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

Author

Listed:
  • Young-Eun Kim

    (Department of Big Data Strategy, National Health Insurance Service, 32 Geongang-ro, Wonju 26464, Korea
    Co-first authors.)

  • Yoon-Sun Jung

    (Department of Public Health, Graduate School, Korea University, 73, Goryeodae-ro, Seongbuk-gu, Seoul 02841, Korea
    Co-first authors.)

  • Minsu Ock

    (Department of Preventive Medicine, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-Gu, Seoul 05505, Korea
    Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunhwando-ro, Dong-gu, Ulsan 44033, Korea)

  • Hyesook Park

    (Department of Preventive Medicine, Graduate Program in System Health Science and Engineering, Ewha Womans University, College of Medicine, 25 Magokdong-ro 2-gil, Gangseo-gu, Seoul 07804, Korea)

  • Ki-Beom Kim

    (Department of Public Health, Graduate School, Korea University, 73, Goryeodae-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Dun-Sol Go

    (Department of Health Care Policy Research, Korea Institute for Health and Social Affairs, Sejong 30147, Korea)

  • Seok-Jun Yoon

    (Department of Preventive Medicine, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, Seoul 02841, Korea)

Abstract

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.

Suggested Citation

  • Young-Eun Kim & Yoon-Sun Jung & Minsu Ock & Hyesook Park & Ki-Beom Kim & Dun-Sol Go & Seok-Jun Yoon, 2021. "The Gaps in Health-Adjusted Life Years (HALE) by Income and Region in Korea: A National Representative Bigdata Analysis," IJERPH, MDPI, vol. 18(7), pages 1-8, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3473-:d:525145
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    Cited by:

    1. Minhye Kim & Suzin You & Jong-sung You & Seung-Yun Kim & Jong Heon Park, 2021. "Income-Related Mortality Inequalities and Its Social Factors among Middle-Aged and Older Adults at the District Level in Aging Seoul: An Ecological Study Using Administrative Big Data," IJERPH, MDPI, vol. 19(1), pages 1-17, December.

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