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KMID : 1170320080140010051
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Korean Journal of Health Economics and Policy
2008 Volume.14 No. 1 p.51 ~ p.74
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Educational Attainment and Subjective Unhealthiness-An Exploration of the Mediators
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Kang Eun-Jeong
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Abstract
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Although the relationship between socioeconomic position and health inequality has been established, studies on how socioeconomic position affects health inequality are not sufficient in Korea. The purpose of the study was to find out those factors that mediate the relationship between education attainment, an indicator of socioeconomic position, and subjective health status. In detail, using the Korea National Health and Nutrition and Examination Survey in 1998, 2001, and 2005, the study (1) checked if educational attainment affected subjective health status, (2) identified the mediators of educational attainment and subjective health status, and (3) analyzed how much each mediator contributed to the difference in subjective health status by educational attainment for each year. The study results showed that lower educational attainment was related to higher rate of subjective unhealthiness. However, the evidence was not sufficient that health inequality by educational attainment has increased since 1998. The mediators between educational attainment and subjective unhealthiness were slightly different across the study years. The extent that each mediator contributed to the difference in subjective unhealthiness by educational attainment was also different across the study years. In general, disease factors for men and women and behavior factors for women were found to mediate educational attainment and subjective unhealthiness. Interventions associated with these mediators could reduce the difference in subjective health status by educational attainment.
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KEYWORD
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educational attainment, subjective unhealthiness, health inequality, mediator
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