Changes in contributions of age- and cause-specific mortality to the widening life expectancy gap between North and South Korea, 1990-2019: An analysis of the Global Burden of Disease Study 2019
被引:1
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作者:
Choi, Minjae
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Korea Univ, Inst Future Publ Hlth, Grad Sch Publ Hlth, Seoul, South Korea
Korea Univ, Coll Med, Dept Prevent Med, Seoul, South KoreaKorea Univ, Inst Future Publ Hlth, Grad Sch Publ Hlth, Seoul, South Korea
Choi, Minjae
[1
,2
]
Sempungu, Joshua Kirabo
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Korea Univ, Coll Med, Dept Prevent Med, Seoul, South Korea
Korea Univ, Grad Sch, Program Publ Hlth, Seoul, South KoreaKorea Univ, Inst Future Publ Hlth, Grad Sch Publ Hlth, Seoul, South Korea
Sempungu, Joshua Kirabo
[2
,3
]
Lee, Eun Hae
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机构:
Korea Univ, Coll Med, Dept Prevent Med, Seoul, South Korea
Korea Univ, Grad Sch, Program Publ Hlth, Seoul, South KoreaKorea Univ, Inst Future Publ Hlth, Grad Sch Publ Hlth, Seoul, South Korea
Lee, Eun Hae
[2
,3
]
Lee, Yo Han
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Korea Univ, Coll Med, Dept Prevent Med, Seoul, South Korea
73 Goryeodae Ro, Seoul, South KoreaKorea Univ, Inst Future Publ Hlth, Grad Sch Publ Hlth, Seoul, South Korea
Lee, Yo Han
[2
,4
]
机构:
[1] Korea Univ, Inst Future Publ Hlth, Grad Sch Publ Hlth, Seoul, South Korea
[2] Korea Univ, Coll Med, Dept Prevent Med, Seoul, South Korea
[3] Korea Univ, Grad Sch, Program Publ Hlth, Seoul, South Korea
Life expectancy;
Decomposition analysis;
North Korea;
South Korea;
NUTRITION;
COUNTRIES;
TRENDS;
D O I:
10.1016/j.ssmph.2023.101445
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
Background: Life expectancy gaps between North and South Korea have increased but contributions to these gaps remain poorly understood. Using data from the Global Burden of Disease Study (GBD) 2019, we examined how much death from specific diseases contributed to these gaps in different age groups over three decades.Methods: Data for death numbers and population by sex and 5-year age groups in both North and South Korea from 1990 to 2019 were extracted from the GBD 2019 to calculate life expectancy. Joinpoint regression analysis was conducted to investigate changes in life expectancy in North and South Korea. We used decomposition analysis to partition differences in life expectancy within and between the two Koreas into changes in age-and cause-specific death contributions.Results: Life expectancy increased in two Koreas from 1990 to 2019, but North Korea experienced a marked decline in life expectancy during the mid-1990s. The life expectancy gaps between the two Koreas were greatest in 1999, with a difference of 13.3 years for males and 14.9 years for females. The main contributors to these gaps were higher under-5 mortality from nutritional deficiencies for males (4.62 years) and females (4.57 years) in North Korea, accounting for about 30% of the total gap in life expectancy. After 1999, the life expectancy gaps reduced but persisted with differences of about ten years by 2019. Notably, chronic diseases contributed to about 8 out of 10 years of life expectancy gap between the two Koreas in 2019. Differential cardiovascular disease mortality in the older groups was the main contributor to the life expectancy gap.Conclusions: The contributors to this gap have shifted from nutritional deficiencies in children younger than five years to cardiovascular disease among elderly people. Efforts for strengthening social and healthcare systems are needed to curb this large gap.
机构:
Kosin Univ, Coll Med, Dept Med Humanities & Social Med, 262 Gamcheon Ro, Busan 49267, South KoreaKosin Univ, Coll Med, Dept Med Humanities & Social Med, 262 Gamcheon Ro, Busan 49267, South Korea
Kim, Ikhan
Bae, Hyeona
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Kosin Univ, Coll Med, Dept Med Humanities & Social Med, 262 Gamcheon Ro, Busan 49267, South KoreaKosin Univ, Coll Med, Dept Med Humanities & Social Med, 262 Gamcheon Ro, Busan 49267, South Korea
机构:
Keimyung Univ, Dept Publ Hlth, Daegu, South KoreaKeimyung Univ, Dept Publ Hlth, Daegu, South Korea
Bahk, Jinwook
Kang, Hee-Yeon
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机构:
Seoul Natl Univ, Dept Hlth Policy & Management, Coll Med, Seoul, South Korea
Seoul Natl Univ, Inst Hlth Policy & Management, Med Res Ctr, Seoul, South KoreaKeimyung Univ, Dept Publ Hlth, Daegu, South Korea
Kang, Hee-Yeon
Khang, Young-Ho
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Seoul Natl Univ, Dept Hlth Policy & Management, Coll Med, Seoul, South Korea
Seoul Natl Univ, Inst Hlth Policy & Management, Med Res Ctr, Seoul, South KoreaKeimyung Univ, Dept Publ Hlth, Daegu, South Korea
机构:
Shangqiu First Peoples Hosp, Dept Urol, 292 South Kaixuan Rd, Shangqiu 476100, Henan, Peoples R ChinaShangqiu First Peoples Hosp, Dept Urol, 292 South Kaixuan Rd, Shangqiu 476100, Henan, Peoples R China
Zhang, Lu-yu
Wang, Peng
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Shangqiu First Peoples Hosp, Dept Urol, 292 South Kaixuan Rd, Shangqiu 476100, Henan, Peoples R ChinaShangqiu First Peoples Hosp, Dept Urol, 292 South Kaixuan Rd, Shangqiu 476100, Henan, Peoples R China
Wang, Peng
Wang, Yin-biao
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Shangqiu First Peoples Hosp, Dept Urol, 292 South Kaixuan Rd, Shangqiu 476100, Henan, Peoples R ChinaShangqiu First Peoples Hosp, Dept Urol, 292 South Kaixuan Rd, Shangqiu 476100, Henan, Peoples R China
Wang, Yin-biao
He, Zhi-qiang
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Shangqiu First Peoples Hosp, Dept Urol, 292 South Kaixuan Rd, Shangqiu 476100, Henan, Peoples R ChinaShangqiu First Peoples Hosp, Dept Urol, 292 South Kaixuan Rd, Shangqiu 476100, Henan, Peoples R China