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Associations of socioeconomic and religious factors with health: a population-based, comparison study between China and Korea using the 2010 East Asian social survey

机译:社会经济和宗教因素与健康的协会:中国和韩国使用2010年东亚社会调查的基于人口的比较研究

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Cross-national comparisons of the associations of socioeconomic and religious factors with health can facilitate our understanding of differences in health determinants between countries and the development of policies to reduce health differentials appropriate to each country. However, very few such studies have been conducted in East Asia. This study set out to compare the associations of socioeconomic and religious factors with health in China and Korea using the 2010 East Asian Social Survey, which was based on nationally representative samples. The study participants included 4980 individuals, 3629 in China and 1351 in Korea, aged ≥20?years. The dependent variable, individuals' self-rated health, was categorized into poor, good, and excellent. Socioeconomic (education, employment, household income, and self-assessed social class) and religious factors (affiliation) were used as independent variables of interest. A multinomial logistic regression was performed with and without adjustments for factors such as demographics, health-related risks, the health system, and social capital. According to the results, China had a higher proportion of individuals who reported excellent health than did Korea (57.4% vs. 52.0%). After adjusting for all studied confounders, we found that the employment, household income, and social class gradient in health were significant in China, whereas the education and religion gradients in health were significant in Korea. For example, the odds ratio for poor health versus excellent health among those in the highest social class was 0.47 (95% CI, 0.27-0.84), compared to that of people in the lowest social class in China; and this odds ratio in people with college education or higher was 0.28 (95% CI, 0.14-0.59) compared to that of people with elementary school education or lower in Korea. These findings demonstrate the important role of socioeconomic and religious factors in health in China and Korea as well as clear differences in this regard. Further cross-national studies are needed to provide a better understanding of the relationship between socioeconomic and religious factors and health and to draft appropriate health improvement policies in both countries.
机译:健康社会经济和宗教因素协会的跨国比较可以促进我们对各国之间健康决定因素的差异的理解,以及为每个国家减少适当的健康差异的政策。但是,很少有少数在东亚进行的研究。本研究旨在使用2010年东亚社会调查,比较社会经济和宗教因素与韩国健康的协会,基于国家代表性样本。该研究参与者包括4980名个人,3629人,韩国1351年,≥20岁。受抚养变量,个人的自我评价的健康,被分为差,好,优秀。社会经济(教育,就业,家庭收入和自我评估的社会阶层)和宗教因素(隶属度)被用作独立的兴趣变量。对人口统计学,与健康风险,卫生系统和社会资本等因素进行了多项式逻辑回归。根据结果​​,中国的个人比例高于韩国的良好健康(57.4%与52.0%)。在调整所有学习的混乱后,我们发现,在中国的卫生中的就业,家庭收入和社会阶层渐变是重要的,而健康的教育和宗教梯度在韩国显着。例如,与中国最低社会阶层中的人民相比,健康状况不佳与优异健康状况不佳的差额率为0.47(95%CI,0.27-0.84);与韩国小学教育或更低的人相比,大学教育或高等教育或更高的人数为0.28(95%CI,0.14-0.59)。这些调查结果展示了社会经济和宗教因素在中国和韩国健康中的重要作用以及这方面的明显差异。需要进一步的跨国研究,以便更好地了解社会经济和宗教因素与健康之间的关系,以及两国的适当健康改善政策。

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