Lee & Youngwook Ko, 2023. "The Mediation Effect of Perceived Attitudes toward Medical Service on the Association between Public Satisfaction with the Overall Medical Service and Self-Rated Health among the General Population in," IJERPH, MDPI, vol. 20(4), pages 1-16, February.
    4. Daniel Badulescu & Ramona Simut & Alina Badulescu & Andrei-Vlad Badulescu, 2019. "The Relative Effects of Economic Growth, Environmental Pollution and Non-Communicable Diseases on Health Expenditures in European Union Countries," IJERPH, MDPI, vol. 16(24), pages 1-19, December.
    5. Yukun Qiu & Wei Lu & Jianke Guo & Caizhi Sun & Xinyu Liu, 2020. "Examining the Urban and Rural Healthcare Progress in Big Cities of China: Analysis of Monitoring Data in Dalian from 2008 to 2017," IJERPH, MDPI, vol. 17(4), pages 1-18, February.

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