Income disparity and mortality among patients with alcohol use disorder in South Korea
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| Title: | Income disparity and mortality among patients with alcohol use disorder in South Korea |
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| Authors: | Ki Tae Moon, Chung Mo Nam, Chae Woon Kwak, Eun Cheol Park, Ho Soon Yoon, Kyu Tae Han |
| Contributors: | College of Medicine, Dept. of Preventive Medicine, Chae Woon Kwak, Kyu-Tae Han, Chung Mo Nam, Ki Tae Moon, Ho-Soon Yoon, Eun-Cheol Park, Nam, Jung Mo, Park, Eun Chul |
| Source: | Psychiatry Research. 258:358-364 |
| Publisher Information: | Elsevier BV, 2017. |
| Publication Year: | 2017 |
| Subject Terms: | Adult, Male, Risk, Alcohol Drinking, Poverty/statistics & numerical data, Alcohol Drinking/adverse effects, 03 medical and health sciences, 0302 clinical medicine, Alcoholism/economics, Republic of Korea, Humans, Mortality, Poverty, Aged, Proportional Hazards Models, Alcoholic disorders, 1. No poverty, Income disparity, Survival analysis, Middle Aged, 3. Good health, Alcoholism, Income/statistics & numerical data, Income, Female, Republic of Korea/epidemiology, Alcoholism/prevention & control, Alcoholism/mortality |
| Description: | Problems related to alcohol consumption, particularly alcohol disorders, occur frequently in South Korea and are gradually increasing due to the drinking culture and social atmosphere. We analyzed the relationship between mortality and income among patients with alcohol disorders. We used data from the National Sampling Claim Data 2003-2013, which included medical claims filed for 10,593 patients newly diagnosed with alcohol disorders. We performed survival analyses using a Cox proportional hazards model. 12.79% died during the study period. Patients with lower incomes were more positively associated with the risk of mortality than those with higher incomes (0-30 percentile: hazard ratio [HR] = 1.432, 95% confidence interval [CI] = 1.155-1.777; 31-60 percentile: HR = 1.318, 95% CI = 1.065-1.633; 61-90 percentile: HR = 1.352, 95% CI = 1.097-1.665; 91-100 percentile: ref). Such associations were significant in males, patients with mild conditions, or those who lived in metropolitan areas. In conclusion, we found that income disparity was related to mortality among patients diagnosed with disorders due to alcohol use. Thus, healthcare professionals need to provide active intervention in the early phase of alcohol disorders, and consider policy that would improve healthcare accessibility for low-income populations in order to reduce income disparity. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2017.08.072 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/28864121 https://www.ncbi.nlm.nih.gov/pubmed/28864121 https://yonsei.pure.elsevier.com/en/publications/income-disparity-and-mortality-among-patients-with-alcohol-use-di http://www.sciencedirect.com/science/article/pii/S0165178116317334 https://www.sciencedirect.com/science/article/pii/S0165178116317334 |
| Rights: | Elsevier TDM CC BY NC ND |
| Accession Number: | edsair.doi.dedup.....e171661d71e1e273588c9da887cc556c |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Problems related to alcohol consumption, particularly alcohol disorders, occur frequently in South Korea and are gradually increasing due to the drinking culture and social atmosphere. We analyzed the relationship between mortality and income among patients with alcohol disorders. We used data from the National Sampling Claim Data 2003-2013, which included medical claims filed for 10,593 patients newly diagnosed with alcohol disorders. We performed survival analyses using a Cox proportional hazards model. 12.79% died during the study period. Patients with lower incomes were more positively associated with the risk of mortality than those with higher incomes (0-30 percentile: hazard ratio [HR] = 1.432, 95% confidence interval [CI] = 1.155-1.777; 31-60 percentile: HR = 1.318, 95% CI = 1.065-1.633; 61-90 percentile: HR = 1.352, 95% CI = 1.097-1.665; 91-100 percentile: ref). Such associations were significant in males, patients with mild conditions, or those who lived in metropolitan areas. In conclusion, we found that income disparity was related to mortality among patients diagnosed with disorders due to alcohol use. Thus, healthcare professionals need to provide active intervention in the early phase of alcohol disorders, and consider policy that would improve healthcare accessibility for low-income populations in order to reduce income disparity. |
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| ISSN: | 01651781 |
| DOI: | 10.1016/j.psychres.2017.08.072 |